The URL can be used to link to this page

Home My WebLink About36229-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36229 Date: 319/2011 Permission is hereby granted to: Purtell, Gerard & Purtell, Mary 43-46 189th St Flushing, NY 11358 To: DEMOLITION OF EXISTING SCREENED PORCH At premises located at: 10160 Soundview Ave SCTM # 473889 Sec/Block/Lot # 54.-9-14 Pursuant to application dated To expire on 3/8/2012. Fees: 3/1/2011 and approved by the Building Inspector. DEMOLITION Total: $146.35 $146.35 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c ~//~ ~ 20 // Expiration PERMIT NO. fi'[~.~' ) ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey ~' Check ~ Septic Form N.Y.S.D.E.C. Trustees Flood Pemfit Storm-Water Assessment Form Contact: Mail to: Phone: ~2.$' - :~ 8 ~,~ ! Bull&ng Inspector APPLICATION FOR BUILDING PERMIT Date flt/r,t ."c4 / ,20// INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has nol commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in xvriting, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold. Suffolk County, New York. and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or lbr removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ (Signature of applicant o~"~'ame, ifa coq)oration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant~t is~a~,t~,is orporatiDn,~t_ ~'",oOt.~24/Y/g!}atur e qf duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street CountyTax Map No. 1000 Section Subdivision Hamlet Block ~ ff Lot /l/ Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost /J'¢,O 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work l/{~ 'ST' (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase /,'~ ,4t r-,/~_./ Nalne of Former Owner I 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO t// 13. Will lot be re-graded? YES 14. Names o f Owner of premises ~ *~¢--r~'/2~,,,-¢r_,/? Address Name of Architect Address Name of Contractor 2~,~ ,-~, ,:'/ -¢-,,~ c ~ Address NO__Will excess fill be removed from premises? YES NO__ Phone No. Phone No Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~ REQUIRED. b. Is this property within 300 feet eta tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO / 16. Provide survey, to scale, with accurate tbundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO /'' · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY 0 F~O, .-~[--~-- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, 8ta~e of New Yo~ (S)He is the _ No.. 01BU618r~O80 (Contractor, Agent, Corporate Officer, etc.) Oom~ll~l"u~Jl~l~8~l ~4. 2_~/~ of said owner or owners, and is duly authorized to pert'om or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this day of 0'xkC, q ('/:/ 20 l/ Notary Public Signature of Applicant ,BUILDING PERMIT EXAMINER CHECKLIST Applicant: *Date Submittea: Owner: Date Reviewed: Architect/Engineer: scm# ooo- Property Address: - //~ Subdivision: C~C~ ~ ~l'~V/~t~.) .½t;~C City: Estimated Cost: ]! ~-(~_._ Zone: ~J/(? Conforming?__ ~-~ ~ ~T/4(3/~ t Pre COs? ~ Building Permits (Open/Expired): BP__-Z / C/0 Z- , Into: BP__-Z/C/0 Z- .,Info: BP__-Z / C/0 Z- . Single & Separate Search Required? Y or N Determination: REQ. Lot Size: ACT. Lot Size: R.EQ. Front . ACT. Front REQ Side REQ. Height. ACT. Height Project Description: Waterfront? Y or/~/ If yes, water bodyT Panel# BP__-Z / C/0 Z- , Info: , Info: .. BP -Z / C/0 Z- , Info: _ ACT. Side REQ. Lot Coy. __ REQ. Rear__ ACT ACT: Lot Coy. PROP. Rear Flood Zone: Bulkhead/Bluff Distance: ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y o If yes, ?Bed#: *Date: / *Permit: - If no, certification required: Y or N Received: Y or N By: NYS DEC: ea~-o~c ~ar~s Y o~/1~- Date: / / Permit #: Southold Trustees: Y. 0~(.~ Date: /__ Southold ZBA: Y or~ Date: ./ /__ Southoid Planning: Y or'Date: :/ / Permit #: Permit #: / Permit #: Town Septic: Y or 1~ or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: l'own Landmark C of A: Y or N DTE: / / *NYS CODE Compliance (page 2): Y or N Notes: Fee Structure: Foundation: SF First Floor: SF gecond Floor: SF Other: SF Fetal: SF Calculation: 1.( 2.( SF)- ( SF)- ( .SF)= SF X $ + Initial Fee: $ + Addition~[l~ee ( ): $ SF)= 15/ SF X + Initial Fee: $ + Additional Fee ( ): $ TOTAL: $ /g//::~'~- N AREA=IO,O04 SQ. FT. \ / / I I \ SURJiEY O? PROPERTY AT SOUTHOLD ~TO FN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1~64-0~-14 SCAL~: I'~A~O' ~RUARY I~ 2011 ELEVATIONS REFERENCED TO N.A. V,D. '88 ANY ALTERAIION OR ADDITION TO IA'IS SURVEY IS A VIOLATION 0c SECTION 72090F THE NEW YORK STATE EDUCATION LA~ EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIRCATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR V~HOSE SIGNATURE APPEARS HEREON. 'F~ECONIC~ S[_J~?VEYOI~ ~ (6JI) 765-5020 FAX (631) 765-1797 P.O. BOX 909 1230 TRAVELER STREETI sour~o~o, N.× 11~71