HomeMy WebLinkAbout33685-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33685 Z
Date FEBRUARY 13, 2008
Permission is hereby granted to:
ALDO & OLGA BLASKOVIC
29-29 169TH STREET
FLUSHING,NY 11358
for :
ADDITIONS AND ALETE~ATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at 525
County Tax ~4ap No. 473889 Section 057
pursuant to application dated FEBRUARY
BLUE MARLIN DR GREENPORT
Block 0001 Lot No. 023
5, 2008 and approved by the
Building Inspector to expire on AUGUST 13~09.
Fee $ 639.60/
ORIGINAL
Rev. 5/8/02
Fml,B 12N'SI~ECTION REPORT
FOUNDATION (1ST)
FOUNDATION (2ND)
PLL-iVtBING
D
LNSULATION PER N. Y.
STATE ENERGY CODE
~DITION~ COUNTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOW
SOUT.OLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
~. northfork.ne~Southoi~
Examined
Approved
Disapproved a/c
Expiration
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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 ~ j fi/~ f~
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
'lq
Phone:~-~d- ~>3 ~
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
&eas, 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 applieent. 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
~ssues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not 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 writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Depmtment 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 for 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 or name, if a corporation)
(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 is a corporatiofl, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License
1. Location of land on which proposed work will be done:
House Number Street
CountyTax MapNo. 1000 Section .5'7'
Subdivision ~' o ,3-"~ ~-~,,, ~. ~ ~ ¢ ~, .~ ~
(Name)
Hamlet
Block O l
Filed Map No.
Lot ~3
Lot
TOWN
OF SOUTHOLD
P~OPERTY
RECORD
CARD
OWNER
FORMER OWNER
STREET
N
VI LLAGE
S W
RES. ~310 SEAS.
LAND IMP.
DISTRICT SUB.
ACREAGE
TYPE OF BUILDING
LOT ~ ~.~
~oA~GE 5~OO
NEW NORMAL
Farm Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
B rushlon~,,..
House Plot
TOTAL DAtE REMARKS./~
I Value Per Acre Value
Total
- -- Bath
BaSement - ~
F~d- ~,~_,, - - ,- _ Floors
Town Hall Annex
54375 Main Road
P,O. Box 1179
Southold. New York 11971-0959
Telephone (631 ) 765-1802
Fax (63 l) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
January 27th, 2009
FIRST NOTICE
Aldo &Olga Blaskovic
29-29 169th Street
Flushing, N.Y. 11358
RE: 525 Blue Marlin Dr. (Addition/Alterations)
5CTM: # 57.-1-23
Dear Mr. & Mrs. Blaskovic,
Please be advised that your Building Permit # 33685 issued February 13th 2008 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit, please submit a fee of $639.60; at time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDIN~ DEPT
~o~ (~)
~o~ ~)
S 86'15'50" E
FOUN~
o
2 STORY
FRAME ROUSE
235.00'
121
STOOP
'00" W
120.00'
, ~ 5, ?.0" ~
$
9O
SURVEY OF
LOT 22
]lAP OF
SOUTHOLD SHORES
FILE No. 3853 FILED AUGUST 29, 1963
$ITUA TED A T
ARSHAMOMAQUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-57-01-25
SCALE 1 "--20'
SEPTEMBER 17, 200.5
JANUARY B, 2008 UPDATE SURVEY & AQDED PROPOSED ADDITIONS
FEBRUARY 5, 2008 REVISED PROPOSED ADDITION
AREA = 20,825.57 sq. ff.
0.478 ac.
CERTIFIED TO:
ALDO BASKOVlC
50467
THE EXISTEHCE Of RIGHTS Of WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED,
Nathan Taft Corwln III
Land Surveyor
PHONE (631)727-2090 Fex (551)727-1727
27--477