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Home My WebLink About34477-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) PEP34IT NO. 34477 Z Date MARCH 5, 2009 Permission is hereby granted to: WILLIAM & CYNTHIA AP~NOLD 3893 BROOKLYN AVENUE SEAFORD,NY 11783 for : CONSTRUCTION OF A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.REPLACES EXPIRED BP # 32727 at premises located at 300 LATHAM LA County Tax Map No. 473889 Section 015 Block pursuant to application dated MARCH 5, 2009 Building Inspector to expire on SEPTEMBER 5, ORIENT 0009 Lot No. 001.010 and approved by the 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32727 Z Date FEBRUARY 16, 2007 Permission is hereby granted to: WILLIAM & CYNTHIA ARNOLD PO BOX 60 ORIENT,NY 11957 for : CONSTRUCTION OF A GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 300 LATHAM LA County Tax Map No. 473889 Section 015 Block pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST ORIENT 0009 Lot No. 001.010 12, 2007 and approved by the 16, 2008. Fee $ 200.00 Authorized Signature COPY Rev. 5/8/02 C0iVIlVlF~TS v~I,D INSPECTION RgPORT FOUNDATION (1ST) FO~ATION (2~) ROUGH ~G & PL~G ~SULATION PER N. Y. STATE E~RGY CODE ~D~ION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c , 20 t)7 ,20 Expiration ~// ~ ,20~)~ PERMIT NO. 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 Contact: Mail to: Phone: / ~uilding spe o APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~. C~ ,20 O '7 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 tiffs 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 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 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 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, er!gineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~,J~,[f.L.t'P,v~. % C,,{~-~"~,.;~. ~/~O..~.oc>~) (As on ihe tax roll or latest deed) If applicant is a corporation, signature of 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 Hamlet County Tax Map No. 1000 Section Subdivision I-Al, oB 5 ~-~ (Name) Block O q Filed Map No. Lot ~ [, [~ Lot State existing use and occupancy of premise_s and intended use. and occupancy of prop. osed construction: a. Existing use and occupancy ~,.la.k.~ ~¢"A~L.'4 ~.~ ~,ac._.~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Demolition 4. 5. Repair Removal Estimated Cost If dwelling, number of dwelling units If garage, number of cars .~_ Addition / Alteration Other Work Fee (Description) (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 Rear Depth Height Number of Stories 9. Size oflot: Front ~t~.~ Rear I~O,~ Depth ~,o{~ 10. Date of Purchase I - '/~1 -Lx~ Name of Former Owner C--~o,~oo ~ 11. Zone or use district in which premises are situated 0, - ~ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO / 13. Will lot be re-graded? YES ~/rNO __Will excess fill be removed from premises? YES __ NO__ 14. NamesofOwnerofpremises ~¢,~Oc..O Addressg, OXl~e~uW¢ ~Od.~honeNo. (t~51'--~f5ct~7. i~O~5 Name of Architect Address l~o~.m~,l~ ~'~ Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation 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. STATE OF NEW YORK) SS: COUNTY OF [k) i{ II&~r,~ .~t'-r'~Dlr~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or own,~ro, and is dray au&orized to pcrform or have perfon:acd the said wot~: and to make and file this application; that all statements contained in this application are tme 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 ~[rS~ dayof '"~LDcco-~ 200~ Notary Public PATRICIA KENCHIK NOTARY PUBLIC, STATE OF COUNTY OF NASSAU REG. 01KE6128831 VALID UNTIL 06 / 20 / Signature of Applicant S 88'57'40" E 204.55' z Lot LAN ~ ~ '~% t~ ' I I 0'~' ~ ~ -- JONCTQN ~XlCONc ~N k ~ N 88"57'40" W COUNTY OF 34.35' 4 SURVEY OF LOT 10 MAP OF LAND'S END FILE No. 5909 FILED MAY 5, 1975 SJTUA TED A T ORIENT POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-15-09-1.10 SCALE 1"=40' FEBRUARY 22, 2001 MARCH 21, 2001 REVISE0 PROP WELL ~ CESSPOOL LOCATION SEPTEMBER 20. 2001 FOUNDATION LOCATION JANUARY 7. 2002 ADDED SEPTIC SYSTEM & WELL LOCATION SEPTEMBER 20, 2002 FINAL SURVEY NOVEMBER 15, 2002 REVISED SEPTIC SYSTEM MEASUREMENTS DECEMBER 1. 2006 ADDED PROPOSED ADDITION AREA = 41,781.49 sq. ft. 0.959 DC. CERTiFiED TO, WILLIAM ARNOLD PHONE (631)727-2090 Fox (6.31)727-1727