The URL can be used to link to this page

Home My WebLink About36734-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 #: 36734 Date: 1014/2011 Permission is hereby granted to: To: 5834 Hold~s LLC 2387 Surf Dr Be!lmore, NY 11710 Demo of Accessory Shed At premises located at: 2055 Bay Ave, Mattituck SCTM # 473889 Sec/Block/Lot # 144.-4-3 Pursuant to application dated To expire on 4/4/2013. Fees: 9/23/2011 and approved by the Building Inspector. DEMOLITION $236.20 Total: $236.20 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTM. ENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdT own.N orthF ork. net Examined Approved __ Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. 31.13of SEP 21 2011 BLDG DEPT. TOWNOFSOUTHOLD ! ' B-uil~'~ng Inspector 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 Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled ill by typewriter or in ink aud submitted to the Building Inspector witb 4 sets of plans, accurate plot plan to scale. Fee according to schednle. b. Plot plan showing location of lot and of bnildings on premises, relationship to adjoining premises or public streets or areas, aud water;vays. c. The work covered by this application may not be commeuced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issne a Building Permit to tbe applicant. Sucb a permit shall be kept on tbe premises available for inspection througbont tbe 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 bas not commenced within 12 months after the date of issuance or bas not been completed witbin 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 sball be required. APPLICATION IS HEREBY MADE to the Building Depamnent for the issuance ora Building Permit pursuant to the Bnilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regnlations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicaat 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 iuspections. ~:t~ignature of applicant or name, ifa corporation) (Maili[g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '~Nt4,~ oL--f>"~ ,~(~- L~I (As on the 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. 1 Location of land on whiqh proposed work xvill,be done: House Number Street County Tax Map No. 1000 Section Subdivision ~ Hamlet Block (3 ¢ Filed Map No. ~ Lot O'~ Lot ~- State existing use and occupancy of premises and intended use and occupancy ofpropos'ed construction: a. Existing use and occupancy ':/~'--~-~', 5 ~-~4"FJ ~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost %3~ o, - Fee 5. If dwelling, number of dwelling nnits ~tl'-) If garage, nUmber of cars Addition Alteration Other Work (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. c 7. Dimensions of existing structures, if any: Front ,,2 [3 ,~ Rear Height I~ ' Number of Stories ! Dimensions of same structure with alterations or additions: Front Depth. .Depth R: Rear Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: ]Front / ~ ~ Rear ~ / '4 Rear .Depth / .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO ~' 13. Will lot be re-graded? YES ~ NO Will excess fill be removed from premises? YES NO ~,e ~.~,a,~,sa_.t.o.~r,tt'o- ;.3~d-.i .~.¢ 'D~,..,,.~ ~,?~ 14. Names of Owner of premises ~ ~u Address g~'~,~,~-~ Phone No. ~1~7} 3-?~1 ~ Name of Architect Address Phone No NmeofContractor~t=.e ~OO~rJ~ Address P,~, O~ ~7~ PhoneNo. ~'~23' 3~g~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES >c NO * 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ',,c 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO ''~ STATE OF l~y YOR~') "~('k, I [ t~) ¢ ~O 0 ~ being duly sworn, deposes and says that (s)he is the applicant (Name ofihdividual signing contract) ~bove named, (S)He is the ~~~ ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to pertbrm 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. Signature of Applicant N 10,6 N 71'51'50" W STORAGE COT[AGE SHED S 67°26'5o'' N/F MERCURIO PL. 443.41' 420.34' / I m SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-144-04-0.$ SCALE 1"=30' JULY 19, 2010 AREA = 57,055 sq. ff. 1.510 cc. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. CERTIFIED TO: DENNIS J. LOIACONO, St. PATRICA LOICONO FIDELITY NATIONAL TITLE INSURANCE CITIBANK, N.A. COMPANY ELEV. SOURCE: K JJ5 1950 EL. 1929 NA VD FEMA PANEL~ 36081504810 MAP~ J610JC04810 16.40 PREP^R~)IN ACCORDANCE WITH THE MINIMUM STANDARDS By THE LIA.LS AND N.Y.S, Uc. No, 50457 Nathan Taft Corw~n III Land Surveyor PHONE (651)727-2090 Fax (831)727-1727 30-17