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Home My WebLink About36478-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 #: 36478 Date: 6/13/2011 Permission is hereby granted to: Malon Industries, Inc., 32885 Main Road, Cutchogue, NY cio Stanley Malon PO BOX 579 Cutchogue, NY 11935 To: Alteration to an Existing Commerical Building; Erect Partition Walls for Law Office, as applied for. At premises located at: 32845 Route 25 SCTM # 473889 Sec/Block/Lot # 97.-5-4.5 Pursuant to application dated To expire on 12/12/2012. Fees: 6/13/2011 and approved by the Building Inspector. CO - COMMERCIAL NEW COMMERCIAL, ALTERATION OR ADDITIONS Total: $50.00 $442.80 $492.80 Building Inspector I TOWN OF SOUTHOI_ BUILDING DEPARTI~ TOWN HALL SOUTHOLD, NY 1197 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthF, rK. net Approved 6 ~'- i,~ 20 '~l Expiration I~' ~ (~-~,20. {~-"- Jtl 1 Ot0G. DEPI. TOWN OF SOUTHOLD PEPJMIT 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.¥.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20/0 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 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) 301 E a l'p 7¢U (Mailing address of applic~.nt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ff/~o.~ _~,~.~/r', ~$ (As on the tax roll or latest deed) If ay~ a co~oration, signature ~o.f, duly authorized officer (Name ~nd'~le of co,orate officer) Builders License No. ,.~ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 32 House Number Street Hamlet 9"-7 Block 7--' Filed Map No. U County Tax Map No. 1000 Section Lot '7" ') Subdivision 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. Addition Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If oarage, number of cars Alteration (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 ~Z- / Rear ~2" .Depth Height. I~" Number of Stories Dimensions of same structure with alterations or additions: Front SZ' Rear 3'2 ' Depth. ~..~'" Height /o ' Number of Stories ,/ Dimensions of entire new construction: Front Height Number of Stories Rear Depth /V~9. Size of lot: Front /V,~ 10. Date of Purchase Rear .Depth 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 0/ 13. Will lot be re-graded? YES NO l/Will excess fill be removed from premises? YES __ NO t,/ 14. Names of Owner of promises -2~[iz(~,~_Address/g~,,'~,XJ'7~' Phone No. ~/g~67Z"OTqg' Name of Architect Address~-~'~'/,t2-~/t~o'.~ Phone No Name ofContractor ~[I .~,'t.~.-~ .~,~c. Address 3ote~a.~ec~ ,~O PhoneNo. 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO l// · lF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF 5k~,l',tl{.~ ) ~ ~ ,zoneS' being duly sworn, deposes and says that (s)he is the applicant (Name of individua~i~ning contract) above named, (S)He is the Co~tllro~or (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform 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 ~e~ therewith. / Sworn to before me this '~. ,,}j~(l~ dayof ~ 201,14" ~,,[.~ ' Notary Public '~' ~' ~ ~. '~nature o-b'ff~pplicant wi~etber applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises /ff~ _~_~,e, ~.o (As on the tax roll or latest deed) Ifapplic~tjs a corporation, signature of duly authorized officer (Name a~d't~le Of corporate officer) Builders License No. ,.~ ~q 9'6 --/{ Plumbers License No. Electricians License No. Other Trade's License No. 374L 3 -72r 1. Location of land on which proposed work will be done: House Number Street ~ Hamlet County Tax Map No. 1000 Section q'~ Block 5-' Subdivision Filed Map No. Lot Lot ' INSPECTION REQUIRED ': 3 rO J PM FOR THE '. ~: N FWO REQUIRED ". ",,c ~LUMBING, ' ' '-PPJI~G ELECTRICAL & CAULKING 3 INSULATION 4 FINAL- CONSTRUCTION & ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSIRI,/CTION ERRORs. ~0~ 0 (~ COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ,-,,,,DC..,,.-~,,, ,,.. ..... ; S~q~0LD TOWN ZBA ~ ~ / /. SOUTHO~NINGBOARD ~ SOU/~. ~EES ~ '' JC,S. DEC