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HomeMy WebLinkAbout36079-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36079 Z Date DECEMBER 7, 2010 Permission is hereby granted to: KAREN C BROWN 22 SOUTH WASHINGTON ST PORT WASHINGTON,NY 11050 for : CONSTRUCTION OF A PORCH ADDITION WITH BASEMENT & DECK ADDITION TO A/~ EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 064 pursuant to application dated NOVEMBER Building Inspector to expire on JUNE 1300 FOUNDERS PATH SOUTHOLD Block 0004 Lot No. 006.001 29, 2010 and approved by the 7, 2012. Fee $ 527.60 Authorized Signature ORIGINAL Rev. 5/8/02 ~.,,u.~ ~0~ mnt, o~ D,,.~ ¢ .om,ms'rs FOUNDATION (IS'r) . ~o~a ~ ~ " ~ON PERN. Y, STA~ E~ CODE TOWN OF SO BUILDING DEl TOWN HALL SOUTHOLD, N~ TEL: (631) 765-1 FAX: (631) 765-! www. northfork. ZN~0V 2 9 20/0 BLDG. DEPI. ;02 TOWN OF SOUIHOLD ~U§~.dmm! PERMIT NO. Approved Disapproved a/c Expiration ~/7 , 20 /~J.~. 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 che k Septic Form NYS.DEC. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date November 12 , 20 10 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Buildthg Inspector with 3 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 s~eets or 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 w/thin 18 months from such date. I f 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 Iaws, 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, ifa corporation) 160 Main Street, Suite 200, Sayville, NY 11782 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Architect is applicant Name of owner of premises Karen Brown (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 which proposed work will be done: 1250 Founders Path Southold House Number Street County Tax Map No. 1000 Section 64 Subdivision (Name) Hamlet Block 4 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 Single Family Residence b. lntended use and occupancy Same as Existing use / occupancy 3. Nature of work (check which applicable): New Building Addition ~' Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee $425.60 (To be paid on filing this application) 5. lfdwelling, numberofdwellingunits 1 Numberofdwellingunitsoneachfloor 1 If garage, numberofcars 2 6. lfbusiness, commcrcial or mixed occupancy, specifynatureandextcntofcachtypeofuse. N/A 7. Dimensionsofexisting structures, if any: Front 39.6' Rear 39.6' _Depth 27.4' Height. 17.6' Number of Stories 1 Dimensions of same structure with alterations or additions: Front 39.6' .Rear 39.6' Depth. 51.4' Height. 17.6' Number of Stories 1 Dimensions of entire new construction: Front 22.3' Height 15.6' Number of Stories I Rear 22.3' _Depth 12.0' Size of lot: Front 76.56' Rear 75' Depth 268.94' 10. Date of Pumhase Name of Former Owner l 1. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~' 13. Will lot be re-graded? YES NO v' Will excess fill be removed from premises? YES ~' NO 22 South Washington St. t4. Names of Owner of premises Karen Brown Address Port Washington, NY 11050 Phone No. Address 160 MainStreet SuRe 200 Phon N NameofArchitect NemschickSilvemlanArchitects, PC SawilleN¥11'/~ e O {631)563-2130 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. ls 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 Suffolk ) Raymond W. Nemschick, RA being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Agent (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 filed therewith. / / NotaryPublic, State of New~¢o~l[ ~.ialified in Suffolk County ,/' No. 01 SC472508_9_ l'er m Expires May 31, OWNER vi. RES. :?.~/~ if_AS. VL. LAND IMP. S TOTAL ..3 f~0 NBC,/ NORMAL FQl'm Tillable DATE BELOW VaTue Per Acre IOLD E W I~OPERTY RECORD VILLAGE 'DIS-IrRICq SUB. ACREAGE ~ TYPE OF BUILDING COMM. JlND. ICB. MISC. jREMARKS CARD- Est. Mkt. Value Value - cr-.,~ ¢/ FRONTAGE ON WATER Swampland Brushland House Plot Total ~ Wacdland Tillable 2 DOCK TiJJable 3 FRONTAGE ON ROAD BULKHEAD 64-4-6 9/00 ~ Foundotlon~J Bath Bosement Fire Place j Patio Driveway j Floors ! . ~.; jjnterior Finish Porch R~f Type Porch E~ms 1st Flcor Rooms 2nd Fleor i Dormer T STREET T VILLAGE r DISTRJCTT SUB. i_ OWNER IVIL. LAGE DISTRICT SUB. ACREAGE TYPE OF BUILDfNG RES. LAND SEAS. IMP, VL. TOTAL DATE j REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATF. R Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable Tillable BULKHEAD DOCK Tillable 3 Woodland Swampland Brushlond Ho~se Plot Total Z ' ~ HINI~M LOT WImTH I~' 7~.00' HINIHUH ~ONT YA~ ~5' ~1.~ ' EXISE TO ~HAIN MINIMUM ~TH 51~ YA~ 25' ~1. 7' ~15~ TO ~MAIN MINIMUM LIV~LE FLOOR A~A ~' .' /' NAXI~N ~I~ING HEIGHT ~5' EXISTING - NO 6HANGE N~l~N N~NBEN OF 5TO~IE5 2-I/2 EXI~TING - ~ ~NANGE DE~K~ 2~2 5F DA~ ~NE APPROVED AS RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 2~6 OF THE TOWN CODE, PLOT PLAN ELECTRICAL Nemschick Silverman Architects P.c. ~ ~~ ~~ 7~C~ : ~ "...~abusin~of~CHImCTURE." ~ ~ ~ ~ ~ ~ ~ ~ I 1250 POU~D~ PATH SCALE: DRAWiNG NO.: http://~, ns-arch, com ITE INFORMATION 1250 FOUNDER5 PATH SECTION: E~UTHOLD, NY' I/qT/ RESIDENT~AL ZONE: R-d0 LOT:~ ~, DE~NIPTION ~I~HENT EXISTIN~ / NINI~ LOT 51ZD ~,~ 5F I~ 5F EXISTIN~ HINI~H LOT NIPTH /~' HINI~H LOT ~EPTH 175' 25~.~' NININUN ~ONT YA~ ~5' bL~ ' EXIS~ TO ~HAIN HINI~H 51DE YA~ I0' 11.4' EXIS~ TO ~HAIN NININgH ~TH 51~ YA~ 25' ~1. 7' ~15~ TO ~HAIN NINI~N ~N YA~ ~5' I~ Z 7' / 144.2' HININUN LIV~LE FLOON A~A HAXI~H LOT ~O~E 2~ HAXI~H ~I~IN~ HEIGHT ~' EXISTIN~ - NO 6HAN~E N~l~N N~H~EN ~ 5TONIE5 2-1/2 EXISTIN~ - ~ ~HAN~E NAILIN~ 5~,HEDU LE(EXP OSU~E "ID") FIRST t=Ld~::~ bAIL 5PAOINO BOX bAlm 60NNON bAlLS ~INT DESCRIPTION P~ ~IST ~ - IOd ~ - ~d 6EILI~ ~IST TO TOP P~ (T~-~I~D) 6 - ~d e -I¢d ~12 A~ ~A~ HALL FRAHI N~ (F~E~IL~) I. ~ILINe~I~T~A~B~ON~I~IL~e"ONG~AT~EPA~LED~. IFil ~ b O 0 ~ ~ ~ A ~ J N ~ ~OOF ~HEATHI N~ ' O~ IL I N~ ~H~ATHI N~ ~~1 ~ I~~ ~ ~ b L ~ H ~ ~ T ~ ~ N ~ P~. NO. g~. TITLE ~PPORT5 ~ J TYPE UNIT DIMENSION MATERIAL FRAHE ~MARK5 NO. Fl~T PL~ CLIMA?IC ~ ~DO~t~,APHIC DDSI®N C~,ITI=t~,IA P~. NO. O~. TITLE PP-I PLOT PLAN A-O~ 5~,HE~gULE5 ,¢ NOTE5 A-I I::~OPOSE~ FOi/N~A TION PLAN ~ FIRST PLOON PLAN A-2 PROP~E~ ROOF PLAN A-,:',:t PI~OP05~2 ELEtlA TION5 SEA~ REViSIONS/SUBtvlSSIONS: DRAWING TffLE' ~~~, PROPO~D~CHEDUL~ ~ 10-1602 Nemschick Silverman Architects P.C. "...,hebus,n--or~CH,~C~RE" ~ b~ ..... ~~ 2~C~ii 0 -- ~y ,OUTHO~.PROP~D PORC, & DECKADDITIO~i~O POU~P~,~y PATH ~E 09/0~,,0 DRAWING NO.: 1~1~02 430 Green Way, Cutchogue, New Yo~ 11935 ~ ~ ~ A~ ~OTED Phone: 631-7~7007 Fax: 631-7~-7347 ~~ ~ DIST~C/: ~CTION: BLOCK: LOT: DRAWN BY: http://e, ns-arch.com ~ , .,c~ ~ ~ ~ ~crs..c 1000 ~4 04 03 & 0O TC _11 i '::xl~I I ' ' ~ ~ ,', ,~, ~ ~" ~ - -' -- I , ' _ U ~ ~ IN/ ~IOR HTJ2 PIt55, ', ,, ~T ~ ~ ' , ~ . ~A~ ~ (,~1 ' I', I~ ~ . ~ ~I~F~I~F ' , / / / ___~-r~ ~ - ' ~ ~ ~ ' .... ,~ ~ I ........ ~ ~ -~ ' ~"NIN. ~0~ ~ ~ ' 4"~1~4" ~"~ 4~ I0~ ~.4" I~ ~4~10~ , / , , ~ ............................. ~'~ .......... ~ ' ~ Pti I~ - - ,,~,~o J 1~1~02 ~emso~ic~ 8ilverm~n ~ro~itects ~.c. ".. ,~e ~..l.e. of ARCHITECTURE"X r X~ '~~' [ ~ -- ~ ~ C ~! ! [ O -- ~ ~I /O~HO~,1250 POU~ PAT. nX SCALB DRAW.G NO.' 430 Green Way, Cutchogue, New York 11935 i Phone: 631-7~-7007 F~: 631-73~7347 ~ ~ DIS~ICT' SECTION: BLOCb LOT: DRAWN BY: ~' http ://w~. ns-arch. COB · c¢~ ~ ~ ~ ~fs ,c 1000 64 04 O~ & O6 TC L · ~.~ ~<~ / I I / DEOK [I ] L  DATE DE~O. PROP~D [OOR P~ Nemschick Silverman Architects P.C. 430 ~mon Wa~, Cutehoflu*, ~ow York ~ ~035 "BI?TJlTYENE" I~E-C~AP,~ FLAEI#t,~. ~'-0" HIN. ~ ~ ~ ~FFIT~, / / ~J 430 Green Way, Cutchogue, New YeA 11935 DiST~CT: ruCTION. ILOCE LOT. DRAWN BY: Phone: 631-7~-7007 Fax: 631-7~-7~7 ~ http ://~. ns-arch.Gem . ~ ~ ~c~ ~ ~.c ~000 ~4 04 Ob~Ob TC / / / / ~il~ # ~L ~ ~ Nl~, VA~ I X I2 F~IA ~A~ ~ ~ ~ J I ~~ ~ ~ PAImbu ro ~r~fl ~l~ ~rl~ ~ ~, ~N ~ ~ ~A~ TOP ~ / A~ ~ ~ ~ ~ ~L ~ / ~ ~R ARCHI~ A~T ~ (~2 X4 T~P~, ~ / ~ ~--~ ~~1~/~ XI~LO~A~ ~K ~A~I~ ~ ~" j ~ ~ CAD FILE ~ME: ~ 1~1002 omschick ilvorman rchitocts 430 Green Way, Cutchogue, New YoA 11935 ~ ~ ~OUTBOLD, ~Y SCAE: Phone: 631-734-7007 Fax: 631-7~-7~7 ~ ~ DISTRICT:SECTION. BLOCK:LOT: DRAWN By: http://~.ns-arch.co~¥~~ L-- .