HomeMy WebLinkAbout37044-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 #: 37044
Date: 3/7/2012
Permission is hereby granted to:
Marco, Philip &Marco, PatriciaPhillips
37 Riverside Dr
New York, NY 10023
To:
Demolition of 18' 12' barn as applied for
At premises located at:
3375 Indian Neck Ln, Peconic
SCTM # 473889
Sec/Block/Lot # 98.-1-1.3
Pursuant to application dated
To expire on 9/6/2013.
Fees:
3/1/2012
and approved by the Building Inspector.
DEMOLITION $164.80
Total: $164.80
/~din~ctor
TOWN OF SOUTHOLD
BtqLDI?,/G DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.North Fork.net
Examined
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
C.O. Application
Flood Permit
Single & Separate
Storm-Water Assessnlent Form
Contact:
Approved ~/t7, 20 ]~'-' Mail to:
Disapproved a/c
__~ i Building h:~spector
a. This~~ely filled in by type~witer or in ink and submitted to the Building Inspector with 4
sets of pla ~trate plot plan to scale. Fee according to schedule.
b. Plot plan sbox~ing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, alld waterwa3 s.
c. The work covered by tbis application may not be commenced be[bre 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 lbr inspection throughout thc work.
e. No building shall be occupied or used iu whole or in pan lyf any purpose what so ever until the Building Inspector
issues a Ce~ificme of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or bas 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 ora Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York. and otber applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or tbr removal or demol~~~ribed. The
applicant agrees to comply with all applicable laws, ordinances, building code, bou~~~to admit
authorized inspectors on premises and in building for necessaD ins~,~
//~ ~ ~~~ant or name, ifa corporation)
(~ailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of prenlises t L°I. 10 ~'N ' LO' ~/~..~ <t,.~O
(As on the tax roll or latest deed)
Il'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:
House Number Street
Hamlet
County Tax Map No. 1000 Section ~ Block [ Lot
Subdivision Filed Map No. Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy~t_v~=~...~.l..i
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition ¥,"'"" Other Work
Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cars
(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: Froot
Height Number of Stories
Rear .Depth
9. Size of lot: Front Rear 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__
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
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 cfa 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 __
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF .)
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIE a. BUNC~
Nota~/Public, State of No~, ,'ork
(S)He is the No. 01BU6185050
(Coatractor, Agent, Corporate Officer, etc.) CommissionCtUa~m~JExpiresin .SuffolkAprirCo:
of said owner or owners, and is duly authorized to perfm'm or have performed the said work and to make and file this application:
that all statements contained in this application are tree to the best of his knowledge and belief; and t, tJl~ the work will be
performed in the manner set forth in the application filed therewith.
Swom to before me this,,,,
1~1~ day of ~/'~ ~x.C~Q 20./~-
Notary Public ' / 'Signature of Applicant
N/O/F PETER R
~ 80'44'50. E.
TOWN OF SOUTHOLD~
S TOU TENBURGH
N. 85'43?0' E. 2~1.86~
I E
s. a_$.o~,~o' E
QB. 03'
$. B3'~0~,4o.
TIE LINES ALONG ~ OF GUTTER
RICHMA?ND'S CREEK
~. Ba'~4'aO' E. S._e~./~,O0
78.03' b~.lG
58'
SURVEY OF
PROPER TY
A T INDIAN NECK.
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.
1000- 98- Ol- ! I
Sca~e: 1"= 100'
Nov. 12, 1996
S. 78'44'00' W.
INDIAN
LOT NUMBERS ARE REFERENCED TO 'MINOR SUBDIVISION
FOR THE O'KULA FAMILY
NECK
LANE
CENT/F/ED TO,
PHILIP R. MARCO
PA TRICIA PHILLIPS MARCO ~
TICOR TITLE TITLE GUARANTEE CO. ,~,
NORTH FORK BANK / ~.~.~
rsm~ Tea - 5oz~
P. O. BOX 909
/230 TRAVELER STREET
SOUTHOLD, N. Y. /197/.
t. 49~: