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Home My WebLink About37100-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 #: 37100 Date: 3/29/2012 Permission is hereby granted to: IMELDA CORCORAN FARRELL 95 DEAN DRIVE CUTCHOGUE, NY 11935 To~ demolish an isp & 684 Sq. ft. of decking as applied for At premises located at: 9520 NEW SUFFOLK AVENUE CUTCHOGUE SCTM # 473889 Sec/Block/Lot # 116.-5-4 Pursuant to application dated To expire on 9/28/2013. Fees: 3/23/2012 and approved by the Building Inspector. DEMOLITION Total: $164.80 $164.80 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.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 Assessment Form Approved Disapproved Wc Expiration a. Thi Contact: Mail to: Building Inspector Phone: 2 / ?//gd._. .1CAT1ON FOR BUILDING PERMIT Datq ~' 2-,/ · 20/2 INSTRUCTIONS etely filled in by' typewriter or in iok aud submitted to tile Building Inspector with 4 sets of plans, accurate plot' plan to scale. Fee according to schedule. b. Plot plata showing location of lot and of boildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. Tile work covered by this application inay not be connnenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Buildiug 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 pan for any purpose what so ever until the Building Inspector issues a C~aificate of Occupancy. f. Eve~ 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 soch date. If uo zoning amendments or other regulations affbcting the prope~ have been enacted in the interim, the Boilding 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 cfa 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 necessaO' inspections. / ~(~gnatu[e of applicant or name, if a co~oration) ' ' - (Mailingaddress~app~cant~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises __~ &,/D//:L ~ r"/'zg/"O~ (As on the tax roll or latest deed) It' 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 b,e done: \ House Number Street x - Hamlet d County Tax Map No. 1000 Section t//~ Block ,~" Lot Subdivision Filed Map No. Lot 3. Nature of work (check which applicable): New Building Repair Removal Demolition V 4. Estimated Cost -~/gg., ~ 494:9 Fee 5. l~;:al~;,g';~u~n~ ;~ dc~v:slling u~}~/~t' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~0,D',O// b. Intended use and occupancy ~ _,.~_r~!.~ t5~:~-/~z/~,~ / / Addition Alteration Other Work (Description) (To be paid on filing this ap/~lication) 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 Rear Height ~ Number of Stories -- ,g/j//~ Dimensions of same structure with alterations or additions: Front Depth Height_ Depth Rear Number of Stories 8. Dimensions of entire new construction: Front Rear {/3 Height Number of Stories 9. Size of lot: Front Rear ~.~ ,~,~o / .Depth .Depth .75- ' 10. Date of Purchase Name of Former Owner D"~,rp¢~--~- ll. Zone or use district in which premises are situated &¢~ ? (664- ~ '~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES 14. Names of Owner of premises Name of Architect Name of Contractor I5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO V Will excess fill be removed from- .premises? YES NO Address Phone No. Address Phone No Address Phone No. NO 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 X,// · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF being duly sworn, deposes and says tbat (s)he is the applicant (Name of individual signing contract) above uatned, CONNIE D. BUNCH Notary Public, State o{ New York (S)He is tbe No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Gommt~lon~U~"'"~Ex~im~ .............. ~fi114, ·2.~- of said owner or owners, and is duly authorized to perform or have performed the said work and to make add file this application; tbat all statements contained in this application are true to the best of his knowledge and belief; and that tbe work will be performed in the manner set fortb in tbe applicatiou filed tberewith~ Sworn to before me th'ts, c~,QLl ~- day of ~C~ 20 }qa~. Notary Public Signature of Appli~nt- I / / ! ! ! / LOT S DOWNSVIEW CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK S.C. TAX No. 1000--116-05--04 Joseph A. Ingegno Land Surveyor