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Home My WebLink About37132-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 #: 37132 Date: 4/11/2012 Permission is hereby granted to: North Dyer LLC CIO Reginald Tuthill PO BOX 86 Orient, NY 11957 To: demolish an existing accessory barn as applied for At premises located at: 21505 Route 25, Orient SCTM # 473889 Sec/Block/Lot # 17.-4-16 Pursuant to application dated To expire on 10/11/2013. Fees: 4/9/2012 and approved by the Building Inspector. DEMOLITION Total: $544.00 $544.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined Approved Disapproved a/c Expiration 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 Contact: Mail to: APR - 9 20]2 BJDG DEPT. TOWN OF SO[]THOLD / Building inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20/Z. 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 showiog location of lot aod of bnildings oo premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may oot be commeoced before issuance of Buildiog Permit. d. Upon approval of this applicatioo, the Building Inspector will issue a Buildiog Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No buildiog shall be occupied or used in whole or in paa for any purpose what so ever until the Building Inspector issues a Cegificate of Occupancy. f. Every buildiug permit shall expire if the work authorized has not commeoced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning ameodments or other regulations affecting the prope~ have beeo eoacted in the ioterim, 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 Buildiog Depamnent for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, aad other applicable Laws, Ordinances or Regnlations, for the coustmctioll of bui[dings, additions, or alterations or for removal or demolition as heroin described. The applicaot agrees to comply with all applicable laws~ ordinances, building code, housing code, and regulations, and to admit authorized inspectors oo pmlnises and in building for necessa~ inspections _? (Signat~ of applican~ or name, il a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of'premises GOF~.~C c.'~,~Tb~ ~0~ (~LO~ffG ~ , (As on the tax roll or latest deed) If applica~ is a corporation, si~ature of duly authorized officer (~me and title Cf corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which pro. posed work will be done: House Number ~ ' ~t~'eet County Tax Map No. 1000 Section t'7.-g_ / (-- Block '~ Cer47 Hamlet 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 ~&.,.C'?<'~ .,~t-'hJ,t~ j b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal Demolition '~.. Estimated Cost Fee If dwelling, number of dwelling units If gara§e, 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. 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: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner '-~t t) }(,q ~ . T,~'~ {+, lc 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 '-A' Will excess fill be removed from premises? YES__ NO ~ 14. Names of Owner of premises ~c, c0~z0 ~:s.~)7}~}'-Address/¢zS-~u~e L4~ Phone No. 6~ - '3z-3-i~-6-fl Name of Architect Address Phone No 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 B.~ 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. I7. 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 ~ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ' ~: ---..,~,~/s.~/r?'"'/ ~ ' ;'"" ~(-c~9'' being duly sworn, deposes and says that (s)he is the applicant (Name ~ ~ndi~idul{1 signihg contract) above named, CONNIE D. BUNCH Notary Public, Slate of Now York No. 01BU6185050 (S)He is tbe ~,,..u~.. ,. o .......... (Contractor, Agent, Corporate Officer, etc.) ~.omm~on" 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 tbe application filed therewith. Sworn to before me this q~ day of ~.~ 2010~. Notary Public ~ Signature of Apphcant 17.-4-16 1/08 !:~ezeway :oundation J~asernent Ext, Walls c~ Fire Place Porch Patio Driveway Porch , I Roof Type Raoms ist Floor Roams 2nd Floor Dormer z // // £OT ¥ 152,205 sq. ff. // I/ II II I I I I I ft. I I LOT LOT 4,343 4¢.2T SKETCH FOR LYLE TOWN SUFFOLK S.C. TAX SEPTEMBER PLAN J TUTHILL SITUATE ORIENT OF SOUTHOLD COUNTY, NEW YORK No, 1000-17-04-16 SCALE 1"--100' 26, 2009 AREA 921,631:k sq. ff. 21.1+ Dc. LOT 1 I 1,745 AREA DATA ~ I/L~ PRIMARY SECONDARY TOTAL AREA BU 'ABLE AREA 100' BUFFER 35' BUFFER CONBERVATION CONBERVATION f ! 91,304 sq. ff. 7, ~50 s~. ff. 16,454 sq. ft. N/A N/A N/A LOT 2 LOT 3 252,025 sq. ft. 106384~8A ¢~q. ff. N/A 22,013 sq. fl. 91,907 sq. ff. 41,693 sq. ff. LOT 4 152,205 sq. ft. 52,t9\tq, ff. N/A N/A 81,812 sq. fl. 28,674 sq. ff. LOT 5 184,343 sq. fl. 39,88~/9 sqsq. ff. N/A 9,117 sq. ff. 109,570 sq. ff. 36,328 sq. ff. ROAD ~ N}A N/A N/A ./A N/A NYS Lm No 50467 Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 Fox (631)727 1727 OFFICES LOCATED AT MAILING ADDRESS 27-288-1