HomeMy WebLinkAbout34830-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34830 Z Date JULY 2, 2009
Permission is hereby granted to:
JAMES BURT
68105 NORTH ROAD
GREENPORT,NY 11944
for :
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL IN THE REAR YARD,
FENCED TO CODE
at premises located at 68105 CR 48
County Tax Map No. 473889 Section 033
pursuant to application dated JUNE
Building Inspector to ex~pire on JANUARY
GREENPORT
Block 0003 Lot No. 037
26, 2009 and approved by the
2, 2011.
Fee $ 250.00
~hor~~nature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTI0N
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTAf/I' PENETRATION
REMARKS:
DATE
FI]~LD INSPECTION I~PORT I DATE ] COMMENTS
FO~ATION (2~)
ROUGH ~G &
PL~G
~S~A~ON PER N. Y.
STATE E~RGY CODE
~DITION~ COUNTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
PERMIT NO.
Examined
Approved 7/?..<, 20 ~
Disapproved a/c
Expiration '
A/IIII
Building tnspector
~ t 6 ~ IL~PLICATION FOR BUILDING PERMIT
Date
l~, 0~ S0UTU0tB J INSTRUCTIONS
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
Flood Permit
Storm-Water Assessment Form
C°ntact:Mail to: ~ d{ [ ]Loj~_OJ~
Phone:
o//,,q 6,200'/.
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 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 am34,c.-b/a-ilding ?~r,i~ec~ry~nspections.
USE IS UNLAWFUL
· WIT (Signature ~e, ifa corporation)
; toT o w HOuT cERTIFIcATE,, ,'re vax -'
umo ,' CO avLErIOn ,..,v urANCY (Mailing address ofapp~icant)
BEFORe- rWATER"
State whether applicant is owner, ~esseCagent,~rchite~.¢rtgJ~ee~_ii_~_r~dc, v"~ltractot,.~¢,~[i ATI~ electrician, l~]umber or builder
Name of owner of premises BO p4,.. DATE: .7~Z_.
(As on the tax roll or latest deed) ~ /7/ /~/
If applicant is a corporation, signature of duly authorized officer FEE:__~..Z2~ ....
ALL CONSTRUCTIOHS!-¢,LL NOTIFY BUILD::i,:: D,~-'¥;MENT AT
(Namea~dtitl~ofco~orateofficer) MEET THE REDU,R~',~: ~ :OrTH~51802 8AM TO,,,..., ,,~4'"~ FOR THE
CODES OF NEW YO~:K STATE. FOLLOWING INSP~ ~.,,~.
r~QU,RED
1. FOUNDATION -
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be
House Number Street ' t'
County Tax Map No. 1000
Subdivision
Section .~ ~
Block
Filed Map No.
FOR POURED C(]'i,?RETE
2. ROUGH - FRAb, ,~: ¢ '- *" '"
3. INSULATION
4. FINAL - CONS%??3T;ON MUST
GE COMPLETE FC ~ ¢.0.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT ~PdN~IRI F FOR
Ham]~ESIGN OR CONSTRUCTION ERRORS.
Lot ¢ '
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ /["~:r,D,
b. Intended use and occupancy f/:::D o~ lc~',.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
_Other Work
~ ~- .... ~ (Description)
Fee ~]~0,00
- (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 Rear .... Depth __
Height Numberof Stories .~,] ; ,,
Dimensions of same structure with alterations or additions: Front ~ ~ ~': Rear
Depth Height. Number of 8{o:ries ~ 3 ~ ,.~,,
8. Dimensions of entire new construction: Front Rear } ~, -.-Xlepth
Height Number of Stories .
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 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, re:ust ~x}lde topographical
18. Are there any covenants and restrictions with respect t,o 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,
(S)He is the
(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 tree 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.
Sworndo before me this ~
~ (.~ day.~of ,.._) ~ 2~_ ~
'~.cX'J.c4 ~ ~/ ~ ~blic.~dN~
Nota~ Public No. 01T06190696
Qualified in S~o k ~un~
Commission F~gims Jul~
Sig~cant
Southold Town Building Department
54375 Main Road
Southold, New York 11971
(631) 765-1802
Parcel ID: 33.-3-37
Permit #: 34830
Permit Date: 7/2/2009
Expiration Date: 1/2/2011
BUILDING PERMIT RENEWAL LETTER
Dated: 9/13/2011
Applicant:
Location:
Work Description:
SUSAN & EARL BURT
68105 CR 48 GREENPORT, N.Y. 11944
ABOVE GROUND POOL
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL IN THE REAR YARD,
FENCED TO CODE
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner:
Address:
SUSAN & EARL BURT
119 STONEWAY TRAIL
MADISON, AL 35758
The permit listed above has expired. Please contact our office as soon as possible to begin the renewal
process. All work on the project must stop on the expiration date.
No work is permitted or authorized beyond the expiration date.
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
Southold Town Building Department
54375 Main Road
Southold, NY 11971
October 5, 2011
Re: Parcel ID: 33.-3-37
Permit #34830
68105 CR 48 Greenport
To the Building Department:
There will be no installation of an above-ground pool at this address.
The tenant has removed previous work.
Thank you..~L~ ~t_~t---
Susan D. Burt
119 Stoneway Trail
Madison AL 35758
256-430-4383
CC: I. Mejia
N
SURVEY OF PROPERTY
AT GREENPORT
TOrgN OF SOUTHOLD
SUFFOLK COUNTY. N.Y.
1000--32,-03-37
SCALE: 1'--30'
AREA-11,286SO. FT.