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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.