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(THIS FORM NO. 3 TOWN OF SOUTHOLD Town Hall Southold, N.Y. .¸% BUILDING PERMIT PERMIT HUST BE KEPT ON THE PREHISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32335 Z Date AUGUST 31, 2006 Permission is hereby granted to: GARY LAUBE PO BOX 1036 SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN UNHEATED ACCESSORY GARAGE IN THE REAR YARD AS APPLIED FOR at premises located at 575 ACKERLY PD LA County Tax Map No. 473889 Section 069 Block pursuant to application dated AUGUST 23, 2006 Building Inspector to expire on FEBRUARY 31, SOUTH/PEC 0005 Lot No. 010 and approved by the 2008. Fee $ 75.00 Authorized Signature ORIGINAL Rev. 5/8/02 ~'~v:l'J') INSPECTION REPORT I DATE FOL ~rNDATION (1ST) ...................................... FOUNDATION (2ND) ROUGH FP._A_MING & pLL~G ~S~ATION P~ N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approxed I)isapproved ac ,20 06 .20 0 Expu'ation PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the tbllowing, before applying'? Board of Health 4 sets of Building Plans Plam~ing Board approval Survey Check Septic-Form N.Y.S.D.E.C. Tmstccs Contact: Mail to: Building Inspector .23 APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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, aud waterways. c. The work covered by this application may uot be commenced before issuance of Building Pen,nit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall bc kept on the premises available tbr inspection throughout the work. e. No building shall be occupied or used in whole or in part tbr any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire il'thc 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 tile permit for all addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department fbr the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suflblk County, New York, and other applicable Laws, Ordinances or Regulations, tbr the construction of buildings, additions, or alterations or Ibr 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 necessary inspections. (Signature of applicant or name. ifa 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 c. Xx{ 'htx XfiL'l _ Cv~ ¢ (As off the tax roll or latest deed) If applicant is a corporation, signature of duly authorizcd officer (Name and title of corporate officcr) Buildcrs License No. Plumbers License No. EIcctricians License No. Other Trade's License No. I. Location of land on which proposecl wovk wall be done: House Number Stree~ County Tax Map No. 1000 Section Subdivision (Name) , Block ~---:5 Lot_/t'~) Filed Map No. Lot State existing use and occupancy of prem, j~ses an~ intended use and occupancy of proposed construction: a. Existing use and occupancy l(. ,2~; de ,,,)r',¢.k t b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ,/% ()C~). CC2 Fee 5. If dwelling, number of dwelling units If garage, 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 9. Size of lot: Front 10. Date of Purchase Dimensions of same structure with alterations or additions: Front Depth_ Height Dimensions of entire new construction: Front / Height Number of Stories Rear C(~ Rear Name of Former Owner Number of Stories Rear Depth Depth 11. Zone or use district in which premises are situated ~ 12. Does proposed construction violate any zoning law, ordinance or regula, tion? YES NO J 13. Will lot be re-graded? YES /~ NO Will excess fill be removed from premises? YES NO eec,v-{l 14. Names of Owner of pre~ises~~ddress~Phone No. NameofArchitect ~Y~ ~S~ddressrl~?V~, ~ a ~PhoneNo Name of Contractor % ~ 1~ Address ' '~'~ Phone No. 15 a. Is this prope~y within 100 feet of a tidal wetland or a keshwater wetland, YES NO * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this prope~y within 300 feet of a tidal wetland? * YES NO * 1F 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 l 0 feet er below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF~, f(~31 (L (Nam~ 0f kMivid~'a'f 7qg~'in~'~ontract) above (S)He is the being duly sworn, deposes and says that (s)he is the applicant named, (ContractOr, [Agent, Corporate Ot'ficer, etc.) of said owner or owners, and is duly authorized to perfonn 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 perfbrmed in the manner set forth in the application filed therewith. Sworn to before me this ~\ -ND 9'D day of' {"~? ^T%-~ 20~C.g % & ~ ',V -- Nota~ Pub~_T'~3!~['i!}~n ...... Si~ake})f Applicant ff ?_,:_/oTOWN OF SOUTHOLD STREET PROPERTY VI LLAGE E RECORD IST ACR. CARD SUB. LOT S W TYPE OF BUILDING RES.~.~rZ,.:., SEAS. !VL. FAR/~ COMM. CB. MISC. Mkt. Volue ~ND IMP, TOTAL DATE REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland ~ FRONTAGE ON WATER Brushland FRONTAGE ON ROAD / House Plot J DEPTH I ~ ~ I ~"~ ~'~ BULKHEAD Total i [ DOCK COLOR TRI,M M. Bldg. Extension Extension Extension Porch /~ ~ 0 Foundation !Basement Ext. Walls Fire Place Dormer Type Roof Recreation Room Porch Breezeway Driveway Garage / "'J ~( /~ (~ ~ ~ ~,; V Patio O.B. Total Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor inerve LR. DR. FiN. B. Town Hall AlllleX 54:i75 Main Road P.O Box 1179 5oulhold. New York 11971 0959 Telephone (63 I ) 765- 18t)2 [:iix (6311 765 9502 BUILDING DEPARTMENT TOWN OF SOUTHOIuD ~ay 26th, 2008 Gory Laube Christopher Leaden 310 Ackerly Pond Lane Southold, N.Y. 11971 FINAL NOTICE 7010 0290 0002 4929 RE: 575 Ackerly Pd. Lo. (GARAGE ADDITION) 5CTAA: # 1000-69.-5-10 To Whom It AAoy Concern: Please be advised that your Building Permit # 32335 issued August 31st, 2006 has expired. According to the Code of the Town of 5outhold, o Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit's please submit o fee of $100.00: at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, $OUTHOLD TOWN BUILDING DEPT S4375 Main Road P.O. Box 1179 Southold, New York 119714)959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765 1802 Fax 4631 ) 765-95(12 December 9th 2008 ~ary Loube ~ 0. Box 1035 .5outhold, N. Y. 11971 RE: 575 Acker/y Pond La. 5CTA4: # 69.-5-10 Dear Mr. Laube, P/ease be advised that your Building Permit # 32335 issued August 31st, 2005 has expired According to the Code of the Town of $outho/d, a Certificate of Occupancy must be issued prior to the use of the structure. To renew your Bui/dthg Permit, p/ease submit a fee of $100.00; at tt?ne we can schedule an inspection by one of our Building £nspector's. _rf you have any questtbns, please call us at 765-180Z Respectfully, 50UTHOLD TOWN BU£LD£NG DEflT Oory Laube Christopher Leaden P.O. Box 1036 5outhold, N.Y. 11971 IU ILl)IX(; TOWN OF SOUTHOLD July 8th, 2010 Re: 575 Ackerly Pond Lane / Violation SCT/~ # 1000-69.-5-10 To Whom It May Concern: Your BUILDING PERMIT # 32335 for construction of a ACCESSORY GARAGE has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy as required by Southold Town code, Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall have been issued by the Building Inspector. Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of $75.00 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Damon IL~', Zoning Inspector Southold Building Department 7010 02~0 0002 8Sg8 07bl PA'II J)IN(; I)I]L\RTMI' NT TOWN OF SOUTHOLD Gary Laube Christopher Leaden 310 Ackerly Pond Lane Southold, N.Y. 11971 Re: 575 Ackerly Pond La. / Violation SCTM # 1000-69.-5-10 November 5th, 2010 To Whom It May Concern: You're BUILDING PER~,IT # 32335 has been referred to me because you have not responded to requests to obtain your Certificate of Occupancy os required by Southold Town code. Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until a certificate of occupancy shall hove been issued by the Building Znspector. Therefore, you have ten days from the receipt of this letter to submit a check made out to the Town of Southold in the amount of $100.00 to renew the building permit, or legal action will be taken against you. Should you have any questions, call the building department between the hours of 8:00 a.m. and 4:00 p.m Michael Verity: Chief Building Tnspector Southold Building Department cc: Damon Rallis Zoning Inspector VACANT N 79.13,00,' 49.0O, W ,/ ?E,~T NOL.? DATA 13' NOTE: SURVEY OF PROPERTY SII'UATE AT SOUTH©LD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-69-05-10 SCALE 1"=50' MARCH 4, 2006 APR!L 19. 2006 ADDED PROPOSED HOUSE AREA = 11,048 sq. fi. 0.254 Dc. CERTIFIED TO: COMMONWEALTH LAND TITLE INSURANCE COMPANY GARY LAUBE 1. ZONING USE DISTRICT: AC (AGRICULTURAL CONSERVATION) 2. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: :12,¢ $. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'-$" WIDE. 6'-7" DEEP 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS SO0 sq ft SIDEWALL AREA. 2 POOLS; 6' DEEP, 8' dia. .5:: ~ (~!~ PROPOSED 50% FUTURE EXPANSION POOL PROPOSED 8' DIA. X 6' DEEP LEACHING POOL PI PROPOSED 1,000 GALLON SEPTIC TANK 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. EXISTING SEPTIC SYSTEM TO BE PUMPED CLEAN AND REMOVED, Nathan Taft Corwin III Land Surveyor 992 Roanoke Avenue Riverheod, New York 11901 PHONE & FAX (651)569-5475 r CERTIFICATION OF NAILING & CONNECTION8 REQUIRED, MEEf THE REQUtREM%!,~TS O~: ~ (;ODES OF NEW ¥O,~K ST A'~. OCCUPANCY OR USE IS UNLAWFUL WITHOUT. CERTIFICATE OF OCCUPANCY Ap?_~)VED AS NOTED ~ FEE: RJTAIN STORM WATER RUNOFF r otl,12^llOt,i NalJlr,,q Zc~ J ZON~ r ZO~S~ 2 ZO,~ ~ FIELP 4" O,C, I ~" O,C, 12" O,C, ~P~ ~" O,C, 4" O,C, 6" O,C, 6L~Z1N6 PRO1~C110N WlNP 1~l~ ~1~15 Provid~ I/2" CDX l~l~c~i p~b, M,~lmum ..~ orS'.-O,r for ev~l w,~dcw, Parch ~ail J~ pre-oak, ~o caver ~ ~lazecl q:~en~, Idale,d, wl'~ approprla~ ,~,-~M~r~ Mrdware, ,~:la~r,l~ (AP &PA) wood frame ccnv~lon rr~ual f~- ~ md.~o famll~ dwelh~, 199~ L~'A9 · ' 16" 0£, 1/2" ~ x16" L, x O£. w~ ~~ 5~ ~.J~r: 2 LS~A 2i 1640~ J I.I'P 4