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Home My WebLink About37739-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 #: 37739 Permission is hereby granted to: Pezzino, Peter Date: 1/9/2013 204 Biltmore Blvd Massapequa, NY 11758 To: Demolish an existing accessory garage as applied for. At premises located at: 180 Wicks Rd, New Suffolk SCTM # 473889 Sec/Block/Lot # 110.-8-21.1 Pursuant to application dated To expire on 7/11/2014. Fees: 1/8/2013 and approved by the Building Inspector. DEMOLITION Total: $184.00 $184.00 TOWN OF SOUTHOLD BUIL?ING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net '1 Examined ~ ,20 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 I Approved ) [ ~ Disapproved a/c .20 Expiration '7] U JAN - 7 20t3 Contact: Mail to: Building Inspector PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 7 ,20/3 ~. ~hi~ ~'lJc-a~Yofi-~0ST be coh~'pletely filled in by ~pewriter 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 a4joining premises or public streets or areas, and wate~ays. 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 tlwougbout the work. e. No building shall be occupied or used in whole or in paa for any purpose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building permit shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed withiu 18 months from snch date. If no zoning amendments or other regulations affecting the prope~ 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 Depamnent for the issuance of a 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, honsing code, and regulations, and to admit authorized inspectors on premises and in building for necessa~ inspections. ~mture of applicant or name, ifa co¢oration) APPROVED AS NOTED DATE: i)~ llg B.P.~ (Mailing address of applicant) tat~~a~~, agent, architect, engineer, general contractor, electrici~, plumber or builder 765-1802 8AM TO 4PM FOR THE FOLLOWING INgPFCTI~g. 1. FOUNDATION - TWO REQUIRED Name6~B~~TE ~F ~- 2. ROUGH - FRAMING a FLUMBING (As on the tax roll or latest deed) If a~lJ~o~oration, signature of duly authorized officer '4. FINAL - CONSTRUCTION ~ST BF..COMPLETE. EOR ,C.O .... Bm ' ' ~m~OF THE CODES OF NEW Ele~S~s~c~CTlON ERRORS. Other Trade's License No. 1. Location of land on which proposed work will be done: bhc AA__ House Number Street Hamlet County Tax Map No. 1000 Section [ } ~9 Block Lot ~l, I Subdivision Filed Map No. Lot · 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition k--'""-'- Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (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. DimensiSns of existing structures, if any: Front 1/4. ~ Rear Height Number of Stories [ _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 3/91 g.. Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordiuance or regulation? YES __ NO b,/ 13. Will lot be re-graded? YES NO v'~ill excess fill be removed from premises? YES __ NO ~ Qg,12v Q~::7',az'Address Address F_DL.~ rio ,v.2 Address 14. Names of Owner of premises Name of Architect Name of Contractor 'i~)~/~ ~r~,,z-, ~¥ 114'-57 15 a. Is this property within 100 feet of a tidal wetland or a fi'eshwater 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. V Phone No. Phone No 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 · IF YES, PROVIDE A COPY. NO ~ STATE OF NEW YORK) SS: COUNTY OF .) ,~,,t~ ~ being duly sworn, deposes and says that (s)be is the applicant (11~I~1~ of individual signiug contract) above nalned, CONNIE D. BUNCH Nota~ Public, State of Now York (S)He is the No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Commi~ion~Ua""~'u Expire*' .......... Apnl~ ..... 14, '2~J"~'b 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 the application filed therewith. Swora to before me this day O~Sk/N~ 20 Notary Public Signature of Applicant OF SOUTHOLD PROPERTY RECORD CARD OWNER LAND IMP. VL STREET / ~'C) VILLAGE DISTRICT SUB. LOT W,'~/~,~ ~ ,~Co I~ z~, -' S TOTAL TYPE OF BUILDING FARM COMM. IND. CB. MISC. DATE REMARKS~/o/ AGE BUILDING CONDITION NEW " NORNLAL BELOW ABOVE Farm Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushlan~ -House Plot Total Est. Mkt. Value ~/i, Bid§, J ~ X ~ ~ ~/¢' ~, ")/! ~ ~, t~,v'--'-/"dati°n j C ~, 'Both [xtension /Fire PI=ce PorcN I ~ ~ Roo~He=t Type Porch R~ms 1st Floor Breezeway Patio Rooms 2nd Floor i D.B. N SURVEY OF PROPERTY AT NE~r SUFFOLK TOP[N OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-110-08-R1.1 SCALE: JUNE 14, 2012 /ac, o/ N/O/F R.A~3Ey REVOcAbLE TgU3T CERTIFIED TO: PETER PEZZINO ADVOCATES ABSTRACT, INC. 64.5, K AREA=15,000 ,SCl. FT. ANY ALTERATION O~ ADO/TION TO THIS SURVEY IS A VIOLATION OF SECTION 720CJOF' THE NEW YORK STATE EDUCATION LAM EXCEPT AS P~R ,.~EC770N 7'209-SUBDIVISION 2. ALL CER~FICATtONS HEREON ARE VAUD FOR TI'lis MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. LIC. NO. 4961~ ?)'ORS, P.C. (6J1) 765-5020 FAX (631.) 765~.t797 P.O. BOX 909 12J0 TRAVELER STREET · =MONUMENT