HomeMy WebLinkAbout38644-Z
4 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
f
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 38644 Date: 1/27/2014
Permission is hereby granted to:
Amato, William & Amato, Arleen
650 Cox Neck Rd
PO BOX 880
Mattituck, NY 11952
To: Demolish fill in) an existing n- round swimming pool as applied for.
At premises located at:
650 Cox Neck Rd, Mattituck
SCTM # 473889
Sec/Block/Lot # 111-14-8
Pursuant to application dated 1/16/2014 and approved by the Building Inspector.
To expire on 7/29/2015.
Fees:
DEMOLITION $229.60
Total: $229.60
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO,'~ 7- Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application
Flood Permit
Examined 21 20 Single & Separate
Storm-Water Assessment Form
Contact:
Approved , 20 (I , Mail to:
Disapproved a/c G ~7
G} O - /a
Phone:
Expiration , 20
y FRDE Building Inspector
r
,r ICATION FOR BUILDING PERMIT
16 2014
-J Date 20
INSTRUCTIONS
be comp etely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. ee 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 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, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. 7
(Signature of applicant or name, if a corporation)
-
APPROVED AS NOTED
DATE: I 'Z1 1 y B.P. # (Mailing address of applicant)
F-
State wlt~ r, ikwpeAggent, architect, engineer, general contractor, electrician, plumber or builder
7 5-1802 +~Mt,rTQ, w i(QR THE
FOLLOW'`4 "SfoWrir.t 7:
Name of ov4R~r'of$ 5y~~ 4- f
2. R=U H - FRAMIN (As on the tax roll or latest deed)
If applic K tIN ~o ION f duly authorized officer
Fi 'tl`P,[7c~lXJli5~1°
BE~nrno TC G~~R r r,
~1I@~@C§~~f~~JE~aoflas>4La?a~'TOBr~E
Builders Ajowg.NVN s OF THE CODES OF NEW
PlumberMCNttWFFo. NOT RESPONSIBLE FOR
Electrici MIF QNSTRUCTI .
Other Trade's License No.
1. 6*6 t C? of land on which proposed - wo k wR D fy
House Number Street 1~n p Hamlet
County Tax Map No. 1000 Section "I /30pa 9 Block We /l/ Lot a
Subdivision L? 7-r 4#~ /y Aj Filed Map No. O-e,~3 Lot -P0 Q '
6AZ '
2. State existing use and occupancy of premises and i tend d usej d occupancy o proposed construction:
a. Existing use and occupancy 0 C hH~ A'
.y9 #1,6
L,
b. Intended use and occupancy i iN D~'oL
r
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this appli ation)
5. If dwelling, number of dwelling units /V Number of dwelling units on each floor
If garage, number of cars
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 Number of Stories
Dimensions of same structure with alterations or additions: Front - Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear ,-Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner /
ft n
d
11. Zone or use district in which premises are situated N ~EiG~t-/~iR9L
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 premise YES - NO_
14. Names of Owner of premises b?id n Address
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 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, must provide topographical data on survey.
18. Arg there any covenants and restrictions with respect to this property? * YES_ NO X
* IF YES, PROVIDE A COPY.
COPMIE D. BUPK:H
STATE OF NEW YORK) Y ft11KA16M Y NO. 011 COUNTY OF ) CamnMabn xom Apt 14 2-L'(Le
Wl, g 107 being duly sworn, deposes and says that (s)he is the applicant
(Name of in 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 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.
Sworn to before me t~?is
day of ~,~C~ 20-L~
Notary Public Signature of Applicant
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Town Hall Annex yy~` "ilephone (631) 765-1802
54375 Main Road 1t1 . .11 iFax (631) 765-9502
P.O. Box 1179
Sout old, NY 119'l -0959
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cep - t i - _ TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET rJ VILLAGE DIST. SUB. LOT
L. I ~t~G ~O •t I`, 4- 4 U cis
FORMER OWNER N E ACR.
1. Q9<5 I
S W TYPE OF BUILD
RES. D SEAS. VL. FARM COMM. CB. MICS. Mkt, Value"
LAND IMP. TOTAL DATE REMARKS ~s~c•,;S y~,f cc~
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Mop "
Ion
&41 hi
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meodowland DEPTH
House PI6rt BULKHEAD
Total