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Home My WebLink About38714-Z „I. 4di11 "r TOWN OF SOUTHOLD o 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 38714 Date: 3/13/2014 Permission is hereby granted to: Hiddink, Frederick & Hiddink, Carol 614 Bailey Ave Greenport, NY 11944 To: demolish a accessory garage as applied for At premises located at: 295 Bailey Ave, Greenport SCTM #473889 Sec/Block/Lot # 34.-4-5 Pursuant to application dated 2/27/2014__ and approved by the Building Inspector. To expire on 9/12/2015. Fees: DEMOLITION $208.00 Total: $208.00 Building Inspector 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. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ( ,20/L Storm-Water Assessment Form- Contact: Approved, 20~ Mail to: *1 Disapproved a/c / Phone: - - 00 Expiration I t ? 20 Building Inspector APPLICATION FOR BUILDING PERMIT FEE a7 2014 Date 20 i INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 -sets ofplaus; accurate plot plat; o 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 pan 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (S~~?7 1/ N flinche ~ 0,',to, ilmg ess applic~~ State whether applicant its owne-r,•l(esssee, Znt' t, engineer, genet I , electr ician, plumber or builder (04(w kL Name of owner of premises Do\A J " s v (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer e an title of corporate officer) tlders License No. Plumbers License No. Electricians License No. Other Trade's License No, I I i X00 1. Location of land on which reposed work will be done: Oo aq~ CA P% 'Lk House Number Street Hamlet County Tax Map No. 1000 Section Block C) I-) Lot: 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 C1 0, ((N 4,D b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work / (Description) 4. Estimated Cost I S Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 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 e~i ting structures, if any: Front MRear L~Depth i Height Number of Stories 1 Dimensions of same structure with alterations or additions: Front Rear Aketi. _ Depth AR~ Height *ft. _ Number ofber 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 11. Zone or use district in which premises are situated kf l 11 t (0, 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO-L- 13. Will lot be re-graded? YES_{ NO Will excess fill be removed from premises? YES_ NO\L 14. Names of Owner of premises N Address Phone No. ~3) - b 0 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_ N04 • 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. Are there any covenants and restrictions with respect to this property? * YES_ NO-'\.Z * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF being duly swom, deposes and says that (s)he is the applicant e o individual signing contract) above named, CONNIE D. BUNCH / - ~l / Notary Public, State I New York )He is the /l I 0 NO 01 BU618EO6Q (Contractor, Agent, Corporate Officer, etc.) Quaiied In &dlolk County e 2~~ C~~ammiaiorkEng'rea April 14 -E`- of said owner or owners, and is duly authorized to perform or have perform sail work an to make and file t is 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. S tc before me th MwomMr day of x.42,7 \Gtiti~' 20 / Notary Public tgnature of scant MAIN ROAD (S. R. 25 ) A S UR VE Y ~ n P/O LOT / 22 ~ A OF Z ,FW- W 7S' 25' 00" E g j ~s* marts FE rroutvs P10 L O T 22 140.00' ? F. - P10 L O T 21 o,\. P/O LOT 22 M~?P O F SUBDIV/SlOI~lS ~ ,0.5.0 i i ~ \16U ,,S' morose P - OF THE b "B UCKL E Y FARM" z srarr ao Z 0 4S 2 sr r < F/LED SEPTEMBER 5, 1914 FILE NO. 298 \.'Y y P/O LOT M , 21 m A T G R EENP O R T - Y TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 34 04 05 Scale 1" - 20' " o Z Aug. 25, 1989 Z 140.00, LOT 21 S 7S' 2. DO W \ w Q i AREA = 8,039 Sq. t~f V CERTIFIED TO U. t FREDR/CK F MVD/WK (5 Q~ 4J SG a1 y~~ LAND /qi I,yC 9L c fn C:) ~ • 444??? ~QN ! V o~ F4`y t^< Prepared in accordance with the minimum (,JJ O 9 standards for title surveys as established by the L.I.A.L.S. and approved and adopted C'~ Via„ N - • ` Y.S. LIC. NO. 48668 for such use by rho New York State 'Lends Tif/s Association. EYORS. P. C. F. 08 MAIN AD SOUTHOLD, M Y. 11971