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HomeMy WebLinkAbout38894-Z , "� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE yl ' 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#: 38894 Date: 5/19/2014 Permission is hereby granted to: Widirstky, Betsy PO BOX 523 Southold, NY 11971 To: Demolition of a 22' X 22' accessory garage as applied for At premises located at: 140 Founders Path, Southold SCTM # 473889 Sec/Block/Lot# 64.-2-27.1 Pursuant to application dated 5/8/2014 and approved by the Building Inspector. To expire on 11/18/2015. Fees: DEMOLITION $245.20 Total: $245.20 Building Inspector 05/01/2014 13:20 6317654096 PAGE 01/02 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before TOWN HALL Board of health I F_ 1 SOUTHOLD,NX 11971 4 sets of Building Plans r_ ? L� TEL:(631)765-1802 Planning Board approval JJ FAX-(631)765-9502 C Survey SoutholdTown.NorthFolrk.net PERMIT NO. 3 it Check MAY - 8 2014 Septic Form=====::d N.Y.S.D.E.C. Trustocs Flood Permit BI.DCi. DEPT. Examined 20 Storm•WaterAssessment Form— TOhiP OF SOUTHOI_D Contact: Approved 20 Mailto:J0& )J(C,1 C9 S-J,"i5+Al1CKLIr.5 Disapproved a/c 2-0,aaK *7 7, 5_ i is _ Phone: 'ZCS- '3q (7 Expiration ,201�_ uilding inspector APPLICATION FOR BUILDING PERMIT Date_ 1 20L 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 promises,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_ _ h i%P ' (Signature of applicant or name,if. eorporatn ) 2.b-Got14�G_ 3392.2-a4,9s- (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises ZFES q 01S776V «f-Ci-AS h 1 (As on the tax roll or latest deed) if applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed w k will be done: 1 yQ J�'©u ti Z e s 2r¢72f House Number Street Hamlet County Tax Map No. 1000 Section 64 Block Lot-_...'a 71 Subdivision Filed Map No. Lot 05/01/2014 13:20 6317654096 PAGE 02/02 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy--- b. ccupancy__b. Intended use and occupancy 3. Nature of work(check which applicable):New 4t4difiR Add,flgn Alte)ktion ReVair Ret�C)val Demolition Othar�ork 4. Estimated Cost - $OQO. Fee /66 --h /4(6.-20 (Description) (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 Z Lyl� — 6. If b�i�iness,commercial or mixed occupancy,specify nature and extent of each typo of use. —"'- 7, Dimensions of existing structures,if any:Front ;.a-a- Rear ��{- Depth .��E. Height f Number of Stories_ Dimensions of same cture with alterations or additions: Front Rear Depth, Height Number of Stories 8. Dimensions ofenticonstruction:Front at Depth Height ewNumber of Stories 9. Size of lot:Front 2�' Reat Depth_f,Z,q••6j 10.Date of Purchase J Rx9 I I S;( Name of Former Owner 11.Zone or use district in which premises are situated J IN1 6L 6_ QEi�rJ, 2—�d 12.Does proposed construction violate any zoning law,ordinance or regulation?YES,_,.,`NOLO 13.Will lot be re-graded?YES_NO-4tLWill excess fill be removed from premises?YES_NO�� 14.Names of Owner of premises"B.Q1'DlRS_1K-gAddress_JtECCi:A 076 Phone No. 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 Y *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.Are there any Covenants and restrictions with respect to this property?*YES NO_,--' *IF YES,PROVIDE A COPY. VLo Rt DA STATE OF 11111111111111111111K) SS: COUNTY OFA_) F-5 T, , 0 (D(X T7_KV being duly sworn,deposes and says that(4he is the applicant (Name of individual signing contract)above named, (%He is the ir) EEC a-rcl(, ri 4-`ll'L'y E:6Z-47t7r— ot 1�54 (,l-)(t'b OR 5 f Ky (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 he performed In the manner set forth In the application filed therewith. Sworn to bcfordmehis af20 c� / __. y r G/G Cr�a� ►— — — — — — — — Signature of A''pplicTant A�1'�' W(t>(K5 1 �.�" �s,., ROBIN PARMERLEE Jt�MFS . ?: .`s Notary Public-State of Florida Comm.Expires May 17,2010 Commission I FF ION79 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT ORMER OWNER N E r ACREAGE 1A Py 1�0 1 S W � I TYPE OF BUILDING RES. SEAS. VL. FARM comm. I IND. CB. I misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS J11000 pa'zq, .51 L� Inc) Jci —AC-,E— B�W�,N� ---------- CO A,'�T ;,, ,91N& Z EW 5,;2ELOW 1 VE FRONTAGE ON WATER z 0 Farm Acre Value Per Acre Value FRONTAGE ON ROAD 7� Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brush land House Plot IL j 'ISO L/ rM, 64.-2-27.1 3/13 ---------- ................ M. Bldg. ?/ 1 Foundation r Both 7 ,? ExtensionBasement Floors ExtensionExt. Walls Interior Finish y 4Z 3 Extension i Fire Place Heat 44i L E,..:D, Porch Roof Type Porch Rooms I st Floor BreezewayPatio 1 Rooms 2nd Floor Garage Dormer aA Driveway _7_7 O. B. F 1 UJ 1 Jj 9 de rn IW �"' ' I �� ' L'1 Pa 2CE! 29.1 Q o21veWAY __��N- C�� h �AT►o ,� Q 17 .94..So I _ 3. —� wr Lr014E .No. L� oALONG- �; `.Y r_ PA�CEL27. Ii ���j F cr, 1�'t Ut :A, ir;liiY S.b4*05'0.:"C./ - 142.98 r - l_;: QELE:2 2�M,AP UE FO'J. 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