HomeMy WebLinkAbout1000-60.-1-6 (2) FOR INTERNAL USE ONLY
SITE PLAN USE DETERMINATION
Initial Determination
Date: _/ f� / Date Sent: _/_ /
Project Name: Rorn&nc i Kit �L��)
// KE")►ab C,
Project Address: ISISLp
YVV V%A(S Svc
Suffolk County Tax Map No.:1000-� Dom- I -�_Zoning District:
Request: d S V(ed ,
( ote: Coff of Buildi g Permi pplication and supporting documentation as toO
proposed use or uses should be submitted.)
Initial Determination as to whether use is permitted:_yes, I/4c," al
Initial Determination as to whether site plan is required: Y
Signature of Building Inspector
Planning Department (P.D.) Referral:
P.D. Date Received: / ! / Date of Comment: _/�/
Comments: /�j �, ��1 �✓
:5 22
54 4
Signature of Planninoept. Staff Reviewer
Final Determination
Date-. / /
Decision:
Signature of Building Inspector
TOWN OF SOUTH 01 E E BUILDINOERMIT APPLICATION CHECKLIST
BUILDING DEPART Do you have or need the following,before applying?
TOWN HALL APR 1 .20 Board of Health
SOUTHOLD, NY 119 4 sets of Building Plans
TEL: (631) 765-1502 Planning Board approval
FAX: (631) 765-9502 BLDG.DEPT. Survey
SoutholdTown.NorthF UTHOLD Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 120 Storm-Water Assessment Form
Contact:
Approved 20 Mail to:
Disapproved a/c
Phone:
Expiration 20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 120
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, 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 applic le Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demoliti as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building c ou n code, an gulations, and to admit
authorized inspectors on premises and in building for necessary inspection
(Signature of applicant or name,if a 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 041, anl�� /f z.,t, W,
(As on the tax roll or latest deed)
If ap1 a is corporati signature o�jjduly a hori ed officer
(Name and title o corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whic proposed work will be done-
-
one:
�S�S V S Ile �JO� 0
House Number Stree Hamlet
County Tax Map No. 1000 Section D Block Lot
Subdivision Filed Map No. Lot
se
2. State existing use and occupancy of premises and intended usd an �,cupalty prol`i e I 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 Other Work
(Description)
4. Estimated Cost 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. 4 0 *7
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 99Rear �" Depth b6
Height /p 8 Number of Stories / pm►
9. Size of lot: Front 4�0 Rear �c, o Depth 08
10. Date of Purchase
'f// Name of Former Owner
11. Zone or use district in which premises are situated 4,71
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO z
13. Will lot be re-graded? YES NO X"Will excess fill be removed from premises? YES NO
/�/ fee_//1kddress AOAX �5Phone No. 714. Names of Owner of rremises kOM4
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 1500 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'J00 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 NO4X�'
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF --�- )
_.J p�jlf 61'jCnGo� being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the S/ // /,/If lle�l
( ntr ctor, 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 this
?/ day of .41a/-GA 20,
Notary Public BERNADETTE L.TAPLU4 Signature of Applicant
NOTARY PUBLIC#4844893
State of New York
Residing in SLff 4 CO-11Ttytl
it
N/O/F AGWAY, INC.
I
HUMMEL AVE
N .
+�'":1` '".'!'.+°y'i .NP' l At�gy� . ✓ I OII I I I
S{M� GARAGE PROPOSED '�"�T ✓�' .f g z
yB (NO
(NO HEAT) YR,BIOG
POR7 ABL[WATER) anj �O.✓'i'i'� :� .,a ,,,. .o-.�/ �_ N �I � �I
1 STT 2 51, a
rtl
ASPHALT ` - I f0�11�1AOLomocom
^. .. ,� ,• / _ Z ueo�L,auss��� moewsrww.r � � ,
�pweyM9���Ip/�y1�O M90 FD
g W W JLL�.w�pOl�ll�oww��
, M�1�T Y.el'+gu'61L1 U. �¢LLjr Z.O.
Q Z 7717 V-P-
ASPHALT c -._-_ AIM
ROOF OVER TANKIW11�1ILIWI �OA{3
t TAMC FILLER EQUIP. ]"" 1
ma
Q fi - .....,. Q L
CONE. ''/^� ,^O''
O CONE •• V l J gyrllo�lpSSi �_~�� �-pe O
a
z I W �
p 4
0 t�0
s a gid
PueL T UCIU^s OELIV[RY V[HIC}C5 M
DRAINAGE CRITERIAIf-,�
SITE PLAN
BUILDINGS 3587 FT
_ 3587 x I x O.17 - '6 I o CU PT'
BURTS RELIABLE SCALE;1-20 PARKING 20577 50 PT W w
LONG-15LAN D RAILROAD PLOT PLAN INFORMATION TAKEN BY 20577 X y X 0.17 - 3498 C.0 FL crcr
SURVEY,DON[By JOHN T.MERGER PARKING 2043 50 FT
LOT COVERAGE 2043'%I X O.17 - 347 CU PT /-1 U,
ARCA - 38.459 5Q R 5ANITARY REQUIReMENT5 YY�''II =
[XI5TING -22%
AFTER CON5TRUCTION-29% 517E AREA- 0.883 ACRES
LAND5CAPING-43% TOTALOIJLLDING AREA- EXISTING 1 144,6 5Q PT
BUILDING 5Q.FT. ADDITION 1800 50 FT
—.. .._.__.-
2944.8 0 FT J q
EXI�PING GLAD 50 PT _ 1500 90 PT
NLRV BUILDING/ADDRION-4362 50 PT
q TOTAL-8830 50 PT TOTAL 4444.0 50 FT Ltd
ZONING Cf - ALLpWABLE FLOW
FIR[ D15TRIST Q„) O
FUCT- 90UT � x
1 (I HOLq SCHOOL DISTRICT- SOUTHOLD GOO GPD%0.883 AC. - L5298
CULA G
I JUL 2 I GARAGE DISPOSAL DFT X.CALCUUG
I GARAGE- L OFFICE FT X.r ro -60 P
NON MEDICALXO - 06 GPO/.7 PT N wY0
PARYJNG SCHEDULE 2944.8 sa rr x.06 GrD ,- 1 76.7 �-
_�'„P,1,,,�I REQUIRED
MtSC.( Itl H SWAT - 19 57055 236.7 G
-STORAGE;
5067WAY,POYC r 1059 SOFT-O STALLS
SYORAGC: 5487 SqR -6 STALLS LEACHING POOL
PROVIDED 236.7 GPD/ 1.5 50PT.f 157.8 50
2'ADA STALLS,26 STALLS 1
LEACHING POOL-PROPp.
OSED �pFE825y
1-8' L.P. 12'DEEP
# TOTAL 5101TWALLAREA - 301 90”
/:7"6r-6176- K-
5CFTIC TAN900 GAL
!.UrY Mer �,, SC7M -�- I
•
•
r
Q
y5
P
W o W
rUr
YREFINISHED WHITE o=C 0 0
EXTERIOR MAN DOOR ~
ii
o W
cn
EXISTING COLUMNS AND BEAMS- N —
LOCATIONS TO BE DETERMINED IN THE FIELD N �M�/��W�//
O W Yi
O
to
<N.N
TRUCK REPAIR
R
PREFINISHED WHITE
EXTERIOR GARAGE DOOR
i
LD E
3'0"X 3'-0'FIXED UT
WHITE VINYL WINDOWS VERTICAL SIDING LINE OF ROOF
3'_1/2 OVERHANG-ABOVE
18'-0" T-1/2-. . 7'-51/4" . . T-5114" 3'-1/2" 18'-01,
60'-0"
FLOOR PLAN
N
Q
EXISTING REAM PENETRATIONS-
,EXISTING
TO RE DETERMINED IN THE FIELD j
PREFINISHED WHITE FASCIA TVPcd
Aw
I i
I I �
it I _ li I II
I O
I O
m I iI
`v
N III
M
� I
1 I
I i
II
I I
W
I
I
1
i
i
,y
I
cn
m
♦
VERTICAL SIDINGcWEST ELEVATION VERTICAL CAI SI ING NORTH ELEVATION
Q
=W
m OC
�4
3'0"X 3'-0"FIXED
WHITE VINYL WINDOWSCLASS"A"ASPHALT SHINGLE ROOF SF
d C
n
I,s
EXTERIOR
LIGHT
I� I. f I � III �� ... "'. n � M♦ ♦ � ,_I I 1_ I" _I I
I IIII 1 I 1 I I I I I I� III 1' ♦v
l� �- F 1 L�I II 1 ♦. _ op.
- b'
I I -
I III'' 1 I N' I I� — -.. ♦..p.
o
'I 1 I I :IIIII II ill I' i II •- I I.II -___ III,�A�
lil!i IIIIII II III :II II i I . ----_ b:
li I I I I I I ill I � I i l l I I I I --- ---_ _
VERTICAL SIDING
HIT
ERE FINISHED
W E
SOUTH ELEVATION EAST ELEVATION EXTERIOR MAN DOOR
PREFINISHED WHITE
EXTERIOR GARAGE DOOR
ActuaO
2a.4 N. 71'26'00" E. 257,88' ( Deed ) 3Y.9 cMf
.1D' {-ay Snxuw PEACE ALONG PMVMTY 8jKz2.9 CQMG RET. wALL ,>
J0.! p
N
• l 2 � 4 �r 6/0�y . `
f NO HEAT 1 icy Cpm \
GARAGE STEPS
Seo>� P
e re �r
42:3
30.3 CONC.50 r 8 ci
7/.7 Ci
l ?arow \ ASPHAL T
shm 5 Tc
J
10.3• 4/o4f. 27.6 pDRAIV
g
y U/¢ 12
i
3& CONCRETE /3 d c 3 � a
° t .A SPHA L T
q W
I
o over �fa- 1 3 Q -
----- BAN OF MT•Y+RO'
h
r � u k
ct
t:1 45
caw PAP" SLVPMr-f 91—
ao'
2f 24 23
\ , iq rY 3 rY.3'
Ni —r 'JFR. SHED FR. &:tE0 � / � Tc
STOCKADE FENCE ALOW PHOPERTY LW / / 31
3711
j S 71'26'00" W. 30 ' 257.88
I
3v
f PUBLIC WATER 1
LOW ISLAND RALROAD
_ A