HomeMy WebLinkAbout39047-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
• SOUTHOLD, NY
�4BUILDING 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#: 39047 Date: 7/23/2014
Permission is hereby granted to:
Lohr, George & Conte, Alyssa
1215 Saltaire Way
Mattituck, NY 11952
To: Demolition as applied for.
At premises located at:
325 Oak Ave, Southold
SCTM # 473889
Sec/Block/Lot# 77.-2-11
Pursuant to application dated 7/15/2014 and approved by the Building Inspector.
To expire on 1/22/2016.
Fees:
DEMOLITION $266.50
otal: $266.50
ing Irispec
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 G Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
(� C.O.Application
I �J `_'7 Flood Permit
Examined 20 �J Single&Separate
JUL 15 2014 � Storm-Water Assessment Form
2 I Contact:
Approved 20 i L____� Mail to:
B'.�� -PT
Disapproved a/c 71' ;iif IOUD cc
Phone: O (—(n('0, -\
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date �( Jr-- , 20 N
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 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.
(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
�/��1, �iya�rn✓1
Name of owner of premises - e'
(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 work will be done:
3 2< A66VtlZ�' 7-1-10 L/D
House Number Street Hamlet
County Tax Map No. 1000 Section D77. 00 Block D Z. 00 Lot
Subdivision Filed Map No. Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy (2=64 D Afl:i 0-k')
b. Intended use and occupancy +e��q xl!! T) oA_)
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 Nurpber of Owel,l,irng 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
11. Zone or use district in which premises are situated
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 premises? YES NO
14. Names of Owner of premises Address 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
* 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.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual 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 tore
ore me this
day of f 20
Notary Public p� � p(New York Signature ooApplicant
Nary No.O1Me l 0696
Qualified in Suffolk County
Commission Expires July 28 2 '1
►D
SCTM # �--
t--- f
TOWN OF SOUTHOLD PROPERTY RECORD CARDy 26
OWNER STREET "�, VILLAGE DIST. SUB. LOT
Lo�v,,# A ksba C r .. k _ rf & lcl 5 Gob ,
` ACR. REMARKS
) 2-1(310(0 -�--
TYPE OF BLD.
3 3 gq(p demo a kr—)a
PROP. CLASS
227� -71,9L � d d
LAND IMP. TOTAL DATE _ f
Sad a pi
rD( i -7 t
FRONTAGE ON WATER HOUSE/LOT
BULKHEAD
TOTAL
1' RECORD CARD
OWNER _ STREET VILLAGE DISTRICT SUB. LOT
FORMEA OWNER �O e .t N E ACREAGE
S W TYPE OF BUILDING
RESX. /6 SEAS. VL. FARM COMM. I IND. I CB. , MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS � � a
S- v 0 2, f, vo 3 }� 0 � J6119171WM Xf1 46- 7.2 1 J2 �7 t=ST Z0v0 GAt
h c, / T 5 , ,ry t
_ 3
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. `
t �,;�?Llik
A�E �ao BING,�AND�TI N v' .fq ,1 %�,�r�r ' ca3 � �- -��,�' "s
FRONTAGE ON WATER / Sg ( / / / P` f
f, � �o a e.�d / t`a C 41
FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland Ii
..
Swampland r� ;2 , . r
Brushland C /
House Piot
Tot„ ,
x.
t
l i I I I
i
f j
i
it
Pr
1. Bldg. j z �- to i0 Foundation e R Both �
Ktension � -�� � _1 Basement Floors
Ktens-ion I� a ' Ext. Walls Interior Finish
densT ion / . ,Y 3.`. t_ L1 ---- ----- I_Fir
e Place Heat -- --
- Porch Roof Type
Porch Rooms 1 st Floor
Cesaaway �-� Patio Rooms 2nd Floor
Sa ' (, Driveway Dormer _ ---T
B.
u
F
. a
J� r
A
S.C.T.M. NO. DISTRICT: 1000 SECTION: 77 BLOCK: 2 LOT(S): 11
'00SE
CREEK -
l
_
177'±
U.P.# U.P.
OAK (20') AVENUE
N68"30'50"E EDGE OF PAVEMENT 120.00' 1.6'N
WOOD RAIL FENCE 0.6'N WOOD FENCE
120.00' i.3'E E 7.7's
w �
laJ Ll
W co C o iv `n
V) ~ 04
o
I_
�i 1.1'E
A O �
U c v O
•�, 36.8' 17.8'
FOUNDATION OF ^Lri F-n. GA7RAGE
FIRE DAMAGED
DWELLING
I' CONC. WALL
o�
�26d•S�'
0
162 z LO
, oW
12.1 C
FIRM. ^ 161 157 O
SHED cd FRM.
156
F22,� I 160 I 15 I 158 I S1
155
RM. O
PIPE FND. 0.6'S $68"30'50"W 120.00'
144 I 138 I 137 I 136 I 135 I 134 I 133 ( 132
TH£ WATER SUPPLY, WELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA: 14,400 SQ.FT, or 0.33 ACRES ELEVATION DATUM: _________________________
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOTS 156- 161 INCL. CERTIFIED TO: GEORGE LOHR; ALYSSA CONTE;
MAP OF: GOOSE BAY ESTATES OLD REPUBLIC TITLE INSURANCE;
FILED: NOV. 13, 1934 No. 1176 MARBAI CAPITAL CORP.; ATIMA;
SITUATED AT: SOUTHOLD
TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S.
SUFFOLK COUNTY, NEW YORK � + Land Surveying and Design
P.O. Box 3, Mattituck, New York, 11952
FILE 12-43 SCALE: I "=20' DATE:APRIL 11, 2012 - PHONE (631) 298-1588 FAX (631) 298-1588
r S. LIC N0. 50227 maintaining the records of Robert iftessy