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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 �. . ` 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