The URL can be used to link to this page

Home My WebLink About39058-Z "ra'M TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 4W 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#: 39058 Date: 7/28/2014 Permission is hereby granted to: Orlowski, Helen c/o Bennett Orlowski 2461 Hopefield Ct Cape Coral, FL 33991 To: Demolition of an accessory garage building as applied for. At premises located at: 595 Oak Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 110.-8-13 Pursuant to application dated 7/22/2014 and approved by the Building Inspector. To expire on 1/27/2016. Fees: DEMOLITION $163.30 ota : $163.30 Buil ing Inspector N SURVEY OF PROPERTY N/O/F ADAM HOFER AT CUTCHOGUE TOWN OF SOUTHOLD MON. SUFFOLK COUNTY, N.Y. FND. GARAGE x.r S73-721'00"E CQVMDN ASPH. DRIVEWAY 141.78' 1000-110-08-13 2 ; SCALE% 1'-20' 2.2' JJNE 24 2014 GARAGE'' � W A C, _ A PORCH z SHEDh17.- 2 SrY . WUXWAY FE a9 PORCHFR. HSE. 420 8 a6'W A,/Ir 270 Ira W La I 0 P % w z � � in MON. IV K FND. Ku N7371 00 W (/ 147.26' unurYPOLE UnUTY POKE -- -- __ __ __'O OAK ROAD AREA - 44,453 SO. Fr. Y.S. LIC. No. 49618 ANY ALIERA77ON OR AD01TION TO WS SURIEY 1S A KOLAnON PECONC S YURS, P.C. OF X0r&W 7209Or W NEW YORK STATE EDUCA nW LAW. &lXPr AS PER SEC1 ON 7209- WSM 2. ALL LERTD7CAnays (sir) ass-5020 FAx(331) 765-1797 HEREON ARE VALID FOR 1HIS MAP AND CORES 7KWOF ONLY/F - - P.O. BOX 909 SAID MAP OR COWS BEAR NE IMPRESSED SEAL OF YNE SUR4£YOR 1230 TRAVELER STREET WHOSE SIGNAnM APPEARS ON. SOUTHOLO, N.Y. 11971 14-073 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? 140 TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502Survey SoutholdTown.NorthFork.net PERMIT NO. lJ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit x med ,20 Single&Separate /Y 'r Storm-Water Assessment Form ' Contact: A roved 120 Mail to: Disapprov >/ i Phone: i J 7 `t'07 �L-3 77 Expiration 20 r C C 7i7 !Tui ding Inspector --- -- --� PLICATION FOR BUILDING PERMIT ij JUL 18 2014 L Date , 20 -- INSTRUCTIONS. l a. This application MAST 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 thee-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 Buildipg 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. ON /Z (Signature of applicant or name,if a oration) C G�1. (Mailing address of applicant)J 11C7b State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 V4 me -I Name of owner of premises B e Nt46 lT 't'_4R t.SAA A O k L..O Lc) S K,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 1 nd o whic�h�proposed w rk will be do cJR'S OAK ST U%V SckFre t•J� IRS41 St 8 D t Eew SUFFOL-K House Number Street Hamlet A106155 County Tax Map No. 1000 Section 110 Block 8 Lot t 3 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 -x.stz A 6ca - 5TaRA6PE b. Intended use and occupancy ]>E.MOL. 1!5.0 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost !t�s O D, n D 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 oNV_ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 6-1 7. Dimensions of existing structures, if any: Front IZ Rear 12, Depth jQ _ Height 1 'Z' Number of Stories nMir- Dimensions of same structure with alterations or additions: l+emt 0L..t.*rjQ1ReeF- Depth Height Number of Stories 8. Dimensions of entire new construction: Fr on Rear Depth, Height Number of Stories 9. Size of lot: Front 100 Rear-i D O Depth 1 Ka 10. Date of Purchase j q-+7 Name of Former Owner s 1 r✓ L E DR k-OWSK I 11. Zone or use district in which premises are situated t�E0t) �StA VIFOL-K 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES_V/NO Will excess fill be removed from premises? YES--,,,/—NO .34(o I ROFEFt p irr 14. Names of Owner of premises 0aNacT OR1rUWuAddresstA1' f.DQAL F] Phone N4 565.418 Name of Architect Address 33911'hone No Name of Contractor Bea taa 't`C 0XL4WscW%i Address SA,ASO-419 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__V/ * 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. S wOxn t;oC before me this dad Pf 20A " h^P ONNIE D. BUNCH Notary Public Notary Public,State of New Yo 7ure of Applicant No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2,Z ,