HomeMy WebLinkAbout27921-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 27921 Z Date NOVEMBER 20, 2001
Permission is hereby granted to:
RICHARD B. SACHS
1155 SOUNDVIEW AVE
MATTITUCK,NY 11952
for
CONSTRUCTION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. DOES NOT
INCLUDE ACCESSORY TENNIS COURT OR SWIMMING POOL.
at premises located at 1155 SOUNDVIEW AVE MATTITUCK
County Tax Map No. 473889 Section 094 Block 0001 Lot No. 010
pursuant to application dated NOVEMBER 4 , 2001 and approved by the
Building Inspector.
Fee $ 3 , 853 .20
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ORIGINAL
Rev. 2/19/98
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Town Hall,53095 Main Road O Fax(631)765-9502
P.O.Box 1179 y�01 �aO� Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
May 2,2005
Mr.Richard B. Sachs
88 Central Park West—Apt.#4-S
New York,N.Y. 10023
Premises @ 1155 Soundview Ave.,Mattituck, N.Y.
Building Permit#27921-Z
Suff. Co.Tax Map#1000-94.-1-10
Dear Mr. Sachs:
Please be advised that the above building permit has expired,and construction was not done.
According to the Code of the Town of Southold,a building permit expires in 18 months from date of issue,
with a 6 month extension allowed for a total of 2 years. Construction must begin within the first 12-month
period or the building permit becomes void.
Your building permit expired on November 20,2002,and we have voided this permit. Enclosed are your
plans and Board of Health approvals that were submitted to this office.
If you have any questions,please do not hesitate to contact this office.
Respectfully,
Southold Town Building Dept.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION i
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE �- 3 � �� INSPECTORS��
BIBLD INSPECTION RMRT '- DATE _ a��_ _. COMMENTS
L".—.Mae.
F&MATION OST)
IMM FRAM
•PLUMBING ,
-- _-- __ CL
Av
ra
INSM ATION PER N. T.
STATS ENERGY � t
CODS
FINAL
NMtTI.ONAL Co rS
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: 11 /Ij/O1
.DATE SUBMITTED: I_/�/O1
APPLICANT NAME: SACKS'
SCTM# DISTRICT: 1,000 SECTION: 9e/ BLOCK: i LOT: io
STREET: IZ53- CITY:_ &VMT e SUBDIV. NAME: 6&IA
PROJECT DESCRIPTION: Niw-�ci�v `F'o'ot. ort r'61�4uw. co%h '
ARCHITECT/ENGINEER: :aoy � . FAST TRACK? YE-3
SINGLE& SEPARATE CERTIFICATION-REQUIRED? IVO NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8:
ZONING DISTRICT: Q-$n CONFORMING? 2C-5 _
31136f&S3
REQ.LOT SIZES°�,� ACT. LOT SIZE: REQ. LOT COV. c.26% ACT. LOT COV. / °•
REQ. FRONT 60' PROP. FRONT: / / REQ SIDE Zo' r . ACT. SIDE + 8 ' >F 7
REQ. REAR 1'S' PROP. REAR /D8
WATER FRONT? yr DESCRIPTION.—L.,,a� 77s--""D
PANEL #:_ _ FLOOD ZONE:
AGENCY PERMITS REQUIRED FOR REVIEW
APPROVALS REQUIRED:
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED ft $ DTE: to /S0 l ° PERMIT#:R10-o) ozo0
c TC?-m I-r . cam.. e ———
NEW YORK STATE DEC: PRE-DEC 9/1/7 r NO Lgpp off- ,y,J a/e)o
SOUTHOLD TOWN TRUSTEES: MrNOS
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES o
NYS ENERGY: YES OR NO
EGRESS (18 H min.?4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BP Z/C/o Z_
HAVE PRE CO'S : Y OR N BP- -_Z/C/0 Z- ,
NOTES:
- s
FEE STRUCTURE: FOUNDATION: 3� 66'9 SF
FIRST FLOOR : 64- 6-1q SF
SECOND FLR :y�o o6 SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
0
'OT(/- SF)- ( SF)= SFX$ �U=$3�03.�'�$�c�✓�3'?$ _$
es-0 /2�3yfj
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 119713 sets of Building Plans
TEL: 765-1802 / /Survey-
5"3 c7 15
urvey5'3415 ACAZ) PERMIT NO. 902( 2 Check
Septic Form
30d,—N.Y.S.D.E.C.
i 00 - Trustees
Examined ,20 v t Contact:
Approved1L 2 U ,200/ Mail to: J°NA/ 5PP1t4&"`J
Disapproved a/c `f°J5 6 0 7W 1 r N�✓� �NY. �O°
Phone:
uilding hispector
APPLICATION FOR BUILDING PERMIT
fto D Date Ivo✓ `f' , 2093/
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 a Certificate of Occupancy
is issued by the Building Inspector.
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. JOHAI ;57P.Q/ J./-e4-
0 licaut 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 G���-+� t8 (.51*e- t 5
(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. ,.46 pr-
Go N�,ai'HLjo'2. 1-t/},S /voT
Plumbers License No. ,,BSgN SF-Mer--7e6
Ga,-1-7A4y--Ta�d- 7a 6-r-'
Electricians License No. m Al- a,-
Other Trade's License No. A3 v v 7-
1.
1. Location of land on which proposed work will be done:
-5o0AlA y/P-W p-vp-NoF AlATT/ TvG,�
House Number Street Hamlet
County Tax Map No. 1000 Section Block dI Lot
Subdivision X/A5, Filed Map No. Lot /VA .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed constt uctiofi:
a. Existing use and occupancy NA
b. Intended use and occupancy nr A
3. Nature of work(check which applicable):New Building , Addition Alteration
Repair Removal Demolition Other Work
4, (Description)
4. Estimated Cost /12,0610.067 Fee /60 J e9R_wiTH
(to be paid on filing this application)
5. If dwelling,number of dwelling units N A Number of dwelling units on each floor N A-
lf garage, number of cars 4 _ .__.,T
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. //,4
7. Dimensions of existing;structures,if any: Front 14)0q- Rear Nig-- Depth ,v-/I-
Height A)A Number of Stories J*V l;'
Dimensions of same structure with alterations or additions: Front )V Rear
Al A-
Depth ,v A,+- Height N A- Number of Stories N A-
8. Dimensions of entire new construction: Front. Rear Depth
Height Number of Stories 2-
�iti
9. Size of lot: Front 8660 Rear 82-7. 2-8
Depth A,-sx 44.444
10. Date of Purchase APP/L- 7.,2-o,9/ Name of Former Owner M +rtT7-/7V 6� 67y0l2—d*T_ ASSae�iq.Te
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: ,No
13. Will lot be re-graded A-s -PowN o.v Will excess fill be removed from premises: YES NO
sva.v�sy.
14. Names of Owner of premises �?✓4�'Qb 9,5Ae-�ddress88G$w7-94t ' Wst�FhoneNo. a/Z 4Q9 -/-4C
Name of Architect -/nbw Address 4a mss' Gera Phone No *vx- 8793998
Name of Contractor 7'+ eel-,'-,d kl-' Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES_ NO sem" ✓��r/V
e IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, to scale,with accurate foundation plan and distances to property lines. ✓ 5ee
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. ssO"
STATE OF NEW YORK)
S •
COU/NwTY OF
being duly sworn,deposes and ays that(s)he is the applicant
-1/-no A40j"
—Name'Of individual signin ontrac above ed,
'S)He is theA /`
(Contractor,Agent, Corporate Officer,etc.) t}�.�1T�6-!
�f said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application;
:hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
3erformed in the manner set forth in the application filed therewith.
3wo before me '
of V 20 Q .
otarypublic ANA OEALMEIDA-IACOVONE 44�
a of Applicant
NotarY Public,state of New Yak
No. 01DE5057662
Q fuse in New York Cityy Count
Canmissian Exaires March Z5,20�
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 11/13/01 Receipt#: 6745
Transaction(s): Subtotal
1 Septic Permit-Construct- Resid. $10.00
Check#: 6745 Total Paid: $10.00
Name: Sachs, Richard B
88 Central Park West#4s
New York, NY 10023
Clerk ID: HELENEH Intemal ID:41957
STATE OF NEW Y RK )
(c�K--)-ss:
COUNTY OF )
JO6rad .411
l l ing duly sworn, deposes and says:
That de Hent is over the age of 18 years and resides at
That on the,L day of I&ewn OK , 2001 deponent arch itect/engineer,
licensed by the State of New York, hereby states that s/he accepts full
responsibility for the accompanying plans compliance with the New York State
Fire Prevention and Building Code (9 NYCRR);:said plans pertain to property
located at SCTM# 1000- 24- 41
street address ,SOUND vle►-✓ �v'��l'y� M �T?/TUGI��
V9 w h o o u T'ff o Z-"C> /V mow'
Ar neer
DU Y
So bef r met is
day of !r - 001. " R
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• � i��..wR Ir
JI 014495
otary Pub IC ANA DEALMEIDA•IACOVONE
Notary Public.State of New York _
N0.OIDE5057662
Qualified in New York City County
Cwm*-Sion Expires March 4 20��„r
cc: Applicant
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� LEGEND
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` 6�•5� J For seven(7)bedroom residence
07 A77