Loading...
HomeMy WebLinkAbout39776-Z�uFFntx TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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 #: 39776 Date: 5/18/2015 Permission is hereby granted to: White, Robert & White, Lillian PO BOX 103 Greenport, NY 11944 To: Demolition of an existing building as applied for. At premises located at: 290 Bayview Ave, Greenport SCTM # 473889 Sec/Block/Lot # 52.-5-36.1 Pursuant to application dated To expire on Fees: 11/16/2016. 5/12/2015 and approved by the Building Inspector. DEMOLITION $253.00 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net BUILIDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? . ,,i�, , . „ . ;r;,., ;, , ;Board.ofiHealth • :44 sets of Building Plans Planning Board approval Survey PERMIT NO. �� Check ,Septic,Forni N.Y.S.D.E.C. Approved 1 , 29 Disapproved a/c Expiration , 20 9 ♦ I� 11 - II MAY 12 2015. rus ees C.O. Application • Flood Permit Single & Separate "Stor'm=Water Assessment Form _ - - -Contact:-- , Mail to: Phohe: k�, 2� 4 V I D(o Z" . "IV j i0 b i ding Ckctor PLICATTION FOR BUILDING,PERMIT D . 20_LC� INSTRUCTIONS .f ri ; r a. Thic "ninli�Tl tiPl 1gT pletely filled in by,ty,•pewriter.or in ink and submitted to the Building, Inspector with 4 sets of plans, accurate -plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,,.relationship. to adjoining premises or public streets or areas, and waterways: c. The work covered by.this application may not be commenced before issuance of Building; Permit. £ d. Upon approval of this application, the Building Inspector will issue'ai$uilding Perinit"to'thd applicant: Such a permit shall be kept on the premises available for inspection throughout the work. r e. No building shall °be occupied'or'used in whole o'r4n, paft for -4 y'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 •1:2 months after the date of - . issuance or has not been completed within 18 months from such datb.�Jf 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,D,epartment,for,the issuance ofaBuilding 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 alteratios,or for, removal or demolition. as herein described. The ,i.'r� applicant agrees to comply with all applicable laws, ordinances.,. building,code,,housing co&,'and regulations; and to admit authorized inspectors on premises a d building for necessary inspections. ,t - (Signature of applicant or name, if a corporation) �R P �' P,Bit��N �.� .O �3m� F$E: p1NG Pt,� PSR - (Mailins;address of applicant)' N0�1F 02 8 pm p00I\O�N, GD State agent, architect, engineer, general contractor, electrician, plumber or builder �O CRF�C t l Fn POU$Un o�f\1G & P�UM$1NG ,USS / Name of oy n�, ,*f p` e,211s s oc\ „ r t`. , • '�1�,'�1= �_\JA 1-' AP` E�FOS A�� 'ilk ` (As on1he tax roll or latest deed) If applicant iso,s�gt�;�'Suerdi l�orized officer (NamC@iq`t� (T%1,0f c2.6 v rY F Builders LiceiQ�I n$ �0 Plumbers Licefi e 0. Electricians License No. Other Trade's License No. Jj per' - 1. Location of land on which proposed work will be done: -,�,q© % pal t611:i,✓ )W. 500TH-J�. -/VT House Number Street Hamlet County Tax Map No. 10{00 �Secti6 q jjSgj— Block"''� '`' Lot ::, 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 •ob'cuparicy b. Intended use and.occuparicy _Vn1'� 3. Nature of work (check Which'hliplicable): New Bu ding Addition Alteration_ Repair Removal, Demolitioftv 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. Nt 1 7. dimensions of existing structures, if any: Front, o ' Rear "ZC79 Depthl y Height ) Number of Stories��tay.,,ackC.� Dimensions of same structure with alterations or -.-additions:. Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction Front ` ` t -'.1 i %n' `Rear' t - Depth Height Number of Stories:E',i. �.AO 9. Size of lot: Front Rear @ 1 i a :.Depth 10. Date of Purchase 'Name of Fo'rmer'O.wner °' "' 11. Zone' 011i dse'district 'in`whi`ch premises are'`situated'''`'' 'I°F3 '' ''•i l::" .7. a.i `�i:`d'' IJ�Jl1 J+':! � J'.!.I J1. `7f t i-.. , ",.. 12. Does proposed construction, violate, zoning l`a• w,, ordinance or regulation? ,YES, NO 13. Will lot be re -graded? YES...,, ,NO, Will,excess tfih be removed from pr,,gmjses? YES 1: NO E ' 14. Names of. Owner of premises.,:. : - :> 1.Address, Q <_, „ Phone No. Name of Architect • !Address -Phone;No , Name of Contractor, l f; Address '- Plion No. 5 a. Is this property w tHiri 106'fee't of'a,i. dal�wetlatid'or a freshwater�wetlarid?-*YES NO S_ * IF YES, S'OUTHOLD'TOWN'TRUSTEES &`D.E:C: PtkI&TS'iVIAY BE'REQUIRED'. ' b. Is this property within 300 feet` of a tidal ,wetland? * YES NO- * IF YES, D.E.C. PERMITS MAY -13E REQUIRED:' " y 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)' aliove `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.wsaid' ork 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 20 Notary Public CONNIE D. BUNCH Signature of Applicant Notary Public, State -of. New'Yorkc No.OIBU6185050 QuaMW in &dWk County �� Commission Expires April 14, 2. /TOWN OF SOUTHOLD PROPERTY RECORD CARD -.0WNER STREET 212(0 VILLAGE DISTRICT SUB. LOT 7o Y- 71 A I 0q ym Mist LAND I [MP. i TOTAL DATE REMARKS A 82- 2- P '364 _v Y- OWNER.I ACREAGE lFORMER S W TYPE OF AD 17-1 C 9-0- OC) '5 RES. SEAS. VL. FARM COMM. IND. I C6. Mist LAND I [MP. i TOTAL DATE REMARKS A 82- 2- P '364 _v Y- 6) 1A o AD 17-1 C 9-0- OC) '5 /,34-6 /700 _31.� -700 1 -a000 62 k4 AGE BUILDING CONDITION NEW NIORMukL BELOW I ABOVE Form Acre -value Per Acre Value Tillable I Tillob-le 2 Tillobliz 3 \Mbodlond Swampland Brushland Hesse Plot Total r AC'I-ELE : ACR. 'FORMER OWNER 1 TYPE OF BUILDING S w SEAS. TOWN OF FARM COMM. CB. MISC. Mkt. Value } G� 1 1 L qa t p 2—i 7 IMP. DIST: SUB. 1NI�lER �- REMARKS PSREET V:I,LLAGE r AC'I-ELE : ACR. 'FORMER OWNER 1 TYPE OF BUILDING S w SEAS. L. � I i FARM COMM. CB. MISC. Mkt. Value } G� 1 1 L qa t p 2—i 7 IMP. TOTAL DATE REMARKS BUILDING CONDITION NORtmAAL BELOW ABOVE Acre Value Per Value Acre FRONTAGE ON %MATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK atension Exctens3on EKte ns! on CORD CARD P RE R3