The URL can be used to link to this page

Home My WebLink About39818-ZPermit #: 39818 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) Permission is hereby granted to: Simmen, Robin 2950 Rocky Point Rd East Marion. NY 11939 To: Construct a deer fence as applied for. At premises located at: 2950 Rocky Point Rd, East Marion SCTM # 473889 Sec/Block/Lot # 31.-2-1 Pursuant to application dated 5/19/2015 To expire on 5/31/2016. Fees: Date: 6/1/2015 and approved by the Building Inspector. Total: Building Inspector IN $75.00 $75.00 L TOWN OF SOUTHOLD i} i BUILDING DEPARTME LI TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net - � 1 Ai S !I. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying. i,;BoardpfCHealth 1.D . GFPT ;4; sets of Building Plans , TOP: OF SOU i of D Planning Board approval PERMIT No. 3 Check .•r 'Septic,Form N.Y.S.D.E.C. Examined Approved ° 20 s a Disapproved a/c Expiration 0 Al rus ees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: 1 Mail to —�� 1 N —:-,I P M E N ��'7Asi ,crbN�Y 1)S Phone:_G}1 % q22 — (,3 z e2 i".) - 7"2 ra Build g knspk6tor r APPLICATION VOR BUILDING�.._ "Date I�/ I i�`i 2 ._ ., � .:.,INSTRUCTIONS _ �;� _.. ; ., • ' " a. This application MUST be completely filled in byv-typewriter or in ink and submitted to the Building -Inspector with.4 sets of plans; accurate plot plan to sc'al-e'. 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. _.r.._.. _...._. __.._.._._._.._._._...__ _ _--.. 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 wt)1` i'sstze'a Building Perihifto tli'e applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall'be oceupied�ofliu , d• in whole or•in' part for`anylpurpose what so ever until the Building Insp'ec'tor issues a Certificate of Occupancy. f. Every building permit,, all 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 date..lf 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 mut, 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 -= b applicant agrees to comply with all applicable laws, ordinances, buildin&bde,:housing code, and regulations; and to admit authorized inspectors on premises and in building for necessary inspections. " CO\PFLY VVITRALL CODES OF NEW YORK STA TOWN CODES' ��eA' � Z AS REQUIRED AND..CONDITIO,N,S OF, (Signst re of pplicantorname,ifacorporation) i $ t�idP�f G @O RD (Ivlailingladdrdss of applicant)' State whet e pp, -e i`s-Qy,*'ii-� sYeENg F&chitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises �) M 1-( t~ leowlqy LIF -F:- E�� UD AS NOTE® (As on` a tax r'o11 or }latpA (deed � P. #.2 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. I./ Location of land on which proposed work will be House Number street County Tax Map No. 1000 Section_ -01 FEE: S BY: NOT IFFY ILDIfJG Y BUDEPARTMENT AT 765-1802" 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1: `FO.UN5ATION :-"TWO REQUI'RED FOR40, URED `CONCRETE 2. ROUGH' - FRAMING & PLUMBING 3. INSULATION MUST ffimn aNSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW Block-7s%/=.r:Z;�'ORK•STATE:L(?T REIPONSIBLE FOR OR ON CION ERRORS. �i'i:ii., ,. SY..�t.�4 •i "3'k S.� 4'{{: .?1i ^i.F: ,'.,{...i Subdivision Filed Map No. Lot 2. State existing use and •occupaney=of premises and intended use and occupancy of proposed construction: a. Existing use and -o`c'cupancy f12._�7--t�1 b. Intended use and.occupancy " -,Y ��'4a�'ro"�r�;'% 3. Nature Of workt �„. '•�_';,, .;. `„ .,.E• (check Which”"'licable): New Building Addition ✓ Alteration_ Repair Removal. ' Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid.omfiling 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 tnixed 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 ` ""lK'"� - F""1 Number of Stories 8. Dimensions of entire new construction- Front ` 1 } ° %# >' ` %`' Ream k Depth Height Number of Stories 9. Size of lot: Front Rear. 4. _,;, , Depth 10. Date ofPutchase� Name ofFoimer"`Oavner �� " 11. Zone or use'di'strict•in'wh'ch preinises•ar;`e;situ-afec1�' i'..�ii::'^ :.ilt r! �r �1 >I��xlf"- �E{3�t lf4 x. y.•,u'a.;i ,area � . 12. Does proposed construction,violate any zoningllaw, ordinance or regulation? °YE S _ NO ��s:� r .!!fit � J'1 f;r ! 'i a,. i �i,3,. -„ ir• 13. Will lot be re -graded? „YES NQ, Will excesslfiyh be,removed from;premises? YES NO 14. Names of Owner,of;premises_, .;;: < •} .Address -,_r, •s¢,° is !#Phone:No.,. � Name -of Architect.:,::-,: !E1ddress Phone;No Name of Con&actor<< !;'1;Address-- - , 15 a. Is this property'w tI in'-1OO:feet of,"a'tid'al='weflarid or' a"ftesliwater wetland?- *YES '' ''' NO * IF YES, SOUT,HOLD' TOWN TRUSTEES �& VE:C`.- PERIVTITS lVI'A.Y BE'REQUIRED'. ' b. Is this roe w thin`30;0fe"e'tof�a'tidal wetland? ,*`YES "' "NO * IF YES, D.E.C.- PERMITS MAY BEREQUIRED 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) COUNTY OF �- ti M 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.) ' -1- 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 bei, performed in the manner set forth in the application filed therewith. r. Sworn to before me this $�a day of Q4 20� � Notary PublicU TRACEY L. DWYER , ature of Applicant NOTARY PUBLIC, STATE OF NEW YORK NO. 01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, 20($ Scott A. Russell s-�S `�� STOJ[ZIWWAT E K SUPERVISOR z SOUTHOLD TOWN HALL - P. O. Box 1179 a Town �f >Sou th o l G� 53095 Main Road - SOUTHOLD, NEW YORK 11971 d CHAPTER 236 - -STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) .---------------- --------.-.......---- DOES THIS (PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) 4 ❑ A. Clearing, grubbing, grading or, stripping of land which affects more than 5,000 square feet of ground surface. ®F1 B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal f rosion hazard area. ❑ ite preparation within the one -hundred -year floodplain as depicted on FIRM Map of any watercourse. ❑ © F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property Owner, Design Professional, Agent. Contractor, Other) S.C.T.M. #: I OOO Date District p �) NAME: 2 Q + Section Block Lot 1 <, v I Oh- Blt"ILDINC3 i;EP 13'"i °I�,NT l f, f:).�;1_. t Contact Information Reviewed By: Q — — — — — — — — — — — — — — — — — — Date: Property Address / Location of Construction Work: a°_66 Roc rA M FORM " SMCP - TOS MAY 2014 --------------- Approved for processing Building, Permit. Stormwater Management Control Plan Not Required. E] Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other); NAME: Ph:—P,,,,, S"puj,,,C 77111115.1Nvnd,ce S.C.T:M. ': 1000 Section Block Lot aosulr�,� z o �. ti CHAPTER 236 Stormwater Management Control Plan CHECK LIST S M C P -Plan Requirements: Provide ONE copy of the Building Permit Application. * The applicant must provide a Complete Explanation and/or Reason for not providing all Information that has been Required by the following Checklist! Date: I . A Site Plan drawn to scale Not Less that 60' to the inch MUSTIf show all of the following items: a. Location & Description of Property Boundaries b. Total Site Acreage. c. Existing - Natural & Man Made Features within 500 L.F. YES NO NA You answered No or NA to any Item, Please Provide Justification Here! If you need additional room for explanations, Please Provide additional Paper. of the Site Boundary as required by § 236-17(C)(2). d, Test Hole Data Indicating Soil Characteristics & Depth to Ground Water. e. Limits of Clearing & Area of Proposed Land Disturbance. f. Exist ing & Proposed Contours of the Site (Minimum 2' intervals) 00 g. Location of all existing & proposed structures, roads, driveways, sidewalks, drainage improvements & utilities. h. Spot Grades & Finish Floor Elevations for ail existing & proposed structures. O 1. Location of proposed.Swimming,Pool and discharge ring. j. Location of proposed Soil Stockpile Area(s). 0 k. Location of proposed Construction Entrance/Staging Area(s). Location of proposed concrete washout area(s). m. Location of all proposed erosion & sediment control measures. 2. Stormwater Management Control Plan must include Calculations showing that the Stormwater improvements are sized to capture, store, and Infiltrate on-site the run-off from all impervious surfaces generated by a two (21 inch rainfall / storm event. 3. Details & Sectional Drawings for Stormwater practices are required for approval. Items requiring details shall include but not be limited to a. Erosion & Sediment Controls, b. Construction Entrance & Site Access. 0�0 c. Inlet Drainage Structures (e.g. catch basins, trench drains, etc.) d. LeachingStructures (e.g. infiltration basins, swales, etc.) 0 ... .......... ...._...... .......... . --..:_:_: .__.:_._... . 1=f:71,. iG[li.lN(.; 1Jf;l'AI�'lvi'��11.�N'1' USE ONLY Additional Information is Required. Reviewed & F� 1 Stormwater Management Control Plan is Not Complete. Approved By. ——————————————————————-— Stormwater Management Control Plan is Complete. Date: I ® SMCP has been approved by the Engineering Department. FORM * SWCP Check List - TOS MAY 2014 A TOWN OF SOUTHOLD. PROPERTY -RECORD CARD %.OWNERSTREET VILLAGE DIST. SUB. LOT _3 �)z-sd__ RES., v SEAS. 1 VL. FARM I COMM. CB.I MISC. Mkt. Value NEW LAND I IMP. I TOTAL DATE REMARKS FARM Acre Value Per Value 11 / Acre C7 7? 1 Tillable I Tillable 2 L 12 o r35 D� 4 4.14 90 r) I' e_r-,:501,00 ec J I Tillable 3 17,5-11 q- L 5,1 -C 1/,!l Nwu'l wl CmWvTt�1b;e,& Woodland 3ez) o i 3 061 '� 33 �� -f' t, j8�� Swampland FRONTAGE ON WATER ev 46 v, V,7, / 0 h 0 �1 7 n (I ei 0 o S'5, n-1) A;;24,0,/?/ 1 1Is-lqq—L 1811'q 066 I -Am J/ 'it 1 2_1' 1,Sj Z_m_1 16 L 4:� q4q - #a ro h a A,*IJ C, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE ql,-o 16 ro ano FARM Acre Value Per Value 11 / Acre C7 7? 1 Tillable I Tillable 2 L 12 o r35 D� 4 4.14 90 r) I' e_r-,:501,00 ec J I Tillable 3 17,5-11 q- L 5,1 -C 1/,!l Nwu'l wl CmWvTt�1b;e,& Woodland L Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD t House Plot to ^ uoc) DEPTH BULKHEAD X Total DOCK �� ., SS r '� � t J r �� ,t�'i�sd S! Y � j �.'ks � 4.y y� J i f ,``^. Th.� \^i�+� � ��+��^ �r`7 i ..-tom j "'�.�,-: � t��, t . �� , � s Y, M �"��"'R �' Com, y��L. R � � P � `s ti �:.. I ILL � .�-� =: � "� i j S �� ., SS r '� � t J r �� ,t�'i�sd S! Y � j �.'ks � 4.y y� J i f ,``^. Th.� \^i�+� � ��+��^ �r`7 i ..-tom j "'�.�,-: � t��, t . �� , � s Y, M �"��"'R �' 47.6 CONC. SAB x/A2 BLOCK 4fi 'I CONC. Ty ALK ` BRICK 51EPS 66 T STORY FRAME HOUSE BLOCK WALL x4� CONC. STEPS x�7 BRICK - a5 09C m � u15x d6.a W 7s. 5 81°30'00„ cc LD CA �0- 01i W O O H- 0 F CAROS- ANNA F A TZIVELEKIS. C LUCILLETZIVELEKIS X410 B^TWIN TREES �,xT0.EE /S GOT JJ ).t xg'LRCE 1 0 1 \ /-�-CESSPOOL 7X 07 T 1 ,x48.0 —t CESSPOOL 1 .IB`aN vaW ETyF7.Y SURVEY OF PROPERTY BLOCK CURD $1 R 30100 11 00„ E BSG x4'iREE N 1�0 1 SET Z NNL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK I\ xg LP SCALE 1 "=20' LO 1/ i1Y .LP GRASS I ORVI I S6_II I 210.29'. ,B'TREE 1, £ X It 1 I x-72 0 O m1 REE 11 X46a - 0.483 cc. 10-LWIN TREES O ...:. E 15 vnr17-9 n 9,jRHEAD.WIRE�:--. •D^ ' Tx-IaEE -TRE£ Z NOTES: 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:saO 26 CONC.ZO SLAB 1 n ? .W ELECT. x " OUTLET 0. N GRATE WMal 47.6 CONC. SAB x/A2 BLOCK 4fi 'I CONC. Ty ALK ` BRICK 51EPS 66 T STORY FRAME HOUSE BLOCK WALL x4� CONC. STEPS x�7 BRICK - a5 09C m � u15x d6.a W 7s. 5 81°30'00„ cc LD CA �0- 01i W O O H- 0 F CAROS- ANNA F A TZIVELEKIS. C LUCILLETZIVELEKIS X410 B^TWIN TREES �,xT0.EE /S GOT JJ ).t xg'LRCE 1 0 1 \ /-�-CESSPOOL 7X 07 T 1 ,x48.0 —t CESSPOOL �1 x.±62 xAzj _ T l`4 14 46.41 �IB"TREE x3.3 67iLEE - A671x e6.i x 45.g o ELEGT.�E "-TREE � puTLET Y 4601 -� 0 $' ROW OF TREES - _ 0 P & KIRIAKOS KITSAA PANTELIAS .1 r MAY 18 2015 EM. HiPT Tv"!: n IV.•I. VH : �I IJTNILU SURVEY OF PROPERTY SITUATE EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK I\ S.C. TAX No. 1000-31-02-01 SCALE 1 "=20' APRIL 17, 2015 I 210.29'. ,B'TREE 1, SE J *a,,STAK Lf) x-72 O 01 AREA 21,026 sq. ft. 0.483 cc. 10-LWIN TREES O E 15 vnr17-9 ' Tx-IaEE -TRE£ Z NOTES: 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:saO 26 CONC.ZO SLAB F.FL- --R G.FL.- —E—R - �1 x.±62 xAzj _ T l`4 14 46.41 �IB"TREE x3.3 67iLEE - A671x e6.i x 45.g o ELEGT.�E "-TREE � puTLET Y 4601 -� 0 $' ROW OF TREES - _ 0 P & KIRIAKOS KITSAA PANTELIAS .1 r MAY 18 2015 EM. HiPT Tv"!: n IV.•I. VH : �I IJTNILU UNAUTHORIZED ALTERATION OR ADOTION 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 SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS 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 LENONG INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTON. CERTIFICATIONS ARE NOT TRANSFERABLE. N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor Successor To: Stanley J. Isoksen• Jr. L.S. Joseph A. Ingegno L.S. Titte Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFIr..F.S IOrATFO AT MAIIINr AODRFSS 0 PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE . AND APPROVED AND ADOPTED FOR SUCHH USEVSE THE NEW YORK STATE LAND TITLE ASSOCIATION. I\ UNAUTHORIZED ALTERATION OR ADOTION 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 SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS 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 LENONG INSTITUTION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTON. CERTIFICATIONS ARE NOT TRANSFERABLE. N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor Successor To: Stanley J. Isoksen• Jr. L.S. Joseph A. Ingegno L.S. Titte Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFIr..F.S IOrATFO AT MAIIINr AODRFSS 0