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Home My WebLink About39973-Z(THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 39973 Date: 7/28/2015 Permission is hereby granted to: New Suffolk Waterfront Fund 650 First St PO BOX 146 New Suffolk, NY 11956 To: demolish an existing barn as applied for. At premises located at: 650 First St, New Suffolk SCTM # 473889 Sec/Block/Lot # 117.-8-18.1 Pursuant to application dated 7/27/2015 To expire on Fees: 1/26/2017. and approved by the Building Inspector. DEMOLITION $280.00 Total: $280.00 uilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE apo, 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 #: 39973 Date: 7/28/2015 Permission is hereby granted to: New Suffolk Waterfront Fund 650 First St PO BOX 146 New Suffolk, NY 11956 To: demolish an existing barn as applied for. At premises located at: 650 First St, New Suffolk SCTM # 473889 Sec/Block/Lot # 117.-8-18.1 Pursuant to application dated 7/27/2015 To expire on Fees: 1/26/2017. and approved by the Building Inspector. DEMOLITION $280.00 Total: $280.00 uilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 South oldTown.NorthFork.net Examined Approved Disapproved a/c 20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board,o f Health 4 sets,of Building Plans Planning Board approval Survey PERMIT NO. Check Septic Form V", ` 1,K, 20 Expiration r '20LT N.Y.S.D.E.C. Trustees Id� 91D, C.O. Application Flood Permit Single & Separate ' . JULaw 27 ! Storm -Water Assessment Form ontact: e Phone: �` 3 7 3 �® `-, iu- n2Inspecfo APPLICATION FOR BUILDING PERMIT Date )/J4 % "- , 20 l INSTRUC'T'IONS a. This application MUST be completely filled in by typewr"iter,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 a lication"`the Buildin Iris" ecfor'will issue a`Buiiam " `Permif to'tlie a 'licant. Such a permit P PP PP g` P g PP P shall be kept on the premises available for inspection throughout the, work. e. No building shall"be occupied"o'r,used in whole•or irifpaii 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 Inspectorimay 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 B;uilding,Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town; of Southold, Suffolk Count y,,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 o applicantt oname, if a corporation) llg " (Mailing address of applicant) Staatte whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder fI(A� Name of owner of premises (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 landon which proposed work will be done: /(„ &V ��(�i . // � House Number Street, / Hamlet County Tax Map No. 1000 Section �-� 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`occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition. Repair Removal -,,,'Demolition Other Work 4. Estimated Cost Fee 5 Alteration (Description) (To be paid on Piling this application) If dwelling, number of dwelling units m9 o0yelling 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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front = ' Reaf Depth Height Number of Stories 9. Size of lot: Front Rear z. I ` Depth 10. Date of Purchase "` Name bf'F6riff& Owner 11. Zone `or use district'ift'Which `prem` ises are Situated M 12. Does proposed construction'tviolate ariy,zoning`law,,ordgmance or'regiilation?JYES.: `t NO js 13. Will lot be re -graded? YES.. N,O, . Will excess fillibe removed; from,,premises?;YES' NO 14. Names. of Owner•ofpremises , . {:}. Address.r r,t f!: )rf: :;t!: `IPhone No. Name of Architect f Add`r-ess , }'. „ Phone •N& Name of Contractor ri} A'ddress Phone No.' 15 aAs this property'within-100 feet'of ,a tidal wetland or, dfr`eshwafer=wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PEI ITS MAYiBE`REQUIRED. b. Is this prop erty'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. • , _ .: is 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 8. Are there any covenants and.restrictions with respect to this property? * YES NO IF YES, PROVIDE A COPY. STATE OF NEW YORK) ��,, SS: COUNTY OF54F[T &1C I& �` , , being,duly, §wforn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0 4% - -- - - -- (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 to before me this th day of a ( 20 IL-4 .CP Notary Public TRACEY. Ie ® �� -Signature of Applica t NOTARY PUSLIC, STATE OF NEW YORK NO. 01 Dw6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, 2 lB sIN O� I C F, j f • POI. �- • cowC. ® .. _��.._ -- • alf3£ln/ALt� FIRST STREET 3.41 + 3.23 N 06054'30" E 272.54' 9 RIM 2.49 RIM RIM 2.79 2.41 288 45.00' z co w o .p o� o � O N 0605-4'30"'E 177.55' 3.6 _ +3. / \ N DO O�-o v m6;u O�OOP 4.2 0� zm mOA�-�'iODcZ rnrpA�� + �o G)n yc�irm 4.4 z Z O yNZZZ N '" yz z z5 + z m m 4.6 S 06054'30" W 150.58' 4.4 � s m .- O wm 9 cVii D ? G1 00 8 i + z� m � rn � .L'LLL - 4 PCA - / m RIM 3.38