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HomeMy WebLinkAbout40701-Z o. TOWN OF SOUTHOLD 4' K% BUILDING DEPARTMENT y 2 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#: 40701 Date: 5/18/2016 Permission is hereby granted to: Eiring, Theodore 51-20 67th St Woodside, NY 11377 To: demolish an existing dwelling as applied for. At premises located at: 9325 Main Bayview Rd, Southold SCTM # 473889 Sec/Block/Lot# 88.-3-20 • Pursuant to application dated 5/12/2016 and approved by the Building Inspector. To expire on 11/17/2017. Fees: DEMOLITION $829.60 Total: $829.60 Building Inspector 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 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 40 - ( - Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20/ r-- 5° Single&Separate Storm-Water Assessment Form Contact: Approved ,20 Mail to: Gi(*VW/ CALA/MES Disapproved a/c e iaH o&uE, 7NY 1(`13 i Phone: 63!-74-7O ® Expiration ,20 i . 7 20 SCENE .E- 1 Buil g Inspe,`tor V --- T MAY 1 2 2016 --1 APPLICATION FOR BUILDI ERMIT Date' A - - , lr 20 (C BUILDING DEPT. INSTRUCTIONS TOWN OF SOUTHOLD a. This application MUST 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 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 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. r (Sr/ ignature of applicant or ,if a corporation) 1.0.box 78'7c urc4{DG tu,, M Y 435- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder OV\I N\I e R,_ Name of owner of premises IoVANN I CALA.N e.s E (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 land on wph(ich proposed' 1woryyk�Kb. ' be done:_ '�\ ' *'7-f� ➢' 9 3 S ffl 1 B�yv/E-t Kb ' ,H, . . i i 1 1�oL ` House Number Street '1 '';' ;'- ; ' • ' ;; Hamlet , , County Tax Map No. 1000 Section ' '''' Block .f7` , , Lot ao 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 Alteration Repair Removal Demolition ✓ 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. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front s• 17i Depth _ Height Number of Ste hes! ;i sn ,c..r 8. Dimensions of entire new construction: Front Rear D tJh= { Height Number of Stories 9. Size of lot: Front Rear Depth 4 u'^ k"'T714 LID kfiVOT 10. Date of Purchase S l 6 Name of Former Owner 11. Zone or use district in which premises are situated RE5 thEartAIL.. ® FAi4ULY 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address 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. J 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 OFSUROk ) —�1tACOM 1 00,W0f1Zne being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the ©wneer-/NM— (Contractor, N (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 l day of 1\--k.0. 20 za•i GATZ-SCHWAMBORN + v ve'L % �►�`,, 1',i 1 `'` NOTARY PUBLIC,STATE OF NEW Y�,�1'� sem`- /11r��___.1- ,<lI —t•gistration No.OIGA6274021�' ' otary Public Qualified in Suffol oun Signature of Applicant Commission Expires Dec.24,2016 g PP NiOiF SURVEY OF PROPERTY IMP _ 111 . • JOSEPH L. A'ALDYOGEL & GRACE L. WALDVOGEL 4,', ,y, SITUATE s °� BAYVIEW ego ,s',0 S S• 4b.4.6, TOWN OF SOUTHOLD �o s/6: 2�°�' SUFFOLK COUNTY, NEW YORK ALV(� / .404S.C. TAX No. 1000-88-03-20 �'a• "�/ L��'f' °% SCALE 1 "=30' / f 4'0s4.. APRIL 18, 2016 °kms4;:3 1� AREA = 32,105 sq. ft. =yon° sr s4 / 8�j, 0.737 ac. Ja 41/1?) F CA Mo4,o 71.41..."Y �� // )s•?, S• ,��� �o // (0. 4) 0 �' o� / 4E4%, 0) 1� / &oOO�S of �. oy'� // ,,°aa \\400• �^' Oay / \N / • ° • // • 4.4 — Y ,.` ° . "/ .°d' • / d , ° d• °' <\ 3s�� '�i;, vJ�O // PREPARED IN ACCORDANCE WITH THE MINIMUM 6 ^=p= STANDARDS FOR TITLE SU 1=STABLISHED ,h oo / BY THE LLA LS. AND Pp ). �0 D Cb ,� • FOR SUCH USE BY ^t� 42 ry ,A0 // ° d v°� TITLE ASSOCIATION ��r � r 4b opo, _ /z. co 'If ,. 9K // cam" Q �'t,� ems_ V .: .�`It R E e coGN - • d � 1r i 1:4 �/ Matt // V 40 � �� • ° c o lit' d • r. o i 2 40 6 '` N.Y.S. Lic. No. 50467 X n , • Ill :•d UNAUTHORIZED ALTERATION OR ADDRION 12 Y TO THIS SURVEY IS A VIOLATION OF ° ° ' ° ', EDUCATIONSECTION 2LAW.09 OF THE NEW YORK STATE Nathan Taft Corwin III ••4.? .. . . • • +ry COPIES OF THIS SURVEY MAP NOT BEARING THE'''''.I. a ° OQ� EMBOSSED D SEAL HALL D SURVEYOR'S INKED BEECONS DERED L OR Land Surveyor Y TO BEA VALID TRUE COPY. "(( Viz.,...) ° • 1 ca4c 4,04,.° •° M CERTIFICATIONS INDICATED HEREON SHALL RUN • A. �cF �8° • • C9 ONLY TO THE PERSON FOR WHOM THE SURVEY •d IS PREPARED, AND ON HIS BEHALF TO THE •n OFpq ° . TITLE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout ji 1 LENDING INSTITUTION LISTED HEREON, AND • • TO THE ASSIGNEES OF THE LENDING CERTIFICATIONS ARE NOTTRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 46 - .. .• , d• OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1586 Main Road P.O. Box 16 ° �. '•;:•`•,`' 1ORp AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED. 36-085