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Home My WebLink About1000-74.-3-16.1 (2) ,I f Aol I `o i � o P � o ;� N sem- g - cvt p. lil (I-_J SUR BOE Y OF � 01 PROPERTY � 7 v `1,J o.a SUFFOLK COUNTY, N. Y. ' ` 1000 - 74 - 03 - PI016 ZZ Scale: 1" = 40' C� STSE Feb. 2, 2010 10 �P qp ' DAFCP Pati .moo oAf � _ AREA= 20,229 gq.ft. � f _ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION I ; OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. IC '. 49618 EXCEPT T AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS LOT NUMBERS ARE REFERENCED TO "-STANDARD SUBDIVISION HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY FOR THE PROPERTY OF ROBERT ANIJ�PATRICK ADIPIETRO" ONIC SU F . a' r IF SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE 0 �F^+ /' SURVEYOR WHOSE SIGNATURE APPEARS HEREON. (631) 765 — 50 — 1797 4 - P. O. BOX 9091230 j _ VESOUTHOLD, N.Y 11971 03-217 • Ver TOWN OF SOUTHOLD FORM NO. 3 NOTICE OF DISAPPROVAL DATE: June 9, 2011 TO: Robert Adipietro P O Box 192 Peconic, NY 11958 Please take notice that your application dated June 3, 2011 For alteration of a dwelling to a Boarding House at Location of property: 2980 Peconic La., Peconic, NY County Tax Map No. 1000- Section 74 Block 3 Lot 16.1 Is returned herewith and disapproved on the following grounds: Pursuant to Article X Section 280-45,(B) Site Plan approval from the Southold Town Planning Board is required. The use is permitted by special exception by the Board of Appeals. Alf- Authorized Signature I 1 JUN 1 0 2011 - Scufi!,old mwn ! Plannmo(3°ars+ CC: file, Planning Bd, 7-3A Note to Applicant: Any change or deviation to the above referenced application, may require further review by the Southold Town Building Department. 4 TOWN OF SOU 4 ^-`1-�--w---= BUILDIN( "RMIT APPLICATION C14ECKLIST BUILDING DEP .c ^A . Do �u have or need the following,before applying? rr 1� y TOWN HALL `'� �` " Board4f4ealth SOUTHOLD,NY 1 U U N - 3 2011 4 sets of Building)dans TEL: (631) 765-1 02 Planning Board approval FAX: (631) 765-9 02 BLDG.D PT Survey - FAX: rthFork.iM OF SO %WIT NO Check Septic Form N,Y.S.D.E.C, Trustees , Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Fon-n-- Contact: onnContact: Approved ,20 Mail to: Disapproved a/c.& Ll Phone: Expiration -,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date i4Z a2 , 20 INSTRUCTIONS 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 Pen-nit. d.Upon approval of this application,the Building Inspector will issue a Building Pen-nit 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 even 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`l 8",,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 Deparbnent for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Coiu•nly,Now York, ajid btiter'applicable"Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or fdi;emoval or demolition as herein described. The applicant agrees to comply with all applicable latus, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or me, if a corporation) o �J gox- (Mailina address of app ican State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 Uj/V f-_: � -r Name of owner of premises /'� D B �," A) '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. LocatiQp of land on iyAch proposed wor ,will be done: ,, 0— W o /' O t_C I-A ivy, ��(�/�'� G V -\ - G'V L V House Number Street _ Hamlet County Tax Map No. 1000 Section 74 Block Lot Subdivision gett 7- Filed Map No. 1/7o'5 Lot ! 2. State existing use and-occupancy of premises ar}d intended use and occupancy of proposed construction: a. Existing,use and occupancy S 1 6,16,4 L- fended use and-occu y S! f�e yv Poo b. T`n -occupancy' J. 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 f 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 __1_4! Rear o2 5> Depth 7 5 � Height 30 ` Number of Stories : C] Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front .y Rear � Depth Height Number of Stories — 9. Size of lot: Front f ®off Rear 6 Depth �' e""x j C)N 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated '1 '(3 as 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 AJ, � GJt g .1 Names of Owner of emises Ad 1�+ ��Address �v�c w�! Phone No.�J/ ��'� '�l�� 14. Nam p Name of Architect o Address Phone No Name of Contractor a��. (�a' �� 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 t/ * 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. 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 S u -k)' l �l e79-6 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the �_�0E� ' (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and ig duly authorized to perform or have performed the said work and to make and file this n applicatio 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�applicat-ion�fled-,itherewitli. SA?ni#before me this 4 v day of 20 KINS, r No ubl'c 7Pt9f.StataotNewYoAt mature of Appry PE staosa&� )� Gualified in Suffolk County dwar,6won&*as July 1