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Home My WebLink About41002-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT y a TOWN CLERK'S OFFICE o . 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#: 41002 Date: 9/20/2016 Permission is hereby granted to: Pane, Salvatore 11 Oval Dr Ste 200A Islandia, NY 11749 To: demolish existing swimming pool and deck addition to existing single-family dwelling as applied for. At premises located at: 2100 Cox Neck Rd.,Mattituck SCTM # 473889 Sec/Block/Lot# 113.-10-2 Pursuant to application dated 9/9/2016 and approved by the Building Inspector. To expire on 3/22/2018. Fees: DEMOLITION $200.00 Total: $200.00 it in pector v uj Fail0. uj CL uj Z' M z z 0 U. i2 am Ic ui CRIM o !!�Vg g; ui UJ LL LL ui IL cra z SEE L161 CM 0 z z (.) al 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 '/ld Survey. SoutholdTown.NorthFork.net PERMIT NO. (�' Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application �/� fl tV�f Flood Permit D �C�U ' Examined v 20 Single&Separate SEP ® 9Storm-Water Assessment Form 20'6 Contact: Approved 20� Vis: O�1' r) 11/ ( 5 BUMDDING DEIFY: Disapproved a/c TOWNOFSO OLID !� � — Phone: f r Expiration 120 Buil mg I ector APPLICATION FOR BUILDING PERMIT Date , 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 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �yJr,,�-� 1 , Name of owner of premises -T7cqy1r l S- (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 which propos work will be on House Number Street County Tax Map No. 1000 Section 1,Bl6c`7t°'•*_`- Q Lot oZ • a ir'; j _'? T31, =het r'FS.^.i,r y 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): ilding Addition Alteration Repair Removal ✓ Demol' ion 61 Other Work 1 (Description) 4. Estimate Cost e paid on filing this application) 5. If dwelling, mber of dwelling units °'' Number of dwetlin�rfij� on each floor If garage, num er of cars 6. If business, commerci or mixed occupancy, sped 3 er4r�l° t of each type of use. 7. Dimensions of existing struc es, if any: Front Rear Depth Height %with of Stories Dimensions of same structureeration's or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Storl s 9. Size of lot: Front Rear. Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district,in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation. ES NO'�(_ 13. Will-lot be re-graded? YES NO4WilI 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. 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& -rocmn 15 Hi m his 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.) 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 wt re me this day ofVnVN& 20_ TRACEY L. DWYER BLIC,STATE Or�rEVh-vnr� �— Notary Publi NO.01DW63069oo Signature of Applicant QUALIFIED IN SUFFOLK COUN COMMISSION EXPIRES JUNE 30, m fi fc n. a 'SOWN OF SOUTHOLD PROPERTY RECORD CARD 01+VNER ---- TREEI' - VILLAGE DIST. SUB. LOT Z exp S r� 73 FORMER OWkJER N E ACR. J50 b�., S w TYPE OF BUILDING � -1' • --- . , - ,_c� op RES. SEAS. VL. FARM COMM. CS. MICS. Mkt. Value 0 LAND IMP. TOTAL DATE REMARKS a A (-7�fl 4 �- 7 Y 43 tV11t Sew" E Yl r CC r j� r7 -2 1 �7 C.o LO RA 4aw:h2 m AGE BUILDING CONDITION LO --SG ICS Ln NEW NORMAL BELOW ABOVE t FARM Acre Value Per Value Acre �, • a S' N 'illabie FRONTAGE ON WATER m hood la nd FRONTAGE ON ROAD00 Zr - 4eadowland DEPTH 9 , s- co louse Plot BULKHEAD v �r •� y DOCK mom MENNEN _ {. . . . - . .. .. . :�:�'�- .� '��= i■�■°�■i■fi■■■■■■■■■■■■min■■■■ iii■■ME i■■!■■■■■■■■■■■■■■■■ - ■E■■.■.■■■.■.■■■■■■��■ ■■■�■■■� .f MEN.i■■■■■NNE ■■t■i1■ii■■�� ■■■■� . - --_ - .=. _ .�--�.-.:-:__.. _ . .�,.. .. ■moi■i■■.i■■i■■■■■ ■■■.i�■■■■■ ■■■iii ■a■■ • ■iii■■■■11■■r■■■w ■■l��n fr ■�■■■■■wlli viii■■ l ■ i■■■■■ SRImom 0 :ME■i■i■e■ iN■ifi�i■.■■■E ■■■moi■�!■�i■■■�■■■■■ �■■■� MEMO ME ME ■■■■■■i■ i■■ii.��i Foundation Basement .. a i- •.• •. \ •. • RecreationRooms • .. 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FI L - CONSTRL CTION MUST %�l°°�, COMPLETE Pr r C.O. ��E;� 1' a t Z-.tro.�r I ONSTRU^}PON SHALL MEET THE �c)°�scA�, 1i REQ RE EN IOF HE CODES OF NEW YORI — T . �,T ESPONSIBLE FOR DESI NS I tUCTION ERRORS. d Q . 1.6J -90 w— Ld o � 6RAVLL 041Vf WAY 9 Y �� •- I � 'IMMEDIATEENCLY" " t 1 TO CO 311 13 UPON COMOSELPLETIOND§ BEFORE'WATER- z MSRr Y/ALL I._-... . 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LI(�• VEYORB S,Ti ATURE ANO EM- 9UCCE960RS TO BOSSEO SEAL SIIALL NOT BE FILED U F FOt_K CO J,-Z Fi a 1 NO •1 5 cnn...c a eovAm (M,.LSIOEREOA VALID TR IE CLYpV wI.AM.1—Y F/ V A L .f.U �Q V E y .Joe No 9-052 DATE Cv -) 4'11TIFIEQ TO: THOMAS AND SALLY ODRNS w�L1Aw1..Awx..uaer �/o '/2•/3•B� OR — u— CH ___ SCALF 1" 2O_ DIST/YVARID 1220-. SEC _11$.722 BLK 10.00 LOT 002.000