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HomeMy WebLinkAbout41601-Z �S�FFnc� TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE SOUTHOLD, NY Cpl � 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#: 41601 Date: 5/3/2017 Permission is hereby granted to: Racanelli, Steven &Janine 175 Oxford Blvd Garden City, NY 11530 To: demolish an existing garage as applied for. At premises located at: 870 Love Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 140.-2-17 Pursuant to application dated 4/27/2017 and approved by the Building Inspector. To expire on 11/2/2018. Fees: DEMOLITION $154.00 Total: $154.00 r . 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 r Survey SoutholdTown.NorthFork.net PERMIT NO. 1 1 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate l Storm-Water Assessment Form Contact: Approved ,20 Mail to: Disapproved a/c 1 Phone: Expiration ,20� gBuilding Inspector APR 2 7 2011 APPLICATION FOR BUILDING PERMIT Date , 20 -StTILDIIG DEPT- -INSTRUCTIONS Wyosa SOUTROLD a. p kation 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 shal I 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 cod an egulations,and to admit authorized inspectors on premises and in building for necessary inspections. APPROVED AS NOTED (Signature of applicant or name,if a corporation) DATEIL3��• DP.# F,__. •— (Mailing address of applicant) NOT *11111'-NG DEPARTMENT AT� DI Y g AM 0 4 Flv1 FOR THE Siihh - tt�i�r a alar�t towner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder FOIL I.,U L �UNDA--10 lVelO REQUIRED p CnNfIRpTF 2. ROUGH - FRAIMING & PLUM I N '"Ns6IEn of premises 4. FINAL - CONSTRUCTION MUST (As on the tax roll or latest deed) If ap c6MN1RhC6&rp6EtQbR signature of duly authorized officer ALL CONSTRUCTION SHALL MEET THE REQL'(i1SI!a�" ` i$dQft16 e cer) Bu`igbib 96Ase d RESPO I PlAgp�LgP A2RUCTION E� . Electricians License No. Other Trade's License No. 1. Location of land on whic proposed work will d ne: House Number Street Hamlet County Tax Map No. 1000 Section �4 ,,Ly-its.�ti .s"4`;r 'G; e,.:•tr: B Oc)C Vit; ; Lot .0 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 Buildin Addition Alteration Repair Removal Dem litio Other Work � S��c d, e . (Ox 1 ' (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: FrontRe "ars ; Depth Height Number of Stories -- '°"� = 'r' — 8. Dimensions of entire new construction: Front Rear Depth g 6" Height Number'of Stories 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?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 NOX * 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� * A IF YES, D.E.C. PERMITS'MY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property line's., 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 ) 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 to before me this. day of f 1 l 20J P IV & V CONNIE D.BUN61­1 Notary Public walk:°Stat®of Signature of Ap ' ant No.01 BU61850�0 Qualified In Suffolk County Co►nmiseion Expires Aprn 14, r SURVEY OF: PROPERTY LOCATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK S.C.T.M. n 1000-140-2-17 SCALE. 1'=30' NOTE: THE EXISTENCE OF RIGHT OF WAYS. WETLANDS AND/OR EASEMENTS OF RECORD IF ANY. NOT SHOWN ARE NOT GUARANTEED g00CM POLE #610E� 1` 9S,� fLrl+ G°F+�y�a PIPE Y oll y 10 S LAND N/F 0 x JKK ENTERPRISES LLC o r 0,;o e 'lip 6) / g5 l� ycF TEMP � 00 / BARN F 2.ARN GREENHOUSECONC. A7>�, MON v "PyF STAKE 9 SET 200 N 10°41'45"E - - --- RN 35.77-'--(G4L-C) -= zeiN- p �- K+� MOON. 4jy GOO - S 6 CONC. MON POLE )1 O� O \ 0.;r CVO GAR. 15 •�tv \ O l>'S A, IS m PORCH yti0 E 25'/W r ,00., \ A ,L 9�PF'0 S �B 19 r��°� STAKE r0 0, \ f GAR 9 ? 2 O-/N AA J. o ny STOOP ��LO - oy v9. O F LAND N/F T M. 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