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
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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,
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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
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THE TITLE COMPANY GGVDRNNENTAL AGENCY ANO LENDING INSTITUTION
LISTED GUNRAAN�S CUMMA�TIC ASSIGNEES EE NOT�TMANSFER�ABLE TO AW OMNAL SURVEYED B Y:
INSTITUTIONS
RTIFISSIIDSEOUENfONNOiS PAUL BARYLSKI LAND SURVEYING
CERTIFIED T0: .,
FIRST AMERICAN TITLE INSURANCE COMPANY PATCHOGUE NY 11772
CORE TITLE SERVICES, LLC (TITLE 921632) PHONE 631-294-6985
STEVEN RACANELLI FAX 631627-3186
JANINE RACANELLI PAULBARYLSKIaYAH00.COM
1959 NOVEMBER 12. 2015
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