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HomeMy WebLinkAbout41785-Z o�gUFFO(,�-Co TOWN OF SOUTHOLD �a �y BUILDING DEPARTMENT CA TOWN CLERK'S OFFICE oy • , 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#: 41785 Date: 7/5/2017 Permission is hereby granted to: Burns, William 20692 Route 25 Mattituck, NY 11952 To: Demolition of deck and accessory building as applied for.Replaces BP# 40769 At premises located at: 25025 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-1-22 Pursuant to application dated 7/5/2017 and approved by the Building Inspector. To expire on 1/4/2019. Fees: PERMIT RENEWAL $494.20 Total: $494.20 Building Inspector TOWN OF SOUTHOLD � gV�t�tK�,O BUILDING DEPARTMENT Ca 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#: 40769 Date: 6/10/2016 Permission is hereby granted to: Haurus, J David 25025 Route 25 PO BOX 101 Cutchogue, NY 11935 To: demolish deck and accessory building as applied for. p �-a5-17 of r At premises located at: 25025 Route 25, Cutchogue SCTM # 473889 Sec/Block/Lot# 109.-1-22 Pursuant to application dated 1/22/2016 and approved by the Building Inspector., To expire on 12/10/2017. Fees: DEMOLITION $494.20 Total: $494.20 B ing Ins ctor TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying9 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. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 10_,204 Single&Separate Storm-Water Assessment Form Contact: Approved ,20� Mail to: Disapproved a/c Phone: 6,-3/Q 2 3^ 7 oZ @L— Expiration. 20" rte, r ! Buil ng sp for FN2016 ,��, I APPLICATION FOR BUILDING PERMIT ---' Date / 2 , 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. (Sign r of applicant or name,if a corporation) i�9sz �D 23 o X 9 Y_-7 IV*77)T� r/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 w N e lL Name of owner of premises Al 11/14 1h 73 L." a.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 proposed work will be done: o� 5 y a-.5,- Xyo/,t/ X STA Te Re rT&- J 5' �✓CC��DG v� House Number Street Hamlet County Tax Map No. 1000 Section / 6 00 Block /0 9 =o/' 1 Lot Subdivision Filed Map No. Lot e22 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy V&6 A-rvT b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Y, Demolition Other Work (Description) 4. Estimated Cost 5-000 ®0 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. Accr`sso,Zy 7. Dimensions of existing structures, if any: Front 3 3 Rear 3 3 Depth / g'.2 Pr' Height /a FT Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front HO -' Rear -4 a Depth /7� 10. Date of Purchase la-1 la-11&41-10d Name of Former Owner l>f4�>> 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-K- 13. Will lot be re-graded? YES NOX, Will excess fill be removed from premises? YES NO Y 14. Names of Owner of premises �11111,4h^ 3 Jnr S Address Phone No. 7 3 V-76 7 y Naive 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 ) 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 this6 ( � day of 20 da�otaiy KIRSTEN E. HESPOS Public, State of New York Notary c No, 01 HE61748 Signature of Applicant Qualified in Suffolk County Commission Expires 09/24/20 Jim Sage Electric, Inc. D 350 Marine Place L Greenport, N.Y. 11944 JUS v 9 2016 BUILDING DEPT. TOWN OF SOUTHOLD Town of Southold Building Dept. Rt 25 Southold, N.Y. 11971 2/2/16 To whom it may concern, We have removed the electric to the rear accessory building at 25025 Main Road,Cutchogue,for William Burns. If there is anything else you need please feel free to contact us. T&You James P. Sage Pres. 6314772118 6314459744 cell Sparky54@aol.com 5V� N t � �`� kod SURVEY OF PROPERTY A T' CUTCHOG UE TOWN OF SOUTHOLD SUFFOLK COU Y, N. Y. 1000-109- 2 & 22 SCALE: = 40' 's� 'Toy DECEMBE 11, 2012 ti sCyy�osFo � k, p B4 � N � . �/i/ ��� APPROVED or .� 1.7N S S TOTED R DATE: b.p.# '�..J �� %'� �` 3 d � 02 FEE: . _ BY: ��NOTIFY BUILDING GEYAR'� i\ 65-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 0. 1. FOUNDATION J - t-0 ' • ' �� C? 4p `'� FOR POURED Cl,"'-;CkEjL. T p Pct � ROUGH - FRAMING & PLUMBING p �y �,? jos �� mss. 3. INSULATION �'s� 4. FINAL - CONSTRUCTION MUST w 9y0 Qoy` a2w 1� �Qj1 6c COMPLETE 1=C"i C.O. F 9G 00 p�1 ALL CONSTRUCTION SHALL MEET THE CO1m 0 ��1 REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS �. covfH O •p YET 0" 000 GJ O, os- o GAF op:o AREA LOT 21 = 27,138 SQ.�'T. ° e� 5g6 PLY WITH ALL CODES OF Q` W YORK STATE & TOWN CODES X.";.. AREA LOT 22 = 6,876 S.�.FT. S REQUIRED AND CONDITIONS OF ■ = Mo uMEN r SOUTHOLD TOVILN? 4, s, D �k.. `LIC. NO. 49618 ANY ALTERATION OR ADDIT70N TO THIS SURVEY IS A VIOLATION *coNIC SU EYORS, P.C. OF SECTION 72090F THE NEW YORK STATE EDUCA 77ON LAW. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICA77ONS - (631) 765-5020 FAX (631) 765-1797 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYORK® I 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON. • SOUTHOLD, N. Y. 11971 12—��� 1