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.
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of
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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
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N � . �/i/ ��� APPROVED or .� 1.7N S S TOTED
R DATE: b.p.#
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�� %'� �` 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
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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