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Home My WebLink About41891-Z o��UFFol�co TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o • SOUTHOLD, NY y'yol 'Aap� 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#: 41891 Date: 8/17/2017 Permission is hereby granted to: Roache, Eileen PO BOX 796 Cutchogue, NY 119350796 To: demolish existing in-ground swimming pool as applied for. i At premises located at: 2015 Cox Ln., Cutchogue SCTM # 473889 Sec/Block/Lot# 96.-3-7.2 Pursuant to application dated 8/15/2017 and approved by the Building Inspector. To expire on 2/16/2019. Fees: DEMOLITION $100.00 Total: $100.00 Buil i g 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 �i Survey, Southold town ny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined '20-1q 20��ll[� Single&Separate Truss Identification Form Storm-Water Assessment Form AUG 15 2017 OD Contact: Approved ,20_aUma-i-_11 Disapproved a/c BUMMING DEpT� TOWN OF SOUTSOL Phone: L 31- ?9 q- L d'('?' Expiration ,20 Building Insp APPLICATION FOR BUILDING PERMIT Date ActQus— i5` , 20 INSTRUCTIONS I 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) -0,00,e 7?6I,I^ (M la ti ng add fess of applicant) State whether applicantdiowner, ssee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name nd title of corporate officer) Builders ices se No. PlumberKde's rise No. Electricinse No. Other Tcense No. 1. Location of land on which proposed work will be done: f iS- (�1-v LeZZ41e_ House Number Street (� Hamlet Lot =ZZCounty Tax Map No. 1000 Section ! _Blocky 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):N lding Addition Alteration Repair Removal molitio Other Work (Description) Estimated Cost Fee ;";i="";�`=� �(To.be paid on filing this application) "5,, If dwelling, number of dwelling units r'-$ 1 iNm>jer of dwelling unitson each floor If garage, number of cars i �° f i If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7� Dimensions of existing structures, if any: FrontRear' Depth Height Number of Stories :,. _;"*�' ',' Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9\Size of lot: Front Rear Depth \0. Date of Purchase Name of Former Owner 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 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 _k) '^ G �e� (30Cr 1QJ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Oyo��e 2 (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 _� �j 1 day of Q U 2017 Notary Public TRACEY L. DWYER Signature of Applicant \� NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,29. I t • 7 � �, a�5� � X X � I � •2 ' •i� � X PSD Puo� x � * ; ' • r s x X x 11� DATE: � `''-�'61O"tr1l. FEE: D+ BY:.,.� NOTIFY BUILDING DEPARTMENT AT (- 765-1802 8 AM TO 4 PPI FOR THE FOLLOWING INSPECTIONS: COMPLY WITH ALL CODES OF 1. FOUNDATION - TWO REQUIRED NEW YORK STATE & TOWN CODE: FOR POURED CONCRETE AS REQUIRED AND CONDITIONS 01 f, 2. ROUGH - FRAMING & PLUMBING ,� , N 3. INSULATION 4. FINAL - CV::; iiON MUST SOMN= ! BE COM+' '-" F*JR C.O. t7 e��s ALL CONSTR-,.., CUALL MEET THE REQUIREMEN,S Ur THE CO: nr:NEW ' . .. RETAIN STORM WATER RUNOFF YORK STATE, NOT RESPONSIBLL FOR PURSUANT TO CHAPTER 236 DESIGN OR CONSTRUCTION ERRORS. OF THE TOWN CODE. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold,N.Y. Certificate Of Occupancy 200 No. . . 1 . . . . . . . . . . . . . Date . . .January. Al. 1987 . THIS CERTIFIES that the building . . . . o 01. , , _ . . . _ . . :. . . . , , . . . . , . Location of Property 20 15 COX LANE CUTCH OGUE House No. Street Hamlei- County Tax Map No. 1000 Section , , ,0 9 6 , , ,Block . . . .3 . . . . . . . . . .Lot :0 0 2 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated July 0 , 1982 . . pursuant to which Building Permit No. . . l 7#3 3.A Z. . . . . . . . .,. . . dated . August 2 , 1982 ,was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . 16X32 Inground pool with 4 ' fence to code . The certificate is issued to , AAME S, D . & E ILEEN M. ROACHE (owner,%Ffs �X�� of the aforesaid building. Suffolk County Department of Health Approval . . , N JA . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . N5 7 2 3 3 3 PLUMBERS CERTIFICATION DATED: N/A Building.Inspector--•r-=--