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Home My WebLink About41874-Z l �SUFFotxcoTOWN OF SOUTHOLD moo �y BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . 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#: 41874 Date: 8/10/2017 Permission is hereby granted to: Edcho Corp PO BOX 1626 Mattituck, NY 11952 To: demolish an existing storage building as applied for. At premises located at: 12885 Sound Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 141.4-9 Pursuant to application dated 8/7/2017 and approved by the Building Inspector. To expire on 2/9/2019. Fees: DEMOLITION $402.40 Total: $402.40 fiuildin"' spect 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 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined_�s 20 Single&Separate(b --- - Storm-Water Assessment Form Contact: Approved , 0 Mail to: rl Disapproved a/c ryryryry Phone:, ^dV ;� Expiration ,20 Building Ins ecto D jL`� LICATION FOR BUILDING PERMIT AUG - 7 2011 Date C� , 20 INSTRUCTIONS a. This completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans a Fee according to schedule. b. PI� s owing ocation 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 co&, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections<— (Signal4re of applicant or name,if a corporation) PG &)4 16a4 10K 16%z. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises`::z--, J (As on the tax roll or lates 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: /990!111- .S'o U_A b 14 x'41 `&e1cc House Number Street 41 VHaAet F1 Z) 1-6 3�"'S County Tax Map No. 1000 Section /'i�� Bld6k '�""' ,T;oty�1 ,�� 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 Ar A A)-r D,.r?TP(- b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition ✓' Other Work 1' (Description) 4. Estimated Cost 5�a Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units �O 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. .gn:ml 7. Dimensions of existing structures, if any: Front x.10 " Rear 64.6,70" Depth Height 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 ��®�a � Rear /9<. -0 Depth /7, 73 10. Date of Purchase / 1j'7-2_ Name of Former Owner 11. Zone or use district in which premises are situated Ll �1rl�sfiRtc IV, �ji.# 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 L/'D Address 4) 4),,r I6,26 Phone No- 631-77tlZ- 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� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, Ek(S)He is the —pre`� i'jef + — ayj �'' E G�c, C! o, p (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 LIG ,51 201 4 Notary PutMualified inAuffolk;C Signature of Applicant emission ,No. 01WE6�214, jF,sionjExpi(ps July 12, 19 14.8' I FP IAPP190VED AS NOTE6D � /765-1802 TE1 c'•\� B P.BN Tit=Y E�';L!��';:t(• trOr��114�I=NT AT 8 kaA TO 4` `y1 FOR THE LLO'�IING Ii 1SFECTIONS:FOUNDATION - TWO REQUIRED FOR POURED CONCRETE. ROUGH - FRAMING & PLUMBING � CONC rJ, 3. INSULATION CS6 MON p 6 4. FINAL - CONSTRUCTION MUST !' c�Re I o BE COMPLETE FOR C.O. z WooD G0VI CONC STEPS m �,, ALL CONSTRUC�ON SHALL' MEET THE �R\�1 STEPS z REQUIREME TSUPF THE CODES OF NEW z tv EPR�N 3z' CONC WALKWAY I N YORK STATE. RRT RESPONSIBLE FOR 3 c DESIGN OR CODSTRUCTION ERR P 30.0' z OTE: p WOOD STAIRS I z.z' o �- & DECK 3 D D 3.6 v 2 O 4.1' Z O MULTI-RESIDENCE m nl R' EXIS77NG DWELLING CONC r SIX BEDROOMS). CESSPOOLSSTEP cr�� C Nm O WOOD 9) 24.9' V STEPS AND V DECK 18.6' V 9.4' 00 � V ' d�ionrC S 76'16 00"W Sal, PUBLIC WATER 70.50' ®�� TD AVENUE SER►4CE LINE. TIE=120.00' —4S SURVEY OF , DESCRIBED PROPERTY , SITUATE SeA r,-,f- 'cam MATTITUCK, TOWN OF SOUTHOLD SURV SUFFOLK COUNTY,0 NTY, N.Y. s F N SI IRVFYFn FnR• Inunl C ouolc rir