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Home My WebLink About36278-Z SUFFoc,r TOWN OF SOUTHOLD �oGy BUILDING DEPARTMENT 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#: 36278 Date: 3/31/2011 Permission is hereby granted to: Bakanic, Johnny & Bakanic, Janine 9502 Bayview Rd Southold, NY 11971 To: demo due to fire damage in excess of 50% D AP a-7 At premises located at: 9502 Bayview Rd, Southold, NY 11971 SCTM # 473889 Sec/Block/Lot# 88.-2-20 Pursuant to application dated 3/31/2011 and approved by the Building Inspector. To expire on 30/2012. Fees: DEMOLITION $526.60 Total: $526.60 �L Building Inspector Form No.6 -fir TOWN OF SOUTHOLD- BUILDING DEPARTMENT c 1 TOWN HALL ,765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate'location of all buildings,property lines, streets,and unusual natural or .topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of I% lead. . 5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate of Code Compliance-from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2., A properly epmpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificaie of Occupancy-New dwelling$50.00,Additions to,dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00- 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupaincy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. 30 v l New Construction: '" Old or Pre-existing Building: check one Location of Property: "1 5 6,�,- 'V U LcG c-J rid a �� House No. Street Hamlet- Owner or Owners of Property:-- - �r� f/1 V1 (�c(1 N e (CG.v--, L Suffolk County Tax Map No 1000,Section g Block- a Lot a Subdivision Filed Map. Lot: Permit No. 36 -71 Date of Permit. �"3 L9 Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: V (check one) ��Fee Submitted: $ 50 4L '� Applicant Signature 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) 765-95022 Survey SoutholdTown.NorthFork.net PERMIT NO. 3� j7 b Check Septic Form N.Y.S D.E.C. Trustees Flood Permit Examined '20 1 1 Storm-Water Assessment Form Contact: Approved ,, (,20 (( Mail to- Disapproved a/c Phone: Expiration 3jb ,20_x,_`7/ ® E C V E Building Inspector MAR 3 1 2011 PPLICATION FOR BUILDING PERMIT Date BLDG DEPT. INSTRUCTIONS 20 TOWN OF SOUTHOLD a. This application M=e 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 authonze,in writing, the extension of the pen-nit 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. (Stgnature of applicant or name, if a corporation) 150a1�AJVIPJ� dAa (Mailing address of applicant) State whether applicant is owner, lessee, 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 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: X5-0 q . 0,-4y1e1A , S00- ,C)1 House Number 1 Street Hamlet County Tax Map No. 1000 Section 00 Block 2 Lot Subdivision Filed Map No. Lot � 1 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy c 1-2U r1 o O .c.t a n c.! b. Intended use and occupancy �-"e,S�d-en C 'Ca� V*�OrMe, 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal X Demolition Other Work (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 6 Rear 0 Depth 6 Height O Number of Stories Dimensions of same structure with alterations or additions: Front Rear` Depth Height Number of',S'tories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front I'10 1 A-7 Rear 0�1 3 Z- i Depth �6t`I o773 - - 10. Date of Purchase a o 19-9-2—Name of Foriner Owner'- �\y SS Oa(-J qo to A�can6 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 q��O 0 �Tfijleo Phone No. 763 - R�a 9 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 �X * 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 ele• atioh 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 X, * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH is the Notary Public,state of New York (S)He No 016U6185050 (Contractor, Agent, Corporate Officer, etc.) Qualfied in Suffolk County Commission Expires April 14,201 � 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 1 5 4— day of 20� Nofaiy Public ` ' ' Signature of Applicant 686.96' TO ROAD SEAWOOA N MEW _ DRIVE N pR� B AY _ o —� SUFF"COIN W OVARTM IM OF lRAURIERMS~ DKLBOROWN o TIC.) c k IEIIIEfIOI�N*110rAL01'COIIpi1�110M mvm SANDY o 3 q� f�A -q7-oi 22 LOAM N o+►� IMOF—LL TO ARSE ORM VE"Ill"0110A1<EOF - � CS WORM �0690000* PALE PALE 1q 3 �t BFINE ROW TO E0 l fid COARSE F \X20 tpu /N SAND D 6 WATER \t It LP. I N s.TP PROP. TEST HOLE DATA PROP ,00 R = 50.00' LP. VI � l \ L = 52.36' LOT No. 2,SO% I 118.30' S67'52'50"E 401. 3 EWELL r CV tf') N67'52 50 W 190.00' pjet4oM /000 6AG1,014� N �S � SID�WAGc LC�AGIf/N!s ' N O NOTE rJ / TE HANGE(S) � EXIST. by Dept Fit SWAM LP.'S \ IL a 0. PROPOSED f a-j O F f DWELLING dQ a O• I� o }� 75 X,I R2 ��F(F�yin CERTIFIED TO: °A b EXIST. o WELL TO BE m '4 ABANDONED EXIST. Z WELL o W r5 O O THE EVVENCE CF AYGY•7TS OF WAY M � AWITOR EASEL&J7TS OF RECORD IF 1 ^ d ANS NOT SNOMOV ARE NOT p :v GYb41AN7EID• \ (V z LOT No. 4 N UNAUWM2W AVERA77aV OR AD&770N \ 2.44 ACRES 70 7W SURVEY IS A WOLA 77ON OF � SECI70N 7209 OF RAE NEW YORK STATE =I]cw LAW V&L OF SKED NSEAL OR OT NG - EMBDSSD SEAL SMALL NOT BE CONSOERED 7D BE•A 691W VW COPY � 0Ar� Y M W P&RSW'FWallMN THE SURVEY \ 19 PRIE'AME17i AM dv AIT BDMLF TO THE — N6 6'50"W 253.23 AAE CSI~. GDVEMfiIVfrAL AGENCY AND LAB AS7IAiWW VS7W E 9WW, AND W JW A5WiMS(F 7W LENDWG AVS77- BLAND N/P OF AKSCIN SU#;It, OWON IMS Alm'NOT 7RANSFERA&E. SURVEY Or: DESCRIBED PROPERTY ALSO KNOIVM AS LOT No. 4 ON MING R SUBDIVISION OF "PELLICANO Hl13 ReWWed KENNETH _H. BEC�l�AN. L._S- `; SI MITED ]N: `J!A MEW s�K t. cou19 Surveying and LMd Planall 51991 5018 Bxpreesway Drive-South Suite Ab�lrFlt?l fl 11; t Nksaw `" ml. OF NF�y Ronkonkoma.,MY. f 1 ' S�F'F= C'OUN'TY, NEIN YORK beP 01 p��tN" BFo� ryf4 5H8�-0$80 ` ce �o '`� � PAX 516) 407-12941 Okla 417 7 J(*-NO. B7 Ry37 SCALE: I" j= SEC. BLK. LOT " �l' A• NO ,IOW-' ;ti Qlg` _ OB P/� t Fa°'°°eet�Q►E' ti . Tan • ;'k:. "ir.k' ••."�I'W '4^] .. P.,tR, .FJ !: . -. �" + � •: •' ' - �i�4 '•• • -_ H?,'C �m •vim �Sw&iF Y�.,� �rrY 6 ? �•{y J� tf° :1 * .y.:. a =�;� y y lit ✓�'� ` r. n 15•-4'r-„5''