HomeMy WebLinkAbout36728-Z 1
�o�SUFFot��oTOWN OF SOUTHOLD
oy BUILDING DEPARTMENT
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#: 36728 Date: 9/30/2011
Permission is hereby granted to:
Bakanic, Johnny & Janine
9502 No. Bayview Road
Southold, NY 11971
To: 'As Built' Accessory Structure; --
Above Ground Pool, as applied for. -o v.,-e
At premises located at:
9502 No. Bayview Road; Southold
SCTM # 473889
Sec/Block/Lot# 88.-2-20
Pursuant to application dated 9/30/2011 and approved by the Building Inspector.
To expire on 3/31/2013.
Fees:
CO - SWIMMING POOL $50.00
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $500.00
Total: $550.00
Building Inspector
fjf so
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
4'1�4NSPECTION
FOUNDATION I ST ROUGH PLOG.
I FOUNDATION 2ND INSULATION
FRAMING/STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DAT INSPECTOR
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FOUNPAMN(IS7)
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STATE ENERGY CbDF
FINAL
ADDITIONAL COAMNTS
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i OWN OF 30'UTHOLD BUILDING PERMI'P APPLICATION CHECKL
BUILDING DEPARTMENT Do you have or need the following,before applyin
TOWN HALE; _ 'oard of Health,
SOUTHOLD,NY 119719 meets of Building Plans
TEL: (631) 765-1802 /'' Planning Board approval
FAX: (631) 765-9502 �'r,��7 ,9arve
SoutholdTown.NorthFork.net IT NO. Check
Septic Form
4� N.Y.S.D.E.C.
Trustees
Examined Flood Permit
,20 ���IT- Sin N (� le&Se arate
r
Storm-Water Assessment Form
Contact:
Approved �� 30 ,20_[L Mail to:
c
Phone: (015
Expiration 3 20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 520
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. I
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 6een completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property liave`bee'n'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 a ljobiq laws, ordinances, building code, housing code, and regulations, and to admit
authorizesp pe ljsernen ing for necessary inspections.
D � ll _
SEP 14 2011 ignature of applicant or name,if a corporation)
a Kk—bt��/-] q t-,TR rl 4-�o)J
BLDG.REPT. (Mail' g address of applicant)
TOWN OF SOUTHOLD
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
ow
Name of owner of premises ��Cl n n d=t nP�Q, Q n is
(As on the tax roll or latest deed)
If applicant is a cb'�t�� tidnla'ture of duly authorized officer
•`r
(Name qRd=p it' odworpmtebfficer)
Builders Licen` e°`69i
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed worle,will be done:
o k
House Number treet Hamlet Q O
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
• � I
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. 'Existing use and occupancy n cy"v +
b. Intended use and occupancy rE„ i01
Z 1
3. Nature of work (check which applicable): New Building X- Addition Alteration --
Repair Removal Demolition-, Other Work
(Description)
4. Estimated Cost �5`00 a -Fee
_ (To be-paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor N A
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. tv
/,q
7. Dimensions of existing structures, if any: Front IV Rear Depth
Height Number of Stori s
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Itlei
8. Dimensions of entire new construction: Front Rear g�, 1/ Depth r' I/� 1
Height `- �" Number of Stories_ j
9. Size of lot: Front_ 3 t-7 S Rear �, Depth 6�`53
10. Date of Purchase Name of Former Owner
i
11. Zone or use district in which premises are situated 0eSt jam-Ji ca,
AL-
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 Y\
14. Names of Owner of premises:QRW s 0 E 1610 l ddress �5d� 07 A4VJ��hone No. 431 7 aC'
Name of Architect ST�E\/C— 'EoQTAN-R Address Phone No 431- P 3 - $`71-1
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
f'►�lIn'p— K}���C� being-duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.BUNCH
Notary Public,State of New York
No.01 B 186050
(S)He is the Qualified In A dfrdk Gnl,ntu
(Contractor, Agent, Corporate Officer, etc.) Commission Expires April 14,2_
�
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.
I
Swornt Wore me thi j
(`�' day of 20�
Notary Public gnature of Applicant
Southold Town Building Department
g�FFQt�c P.O.Box 1179
Permit#: 36728
54375 Main Road
Southold New York 11971 Permit Date: 9/30/2011
(631)765-1802 Expiration Date: 3/31/2013
Parcel ID: 88.-2-20
BUILDING PERMIT RENEWAL LETTER
Dated: 7/21/2014
Applicant: Bakanic, Johnny&Bakanic, Janine
Location: 9502 No. Bayview Road, Southold
Work Description: ABOVE GROUND POOL
'As Built'Accessory Structure;
Above Ground Pool, as applied for.
A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT.'
Owner: Bakanic, Johnny& Janine
Address: 9502 No. Bayview Road
Southold,NY 11971
The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold,New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
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1 ATION -TWO REQUIRED PROPOSED
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ALL CONSTRUCTION SHALL MEET THE " l� ABANDONED
REQUIREMENTS OF THE CODES OF NEWEXIST. ? 5
YORK STATE. NOT RESPONSIBLE FOR WELL o u Ys
DESIGN OR CONSTRUCTION ERRORS. o
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