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Home My WebLink About28817-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTI FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28817 Z Date OCTO R 10, 2002 Permission is hereby granted to: LINKS LTD LAUREL 1833 MAIN ROAD DRAK8R A JAMESPORT,NY 1194 for CONSTRUCTION OF A SINGLE FAMILY DWELNG WITH COVERED PORCHES AND TWO AND ONE HALF CAR GARAGE AS APP IED FOR at premises located at Z5OLAUREL WAY LAUREL County Tax Map No. 473889 ction 125 Block 0004 Lot No. 024 . 022 pursuant to application ated OCTOBER 9, 2002 and approved by the Building Inspector to xpire on APRIL 10, 2004 . Fee $ 1, 872 . 3 thorized 'Signature COPY Rev. 5/8/02 FIELD INSPECTION REPORT DATE COMMENTS ro FOUNDATION(1ST) y ---------------------------- C FOUNDATION(2ND) z - o ROUGH FRADDNG& PLUMBING INSULATION PER N.Y. -3 STATE ENERGY CODE FINAL ADDITIONAL COMMENTS l 17 S m M o LIZ O y O x G r� i d O T-O"',OF SOUTH4LD BUILDING PERMIT APPLICATION CHECKLI<l BUILDING DEPARTMENT Do you have or need the follovting,before applyin TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets ofBudding Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 gm, ey- PERNIIT NO. -=>?8`1514 -a Check Septic Form N.Y.S.D.E.C. a Examined rv/i o ,20 Contact:Trustees Approved 10/10 .20 01 Mail to: Disapproved a/c Phone: Expiration 'l 1 B .20- / ` Building Inspector APPLICATION FOR BUILDING PERMIT ^?--�` Date 20 :,";; "i' �p INSTRUCTIONS .�~ 11 s application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 s of plans, accurate plot plan to scale.Fee according to schedule. b.Plot plan showing location of lot and of buildings onpremises,relationshipt0 adjo areas, and waterways. ining premises or public streets or e. The werk covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Buil shall be kept on the premises available for' � h or will issue a Building Permit to the applicant. Such a permit e.No building shall be occupied or used in Whole or�m�art foroan issues a Certificate of Occupancy, p Y purpose what so ever until the Building Inspector 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 property have been enacted in the interim,the amendments or other regulations affecting the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a now permit shall be required. APPLICATION IS IRgy 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,dings, additions,or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws,ordinances,building code authorized inspectors on premises and in building for necessary � regulations, and to admit �g sary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises_ e-Tb (As on the tax roll-or latest deed) If applicant isa.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 oaff land on which propos`eed'wwofrk will be done: LQ'THouse-Number Street Hamlet County Tax M No. 1000 �ecfi� Block Lot Z ;!j,' Subdivision $ Filed Map No. 7,1 '2 (Name) Lof e State existing use and occupancy of premises and intended-use and occupancy of proposed construction: , a. Existing use and occupancyyNiPS'`J.V�W..FS0 b. Intended use and occupancy 3. Nature of work(check which applicable):New Building_ �/ Addition Alteration Repair Removal Demolition Other Work (Description) �. Estimated Cost �� Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 4 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 Rear1 _ _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 Rear Depth 10. Date of Purchase Name.of Former Owner 11. Zone or use district in which premises are situatedGI�Lv1N6 D► U 12. Does proposed construction violate any zoning law, ordinance orregulation?YES NO 13. Will lot be re-graded? YES NO ✓ Will excess fill be removed from premises?YES NO 14. Names of Owner ofgremises�4 �$ I�C L��Ndress l I`�- 1'11Phone No.Name of Architect �N 1dYl G CY *1 �n,C1iQiddress 5 6V' 8v-3-724cD �" Phone No t3!• z 77� ' 8"' Name of Contractor-Aga!iyv ft CMVMqC�► Addressl6 M�Aoe,tg-4r 110 Phone No. 3 • A Y: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 * 1F YES, D.E.C. PERMITS MAYBE 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. STATE OF NEW YORK) SS: COUNTY OF ) JoHN 1,1+ Gw1 N 0 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing cont-act)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 lois kmowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 2:7-to of 20 0 66 Notary Pub . of App cant EDWARD J.LEGGIO NGWV Public,State of New York No.02LE2299425 Qualified rt �1�Com aEvi ja^ua31L4.�P I 1 PEIV SPACE. PARCEL "A R = 265.00' VACANT L = •03 S 74.4635' E EL. 32.1' 61.83 L �� t+ i�; *-� 1 "s W -.,a Y ,,1't..� HZRVICES T ,, �� 2'1T •P7 wi � jr az - f �. 4 t Cd ,gas t� �=t "K "'i N0 6i w EXPII t...>,s E 'P `3 .j,L,,. ''r >.t AIa cu 7- Al KEY.MAP: dr, 4� 5LOCATION op %It tiv Q v+ A 04 4 l SEAL: PROJECT: PELLEGRINO RESIDENCE 29 LAUREL WAY LAUREL, N.Y. ❑ trturz 3a;- EL. �r N 74-44-34 W TITLE: 119.00' LOCATION PLAN -e45 4 £� OF13 SCALE: DATE: Et• zea 1" =30'-0" 8/16/02 LAUML WAS' LOCAT I oN FLAN 555=9 iL/FgN (ASPHALT ROAD U!C) KEVIN V. McCRAY ARCHITECT DRAWING NO. sU12vEy C"�c�P�I sly16 TAFT AVENUE � cvNIG yU�YGy�r�S I?c. oN 4/2 /0"2 ISLIP, N.Y. 11751-2131 B-1 TEL: 631-277-8545 FAX: 631-859-3627 BUILDING PERMIT EXAMINER CHECK LIST �--� DATE REVIEWED: o/ -1_/02- APPLICANT: _/OZAPPLICANT: A+aA A"'Ir-° r��c r� � DATE SUBMITTED:-!-c /-4—/Oz. SCTM#DISTRICT: 1,000, SECTION: 12-5 ,BLOCK: �4 , LOT: --214,a� STREETADDRESS: 5c t_AOkGL_ CITY: L-11VIL L SUBDIVISION: LA ,2e Lti�u PROJECT DESCRIPTION: ESTIMATED PROJECT COST: oo A CHIT T/ENGINEER FAST TRACK? Oo SINGLE& SEPARATE CERTIFICATION-REQUIRED? No NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1 LAJ(Zk') ZONING DISTRICT: R'yy \,�IuL6 CONFORMING? REQ. LOT SIZE: i ACT. LOT SIZE: 77- REQ. LOT COV. 07 ACT. LOT COV. REQ. FRONT .Tp PROP. FRONT / REQ SIDE 2 j ACT. SIDE REQ. REAR ZS" PROP. REAR �y REQ. HEIGHT PROP. HEIGHT WATER FRONT? N' DESCRIPTION: PANEL #: �_ FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: �r NO, (BED#): TOWN SEPTIC RECEIPT: Y o>o `` DTE: PERMIT#:R10-at- o/?► NEW YORK STATE DEC: PRE-DEC 9/1/75 YESor SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): /Y/ES o O �LIGHT NYS ENERGY( OR NO LLLEGRESS (18 H m .?4 sq total) WENT(SQ. FT.x 4%) ✓✓✓ (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- !--- HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: 68 SF FIRST FLOOR: Z 3g SF SECOND FLOOR: ► o b-r SF OTHER: SF INIT OTHER TOTAL TOTAL: 6 °I SF FEE FEE FEE 1. ( ��Jr� SF)-(_ SF)= 5 i 3y 1 SFX 00 =$ )_92'30.+$ I)-b +$ _$ O 2. ( SF)- (_SF)-- SF X$ _$ +$ +$ _$ Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/07/02 Receipt#: 140 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Check#: 140 Total Paid: $10.00 C/ vl L l � Name: Pellegrino, John J. &Anita L. 1803 Wisteria Cir Bellport, NY 11713-3053 Clerk ID: LINDAC Intemal ID:63198