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Home My WebLink About42407-Z TOWN OF SOUTHOLD 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#: 42407 Date: 2/22/2018 Permission is hereby granted to: Tuthill Harriet B Rev Trt 75 Blossom Bnd Mattituck, NY 11952 To: demolish accessory shed as applied for. At premises located at: 75 Blossom Bend, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-5-17 Pursuant to application dated 2/15/2018 and approved by the Building Inspector. To expire on 8/24/2019. Fees: DEMOLITION $130.00 Total: $130.00 (h.—I Building Inspector n OA C(L- 74n, o� Lo13', a 4 . i ZZ i �•v. At9E� '�«A, a 'a ADO' at1A6TOM7 YOUNG A YOUNG AIA.'L7,6f! 400 OPUNDER AVENUE,RJVERNEAD,NEW PORK F )� ALOKN W.Y*UN0 HOWARD W.YDUNC t4 iI nm�asww.a aamma u,e . E '� SLK 4 E, ,=sa &, a,� a.wown+*a w,s lc as+w".�- m at awN a.aN.aora SURVEY FOOL o '"A0"701m""'�O" VICTORF.WILLIAMS 6 JEANE.W mwrD ' KauKaruv. ow: °' .m,=„ LOT N0.3t,"b1ATTITUq(ESTAT w�LrrNwKarGR�we � ? ' � oa..uamm., p AVT£ aw"NNa ranp,aio. TT C a..Aw P. s.aoA►arERT wVOMN m=Mpl lamm AT NA MU K D. .�E�,� pPRp ED AS �a K6 K140 pUK A �r roww o,&MOM AM SOUTHOLO YLQ s DATE: Y. D"�d u '° pfOQ1OQ SIIFFn1 K GO..11 Y. 40' MAY1T.497E T2-229 BUILDING DEPAR 765°1802 `SAM' TO 4 PM AT FOLLOWING JNSPFCTIONS,FOR THE' COMPLY WITH ALL CODES OF �. 'FOR OR P A R � Two REQUIRED NEW YORK STATE & TOWN CODE FSR ! CONCRETE ` AS REQUIRED AND CONDITIONSS 2. ROUGH.= FRAMING & PLUMBING OF 3. INSULATION 4. FINAL, _" �t�T+f CONSTRUCTION MUST ALL OCN TRUCT ON SHALL MEET THE � 6�tARD REQUIREMENTS OF THE COD S 0 NEW S ES YORK STATE. NOT RESPONSIBLE FOR N.Y.S.DEC DESIGN OR CONSTRUCTION ERRORS. •1f � TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do youjAve or need the following,before applying? TOWN HALL of Health SOUTHOLD, NY 11971p� is of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: 631 765-9502 Qeck rve ( ) Y Southoldtownny.gov PERMIT NO. �// Septic Form N.Y.S.D.E.0 Trustees C O Application Flood Permit Examined ,20� Single& Separate [ECE 01VE Truss Identification Form D Storm-Water Assessment Form R F E 8 1 4 2018 contact: Nam.9 , Approved ,20—LS maii-to: li Disapproved a/c F ME,D1aG IJ`' OF SOUTHOLD r Qn� o� Phone: Expiration 20 mai 3P -V J1 Udy A E fW15RS ding Inspector 3� 13o).rle Rol ;•.. �elol-en �V�_ . APPLICATION FOR BUILDING PERMIT - Date , 20 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. 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) (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. . 4. �.) .d.b•t: t i I, Location of land on which pro sed wor twill be.done Y, n House Nu er Street .•+;Haml County Tax Map No. 1000 Section Block .�"J . d��Lot' Subdivision Filed Map No. Y 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 occupaney 3. Nature of work (check which applicableding Addition Alteration Repair Removal Demolit o S Other Work (Description) 4. Estimated Cost Fee To be paid on filing this application) 5. If dwelling, number of dwelling units !n c-j 'Number-of`dwellingiunits on each floor If garage, number of cars U 11 f if 6. Af business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front- ? Rear Depth Height - ' Number ofirt-GN6611 -u Yi"fu t" .Dimensions of same structure with!alterations or additions: Front Rear Depth, Height Number of Stories 8. -Dimensions,bf 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 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 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 OFS&eg V—j being duly sworn, deposes and says that(s)he is the applicant (Name of indi 'dual signing contract) above named, (S)He is the F1 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. Swor to before me this TRACEY L. DWYER .f�., day of i�l „[VOTARY PUBLIC,STATE OF NEW YORK 20 NO.01 DWS306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, ” Notary Publi gnature V Appl"cant