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Home My WebLink About42911-Z �gUFFn(.t" TOWN OF SOUTHOLD �� BUILDING DEPARTMENT 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#: 42911 Date: 8/1/2018 Permission is hereby granted to: Lear, Samuel 420 E 64th St New York, NY 10021 To: demolish an existing deck,and roof-over patio. At premises located at: 670 Cedar Birch Rd., Orient SCTM # 473889 Sec/Block/Lot# 15.-8-27 Pursuant to application dated 7/23/2018 and approved by the Building Inspector. To expire on 1/31/2020. Fees: DEMOLITION $361.30 Total: $361.30 Building Inspector 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 f' TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 ; Survey Southoldtownny.gov PERMIT NO.y f Check Septic Form N.Y.S.D.E.C.- Trustees C.O.Application Examined 20 Flood Permit Single&Separate Truss Identification Form l JUL 2 Storm-Water Assessment Form ( Contact: Approved ,20 B INC DE J va �� 12 -Q��'h Disapproved a/c '" ~' '1?01,31 q S. /,5 - Phone;-��-•-� Expiration 2 \ uilding Inspector APPLICATION FOR BUILDING PERMIT Date , 20V9 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 shal I be kept on the premises available for inspection throughoufi 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 ofOccupancy, ` N f,,Every'building permit shall expir6'if the work authorized has not commenced-withih`Y2 month's 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 thq,Building I)epartment 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 n ,if a corporation) F. 0 F4 PJT, '31 I !1 177 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder A•eCA41 Tlff-e- - Name of owner ofremises p SA.wt uCL � d, ,4 t-Y6 L C- A 2 - (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: 6-LDA2. 151 RkM4 L Art,� t?.t.ENT .Fok uT House Number Street County Tax Map No. 1000 Section �7 Block r'�, �,{ '!' ''' 'L'ot 70, Subdivision PiledMap No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S 10 �F-4"L t_1 'bNY OLL,t N � b. Intended use and occupancy C-,10 CAJ� f--MA&t -r> — N � 3. Nature of work(check which applicable): ildm Addition Alteration Repair Removal Derfiolitio Other Work (Description) 4. Estimated Cost LV 14— Fee,,, - �r` � e'� id on filing this application) 5. If dwelling, number of dwelling units N, fiber of dwelling uniTs o each floor If garage, number of cars � 4., ' - o 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear -'`( "cam Depth 'TS Height 'Z4 Number of Stories 7i Dimensions of same structure with al ions or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire newstruction: Front Rear Depth Height Number of Sfories' I , I 9. Size of lot: Front `�'7. Rear �{'?. r7 Depth �7d 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 t/ 13. Will lot be re-graded? YES NO XWill excess fill be.removed-from premises? YES NO-11— 14. Names of Owner of premises SAM t-A WC I,16A-2. Address F 0.76 lAb IV( rel Phone No. 5;14, -517--o"lbC� Name of Architect L-QA .TI4&--tPSc dr., Address P,0-S+&4 oetet-jr Phone No 911 Name of Contractor /•3. (4- 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 )CZ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provid 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 • 5 -beiuig'duly sw'b' m depo'es and•say"s that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the W'4t (Contrac or, 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 o13rd day L) 20 JE5 . } TRACEY L.DWYER AnTARYPUBLIC,STATE OF NEIN YORK YX Notary P IN SUFFOLK COUNTY is No. soo Signature of Applican _ QUALIFIED IN COMMISSION EXPIRES JUNE 30,2lZa- S.C.T.M. NO. DISTRICT: 1000 SECTION: 15 BLOCK: 8 LOT(S):27 MAIN ROAD (S.R. 25) to Cf - cV LAND N/F OF JOHN J. SEEWALD n N79'43'40"E HEDGE ALONG LINE 156.09PIPE U.P. MON. 35.8' 28.6 ^ `n I STY FRM.f, o w STUDIO $ N a o a 20.6' 7c o to 24.3 GRAVEL DRIVEWAY W z CONC. 0:0 D STOOP O A (� 0 ( 7 O OM.H. 2 STY FRM. DWELLING 7.1- z X670 O P o A Q� 79.6' 100 �o ! x=5.0' 00 O CELLAR ;Q ENT. 24.4' LAND N/F ❑ 2ND FLR. { /�� OF ODD DECK 22.3' w JOSEPH W. DUFFE w W— ❑ O CLz z° o �`. V w Q 2� -a- - -- - - - - --_ — U.P. --- ❑ o � � U.P. 1 �1 O 1` 000 z LAND N/F p o OF THOMAS G. RAFFERTY a o, a' 0 MON.13 2.I' S79043'40"j1' 150.00' MON, a f0." rT 6• CHAINLINxK FENCE 9.2'S X LAND N/F X OF KENNETH MARSHALL THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA:29,625.00 SQ.FT. or 0.68 ACRESO"W ELEVATION DATUM.' _________________________ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: SAM LEAR; MAP OF: FIDELITY NATIONAL TITLE INSURANCE COMPANY; FILED: SITUATED AT: ORIENT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design _ � P.O. Box 153 Aquebogue, New York 11931 FILE # 13-214 SCALE: I"=30' DATE: DEC. .6, 2013 PHONE (831)298-1588 FAX (831) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy do Kenneth M. Noychuk 1