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Home My WebLink About43261-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#: 43261 Date: 12/3/2018 Permission is hereby granted to: Anderson, Bradley 642 Ocean Rd Vero Beach, FL 32963 To: demolish accessory building as applied for. At premises located at: 2120 S Harbor Rd., Southold SCTM # 473889 Sec/Block/Lot# 75.-7-2 Pursuant to application dated 11/27/2018 and approved by the Building Inspector. To expire on 6/3/2020. Fees: DEMOLITION $304.00 Total: $304.00 Building Inspector TOVf7 OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST WILDING 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) 765-9502 2 Survey Southoldtownny.gov PERMIT NO. J Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form v D Storm-Water Assessment Form Contact: Approved J 20A Mail to�L.F 14 Disapproved a/c $ D Ol p ��O 1J`I 119h O oqb TOS OF Phone: G 31 7 3 y -7 Lf 7`/ Expiration 20 � B nspector APPLICATION FOR BUILDING PERMIT / Date I I l�-r 11 , 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. E N J 1 f- Cts +- t (Signature of applicant or name,if a corporation) 90 ?&0 y- lq� PPS 0-0, L (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engi eer, general contrac oror lectrician,plumber or builder Name of owner of premises�� I:N 4- F2 PYN C PS ('Z A Nte- asd--i (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer P� (Name and title of corporate officer) Builders License No. -5-SS- 14-r-:7- Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which pro osed work will be do e: a 1 �zL . l a V,rz,C,,L Ra� sSo I� House Number Street Hamlet County Tax Map No. 1000 Section —7 S Block B-7 Lot 0 'L— r Subdivision \ Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 7SjpeLL,:)pl -e She,—/ b. Intended use and occupancy IA T)P VVN0 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 50 CC) Fee _ 11 (To be paid on filing this application) 5. If dwelling,number of dwelling units N I'� 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 Rear 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 A_� Rear Depth Height Number of Stories 9. Size of lot: Front Q51 1 )-5 Rear I 9'� 1 Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 4 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOK__ 13. Will lot be re-graded?YES NO�Will excess fill be removed from premtises?YES NOA a 't F 3 9404 - 14.Names of Owner of premises Address �<< � ��'� Phone No.(031 -7 C 4 co 9 Name of Architect Address_ Phone No Name of ContractorL tJ 0,na4 me�'�&WL C Address PO6o 4197 P<o�JC Phone No.(oS7 7 3V 7 7Y 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 O� 1'3f� C—)k,o c„x being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)ab ve named, (S)He is the ontract ,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 day of Noo205 TRACEY L.DVVYER NOTARY PUBLIC,STATE OF NEW Y K 1 DW6306900 Notaryb is QUALIFIED IN SUFFOLK COUN Signature of App i t COMMISSION EXPIRES JUNE 30,2P,2� 11 lw 771 77 , 17 1 W, Or4 a Ar ,-y SOUT OV07 or o 04r r lc' APPR,O ED AS NOTED DATE: B.P.g # FEE: BY: NOTIFY BUILDING DEPA T A 765-1802 8A TO4 PM FOP, -HE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FPAVING & PLUMBING 3 INSULATION 4. FINAL - CONSTRUCTION MUST ova BE COMPLETE FOR C 0. 0 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW --,k- YORK STATE. NOT RESPONSIBLE FOR k- o'd-,I l\, DESIGN OR CONSTRUCTION ERRORS. (21AA CV Ni COMPLY WITH ALL CODE OF S NEW YORK STATE 8 TOWN Co GtrASREQUIRED AND C DES ONDITIONS OF CM ARC v I I IV L5 ie! �wL5 fovm j RQ I EES DEC; 4< RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE.