The URL can be used to link to this page

Home My WebLink About43262-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#: 43262 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: 45730 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 75.-6-11 Pursuant to application dated 11/27/2018 and approved by the Building Inspector. To expire on 6/3/2020. Fees: DEMOLITION $850.00 Total: $850.00 h -1-1 B ' di pector 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 TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. q-3;o Check Septic Form N.Y.S.D.E.C. Trustees D C.O.Application Flood Permit Examined ✓ ,20 4 Single&Separate ��[EOVE NOY 2 7 2018 Truss Identification Form Storm-Water Assessment Form BUUMUM DEI r. Contact: Approved ,20L TOWN OF SOMOLD Mail to: hJ U E gf' Disapproved a/c 6?0 ' Jy 1 iy5 Phone: I -7-3 y —1 V 7 y Expiration ,20 A I BYiteng Inspector APPLICATION FOR BUILDING PERMIT Date // /a 920 / 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. V3 0 k rim 1,J (Signature of applicant or name,if a co oration) t -/Cf7 �`f 16i-S, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, gerleral contractor, a trician,plumber or builder Name of owner of premises ' K-) �L�c��-J (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized iffic rs (Name and title of corporate officer) Builders License No. �4 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 45- 7-So im ray ro an a �.(Lt as-1 11'e(m�J( House Number Street Hamlet County Tax Map No. 1000 Section- Q-7,�- Block( 0O G Lot 01 Subdivision. � � I+� 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 `_:3�` p e I Q v<�T w� b. Intended use and occupancy .0U 4 r I r1 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition !< Other Work .� (Description) 4. Estimated Cost 00'-- Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 3j V\- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.Fi22 c wn 7. Dimensions of existing structures, if any: Front _O�Rear S a� Depth -sem Height Number of Stories l Dimensions of same structure with alterations or additions: Front I\j 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 l Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated A- ) (- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO -� 13. Will lot be re-graded?YES NO V✓ Will excess fill be removed from premises?YES NO B.(awl-c--- 3 96-0 's. Nr&Soen�" 3 176 14.Names of Owner of premises Address So u-+�ku I 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_4Z * 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 ) t !�n'-Qbeing duly sworn,deposes and says that(s)he is the applicant Name of individual signing contract)above named, (S)He is the (Contractor, gent, 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 n 20 1'6 TRACEY L. DWYE PUBLIC,STATE OF NotaryPublic NO.01 DW6306900 ignature of Applicant QUALIFIED IN SUFFOLK COU ON EXPIRES JUNE 30,2-49L— C�— W ;. tw A S 400 n J x. 1p �Y a q7 6'0- :3 Ae 40-- ac 0- c coY s 00 or ,q yEp .; S NOTED DATE: B.P. k, x FEE: �d � _ NOT BY: _ FY BUILDINr- t .gym 765-1802 8 AMT 3EPARTMENT AT COMPLY WITH LL FOLLOWING INSPECTIONS: FOR THE NEW MPL ST CODES OF FOUNDATION - TWA', AS REQUIRED AND ATEa TOWN CODE FOR POURED CONCRETE CONDITION z 2• ROUGH - FRAMIrPLS C. 3• INSULATION R IJMBING Y - - 4 ONSTR(1,- , BE CO N MUST �OA^. MP :... LETE MJF ALL CONSTRUCTION v 0 REQUIREMENTS SHALL MEET THE YORK OF THE CODES OF NEIn s TATE NOT RESPONSIBLE For DESIGN OR CONSTRUCTION ERRORS, ;"RETAIN RM WATER ETAIN STO ' " RUNOFi 'PURSUANT TO CHAPTER 23 Tti6 g E TOWN CODE.