HomeMy WebLinkAbout29529-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29529 Z Date JUNE 30, 2003
Permission is hereby granted to:
THOMAS J MCCARTHY
PO BOX 1266
SOUTHOLD,NY 11971
for
DEMOLITION OF TWO STORAGE BUILDINGS, WITH NO UTILITIES, AS APPLIED
FOR
at premises located at 885 WICKHAM AVE MATTITUCK
County Tax Map No. 473889 Section 140 Block 0002 Lot No. 009
pursuant to application dated JUNE 25, 2003 and approved by the
Building Inspector to expire on DECEMBER 30, 2004 .
Fee $ 43 . 70
s
Aut ri ed
ORIGINAL
Rev. 5/8/02
2. State existing use and occupancy of premises and intp d and occ pancy of proposed construction:
a. Existing use and occupancy '� �
b. Intended use and occupancy b 1� US,t
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Rem val Demolition Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling 14nits P/;' Number of dwelling units on each floor 101A
If garage, number of cars A
6. If business, commercial or mixed occupancy, specify nature and a tent of each type of use. J��l�
.7.•f-p 8-2 Ve mot r50-e& - �.4 x as + ' l Ax9D-
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
S. Dimensions of entire new construction: Front Re `' Pal ' i'� "' '' °Dth
Height Number of Stories +3�
9. Size of lot: Front Rear o
10. Date of Purchase q1tol0l Name of Former Owner
1J.,`7ii:�'a,e�:i.�y .. if� ;•ti f�'�•f5('t'' +`...�'i .!'
11. Zone or use district in which premises are situated a
r;t�rr.�,,'' ;ct :: c�r;3�„,a ;,;:•'i . i•i�.:i.i1��"r
12. Does proposed construction violate any zoning law, ordinance or regulation? YES
13. Will lot be re-graded?YES NO Will excess fill be rer, overorireses?'. 5 'r NO
— J,�nst'„^)�'•5i•(ii ', 71iU:e
14. Names of Owner of premises U► fC Address r; ��1 :; �:Phorle
Name of Architect Address
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},3�EQUIRED.
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.
STATE OF NEW YORK)
SS:
COUNTY OF )
(7VVl Q•S being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the _:l
(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.
orn to before me thi
day of 200SL 0
Notary Public Si e of Applicant
--Ruth Love
NotFiry Public State of New York
No. 01 L06054063
Qualified in Suffolk County a
Commission Expires March 5,20
f �y� L'; � n
TOWN OF SOUTHOLD;-- �^ BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT. + f' Do you have or need the following,before applying?
TOWN HALL .l ,�i.1f�,1 ;��a3 ,' Board of Health
SOUTHOLD,NY 11171 ;__.._____._.________...__,a 3 sets of Building Plans
TEL: (631) 765-1802 _,. - '``;;r Planning Board approval
FAX: (631) 765-9502 -`~-- ` Survey
www. northfork.net/Southold/ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 636 ,2013 Contact:
Approved Ei ,20 3 Mail to:
Disapproved a/c
Phone:
Expiration 12- L ,20_4__
I
Building Inspector
APPLICATION FOR BUILDING PERMIT
VED AS NOTED Date O , 20 6�z
DATE: ' 3 B.P. ` ' INSTRUCTIONS
4
a. This appl J&6by typewriter or in ink and submitted to the Building Inspector with 3
_ sets of plans, accuraN00p6Wh1)lll�l@ i o schedule.
b.Plot plan7WJW 1ad11iloTAf4 ings on premises,relationship to adjoining premises or public streets or
areas, and waterway0=0MING'NdVWTVA
c. The work1rcFQUW0&aP iot be commenced before issuance of Building Permit.
d. Upon approf�bP®lilR�iJto a Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the Pr YM', r n oughout the work.
e.No buildi$g WSKAWupie&or used_in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate at BN�blb�.4 aNSTRUCT, 4W';'MIST:
f. Every buildi> pQW1i rhe'work thorized has not commenced within 12 months after the date of
issuance or has not li 6W9 :inSM such date. If no zoning amendments or other regulations affecting the
property have been M0 1thim ector may authorize, in writing,the extension of the permit for an
addition six monthsYM&M.,Ea r ired. '
APPLICATWW th ui ing 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. .p(y�//Aj//,,J,
(Signa a of applicant or.name,if a corporation)
o jd /Uy �Ig�1 J
(Mailing address of applicant)'
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0Wne
Name of owne of premises prat a 5 Pl-�1�. � J4�. � � l C
(As on the tax ro 1 or latest deed)
If appli corpor io a of ly authorized officer
ame and t' le orporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of lan4 on whi roposed wo will be done: V-1
/
�s�� c� a�. U�u-e v y +t) f C
House Number Street Hamlet
County Tax Map No. 1000 Section Block A101
Subdivision Filed Mallo.
(Name) 0;y,,a ri9;;-Ii t ao;li,iX.3 f i o Irmmn-
�
SURVEY OF PROPERTY
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
,
S.C. TAX No. 1000- 140-02-08
1000- 1 40-02-09
SCALE 1 "=20'
FEBRUARY 14, 2001
i' MARCH 22, 2001 ADDED RIGHT OF WAY
MAY 3, 2001 ADDED PROPOSED BUILDINGS & PARKING
AUGUST 2, 2002 LOCATED WELLS & SEPTIC SYSTEMS
JANUARY 10, 2003 REVISED SITE PLAN
TOTAL LOT AREA = 73,900.19 sq. ft.
1.697 ac.
LOT COVERAGE DATA
(LOT AREA = 73,900.19 sq. ft.)
DESCRIPTION AREA % LOT COVERAGE
EXISTING BUILDINGS 31 ,046 sq. ft. 42.01%
t�O
PROPOSED BUILDINGS 13,800 sq. ft. 18.67%
O
TOTAL AFTER BUILD—OUT 30,296 sq. ft. 41.00% A
c
NOTF,'S:
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
EXISTING ELEVATIONS ARE SHOWN THUS: 50_0 O
EXISTING CONTOUR LINES ARE SHOWN THUS: — -- — — —50 ,
f.FL. - FIRST FLOOR
G.FL. - GARAGE FLOOR
T.W. - TOP OF WALL
B.W. - BOTTOM OF WALL
2. IEXISTING SANITARY SYSTEM FOR EXISTING BRICK & CONC. BUILDING IS LOCATED IN GO
'THE FRONT YARD ITS LOCATION IS TO BE VERIFIED PRIOR TO THE START OF CONSTRUCTION. v'9� l/C,�L !yam
3. IPROPOSED LANDSCAPED AREA = 4,060 sq. ft. OR 5.5% OF TOTAL LOT AREA.
4. :ZONING USE DISTRICTx LI (LIGHT INDUSTRIAL)
5. PROPOSED 400 WATTI,,EXTERIOR LIGHTS SHOWN THUS:
\ V + \ \n\
\ 4
0 4-
01, 0
OIL 0� � _\ .- `_�, \ �. x\� �0 60��
Iz-
-O
e \ Ox \vG
462,
i' T ,p ! d4 coIS
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41
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CER TIFIED TO:
\ - 48-81 �� THOMAS J. McCARTHY
06, SUSAN M. McCARTHY
. 5r, 4 ������ FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
J
X Q
CJ� 4 89
D' PREPARED IN ACCORDANCE WITH THE MINIIMUM
STANDARDS FOR TITLE SU £YS AS ESTABILISHED
BY THE L.I.A.L.S. AND A AOVED AND ADOPTED
FOR SUCH USE BY,•.TH. P'W YORK STATE LAND
TITLE ASSOC,l4TJt't4.-- a,
�0&
N.Y.S. Lic. No. 49668
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 72 LA OF THE NEW YORK STATE Joseph
I n g n
-, EDUCATION LAW. � ifs
\��P qQ-e
THE COPIES LAND FSUFRVEYORIS 'S INKED SEAL OR MAP NOT BEARING e n r + y o r
EMBOSSED SEAL SHALL NOT BE CONSIDERED L �•V�3
TO BE A VALID TRUE COPY.
J�v CERTIFICATIONS INDICATED HEREON SHALL RUN
Q Q ONLY TO THE PERSON FOR WHOM THE SURVEY
C7 IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Construction Layout
�<v TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION HE ASSIGNEES OF THE ON, AND
0
TO T LENDING INSTI-
TUTION. CERTIFICATION ARE NOT TRANSFERABLE. PHONE (631)727-2090 FOX (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
THE EXISTENCE OF RIGHT OF WAYS 1380 ROANOKE AVENUE P.O. Box 1931
ANY,, NOT SHOWN ARE NOT GUARANTEED.
AND EASEMENTS OF RECORD, IF RIVERHEAD, New York 11901 Riverhead, New York 11901-0965
N
20-679B1