The URL can be used to link to this page

Home My WebLink About36734-Z Fat TOWN OF SOUTHOLD o�S�FFac,r�o BUILDING DEPARTMENT y z 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#: 36734 Date: 10/4/2011 Permission is hereby granted to: 5834 Holdings LLC 2387 Surf Dr Bellmore, NY 11710 To: Demo of Accessory Shed At premises located at: 2055 Bay Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 144.4-3 Pursuant to application dated 9/23/2011 and approved by the Building Inspector. To expire.on 4/4/2013. Fees: DEMOLITION $236.20 Total: $236.20 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 TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check t Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined a(-(,20__L ® Single&Separate Storm-Water Assessment Form ��i SEP 21 2011 contact: Approved W 20 �I Mail to: Disapproved a/c BLDG.DEPT. TOWN OF SOUTHOLD Phone: S Sa 3 •- 3a5 Expiration ,2013 kJ,k Building Inspector 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. ignature 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 —h sc Nrt- 1 S 4--71) ' 1C)11- L"z"I a-Q-r� +4 (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: • O�'� lam' '�—` t�—�/L�' �"I✓�—r"'_'T � '1'� �'�- , �.o House Number Street Hamlet County Tax Map No. 1000 Section t 7 Block Lot b 3 Subdivision Filed Map No. Lot f 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 4-1— b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 43'0-0 0. ,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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. r r 7. Dimensions of existing structures, if any: Fioiit Rear- Depth Z Height 1,51 Number of Stories ! j5q 0 Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories r 9. Size of lot: Front Rear 11 Ll Depth y 3 y 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 I-tljrs +- Fr+7wIq. a32 -7 s-9,P �R,df1i710 14. Names of Owner of premises Address Phone No. -516^7° 3,`�3) 4 Name of Architect Address Phone No Name of Contractor I��i -r P Q•4ra,5 c�`l� Address A 13 X 7 S Phone No. SIC.SX3. 3A Sy 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES x 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 "K- 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 7° * IF YES, PROVIDE A COPY. STATE OF YO ) COUNTY O6 SS( I� PV�\ to nc—LD being duly sworn, deposes and says that(s)he is the applicant (Name of i dividual signing contract)above named, � ,/ (S)He is the .� 1-h aC1� /�� (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►�p before me thr C> f of 20 C( _e VICKI TOTH =otary Public State of New York Nola' Public 28,2 l Qualified in Suffolk County as Signature of Applicant Commission Fxoirr+I�.r _�� N/F B URKE 4 4 3.41 ' BULKHEAD N 71°51 '50" W N0.7' OpWRE FD , ►� 10. 6— c>�n • III II 11 I P 'E 3 76.8 4' I I II I III I maka� -P N 8.425.5 STORAGE COTTAGE SHED 9,4' 7.2• 18.0, OW K3 � aWELL V c . j CELLAR/ °o ACCESSORY ENTRANCE 44.6' SHED 14.7 19.8, J 0 co 0 15.0' 000 7 3 W—m o N 10 A 03 OAIC. O 1041 CHAIN LINK 4.0' 9 AY 00Zcn8.3' ' MJ�Z I � CRAMP \ 10.7' i .0 o I I ' I 25.4• 5.6' 77MBER CURBING \ \ 1S9 5 i ASPHALT DRIVEWAY a �" WOOD FLOA77NG i 23.4' I DOCK DOCK FD i / \ 8• I PIPE Z \ yOKI � I A PA NNG STONE WALK I 3 8 3 v 2' ' Iio Qe .` \ \ \ \ \ �_ CIPAIN LINK FENCE AROUND P PROPERTY LINE rj � 2-RAIL FENCE SOUTH 0 � NJ \ \ \ 1S( POLE/10B 16. 03 WIRES N Z;o \\ \ OVERHEAD �\ STJP'XTEY U PRnPVPTV y POLE 1104 S 67026150 70 26,50» W N/F MERCURIO SI T UA TE MATTITUCK TOWN OF SOUTHOLD CpN� SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 144-04-03 SCALE 1 "=30' JULY 19, 2010 s LA Co AREA = 57,053 sq. ft. s d% 1 .310 ac. .vo; UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE IIELLLJ 1 p L. EDUCATION LAW. 0 c COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS 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 INSTI- TUT10N. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. ELEV. SOURCE: K 335 7950 EL. 16. 40 PREPARED IN ACCORDANCE WITH THE MINIMUM 929 NA VD STANDARDS FOR TITLE SURVEYS AS"ESTABLISHED ■ BY THE L.LA.L.S. AND APPROVEDAND NEW\YORK_STATF,LAD*, Nathan Taft Corwin !II CERTIFIED TO: FOR SUCH USE BY THE,NEw YORI(_,STAT�yLAND "'� TITLE ASSOCIATION. °;F-��: DENNIS J. LOIACONO, Sr. PATRICA LOICONO #FEMA PANEL J608130487G `� Land Surveyor PATRIC �d•' FIDELITY NATIONAL TITLE INSURANCE COMPANY MAP# J6103CO48IG - CITIBANK, N.A. - Title Surveys - Subdivisions Site Plans - Construction Layout r- 4 PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 N.Y.S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947