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Home My WebLink About36478-Z o�°SU FF nt,r�o TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o . g 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#: 36478 Date: 6/13/2011 Permission is hereby granted to: Malon Industries, Inc., 32885 Main Road, Cutchogue, NY c/o Stanley Malon PO BOX 579 Cutchogue, NY 11935 f To: Alteration to an Existing Commerical Building; NDI Erect Partition Walls for Law Office, as applied for. 6L At premises located at: 32845 Route 25 SCTM #473889 Sec/Block/Lot# 97.-5-4.5 Pursuant to application dated 6/13/2011 and approved by the Building Inspector. To expire on 12/12/2012. Fees: CO -COMMERCIAL $50.00 NEW COMMERCIAL, ALTERATION OR ADDITIONS $442.80 Total: $492.80 r Building Inspector FOLD R STEC ON ItEPOVT DATE COA'IlV=NTS. FOUNDATION(1ST). • VJ • FOUNDATION(2ND) ROUGH FIti12I1`TG& PLUM$I G H Ul INSULATION PEit N.Y. y STATE ENERGY CODE FINAL ADDITIONAL.CO1Vl1V�ENTS 7 _.: • m C U TOWN OF SOUTirlaOBUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTDo you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11974 sets of Building Plans TEL: (631)765-1802Planning Board approval FAX: (631)765-9502 / 7 �i Survey SoutholdTown.NorthFor .ne PERMIT NO. 1O 0 Check Septic Form N.Y.S.D.E.C. Trustees f Flood Permit Examined ,20 Storm-Water Assessment Form q Contact: Approved I ,20 1 Mail to: DUap ed-� Phone: 6 3 Expiration j — r 9,20 1 Building Inspector APPLICATION FOR BUILDING PERMIT Date S/Zc ,20/0 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. (Signature of applicant or name,if a corporation) 301 Off: Neck P-J. 6Vwl /;o AlYll7'?r, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder �iJa�raJ Name of owner of premises �� sec-s�r'.`�s c. (As on the tax roll or latest deed) If applic t is a co oration, signature of duly authorized officer (Name andfifle of corporate officer) Builders License No. 99 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 32 IFS ;� r'i.�f��cn r,,,Z /�✓`7 i/fir House Number Street Hamlet County Tax Map No. 1000 Section Block Lot�� 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 V-4&CO.11-76 049C"ce S Pv c.2. b. Intended use and occupancy La-w o-r¢,'ce, 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work 40ra r-1j&h Walls (Description) 4. Estimated Cost Fee (To be paid on filing this application) AIA 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. /Dd'Z 7. Dimensions of existing structures, if any: Front n', Rear Depth �$ Height 16' Number of Stories ; Dimensions of same structure with alterations or additions: Front 3z' Rear 3 Depth Z57' Height /o - Number of Stories 1 4 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories n��9. Size of lot: Front Rear Depth 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 t� 14.Names of Owner of premises d�/it/o%, 1 ��i rl-o es Address��.� . Phone No. 5f6'�7Z-07`�� Name of Architect AddressZ7w4;/-0.1'1 '',, '74 Phone No Name of Contractor iR� SLAn6.yet,�;r,, 1=%c, Address 3ol O!A Vec,/c RV Phone No. %g3/6'.?Z- "sr'_rs/�a A,11//Tys 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 OF lG being duly sworn,deposes and says that(s)he is the applicant (Name of individua igning contract)above named, (S)He is theLy�r,C.�or- (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 trLK to the best of his knowledge and belief;and that the work will e performed in the manner set forth in the application fje�therewith. G Sworn to before me this y. day of LNIA/W 201q. a o Notary Public �;K�M a ignature o Applicant �0WzA W0 ,°� ° I� 'whether applicant is owner, lessee, agent;architect,engineer, general contractor, electrician, plumber or builder 9PJ')o. C5Y7 r.Y Name of owner of premises (As on the tax roll or latest deed) If applicant is a co oration, signature of duly authorized officer (Name aindtiftle of corporate officer) Builders License No. 99` C Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Block �� Lot . Subdivision Filed Map No. Lot 4V\_ 0"C:LICTRICAL � �� INSPECTION REQUIRE® r. _._.___► _BY NG DEPARTMENT AT TG d PM FOR THE TIONS: r �= -N - TWO REQUIRED F,•;�: '004Ei) CONCRETE =,WING °LUMBING, '-aPING ELECTRICAL&CAULKING a�?-570 00 3 INSULATION r 4. FINAL-CONSTRUCTION&ELECTRICAL MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE �) REQUIREMENTS OF THE CODES OF NEW v YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. CCU 0 _ab t 00 COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED OWN ZBA v jS>0UTHO PLANNING BOARD � OW STEES tp O O V U1 �' cz O a N „8/e rn Z N � O �A v co 12'-10" �T3 co z-11•x s-B• f -�p � �--------------- I ,1. ,.•, 2'11'-- 4-5112" 5 /2 6 8 F' T V 1'-10"1if V ' a 2'11'x6'-B'Fr (I\ `fl'1 w Is Olu „9 G 9 17� . F ' f 5 i ice' I 1 � H• e i� ti� _ Y AO • t ,fir- . Ff C '� \ �' ti ..� _•�. �.. �y �r t -y �_ a, ��4_. �• �• �' • 1S t j f x / �: i 'a,�;. $.. ,c� ... '1 � tom► 3 • i M , r 1 t