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Home My WebLink About37044-Z TOWN OF SOUTHOLD �SOFFo�,� BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • � ,� 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#: 37044 Date: 3/7/2012 Permission is hereby granted to: Marco, Philip & Marco, Patricia Phillips 37 Riverside Dr New York, NY 10023 To: Demolition of 18' 12' barn as applied for At premises located at: 3375 Indian Neck Ln, Peconic SCTM # 473889 Sec/Block/Lot# 98.-1-1.3 Pursuant to application dated 3/1/2012 and approved by the Building Inspector. To expire on 9/6/2013. Fees: DEMOLITION $164.80 Total: $164.80 Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILD NG 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. �/V Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Stone-Water Assessment Form Contact: Approved �,20 ja"-' Mail to: Disapproved a/c C , Phone: Expiration 20& V E Building Inspector Q P ICATION FOR BUILDING PERMIT MAR — 1 2012 Date 4Lc;." l , 201!;.,_ INSTRUCTIONS BLDG.DER a. This applimVibiflO ely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pla , curate 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 a ribed. The applicant agrees to comply with all applicable laws, ordinances, building code, hol ions to admit authorized inspectors on premises and in building for necessary inspections. y�ignatur�e 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 t�... Yp�,�4 Lu PS 4,Lo (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: House Number Street Hamlet County Tax Map No.. 1000 Section �' Block Lot -?j 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 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 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. 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 Rear Depth Height Number of Stories 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 14. Names of Owner of premises Address 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 * 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'isz 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 ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH, Notary Public,State of Ne,,A2 ork (S)He is the No.01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Uualitied in Suffolk Cot-; Commission Expires Apr'' 14"201,)_ 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 t the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this l 5 day of C 20/ L Notary Public �� ' Signature of Applicant S 85 69/E TIE LINES ALONG J OF GUTTER TOWN OF SOUTHOW k 04,20+ E OF RICHMOND S CREEK 82 Os' s 85°50.40" E. /528T N. 83034'30" E, S. 85° 2 78.03' 69•16 00r E. SUR VEY OF N/O/F PETER R. STOUTENBURGH 4 PROPERTY A T INDIAN NECK_ TOWN OF SOUTHOLD S'UFFOLK COUNTY N. Y. 1000 98 - 01- 1.1 ,67 e4/ p N. 85 43'!0" E. 23/.86' O SCate: lf�= 100� Qi) Nov. 12,. 1996 bo-r� LOT - �,�C 9045-Acres � Z'n , b�n AREA y 14ines m �O tie N rCO o W AO r 3A.160 L A N C N C (,�' CERTIFIED TO: PHILIP R. MARCO 044'00" W. PATRICIA PHILLIPS MARCO S 78 D A N NORTH FORK BANK GUARANTEE Co. N As.p ANY AL TERA.VON OR AQpITLpN TO THIS SURVEY /S A VIOLA TION OF SE TI TFO9 OF TftE NElK YDRK STATE EDUC,4.T/ON(,,G W A 1�ER SEC / N ? 09-S1JBQjVISION.2. ALL CER7-IFICA7_IQNS HkION ARE VA `rH1s, P ANR COPES THERI`sOF ONLY /F Stlb MIP 4R COI ? 1MPR�SSED SEAL OF THE SURVEYOR LOT NUMBERS ARE REFERENCED TO "MINOR SUBDIVISION VISION Wt 113SE SIGNA TUAE aPl� itRsp/(I �, `�� FOR THE O KULA FAMILY o N.Y. - O. 49E AiRPITIOXALL•y.T0 COMPLY-WITH SAID LAW THE TERM AL TIERED By- Al S MUST gE'USED B'Y�1AlY AND AL'L SIIRVEYOR5 UTILIZ/NG.A COPY (5l C I C - 502 OF..AN07R 1 'dRs MAP TERS`SUCH AS 9NSPEy' D'AND GOSH T`0-DAB"'ARE NpT IN COti! L%ANCE W%TH me-LA W. P. 0. BOX 909 .1230 TRA VELER STREET SOUTHOLD, N.Y. 11971.