HomeMy WebLinkAbout37132-Z Lam'` TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N 2
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 #: 37132 Date: 4/11/2012
Permission is hereby granted to:
North Dyer LLC
C/O Reginald Tuthill
PO BOX 86
Orient, NY 11957
To: demolish an existing accessory barn as applied for
At premises located at:
21505 Route 25, Orient
SCTM # 473889
Sec/Block/Lot# 17.4-16
Pursuant to application dated 4/9/2012 and approved by the Building Inspector.
To expire on 10/11/2013.
Fees:
DEMOLITION $544.00
Total: $544.00
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) 7654802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 3 ?�.3 Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,201 Single& Separate
Stone-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c _
- -,
Phone: 7-9,s—_ r I r 9
Expiration /0 0/ ,20�,3 �'(7)-luG�
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DE C E Building Inspector
APR - 9 2012
APPLICATION FOR BUILDING PERMIT
/
Date �f/%Z , 20/L
BLDG.DEPT. INSTRUCTIONS
TOWN OF SOUTHOLD
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 pen-nit 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. lf7
(Signat're of applican or nam , if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
1
Name of owner of premises 7/_ LC ! �g F_c2
(As on the tax roll or latest deed)
If appl"icar is a corporation si ture of duly authorized officer
ame 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:
MY,,
House Number Street Hamlet
County Tax Map No. 1000 Section �`1.•-V—/ 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 ;A; ,. ,g,,.�,1 X z 9'-+4/t!
b. Intended use and occupancy A at
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, P,
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner <'r U )((\I Z '
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOi<
13. Will lot be re-graded? YES NO -X Will excess fill be removed from premises? YES NO
14. Names of Owner of premises C.%UD41eAddress 1cr2 `iwuj- -e Wi5 Phone No. 6-.'3( - 3z-3-35 9 9
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 B 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 Y,
* 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 individual signi g contract) above named, CONNIE IJ. BUNCH
Notary Public,State of New York
No.Oa BU6185050
(S)He is the _Qi_*I f ed in Suffolk'
vvu�Bey
(Contractor, Agent, Corporate Officer, etc.) Corrimission Expires April '!4,2�
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.
Swqrg to before me this ,
946 day of
v` )Notary Public ( Signature(of Applicant
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SKETCH PLAN J
N FOR LYLE TUTHILL
Cn
SITUATE
M ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000- 17-04- 1 6
SCALE 1" - 100• 0-11° $,�� / �I , i �\ SCALE 1 "= 1 0 0'
a o SEPTEMBER 26, 2009
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11 Z I AREA = 921 ,631t sq. ft.
I I I i 21 .1 t ac.
03�
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�� �N� o• )J S 03'18'50" E /
44.27' >(
R't /
50, oMi l V
LOT 5
Go sE //�24,343 sq. f . \
w / SAGO
35.
o / 'oo LOT 4
/ 152,205 sq. ft. / 000
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0.
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5 ,0 'sq. ff.
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N 10.49'30" E woe �s o
60.72'
o LOT 6
108,68 sq. f .
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C 25'
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l/l 2p. o 0 AREA DATA
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N >>2j LO /l l 2p' TOTAL AREA BU`L ABLE AREA 100' BUFFER 35' BUFFER PRIMARY SECONDARY
CONSERVATION CONSERVATION
N �0 4p„ 91 , 04 sq. a
S 33 LOT 1 1 1 1,745 s ff. 6� 75 s ft. 28,362 s ft. 18,908 s ft. N A N A
N 2 O3>00•, �= ,sue / /f` l m LOT 1 •MN q q q' q / /
9• F / � ti
380000,, 11 ,745 s h^ oG ; LOT 2 91,304 sq. ft. 74'850 sq. ft. 16,454 sq. ft. N/A N/A N/A
LOT 3 252,025 sq. ft. 106, 84 sq. ft. N/A 22,013 sq. ff. 91,907 sq. ft. 41,693 sq. ft.
r r %o�}� // l� S S6• LOT 4 152,205 sq. ft. 52, 91 sq. ft. N/A N/A 81,812 sq. ft. 28,674 sq. ft.
S9. �2�s4p•. LOT 5 184,343 s ft. 39,8 s ft. N/A 9,117 s ft. 109,570 s ft. 36,328 s ft.
39,p•. l ..,_
LOT 6 98,304 sq. ft. 82,�81 sa. ft. N/A 15.823 sq. ft. N/A N/A.
62?S 6UF� n,.- Y� - MM ROAD 31,705sq ft. N/A N/A N/A N/A N/A
19S' N TOTAL 921,631 sq. ft. 420,970 sq. ft. 44,816 sq. ff. 65,861 sq. ft. 283,289 sq. ft. 106,695 sq. ft.
410 �o0 3
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�80 O P 6 D N
,
N.Y.S. Lic. No. 50467
Nathan Taft Corwin III
Land Surveyor
Title Surveys — Subdivisions — Site Plans — Construction Layout
PHONE (631)727-2090 Fax (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
1586 Main Road P.O. Box 1931
Jamesport, New York 11947 Riverhead, New York 1 1 901-0965