Loading...
HomeMy WebLinkAbout34830-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. 34830 Z Date JULY 2, 2009 Permission is hereby granted to: JAMES BURT 68105 NORTH ROAD GREENPORT,NY 11944 for CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL IN THE REAR YARD, . FENCED TO CODE at premises located'at 68105 CR 48 GREENPORT County Tax Map No. 473889 Section 033 Block 0003 Lot No. 037 pursuant to application dated JUNE 26, 2009 and approved by the Building Inspector -to expire on JANUARY 2, 2011 . Fee $ 250 . 00 Authorized Signature - ORIGINAL Rev. 5/•8/02 so � o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: , DATE °L� 0 INSPECTOR f FIELD INSPECTION REPORT7 DATE COMMENTS OC t4 FOUNDATION(1ST) U -- — --------- - - .----------------- FOUNDATION(2ND) trJ z o c(` ROUGH FRAMING& y PLUMBING oG INSULATION PER N.Y. H STATE ENERGY CODE e J d FINAL ADDITIONAL COMMENTS O z rn 1 H i-r O z x t4 E� d 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. WO&z:� Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined Z- 20 Storm-Water Assessment Form Contact: Approved Ifi ,nv Mail to: 6( I�—O.Za(L— f Disapproved a/c Phone: �.�0 — �'y y 6 G64 / Expiration i Z ,20�t KOBuilding Inspector PLICATION FOR BUILDING PERMIT Date ro �0 200 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 anb ding ffcr��csrarnspections. d���:VV VV rj _M� - P�c�oa�c.,e ���-•rn�o�,. ,USE IS UNLAWFUL - (Signature me,if a corporation) * EMATELY" WITHOUT CERTIFICATE,,�a� e,� yg �r�� ENCLOSE hbOL;TOCppE OF OCCUPANCYapplicant)� Y UPON Cal,. PLETION (Mailing address of -BEFORE "WATER" State whether applicant is owner, lesse ;agent, rchitgPt,-,en, sneer-- eneral: tractor, electrician,plumber or builder SUNDER NRITE_ ERTIFIRif ECUIfED Name of owner of premises 00 c'V (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer FEE: ZU ..- BY: ALL CONSTRUCTION S}dALL NOTIFY BUILDNG DCnr,.RTMiENT AT (Name and title of corporate officer) MLL I I HL 11MUIREMENTS OF TH95-1802 8 AM TO 4 PM FOR THE CODES OF NEW YORK STATE. FOLLOWING INSPECTIONS: Builders License No. 1. FOUNDATION - TV'10 -REQUIRED FOR POURED CCNI.RETE Plumbers License No. 2. ROUGH - FRAMING u PLUMBING Electricians License No. 3. INSULATION Other Trade's License No. 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 1. Location of land on which proposed work will be done: ALL CONSTRUCTION SHALL MEET THE 68105 �� Y8; tjU 1l fqel. REQUIREMENTS OF THE CODES OF NEW r YORK STATE NOT RESPONSIBLE FOR House Number Street HamlgkSIGN OR CONSTRUCTION ERRORS. County Tax Map No. 1000 Section 9 3 Block -S Lot 2 - 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 FFP . b. Intended use and occupancy iFFD uoi � ©.01 ° 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work QOak . (Description) 4. Estimated Cost Fee p?�D l� W0 ft° V (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 9: Depth Height Number of Stories ; a i i I: 8. Dimensions of entire new construction: Front Rear ° Depth__ `s Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Fortner Owner 11. Zone or use district in which premises are situated C'4y 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 p}roperty:lines. � 3. 8w 17. If elevation at any point on property is at 10 feet or below,Yiiist pio ide topographical dataohSrvey"ir i ` ��-� �" Y. 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, (S)He is the (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. Swo to before me this a c; day of 260 1 �/ VICKI TOTH bli to of New York Notary Public o.O1 06190696 Sig scant Qualified in Suffolk County Commission Expires July 78,20 gUFFG4 Southold Town Building Department o`F c�Gy 54375 Main Road Permit#: 34830 Southold,New York 11971 Permit Date: 7/2/2009 o (631)765-1802 y�lp�,lS Expiration Date: 1/2/2011 Parcel ID: 33.-3-37 BUILDING PERMIT RENEWAL LETTER Dated: 9/13/2011 Applicant: SUSAN& EARL BURT Location: 68105 CR 48 GREENPORT,N.Y. 11944 Work Description: ABOVE GROUND POOL CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: SUSAN& EARL BURT Address: 119 STONEWAY TRAIL MADISON, AL 35758 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Southold Town Building Department 54375 Main Road Southold,NY 11971 October 5, 2011 Re: Parcel ID: 33.-3-37 Permit#34830 68105 CR 48 Greenport To the Building Department: There will be no installation of an above-ground pool at this address. The tenant has removed previous work. Thank you. Susan D. Burt �t 119 Stoneway Trail Madison AL 35758 256-430-4383 CC: I. Mejia N SURVEY OF PROPERTY 00 AT GREENPORT o TOWN OF SOUTHOLD off; SUFFOLK COUNTY,. N.Y �S' ra 1000-33-03-37 5P coVE ESiA \ A o SCALE- 1=30' •�0aN5� ✓UNE 5,2007 Fly .A06 16.1 N/t28�c•E a wo + m X,I . o T TV, U a a � a_ m �s ms" a 9 o ' E� 51p•39 ¢8) , 0AD tEUF NEWI; . CERT7EilED TO: '� '1+• g - �l ,1 5'�NT.MET?Dp . EARL C. BURT l/��/N/,- o \' F JAMES P.:BURT Y 4 CMICACO 77TLE INSURANCE COMPANY. ANY AL71RA170N OR A0017TON TO THIS SURVEY IS A NOLA77ON PECONIC-SURVE OR, Or S£CTON 7209OF THE NEW YORK STATE EOUCATON LAk: - (631) 765-5020 9 EXCEPT AS PER SEC77ON 7209-"DIWSICM 2..ALL CER77RCATONS P.O. BOX 909 i p �• HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF AREA 1�12V6 SO.r 1. SAID MAP OR COPIES BEAR ME IMPRESSED SEAL OF-THE SURVEYOR 12JO TRAVELER S �C •=PIPE WHOSE SCNATURE APPEARS HEREON. SOU7NOLD, N.Y. 11971 C!