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Home My WebLink About37739-Z TOWN OF SOUTHOLD �gUFFO(,�CO , BUILDING DEPARTMENT y = ' TOWN CLERK'S OFFICE "o • 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#: 37739 Date: 1/9/2013 Permission is hereby granted to: Pezzino, Peter 204 Biltmore Blvd Massapequa, NY 11758 To: Demolish an existing accessory garage as applied for. At premises located at: 180 Wicks Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 110.-8-21.1 Pursuant to application dated 1/8/2013 and approved by the Building Inspector. To expire on 7/11/2014. Fees: DEMOLITION $184.00 Total: $184.00 Building Inspec or 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 2 Survey SoutholdTown.NorthFork.net PERMIT NO. 3�� J� Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application 1 Flood Permit Examined 1 20 Single&Separate Storm-Water Assessment Form 01 Contact: Approved ?0 I.S Mail to: Disapproved a/c Phone:--)�j�" Expiration ,20A E (`' E U Building Inspector III PA PLICATION FOR BUILDING PERMIT JAN - 7 2013 Date '— 7 , 201:3 BLDG. DEPT. INSTRUCTIONS __ TOUJiv 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 wort: 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) APPROVED AS NOTE® ('-r� (�o>l (lam �°�� V I l�iSk DATE:a 3 B.P.I (Mailing address of applicant) CT 1 Stat eN R T l Rj an Ei t �- e�;agent, architect, engineer, general contractor, electrician, plumber or builder 765-1802 8 AM TO 4 PM FOR THE Fnl LOWINC-i INSPFrTlnl%lg- 1. FOUNDATION - TWO REQUIRED Name 6V8vVf:i_fR�i0ptf:014MTE 5 _ vie-) 2. ROUGH - FRAMING R PLUMBING (As on the tax roll or latest deed) If all'D11M>!-1vRorporation, signature of duly authorized officer 4. FINAL - COriS(RUCTION Mf�ST ALL ��i��P �f�tcer) BLiil4eM llW,�4®F�uG rnnF=-2 nG ni1-1ni Pluimbos k_fAgUseN'dq.RFSPONSIRI F Fng EledffiMRHsMc&JStSlFI UQTION ERRORS. Other Trade's License No. 1. Location of land on which proposed work will be done: I �Fo IV�_6 A8- (mow 5 Lc-�To 1� House Number Street Hamlet County Tax Map No. 1000 Section I o Block Lot a I 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 �-d'sMd- b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition L,-- 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 14.3 Rear Depth ` ,q Height Number of Stories l 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 aD l ;l, Name of Former Owner haw+VA— Ik6d 11. Zone or use district in which premises are situated Ed�i I 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO_ZW ill excess fill be removed from premises? YES NO 14. Names of Owner of premises L 41-cAddress Phone No. Name of Architect Address Phone No Name of Contractor 1�QallG C1L1 ntzc�<<L� Address P '(IoX)lo Phone No. -731-/-'7193 9�1or\IL, o`l I pM 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 ) being duly sworn, deposes and says that (s)he is the applicant me of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the No.01SU61€5060 (Contractor, Agent, Corporate Officer, etc.) Cornmia�ion�xpiro�Fspril 1�?,�?U' 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 i to before me this day o 201 Oes�v \ � wP Notary Public Signature of Applicant SURVEY OF PROPERTY N A T NEW SUFFOLK TO N OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-110-08-21.1 SCALP.- 1'-20' DUNE 14, 2012 1 ttr�y 132 a7• ll'1CA Fe S. a m I D's f NqI" Ro Cl"k "C f D 4� 1000 o Fr 64.5' I N h S 0 ro D 3'W 7 1p4 74,, I 7.2' to • /o 2 a 6.4,r �1• CD"CRETE / I 0<; / CO m / 0 Q co= 2 psi � f/J 4• It h �J 0 o 14 3.: M� a p E .3�• 22.g' /14 �. (L ,1 a l s �0 22.g- FE /0/F RC S f 1 3 10 s �,RE 4E Y REV '00' QCABCE ')�U 5's \ ST N/OAF �EFFRE Y GRA CERTIFIED TO: ,OFN ov PETER PEZZINO .��:�"'" 'r ADVOCATES ABSTRACT, INC. ` '�u�.'`� AREA=15,000 80. FT. `f' ` fLl NO. 4961.8 ANY ALTERA77ON OR•ADD177ON TO THIS SURVEY IS A VIOLATION 'CONIC EYORS, P.C. OF SECTION 720gOF 7HE NEW YORK STA7F EDUCATION LA.W. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTON 7209—SUBDIVISION 2. ALL CERTIFICA77ONS P.O. BOX 909 HEREON ARE VALID FOR THIS MAP. AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR =MONUMENT 1230 TRAVELER STREET 12-200 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, MY •11971