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Home My WebLink About28596-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. 28596 Z Date JULY 27, 2002 Permission is hereby granted to: ARTHUR W & DORIS L AIELLO 11 PINE TREE ROAD HUNTINGTON STATION,NY 11746 for DEMOLITION OF AN EXISTING SEASONAL RESIDENCE AS APPLIED FOR at premises located at 615 MARLENE LA MATT/LAUREL County Tax Map No. 473889 Section 143 Block 0003 Lot No. 026 pursuant to application dated JULY 25, 2002 and approved by the Building Inspector to expire on JANUARY 27, 200,4 . Fee $ 38 .45 mut-Horize Signature COPY Rev. 5/8/02 SUFFOLK COUNTY WATER AUTHORITY 624 Old Riverhead Road,Westhampton Beach, New York 11978-7407 (631)288-1034 Fax(631) 288-7937 July 25th 2002 Mr. Arthur Aiello 11 Pine Tree Drive Huntington Station NY 11746-7428 Premises: 615 Marlene La — Mattituck Re: Demolition Dear Mr. Aiello, On 7/24/02 water service was discontinued at the above referenced location. Please be advised that if any excavation is to take place, your water service should be physically disconnected at your property line, on your side of the curb stop. If you have any questions, please feel free to contact me. Truly yours, Suffolk County Water Authority Dona Roberts Manager Eastern Regional Office DR: ah L I PA 117 Doctors Path Riverhead, NY 11901 Longo Island Power Authoft June 28, 2002 Mr. Arthur Aiello 11 Pine Tree Rd. Huntington Station, NY 11746 RE: LIPA Ref. #'s Electric - T100179405 - Meter 046568633 Gas - T100179406 - 705 Marlene Lane, Mattituck Dear Mr. Aiello: This letter is to advise you that the electric service to the above referenced premises was removed on June 25, 2002 and the gas service on June 21,, 2002. If you have any questions, please contact Ms . Dianne Danek at (631) 548-7234. Very truly yours, J�. L'ji-t Erika Lendel-Jongebloed Design Engineer Electric Design & Construction ELJ/rh 7 ns `C7 -Y/7 vo CO b-'CZ/ O1 0 M3N A 0 701z-1-1-1'77(7S /y,'14 01 � V IS\ tC A" X 6N rh o 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 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved 120 Mail to: Disapproved a/c Phone ( S G {J�- 6 Expiration ,20 Building Inspector APR VED I NOTED PLICATION FOR BUILDING PERMIT DATE' 2 Z- B.P.#ag FEE: 0, 0 BY: Dates 20 0-L NOTIFY BUILDING DEPARTMENT AT INSTRUCTIONS 765.1802 9 AM TO 4 FM FOR THE e c filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of ply acc ra e: to 19 s 1 . Ily cordinO to schedule. -"-kju., d`V i' S`4.�9. b pla sho" oc i of buildings on premises,relationship to adjoining premises or public streets or areas, a 8q0MN TF4Fjwrk q41 'WftGWlEfifJmay not be commenced before issuance of Building Permit. d.Td03DC4gptcBMJ 07jl ,QQplication,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be limit 4MRSA aSIVAL[foMEEITection throughout the work. r3TF REMO EME*T&%(QEpT&EbrNAd in whole or in part for any purpose what so ever until the Building Inspector issues a OTA €&OWN JTAPN & ENERGY IC P� ;�.bl�i�i rii411P� icfliPthe work authorized has not commenced within 12 months after the date of issuance �I R%sn �t��iWi 9Pnonths 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) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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: 6 /S /�►'�'z,L�-arc_ L4N�. M 1qTJ_J_T?(C! AJ, V 05 5 JF-__ House Number Street Aamlet County Tax Map No. 1000 Section Ll3 Block 3 Lot -:2, Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended u T and occupancy ofroposeId Construction: a. Existing use and occupancy 0 f A - I '�' b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition 0?' Other Work (Description) estimated Cost �-o Ca S-I— 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. -s Height Number of Stories ize 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? YESNO . . 14. Naives 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 is at 10 feet or below, must provide topographical data on survey. 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 0 u.J�� (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. Sworn to before me this ` jz day of 200Q_) frrf �. r r Notary ublic Signature of Applicant LINDA J.COOPER Notary Public,State of Now York No.4822563,Suffolk countya j/1--- Torras Expires becomber 31, `X-- �, _ , n t 4 f TOWN OF SOUTHOLD PROPERTY RECORD CARD VNER STREET b l- VILLAGE DIST. SUB. LOT )RMER OWNER N E 74_ Z11ACR. S TYPE OF BUILDING e. r N-2- U SEAS. VL. FARM COMM. CB. MISC. Mkt. Value 1' • �� -� LAND IMP. 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