HomeMy WebLinkAbout27152-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. 27152 Z Date MARCH 16, 2001
Permission is hereby granted to:
MICHAEL MCALLISTER
17665 SOUNDVIEW AVE
SOUTHOLD,NY 11971
for
DEMOLITION OF EXISTING STRUCTURE AS APPLIED FOR.
at premises located at 17665 SOUNDVIEW AVE SOUTHOLD
County Tax Map No. 473889 Section 051 Block 0001 Lot No. 003
pursuant to application dated FEBRUARY 2 , 2001 and approved by the
Building Inspector.
Fee $ 174 . 00
Al 11bignature
ORIGINAL
Rev. 2/19/98
FORM NO. 1
TOWN OF SOUTHOLD
i
"`- BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971 oZ Q " 5 .31
TEL.: 765-1802 a Wks h,
Examined
Approved 2001 Permit No. d2" 5 LAJ
Disapproved a/c
(Building Inspector).
APPLICATION FOR BUILDING PERMIT
Date February 1,2001
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. P18t plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, ere: 'giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation. ;
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 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 inspectio
(Signature of applicant, or name, if a corporation)
Suffolk Environmental Consulting,Inc.
P.O.Boz 2003;Bridgehampton,NY 11932
(Mailing address of applicant)
State whether applicant is owner,lessee, agent, architect, engineer,general contractor, electrician,plumber or builder
AGENT
Name of owner of premises Michael McAllister
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
N/A
(Name and title of corporate officer)
Builder's License No. l�J-E' A107—
Plumber's
1d7Plumber's License No. « j�
Electrician's License No.
Other Trade's License No.
1. Location of land on which proposed work will be done
Soundview Avenue Southold
House Number Street Hamlet
County Tax Map No. 1000 Section 051 Block 01 Lot 003
Subdivision N/A Filed Map No. N/A Lot N/A
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.Existing use and occupancy single famil residential dwellin with related a urtenances
XAWWV 40 VA°1'O �IAfiON
b. Intended use and occupancy. Single family residential gin �_- enances
3.Nature of work(check which applicable): New Building X Addition Alteration
Repair Removal Demolition X Other Work
(Description)
4. Estimated Cost Fee
(to be paid on filing this application)
5. If dwelling,number of dwelling units 3 Number of dwelling units on each floor V- 0:2nd: 3
If garage,number-of cars 2
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use N/A
7. Dimensions of existing structures,if any: Front 76.5' (max.) Rear 76.5' (max.- Depth 47.5' (max.)
Height 21.5' (max.) Number of Stories 2
Dimensions of same structure with alterations or additions: Front N/A Rear N/A
Depth N/A Height N/A Number of Stories N/A
8. Dimensions of entire new construction: Front 72.0' (max.) Rear 72.0' (max.) Depth 42.0' (max.)
Height 31.5' (max.) Number of Stories 2
9. Size of lot: Front 150' Rear 150' Depth 287.25' ±
0. Date of Purchase N/A Name of Former Owner N/A
1.Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation: No.
3.Will lot be regraded Yes . Will excess fill be removed from premises: Yes X No
4.Name of Owner of premisesMichael McAllisterAddress84 W.Broadway,Apt.55.NY,NY 10007Phone 9212-996-1397
Name of Architect-Gordi6n Price Address PO Box 310. Orient,NY 11957 Phone No. 631-323-0061
Name of Contractor oy- Address Phone No.
5. Is this property within 300 feet of a tidal wetland? *Yes X No.
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM •
Locate clearly and distinctly all buildings,whether existing or proposed,and indicate all set-back dimensions from a-'
-roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
stertor or corner lot.
Please refer to attached Plans.
iTATE OF NEW YORK,
:OITNTY OF S.S
Matt D. Ivans -Agent being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
bove named.
ie is the" Agent-Suffolk Environmental Consulting Inc.
(Contractor, agent, corporate officer, etc.)
,f said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this
pplication;that all statements contained in this application are true to the best of this knowledge and belief, and
aat the work will be performed in the manner set forth in the application filed therewith.
;wom to before me this
day of2001
4otary Public A
}I"STATE OF NEWT=
Ot AUNDW SUFFOLK C0M *(SignatuiebfApplicant)'
MIJIGS047662
COIAM==FIRES SEPT.06,20
MAR. -14' Ul (WED) 1343 F. 001
r
117 Doctors Path
LIPA Pivsrhvad,NY 11,901
Long Island Power Authorf
March 14, 2001
Hochman Construction
P.O. Box 14.33
MattitQck, NY 11952
Attn: Mark
RR: LIPA Ref. #T100016018
McAllister
1766.8 Soundview Ave. , Southold
Dear Sir:
This letter is to advise you that the electric service to the above referenced
premises was removed on February 26, 2001.
If you have any questions, please Contact Mr. A. Lawton .at (631) 546-7024 .
Very truly yours,
Michael R n azzo
Design Eng neer
Electric Design & construction
MR/rh
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A FR�VED AS E"DTED
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FEE: BY:
_ NOTIFY BUILDING DPART -fVT AT
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765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
_ 1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
i 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
_ 4. FINAL - CONSTRUCTION INAUET
BE COMPLETE FOR C.O.
bINiNG r?OOM LIVING BOOM
I _ ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE Pf.Y. '
STATE CONSTRUCTION & Ef"<"fTGY
CODES. NOT RESPONSIBLE FO'q
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