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Home My WebLink About29983-ZFORM 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. 29983 Z Date DECEMBER 30, 2003 Permission is hereby granted to: WHITNEY B ARMSTRONG NEW YORK,NY 10017 for : DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at PRIVATE RD County Tax Map No. 473889 Section 002 Block pursuant to application dated DECEMBER 30, 2003 FISHERS ISLAND 0001 Lot No. 011.003 and approved by the Building Inspector to expire on / %/JUNE//~qYT~i0~ ~-~ Fee $ 532.25 /II/ ORIGINAL Rev. 5/8/02 FISHERS ISLAND ELECTRIC CORPORATION PO DRAWER E FISHERS ISLAND, NEW YOrk 06390 PHONE 631-78~7520 FAX 631 ~788-7544 DECEMBEr 18, 2003 MR. MICHAEL VEritY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN Hall SOUThOLD, N.Y. I 1971 DEAR Sir' This LL l il ER IS BEING SENT BY THE FiSherS ISLAND ELECTRIC CO. TO INFORM YOU THAT WE HAVE DISCONNECTED THE ELECTRIC SUPPLY TO THE ARMSTRONG RESIDENCE ON FISHERS ISLAND BECAUSE OF a STRUCTURE FIRE at THAT RESIDENCE. THE POWER WAS DISCONNECTed ON CLAY POINT RD. at The INtERSECtiON OF THE ARmSTRONgS DRIVEWAY ON TUESDAY DECEMber 18, 2003 AT APPrOX 1345 HRS. THE ELECTRIC SERVICE WILL REMAIN DISCONNECTED UNTil PROPER AUTHORITY NOTIFIES FISHERS ISLAND ELECTRIC COMPANY THAT THE POWEr CAN BE RESTORED. If YOU have ANY QUESTIONS PLEASE CONTACT me AT AREA CODE 631-78~7520. I REMAIN WILLIAM N. BEEbE ELECTRIC DEPARTMENT SUPERINTENDENT CC: ROBERT WALL PRESIDENT FISHERS ISLAND UTILITIES B & D CONSTRUCTION TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southold/ Examined/~~ ~O Expiration~ BUILDING PERMIT APPLICATION CHECKLIST Building Inspector Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date 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. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or c. The work covered by this application may not be commenced before issuance of Buildlng 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 ora 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 authmized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, ff a co~oration) APPROVE[ 'q NOTED 7_ oX j_q.,_l DATE:~ r- ~q~ -- (Mai~ng address of applicant) State whet~ppli~ l~s~e, ~~ineer, general contractor, electrician, plumber or builder Name o f o~}g~s~~_ ~. . ~ ~'~W H ~He (As on the ~x roll or latest deed) If applicant is [~~y authorized officer 2. ~OOG8 - F~A~$ a PLUMSIN~ ~el~orate officer) 4. FI - r~* . T Builders LiceMk~...~ ~ ~ YO~K ~TATE. NOT ~?ON$1BLE gO~ 1. Locati~ ~~~ ~e: House Number Street ' Ham[et' ' County Tax Map No. 1000 Section Subdivision (Name) Block l Filed Map No. Lot ~. State. existing use and occupancy of premises and intended use m~d occupancy of proposed construction: a. Existing use and occupancy ~,_ ! _~'1 . _1~_~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building~_~, Addition. Alteration Repair Removal Demolition ~ Other Work (Description) 4. Estimated Cost ~ ~; OOO Fee ~ i~ Iff~, O~ (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 Heigh[ Number of Stories Rear Depth Depth Height 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot:Front !~ .'7~f Rear ..~.O{~1 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated & Dimensions of same structure with alterations or additions: Front Number of Stories Rear .Depth Depth Rear 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 premise~l~l~ddress~Phune No. Name of Architect Address ~. ~t~' Phone No Name of Contractor .~, I1~ Address~l~t[~_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. ls this property within 300 feet ora 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 %~'~d being duly sworn, deposes and says that (s)he is the applicant · -(Name of'individual siin[n~ c~n~act) above name~, (S)He is the (Con.actor, Agent, Co~orate Officer, etc,) of said omer or owners, and is duly au~odzed to perfom or have perfo~ed the said work and to make ~d file this application; that all statements contain~ in ~is application are ~e to the best of his knowledge and belief; and ~at the work will be perfomed in the manner set forth in the application flied therewith. S~vo before me this Y~ ~day of Nota~ Pubic ~ Signature of Applicant VERONICA HAMILTO~ NOTARY PUBLIC ST;;~ ~NEWYORK NO ~I~A0067785 QUALIFIED IN SUFFOLK COU~