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HomeMy WebLinkAbout30084-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) UNTIL PULL 30084 Z Date FEBRUARY 12, 2004 Permission ms hereby granted mo: HOMES ASSOC INC SCHEMBRI 2042 NORTH COUNTRY RD WADING RIVER.,NY 11792 for : DEMOLITION OF AN EXISTING BUILDING AS APPLIED FOR at premises located at 40750 MAIN RD PECONIC COunty Tax Map No. 473889 Section 086 Block 0001 Lot No. 004.029 pursuant to application dated FEBRUARY 12, 2004 and approved by the Building Inspector to expire on AUGUST 12, 2005. Fee $ 80.00 ORIGINAL Rev. 5/8/02 JOSHUA Y. HORTON SUPERVISOR Towqq HALL - 53( 75 MAIN ROAD Fax. (516 -765- 1366 JAMES A. RICHTER, R.A. ENGINEER TOWN OF SOUTHOLD, NEW YORK 11971 T¢1.(516.-765-1560 OFFICE OF THE ENGINEER TOWN OF SOUTH'OLD February 12, 2004 Mr. Michael Verity Building Department Town Hall, 53095 Main Road Southold, New York 11971 Re: Richmond Shores Subdivision Dear Mr. Verity: The developer for the above referenced project has applied to your office for a demolition permit to raise a delinquent building located within the Open Space for the subdivision. The removal of this dilapidated structure is a requirement established by the Planning Board and is required for final construction approvals. This project was reviewed by the Town Trustees when the Planning Board went through their review process for the subdMs~on. At that time, they had no objection to the removal of the building. I will be inspecting the demolition work for the Planning Board. Mr. Schembri is the developer and he has been instructed to access the site from the east along an existing State Drainage Easement. I do not have or know of any reason why this demolition permit should not be issued at this time. If you have any questions concerning this matter, please contact my office. Sincerely, James A. Richter, R.A. Applicant/ Date Owners Nan~e: {~,.~ ~j~0.-,.~ ~ Reviewed: Architect/ Date Engineer: -- Submitted SCTM #: Districl: _l 000 Section: ~ Block Projec~ ~ Subdivision l .ocafion: ~' ~-~', ?~o-rqe./ Name: Single & separme Requtred cemficatioo- (Yes / No) Req. /.oiling I)istricl' It~-W..J:7 Ibot size Actual: Req Req {Front Yard Proposed: ] [Side Yard Propose~: Project Description: '~')Oq-~ AGENC~ERMITS REQUIRED FOR REVIEW N.A. NO t'ermit YES Number Suffolk County Health Dept. New York State D.E.C. Town Trustees ~ Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: v / TOWN OF SOUTHO~D BU'ILDING DEPART'~T soU~HOLDi NY 11971 TEL. (631) 765-1802 t FAX: (631) 765~502 7 Disapproved g~ ~ ~ Expkadon AP, PR9VED AS NOTE ]PPLICATION FOR BUILDING PERS/[IT DATE.C~//'2-/Y_ BP.# 3~ Date INs ucno s NOTIFY BUILD~N.~ ~?AFFMENT ~T Do you have or ~ed ~e Bo~d of HeM~ 3 seB of B~g Planning Bo~d ~p[gv~ S~ey Check Sepfi~ Fo~ N_Y~.~C. T~zees Contae~ MM1 7&7 ,20 gb'~tl~gpl~_i~latid~)lVl~S,~ l~Bol~a~etely filled in by typewriter or in nik and submitted to the Building Inspector with 3 sets of pFt~O~/t~tt~lg~IaI~t~:scale. Fee according to schedule. b. ~J~13~lt~wih~3bdaFlOt~l~l~Vand of buildings on premises, relationship to adjoining premises or public streets or areas,, and ~D uC ~CRE.I E , , ,8; ~?k ~g~.~lq~t,on may no~ be commenced before ~ssmmee of Bm~ding Permit. ~ ~}~t~al of this applibatio~; the Building Inspector wilt issue a Building Permit to the applicant. Such a permit shall be~, ~t~,-l. ~',,~,r,':'~ >cq~r'.,,~,.dlUSI,~ ::~,~:,c.'.~o: mr,,:h.l',,.., theworlc c. ~[~ ~:'~! '~. - m!l.:'gc et&4; cd ,,: t.,,'d m ¢ haL' c:' :: i,art for any purpose what so ever lmtil the Building Inspector issues a t~L.L CG~;'~ V,[:i;}[~[i,:;~('¢. UEET THE ~fi,&~'~l.':~:2:'.~'~i~!~[,'~::2~:~l-2$qF };['g ,c ,.. o"., ,:.,I,,,'"/ed has not commenced within 12 months after the date of · ' "~ ~ ..... ~,:.,h~- .-17.:.;~ .~ - ~ssuance~,Qn..,,' ,' 'cc~'eOl:l'~'.'{~.$'~.~,~F~'~';,"l I. Ir,,'.-[,c:date:lfnozomngamendmemserothe~'regulationsaffectingthe properW~E.~-;0~'~, ,O~. c ~,~[~ :~,~ ~;...',!C~.,,E~O.F,~$O.' .c.:'g h,,i,cc ,,:' may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new pc:aTM't shallbe required., APPLICATION IS HEREIJY ~MzX~.~ ~ to the B~I .di~g l)epartmenr for'the issuance of a Building Permit pursuan[ to the Building Zone Ordina~e~ of the Town of, S~urthold, ~uffolk ~26auty, New York, and other apptLcable Laws, Ordinances or Regulations. for die construction o~bu41di~gs, additions, or alterations ~r for removal or demolition as herein described. The applicant a~ees to comply With alt app)icabl¢ }aws~ ordinances~ building cod~e, ]~us~,g code, ac~d regulations, and to admit ('S~a~ti~e of applicant or name, i~ a corporation) (Mailing address of applicant/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ~.~r~'~ Name of owner ofp~cpaises / .-/z~ __~' - ~ ~ (As on thetax roll or latest deed) If applicant is {~r~at~6_~z{~.gnat~e of duly au~ohzed o~cer DES ~e~~~d titl¢ of co¢orme officer) NEW YORK STATE & TOWN CO~ ~ REQOiRED ~D CONDITIONS Builders License No. ,~ ~I~DTOWN ZBA Plmbers License No.~ S0~H~¢ ;0~ ~ffi Elec~ci~s Lic~se No. ~H~D T~ m~ ~d on whc o os~ work i~ be do : Other Trade's License No. 1. Location afl House Number Street (Name) Hamlet Block_~/ ' Filed Map No. 2. State existing use and occupancy of rremi~s~nd i~n~fnded ~e and o?~ancy_g/~ror~e~d construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_~,-~ _Addition Alteration Repair Removal Demolition LJ Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (DescriptiOn} (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~imensions of existing structures, if any: Froht ~ l~ear ¢:)-O _Depth Height Number of Stories ~ ·" ' Real Dimensions of same structure with alterations or additions: Front -. , Depth. Height. Number of Stories Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size of lot: Front 10. Date of Purchase Rear Depth Name of Former Owner 11. 12. 13. Will lot be re-graded? YES Zone or use district in which premises are situated Does proposed construction violate any zoning law, ordinance or regulatio?~Y:ES__ NO . NO excess fill be removed from)Sfc~hi§~s? YEs ~N(J ' 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within I00 feet 0fa tidal wetland ~ freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is th/s property within 300 feet of a tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 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) ~ ~r, SS: COUNTY OF ~-(tr ~'-~.~ / 7' Y ~ being duly swo~ d~oses ~d says that (s)he is the app~c~r' ' ' ~me 6f in~d~l sj}~ing cont~above rimed, (S)He ~s the 8~G0~ ~{W~ ~ ~ ~ ~ ,Z ~' "'~t~c~; ~g~t, Cd~mte Officer, etc.) p~o~ or have p~fo~ed the s~d work ~d to ~e ~d file t~s applicadon; that ~ ~d belief; a~ ~at ~e work will be Notary Public ROBERT I:~'/OTT, JR. NotarY Public, .~ate of New York Oualified ,i~u~_olk County No. ~fsc472508~ Term Expires May 31, . / Signature of Applicant