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