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Home My WebLink About31585-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. 31585 Z Date NOVEMBER 4, 2005 Permission is hereby granted to: GREGORY B WOOD 181 BELLMORE STREET FLORAL PARK,NY 11001 for : DEMOLITION OF AN EXISTING DWELLING AND GUEST COTTAGE AS APPLIED FOR at premises located at 840 MARLENE LA County Tax Map No. 473889 Section 143 pursuant to application dated NOVEMBER Building Inspector to expire on MAY Fee $ 162.30 LAUREL Block 0002 Lot No. 019 3, 2005 and approved by the 4, 2007. ' ureS nat ORIGINAL Rev. 5/8/02 BOECKMAN BUILDING CONSTRUCTION COI~P GENERAL CONTRACTOR P.O. 80X 1453 MAT~'ITUCK, NY 1 ]952 (631) 298-5319 October 12, 2005 Town of Southold Building Department P.O. Box 1179 Southold, NY 11971 Regarding: Gregory and Basia Wood 840 Marlene Lane Mattituck, NY 11952 Suffolk County Tax Map #: 1000-143-02-19 & 20 To Whom It May Concern: Boeekman Building Construction Corp. confirms that effective October 4, 2005, Suffolk Coumy Water Authority cut off the water supply to 840 Marlene Lane, Mattimck, NY 11952. Mark Boeekman President MB/gaw Lon~ Mllnd Power Au~or~ Riverhead, NY ~ 1gO1 November 2, 2005 Mr. Gregory B. Wood 181 Bel!more Street Floral Park, NY RE: LIPA Ref. #T100556708 & T100556709 840 Marlene Lane, Mattituck Dear Mr. Wood: This letter is to advise you that the gas service to the above referenced premises was removed on October 18, 2005. The electric service was removed on October 27, 2005. If you have any questions, please contact Fred Perez 7037. Very truly yours, Steven Aylward/ Design Engineer Electric Design & Construction SA/am 631) 548- 10' ~ 8£: ~: ~ S00E-~O-thDN TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,. · SOUTHOLD, NY 11971~ TEL: (631) 765-1802 FAX: (631) 765-9502 BUILDING PERMIT APPLICATION CHECKLIST DO you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS www. northfork, net/Southoid/ PERMIT NO. ~,l b'~- '~ Ch~ck Septic Form Examined / fi' ,20 __ Center: Disapproved a/c // __ ~ ,20 o5-- 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.,~, L b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public s~'eets or areas, and waterways. , , .... c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspecto[ 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 w/thin 18 months from such date. If no zoning amendments or other regulations affecting the property hove been enacted in the interim, the Building Inspector may authorize, m writing, the extension of the permit for an addition six months. Thereafter, a new petmi~sh~l be~ecj., ui[ed. APPLICATION IS HEREBY MADE to the Buil-din~g Department for the is~uiih~,e~f a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or R~gulations, for tbe construction of buildings, additions, or al~.rations or for removal or demolition as herein described. The applicant ~grees to comply with all apglieable laws ordinances building code, housing code, and regulations, and tO admit aathor~zed inspectors on'pr~misos and i~ building for necessary inspections. ~ /'~ ,;~ ~ ~ 2~ tl x"--"~[~gnat~/~f applicant °r name' if a cetp°rali°n) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~pl~r~ ~ ¥- ~/~c~ ~.~o~ ~ -- / / t (As on the tax roll or latest dei~t~m~ If applicant is a corporation, signature of duly authorized officer Rrlr;3]v (Name and rifle of corporate officer) --. 1~ Builders License No. 765-1802 8AM :C :, :3 FOR THE Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on who,d) proposed work ~vil_l be done: House Number Street County Tax Map No. lO00 Section Subdivision (Name) FOLLOWING INSPEC!iONS: 1. FOUNDATION - 7¥,9 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING ., '. ION MUST HanI~tCOMPLETE -~F~ C,O. ALL CONSTRUCTION SHALL MEET THE Bilk ~ REQUIREME~OF ~ES OF NEW Fil~MapNo. Yu~r, ,~, :. N~bf ,~.::~, ~NSIBLE FOR DESIGN OR GONSTRUCT~N E~RO~. 2. State existing us~ and occupancy of Prcn~ises and intend.ed use and occupancY of propgsed c°n.stmcti°n: a. Existing une and occupancy ~-d/o~.,'o~, z.,;,)z~ Jr)cce.~_~o,.-,-/ ~?,~Tadc~._/~.~,'~'~- 3. NaCre of work (cheek which applicable): New Building/ Addition R~pair Removal Demolition Other Work 4. Estimat~ Cost 5. Ifdwclling, number of dwelling units If garage, number of cars Alu:ration (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, comnmrcial or mixed occupancy, specify namm and extent ofeachl[yge of use. 7. Dimensions ofcxisimg structures, if any: Front ,.~/~ ,* Rear .~ / Height / g~ Number of Stodes Dimensions of same structure with alterations or additions: Front Depth Height Number of Stodes 8. Dimensions of entire new construction: Front Height Number of Stories 9. Siz~ of lot: Front /~'--0 Rear 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ - 12. Do~s propo~d construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot b~ m-grade, d? YES__ Rear Depth NO NO /Will excess fill be removed from premises? YES.__ Depth ~o2 Rear D~pth 14. Names~of Owner of premises {4) ~ ~ z~ Name of Architect'- O ,-, ~n.~__ame of Contractor 15 a. Is this prol~rty within 100 feet ora tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BEREQUIRED b. h fids prolmr~j willfirl'300 tLmt 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 prot~nY lines. 17. If elevation at any point on property is at 10 feet or below, must provide topograiahical data on survey. STATE OF NEW YORK) ' SS: COUNTy or /f ~' sw0m, ~e of '~'viduul si' ~r'~ ~O'~ 7-/J being duly depes~s and says that (s)h~ is tbe applicant tgning contain) a~ve named,. / is the (con~or, A~gent, Corporate Officer, etc.) of said owner or owners, and is duly authorized te perform or have performed th~ said wok and to make ami f'fle ~ ~n; that all statel~n/18 COntni~l. ill thi~ 81~ca~on are ~ to th¢ best of his knowledge anti belief; and that the work will be performed in ~ manner set fetch in the applioetion filed therewith. Sworn to be. fore me this ~, ,IO¥C:E A. S~EN8 · re of Applicant