HomeMy WebLinkAbout31755-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)
PEP, MIT NO. 31755 Z
Date JA/~UARY 25, 2006
Permission is hereby granted to:
SCOTT A KESSLER
19 MOTT LANE
BROOKHAVEN,NY 11719
for :
DEMOLITION OF AN EXISTING BUILDING AS APPLIED FOR
at premises located at 33255 MAIN RD
County Tax Map No. 473889 Section 097
pursuant to application dated JANUARY
Building Inspector to expire on JULY
Fee $ 90.35
CUTCHOGUE
Block 0001 Lot No. 005
24, 2006 and approved by the
25, 2007 .
ORIGINAL
Rev. 5/8/02
Long island Power Authority
117 Doctors Path
Riverhead, NY 11901
October 25, 2005
Mr. Steve Kessler
33255 Route 25
Cutchogue, NY 11935
RE:
LIPA Ref. #T100339675
33255 Main Rd, Cutchogue
Meter ~ 38602301
Dear Mr. Kessler:
This letter is to advise you that the electric service to the
above referenced premises was removed on December 3, 2003.
If you have any questions, please contact Dianne Danek at (631)
548-7234.
Very truly yours,
Electric Design & Construction
SA/am
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
BUILDING PERIVIIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
FAX: (631) 765-9502 ,-Survey
www. northfork.net/So~thold/ PERMIT NO. "~j ~')~-~--~r- Check
/ Septic Form
. / N.Y.S.D.E.C.
Examined //. ~ ,20 Contact:
I I1,,'1_~- .
Approved ¢~') ,~0_~_
O,sepproved c /? _
[ :("5. ~ ~ :-~, ¢ ',~ Buildinglnspector
J~ 2 ~; ] :.:.~{PLICATION FOR BUDDING PE~IT
: ";. :". - ~ Date lo/Il ,206~
~ ........... INSTRUCTIONS
a. ~is application MUST be compl~ely filled ~ by ~ewffier or ~ i~ ~d submtted to ~e Buil~g hspector wi~ 4
sets of plans, acc~ate plot pl~ to scMe. Fee accor~ng to schedule.
b. Plot pl~ showf~g4Oca~& of lot ~d of b~l~ngs on pre~ses, relations~p to adjoimg pre~ses or public s~e~s or
~eas, ~d wate~ays:
c. The Work ~v~ by t~s application my not be comenced before issu~ce of Buil~g Prat.
d. Upon approval oft~s application, ~e B~l&g ~p~tor will issue a B~ld~g Pemt to the applic~t. Such a p~t
sMll be kept on the pre~ses av~lable for ~spection ~ughout ~e work.
e. No buil~ng sh~ be occupied or used in whole or in p~ for ~y p~ose w~t so ever ~til the B~l~g hspector
issues a Ceaificate of Occup~cy.
f. Ev~ b~l&g p~t s~l expire if the work au~ofiz~ ~s not co~enced withn 12 mon~ ~ ~e ~te of
issmnce or ~s not bern co~leted withn 18 monks ~om such ~te. If no zomg
prop~y have been e~cted ~ the ~t~,
addition six monks. ~ea~, a new p~ SRMI'be r~ed. .
~PLICATION IS ~BY ~ t6 the Bulling Department ~e iss~ce of a Buil&g Pemt p~su~t to the
Buil~g Zone Or--ce of the To~ of Sou~old, S~folk Co~ty, New York, ~d oth~ apphcable Laws, ~din~ces or
Re~lmions, for ~e cons~ction of buil&ngs, Mditio~, or alterations or for rmoval or dmolkion as h~ described. The
applic~t a~ees to comply wi~ M1 applicable laws, ord~ces, buil~g code, housing code, ~d re~mions, ~d m a~t
authohzed ~spectors ~ presses ~d ~ b~ld~g for n~ess~ inspections.
~pplicam or me, if a co~orafion)
APPBOV O AS NOTED
State ~~ ~ls~ agent, ~chitect, en~neer, genial contractor, electhci~, plumber or build~
765-1802 8AM ~0 4~ F0~
Nme of
(As on the tax roll or latest deed)
i~ ,3. INSULATION
appt .agh a' ¢ of au ofized
BE COMPLFTE ~- ~N o ~
REQUIREMENTS OF TH~ CODES OF NEW
B~ld~~oNOT RESPONSIBLE FOR
Plmb~ ~STr,UCTlON ERHOHU.
Elecffici~s Licmse No.
Other Trade's License No.
L°cati°n °f land °n which vr°v°'ed w°~wd' ,be d°ne:'~ ,'~ 7..~ ~3/~
House Number Street
Iqoc- =
County Tax Map No. 1000
Subdivision
ame)
Section E~q
Block O
Filed Map-No.
Lot
Lot
2. State existing use and occupancy of premises ,and intends! use ~d occu;p ,ancy of pro. pgs_,ed~constmction:
a. Existing use and occupancy ~ /2X.[_~"]-//~JO'--
b. Intended use and occupancy E-Ot~f--'~l ~L
3. Nature of work (check which applicable): New Building,,, Addition Alteration
Repair Removal Demolition I /X, Other Work
(Description)
4. Estimated Cost '~/(~ ¢~ (,.> 1,.~ Fee
(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
If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~{~'~'~,~7'''- ~'~l) 0[ O
Dep ,35
7. Dimensions of ex. isting structures, if any: Front [~, ~) Rear
Heght --~_ ~- t Number of Stor es
Dimensions of same structure with alterations or additions: Front
Depth (~ Height (") Number of Slides
8. Dimensions of entire new construction: Front ~ Rear
Height O Number of Stories
9. Size of lot: Front ~,~ oV¢[ Rear ~r,//.,, ~/._ ' Depth
10. Dateofmurchase tZ/~/tS~ Name ofFormer Owner
11. Zone or use district in which[[premises are situated
Rear
Depth
12. Does proposed construction violate any zoning law, ordinance or regulation? YES {NO_=/__
13. Will lot be re-graded? YES__~ ~__Will excess fi!! be removed ~o,rn p,rer~i_ses? YES NO
14. Names of Ocw~.~ of premises ,..f~'~"'~AAdd~;;; ~ ~ ;hhoOnn; NN~
Name of Archi ect
Name of Contractor Address Phone No.
15 a. Is this property within 10~feet ora tidal wetland or a freshwater wetland? *YES_~O '~ * IF YES, SOUTHOLD TO~'.~R.~I~....~&/D.E.C. PERMITS ~E REQUIRED?'-'~
b. Is this property within 300 fe~'b~l~i~,ettand? * YES
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances tq 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)
COUNTY OF/~S~)~_..S:
~ ~ ~.> ~'~'""~/~ / .~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing C0~) above ~l~d,
(S)He is the
,. .... (¢~~.~, Co*orate Officer, ,c.)
of s~d om~ or own~,~ is d~y authorized to peffom or Mve p~om~ ~e said work.~d to ~e ~d ~e ~s application;
t~t ~ stat~ts centred ~ ~s application ~e ~e to ~e b~t ofhs ~owl~ge ~d behef; ~d ~t ~e work will be
peffom~ ~ ~e ruer s~ forth ~ ~e applimfion filed ~e~.
Sworn to before me this ~
/ ~,~ day of 0 ('-/~
Notary Public
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