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Home My WebLink About31901-Z FORM 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. 31901 Z Date APRIL 11, 2006 permission is hereby granted to: BCB REALTY HOLDING PO BOX 1675 SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING BUSINESS BUILDING AS APPLIED FOR. NO ACTIVITY WITHIN 100 FEET OF THE NOTED WETLANDS. at premises located at 74825 MAIN RD GREENPORT County Tax Map No. 473889 Section 045 Block 0004 Lot No. 008.003 pursuant to application dated APRIL 7, 2006 and approved by the Building Inspector to expire on OCTOBER 11, 2007. Fee $ 356.15 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING I}EPARTMENT TOWN HALL . SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 WWW. northfOrk'7outhOIlt '/~ :~~ BUILDING PERMIT APPLICATION CHECKLIST Expiration ,20 L I Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.SD.E.C. Trustees Contact: F- As, F-.v(j DfU..(,,,, . .A"''''''.... L<-<- Mall to. ~.'io /'<fA n',' -pIt '(1I1~'" ~d So.rr ~.o'- c> N \' rt '171 Phone: 7~ 5 - jf?(, 2 PERMIT NO. 3/101737 Examined Approved Disapproved ale APPLICATION FOR BUILDING PERMIT 6 'blo Date 0'-1 - Db 200b '- INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 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 ofthe permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a 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 authorized inspectors on premises and in building for necessary inspections. (Signa' S/S 0 f1.AtvJ "61'1 YvcPw R.i>, S"miou:. NY If??( (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder CJWtJlUL Name of owner of premises I?c..r.. 'mp.qy HOLD My UlJj (As on die tax ro I or latest deed) If applic t is a co ration, signature of duly authorized officer .P . VI', title of corporate officer) Builders License No. ,vI! Plumbers License No. tift Electricians License No. AlA Other Trade's License No. f\.1i/l 1. Location ofland on which proposed work will be done: 'J 'IS 2.5- MAcN R,JAD House Number Street (jRtEfl.,J P()IZ.:.T Hamlet County Tax Map No. 1000 Section Subdivision LjS" Block 0 'f Filed Map No. tot 8,3 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructiQn: a. Existinguseandoccupancy COI-'IMr.::~(AL ~S:'vlU\J\ . b. Intended use and occupancy &f\i'-( \L ( OFF/cfi... I Mi1.hMIZ' ,J/S 3. Nature of work (check which applicable): New Building N{J. Addition Repair N~ Removal tJA Demolition of ?,,,.cb,vyOther Work 4. Estimated Cost rI'/O,OOD Fee . N~ Alteration ,u;,. fIlI'1D<i~<-- oC 5€I'T/z. 5 vsrr.,., (Description) 5. If dwelling, number of dwelling units If garage, number of cars Nit rJ/J (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. N A I 7. Dimensions of existing structures, if any: Front SO, Z Height /'/' Number of Stories / Rear , 55'.0 Depth S?29 ' Dimensions of same structure with alterations or additions: Front N If Depth /VA- Height A/A- Number of Stories Rear IV It NA 8. Dimensions of entire new construction: Front N A- Height /VA- Number of Stories , 9. Size oflot: Front 25'f.I,:;S ' Rear 2r.:s, 'I Rear !VA ,vA- Depth I..;'p, Depth , 2'7</,&5 10. Date of Purchase /"'1M.c..H ob' Name of Former Owner l"/I}T!16W'i KIM /y(LI.I'b-l'( , II. Zone or use district in which premises are situated Bu',,;,,,,,,,", 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 ~ (kt ~AL"\, 14. Names of Owner of premises j./'Ll>''''r ~.u . Name of Architect ffA~T /'<."'. ,,';:S( v,) ,45;$0<-. Name of Contractor 673. 1'14,,, f,.4'-(VIEwR,{ Address 5OJTI""-6 uv, /(97/ Phone No. (,J{ -7r..s- 1f,(,Z Address ., <, Phone No 1431' 70S - 18 be.. Address 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. Is this property within 300 feet of a tidal wetland? * YES NO -- * IF YES, D.E.C. PERMITS MAYBE 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 OF ) ""'IS/u.n, (), Kf€t-I'- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the cFF1CEIL (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. 20~ IJt;j/# Signature of Applicant BONNIE!. DOROSKI Notary Public, State Of NewYorll No. OID06095328,SUffOlk~~~ty Term Expires July 7, 20 .