The URL can be used to link to this page

Home My WebLink About32254-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. 32254 Z Date JULY 31, 2006 permission is hereby granted to: ARIES ESTATES 535 W 23 ST NYC,NY 10011 for : DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 3995 PRIVATE RD #1 EAST MARION County Tax Map No. 473889 Section 022 Block 0003 Lot No. 002 pursuant to application dated JULY 27, 2006 and approved by the Building Inspector to expire on JANUARY 31, 2008. Fee $ 271.40 I~WL / Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. fj ;},)--~ 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 Check Septic Form N.Y.S.D.E.C. Trustees Contact: 7/;1 ,20~ , 1/~1 ,20&L , 1/31 , 20---.1!i , Examined Approved Disapproved alc Mail to: Phone: Expiration I~ I Building Inspector f~ i :) i JUL27 /' \c... .:',ou;;:;L[)--.1 APPLICATION FOR BUILDING PERMIT Date 2b 'JIAL'" 1..ot>c' ,20~ 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 oflot 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 ofthis 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 of the 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 South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition a~ribed. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ~o admit authorized inspectors on premises and in building for necessary inspections. kR f E~ I31~ES (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder AA \ ~ ESTJli'E$ ,. (As on the tax roll or latest deed) ora . on, signature of dul y authorized officer 1>RBiv..""f (Name and title ofjorpora e officer),.- 5 H~ 'Tu......'1, ('il0,l),,--H Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which proposed work will be done: 3 q Cf S (?~l V1\'\1S"' 'i2u J:fi) '+t- \ House Number Street ep,g\' rMl'l'?lu~ Hamlet County Tax Map No. 1000 Section '22- Subdivision Block Filed Map No. ~ , .~ '"2-' '" ll'oV,.J..ot , Lot. , ,',' . -(,':.,:.;\. 'I <~i,' " ..', :,"c"":) (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Ndf DC-<....... ("8) b. Intended use and occupancy '\)EMtCI..I\\i:)~ 3. Nature of work (check which applicable): New Building / Addition Repair Removal Demolition V Other Work Alteration 4. Estimated Cost ttu,~ (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars NO l Cr-1tt<1t.CrC (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. 7. Dimensions of existing structures, if any: Front ~~ I Height -:! <t.D I Number of Stories l Rear ";iv' Depth So' Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 3'1'1' 310' t ~~\ I 9. Size oflot: Front Rear Depth 10. Date of Purchase ?ooo Name of Former Owner "VI rJ I <!..Q t..Jr II. Zone or use district in which premises are situated ~ - "i,O VD\Q....l"I\..~ / 12. Does proposed ~8B6t!'a~ti&R violate any zoning law, ordinance or regulation? YES_NO ~ 13. Willlotbere-graded? YES_NO hill excess fill be removed from premises? YES /NO_ ~S-w.'t.3~rr. 14. Names of Owner of premises M~.\ES ~'II'ff~ Address o\fISS'K ,JeW '(~akPhone No. '2.)'I..-~'2:L.-&Q~\'- Name of Architect - Address 'N.'t. ,,, "\1 Phone No ub~-<{~ -l..\r1:> Name of Contractor - Address Phone No. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES ~O_ * 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 _ ~gC' & ><u:.l4: ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. - I 1')0 ''"ff\,J.... ~........W_ 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 ~&W YoRl{ S~~ 1'\<'-'-'-1. ~ #- ~3 e~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ ~'\ , 0 E:l->\ \ ~,ES ~ES (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. Sworn to before me this do-rlf dayof .::JULY 20Qiz... ~ C'-x,# Notary Public ~ Applicant MEUNDA CHU Nowy Public. Slate of New 'IbItc No.01CH5010955 Com Qualified In Kings CoUnly mlsslon Explrea May 12, JO Q1. FORTUNE Time Inc. Fortune Time & Life Building Rockefeller Center New York, NY 10020 C-0)a.t.-1 A- I 1-1- \ ) ~ U::. ~ ~ ~)1\.A.-- t14.{" ^^ J... ",;:;- W l ~ f7'~-\ ~vt..::;l1\ ~>\J::' CJ' '2- i 1... _ S-....'- - ~ 09.1.. - oft (LE:"l-L. Q\-}~...iE. S-ll-<-t~ -I..\~- ~\\S ) Sl~ )\t~ A TlmeWarner Company