HomeMy WebLinkAbout32409-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.
32409 Z
Date OCTOBER
5, 2006
permission is hereby granted to:
JAMES B & ORS RAY
STUART FL,
34997
for :
DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
310 ORCHARD ST
NEW SUFFOLK
County Tax Map No. 473889 Section 117
Block 0007
Lot No. 005
pursuant to application dated SEPTEMBER 27, 2006 and approved by the
Fee $
104.90
Building Inspector to expire on APRIL 5, 2
ORIGINAL
Rev. 5/8/02
LIPA
117 Doctors Path
Riverhead. NY 11901
Long Island Power Authority
September 20, 2006
Mr. James Ray
10 Huron A venue - Apt. 3N
Jersey City, NJ 07306
RE: 310 Orchard Street, New Suffolk, New York
LlPA Ref # T100668228, Elec. Meter #099757718
LlPA Ref # T100668229, Gas Meter #4505105
Dear Mr. Ray:
This letter is to advise you that the electric service to the above referenced premises was removed on
September 11,2006. The gas service was removed on September 12,2006.
If you have any questions, please contact Fred Perez at (631) 548-7037.
ve~
Steve Aylward
Design Engineer
Electric Design & Construction
SA/am
TOWN OF SOUTHOLD
BUILDING QEPARTMENT
TOWN HALL
SOUTHbLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId/
PERMIT NO. L3B4()q G
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Plarming Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
Approved
Disapproved ale
,
,20~
,20~
Expiration
,20~
Mailto: r/ 1111 i C; :P A V
,
(>08 It? 42> &"7 I'M C>"-"f" N'(.I/13'-
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Phone:l.:?~ .3, p; q
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r::-;:'" (;-> r(; l' ',;' '" \
,r-." i,7 I," q, ' !,\
\, ' "SAPPLlCA TION FOR BUILDING PERMIT
\ SI=D 7.. 1 ?",
Date ~~/ ,20~
\ _) INSTRUCTIONS I
a. This a~ation MUST be completely filled in by typewnter 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 of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION 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.
too (d6~8~ L~ tV~PtJc:uE. :(l';Y //933
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
f:J tee"IJ / / P A TP.FfrJ J
(
Name of owner of premises J M ;:;,
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
oi!t(!,H17fUJ.I S j,
!VEW $VPP<,t'5 /VI
NJ/. Ilr3)
I
I. Location of land on which proposed work will be done: ~ S /6
b'~!f.J .r:: "!.lr:./"_ SI.'/:i1. ;.~,- ,l(lJ.
House Number Street
.A11 117 5/~u fJ-l'li
Hamlet
County Tax Map No. 1000 Section
Subdivision
if?
Block 0 1
Filed Map No.
, Lot 05"',
Lot
(Name)
,
,
2. State existing use and occupancy of premises and intended use and occupancy of proposed constructipn:
a. Existing use and occupancy 11 t 5'
.
b. Intended use and occupancy
f) E f'1 t) r-- rr (; 1) (/ /t...1J
, .
3. Nature of work (check which applicjj.ble): New Building
Repair Removal tL...- Demolition
Addition
Other Work
Alteration
(Description)
4. Estimated Cost
..A.: --,
5. If dwelling, number of dwelling units
If garage, number of cars
~ ,tJt?t:J
/
Fee
/
~/N
(To be paid on filing this application)
Number of dwelling units on each floor I
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front :;z tf F r Rear / '1 F /
Height / d: F) Number of Stories f
Depth Y I F'r
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
OL{/.
8. Dimensions of entire new construction: Front~' ..j ~ Rear...L!4,' Z. Depth'; , .,: ~
Height ? Number of Stories 1.
9. Size oflot: Front
I tJrJ PI
Rear
S"q' rT
Depth 75' ,rr
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
Res
,
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_
JPl'1es RJ:1}J Jp/lJJ Rf/(; eVi'1f1l1?1I'f; ror;.t/IC /?lIb"'l'1tJf?~l:'H !?1'J1
14. Names of Owner of premises Address Phone No. 7}JI' ~rd' 9
Name of Architect Address Phone No
Name of Contractor 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 V'
* IF YES, D.E.C. PERMITS MAY BE 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 06)frOW
J
being duly sworn, deposes and says that (s)he is the applicant
g contract) above named,
(S)He is the
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.
S
2rEb
MELANIE OOROSKl
NOTARY PUBLlC~ Slale of New ~
No. 01Du4634B70
Qualified in Suffolk CountY ~(\ 1 0
CommIssion Elqllres September 30,~
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SURVEY OF PROPERTY
SITUATED AT
NEW SUFFOLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-117-07-05
SCALE 1" =30'
SEPTEMBER 3D, 2005
AREA = 7,5~7.OB sq. ft.
0.173 oc.
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1. ELEVATIONS ARE REfERENCED TO N.G.V.D. 1929 DATUM
EXISTING ElEVATIONS ARE SHOWN THUS: lIH'
2. lltINIWUM SEPTIC TANK CAPACITIES FOR A 1 TO .. BEDROOM HOUSE IS 1,000 GALLONS.
1 TANK; 's' LONG. 4'-3- WIDE, 6'-7'" DEEP
3. WINIWUM lLACHlNG SYSTEW FOR A. I TO 4 BEDROOM HOUSE IS 300 sq ft StDEWA.ll AREA
1 POOl; 12' o[rP, 8' dlCI.
@ PROPOSED EXPANSION POOl
@ PROPQS{D lEACHING POOL
~ PROf'OSfD SEP'TlC TANK
4. THE LOCAOOH OF WELLS AND CESSPOOlS SHOWN H[R[ON ARE FROM nELD
OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
5. n..ooo ZONE INFORYATlON TAKEN FRO":
f'LOOD INSURANCE RATE IUd' No. 3610.3C0501 G
lONE I>C.: BASE FlOOD ELEVATIONS DETERWlNED
ZONE x. I\REAS Of 5OD-'([AR FLOOD; AREAS Of l00-'rL'.R FLOOD WITH A~E
DEPTH Of LESS lHo'.N 1 FOOl OR WOH DRAlN.t.GE AREAS LESS rw.H
1 SQUAR[ l.llU; AND AREAS PRQTECITD BY LE\'EES FRQI,4 100- Y[AA FlOOD
1B. 1996)
N.r.S. Lie. No. 49668
~ IN NXOfIlWC( WITH THE ........
FOR mu: Sl..IRIIn5 AS ~
Ll.A.L5. AHD ~ N<<) AOOPItD
USE Ir'I'M NEW 'tORI( STATt I.NlD
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PoILE: IMDWW SIlT Wl
\MIIUlHOIlIZED ALTE::MllC:IlI OR .IrOOO'lOtl
1OTl'I5~ISA'f1OlAT'IClrtOF
SEC1JON 72011 or THE NEW YORK STArr
10' EDUCAT10H LAW.
PoILE:~ANETOWEIlIUWWIlSP
'0." ~..,.:'~.:~~
DBJlSIU) S[Al SIW.J.. NOt 8[ CONSlDEREO
10 IE A IIIU) TRUE COP'Y'.
seph A. Ingegno
Land Surveyor
w.JtR IN PAl.[ BACJWN I'M
TO MEDUIl SNCl SP
CEJl'nf'lCAnoNS lOCATED HEJIEON stW.L RUN
ONLY 10 THE: POlSON f'OlIt .... THE SI..Rv'EY
IS P'MPMED, MD ON ... 8DW.F 10 THE
1TTlL r::ow1In, CilOrI'DaMNTAL /JDOIICf AHD
l...EJ<<WC N!mTUJJClrf USYm HEREON. NCl
1'0 THE JillISIlINEES OF 1M[ I..ENDIC ten--
lUTJON. comACImONS ARE NOt ~
PHONE (631)727-2_
0fFJCES LOCA1ED AT
J22 ROANOKE AVENUE
RMRHEAD, New 'foOt 11901
rrtle Surwys - SubdMaiom -
Site PIons - Construction LO)'OU't
Fox (&51)727-'.727 .. ~
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P.O. Boll 19J1
R"rverh4lod, New 'fork 11901 -0965
.. . .25.'\.
or
THE ~ OF IIIOKl or WAYS
JMO/OI/t EAKMENfS or RE:COID, If
AKY, NOT SHOWN AM MOT GtWWf1'E[D.