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Home My WebLink About32694-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. 32694 Z Date FEBRUARY 2, 2007 Permission is hereby granted to: LEONARD H & ORS SCOTT 186-11 HENLEY RD JAMAICA ESTATES,NY 11432 for : DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR 800 WEST RD CUTCHOGUE at premises located at County Tax Map No. 473889 Section 110 Block 0005 Lot No. 044 pursuant to application dated FEBRUARY 2, 2007 and approved by the Building Inspector to expire on AUGUST 2, 2008. Fee $ 512.50 ORIGINAL Rev. 5/8/02 39C.crl..f::C 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. Truslees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold! PERMIT NO. Examined Approved Disapproved alc , 20----:::J...- ,20~ Mail to: Expiration ,20 Phone: --- APPLICATION FOR BUILDING PERMIT Date Jo..t"\ ;t't . , 20 fl'1 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 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 ofthe 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. J ~Sig~~e of :p~licant or name~ a corporation) I 'J.f.? ~\Jev- Dr Pot'+- .Je~ .t(U"II11f.- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OW{\E.R. Name of owner of premises MlS<X>\( ~l"'" C J'~ 3 ~~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer M.e ~~ I<'-t4 ~ 'L-- J ;> (Name and title of corporate officer) LL.C ) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location qf land on which proposed work will be done: c:rOO rJe&.{,- M c..wf-~oijue House Number Street Hamlet County Tax Map No.1 000 Section lID Subdivision Block !:> Filed Map No. Lot /.J if Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Seo.$OI\..Q d~ l"<T b. Intended use and occupancy A.es~J.e.-+~...Q H~u.Je 3. Nature of work (check which applicable): New Building / Repair Removal Demolition II" Addition Other Work Alteration 4. Estimated Cost 1/ 300. c:>cv (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars .:l. (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. .J.::P. L\. <p a 7. Dimensions of existing structures, if any: Front ~ it Rear 2. Y Depth 30 Height Number of Stories ;2. Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front JJ"1 Height Number of Stories Rear ~ -P1 Depth .L. b a 9. Size oflot: Front Depth Rear 10. Date ofPurchase~Name of Former Owner 5A- Leo'" ~ 11. Zone or use district in which premises are situated 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_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No 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.e. 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 OF, U {{ol16 . H / 5,'tt)!c ({II JVl1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (!fJv- p;? m Ie (j {(( 'cer ( ontractor, 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. 'wom" b,fu" m'~ ~~~'" 'f!1~~ Notary Public SUSAN K TOOKER NOTARY PUBLIC, State 01 New York No.on05078120 Qudified in Suffolk COU~ Commi~~ion Exp:r<Js M.JY 1"7, 2ciJ7 m'd It:flOl ~.;,~";~;~r::'( .,;,,~:;!j~~;~ ."'<":t~~)~J.J'~~W'i4'~lo~"~"'i~~'~""~~\iO~;"W~-!rlrjj(. 'd . ' " ",- :j.I.;'~fi:'~l:~~':t~~:tl'(}.t:;~,.,r~1?;\{':; '-.-::;':,:':,:;':;'f ':",~--. ~!l~"t-i\i'~-: .;.. t: >",'~B">:; ',',l:;,>> ;ii;~ ;~'o . ; p " 1.<2:iit.:}N:: q'? T1i!l. . 117 GoctOfSPllth:, I' ;,Jl;I Riverflead. NY llWI '.r,-.,, Long 181and_~ LIPA [- ~") 1" l: I "f; .."1........ ", -'r"1":d(.;..,:'.I'...4. "~J1'1'{',_' ", ,: ..r.;o,"~-"".l'- ,'J, ;..,';'JI ::!a! e' January 31, 2007 Misook Kim 124 Alden Drive. Port Jeffe~son, NY ~ ';," ,-';,", ~~\~.; 'c', ,_' _J il:L;; l:i?;{.;~;' ~~!~.'t;,: RE: 800 West Road, CQt~ LIPA Ref # TI00712563" Electric Meter #099331:0 Gas Account #9623g~~U' ,", ';f,,~!*r), _ Dear Mr, Kim: .This letter is to advise you th,c,p, the electric service to the above referenced premises was~~ved on January 30, 2007 and the gas service was removed on J~ 2~, 2007. ':.r'. If you have any questions, 548-7037, Perez at (631) Very truly yours, Steve Aylwar Design Engineer Electric Design SAlam Abandonm.. f '" ~nt 0 eXiSlin . comJonnance W'oL d . g sammry s'\Islem . !", epa~ J. ffil10t h~ . COmpleted fonn WW M On! l'f'4uireme,N ('~b~': In .. _ ",," :.~u nl1~ as proof. AP%?~ED AS NOTED <32Pi i~ DAiE:.;' BP. # FE Jpt. ~._ F~'Uf2-- !Of....:. ". ENi Ai NOTIFY BUilD\; ,. " M 765.1802 8AM TO . PM FOR iHE tW';'~ )~~/ FOllOWING INSPECTIONS: ~ / 1. FOUNDATION. TWO REQUIRED 0':. FOR POURED COHCRETE 2. ROUGH. FRAMIHG & PLUMBING 3 INSULATION 4: FINAL - CONST~UCi\?N MUSi BE COMPLEiE ,.OR l.,O. L CONSTRUCTION SHALL MEEi iHE R Q~IR:r~~~iSNg~ ~is~g~~~~: ~~~ ~o N OR 'CONSTRUCiION ERRORS. ~yr:. JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. DC. NO. 50202 RIVERHEAD. N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compaqserverlpros\06\06-246 REV FOR IID.pro SURVEY OF PROPERTY SIlVA TE: CUTC,HOGUE TO}iiN: 5OUTHOLD SUFFOLK GOUNTY, NY SURVEYED, QC.TOBER 25, 2006 SUFFOLK COUNTY TAX # 1000 - 110 - 5 - 44 UlI[ll1'mU TO: MiIookKlm , ~ <:> ~6 >~i- Q / ').-0 () "6..s-' 1-'~~ ",,,~ 1SI Q,"30 Q /~ '> <?':S- "" 'Q ~ o-z- ~~ A/ -;'.9- () S--y...... <;>, '" -5-69.. ~\?>@ " ')- ",cy "" ~'O ,?-"i 0~ ,,;-'/ 7~ A~ q, t ~ ~ ~ , \ ,roD' ~. ~ ~'J,#J 1:;o'v ~ NOTES, . MONUMENT FOUND AREA = 31,51e> S.F. OR 0.0013 ACRES EXISTIN<S> HOUSE TO BE REMOVED PROPERTY ZONE R-40 PROPOSED HOUSE FOOTPRINT 2;300 S.F. OR 6.1% GO FLOOD ZONE X ELEVATIONS REFERENCE SUFFOLK GOUNTY TOPO MAPS GRAPHIC SCALE ~ 1"= 40' i J6Mo - N w-tE S Test Hole McDonald Geoscience MI~"d 5a>d ""'- 0.5' ~ fJr.-.~~ 4 ~ o ~ ~ ~ , ~ <:> '2,10 si- ~o 0~ ",,"" ~o Q/?, "." " ~ ~s: "" '" Pal" Bra...., F..... ta M6dilA'rl ~ 17' ./ " 9, v<:> f:5~6 9;;~i- '~~~ '2 ~'~"\\ 7 ~.....{) cq. -,0/3 ~1- 9/~. 0 6 5'-%}: ?"...q., ,,,,0) \2- v',,-'v'v v'~ '\'(;: ~0'v,0 I \'10< a';) ~) \ ~"o I)' --=--:;;5' .....-.... \ ?- '/' __ :sOD )"0 ._______ 1~5 ~q<) ;;) .30, ~) ___:UJlntoG~ -~~.:~~::=c;:..T'':'::' _T'____~. ~"%":.=.:'r:~~~ ~_---k>--:....~ -' ~"""""--'''''-''''i__ """"":l-.....-...I--~.....- ~~..rI"l'...-,..~!IIr>oWp.......... ~_T'___d~ ID~~_-==:-*...= ~..;:;~ ":':--=--=c;:":d l<>tM--9-dtM-..a.g_ .:..-.... _____11>__ , "2--1 141'5 ,~o - ,-( '1 ~. <' 0 -V J) f? I~'~'" ;{o ~ \ ,,0 ~