HomeMy WebLinkAbout32693-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.
32693 Z
Date FEBRUARY
2, 2007
Permission is hereby granted to:
FLOWER HILL BLDG. CORP.
50275 MAIN RD
SOUTHOLD,NY 11971
for :
DEMOLITION OF EXISTING BARN AS APPLIED FOR
at premises located at
50275 MAIN RD
SOUTH/PEC
Lot No. 010.001
--
County Tax Map No. 473889 Section 069
Block 0003
pursuant to application dated JANUARY 26, 2007 and approved by the
Building Inspector to expire on AUGUST 2, 2008.
Fee $
160.00
;f~ UL.
f Authorized Signature
ORIGINAL
Rev. 5/8/02
CHRISTIAN UHL
PRESIDENT
~
floweII' HiH Buildill1lg COII']p>OII'a-tiOIl1l
POST OFFICE Box 54
SVOSSET, L.I., NEW YORK 11791
January 23, 2007
ATTN: Mr. M. Verity
Town of South old Building Dept.
Town Hall
Main Road, P. O. Box 1179
Southold, NY 11971
Re: Beach Plum Homes Subdivision
Dear Mr. Verity:
Enclosed please find a completed permit application for the demolition of an
existing barn on the property at Blossom Lane as required by the Planning Board.
Also enclosed is a check for $65.00 and three copies of the filed subdivision
map.
Please forward a demolition permit at your convenience.
Sincerely,
FLOWER HILL BUILDING CORP.
aL &t2{J
Christian E. Uhl
CEU :cm
Enclosures
DN: Southold PropertylDemolition Permit for Barn
JAN 2 6
TELEPHONE
516-922-3086
FACSIMILE
516-922-3087
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO. 32.,Q3:t-
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before)pplying?
lloard of Health 'i-
(3 Jets of Building Plans V
'Planning Board approval ,v'
Survey v' ,
Check v1
Septic Form N(rr J--
N.Y.S.D.E.C. . ,
Trustees t./'
Contact:
Approved
Disapproved alc
?11J ,2fPL
.:r!y,2'i>L
I
Mail to:
Examined
r=
q I~, 20 Ol{
Phone:
Expiration
I~
I
Building Inspector
--.-----'---,
r
'AN 2 6 ,
ApPLICATION FOR BUILDING PERMIT
I
,
~
Date :.-Ian
073
,20~
7
INSTRUCTIONS
a. This application MUST becomp~etel~ filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan toscare'.-~ accordmg 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. I
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the dat~ 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 describeHThe
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to a 't
authorized inspectors on premises and in building for necessary inspections. F L J.j, I ,l3u ,11) IN, C.O /t,-p
5>
--p,
D.tso">C 61./. SJio~s.~'T t\1'j'17Qj
(Mailing aden-ess applicant)"
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
,
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A~"~~'\"-'"' P'" ""TED
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"ATE' 0 ''7 C ,. :J
Name of owner of premises f L~w"'A"" U d I ~.lbl"" (... Co <.J.. "-11.o1.- n' .~ ~...
(As on the tax roll orlle$t-<l'et;d}o: . ~.. .... T ','
,signatureofdulyauthorizedofficer ','.' "." C T 'A",. r"h ',,~r
?~. '/r
(Name and title of corporate officer)
H
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1. FC,
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Builders License No. I 3 I'? 6' - J-I
Plumbers License No. ~-+I
Electricians License No. +)
Other Trade's License NO....I'.Lj..fl
'(".' ,
2. n j, -"~~ - f n', <' )U..llil,.;.I,:.3
3. It,j",.";,,,
4. FIN}\L - tC ' :v\I_F:,!"
BE CO~"'C'~ ~ _ , I
ALL COt.!,";:.l' "'0".:". U[~T THE
REOUIREW.e i' ~.' ~ T HF';~ <~, OF NEW
YOHK TATt, NO~i ik,,'Oi\SlbLE FOR
N 'TRUeTION ERRORS.
I, Location of land on which proposed work will be done:
C!l S" .
House Number Street
Hamlet
County Tax Map No. 1000 Section ~ 9
SUbdivisioi1Be.tt<. 1, """'PIll", ~C!ll'h.as
(Name)
Block C) 3
Filed Map No.
I I".,S"' <?
Lot IC. /
Lot 8. I
e an} occupancy of pr posed construction:
rn
. j - ~".., r r ,....- N/ l'l '--,.,. } + }
, ""=,. ,., !)erno: '10'"
,
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost
N / If
I
5. If dwelling, number of dwelling units rvfA
If garage, number of cars -
(Description)
Fee
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
)Jjrt
7. Dimensions of existing structures, if any: Front ;2 0
Height / to Number of Stories I
Dimensions of same structure with alterations or additions: Front N / II Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front N i A Rear Depth
Height Number of Stori s
Rear
="Jo
Depth d...s-
10. Date of Purchase
~ 5. r ,4cr~ c:: Rear
.,;)-/ g / ~ ,J" Name ofFormer Owner
,
Depth
9. Size of/ot: Front
-
--I c> 1,,,, hI Ic..k h Cl h--,
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO V
13. Will lot be re-graded? YES / NO_Will excess fill be removed from premises? YES -/ NO_
14. Names of Owner ofpremises~ocerJi (; EAf,ress~ d5"6.f g'4- Phone No.(,sn;) Y;J.)-Soc;!
Name of Architect ~ "t:; ~ress Phone No ,
NameofContractor,~ ~ Jhll j;jI. . Address Po jiS-;,(,(f PhoneNo.(.:s"';C) r.:l:2.-~of?t
15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO-X-
* 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 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:
COUNT~c..SS"-\ )
T j.J:, fr u J; / being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the ~ //7 /v ~Jo I/'
(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
~ .. dayof-:::S-eu,.~ 20~ /
~" c,p(~V
Notary Public
THERESA A. SCAROLA
Notary Public, State of New 't1 k
No. 01SC6010177 or
Qualified In Nassau Coun
Commission Expires July 13, 26Y J2...
aD.
Signature of A~
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SU8JEC T TO, CO VENANT-
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