HomeMy WebLinkAbout32847-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.
32847 Z
Date MARCH
27, 2007
Permission is hereby granted to:
DANIEL O'SULLIVAN (P;sc",f-e.O..e,\)
MATTITUCK,NY 11952
for :
DEMOLITION OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at
1600 WESTVIEW DR
MATTI TUCK
County Tax Map No. 473889 Section 107
Block 0007
Lot No. 018
pursuant to application dated MARCH
21, 2007 and approved by the
Building Inspector to expire on SEPTEMBER 27, 2008.
Fee $
570.40
...
ORIGINAL
Rev. 5/8/02
LIPA
. Long Island Power Authority
11 7 Doctors Path
Riverhead, NY 11901
March 5, 2007
Mr. Mike Piscatelli
1600 Westview Dr
Mattituck NY ! 1952
RE: Service Address: 1600 Westview Drive, Mattituck
LIP A Ref, No, T! 00728556
Dear Mr. Piscatelli:
Please be advised that LIP A removed all of its electrical facilities on January 13, 2007 to
the above captioned premises,
.
Thank you for this opportunity to be of service to you,
Very truly yours,
s~"f ~~
Design Engineer
Eastern Suffolk
SPA/mad
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL .
SOUTHOL'D, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO.
3 ~~~-:r-c
BUILDING PERMIT APPLICATION CHECKLIST
D~ 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:
Examined
Approved
Disapproved alc
,20f
,20_
Expiration
,20
Mail to:
Cell fj
Phone ..slb'~ I.Jt-t;2.oC
L-c4e-12. % b'(S-l\~A
APPLICATION FOR BUILDING PERMIT
Date
,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.
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 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 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. _------ "_',_. _'_
~ ~-;,
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(Signature of applicant or name, if a corporation)
/Cco CJGS-h,'&J Ole M~1u:K
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
GlCJ /i./~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
APfRQVED AS NOTED
Name of owner of premises /'1 ~7cG ;IJ ,';s cfffe...(/r" YJ-1!'Y ?f)x-lJ1-1i/,
(As on the tax roll of)M~ot ?~@Ei) tH'. a
If applicant is a corporation, signature of duly authorized officer FEE: t5'::ro. '.( 0 BY: ~L2-
NOTI Y BUILDING r.:"ARTMENT AT
765.1802 8 AM TO 4 PM FOR THE
FOllOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
. FOR POURED CONCHHE
2. ROUGH - FRAMING & PLUMBING
3 INSULATION
4' FINAL - CON~TRUCTION MUST
. BE COMPLETE cOR C.O.
.All GQNSTRUCTION SHAll MEET THE
Sou~tmIlEMENTS OF THE CeDES OF NEW
'l!{ili1~I~fATE. NU I liE"PCN31Dl[ FOR
DESIGN OR CONSTRUCTION ERRORS.
Block 0 7' . .. Lot I 8'
Filed Map No. Lot
(Name and title of corporate officer)
1. Location ofland on which proposed work will be done:
/ Goo CuG.sfv/7~..cJ tJ tC .#llJff/W
House Number Street
County Tax Map No. 1000 Section
Subdivision
/07
(Name)
2; State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~6 '. .
.
b. Intended use and occupancy
/~c;;
3. Nature of work (check which applicable): New Building
Repair Removal Demolition t>("
Addition
Other Work
Alteration
4. Estimated Cost
f'70
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
,g--2,
(To be paid on filing this application)
Number of dwelling units on each floor -3
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 24;5
Height 1'7 Number of Stories I
Rear 2C(3
Depth S&.S
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
tfloc
Name of Former Owner
/
() Soil ;(;#4)
II. 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 b( Will excess fill be removed from premises? YES_ N~
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
Phone No.
IS a. Is this property within 100 feet of a 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--K
* 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 OF 5(}4c~ \<"'1
M\'c~ae..l A. PI s('o-re-ll,' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, .
(S)He is the
Sel-f'. {}v,J'^ ~A
(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 t~M I
20 day of C\o,fCV\. 2001
~ AAJ. ~
otary Public
JOHN W. ASHLINE
Notary Public, State 01 New York
No. OlAS50688951 Suffolk ~unty
r.ommission Expires I /12/ VI 0
SURVEY OF
DESCRIBED PROPERTY
SITUA TE AT
MA rrlTUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.c. T.M. DIST.1000 SEC. 107 BLK. 07 LOT 18
~ I I I I I I I I
15 8 0 19, 30 45 60 75 98 105 120
SCALE: 1 ' = 30' DA TE: CTOBER 5, 2006
CERTIFIED TO: MICHAEL PISCA TEW
CHICAGO TITLE INSURANCE COMPANY
. WELLS FARGO
JOB NO.: 2006-282
MAP NO.:
FILED:
REVISIONS:
1
135
LOT AREA: 10,050 SQ.FT. = 0.231 ACRE
LICENSE NO. 050363
HANDS ON SURVEYING
26 SILVER BROOK DRIVE "
FLANDERS, NEW YORK .
11901 . [
TEL: (631)-723-1954 - FAX:(631)-723-1329
MARTIN D. HAND L.S
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