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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 .' ;::1::" . '".''' .,;." ",. "'), .':"'" '. ,:. i., "" .' '~-. . 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. _------ "_',_. _'_ ~ ~-;, /' ~ - (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 ~-~ m ~ Z- en \ --\~ < - m ~ .% 0;; m ; plPE -_ o.ss ~~IE t;;. ~~ u;:z. -10 '2.:;<, >0 '::0 G)on >0 w::o ::os::. mm ,-:;0 ~':< :z.o on .n . 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