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Home My WebLink About33895-ZFORM 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. 33895 Z Date MAY 13, 2008 Permission is hereby granted to: BREEZES R E LLC EASTERN PO BOX 1103 SOUTHOLD,NY 11971 for DEMOLITION OF AN EXISTING BUILDING AS APPLIED FOR at premises located at 54795 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 062 Block 0001 Lot No. 003 pursuant to application dated MAY 13, 2008 and approved by the Building Inspector to expire on *7!l\1L'M-L'lJ „ ~nno Fee $ 196.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDINr DEPARTMENT TOWN HALL SOU'Y'HOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 S o utholdTown.NorthFork.net BUILDING PERMIT APPLICATION CHECkLIST Do you have or need the following, before applying'? Board of health 4 sets of Building Plans Planning Board approval PERMIT NO. ~ ~ p /~~ Examined , 2 0 Approved 20 Disapproved aic Expiration , 20 . APPLICATION FOR INSTRUCTIONS Storm-Water Assessment Form Contact: 1 M ' [o:_ Phone: 7" 7 / - /~ Date /.~ , ~OU~ a. This application MUST be completely tilled 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 of lot and of buildings on premises, relationship [o adjoining premises or public streets or areas, and waterways. c. The work covered by this application may no[ 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 £ Every building permit shall expire if the work authorized has not commenced within 1 Z months afrer 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. ~~~~~ (Signatur f applica/nt~or name, if a corporation) ~0 5 ~~ GLu!„~-~c.e-/ t a~ (Mat g address of applicaq State whe~ applicant is owner, lessee agent, rchitect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As'on the tax roll tef la If applicant is a corporation, signature of duly authorized officer DAZE. (Name and title of corporate officer) Builders License No. ~e ? ~a ~ ~ Plumbers License No. Electricians License No. Other Trade's License No FEE • i 1_G',,'' vv ~ ~~ •~ - g AD.; i r 765-180? ]rsr-- FOLLOWING FOR FOU'iiED C,t. p, ROUGH Fi;r~;,?,. ._; ~~ land on which„propgsed work yvill be done: House County Tax Map No. 1000 Subdivision 5'~ T iH 'eet IlHhrhl>~f~,';,1 OFI'~'~ ~- ,,~,~LE fOR iF,E. REQU,. J :rr ~~' ,~;I ERRORS Section ~ ~ Block / YQRK a CLb1?TRU~~ Filed Ma- p No. DE~'°t~ Lot Check Septic Form N.Y.S.D.E.C Trustees Flood Permit T . `;~~ AT Cl :1:11:U ,C,.. & 1. ~.dG 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New BuildingsAddition Repair Removal Demolition / Other Work 4 Estimated Cost Fee (Description) (To be paid on filing this application) If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7 Dimensions of existing structures, if any' Front 30 . ~ Rear 3p 3 ~ Depth c~~`• ~ ~ Height Number of Stories / Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9 Size of lot: Front /a~ Rear / w Depth o~o~ ] 0. Date of Purchase Name of Former Owner /~ eC.~ RTiV ~/ 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 b'~'ill excess fill be removed from premises? YES NO / 14 Names of Owner of premises oC P ,Str~n`j i Address ~ R.r /~ Phone No. /i`7v~ -~ ~OrJ Name of Architect ~o ber/-,(rya cJ n ~ Address ~,-ee~ v~~'' Phone No ~7 7 - 975, Name of Contractor~0i» /~/~B y Address I$ de~r'/te.c_.d_ Phone No. J~0 ~-(7ad .~n jY~YRulc~hiNE/G F.3u; /d; /~h ~'Jf dtlE/~' . / 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 1/ * 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. O/2 YBC~O;C d 17 If elevation at any point on property is at 10 feet or below, must provide topographical data on survey 18. Are there any covenants and restrictions with respect to this roperty? *YES NO * IF YES, PROVIDE A COPY gS f~P/°l'~/cz~ 'b ~ ~/ltnn;.~~j~O/+•e~ r` N 'r ~Or .S'df'~e~t-K C~ ~F~~» 15~P7- STATE OF NEW YORK) SS COUNTY OF~,~/i/~~ ,, / ~M ~-/ Tl • ~$'1Q TzV being duly sworn, deposes and says that (s)he is the applicant (Name of dividual signing contract) above named, (S)H is the ^ (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. before me this ~ day of ~ 20~~ ~^' NY BEAD ofLNew Yak ~%I7L~ ' ~ ~"" vL~ Notary blic No. 01 Ebp99317 ature of A hcant Qualifiad M Suffolk Comb b'u PP ..__ :nn cxrnat SlDL 29, ~~ ~ (/~ Alteration L' ~~ 117 Doctors Path Riverhead, NY 17907 Long Icland Power AYthodty February 28, 2008 Mr Joseph Mc Carthy 54795 Main Road Southold, NY 11971 RE 54795 Main Road, Southold LIPA Ref # 7100839913 & 840644 Electric Meter #078086877 Dear Mr. Mc Carthy: This letter is to advise you that the electric service to the above referenced premises was removed on February 19, 2008. The gas service was cut at the curb on February 13, 2008. If you have any questions, please contact Fred Perez at (631) 548-7037. Very truly yours, ~z-~~' Steve Aylward r'~ Design Section~Manager Electric Design & Construction SA/am -i i