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HomeMy WebLinkAbout33879-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. 33879 Z Date MAY 7, 2008 permission is hereby granted to: EDWARD H & WF MAGUIRE 338 74TH ST BROOKLYN,NY 11209 for : DEMOLITION OF DWELLING AND GARAGE AS APPLIED FOR at premises located at 2625 MILL RD SOUTH/PEC County Tax Map No. 473889 Section 067 pursuant to application dated APRIL Building Inspector to Block 0006 Lot No. 011.001 30, 2008 and approved by the Fee $ 308.50 ORIGINAL Rev. 5/8/02 ~ I Expiration ,20_ )R '~ 0 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. Trustees Contact: Mail to: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.narthfork.netlSouthold! PERMIT NO. ~~9-J ~ Examined ,20-Y ,20_ ,I 12 Approved Disapproved alc Phone: 7 fhS ~ {S4(0 APPLICATION FOR BUILDING PERMIT ,20_ Date 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 waierways. 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 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. G<.:"'/Q C)J.G~c./W~ ""'Co<' /"/c- (Signature of applicant or name, if a corporation) / S?:> 4J IJ 'j ..:av =-J Dz- J':; /:THd<OO 1/"171 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 11 (,CNV-r- Name of owner of premises =" Builders License No. Ls. Plumbers License No. Electricians License No. Other Trade's License No. (// &P (As on the tax roll or latestA If applicant is a corporation, signature of duly authorized officer ).... ~ I?clB~e (Name and title of corporate officer) FEE: - - NOTI BUILDiNG C:::PI'RTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTiONS: 1. FOUNDATION - TWe REQUIRED FOR POURED CCN::RETE 2. ROUGH - FRAMlr,G & PLUMBING 3 INSULATION 4: .FlNAL - COt:~TqUCT'?N MUST fe:E.&QW'dJ.TE . c' f O. ~STRUCTION ~,jj-\LL MEET TII[ REQUIREMENTS OF THE CODES OF NEW ~S' NSIBLE FOR Block 0 (.. YORK IiRRORS. Filed Map No. DII8l~ .-...:...__ ...,...0..... ... - rr _ OS '/IUI.1eIIqlJ I' . I _.J{) O.r7tJ"" frl.OUUWl,r...- I. Location of land on which proposed work will be done: J~dJr /1{/~ '-'Ai. House Number Street County Tax Map No.1 000 Section Subdivision (.7 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~JV" '-<...- h:.M'~'i b ,...........,,) \.. b. Intended use and occupancy l::Jc""", c ,ct. ' TiNe. 1Z<;.y'~. -.;/ No..! ("'-'0<-",0"- /IJft<'-" , . 3. Nature of work (check which applicable): New Building Repair Removal Demolition -7-- Addition Other Work Alteration 4. Estimated Cost (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (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. 7. Dimensions of existing structures, if any: Front .7 7. 1 . Height Number of Stories I Rear Z. 7. '7 ' Depth s"J. V 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 I....., ' 9. Size oflot: Front VU Rear /oJ' ~-, ( Depth ,;...-uv 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance orregulation? YES_ NO/- 13. Will lot be re-graded? YES -L:::: NO_Will excess fill be removed from premises? YES_NO_ \)1lGif'7,-,,- &u,F'-G.iJ vy PhoneNo.103'-7bJ~(.,,'tcU, Phone No /,)0 CJII>i4-""-.f p,,- Phone No. '& ,(,S- r 'i 'f(b J ""TJ-/Ovo 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO c;>L- * 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. 14. Names of Owner of premises (;;(/..(;..,,) j/If..C.Ou'.<N Address Name of Architect Address Name of Contractor (~. CWo c.l,.J~w aU", Address 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. Ifelevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF~ ... :~:, ~l>(l>@':1 a,.Jl"l..."<f' being duly sworn, deposes and says that (s)he is the applicant '.,t. (Name of indiVIdual signing contract) above named, (S)He is the /hv -,.,rr (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 me 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. 1_ lJNQo\ P. IWIIlOlJ'H tffIfNltt -wi """ _fII... YlIIII .... 'Im1t 11I1 - - -....-- ~l . . ........,,10.1.0 ------~----_._- ..1 ? IC, " LIPA LMg ~ .......AlItl1orlIr 117 OQcl<irll P.th R/verl!lJod, NY 11901 , L JJ \ 0 . , :J I J\ I) . . '[j'1 " ...J _II'~ 0' D ~- L 1- . November 9, 2007 Mr. Edward Macguire 33874111 Street 8rooklyn, NY 11209 RE: 2395 Mill Road, Peconic LIPA Ref#T100809372 Electric Meter #059397812 Dear Mr. Macquirc: This letter Is to advise you that the electric service to the above referenced premises was removed on November 7, 2007. If you have any questions. please contact Fred Perez at (631) 548-7037. Very truly yours, ~ Steve Aylward Design Supervisor Electric Design & Construction SAlam . ~'d rlO'Of,J iR:!d3i,3~ )a(l 1~C{J2 : T 813132 . S2 '<ldtl