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Home My WebLink About34283-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34283 Z Date NOVEMBER 7, 2008 Permission is hereby granted to: ISLAND DEV CORP FISHERS DRAWER E FISHERS ISLAiqD,NY 06390 for : DEMOLITION OF EXISTING BARN AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 001 pursuant to application dated NOVEMBER Building Inspector to expire on MAY Fee $ 965.80 OFF EAST END RD FISHERS ISLAND Block 0001 Lot No. 002 3, 2008 and approved by the 7, 2010. ORIGINAL Rev. 5/8/02 TOWN OF SO. UTHOLD BUILDING D~PARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiation PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Heaith 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Buildiog Inspector APPLICATION FOR BUILDING PERMIT ~ ~. Date ! INSTRUCTIONS a. Tl~s 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 of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by th~s 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 ~hall 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 ~sha~! exp'.~_e if the w?rk authorized has not commenced with~' 12 months aRer the date of ~ssuance ?r ha~s not b~ r~.mple~ <v2i~t. 8 ~tl~';fl'om St[ch~d~ .lif.¢q~ ~...m~u~ g~a,m~ndm~nt.~ or ~tl. er regulations affecting the pro~l~t~ nlve oee.n enacted in the in~: lh~ ~uilding. I~i~ector may auth~)r~e, i~ ~i~ifi~, ttii'e~ti~sion~ of the permit for an addition six months. Thereafter, a new permit shall be reqdired. 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 b~ilding for necessary inspections. 1~ (Signa)ure of applicant or name, if a corporation) (Mailing addre~ of aplfficant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '~4' ~_, .~'L~ / ~ ~' (As on the tax roll or latest If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. I000 Subdivision (Name) Section ~i~ Block / Filed Map No. Lot 2. State existing use and occupancy of premises.a~n~ intended use and occupancy of proposed construction:. a. ExiSting use and occupancy b. Intended use and occupancy / 3. Nature of work (check which applicable): New Building. Addition Repair Removal Demolition ~ Other Work 4. Estimated Cost Alteration (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor ~ 5. If dwelling, number of dwelling urdts If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. ~)imensions of~x~ng structures, if any: Front ,/~?'t Rear /~ ~' Depth Height._ Number of Stories Dimensions of same structure with alterations or additions: Front '"--- Depth --" Height. ~- Number of Stories .--- 8~ DLmenslor~ 'of enare new constmcUon: Front Rear Depth Height ' Number of Sto~ies Rear 9. Size of lot: Front Rear Depth 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 or regulation? YES__ NO ~ 13. Will lot be re-graded? YES ~/rNO__Will e~cess ill[he removed from prem~s, es.%YES NO 14. Names of owner 0f premises ' ~ddress._~. I, ~A,~tt~0' l~h;ne No. ~~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property withha 300 feet ofa tidal~ wetland?. * YES __ NO ~ NO / e~ .... .~ · pl ' yli 16. Provide surv , to seale;,~ a¢ourate undauon an and distances to propert nes. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 9* __ 18. Are there any covenants and restrictions with respect to this property. YES NO / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF ) ¢_~~ ~t~~ being duly sworn, deposes and says that (s)he is the applicant (Name ofindivid~l signing contract) above nmned, (S)He 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 fried therewith. *~ig~nature of Applicant TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20__ Approved 20__ Disapproved adc Expiration 20 __ PERMIT NO. 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: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ~7~,, 20 O,~ INSTRUCTIONS a. This application MUg-T~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 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. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not beeta c0mplet~c[ withint 8 month~.fi'om such date. If no zoning.a~gndments or other regulations affecting the property have been enacted in the interim, the Building. Inspector may authorize, in writing, the extehsion 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 constmction 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) (Mailing addre~ of app~cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 3,~ (As on the tax roll or h deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Oth~ Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block __ Filed Map No. Lot 2. State existing use and occupancy of premises.a~ intended use and a. Existing use and occupancy b. Intended use and occupancy / 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars ~ occupancy of proposed construction: Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor ------ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front /~7 '! Rear /~ ~ ' Depth Height .~_ ,~' Number of Stories Dimensions of same structure with alterations or additions: Front "--- Depth ---' Heighi[ '-- Number of Stodes ,---- Dimension~ of entire new construction: Front O Rear Depth Height Number of Sto~e's Rear '"' 9. Size of lot: Front Rear Depth 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 or regulation? YES__ NO '~ 13. Will lot be re-graded? YES ~/~NO__Will excess fill be removed from vremls.es? ,YES NO ~ 14. Names of Owner of premises Address~./. ~O'~,$t~ ~---Phone No. ~n.ff'~ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland. YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES __ NO ~ * IF YES; D:.E.C. PERM. ITS3VI.A~ BE~REQU,IRED. NO 16. Provide survey, to s'eale~ 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) .' SS: COUNTY OF ) ' { "/~~,J-'~~ being duly sworn, deposes and says that (s)he is the applicant (Name of individY~al signing contract) above named, (S)He is the 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. Signature of ~'pplicant FISHERS ISLAND ELECTRIC CORPORATION P.O. DRAWER E FISHERS ISLAND, NEW YORK 06390 631 788 7251 9/4/2008 Town of Southold Building Department 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Dear Sir/Madam, This letter will certify electric service to property belonging to Fishers Island Development Co (SC Tax Map # 1000-1-1-2) is scheduled to have its electric service disconnected October 1, 2008. Very truly yours, Robert E. Wall President SPQFFORD BLOCK 6, LOT 2 SPOFFORD BLQCK 6, LOT 1 MERESTONE 3,90' MERESTONE N W 1281.77 FISHERS ISLAND DEVELOPMENT CQRP. FISHERS ISLAND DEVELOPMENT CORP, FISHERS ISLAND DEVELOPMENT AREA = 0.67:~ ACRES GRAVEL AREA CONCRETE PAD QUALITY CONTROL CERTIFICATION GROUP REVIEWED DATE SHED N/F FISHERS ISLAND DEVELOPMENT CORP. MERESTONE 1556,95 1074,14 S T 7-5 LOCATION MAP NO SCALE N/F FISHERS ISLAND DEVELOPMENT CORP, DATE: NOTIFY BUILDING DEPAr(TMENT 765q802 8AM 10 JFM FORTNE FOLLOWING ~NSPEC] IONS: 1. FOUNDATION - TWO NEQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET T REQUIREMENTS OF THE CODES OF N YORK STATE. NOT RESPONSIBLE DESIGN OR CONSTRUOTION 1,) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT, 2,) IT iS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN iTEM IN ANY WAY, 5.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE TNE PRODUCT OF THE LAND SURVEYOR, 4,) COORDINATE DISTANCES ARE MEASURED FROM U S, COAST AND GEODETIC SURVEY TRIANGULATION STATION "EAST END 2" 5,) SITE IS IN THE TOWN OF SOUTHOLD, COUNt( OF SUFFOLK TAX MAP DIST 1000, SECTION 001, BLOCK 1, LOT 2. 6,) TOTAL AREA : 0.67:1: ACRES, 7.) SITE tS LOCATED IN R-120 ZONE, N/F NOW OR FORMERLY SF SQUARE FEET u RAIL FENCE 20 ~0 0 GRN~HIC SCALE rN FEET DATE: 20 SCALE: SHEET: 10/02/2008 1" = 20' I OF 1