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Home My WebLink About34497-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34497 Z Date MARCH 12, 2009 Permission is hereby granted to: TIMOTHY C. WOOD 340 LOCUST LANE SOUTHOLD,NY 11971 for : DEMOLITION ONLY OF EXISTING SINGLE FAMILY DWELLING, FOUNDATION TO REMAIN. at premises located at 340 LOCUST LA SOUTHOLD County Tax Map No. 473889 Section 062 Block 0003 Lot NO. 026 pursuant to application dated MARCH 6, 2009 and approved by the Building Inspector to expire on SEPTEMBER 12, 2010. Fee $ 364.60 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~,~ I? ,2007 Approved L~//~c:Q , 2~' Disapproved a/c Expiration ~;~/,/'a~ ,20/~ PERMIT NO. ~ q qq 7 ~ 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Building Inspector 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 of lot and of buildings on promises, relationship to adjdining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building PermJ. t. 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 cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appl/cable 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. RETAIN STORM WATER RUNOFF (Signature of applicant or name, ifa corporation) PURSUANT TO CHAPTER 236 State wheth~ applic~t is owner, lessee, agent, architect, engineer, general ~ntractor, electrician, plumber or builder FEE: ,~t~, tag) BY: V m ~ COMPLY WITH ALL CODES OF NOTIFY BUILDING DEPARTMENT AT kl~A/VO~~ CTA'VL: o z~ml ~ ~ee.~ ~*~ .,, AS flEQUiRED AND CONDITIONS OF FOLLOW~ INSPECTION& Name of owner ofpre~s 1. FOUNDATIQ~ - TW~ ~EQU~ED S0UTHOLD TOWN Z~A (As on the t~ rol1 ~t~ONCRETE If applicant is a_.¢orporation, (Name and title df coflYoi~({'~ ~'h~d~i¥ __ N.Y.S, DEC Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4.FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. 1. Location of land on which proposed work_will be done: '3,,/-o Z-og, House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block ~ Lot Filed Map No. Lot 2. State existing use and occupancy of premises a~ 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 Removal Demolition v/ Other Work 5. ! Repair Estimated Cost If dwelling, number of dwelling units [f garage, number of cars Alteration (Description) flication) If business, commercial or mixed occupancy Dimensions of existing structures, if any: Rear Height /~" Number of Stories z~2-- type of use. ~o, (, _Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size oflot: Front ,/O~ '" Rear / OO'z Depth /t~o '~ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated f~"' ~ 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 premises? YES__ NO__ 14. Names of Owner of premises Name of Architect Name of Contractor ~'~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __ NO __ * 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. Address Phone No. Address Phone No ~,,,V~-/~7"2'dJ~dress Phone No. 7~ 5'7'' '~ ~ 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO v/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) /~,~-'-~>'~Z_~ ~ ~o t~:~., being duly sworn, deposes and says that (s)he is the applicant (Name of/ndividual signing contract) above named, (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 tree 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 this ('~. aayof .~ V~CKI TOTH Notary lbublic 0ual?~i~' ~f .~l~ ~unty. ~ C0mmissi0n txpires JUly LIP^ Long Island Power Authol~y 11 ? Doctors Path Riverhead. NY 11901 March 11, 2009 Robert L. Boger 455 Willow Point Road Southold, NY 11971 RE: 340 Locust Lane, Southold LIPA Ref # T100991835 & T100991831 Electric Meter ~024541109 Gas Account #9650524211 Dear Mr. Boger: This letter is to advise you that the electric facilities were removed on March 10, 2009 and the gas facilities were removed on March 5, 2009. If you have any questions, please contact Fred Perez at (631) 548-7037. Very truly yours, Lead Design Supervisor Distribution Design Eastern Suffolk Division SA/am N ABEA=IO,~7 SO. FT. g6- / LO1' ~' · --MONUMENT · =PIPE i~OAP ANY ALTERATiON OR ADDITION TO THIS SURVEY IS A i40LATION OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR 7HIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR 77dE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SURVEY OF PROPERTY A T SOUTHOLD TO,tN O? SOUTHOLD SUF?OLK COUNTY, N. Y. 1000-6E-03-,~6 $CALI~: i~EO' AUGUST 28, 2008 \~, o0/ o , LOT NUMBERS REFER TO "DIAGRAM OF'LOT BELONGING TO JANE A. COCHRAN, J.~ CASE SURVEYOR" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON OCTOBER, 1870 AS MAP NO. ~99, ~ L~ ~sr~rI 08 191 SOU~ N.~ 11971