HomeMy WebLinkAbout34864-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. 34864 Z
Date JULY 14, 2009
Permission is hereby granted to:
C SIOLA (TSOUNIS)
825 DAISY ROAD
MATTITUCK,NY 11952
for :
DEMOLITION OF DWELLING AS APPLIED FOR
at premises located at 825 DAISY RD
County Tax Map No. 473889 Section 106
pursuant to application dated JULY
Building Inspector to expire on JANUARY
MATTITUCK
Block 0008 Lot No. 039
9, 2009 and approved by the
14, 2011.
Fee $ 722.50
Authorized Signature
ORIGINAL
Rev. 5/8/02
July 6, 2009
Nicholas Tsounis
PO Box 640092
Oakland Garden NY 11364
Service Address: 825 Daisy Rd, Mattituck
L1PA Reference T101033356
Dear Mr. Tsounis:
Please be advised that LIPA has removed all of its electrical equipment to the above
captioned premises on July 2, 2009.
Thank you for this opportunity to be of service to you.
Very truly yours,
Steven Aylward /~'
Lead Design Supervis~0i-
Distribution Design
Network Strategy Engineering - LI
SUFFOLK COUNTY WATER AUTHORITY
2045 Route 112, Suite 5, Coram, New York 11727-3085
June 16. 2009
Nicholas Tsounis
PO Box 640092
Oakland Gardens NY 11364
Dear Mr Nicholas Tsounis:
On June 11, 2009, our representative confirmed that the water service was
physically disconnected at the above referenced location.
Please advise your contractor that care should be taken not to damage the
'~";o*;"" .... ~ '-""! .... ~,~- h~ The cost of any repairs would be billed to the
premise and no service initiated until the balance i.~ n~id
Sincerely yours,
iun~:)Water~Auth°rity
yon ~
Deputy Regional Manager
DLL/dg
TOWN OF SOUTHOLD
BUILDING DE.PARTMENT
TOWN HALE
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Disapproved a/c
Expiration
BLDG. DEPI,
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
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone: (~) 6~(_QF.._~
Building Inspcctor
~PPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date -'3"0 hI c? ,20 Oe~
lOW~ 0[ SouIH0tB
L ,,. Tlii~- ~i~pncanon MUST be cumpletely 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 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.
(Signature of applicant or name, if a corporation)
(Mailing address of appl~anti
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~'0k c.-ko {c.,.q, ~, '-T~o ~,,,..,, _.q
(As on the tax roll or latest dj~I~0VE[} AS NOTED
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.
Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
k3IIFY BUILD:~'~ L::~FqTMED' ~T
7:~-1832 8 2,"~
F C,'_LC)'.*,'f~G
FO:, :'O.:iL~9 r ,: '2RETE
2. ROUGH -
3. INSULATTF/'i
- GTh~.~''' ~ ~k O.
Block uo,~t, a~' ' E.' ~r ?'~x sP~/ F(
Filed Map No. OESICN Off CONS~GTION L. OF.~.
2. State existing use and occupancy of premises and intended use and occupancy of proposed constrhction:
a. Existing use and occupancy
b. Intended use and occupancy 0~,,~,l; ¢i0va o~ ~/~>%~- 4~ i/'~xc~,,,,J L~,~d
3. Nature of work (check which applicable): New Building,. Addition
Repair
Removal Demolition X4r-~ Other Work
1
4. Estimated Cost ~16; 00,~ Fee
5. If dwelling, number of dwelling units
If garage, number of cars
Alteration
(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 Rear
Height. Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
_Depth
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size of lot: Front
10. Date of Purchase
Rear Depth
Name of Former Owner
I 1. 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 fi.om premises? YES NO__
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a 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 ufa tidal wetland? * YES__ NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO J
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__
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
COUNTY OF~~
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
CONNIE O. BUNCH
Notary Public, State of New Yor~
(S)He is the n~ nmnA'm.,iosfl
(Contractor, Agent, Corporate Officer, etc.) Ouaii~ in Suffolk Count,/.,
Commission Expires April 14, 20~o~..
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
~'4"~ day of~C-~-/M~ 20 (~)5
Notary Public
Signature of Applicant
DAISY ROAD
LOT # 49
116.32'
S. 71°39'20'' W,
o, LOT # 48
SURVEY OF LOT # 49, MAP OF SUNSET KNOLLS SEC'TION 2
FILED: APRIL 9. 19'~0 - FILE # 5448
SITUATED AT MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY.
SUFFOLK ¢OUNTY [}EP~RTMENT OF HEALTH S£RVIC~
SINGI.E fA~HI.Y D~'/~[[!NC ONLY
SUFFOLK COUNTY TAX MAP
~T~T ~CT~ BL~ ~T
' ~000 ~06 8
sURVEYED JAN, 2?, 1988 ·
~/.~. ~. ~! · I.~,~ '
· I'! = ~0'
HARRY P. ~LLEBRAND
LAND SURVEYOR
II CHURCHILL LA** SMITHTOWN, NY
TEL. 543-5139
TOWN OF SOUTHOLD PROPERTY RECORD CARD .~
~,'~ ~ b~ ...... s w
~ND IMP. TO~ ~L DATE R~RKS
~ - ,, ~ , ',~'~
'illable , FRONTAGE ON WATER
~NTAGE ON ROAD
V~la~
A~ DE~H'
I~ P~ BULKH~D
Breezeway
Patio
O. Bo
COLOR ~: TR~M /--",(,'~
Foundation
Basement
/ o ,~ Ext. Walls
Fire Place
Type Roof
Recreation Room
Both
Foors
?
Interior FJnish
Heot
Rooms Ist Floor
Rooms 2nd Floor
Dormer Driveway
Dinette
'LR.
DR.
01/07/2005 15:57 F~ ~001
444GIiIIJmeS l, · IMI i, NY il741 · 'I'K: S81471-B801 · fn:BS1.471-SB37
Mr. Nicholas Tsounis
825 Daisy Road
Matfituck, New York
6/11/09
B & D Removal Corp. will supply Labor and Dumpsters for the rip a~d removal of
If Block Cesspool - $850.00 to fill in up to I0 Feet Deep
If Pre Cast Cesspool - $1200.00 to fill upto 2 Sections and 2 Domes
THE ABOVE PRICES OIVEN ARE PER POOL. IF ANY ADDITIONAL CESSPOOLS
ARE FOUND THERE WILL BE ADDITIIONAL CHARGES.
ALL ABOVE PRICES MUST INCLUDE 8.625% SALES TAX UNLESS CAPITAL
IMPROVEMENT FORM IS COMPLETED.
Payment to be made as follows: Entire payment due upon completion of job
ALL WORK TO BE COMPLETED IN A WORKMAN LIK~ MA~qqRR ACCORDING TO STANDARD PRACTli(~L=~
,idawatk bridging, se.~tity, u~loa labe~, lam~i~g, va~ Booting. ra~¢ ~loe~ duM catgrOI. ~gxnmy prat~/O~ ~t plaltic ~ovmlnsog
t~n~qt, bonding and load Igofing walls, necd/ing or und~pinnlog, d~mmg~ to uamadt~ ~xi~ting u~etgtound ufililkn, tr~.hin& lead
abai~a~nt, double lloorin~, doubl~ r~lling r~movals, Freon ranmval md n:eqm~, scmt£ylag/$rlndlns ot*ll~, ~xeava6c~ ot
After 7 ~. 10% will ~ e~ ~ ~lafi~ ~l ~IIMi~s mint ~ · wtil~ If~ h ~ ~ ~M Slt~ ~
ACC£PTANC~[~C~NTR&CT~Th~t~b~vcp~ces~sP~l~ea~i~n~and~ndili~ns~s~sf~cg)r~d~chetebyacc~ptcd~ You
are auiftorized to do the w,~k ~ceifi~d, Pnymtmt will bo made. nutlin~d_
444 Saint James Street., flolhrook, NY 11741 · Tel: 631-471-6601 "Fax: 631-471-6637
6/8/09
Mr. Nicholas Tsounis
825 Daisy Road
Mattituck, New York
CONTRACT
B & D Removal Corp will supply Labor and Dumpsters for the Rip and Removal of
entire House and Foundation including removal of all Walkways and Patios.
Price also includes the filling in of Foundation with Clean Fill.
Total Price: $13,800.00 plus 8.625% Sales Tax unless Capital Improvement form is
completed.
Payment to be made as follows: V2 on Mobilization and entire balance upon completion
of job.
Estimated time: 2 V2 - 3 V~ Days
CUSTOMER IS RESPONSIBLE FOR OBTAINING OF ANY PERMITS.
B & D REMOVAL CORP WILL REMOVE ANY SHRUBBERY NEEDED TO COMPLETE JOB ONLY. AREA OF
DEMOLITION ONLY WILL BE LEFT W~TH A ROUGH GRADE.
PRICE DOES NOT INCLUDE DRIVEWAY.
B & D REMOVAL CORP IS NOT RESPONSIBLE FOR ANY DAMAGE DONE TO LAWNS, SHRUBBERY. DRIVEWAYS.
BRICK, CESSPOOLS. COBBLE STONE. CONCRETE, SPRINKLER SYSTEMS. PHONE LINES, CABLE LINES, EI'C. ON
ANY MACItlNE JOBS.
ALL WORK TO BE COMPLETED IN A WORKMAN LIKE MANNER ACCORDING TO STANDARD PRACTICES
Any alteration or deviation from the above specification involving extra costs will be executed only upon written orders and will
up to 4 inches. All wails, floor and ceiling R~ps are only up to one layer unless otherwise speelhed in cOntTact Exclusions: I~,cal or
Sales tax if applicable, permits, hazardous mater als, elevator hoist, service fees, utilily disconnects and drains, bracing, shoring,
barricade. Glue/thinset/mud removals, temporal' poxver or Ii'dating` securi~, fire alarm, salvage, merchandise left behind by prewous
tenant, bonding and load bearing ~lls, needling or underpinning, damage to unmarked existing underground utilities, trenching, lead
abatement, double flooring` double ceiling removals. Freon removal and recapture, scarifyiag/grinding oflloors, excavation or
layouts. All payments must be made according to contract terms. Any payment nol received will result in liens on property and
This contract may he withdrawn if not accepted within 7 days. Customer must return signed contract in order for work to proceed.
After 7 days, 1(~/o will be charged for cancellation. All cancellations must be in writing. If work is ¢ommeneed, this proposal shall be
considered accepted by both paflies. Owners to car~ fire. tornado and other neeessa~ insurance. All agreements and PO's must
incorporate by ret~rence this prol.~sal in its entirety. The order to proceed must be in vailing and accompanied by our signed
proposal.
ACCEPTANCE OF COWI'RACT - The above prices, specifications and conditions ave satisfactory and are hereby accepted. You
are authori?xd to do the work specified payment will be made as outlined above. ~/~ -