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Home My WebLink About35370-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. 35370 Z Date MARCH 5, 2010 Permission is hereby granted to: PATRICIA WITZKE 532 LAUREL AVENUE SOUTHOLD,NY 11971 for : DEMOLITION OF AN EXISTING DWELLING AS APPLED FOR at premises located at 280 LAUREL AVE SOUTHOLD County Tax Map No. 473889 Section 056 Block 0003 Lot No. 003 pursuant to application dated MARCH 3, 2010 and approved by the Building Inspector to expire on SEPTEMBER 5, 2011. Fee $ 493.00 Authorized Signature COPY Rev. 5/8/02 LIP^ 117 Doctors Path Riverhead, NY 11901 June 22, 2009 Mr. William Witzke 532 Laurel Avenue Southold, NY 11971 RE: 280 Laurel Lane, Southold LIPA Reference #T101022154 Electric Meter #000684362 Gas CPR # 549461 & T101022154 Dear Mr. Witzke: This letter is to advise you that the electric service to the above referenced premises was removed on May 31, 2009. The gas service was retired at the curb on June 28, 2009. If you have any questions, please contact Fred Perez 631) 758- 5037. Very truly yours, Lead Design Supervisor Distribution Design Department SA/am TOWN OF SDUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved D~ 3) 05' _, 2O Disapproved a/c PERMIT NO. '35 5 70 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need tl~e tbllowing, before applying'? Board of Health 4 sets of Building Plans Plamfing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Stom>Water Assessment Form Contact: Mail to: -~: ~ ~ Y Building Inspector ~ L. '" [ ~ ~PLICATION FOR BUILDING PERMIT Date 03/ O3 , 20 ]0 '~2'~7~J ~ffT~}e}~o~JUdgINi~t~ff~ftT~Sin ink and submitted to the Building Inspector with4 sets o 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 Ibr 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 lbr 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, ,{~d to admit authorized inspectors on premises and in building for necessary inspections. ~..,,/[~) (Signature of applicant or name, ifa corporation) 637 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Xameofownerofpremises (--O L/--(..i t~,,..~ .~- Pc. It ,':c:c., (.,,2 ~,6'~w_, (As on the tax roll or latest 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. ~~ Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section --~ (-O Block O.~ Subdivision Filed Map No. Lot Lot 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 3. Nature of work (check which applicable): New Building Demolition 4. Fee 5. Repair Removal Estimated Cost $' 3~ oeo If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 6t5. ~, Rear Height Number of Stories ~ .Depth Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size of lot: Front I e~'7. 5o ~' Rear I "7~. ~o' _Depth cf ~ .~0~ 10. Date of Purchase Name of Former Owner 11. Zone or use district in whicb premises are situated F'*--$. ¢;):,-,l-.'~-L- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO__ 13. Will lot be re-graded? YES NO }><SWill excess fill be removed from 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 ora tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE,,gEQUIRED. b. ls this property within 300 feet ora tidal wetland? * YES NO * IF YES, D.E.C. PERM1TS MAY BE REQUIRED. NO :><5 16. Provide survey, to scale, with accurate tbundation 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 3( STATE OF NEW YORK) COUNTY OF $'"qG¢'~S)S: ~/,J,. i ~ (.~.1.~, being duly sworn, deposes aud says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public.State of New Yor~ (S)He is the (~O .',~...- No. 01BU6185050 (Contractor, Agent, Corporate Officer, etc.) C0mm~l~n-~ir~e'~'~ ~"~0 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 bis knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tl~ r ~F(,i day oPt¥ kg,vA_ ~ 20 ~O Notary Public N 31.6' SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY., N.Y. .. 1000-56-03-03 SCALE: 1'--30' MARCH 2, 2004 AREA=16,159 SCi. FT. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72090F 'I7'tE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVlSlON 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIONA TURE APPEARS HEREON. ~ .ES. LIC. NO. 49611. J.::'£CONI¢ ~'icQRS, P. C. (631) 76,~..5~20'~FAX (651) 765-1797 P.O. BOX 909 1230 TRAVELER STREET SOUTHOLD, N.Y. '1971 04-116