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HomeMy WebLinkAbout37205-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37205 Permission is hereby granted to: 07670, LLC CIO DAVID SHANKS 30 SURREY LANE Date: 5/9/2012 To: TENAFLY, NJ 07670 demolish an existing 14'X 28' dwelling as applied for, LIPA/utility disconnect letter required At premises located at: 46975 ROUTE25,SOUTHOLD SCTM # 473889 Sec/Block/Lot # 69.-5-18.1 Pursuant to application dated To expire on 11/8/2013. Fees: 5/9/2012 and approved by the Building Inspector. DEMOLITION Total: $217.60 $217.60 ~ng Inspector Jun 12 2012 2:20Ft'1 HP Faxl"ludd Vyd 6317651245 page 2 3UN-11-2012 10:52 F:q~N~U I N GR~I, JP P.02 CUSTC~I~R O~DER ~FI'LI2~NT DEI~. Mr, D~v/d Shank~ Surrey I~ LLC 30 Surrey Lane Tcn~,'yq NJ 07670 ge:Demolition 785 Lower Rd,, Southold, NY T101355601 Electric, T10115560~ Gas This is ~e advise you ri.at 1i~ LIPA electric facilities ~d Nationa~ Grid gas facilities at ~he above re~rence locat/On have been removed, in a~cor,dance with the New York State General Business Law- Chapter 818. Industrial Code R~es 53, please iaforrn the demolition contractor to noti~ LIPA-TELCO. Utility Con,mi Cr. ntcr at I.~0-272-44i0, 48 hours prior to startia8 work to request a mark out of ;he u~ili,,-y services m 1he a~ea. ir'yea na~¢ any questions regarding thc above, pleaac con, act Cuslomet O:der Fulfillment at 5 '.,5-545-?~ 782. Very ~'~ly yours, .,. C~co:r~r Orae: Fulfillment TOT¢:~._ P. ~ Jun 12 2012 2:20F~'d HP FaxNudd Vyd 6317651248 page 1 MUDD VINEYARDS, LTD. 39005 Counu/Road 48 Southold, L.I. New York, 11971 Est. 1974 Vine~rd Development Management - Comultin~ Phone 63I 765 1248 Fax 631 765 9495 FAX COYER SHEET DATE: TO: FAX #: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork. net Examined 9/,/~ 20 {/]~ Approved 5~/~ .20] ~ Disapproved a/c 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR ~ PERMIT d / Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink aod submitted to the Building Inspector with 4 sets of plans, acctirate'plot plan to scale,. Fee according to scbedule. b~ Plot plao showiug 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 issuauce of Building Permit. d. Upon approval of this applicatioo, the Buildiug htspector 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 aoy purpose what so ever until the Building Inspector issues a Certificate of Occupaocy. f. Every bui!ding'permit shall expire i~;,;lle ~ork authorized bas oot commenced within 12 months after the date of issuance or has not been completed withiu 18 months from suOh date. If no zoning amen~lmerits or other regulations affecting the property }lave beeo enacted ill tile interim, the Building Inspector may authorize, io writing, the extension of the permit for an addition six months. Thereafter. a new permit shall be ~:equ.ired. APPLICATION IS HEREBY MADE to the Building Departmeot for the issuance of a Building Permit pursuant to the Building Zone Ordiaance of the Town of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for tile 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. ~f(~Jican~~a' ( 'g p_ ' , 'corporation) (Mailing address of applicant) State whether applicant is owner, lessee, a~e_nt: architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 3A/~ga~ ,,J~//d~4/t~'~ (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 pro. posed work ~ill be., done: House Number Street Hamlet County Tax Map No. 1000 Section ~:~ ~' Block Lot /~7~. / Subdivision Filed Map No. Lot 2. State existing use and occupancy ofpremisqa and intended use and occupan, cx of proposed construction: a. Existing use and occupancy b. Intended use and occupancy. 3. Nature of work (check which applichlp,!e~' New Building Addition Alteration Repair Removal ~r'Demolition ~ Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee (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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number 0'f S~ories · Rear .Depth 9. Size of lot: Front 10. Date of Purchase Rear Depth 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 1 3. Will lot be re-graded? YES NO Will excess fill be remo, ged_f129m_ llremises~_ YES NO~ 14. Names of Owner of premiseshaL~} ,,,,~rt~/~"Addres~{~} ,Jl~Jliil~Y ~ Phone No. Name of Architect Address Phone No Name of Contractor [~',,~ ~./~ Address/~(-~,~Y~- Phone No. ~..~,/ 15 a. Is this property within 100 feet cfa 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 cfa tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to Scale, with accurate foundation plan and distances to property lines. 17. If elevation at ,at3y 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 · 1F YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) (Name of ndividual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) being duly sworn, deposes and says that (s)he is the applicant CONNIE D. BUNCH Notary Public, State of New York NO, 01BUfllR~80 Qualified in Suffolk County Commission Expires April 14, 2 ~}~, 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 applicatiou 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. S}~j~rn to before me this ' tel~ day of ~f~4'...,~ 20 I'~ Notary Public t Signature'of Applicant ~ 07670 LLC 30 Surrey lane Tenafly New Jersey 07670 Dear Southold Building Department, This letter is to confirm that we have retained Steven Mudd of Mudd Vineyards LTD to represent us with respect to the demolition permit for the larger building on Lower Road in Southold. The tax map number is 1000-69-5-18.1 Sin~erely ~ David Shanks Sole member O767O LLC 30 Surrey Lane Tenafly NJ LAND ~MP. TOWN OF SOUTHOLD PROPERTY RECORD CARD TYPE OF OLD. TOTAL CLASS ~ l DATE VILLAGE --suB. LO.~'~''=~ FRONTAGE ON wATER FRONTAGE ON ROAD DEPTH BULKHEAD _LABLE ~DLAND MEADOWLAND HOUSE/LOT Extension Extension Extension patio Porch Deck Breezeway Garage Pool Foundation Basement Ext~ Wails Fire Place Oormer Driveway Beth Floors Interior Finish Heat Woodstove Attic Rooms 1st Fioor :looms 2nd Floor COLOR TRIM Oinette Kit. BR, Fin, B. ~EW~ ~.]~K STATE COMMERCIAL DRIVER LICI~NSE ID: 322 098 853 CLASS B MUDD STEPHEN,D CouNTY RD 48 ~HOLD NY 11971 DOB: 09-24,.~4 00¢ 00~ 001 0