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HomeMy WebLinkAbout35955-ZFORM NO. 3 TOWN OF SOUTMOLD 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. 35955 Z Date OCTOBER 20, 2010 Permission is hereby granted to: PELLEGRINI HOLDINGS LLC CUTCHOGUE,NY 11935 for : DEMOLITION OF AN EXISTING GAP-AGE AS APPLIED FOR at premises located at 42100 MAIN RD County Tax Map No. 473889 Section 086 pursuant to application dated OCTOBER Building Inspector to expire on APRIL PECONIC Block 0001 Lot No. 009.001 6, 2010 and approved by the 20, 2012. Fee $ 214.00 Authorized Signature ORIGINAL Rev. 5/8/02 ! ~ ¥~'~ Ur ~UU IHULD SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. nor th for k.net/Southold/ ecl Disappioved 20/0 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIS Do you have or need the lbllowmg, before applying Board of Health 3 sets of Building Plans Plamnng Board approval ~4tzl\ C\ Check Septic Form ~ .~ Tl'nslees Contact: Mail to: ~ INSTRUCTIONS ~'etely filledin bY wpeWnter °r ii1 ink and submitted tt> thc Building Inspector with 3 sets of ~lans. accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to a4joming p~emises or public streets nr areas, and waterways. c. The work covered by this application may not be commenced belbre 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 pm-pose what so ever until the Building Inspector issues a Certificate of Occupancy. g Every building pe~it shall expire if the work authorized has not cmmnenced within 12 months ariel' the date of issuance or has not been completed within 18 months fi'om such date. If no zoning anaendments or other regulations aft~cting thc properW have been mmcted in the interim, the Building Inspector may authnrize, in writing, thc extension of the permit tbr an addition six months. Thereafter, a new ~rmit shall be required. APPLICATION IS HE. BY MADE to the Building DepmXment for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffo~ County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or fbr 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 auflmrized inspectors on premises and in building for necessary inspections. (S~anie, ifa corporation) (Mailing address o~ applicaaU State whether applicant is owner, lessee, agent, architect, engineer, general contractor electrician, plumber or builder Namc of owner el'premises ff~P~'"f-J~'~'Z//'"r/ ~'//"~t~- t' ~--'~-----'- (As on the lax roll or latest deed) If applicant is a corporation, signature of'duly authorized o£ficer (Name and title of corporate officer) Builders License No, Plumbers License No. Electricians License No. Other Tradc's License No. I. Location of lined on which proposed work.will be done: House Number Street {-',~"~'"'Hamlc~ County Tax Map No, 1000 Section ,~('~ Block /-_.et/ Lot ~. / ~.. ~ Subdivision Filed Map No. Lot (Name) 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 N iture ot'work (check which applicable): New Building ~ Addition Alteration P. epair Removal Demolition L/ .... iJ~hcr Work._ Estmmted Cost I t' dwelling, number of dwelling units if garage, number of cars (Description) Fee (To bc paid on filing this application) Nmnber ol'dwelling units on each floor If business, commercial or mixed occupancy, specify nature and cxtcnt of each type o1" usc. Dimensions of existing structm'es, if any: Front Height /c,~/ Number of Stories _Rear.._ Dimensions of same structure with alterations or additions: Front I Depth Height Number ~)f Sto"'TFO%- ' - Dimensions of entire new construction: Front ~f Rear Height Number of Stories Q~ ~ ' ~.! ! 0. Date of Purchase Name of Former Owner I 1. Zone or use district in which premises are situated Z ~ ~ 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 l?om premises? YES NO 14. Names of Owner of premises ~~ .... Addres~~._ ...... Phone No. Name of'Architect ~= ¢~E Address ~Fc~ Phoue No Name of Contractor Address Phone 15 a. Is this properly within 100 tket of'a tidal wetland or a fl'eshwater wetiand? *YES ...... NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE~EQUIRED. b. Is this property within 300 tket of a tidal wetland? * YES NO * IF YES. D.E.C. PERMITS MAY BE REQUI~D. 16, Provide survey, to scale, with accurate foundation plan and distances to property iincs. t 7. Il' elevation at any point on property is at 10 feet or below, mnst provide topographical data on survey. STAT£ OF NEW YORK) L OUNTY O F ,-~I~//~S)S: ._.~_ ~].'~,~,3"' O. ~O~D being auly swon~, deposes and says that (slhe is thc applicant (Name of individual signing cont[act) a~0ve named, (Corm'actor, A~en~; Cmporate Officer, etc ) oF said owner or owners, and is duly authorized ,o pertbm~ or have pertbrmed thc said work "~" to make and file this application: that all statements contained in this application are trae to the best of his knowledge and belief: and that the work will be perfbrmed in thc manner set fo~ih in the application filed therewith Sworn to bcfo,'e tne'th~N~..J~ ~ ~ ~ P T ICIA CARDS ~~[ i~ew Yor Notmy Pablic No. 01RI6042467 Qualified in Suffolk County Commission EXpires May 30, '-- ~icant S A M U E L S & S T E E L M A N October 5, 2010 Southold Town Building Department Town Hall Annex Main Road Southold, NY 11971 Re: DEMOLITION OF GARAGE AT PELLEGRINI VlNYARDS 42100 Main Road, Peconic. NY 11958 SCTM # 1000-86-01-9.~1~ This project includes demolition of an existing one stow dilapidated garage. Attached documentation includes the following: 1) 2) 3) Demolition Permit Application Two (2) stamped SITE PLANS Check for $100 Please review the enclosed and get back to me with any questions. If application is complete, please prepare a DEMOLITION PERMIT, and contact my office. As always, I appreciate your efforts. Sincerely, ~amuels ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (631) 734 6405 FAX (631) 734-6407 '\\ ~TIN~ ~ PA~K..IN~ LANPtDANt<EP EXI~TIN~ ~RAVEL PRIVE .IW d,I~JJ~HED ~TONE LAInIN ^~A -- NEI~ ,D'~X 8' PEEP h~LL I PlRT I=ARM ROAD / PlI~.T I=AI~M I~,OAD TO VINE'r'ARD ~r~ 20" 5¥C, AMOP-~ ' ' > ~ ~ APProx./Loc. ' ~x~ ~0~ EXI~T~N~ ~ANITA~Y '16 / / ~LM M / ~ ~ // ~EXI*TIN* ~*~TATION ~ ~- .... ~AIN ~ ~XI~TIN~ UTILI~ ~OL~ ~ ~-~ ff.P~= OT= NON-DEVELOP?dENTAL AfR.~A ANP VINEYAR.D I / I >1 <1 PARTIAL SITF PLAN SCALE: 1" [] 20'-0" SITE DATA SCTM # PROPERTY: ADDRESS OWNER: SURVEYOR: ZONING: SITE: AREA LOT: COVERAGE LANDSCAPE: COVERAGE NOTES: 1000-86-01-9.1 42100 MAIN ROAD PECONIC, NY. 11958 PELLEGRINI HOLDINGS, LLC 23005 MAIN ROAD CUTCHOGUE, NY. 11935 YOUNG & YOUNG LAND SURVEYORS 400 OSTRANDER AVENUE RIVERHEAD, NY 11901 A-C 41.2849 ACRES / 1,798,370.244 SQ. FT. 0.35% ACTUAL ! 20% MAX. ALLOWABLE 98.36% ACTUAL / 35% MINIMUM SITE MAP THE LOCATIONS OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA FROM DATA OBTAINED FROM OTHERS. ~ REVISED: PROJECT NO: 2102A DRAWN BY: RJB CHECKED BY: TCS DATE: 1015/t0 SCALE: 1" = 20'-0" SHEET TITLE: PARTIAL SITE PLAN SHEET NO.: 1