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Home My WebLink About36997-Z r TOWN 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 36997 Date: 4/23/2012 Permission is hereby granted to: Milazzo Rose L Rev Trust & Milazzo, John 137 Kings Rd Hauppauge, NY 11788 To: demolish an existing dwelling as applied for. At premises located at: 1165 Island View Ln SCTM # 473889 Sec/Block/Lot # 57.-2-20 Pursuant to application dated 1/31/2012 and approved by the Building Inspector. To expire on 10/23/2013. Fees: DEMOLITION $253.60 Total: $253.60 Building Inspector 'MVN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST DING DEPARTMENT r Do you have or need the following, before applying? T N HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 p -7 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined 20 Single & Separate Storm-Water Assessment Form Contact: Approved, 20j~_ Mail to: Disapproved a/c ~j Phone Expiration 20 R,E 7,E E Building Inspector 0 PPLICATION FOR BUILDING PERMIT Date 20o 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 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, hous code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. o , A(a?& 7N craS(, !/v tJ (Signat r of applicant or name, if a corporation) ll 3~ GC,H 3 ' 1404061'e" Ni ll • ye (M ' ng addr s o ?applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder C) U ,4 r Name of owner of premises 05e L lu t~C to yocvVie l/.r s (As on the tax roll or latest deed) If apylicant is a corporation, signature of duly authorized officer ~ rUsl-~,~ (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1165 _33 ~,d V,e, L.eve pa^d House Number Street Hamlet County Tax Map No. 1000 Section Block Lot a~ Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy pMU A~ i3ti~ldi~o ~(,/rlliny Ctd FU` PU~~gine 41, 3FFi5' ~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 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 13. Will lot be re-graded? YES NO-Will excess till be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 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. 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) CONME D. BUNCH SS:. Notary Public„ State of New York COUNTY OF ) No. 01BU6185050 Oua€iiied in Suffolk County Commission Expires April 14, 2f~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual 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 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. Zo,~ L ~t Mo,`2c^vocc~(r 7/'v k( . Sworn tp before me this day of 20 ign ture of~Applicant Notary Public Z 04/26/2013 07:52 -6319795574 PAGE 01/01 im tma rkne vrwrAuMengi CUSTOMER ORDER FULFILLMENT DEPT. 175 E. Old Country Road, Hicksville, NY 11801 April 23, 2013 Ms. Rose L. Milano 137 Kings Road Hauppauge, New York 11788 Demolition: 81s d view Lane _Gtq "nort; New York . LIPA Reference T1014W92 National Grid Gas Reference # 7101464695 Dear Ms. Milazzo: This letter is to advise you that the electric facilities to the above premise were removed on April 23, 2013. There is NO National Grid gas facilities at the above premise. in accordance with the New York State General Business Law- Chapter 818, industrial Code Rules 53, please inform the demolition contractor to notify LIPA- TELCO, Utility Control Center at 1-800-272-4480, 48 hours prior to starting work to request a mark out of the utility services in the area. If you have any questions regarding the above, please contact Jeff Stradinger at 516-546-4887. Very truly yours, C'0 ~ ' k.4. -.Z- Carolyn Mackin Manager Customer Order Fulfillment CM/am