HomeMy WebLinkAbout38204-Z~,,~~~~.~,, TOWN OF SOUTHOLD
ra,,~ za BUILDING DEPARTMENT
~ ~~ TOWN CLERK'S OFFICE
'a ~a SOUTHOLD,NY
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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 #: 38204
Permission is hereby granted to:
Likokas Family Trust
8823 Ridge Blvd
Brooklyn, NY 11209
To: Demolition of 2 cabins as applied for.
At premises located at:
9775 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot # 31.-3-23
Date: 7/24/2013
Pursuant to application dated 7/22/2013 and approved by the Building Inspector.
To expire on 1/23/2015.
Fees:
DEMOLITION
DEMOLITION
T.~t~ 1
$317.50
$301.00
$618.50
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Permit #: 38206
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)
Permission is hereby granted to:
Likokas Family Trust
8823 Ridge Blvd
Brooklyn, NY 11209
To: Demolish two buildings as applied for
At premises located at:
425 Stars Rd
SCTM # 473889
Sec/Block/Lot # 31.-3-10
Pursuant to application dated
To expire on 1/23/2015.
Fees:
Date: 7/24/2013
1/1/1900 and approved by the Building Inspector.
$317.80
$313.90
$631.70
Building
DEMOLITION
TOWN OF SOUTHOLD
Bi?ILDiNG DEPARTMENT
TOWN HALL
~~ f ~ ~ ~~ ~ ~~ i~ < <i-
I 2 2013 D
~~ JUL 2
6LDG. L'FPi.
i01NNOF50U7HOLD
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 ~ ~~.(',~ .~ ~~~Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. ~ Check
Septic Forrn
Examined~,20~
Approved ~ L , 20~J
Disapproved a/c
Ex
20
Do you have or need the fallowing, before applying?
Board of Health
N.Y.S.D.E.C.
Trustees
C.O. Application
Flood Permit
Single & Separate
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
t ding Inspector (,p 3l -GUS-
y3~a
APPLICATION FOR BUILDING PERMIT
Date ~UC~( r79- , 20 13
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.
a 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 afrer 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.
G-~ c-N ~ Ku;.t`lrlnJ Scss i~x..
~' (Signature of applicant or name, if a corporation)
/sue c~A-nw~~~ ~~ ~1wrN(X-~ 9w"-y3az
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises L/kp,CPoS
(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.
1. Location of land ~ which proposed work will be done:
~/a~ +~SS 5~s e.n -ewe- ~-,A,_~
House Number Street
County Tax Map No. 1000 Section
BUILDING PERMIT APPLICATION CHECKLIST
Hamlet
o ~' 2~
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 S~~-~ CnQ¢r.'~ S
b. Intended use and occupancy 9`1c;.J ~r ~<c ~AMr~ N~~^nc=-
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 c~rSuJ ~ ° ~a~ ~ 6~ 3 ° -~ZS '~b'-
a = ~r3 S~6r Y ~,~o s~bf
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 S~ Azract+~o
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
b i ?~ ~q~~c~~~
8. Dimensions of entire new construction: Front Rear l~,g" VDepth
Height Number of Stories
r*~ +t-lo ~9
9. Size of lot: Front rara' tag ' Rear i r a ~ i ag ' Depth ~ c,o
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ~«/Oy/71r+L
12. Does proposed construction violate any coning law, ordinance or regulation? YES_ NO~
13. Will lot be re-graded? YES NO_Will excess fill be removed from premises? YES_ NO~
14. Names of Owner of premises LrkeKAS Address ff8a I L,r~4x= rsu/o Phone No. Co"3i-7~-~`/ro
Name of Architect Address (S~-ucY-c~r,J my 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 ~E 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)
SS:
COUNTY OF.)
`3 being duly sworn, deposes and says that (s)he is the applicant
(Name of individu 1 signing contract) above named, GpNNiE p. Dl1NGH
Notary Public _State of Now York
(S)He is the
Ca~aalitied in SUTfO1K ~sclui u
Gommssscn expires Ap?i0 ta,
(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.
Sworn to fore met s
r~G day of 20~
Notary Public
Applicant
G
L11'~
~~~,
CUS'T'OMER ORDER FULFILLMENT DEPT.
175 E. Old Country Road, Hicksville, NY 11801
June 13, 2013
MR. ORF.STIS LIKOKAS
8823 1tIDGE BLVD
BROOIQ,YN, NY 11209
RE: Demolition for
Stars Road, East Marion, New York
Electric Meter #'s: 099222721, 099222722
LIPr\ Reference #'s'T101482768,'1`101482772
National Grid Gas Reference # ('101482884
Dear Mr. Likolcas:
This letter is to advise you that the I,IPr\ F,LEC'T'1tiC Fr\CILI'I'IES were
removed on Junc 12, 2013. 'T'here is NO NA'T'IONr\L GRID GAS service to
the above premise.
In accordance ~vitll the New York State General Business I,a~v- Chapter 818,
Industrial Code Rules 53, please infonn 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 dle utility services in the area.
If you have any questions regarding the above, please contact Lynda Powell at
516-545-4887.
Very trrily yours,
~x.ul ~(n ~~1.c~e~.l~~ - (~ ~r~
Carolyn Macron
Manager
Customer Order Fulfillment
CM/am
SURVEY OF PROPERTY
SITUATE
EAST DfARION
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~ TOWN OF SOUTNOLO
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~ SUFFOLK COUNTY, NEW YORK
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APPROVED A ~ NQ ~ ED ~P~~~ ~
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DATE:'? ~-4 ~ 13 B.P. if ~4 ~ ~-pJ~~
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FEE:~61~ P'(:-'~2
NOTIFY BUILDINu QSf'~RTMENT AT
76~-1602 8 AM TO 4 "t4 FOR THE ~
FOLLOWING INSPECTIONS:
1. FOUNDATION - 1W0 REQUIRED 3~'w
FOR POURED CONCRETE ~ `~~
2. ROUGH - FRAMIivG 8 PLUMBING ~fi,`
3. INSULATION
4. FINAL - COSY°TRUC T ION MUST
BE COMPLETE FvR C.O.
ALL CONSTRUCTIGN SHC,LL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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' LarM Surveyor