HomeMy WebLinkAbout38208-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 #: 38208
Permission is hereby granted to:
T K Alpha LLC
45 Broidy Ln
Southhampton, NY 11968
To: Demolish a 20' X 30' existing garage as applied for
At premises located at:
535 Pike St, Mattituck
SCTM # 473889
Sec/Block/Lot # 140 -2-20
Pursuant to application dated
To expire on 1/23/2015.
Fees:
Date: 7124/2013
7/22/2013 and approved by the Building Inspector.
DEMOLITION $280.00
Total: $280.00
~, /~
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.ne[
Examined,20~
Approved l '},`/ ,20~~
Disapproved a/c~
Expiration
~ '_ ,
i -----
~~,1
i
~' JUL 2 2 2013
Septic Fortn
N.Y.S.D.E.C.
Tmstees
Flood Pemrit
Sturm-Water Assessment Form
Phone:
TION FOR BUILDING PERMIT
~ ZZ ,zol~_
INSTRUCTIONS
a. Th_is,applicaiien-ivftlS7"G comp) rely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets f piaiis, ace6Nnte'{i16~,p~np [o scale. Fee according to schedule.
b. Plot plail'shoWidgaoc-etiortiffrot 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 apphcatioq [he Building Inspector will issue a Building Permit to [he 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 [he work authorized has not commenced within 12 months after the date of
issuance or has not been completed within I S months from such date. If no zoning amendments or other regulations afTec[ing the
property have been enacted in [he 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 [o the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of [he Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for [he cons[mc[ion of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees [o 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.
(Signature of applicant or name, if a wrporation)
(Mailing address of applicanp 1
Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner
If applicant is a~~ation, signature of
on
ders License No._
lumbers License No. _
Electricians License No.
Other Trade's License N.
1. Location of land on which
be
corporate officer)
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying''
Board of Health
4 sets of Building Plans
Planning Board approval
PERMIT NO. ~ ~~-D ~
y
Building Inspector
Contact
Mail
County Tax Map No. 1000 Section j d~ Block Iy~ Lot~7~- t! ~/
Subdivision Filed Map No. Lot
Dl~ ~~ ~~(.~~~ ~ 1~ y ~~ ~
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and
3. Nature of work (check which applicable): New
Repair Removal Dem
Alteration
Nt~, (Description)
4. Estimated Cost ~ t ,t n ~ Fee
~~ (To be paid on filing this application)
5. If dwelling, number of dwelling units_~Nmnber of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed owupancy, specify nature and extent of each type of use.
7. Dimensions of exis ~ g structures, if any: Front_ ~_~Rear_~~Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
of
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot:
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed cons[mction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES] NOWiII excess fill be removed from premises? YES_ NO~
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor ~r,/1 11, i/a ~ .-, Address 9,p7 WIC ham. Phone No.~- `a
I S 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 MAYBE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances [o property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on ey.
18. Are there any covenants and restrictions with respect to this property? *YES NO~
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OF vrYV~-
/ ~ ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individua signing contract) above named,
(S)He is the
Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed [he said work and [o make and the this application;
[ha[ all statements contained in this application are true [o the best of his knowledge and belief; and [ha[ the work will be
performed in the manner se[ forth in the application filed [herewith.
to before me this--,
day of ~ V 20~
- / ~ ~~13AIrIC Y. OtS~
'~1~ ~~, 'dl.'tll~ INJld1l3 ~gWUlar~ ' ~ ~ ~~ tdolarY PtbIG &W of New Yori~
Notary P~rblic A}11gQ
Z 'eN
tlpd ~ w
mf
~s. Z~ 13
JUL-22-2013 10:24 From:
Broidy
rmi-JL-rol,~ 11%94 LIYH
~~~
cvsTOMSR oRD>rRR FU~~vr DEpT.
175 E. Okl Country Road, Kicksvige, NY 71801
Maq 31,2013
MR ,Edward Broidy
45 Broidy Lane
Southampton, NY 119G8
RE: Demolition fot
535 Hike Street, Mattituck, Mew York
IdPA Reference # T301480G38
National Grid Gas R~rerue # T101480G39
Dear 111r. $xoidy:
To: 16317659502 Paee:1~1
6312871608 p,2
,10 :fM.,a Gcry r. bl/Gl
This letter is to advise you that the IJIPA ~C"TRIC FACIIITIES were ,
xeorloved from the above pie On 5/30/13. There is No NATIONAL';
GRID GAS service >n the alcove premise.
Ia accordance with the New York State General $usiness Law Chapter 818,
Irrdusixial Code Rules 53, please inform the dernolirion eouttacbpx m notify
LTPA-TEI-CQ, Ut~]ity Control Center at 1-800-27~q•}80, 48 }mom per ~
S°~g work td request a lnadr out of the utility cervices in the area.
If ynu .have an[y rluestions re~rg file above, please contacx Lynda L?oweIl at
516-545-4887.
Very txrzlp Yours,
c~ ~~~~~~, ~~~
Manager
customer order Fu~.nt
CM/aril
®~~
TOTfaL P. 01
~M~ a~'v~zoo~aTV
N ~{IfLVE1'~O FofC ~~
tT ~5 ,?~~~~yy~',~~Oi N.V. -. Mar ~:.....
'J ~ ~ ,~.i' ~ ~ ~f Mfg
'~ ~ ~~" ` .
Q
.1 ..
,_I ..
I / Z
t w
r;
~. 8
/ D ~
i~ A
r / Z
o:;;, ~
t
;.
-, ,:~
~gi4RnAp ~,, ,+~. Y
~_I
L
,O ~ My
~
M
L. x iTA '
4y ~, i
q ~ ~I,~~r4
.
t
~
!
~
v'
~ . 1 :~~
~` Y rN? a,.
c ~ ~ ~.
'
~ r~
d
1' ~
! i
.
t: yT
~T ..
~ ~~
~
~~ ,
•E
+4.
•i;
~A
Ah ,
m
'~.4 y.
~
f,I.
'o Y'.
~.
,
b
.~ ,.
~. !~
nom; .
y T,~4~ n~
M z.: ~ ~ - r' key r -~ ~
i ~ ,f4
y
~ •: i--rt ~:_ __ _ F ___ _
;y ~~"~ sc,yoe•io•w TaN p,,~i( ~
~. ' ~ TOWN OF .N..T/KK.O ~ ~ -~-~'"'+Y
~~~, __ ___i. __ .,._. ___. ,.,..g_.__. _._..__._ ._,.._. ,,__.
I
~ - PIKE STREET
' -i ~~ S
- r,''
'f ~.
'Y 6~rroricw~~rF wwrxo.®.nw~w~a.awiw. .. r.
b MR 5y~'1~ 9 ~ v1p~~uN d
•y .- ~ flf~!OX »d d ~H mY leR Ian ~'..
` YuG~bn NW. •.
• o«o
~ - ~•"°"ro ~ wuo. R006fLlCK VAN7L~Y(.~JPC :.! t
_ i µ
h' 4~ ~' .. wrrocw .,.,, u o- ~ R.iC~nlt/ LQnd Sa.M'y~yq+3 r!'~ 1 ~~ ~~yI~
~ nA w'i~. fi ' ~ auw d a ~orw~ve.y ~,YMf 't "^l' .Y~N'~ T ~~•+'.~i et ~~"' "i
1~' ~ '•:.k6 ~ ; ww p ~Iww:t w ~yd,~yyr ..:,: ., d
......._ ra~.Lhu ~t~ .. ... __.,. ~ .-.,,sL.'!r . a?-n'~6~35".t'~:'.. .c <~a.u.~isap6FYA