HomeMy WebLinkAbout38569-Z
yy TOWN OF SOUTHOLD
BUILDING DEPARTMENT
® TOWN CLERK'S OFFICE
SOUTHOLD,NY
sr
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 38569 Date: 12/13/2013
Permission is hereby granted to:
Ovlasid Realty LLC
C/O JNL Funding Corp _
4792 Hempstead Tpke
Farmingdale, NY 11735
To: Demolition of an existing commercial building as applied for.
At premises located at:
1275 Cedar Beach Rd
SCTM # 473889
Sec/Block/Lot # 89.-3-1.1
Pursuant to application dated 12/13/2013 and approved by the Building Inspector.
To expire on 6/14/2015.
Fees:
DEMOLITION $1,588.90
Total: $1,588.90
ZBuilnspector
LIPA
CUSTOMER ORDER FULFILLMENT DEPT:
175.E OId CountryRoad,;Hicksyille NY 11801
7r-
December 10, 2013 `
Mr. Bradford :Winston
333 W. 56" St. Apt PH-.D
New York NY, 10019
RE: Demolition Letter for:
1275 Cedar Beach Rd, Southold NY, 11971
LIPA Reference # T101542318
Dear Mr. Winston: _
This letter is to advise you that the LI PA electric facilities to the above premise have
been removed.
In accordance with the New York State General Business Law- Chapter 818, j
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 Lynda Powell at
516-545-4887.
Ve truI y _ rs,
Lynd Powell
Senior."Analyst
Customer Order Fulfillment
LP
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
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. l Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ,20 Storm-Water Assessment Form
7 7 Contact:
Approved 20 Mail to:
Disapproved a/c
Phone:
Expiration , 20
ilding nspector
APPLICATION FOR BUILDING PERMIT
.J LDEC 13 2013 'r 1
J~ Date C/G ~ Eta d f;I / ~ 2012
L_ - I 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, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. 1d,7-f CrYJ/ ~3f Z LLc'
lLr9r~ /~.4z0 / 7V+), OT74 /1184
_(Signirture f applicant e, if a corporation)
3.3 Gt) S7a XST r'f/D /t/f/G Nt/ /OO/y
(Mailing addfess of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises 75 ~f9/fi? a0 ri4cH UGC'
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name,ancj title, of, 6'rporat~ officer)
z;
Builders License Nor
Plumbers License No. `
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
1.2 `75" cf,cpd e d'i /~G// / 0 U 7110L L)
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot ~e
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
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 QtStories
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 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 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 REQUIIj1cD.
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)
I SS:
\JX/` COUNTYOF3, /y /:U&
aO fjp/-G~/2q ~0$'vS7z)/t) being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named, CONNIE D.13UNCH
Notary Pubilo, ft to of New York
('1He is the L L L' 172 E/Y d f Ile No. o1BUE18f30ti0
(Contractor, Agent, Corporate Officer, etc.) Commkoon EXPWW AprN 14, 2 -~2 N
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. f
Sworn to lo before me this
-day of bQ,CCc--\LeA, 20F~ C
Notary Public Sig ture of App is
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