HomeMy WebLinkAbout39150-Z 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#: 39150 Date: 9/5/2014
Permission is hereby granted to:
Jabco Limited Partnership
Mr. J. Geddes Parsons
10 Weybosset St Ste 106
Providence, RI 02903
To: demolish an existing garage/apartment as applied for
At premises located at:
Off East End Rd
SCTM #473889
Sec/Block/Lot# 2.-1-16.1
Pursuant to application dated 8/22/2014 and approved by the Building Inspector.
To expire on 3/6/2016.
Fees:
DEMOLITION $366.40
Total: $366.40
z
Building Inspector
{ 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 �j Survey �—
SoutholdTown.NorthFork.net PERMIT NO. <l�/� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 2k 20A Storm-Water Assessment Form
Contact:
Approved C���i,20 r Mail to: �0 a
Disapproved a/cfC/S Ael
Phone: Gal ME-=7
_ Expiration 20_
Building Inspector
AUG 2 2014APPLICATION FOR BUILDING PERMIT �¢ l
Date �✓ �� ,20
L— INSTRUCTIONS
TO" ` 'I 'a,)ThiVhPplication MUOT be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
setso plans,,acs curate 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.
(Signature of applicant or nam ,if a corporation)
130K 2-02- MI 66310
(Mailing address of applicant)
State whether applicant
is owner, e age t,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises ;J-a-6 -o Um I +CC 'S
(As on the tax roll or latest deed)
If a lic corption, na e of duly authorized officer
(Name and a of corporate dMc ) — h
Builders License o. y� -9,1-14X
Plumbers License No. JWffs,-MJP
Electricians License No. _ S/`f QF( -Me )�- 5��,,�� Detve-
Other Trade's License No. AVII'71-- .4W
1. Location of land os ork w 1 be � 's
House Number Street f Hamlet
County Tax Map No. 1000 Section 00.2 Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended u and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy &ate 6tu4
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 fill be removed from premises?YES_NO v
14.Names of Owner of premises-N&" I-d-e 4&Sfi Phone No.
Name of Architect I10 NL Address Phone No
Name of Contractor z,pS G.n Address D Aft c90A Phone No. (o,J/-7ff-757
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 v
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY-OFcj&fijjW
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
,[_
/He is the 6r.,'-r4m 64koc"^'�-�
(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 tp b fore me this
day 20
ary Public Sign of Applicant
09/11/2014 05:02 6317885600 ZANDS PAGE 03
Fishers island Electric Co.
Drawer E
Fishers island NY 06390
631-7$$-7251
September 8,2014
Z&S Contracting
Box 202
Fishers Island NY 06382
To Whom It May Concern:
Please be advised that the Fishers Island Electric Company has terminated electric service to 2680 Windshield Dr. Fishers
Island NY 06382.
Sincerely, C04c
Vern Page
Electric Supervisor
09/11/2014 05:02 6317885600 ZANDS PAGE 02
Fishers Island TelephoneDrawer E
i=islu�i's Isl<�ncl, New York (.)()39()
(()31) 7ti8-7001 �. Fax (631) 88--7999 fiteier) Mane= fisher!;isla net
9/8/1.4
Z&S Contracting
Attn:Tom 5hillo
525 Fox Lane
PO Box 202
Fishers Island, NY 06390
To whom it may conrern,
This letter is to verify that all out5ide telephone equipment to Geddes Parsons, 2680
Windshield Lir., Fishers Island, NY was removed on 8/14/2014. Be advised that there is still
underground telephone cable on the property,
Please contact me if you have any questions,
Sincerely,
Jill Rogan
Office Manager
09/11/2014 05:02 6317885600 ZANDS PAGE 04
�I
Fishers Water Works Co.
Drawer E
Fishers Island NY 06390
631788-7251
September 10,2014
Z&S Contracting
Box 202
Fishers Island NY 06382
To Whom It May Concern:
Please be advised that the Fishers Island Water Company has disconnected the water service to 2680 Windshield Dr.
Fishers Island NY 06382.
Sincerely,
Luis Horn
Superintendent
09/11/2014 05:02 6317885600 ZANDS PAGE 01
Z & S Contracting, Ine. Fax Transmittal
Tel: (631) 788-7857 * ]fax: (631.) 788-5600
zands@,fisliersisland.net
Date:� To: .4r—
AW
Time Sending Fax # sent to 431-7/r= 9soa
Phone #
Number of pages transmitted
including i:..►is page y
Message l 14h�au -:74$co ,Z4,!!:.
77
Confirmation required—Yes No
Special instructions
Please ,Note;
-If you do auot receive all of the pages as indicated above, please call us as soon as
possible.
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ICER STREET VILLAGI, DIST,
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R OWER N , E ACR
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LAND IMP. TOTAL DATE REMARKS
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NEW NORMAL BELOW ABOVE
ii
FARM Acre Value Per Value
Acre
Tillable .1
"
,,'Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
Nouse Plot DEPTH
BULKHEAD
Total DOCK
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of
WASO Ext. Walls Interior Finish
ire Place
• ••-
Type Roof• , Rooms Ist Floor
i' • __ reation Room Rooms 2nd Floor
IZ= 85•opo'
GNb tea• _ ,tJ•3z�fit' 24"�.
2 ,
a
z
p= ��164ra' S1' �'-= 3�•fig'
T= -14.10e5' GHD= t81.2.Co'
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t�-•C_J"1r 117 rr
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i. /�= 154.mss'
As
NOTES:
�7 Lal- 1i,�
k1 f. TOTAL AREA
ACRES.
3s « 2. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST
4 � r `���- �% AND GEODETIC SURVEY TRIANGULATION STATION "NIN".
t/f � 1`I�.SCv` �.1.Z�•�£3`lo''�. -1�GK- Q � � ��pZ
�`{ 1,..1.�',a,���F'4Cv"laJ. r�.� 4�.C73' 4--I.--�4`�7`l0">:. "�� —�--� k'• � �.
�QR��`� 5s�t� ` v D= IIS s. TAX REFERENCE: BLOCK 2-1 LOT 5, P15TRICT 1000,
I irGZ' 2 r 4-9 13 k i. Biu � c�+1z f 11] D til, K Cv�'t.OBJ'
1k �-= '53--i3' SECTION 002, BLOCK I, LOT 16.001, AND DISTRICT
��r��� �•k .�.�o r1000, SECTION 002, BLOCK I, LOT 15.001.
GH1-= 3,t33' 1�.Q-slnCA•8� �G�'t` r 4�
G.t-lr1��- =.5.7z z�c,! >r1. � ��� � �• 8( / .a..,c-r�S
. Q
CUARANTEED TO:
FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
AND JABCO LIMITED PARTNERSHIP IN ACCORDANCE WITH
THE MINIMUM 5TANDARD5 FOR TITLE SURVEYS OF THE NE!^!
YORK STATE LAND TITLE ASSOCIATION
Of
s5� lrzolJ V
2d� \
I.oG•IG Z'I +/- MORE OR LESS
MON. MONUMENT
5URVEY MAP
PROPERTY TO BE GONVEYEEP TO
JA5CJ L I M I TCL PARTNERSHIP
100 50 o 100 BLOCK 2-1 LOT 5
GRAPHIC SCALE IN FEET E 1 SHERS I SLANC), MEA YORK
,
REVISIONS dam► Ml AW CHANDLER, PAL-MER & KING
DATE DES'RIPTION /1 ■ AW
�,, Archltecture, Englneering and Surveying
w 110 BROADWAY NORWICH, CT 06360 203-889-3397 FAX 203-886-7801
DATE; DECEMBER 24, 1996 t
SCALE 1' = 100' x`
SHEET 1 OF 1