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Home My WebLink About39618-Z,-t 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 #: 39618 Date: 3/27/2015 Permission is hereby granted to: Mattituck Fire District PO BOX 666 Mattituck, NY 11952 To: Demolition of fire district -owned buildings as applied for. At premises located at: 770 Pike St. Mattituck SCTM # 473889 Sec/Block/Lot # 140.-3-6 Pursuant to application dated 3/18/2015 To expire on Fees: 9/25/2016. and approved by the Building Inspector. Total: $0.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 20 Approved_ .20 BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey - Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Mattituck fire District P O Box 666, Mattituck, NY 11952 per; 631-298-8837 APPLICATION FOR BUILDING PERMIT Date March 18 IP 20 15 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 pursu t to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances r Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. e 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. 'gn tore of applicant or name, if a corporation) P O Box 666, Mattituck, NY 11952-0666 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owner Name of owner of premises Mattituck Fire District (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 on which proposed work will be done: 770 Pike Street Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 140.00 Block 03.00 Lot 006. 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 unoccupied b. Intended use and occupancy Demolition 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition x Other Work (Description) 4. Estimated Cost $13,000.00 Fee Request waiver (To be paid on filing this application) 5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor If garage, number of cars 2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 28' Rear 28' :Depth Height 20' Number of Stories 2 44' 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 75.33' Rear 87.1 T Depth 201.67' 10. Date of Purchase April 27, 2009 Name of Former Owner Estate of David A. Schaaff, Jr. 11. Zone or use district in which premises are situated Res t 9 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO x 13. Will lot be re -graded? YES NO xx Will excess fill be removed from premises? YES NO 14. Names of Owner of premisesMattituck Fire District Address P O Box 666, Mattituck, NYphone No, 631-298-8837 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 x * 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 x * 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 x * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY O_FSA" ) 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. Sworko before me thi -'' day of __ 200 .�.�� _(�tary_Phblic SETSYA, PERK1N8 Signature of Applicant buy Public, State of New Ybrk No. 01 PE6130636 oualified in Suffolk County Comlrnission Expires July 18,.L. /000 -1Z1,6 - 3 -� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 770 VILLAGE DIST. SUB. LOT ORMER OWNER Nj" E �. ACR. S W TYPE OF BUILDING RES SEAS. VLw FARM COry CB. MICS. Mkt. Value LAND IMP. .TOTAL DATE REMARKS C ,itI ,Z- ? •`�� (O tJ +AJC/ �' CC &sS -- L.�'► f t`i i r - f V lJKfi/ . lee-- ee AGE AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable FRONTAGE ON WATER -y Woodland FRONTAGE ON ROAD,?` Meadowland DEPTH " House Piot BULKHEAD Totals ° DOCK MATTITUCK FIRE DISTRICT PO BOX 666, PIKE STREET MATTITUCK, NEW YORK 11952-0666 Commissioners David F. Haas, Chairman John C. Harrison, Secretary Barbara Dickerson, Treasurer Lloyd H. Relsenberg, Vice Chairman Warren W. Jackson Greg Dickerson Michael Sweeney March 18, 2015 Town of Southold Building Department P O Box 1179 Southold, NY 11971 John C Harrison Secretary/Fire District Manager Mattituck Fire District cc: Board of Fire Commissioners Office (631) 298-8837 Facsimile (631) 298-8841 � Zee' S 0 CERTFED TO, MATTIT" FRE DISTRACT PECQAMC ABSTRACT TB/e No.# FNP -01552 • ,z �0. ow I, 2. -4 Qty + / O GpRp. a� ��• � ROP 1�2yy MP APPROVED AS NOTED YsL0 �(�"per DATE: B.P. FEE: b 5Y: NOTIF BUILDING C_ -,+R T `,,LENT AT 765-18 2 8 AM TO 41'M FOR THE FOLLOWING INSPE\, S: SURVEY OF PROPERTY 1. FOUNDATION - TWO REQUIRED FOR FOR POURED CCIyC;'iE•TE MA TTITUCK FIRE DISTRICT 2. ROUGH - FRAIMINIG & PLUP.s21^ G AT MATTITUCK 3. INSULATION TOWN OF SOMHOLD 4. FINAL - CO F � �-,.ICTION MIUST SUFFOLK COUNTY, N. Y. BE COMPLETE `-1-R C.I 1000-140-03-06 �, �`> , � a Scale: 1"= 30' ALL CONS RUC I lU .> Ir. _ - ,,BEET THE Feb. 6, 2009 REQUIRP,1E,"�JTS OF THE CODES OF NEW YORK STHTc. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. AREA = 17,166 sq. ft. ANY ALTERATA?N OR AMT" TO THS SURVEY !s A VA?LATION OF SECT7101N TYp* a: THE AEN' rQRK STATE EOfK,ATKW LAW. EXCEPT AS PER SECTION V - SGBOIVWON I~ ALL CERT V TMS HEREON ARE VALID POT 7A/8 MAP AICD OWES TFEREOF CY1t Y F SAID MAP OR COIFS BEAR THE &PRESM SEAL OF THE SURVEYOR *NOSE MW TURF APPEARS HERECAL OF NEyyr 5` i. ME °Qf Y.S. LIC. N0. 49618 P.C. AX (M 765 - 1797 s Y. s snET 09-104 OCT-19-2009 12:53 LIPA t 117 Doctors Path , on- Riverhead, NY 11901 October 19, 2009 Mattituck Fire District PO Box 666 Pike Street Mattituck, NY 11952-0666 Re: Demolition for: 770 Pike Street, Mattituck Reference T#101068260 Electric Meter #039289103 Dear Mr. Harrison: This letter is to advise you that the electric facilities to the above location were removed on October 16, 2009. If you have any further questions, kindly contact Mr. Fred Perez at 631-548-7037. Very . truly urs' Steve Ayl rd Lead Design Supervisor Distribution Design Department SA/am P.02 TOTAL P.02 1 LIPA 117 Doctors Path lag hl�nd power AuAhorNy Riverhead, NY 11901 January 21, 2010 Mattituck Fire District PO Box 666 Mattituck, NY 11952 Re: Demolition for: 770 Pike Street, Mattituck Reference T#101087422 Account #9611830214 Gentlemen: This letter is to advise you that the gas facilities to the above location were removed on December 18, 2009. If you have any further questions, kindly contact Mr. Fred Perez at 631-548-7037. Very truly yours, St4eyward Lead Design Supervisor Distribution Design Department SA/am