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:' � TOWN OF SOUTHOLD BUILDING DEPARTMENT y TOWN CLERK'S OFFICE o$ o 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 #: 39957 Date: 7/16/2015 Permission is hereby granted to: Losquadro, Carol & Losquadro, Anthony 2755 Boisseau Ave Southold, NY 11971 To: Demolition of two accessory buildings as applied for. At premises located at: 2855 Boisseau Ave, Southold SCTM # 473889 Sec/Block/Lot # 55.-5-12.1 Pursuant to application dated 7/8/2015 and approved by the Building Inspector. To expire on 1/14/2017. Fees: DEMOLITION $554.80 Total: $554.80 a ) Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL f 1lealth- SOUTHOLD, NY 11971 -4 sets,of:Biiilding Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey . SoutholdTown.NorthFork.net PERMIT NO. qq,571,2— Check Septic Form N:Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined , 20� Single & Separate Storm -Water Assessment Form Contact: Approved , 20. ; ; Mail.to: Disapproved a/c p�77 Phone z /5 Expiration , 20 ,•, : Buildi ector APP-LICATZON-.FOR, BUIL- DING `PERMIT l .. Date LAl 20/-S— INSTRUCT-IONS 0/.SINSTRUCT-IONS a. This application'MUST.-be°comp letefy_`filled.in-by typewr'•iter 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 offthis application, the Building Inspector will issue a Building Permit to 41ia applicant. Such a permit shall be kept on the premises available foninspection throughout the, work. e. No building shalll'be occupied oFused in wliol'e oi• impart f&&iy purpose what 'so ever until the -Building Inspector' issues a Certificate'of Occupancy. - f, Every building permit shall expire if tl e'"work authorize&has:riot commence avithin`12 months after the date of issuance or has not been completed within 18 months froln.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 permitToran addition six months. Thereafter, a new permit shall be required. APPLICATION: IS HEREBY MADE,to.the BuiIding Dgpartment.,fbr.the'issuance of a Building Permit pursuant to the Building Zone Ordinance of the'Town;of S,outliold, Suffolk County, Naw 1ork,.and otHer;applicable Laws, Ordinances or Regulations, for the construction of buildings, Additions, or alterationsr for.removal or `demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building'code,„hqusing code; and,regulations, and to admit . authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) z?s5— '50kSSe01t1k m�h•e Sc� Id IIT71 (Mailing address of applica t)' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer roll orrlatest deed) . , J (Name and title of corporate officer) Builders License No. Plumbers License No. `” :•i• Electricians License No. " Other Trade's License No. ! 1, Location of land on which proposed work will be done: 7 7_qS� RDiSSe0.K t A-1 en Lxk House Number _---- Street n I Hamlet County Tax Map No. 1000 Section Blocky °et�?�'?ijQu�?dM Lot I� P3� 'inn .:r itt 1%:'I611b!!ti Subdivision Filed Map No. Lot 2. State existing use and;o66uparicy 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 thi's`application) 5. If dwelling,.,number of dwell1.ing :units Number of dwelling units on each floor ` If garage, number` -of cars 6. Ifbusiness,.c`oinmere,al'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 additths: Front Rear _ Depth Height " ;;,, '. :,,y Number of Stories 8. Dimensions of entire new constructiom-Front 14 ,Rear`. ;• Depth Height Number of Stories 9. Size of lot: Front Rear ; : ? n'• ; Depth 10. Date of Purchase . �. C I.� Name of� 6rin'er. Owner o 11. Zone or use district, in,whi`ch'preiimises fire situated``'`'ZJ C'' t ` 12. Does proposed cortistruction'vjoldrdinaice or regirNOate any;zoririg'Iawilation. f' r .t' 1rf .�� ,rik. .'' I f `:�t •. i., ` . 13. Will lot be re -graded? YES NQ. Will excess`fi'hf>?eremovea from;Jprernises3? YES NO,; r 14. Names o.f Own.er;of premise C l(05f,- d -dress pt &gew, Phone Name `of Architect i'' ;Addr'e§s` st. ;;,'iili,=::', ,, ._ '-Phorie.No Name of Contractor t ;�; ,;irt,.A'ddress� ;;r:,r ;. ii 4 ',ir, :P;hone No.' 15 a., Is this property 'within -100- feet �o.f a tidal wefland &-fiSfreshvy�atef�vetlahO: *YES-: ; ,,'NO; * IF YES, SOUTHOLD TOWN TRUSTEES &{D:E:C: PERIvII`1�S'MA' REQUIRED:" b. Is this propertyiwithin 300 feet"of a tidal wetldhd•? * 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, PRDVIDE A COPY. STATE OF NEW YORK) f s: r COUNTY O 9 ,, `` K'e *n 0 A N ©rzc k0 ; , S ..being. -deposes and'says that (s)he is the applicant' (Name of individual signing contract) above haiiied, '`' ' :tl t,t .J: (S)He is the (Contractor, Agent, Corporate Officer, etc.) 1 of said owner or owners, and is duly authorized to perform orhave.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.-__. Swor to before me this.,–,— 76 day of 0TH NotaryPublic Notary Public`State of New York :Signature of Applicant No. 01`(06190696 --Qualified-in.Suffolk County-' Commission Expires July 28, 20____ Daniel Wilcenski Electrical Contracting Inc. P.O. Box 319 Southold, NY 11.971 -A NIP 11 To J Bill Toth 425 Jacobs Lane Southold NY 11971 P.O. # Issicson N P Terms Due on receipt /7 �d Date 7/16/2015 Invoice # 289 Ship Date Due Date Other 7/16/2015 7/16/2015 Item. Description Qty Price' Amount This letter is to inform any party interested that the electric lines feeding the barn at 2855 Boisseau ave Southold NY 11971 has been disconnected on 7/15/2015. and that there is no power within barn. Thank you Daniel Wilcenski .......... Any questions please reach me on my cell phone at 631-236-6298. Subtotal $0.00 Sales Tax (8.625%) $0.00 Tnra I �n nn Daniel Wilcenski Electrical Contracting Inc. Payments/Credits $0.00 Wilcenskielectrical@yahoo.com 631-765-2864/631-... Balance Due $0.00 TOWN OF SOUT ®L® PROPERTY RECORD CARD v u v OWNER STREET VILLAGE DIST. SUB. LOT =+tk L4 FORMER OWNE %f NE ACR'- -- S W TYPE OF BUILDING RES®v SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS j ev } :.� Li !! i1 J 1� (1 f9 l� .5-�f, r/iiL BCfr •i+"!l ami �'° /7' �a .1fi3 a 1�.. b�.-..lsfi'✓c..:J.b i o-rl 47611 py �i8^� pp h /� �^ 17-1 ,-2�� 6 !l d @ 0 5(Jc; 42- od iso P� 2L'-CG?l1 ,j,�t� AGE BUILDING CONDITION 7 �c, �G -- o® S uC�ry iv o S 9ua�la lV�c-- NEW NORMAL BELOW ABOVE/I . oq FARM Acre Value Per Value `' 9 II ?X61)-- , r�'� Acre G Tillable FRONTAL ON WATER ` Woodland FRONTAGE ON ROAD Cl�� (� dao= Meadow! -and House Plot ` BULKHEAD Total e.— DOCK COLOR Rr-* TRIM MEr d YF INN SENEENMRSH No=■■■ IMISMEMENMEM 01114 - ME ■..Eiri, M MEN I MSIMMUMN in E■N■I M M _■....■Sa, ON � EMMIMMEM ■ M Extension I& X Extension 11 Porch IF ly basement Porch Ext. Wo I I S Interior Finish Fire Plac e Ro Rooms .1st Floor Rooms 2nd Floor 0. B. Total S.C.T.M. NO. DISTRICT: 1000 SECTION: 55 BLOCK: 5 LOT(S): 12.1 374 F CE 24'2 -• 0. 0.4' 4' MON. 8i0i LAND'N/F OF DONALD & LORNA TUTHILL N81°16.50"E 0 WOOD❑RAIL FENCE ❑ 2 3 RN RM, :2 STY FRM;:y z GARAGE ' ❑ 278.95' 10 4' WIRE FENCE 0.5'N S81 °16'50 "W LAND NIP OF JOHN & TERESA QUINN VEL ARIVE�gY:; MIDDLE' ROAD PURSUANT TO CHAPTER 236 (C -FI -27) OF THE TOWN CODE. w VED AS NOT MON. DATE: 9 1J. P. it d w a FEE: NOT FY BUILDING 5GPAK AT o e �65 1802 $ AI�1 TO n. "fv� F i THE ) 0 LOWING INSPEvT i ;SIS: L° 1. rOUNDATION - i``�d0 R E 0 1 ;RED FOR POURED CONC—RET 2 ROUGH - FR�,��Itvu & Pl "VIBING ^. INSULATION 41.s' FINAL -COI`;:>n IIJI i ll.N MUST r i V F^` n BE UUMI-_._, E �+ ALL CONSTRUC ` I^N SHALL BEET THE ZQUIREMENTS OF THE CODES OF NEW RK STATE. NOT RESPONSIBLE FOR O DESIGN OR CONSTRUCTION ERRORS. C4 247.81' F26'!' % THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL 0.s / LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. AREA: 40,001 S.F. OR 0.92 ACRES ELEVATION DATUM: ---------------- -------- UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLA PON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEYS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE Nor INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: KENNETH NORCROSS: MAP OF: WELLS FARGO BANK, N.A.; FILED: FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; SITUATED AT: SOUTHOLD TOWN OF- SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE PHONE (831)290-1688 FAX (631) 298-1686 N 15-88 SCALE: DATE.JUNE 10, 2015 N.Y.S. USC. NO. 050882 melntelning the r... rda of Robert J. Hennesry . Kenneth M. Woyahuk