HomeMy WebLinkAbout41561-Z �uFFot� 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#: 41561 Date: 4/24/2017
Permission is hereby granted to:
Moshouris, Nick
5108 Browvale Ln
Little Neck, NY 11050
To: demolish an existing accessory garage and accessory shed as applied for.
At premises located at:
295 Central Dr., Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-3-20
Pursuant to application dated 4/14/2017 and approved by the Building Inspector.
To expire on 10/24/2018.
Fees:
DEMOLITION $228.40
Total: $228.40
r
Building I spector
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWNHALL Board of Health N /A
SOUTHOLD,NY 11971 4 sets of Building Plans y eS
TEL:(631)765-1802 Planning Board approval
FAX: 631 765-9502 Surve 2
SoutholdTown.NorthFork.net PERAM NO. � Check 4e 5
Septic Form
N.Y.S.D.E.C.
Trustees
D
1EC[2GV[g
C.O.Application
Flood PermitExamined 20 Single&Separate
Storm-Water Assessment Form, r(
APR 1 4 2017 Contact:
Approved '-,2_ 20 Mail to:l((��11 LK 175 woks
slog Re0yJVC11r, (,f � �,;}��� n
Disapproved a/c 136
B ,
OF SO LD Phone:6k 6• *3 1 3 6 SY ► 362
Expiration 12
APPLICATION FOR BUILDING PE ��jj,,,,,,,,
Date fl} VI 1() ,20
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.
(Signature of applicant or name,if a corporation)
(Mailing address of apphcam) P1.�j
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Ow,wfz
Name of owner of premises nj K iMoShou✓;5
(As on the tax roll or latest deed)
Ifapplicant is a corporation,signature of duly authorized officer
�� //(Name and title of corporate officer)
Builders License No. T
Plumbers License No. It
Electricians License No. TrA
Other Trade's License No. TIJ 11
-- I
1. Location of land on which proposed work will be done:
2 q 5 COwAkeg I have, CK
House Number Street + Hamlet
County Tax Map No. 1000 Section 106 Block (53 Lot ORD
Subdivision C OWTI 0 E SiCA-eS Filed Map No. 162. Lot I S 4
2. State existing use and occupancy of premises and inte ded use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy SMj-e- 14"QS"Ae-A Q
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolitionb/" Other Work Dem oli S11 . ro e. 4-s)�G
(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. In lA
t. 1 t 11
7. Dimensions of existing structures,if any:Front� - Rear ��-�' ^Jo Depth as �- 373
Height Number of Stories
Dimensions of sarpe structure with alteratins or additions: Front Rear V1
Depth 11 Height A VA Number of Stories
8. Dimensions of entire new construction:Front 11 Rear Depth
Height R A Number of Stories T\
1
9. Size of lot:Front q,� Rear 9 0' Depth 1a.o°
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 f Will excess fill be remo ed from premises?YES V/NO
S 10t Q Roti Oe Lane
14.Names of Owner of premises(Y < *h f l Address `t RAP- AeCZ Phone No. 64bB 9. 3 6
Name of Architect Address A!4 113 C.Z, Phone No
Name of Contractor Address iPhone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO 1Z
*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
*IF YES,PROVIDE A COPY.
STATE OF NEW ORK)
SS:
COUNTY OF /
&jt'o being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the Otte K.
(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 ofVNew
beli/f; work will be
performed in the manner set forth in the applicatioPnAfgd�h�e,�tJ}.,
Sworn to ore me this r Nota Public,State�o. day of 20 fed in QueenRef.No.01VI62 -�
oPu cmissiOn Expi Signatur of Applicant
PO Box 1533 West Babylon,NY 11704
Tel:631-484-2958 Fax*631-5873635 Email..areinc@aoptonline.net
A RUGGIERO
ELECTRIC
March 23,2017
To Whom It May Concern,
In regards to Nick Moshouris 295 Central Drive Mattituck,NY 11952. Disconnection of power to
garage.
All power pertaining to garage has been disconnected. All clear for demolition.
Please be advised that there is a shed on the property that has no electric hook up.
Sincerely,
1
Anthony Ruggiero
Lic#4575-E
,
I
1
Ste_ •��-��"t C ,i�_ '_-�-`."_
PROJECT TITLE
Lj
r 1 c t,V,! ,;ER P.
PURQI)NNT TO CHAPTER 2316
OF THE TOV'v CODE.
cn
SURVEY OF
LOT 157
BLOCK '2
MAP OF
CENTRAL DRIVE CAPTAIN KIDD ESTATES
FILE No. 1672 FILED JANUARY 19, 1949
a SITUATE
°.
° ° MATTITUCK
aJL
A ° a
Uj
EDGE OF PAVEMENT" ''d
S 86 00 30 E TOWN OF SOUTHOLD
OVERHEAD � 9 0.0 ' UTILITY
FENCE HEDGE POLE 1;
SUFFOLK COUNTY, NEW YORK
ONE
0.3'E. � ,-
4�`` FOUND CONC. S.C. TAX No. 1000- 106-03-20
O LAMP- MON. 0.3'E.
O :Q ; ''; POST FOUND
GONC. MON. SCALE 1 "=20' Air is
cv zo o JULY 20, 2015
Z '° O
z AREA = 10,800 sq. ft. Uj
BRICK STOOP N
0.248 ac.
& STEPS
00 ,
23.1':.:.
10.6'
167CERTIFIED T0:
FIRST AMERICAN TITLE INSURANCE COMPANY
1-1/2 STORY FRAME s��s NICK MOSHOURIS
N & BRICK HOUSE N
V
n Z
� 36.3'
CELLAR 30.510____
Q = ENTRANCE'`
REMOVEEXISTING GARAGE
0O
CONC. WALK
14.5' O
BLOCK N r� �}
IN ITS ENTIRETY w PAT'° (/dJ
r Q a ry � � PREPARED IN ACCORDANCE WITH THE MINIMUM
"4 iv L STANDARDS FORTITLE SURVEYS AS ESTABLISHED REVISION: DATE:
o BY THE L.I.A.L.S. AND APPROVED AND ADOPTED
VJw FOR SUCH USE BY THE NEW YORK STATE LAND
TITLE ASSOCIATION.
14.5'
4.0'
O r �
!'o Lor
rn
0n o
M •1' M
O 10.3' Cf I
Z N FRAME oM
r'i SHED N
2.0'N. O 1 DOB 03,31.17
REMOVE EXISTING SHED CHAIN LINK EOE FENCE N.Y.S. Lic. No. 50467
PROJECT LOCATION:
O.L.N./S. 0.4' C LINK FE UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
N Q FENCE SECTION 7209 OF THE NEW YORK STATE
w `'� 8 6*0 0 13 O�� N FRAME SHED b 0'2 5. O.L.E./W. EDUCATION LAW. Nathan Taft Corwin
IN ITS ENTIRETY L w 90.00, COPIES OF THIS SURVEY MAP NOT BEARING 295 CENTRAL DRIVE
THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
LOT �(i4 z w EMBOSSED SEAL SHALL NOT BE CONSIDERED I
TO BE A VALID TRUE COPY. MATTIT V C�, NY 11952
z LOT s`� 'w CERTIFICATIONS INDICATED HEREON SHALL RUN
z LOT 62 ONLY T° THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 FOX (631)727-1727
LOCATED AT
COPY F ORIGINAL SURVEY - EXI TING CONDITIONS 1 �2 O r THE AND/OREXISTENCE
OFSRIGHTS
RECORD,WAY
F Jam�s158t SNMain Road
d11947 JamespoP.O New Box
16k 11947 ILING ADDRESS DRAWING TITLE:
ANY, NOT SHOWN ARE NOT GUARANTEED. DEM®LIT I®N PLAN
35-157
PROJECT NUMBER:
DRAWN BY: CHECKED BY:
NAME:
NAME:
STATE REGISTERED ENGINEER:
NEW YORK
LINCENSE NUMBER:
NAME:
SIGN AND SEAL
DRAWING NUMBER:
T-0 02 . 0 0
PAGE NO.