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Home My WebLink About41933-Z av�Eot��, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY ?r01 � dao 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#: 41933 Date: 8/29/2017 Permission is hereby granted to: Gorman, William PO BOX 1447 Mattituck, NY 11952 To: demolish a portion of an existing single family dwelling as applied for. At premises located at: 45805 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 75.-2-14 Pursuant to application dated 8/24/2017 and approved by the Building Inspector. To expire on 2/28/2019. Fees: DEMOLITION $273.40 a $273.40 Building Inspector TOWN OF SOU THOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (,631) 765-9502 Survey Souiholdtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined -,20 Single&Separate r Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20—t Mail to: Disapproved a/c Phone:- Expiration hone:Expiration '� ,204NOTED PR VED AC 77 D ��Nf(5 uilding Inspector DATE: NEPA D PPLICATION FOR BUILDING PERM T E. - �J!!Y F'''ILDINC leu-�•R '`=.NT AT AUG 2 4 2017 765-1 TO .- PM. FOR THE Dat , -' ° ; r, EC 1 IONS: ' 20 INSTRUCTIONS .l, FOUL ,_)ATION - TWO R BRED — BUMDING Dom' FOfi -,OURED CONCRETE aTd ' Ile completely filled in by typewriter or in ink and subrfri F Ritp,tie$"ildrifip4pe�W- li lei'4 sets of plans, accurate plot plan to scale.Fee according to schedule. 3. INSI:LATION b. Plot plan showing location of lot and of buildings on premises,relationship to 4 ljgiug prg>'<i1i��slUJPIRV s A or areas, and waterways. nF (;ONTLETE FOR C 0. c. The work covered by this application may not be commenced before issuance o L�ujIctjNg:drMTt1ON SHALL IAEET THE d. Upon approval of this application,the Building Inspector will issue a Building TjgtpTu�`ct1�CaEpp`� shall be kept on the premises available for inspection throughout the work. YOF : STATE. NOT RESP FOR e.No building shall be occupied or used in whole or in part for any purpose what s&jeye ,u�rj}�t1 Blfiii�iih�� l �e&oORS. 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 demo 'tion as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing cod and regulations,and to admit authorized inspectors on premises and,in building for necessary inspections. ignature of applicant or name,if a corporation) (Mailing hdaress of applicant) State whether applicant is owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder c7C - Name of owner of premises 6� 1 (As on the tax roll or�laiest-deed) ' If applicant is a corporation,;signaturq,�f,d'uly,authorized officer (Name and title'of corpor`ate'offcef ' Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of Ian on which proposed work will be done: DS s House Number Street Hamlet County Tax Map No. 1000 Section J Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupanc of proposed construction: a. Existing use and occupancy r �' b. Intended use and occupancy C� �l�l `' l✓ ✓re�� 3. Nature of work(check which applicable):New Building Addition Alteration Repair Re oval Demolition Other Work (Description) 4. Estimated Cost LI) 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 < i ' -Depth' = --� Height Number of Stories L 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 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 YORK) SS: COUNTY OF ) /+ being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH York No.��619 f r Notary Public,State of New W (S)He is the G'�/ un (Contractor,Agent, Corporate Officer, etc.) Commission Expires AprU 14.2 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 d that the work will be performed in the manner set forth in the application filed therewith. Swor to before me this . day of 20� Notary Public Signature of Applicant iM I r APO. AAA t� w m - REP ELECTRIC LLC P.O BOX 635 MATTITUCK, NEW YORK 11952 Phone 631-298-9602 Cell 631-767-6034 Email: REPelectricl@Gmall.com August 22, 2017 To: Town of Southold Building Dept. Southold,NY Re: 45805 Main Road, Southold To Whom it may concern; Please be advised that I have personally inspected the electrical service at 45805 Main Road, Southold, and I have disconnected all electrical power to the north addition. Additionally,I have determined that the power is safely secured to begin the demolition of the same addition. Feel free to call with any questions. Sincerely, Robert E Paladino REP Electric LLC LICENSE#46288ME SURVEY OF PROPERTY SI T UA TE SOUTHOLD L� TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YORK S.C. TAX No. 1000-75-02- 14 ' ;-tZ V) SCALE 1 "=30' TOTAL LOT COVERAGE DATA ��• FEBRUARY 1 1 , 2008 p a DESCRIPTION AREA % LOT COVERAGE NOVEMBER 18, 2008 ADDED PROP. ADDITION HOUSE PORCH 1,470 sq. ft. 6.8% & ROOFEDED STOOP \ "�110 GARAGE 222 sq. ft. 1.0% / AREA = 21 ,695 sq. ft. BUILDING 872 sq. ft. 4.0% . .. ��0 0.498 ac. a (3) SHEDS 231 sq. ft. 1.1% �. CONC.'S 495 sq. ft. 2.3% GPRP TOTAL 3,290 sq. ft. 15.2% ,\� GE. NGF GaN ° R 05 METAL o SHED O �e C� ERPMp 13 °°y TP m SN o a.�2• G °iP�, °-✓O O�F 'O,0 U,O POA �, �y O� 1 E N c F $ p S�oG� E. GoN o �� 0 7A y SO I rn N 2 Go 0 3 '01` �. yc yn L j OL �l9 A-1. fit". �`.;:' a �' •� �iL e�.. 102 O _\p npy0.. v $ E aG 00 ?ay -• °. ti., '-�'� 0 - �o E \ P 7 OG U�,o GQ I F o cl c1\01- fit^ 01� Q yO �� aVeRy 1a6.V \a 760 \ \ WIRCS I / L� 10 \ f " �� NF,OG p 6 O6,\ y Roo QOR Goa�� \\ c� -1� ° Y CD ,�y 00 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY' SECTDN 7209 OFSTHEVN WTION YORKO STATE EDUCATION LAW. E COPIES OF THIS SURVEY MAP NOT BEARING THE LAND 'S EMBOSSED SEAL SOHALL INOTDBEECONS DERED �OGF OE TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. a F. ,QD 0 PREPARED IN ACCORDANCE WITH THE MINIMUM 59 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED Nathan BY THE L.I.USE AND APPROVED AND ADOPTED T of t Corwin FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. Land Surveyor 00� > Title Surveys — Subdivisions — Site Plans — Construction Layout 'a = PHONE (631)727-2090 Fax (631)727-1727 � r OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 N. .S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947 28-020A