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HomeMy WebLinkAbout34864-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34864 Z Date JULY 14, 2009 Permission is hereby granted to: C SIOLA (TSOUNIS) 825 DAISY ROAD MATTITUCK,NY 11952 for . DEMOLITION OF DWELLING AS APPLIED FOR at premises located at 825 DAISY RD MATTITUCK County Tax Map No. 473889 Section 106 Block 0008 Lot No. 039 pursuant to application dated JULY 9, 2009 and approved by the Building Inspector to expire on JANUARY 14, 2011 . Fee $ 722 . 50 Authorized Signature ORIGINAL Rev. 5/8/02 r 117 Doctors Path Riverhead, NY 11901 Long Island Power Authority July 6, 2009 Nicholas Tsounis PO Box 640092 Oakland Garden NY 11364 RE: Service Address: 825 Daisy Rd, Mattituck LIPA Reference T101033356 Dear Mr. Tsounis: Please be advised that LIPA has removed all of its electrical equipment to the above captioned premises on July 2,2009. Thank you for this opportunity to be of service to you. Very truly yours, Xz .3YII Steven Aylward � Lead Design Supervisor Distribution Design Network Strategy Engineering- LI �{fib COUNTY ATE AUTHORITY 2045 Route 112,Suite 5,Coram.New York 11727-3085 June 16, 2009 Nicholas Tsounis PO Box 640092 Oakland Gardens NY 11364 Dear Mr Nicholas Tsounis: On June 11, 2009, our representative confirmed that the water service was physically disconnected at the above referenced location. Please advise your contractor that care should be taken not to damage the "ox The cost of any repairs would be billed to the Premise and no service initiated until the balance is paid. Sincerely yours, S Ik County Water Authority t 40� Debra L. Lyon Deputy Regional Manager - _ --DLUdg TOWN OF SOUTHOLD v 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 SoutholdTown.NorthFork.net PERMIT NO. -3*Fk 9�t Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined IN 20 4— Storm-Water Assessment Form Contact: Approved , 1�,20�� Mail to: Disapproved a/c ? b b 69 dd g !j s Phone: &JQ,2 rJ Expiration ,20_1 � o 5 l 1�� 22 n �n 1 Building Inspector I V7 D PPLICATION FOR BUILDING PERMIT JUL 9 2009 Date BLDG.DEFT. INSTRUCTIONS -1,OWN OF SOUTHOLD pp ication 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. TO" 43-61A S � (Signature of applicant or name,if a corporation) P,a 13a"e 6YO017A (Mailing address of app icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder U VJ N Name of owner of premises C_ o c, S S = �S o V N t .S (As on the tax roll or latest dA�"W)��v ® AS NOTED If applicant is a corporation, signature of duly authorized officer". (Name and title of corporate officer) FEE:®2Ja.!�_D_ BY: .. NOTIFY BUILDIPdS D=_�ARTMEN'-' AT Builders License No. 765-1802 a APti�t 70 4 PNi FOR .1i tE Plumbers License No. FOI-LOWING INSut_';TIOINS: Electricians License No. 1. FOUNDATION - 70.10 REQUIR,_" Other Trade's License No. FOR POvRED CONICRETE 2. ROUGH - FRAMING & PLUN 1. Location of land on which proposed work will be done: 3. INSULATION 8�� �/4lSy 4 i �' �jiT �'i :l0 ��� r. r n House Number StreetHL�n?leth ;:= SdAL_L h" TN-g�� County Tax Map No. 1000 Section i Block �� YORI< STATE. IG'4ti RFSP / FC s Subdivision Filed Map No. DESIGN OR CONS rdUGTION Lrw"ORj. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Pe^%n I n,N a F �f o u&A� -� U�.�.� !�, 1—d 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ��� (Description) 4. Estimated Cost `.� 16, 00 v Fee (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 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 - - G[A'7� 10. Date of Purchase Nlo,j 1,001 Name of Former Owner N ti'L" 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 OI L4 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH He is the Notary Public State of New York O No Oi�U6�8sn5n (Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires April 14, 0 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 to before me this day of 20� t �. Notary Public Signature of Applicant AiI:C:.s-:Fm.' .`•S:.i'J ....9 R:k� A:\*,ill• 1{4ii,.-y /' - 08:mot..,ii"=iu 3,.,`•C:d:S4,TV. * LE d r. y r F[,e5 ti: rRk Y•)7 IC7Y5J.a4 9 V''k cup sat.<.;gt'e t::,,QR T7 t4ksS6 11i' POLE N 8 .,' li �f) <x,,< �1•'Crckf" AtBiJCYOd'F5a 01' \' DAISY ROAD 50' WIDE 1 TC Ec 97.03 CONC. CURB Tc L /m• II U 1 I S N. 71°39'20"E,. 103.65' 9 ¢ coivc. Mfg` ' I Monet POLELu ids �i 20'± o ty 3. , 0' 3 � 'GAP�-� GS�P�o�� �• � . vi y✓.c. i. o M roLE 0 04 N LOT # 49 o LOT ,� 48 N AA AA = 21299 sf' q� �$ �.^�,�d+n STK. GrL•.�Q,8 r.W/2�' �Gr td 8 9 116.32' S. 71039'20" W. -J. & LE't7 3Ll50Z/ES.1C/ , o C. lb G A v W.srE4 U.VE Goc/1Txk1 .Br 8U>[.iaE.+� SURVEY OF LOT # 49, MAP OF SUNSET KNOLLS SECTION 2 FILED' . APRIL 9, 1970 - FILE # 5448 SITUATO AT MATTI''UCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY,.N.Y. loUA2AA_)7TE•6,D To -500TNO4-Z> .—;,,4✓11vGS BA.,V.K' SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SURVEYED JAN.'27, 1988 �j IM ll FAMILY bf,i`'LIJ.IC ONLY U-C. • Al1G. 71 , /,988 DAT �i€?_ 189';s r tio. ��; 1x c,v .t/.uc+ E'`.._ _ . .Rif. 1 ..� "' ��� j/l.•.�(y The s2wrrt 6 dispo::ii ;:1::<.,'er s!r;~ r 4ti2s for this. focat�an have :..se...:; L�uea:wrent and/or SCALE„ ' 1" 30' ocher agene' it four:d CLu' Chief of Bitremu of wastewater Management LAND SURVEYOR SUFFOLK COUNTY TAX MAP II CHURCHILULA,. SMITHTOWk NY DISTRICT SECTION BLOCK LOT TEL. 543-5I39 L 1000-. 106 8 3.9 � •.�;. .... ,.:�._. .'.� . .�.,. .. ._..., -,. ._r;�,.z,i"xS'4c�€s ,,,;,,.�1.rr Fi _�Ya�.il' i � � ' _,. __c.:�:�.::.;_: TO" "N OF SOUTHOLD PROPE77Y "EC07D Co47D /000 — / o 6 - OWNER STREET VILLAGE DIST. ' SUB. LOT 1. ba R6a �. a i`� c, e /< FORME ',-OW 4E!kC A N•$ T-6k'tii5 N E ACR. � i.cQi 5. � �► las S W TYPE Ot BUILDING tE$` SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TO AL DATE REMARKS _ e121 Oo 7G /P t� i2 c :x� 7,2 o© /,2 3 1 3`7 : 65- Peinr4f s 4-o 1=4 r,� r 64.If�C, l.000 l 9 o.o bl as- sou n� - /30 00Z 7 Z 5Dun1 vim- k C loe �. z OZ— 1 d 0 13 oZ—U a to 'illable FRONTAGE ON WATER Yoodland FRONTAGE'ON ROAD AegdoWitxld DEPTH' louse Plat BULKHEAD 'otal f�rcc* /3S w r°•� ' ■■■■■■■■■■■■■■■■■■■■NE■ MENNEN ■■■1■o=:■■w■■■■n�■■n ■■■■■■■■■■■ ■■li ■■■■Ci■���■�11 ■■�I� I■�I■■■■■■■■ s .. ■■Ill■■■■■i�■�1■fi■■■1■■■■■■■■■■■■ ■®I■■■■�El�i■■■�■■■■■■ �■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ yIFire Place lype Roof- Recreation Room • Dormer 01/07/2008 15:57 FAX @I001 Baia; 444 SO James WOW ■ No16pook,NY 11741 ■ bl:031-471.8801 is fax:031.471-0037 6/11/09 Mr.Nicholas Tsoulus 825 Daisy Road Mattituck,New York CONTRACT B &D Removal Corp.will supply Labor and Dumpsters for the rip and removal of If Block Cesspool-$850.00 to fill in up to 10 Feet Deep If Pre Cast Cesspool-$1,200.00 to fill up to 2 Sections and 2 Domes THE ABOVE PRICES GIVEN ARE PER POOL,IF ANY ADDITIONAL CESSPOOLS ARE FOUND THERE WILL BE ADDITIIONAL CHARGES. ALL ABOVE PRICES MUST INCLUDE 8.625%SALES TAX UNLESS CAPITAL IMPROVEMENT FORM IS COMPLETED. Payment to be made as follows: Entire payment due upon completion of job o :�\ire � � yv�vNl✓\ f'YG�/ S 1'4Vi� STARTDATE �� fe1&V✓11--7-- COMPLETIONDATE V ALL WORK TO DE COMPLETED IN A WORKMAN LIKE MANNER ACCORDING TO STANDARD PRACTICES Any alteration or deviation ttom the above speciflcidiun involving extra coals will be executed only upon written orders and will become an extra charge over and above tho estimate. Alt jobs with removal of fbotings will he up to 2 Yz feet and any concrete will be up to 4 inches. All walls,floor and ceiling Rips are only up to one layer unless otherwise specified In contract. Additional charges will apply for all extra layers. All agreements cantingont upon strikes,accidents,or delays beyond our control. Fxctusionsr Lounl or $ales tax if applicable,permits,ltizardous materials,elevator hoist,service fees,utility disconnects and drains,bracing,shoring, sidewalk bridging,security,union labor,patching,vet flooring,mastic glue,dust control,temporary protection or plastic covering of barricade,Glue/thinsctlitud removals,temporary power or lighting,security, fire alarm,salvage,merchandise left behind by previoug tenant,bonding and load hearing walls,needling or underpinning,damage to unmarked existing underground utilities,trenching,lead abatement,double flooring,double coiling removals,Freon removal and recapture,scarifying/grinding of floors,excavation or layouts. All payments must be made according to contract terms. Any payment not received will result in liens on property and customer will be responsible for all reasonable costs for collection including attorney,court and lien fees. This contract may be withdrawn if not twecptcd within 7 days. Customer must rcturn signed contract in order for work to proceed. Alter 7 days,l GIAI will be charged for cancellation. All cancellations must be in writing. If work is commenced,this proposal shall be Considered accepted by both parties. Owners to carry fire,tomado and other necessary insurance. All aw'=.Monts and PO's must incorporate by reference this proposal in its entirety. The order to proceed must be in writing and accompanied by our signed proposal. Authorized Signature ACCEPTANCE OF CONTRACT-The above prices,specifications and conditions arc satistlictory and arc hereby accepted. You are authorized to do the work specified. Payment will be made as outlined above.. HATE: -- U1 i -I t I ILI Loa 444 Saint James 3tpeet ® Ilolgrook NY 11741 ® Tel:031-471-8001 ■ Fax:031-471-8937 6/8/09 Mr.Nicholas Tsounis 825 Daisy Road Mattituck,New York CONTRACT , B &D Removal Corp will supply Labor and Dumpsters for the Rip and Removal of entire House and Foundation including removal of all Walkways and Patios. Price also includes the filling in of Foundation with Clean Fill. Total Price: $13,800.00 plus 8.625% Sales Tax unless Capital Improvement form is completed. Payment to be made as follows: '/z on Mobilization and entire balance upon completion of job. Estimated time: 2 '/Z -3 '/z Days CUSTOMER IS RESPONSIBLE FOR OBTAINING OF ANY PERMITS. B&D REMOVAL CORP WILL REMOVE ANY SHRUBBERY NEEDED TO COMPLETE JOB ONLY. AREA OF DEMOLITION ONLY WILL BE LEFT WITH A ROUGH GRADE. PRICE DOES NOT INCLUDE DRIVEWAY. B&D CRP IS NOT RESPONSIBLE FOR ANY DAMAGE BRI K,CESOSPOOL3 D ONE f COBBLES ONE,CONCRETE,SPRINKLER SYSTEMS,HONE LINES,CABLE LINES,ETC.,ON ANY MACHINE JOBS. START DATE _4 f s:Al�-- COMPLETION DATE W�' 1`�I� C�►P- ALL WORK TO BE COMPLETED IN A WORKMAN LIKE MANNER ACCORDING TO STANDARD PRACTICES Any alteration or deviation from the above specification involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All jobs with removal of footings will be up to 2'/2 feet and any concrete will be up to 4 inches. All walls,floor and ceiling Rips are only up to one layer unless otherwise specified in contract. Additional charges will apply for all extra layers. All agreements contingent upon strikes,accidents,or delays beyond our control. Exclusions:Local or Sales tax if applicable,permits,hazardous materials,elevator hoist,service fees,utility disconnects and drains,bracing,shoring, sidewalk bridging,security,union labor,patching,vat flooring,mastic glue,dust control,temporary protection or plastic covering on barricade,Gluelthinsetlmud removals,temporary power or lighting,security, fire alarm.salvage,merchandise left behind by previous tenant,bonding and load bearing walls,needling or underpinning,damage to unmarked existing underground utilities,trenching,lead abatement,double flooring,double ceiling removals,Freon removal and recapture,scarifying/grinding of floors,excavation or layouts. All payments must be made according to contract terms. Any payment not receive and lien fees.will result n liens on property and customer will be responsible for all reasonable costs for collection including attorney, This contract may be withdrawn if not accepted within 7 days. Customer must return signed contract in order for work to proceed. After 7 days,101/owill be charged for cancellation. All cancellations must be in writing. If work is commenced,this proposal shall be considered accepted by both parties. Owners to carry fire,tornado and other necessary insurance. All agreements and PO's must incorporate by reference this proposal in its entirety. The order to proceed must be in writing and accompanied by our signed proposal. Authorized Signature ACCEPTANCE OF CONTRACT-The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work specified. Payment will be made as outlined above. DATE / '�.- JD SIGNATURE: i � (7 f '7� / L v v ti•