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Home My WebLink About37205-Z t-a� TOWN OF SOUTHOLD ��OgUFFD(,�cpGy BUILDING DEPARTMENT y TOWN CLERK'S OFFICE oy .. 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#: 37205 Date: 5/9/2012 Permission is hereby granted to: 07670, LLC C/O DAVID SHANKS 30 SURREY LANE TENAFLY, NJ 07670 To: demolish an existing 14'X 28' dwelling as applied for, LIPA/utility disconnect letter required At premises located at: 46975 ROUTE 25,SOUTHOLD SCTM # 473889 Sec/Block/Lot# 69.-5-18.1 Pursuant to application dated 5/9/2012 and approved by the Building Inspector. To expire on 11/8/2013. Fees: DEMOLITION $217.60 Total: $217.60 Building Inspector Jun 12 2012 2:20PM HP FaxMudd Vyd 6317651248 page 2 JUN-11-2012 10:52 PENGUIN GROUP 12123662360 P.02 Link! CUSTOMT ORDER FMFILIAVIENT DEPT. June 4,2012 Mr. David Shanks Surrey Lane LLC 30 Surrey Lane Tcnat y;;NJ 07670 Re:Dewlition 785 Lower Rd,, Soutlwld,NY T1;01355601 Electric, T101355605 Gas. Dear Sir: This is to advise you hat the LIPA electric facilities and National Grid gas facilities at the above reference location have been removed, in azezrdance with the New York State General Business Law-Chapter 818. Industrial Code Rules 53,please inform the demolition contractor to notify LIPA-TELCO,Utility Contivi tenter at 1- -272-4480,48 hours prior to starting work to request a mark out of he Lidlity sezvices ifl The ana. if yc u have any questions regarding the above,please contact Customer Order Fulfillment at 516-545-3782. V erg►tmly tom, Anthony, steno Manage Cos.orn r Order Fulfillment TOTAL P.02 Jun 12 2012 2:20PM HP FaxMudd Vyd 6317651248 page 1 MUDD VINEYARDS, LTD. Esc. 1974 Vineyard Development 39005 County Road 48 Management -Consulting Phone 631 765 1248 Southold, L.I. New York, 11971 Fax 631 765 9495 FAX COVER SHEET DATE:' G 1 1.1 )aQ I a TOTAL PAGES: TO: Al�'►+�.��. 10 FROM: FAX#: `t Ca "1 So - PHONE#: Me S 110 1- MESSAGE: 1 Q4 OLvL, . A�I .A=-, i0low�_ LI -74 4 ?S..•Y.nWuclurFaamucc GROV ER AWARD pummom MUDD VINEYARDS foeaMmn aamm&7= mma . ,urwurpr�n�trn una� TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL 1`' Board of Health SOUTHOLD,NY 11971 e 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.No rthFo rk.net PERMIT NO. �°�� `S Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application / Flood Permit Examined 20 C Single&Separate Storm-Water Assessment Form Contact: Approved %� 20� Mail to: Disapproved a/c Phone: Expiration ,20 Building Inspector APPLICATION FOR B44 B � PERMIT Date , 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 plahs, accuI rate"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 b"uilding`peririit"sh'all expire if,xl e work authorized has not commenced.within 12 months after the date of issuance or has nof been completed within 18 months from sun h date. Iffioa`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. .s—el� 0 -sv (Signature of applicant or name, if a corporation) 1'ie`lr 40" e.,ob� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 1/QV/ (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 rll be done: J �. n House Number Street /, Hamlet Count Tax Ma No. 1000 Section lC� V_' Block Lot �. Subdivision Filed Map No. Lot 2. State existing use and occupancy of premise,5 and intended use and occuparlQyy of proposed construction: , a. Existing use and occupancy b. Intended use and occupancy 3.- Nature of work (check which applic le . New Building Addition Alteration Repair Removal Demolition Other Work (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. 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 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 remoX,ed r m emises? YES NO 14. Names of Owner of premises04,1,0 11AW Addresdo �� Phone No. 0*1 Name of Architect Address Phone No Name of Contractor Al &eAf1.2,2W Address A149eWlG. Phone No. or/ 3ov - 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO �r * 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 MAYBE REQUIRED. 16. Provide survey,'to scale,'with'accurate foundation plan and distances to property lines. 17. If elevation at arly.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 Notary Public,State of New York (S)He is the No.01 BU6185050 (Contractor,Agent, Corporate Officer, etc.) Qualified in Suffolk County Commission Expires April 14,2 IL 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. S ory i ,to before me this da of Notary Public Signature of Applicant 07670 LLC 30 Surrey lane Tenafly New Jersey 07670 Dear Southold Building Department, This letter is to confirm that we have retained Steven Mudd of Mudd Vineyards LTD to represent us with respect to the demolition permit for the larger building on Lower Road in Southold. The tax map number is 1000-69-5-18.1 Sincerely David Shanks Sole member 07670 LLC 30 Surrey Lane Tenafly NJ F CCE � MC MAY 10 2012 BLDG.DEPT, TOWN OF SOUTHOLD �a TOWN O� gOUTHOLD PROPERTY RECORD} CARD f _ TO _ L iL1 `6 �- - - DIST. SUB. Lam 3 STREETex ,( �� VILLAGE # ot,, 4 (� a REMARKS t b Gt,ti'1 h ao � TYPE OF BLD. � � � t7� makvn d11Q1 ti1� - �+t1�� + PROP.CLASS 10 S1�ao 1 0 { IMP. 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