HomeMy WebLinkAbout37225-Z �gu ��co TOWN OF SOUTHOLD
moo ay BUILDING DEPARTMENT
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#: 36425 Date: 5/26/2011
Permission is hereby granted to:
Southold Free Library
53705 Main Rd
PO BOX 697
Southold, NY 11971 '
To: Demolish existing dwelling as applied for
At premises located at:
810 Traveler St
SCTM # 473889
Sec/Block/Lot# 61.-1-15.1
Pursuant to application dated 3/11/2011 and approved by the Building Inspector.
To expire on 5/25/2012.
Fees:
DEMOLITION $700.00
Total: $700.00
Building Inspector
Ffnlx 'TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 37225 Date: 5/17/2012
Permission is hereby granted to:
Southold Free Library
53705 Main Rd
PO BOX 697
Southold, NY 11971
To: Demolish existing dwelling as applied for. This permit replaces BP 36425.
At premises located at:
810 Traveler St, Southold
SCTM # 473889
Sec/Block/Lot# 61.-1-15.1
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 11/16/2013.
Fees:
DEMOLITION $700.00
Total: $700.00
Building Inspector
' TOWN OF SOUTHOLD
�°SUFFo���o BUILDING DEPARTMENT
y a TOWN CLERK'S OFFICE
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#: 36425 Date: 5/26/2011
Permission is hereby granted to:
Southold Free Library
53705 Main Rd
PO BOX 697
Southold, NY 11971
To: Demolish existing dwelling as applied for
At premises located at:
810 Traveler St
SCTM # 473889
Sec/Block/Lot# 61.-1-15.1
Pursuant to application dated 3/11/2011 and approved by the Building Inspector.
To expire on 5/25/2012.
Fees:
DEMOLITION $700.00
Total: $700.00
Building Inspector
TOWN OF SOUTHOLD 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 lanning Board approval
FAX: (631) 765-9502 7 J-LeA 1,Vtcysurvey
SoutholdTown.NorthFork.net PERMIT NO. 2 7�-� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined 20 `� Storm-Water Assessment Form
Contact:
Approved 20 0 Mail to:
Disapproved a/c
Phone:
Expiration ,20A�
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date �s42G1� , 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 Pennit 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 pen-nit 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, anareulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises 3()V 7fO L.lD G��js2,¢{j2 y
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
W oL we `D C C,�/M r-
(Name andtitle.of corpor"ate officer)
Builders License No:
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:C)
�l l i2 ;Z�2 �— 50 c td r�
House Number Street / Hamlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy C U2,-C1VTLY AA l 13 .7 AJ6- USCG
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition v/ Other Work
(Description)
4. Estimated Cost Fee $I00 +� (2-000 rT� _ 000
(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 3 Rear / Depth 5I /
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 /y Rear IZg )5 Depth 2 05"0 ' z 11 E
10. Date of Purchase APAL 00(o Name of Former Owner
11. Zone or use district in which premises are situated N6M LC r JU-s INL-3f
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 premises5aUnia F2& �69AAYAddress 53-)es14ol ✓ 2D Phone No. -7 bs 0-7-7
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 O<,-X
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 "Ien-i�i_u611i;6950
(Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk County
Commission Expires April 14,kW_
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 ff�(�Ci 201
Notary Public Signature of Applicant
LIPA
Long triand twer Authorlty
CUSTOMER ORDER FULFILLMENT DEPT. �.
May 23,2011
Southold Free Library REVISED LETTER
53705 Main Road
Southold,NY 11971
RE: Demolition:
810 Travelers Street, Southold
T101219668&T101219664
Electric Meter#047707932
Dear Ms.MacArthur:
This is to advise you that the LIPA electric facilities and the National Grid gas facilities have been
removed at the above referenced location.
In accordance with the New York State General Business Law-Chapter 818,Industrial Code Rules
53,please inform the demolition contractor to notify LIPA-TELCO,Utility Control Center at 1-800-
272-4480,48 hours prior to starting work to request a mark out of the utility services in the area.
If you have any questions regarding the above,please contact Lynda Powell at 516-545-4887.
Very truly yours,
Anthony Stallone
Customer Order Fulfillment
AS:am
'.E 0
MAY 2 5 2011
BLDG.DEPT.
TOWN OF SOUTHOLD
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