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Home My WebLink About37368-Z TOWN OF SOUTHOLD gUFFD��-Coy BUILDING DEPARTMENT y 2 TOWN CLERK'S OFFICE SOUTHOLD, NY viol � .�ao s 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#: 37368 Date: 7/17/2012 Permission is hereby granted to: Ozolins, Helmars & Ozolins, Jocelyn PO BOX 26 Orient, NY 11957 To: demolition of dwelling due to fire. L),sconrjed e e c cc�r`i At premises located at: 600 Majors Pond Path, Orient SCTM # 473889 Sec/Block/Lot# 26.-2-39.13 Pursuant to application dated 7/16/2012 and approved by the Building Inspector. To expire on 1/16/2014. Fees: DEMOLITION $471.00 Total: $471.00 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 Planning Board approval FAX: (631) 765-9502 `3`�3(®� Survey South oldTown.NorthFork.net PERMIT NO. _ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 120 Single&Separate Storm-Water Assessment Form Contact: Approved 20 Mail to:r� W Disapproved a/c L9 �Z Phone:&.31-44.'` (2 Expiration 20 Building Inspector JUL 16 2012 PPLICATION FOR BUILDING PERMIT BLDG.DEN. Date , 20 12, 100 OF SOUTHOLD 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 approyal 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 riionths 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. (Si, ature of adli6vdor name, if a corporation) (Mailing address of applicant) l � State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 1N(,64rK'I 5 �S �-YPQV 2-0"A)'S (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 proposedwork will be done: House Number Street Hamlet County Tax Map No. 1000 Section' Block ?/ Lot 3 ' 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 be- � t- ` b. Intended use and occupancy. 3. Nature of work (check which applicable): 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 _�D 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_\e,,'� t. 14. Names of Owner of premises LM.4-lu d 7-61445kddress to 66 Iu�43aR'S tPdU hope 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 U * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,.with accurate foundation plan and distances to property lines. 17.1f 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 06, " U✓ � � �- $� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE U. BUNCH Notary Public,State of Now York (S)He is the No.OIBU6185060 (Contracto(Agen Corporate Officer, etc.) Commission Expires April 34,2 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; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this �n day of 20 Notary Public ignature of Applicant 5URYEY OF LOT #2 MAP (9F "1NIL .OW TERRACE FARM5, INCH " FILED OCT. 4, Igg4 A5 # g5-12 w £ SITUATE: ORIENT TOWN SOUTHOLD s SU FOLK COUNTY, NY SURVEYED 06-23-Gtl FOUNDATION LOCATION 061-13-2000 FINAL 06-14-01 5UFFOLK COUNTY TAX ` 1000 - 26 - 2 - 3ri.15 Lot #1 CERTIFIED TO: VACANT Lot #4 Land now or formerly of: VACANT Helmars E. Ozolins Nancy R. Douglass Jocelyn 5. Ozolin5 Fidelify National Title Insurance Companyy of New York W FNT ti92.24-7-7 O j o° S88021'50"E 270.00' S88021'50"E 110.00, o r _ - I -- - --- -- N ' - --- -- '- -- - = --I cz ___ — _______________________ 0,0 O c o '-- Z p .p '! C7\ m co 5T Lot #2 N Lot #3 n FSRaO1pY2v - -- - 1345' - - - - - - - -- ' 9L4 ), <�• ,, 0 0 11, - 9 ------------ cl O ttgN N88°21'5011W 302.95' SL��3O09' ed a pmnt. -unautn°ritea.Itrratlpn°r.°c,tton tp a ure., / C7 •r1 O ------ n wep oear,ny a Itcensea lei°sur.evor'.aaa to i!�!J` v 'N� `` rse let tOn Of tact ion 7]°9, eae-°irle s°n 2- °f Me NOTES: ` I e.rort st.te Eauu[mn \ \'J` -(In„Cpp trSn Iran tp.pr iytn.l pl to�.E o,'s ` r t`a rt°tnel pf tna Lne s .eror•s \ steraea°ee.l npll°ae cane tatrra[a oe r.l to true ■ MONUMENT t°ate[ 'Certtf teat ton.tn0 tretea ne'.on,laatf7 iW tnte �� earrey nes oreperea t ec or0ence.itn the,s- p istinp cap,of n acttcen to,Lana 5urv.v.eaooM PIPE - or the Mt.7prY s......soc"""n at Mt.,,i.n.1 Lana SOrreyors. 5.ta certif tc et ion[Snell ran only AREA = 6`l,4G5 SF OR 155 ACRES Land now or formerly of. °5°er.an tar,n,.ene`arr,. ""I va°err°. Stuart Mager $ :, ernev to the sn le conoen,. ern tal evencr en° lenain9 tint ttuttan)late°n r ana to the sipnees of the lens tn° tn.tituttan- cartttiC Garol Mader ttan.'.a not tr..,nr.em to emutpnn tnetitanons FEMA FLOOD ZONE X 5EPTIG LOCATIONS PROVIDED BY GONTRAGTOR JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 6RAPHIG 5GALE 1"= 50' RIVERHEA.D,N.Y. 11901 369-8288 Fax 369-8287 REF.-TIGER\PROS\99-195