HomeMy WebLinkAbout37440-Z o,Agui'r�v TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y 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#: 37440 Date: 8/14/2012
Permission is hereby granted to:
Manor Grove Corp
PO BOX 321
Greenport, NY 11944
To: Demolition & Removal (Disposal) of Existing Buildings on Property:
2 Story, Single Family Dwelling; Wood Frame Barn; 2 Story, 2+ Car Garage;
Wood Frame Building & Small Wooden Building, Oil Tanks, Septic System, as applied
for.
At premises located at:
68775 Route 25, Greenport
SCTM # 473889
Sec/Block/Lot# 53.-1-1.2
Pursuant to application dated 8/2/2012 and approved by the Building Inspector.
To expire on 2/13/2014.
Fees:
Total: $0.00
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 Survey
SoutholdTown.NorthFork.net ' PERMIT NO.' .: Check
Septic Form
N.Y.S.D.E.C.
(� Trustees
D
C Ell
U E C.O.Application
_ Flood.Permit
Examined '20 (� AUGSingle&Separate
�9 _ 2 2Q�2 Storm-Water Assessment Form
BLDG. DEPT. Contact:
Approved 1 20 ( TOWN OF SOUTHOLD Mail to:
n Phone:
Expiration 4'� �j� 20_(y
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date / , 20 1Z
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 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 regu ations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signa f applicant or name, if a c oration)
79, ,Sv a74-Cep AJ
(Mailing address of applicant) y
State whether applicant is owner, less e, agent, ar hitect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises QQ� 1/4
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 will be done:
QHuse rumer Street M, Hamlet
County Tax Map No. 1000 Section Block / Lot 1, �.
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupanc of pro"osed construction:
a. Existing use and occupancy '
b. Intended use and occupancy , 2,464#yioi " S
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. stimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwe mg 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? YESJZNO Will excess fill be removed from premises? YES NO-1Z
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. C ITS MAY BE QUIRED.
b. Is this property within 300 feet of a tidal wed NO
* IF YES, D.E.C. PERMITS MAY BE REQUI D.
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-j./—
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SdA@a)
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contracto Agent, orporate Officer, etc.)
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 tPefore me thi
day of 20 1
BONNIE!.DOROSKI
Notary Public State Of New York
o a Public o• 1006095328, Sufrolk County .,:S1bn ture of Applicant
•. Term Expires July 7,20 �
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JAMES C.McMAHON O l0 Town Hall,53095 Main Road
Director P.O.Box 1179
Southold,New York 11971
Telephone(631)765-1283 G Q
Fax(631)765-9015 Co
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TOWN OF SOUTHOLD
DEPARTMENT OF PUBLIC WORKS
TO: Mike Verity, Chief Building Inspector
FROM: Jim McMahon, Director, DPW
SUBJECT: Demolition of structures on preserve property
DATE: August 1, 2012
Mike:
The Town of Southold is purchasing property located at 68775 Main Road,
Greenport, NY (SCTM#1000-53-1-1.2) from the Nature Conservancy, under
the Land Preservation Program.
We expect to close on this property in early September, 2012 and would like
to demolish and remove the house, barn, garage, a small "craft shop" and
miscellaneous debris ASAP.
If you have any questions on the enclosed, please give me a call.
Manor Grove
The demolition and removal of buildings V
antlif miscellaneous debris located at
68775 Route 25.
reenport, NY 11944
The Town of Southold is proposing the following:
1. Removal and disposal of a two-story wood frame single family
structure (980 square feet), with partial basement.
2. Removal and disposal of a wood frame barn (1,200 square feet),
wit no basement.
3. Removal and disposal of a wood frame two-story a� rage (1,360
square feet), with no basement.
4. Removal and disposal of a small wooden buildin between the
garage an Removal
5. Removal and disposal of a wood frame building (400 square feet)
6. Rem . an isposal of a 275-gallon fuel oil tank in the basement
of the single fame y residence.
7. Removal and disposal of a 275-gallon fuel oil tank in the barn.
8. Removal and disposal of a 550-gallon fuel oil tank located in the
overgrowth area south of the garage uilding.
9. Removal, di�and backfill the septic system located on the
west side of the single ami y resi ence.
10.Removal of the on-site water supply well located in the basement
of the residence. A second well, located between the residence and
the garage building needs to be located and removed.
I LRemoval and disposal of all discarded farm equipment and
miscellaneous and assorted debris in and around all structures.
12. Fill any necessary excavation with clean fill similar to the
ambient soi an gra e e property with clean top soil to mimic
the property contours, as part of the removal of the single family
house and partial basement. Seed the area with a fine fescue (i.e.,
Sheep fescue or Elijah blue fescue annual ryegrass mix.
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NEW YORK STATE & TOWN CODES
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AS REQUIRED
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SOUTH0 NNING BOARD
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NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
g 1. FOUNDATION-TWO REQUIRED
M p Ole
SR
FOR POURED CONCRETE.
°ems° 2. ROUGH-FRAMING,PLUMBING,
ti STRAPPING, ELECTRICAL&CAULKING
3.N TION
�� /�. , 4. FINALL--CONSTRUCTION&ELECTRICAL
a c- T q
MUST BE COMPLETE FOR C.O.
ALL
CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
�Z y- YORK STATE. NOT RESPONSIBLE FOR
I � DESIGN OR CONSTRUCTION ERRORS.
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