HomeMy WebLinkAbout44135-Z SSU o��c TOWN OF SOUTHOLD
BUILDING DEPARTMENT
g ' TOWN CLERK'S OFFICE
or • { 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#: 44135 Date: 9/6/2019
Permission is hereby granted to:
Main Road Brokerage II LLC
PO BOX 937
Southold, NY 11971
To: demolish two existing buildings as applied for.
At premises located at:
61505 Route 25, Southold
SCTM # 473889
Sec/Block/Lot# 56.-4-1
Pursuant to application dated 8/27/2019 and approved by the Building Inspector.
To expire on 3/7/2021.
Fees:
DEMOLITION $447.10
Total: $447.10
4
Buil c or
SE
8/20/2019
NED HARROUN Service To:
61205 MAIN RD 61505 MAIN RD
SOUTHOLD, NY 11971 SOUTHOLD,NY 11971
Customer Project#:900000096686
Dear NED HARROUN:
This is to advise you that the PSEG-LI electric facilities at the above referenced location have
been disconnected and removed off the building structure that is located on the property.
Please note that there may still be PSEG LI facilities located within the property boundaries
and that NYS law(NYCRR Part 753)requires all contractors to call for a utility locate(NY
811) prior to performing any ground excavation or regrade activity. The call to the 811 Call
Center must be done at least 2 business days prior to the start of the work and confirmation of
utility marks having been identified must be received from all the facility owners prior to any
site work.
You must also contact National Grid at 631-348-6150 to procure a letter of demolition
associated with natural gas service, whether or not your home or business uses natural gas.
If you have any questions regarding the above, please contact Building&Renovation Services
at 1-844-341-6378 or via email at BRSLI@PSEG.com.
Very truly yours,
Carolyn Mackin/—Manager
VCULLt�//2 e///LC/,(i�i2
Building&Renovation Services
PSEG-LI
Evan T.Steffens
Nati®nalgrid
Senior Supervisor
Gas Customer Connections,NY
August 27, 2019
Main Road Brockerage Il, LLC
PO Box 937
Southold, NY 11971
Email: dave g albertsonmadne.com.
National Grid WO#: T102239179
Service Address: 61505 Main Rd
Southold, NY 11971
To Whom It May Concern:
This letter is to advise you that National Grid investigated your request and confirmed that the
subject property does not have an active gas service line.
New York State law requires anyone planning underground excavation work to notify local
utilities by making one call to a toll-free number to get your underground lines identified
for you prior to doing any digging. This phone call needs to be made at least 2, days but
not more than 10 days prior to starting work, not including the date of the call. The
number to call is either the nationally sponsored "811", or the local number for NYC/LI
area, 1-800-272-4480.This confirmation letter of no active gas service line to the subject
property does not relieve the excavator of making this"811"call.
If you have any further questions, kindly contact me at 631-348-6150.
Respectfully,
Evan T. Steffens
Senior Supervisor
'Gas Customer Connections NY
1650 Islip Ave,Brentwood NY 11717
T:631-348-6150 evan.steffensra,)a To�om ridlirud rote sin c�`natio a ri' o
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) 765-9502Survey
Southoldtownny.gov PERMIT'NO. ' 44`,i" Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20JJ Single&Separate
Truss Identification Form
Storm-Water Assessment Form
r,, r Contact:
Approved l!/ ,20 [ Mail to.
Disapproved a/c
Phone:
Expiration 20
,1 Building Spector
AUG 2 7 2019 APPLICATION FOR BUILDING PERMIT
B 7TI:.!N% DEPT. _ Date—,,) U I—/ � � 52019
T'0)`V'N OF S9 VIEEI SLB, 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 regulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
rgo'In Qw� sco 4(f.
(Signature of applicant or name,if a corporation)
cO 7
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C>cul\ef
Name of owner of premises 1 " o xv\ `' eas Q Ccs h2('a;�i2 , C!
(As on the tax roll or latest deed)+
I plicant is a corporation si _ature 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 roposed work,{ 1l be done:
6ISO� (`�G\h �c» �� �•
House Number -- -- -Street Hamlet
County Tax Map No. 1000 Section Block'. 0 14, Lot 0 f
Subdivision Filed Map No. Lot
r— 2. State existing use and occupancy of prem'ses and intende use and occupancy of proposed construction:
a. Existing use and occupancy CQQ)h QCQ
b. Intended use and occupancy ��'^OC .10 Co S( ..
�. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Co Fee
(To be paid on filing this application)
5. If dwelling, numb of dwelling units Number of dwelling units on each floor
If garage, number cars
6. If business, commercial mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing struc res, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure 'th alterations or additions: Front Rear
Depth He ht Number of Stories
8. Dimensions of entire new construction: ront Rear Depth
Height Numb r of Stories
9. Size of lot: Front Rea - Depth
10. Date of Purchase Name f Former Owner
11. Zone or use district in which premises are situate
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess 11 be removed from premises?YES NO
14. Naives of Owner of premises Addre s Phone No.
Name of Architect Addres Phone No
Naive of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO Z
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES X 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_Z_
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS.
COUNTY OF_5 1 L.,
E)�kUj1 Q l�L/i`�L Y"tQJ being duly sworn,deposes and says that(s)he is the applicant
(Name of indiv�{id�ual signing contract) above named,
(S)He is the A/`e'er&9 i
J
(Contractor,Agent, Corporate 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 to before me this I ,,
day of 20 19
JOIX i i VA L. DWYER
Notary,Publi NOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,21a,9,_
o
6147
SURVEY OF PROPERTY
N AT ARSHAMOMAQUE
APP OVER AS NOTED TOWN OF SOUTHOLD
QSUFFOLK COUNTY, N.Y.
DAT 1 B.P.# 1000-56-04-01
SCALE- 1'--20
FEE: BY: tfTT
�' AUGUST 29, 2018
NOT BU D NG C=FARTMEN
765- 802 8 M TO 4 PM FORTH
FOLI.OWING INSPEC.T�' :
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LOT NUMBERS REFER TO SUBDIWISION MAP OF PROPERTY
OWNED BY C.L. SANFORD BRICK CO.,INC.'FILED IN THE SUFFOLK
COUNTY CLERK'S OFFICE ON SEPT.2, 1.934 AS FILE NO. 539. ( �(631)
. NO. 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF ECONIC SU VEY
SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS AREA= 19,071 S0. FT. (631) 765-5 20 F 765-1797
PER SEC77ON 7209—SUBDIVISION 2 ALL CER77RC4770NS HEREON ARE P.O. 80X 909
VAUO FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR
COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE 1230 TRAVELER STREET 18-160
SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971