HomeMy WebLinkAbout45772-Z , suF tK TOWN OF SOUTHOLD
900° cony BUILDING DEPARTMENT
y x 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#: 45772 Date: 2/2/2021
Permission is hereby granted to:
Mclaughlin, Robert
Attn: Mr & Mrs Mclaughlin
24 Goodrich St
Williston Park, NY 11596
To: demolish existing structures as applied for.
At premises located at:
3700 Vanston Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-5-13
Pursuant to application dated 1/25/2021 and approved by the Building Inspector.
To expire on 8/4/2022.
Fees:
DEMOLITION $541.00
Total: $541.00
Building Inspector
i
. OgUFFOlkC
=oma ,a o�y� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 hl!ps://www.southoldtonLnny.gov
Date Received
APPLICATION FOR BUILDING PERMIT �.
For Office Use Only i_ • I
• 'I " r
PERMIT NO. Budding Inspe tor: L� SAr�21
N 23
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an �7Ji`•= -
Owner's Authorization form(Page 2)shall be completed. r 69i'a
Date:
'OWNER(S)OF PROPERTY:
Name: SCTM#1000- /J/ —,f---13
� D__________._ _------_----
Physical Address:---3
Phone#: Email
L-
Mailing Address:
CONTACT PERSON:
Name: - - - -- - - -- -
= - - ----- --- --- -
Mailing Address:
------------ - --�� -- -�------- ---al
- - -- - - - _- -------- - ----
Phone#: 3[l[- Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
_ _—._ __ R_ lkM M—_—NO
Mailing Address: L
Phone#: Email: -
-FEE=-� - —P`/-•-- - - _
CONTRACTOR INFORMATION: .NOTIFY BUILD NG DF-PARTk4ENT AT
Ivy 1 -U E
Name: _—� - T -- -p , - _ AWING-INSP-ECTIONS:---
Mailing Address ------ -----
1. FOUN T N - TWO REQUIRED
^ : ,-
Phone#: 63_ ' ! �[f-_S_ Email:,-
& F
r_
V. 111OULAHVII
DESCRIPTION,OF PROPOSED CONSTRUCTION ;4._FINAL_-,COtJSTRUC710N-MUST .- - -.-
❑New Structure ❑Addition ❑Alteration ❑Repair Vf5e`molition BE COMP E�tiVA&est of Project:
❑Other ALL CONSTR �TIONn]-6,6,DEET THE
---- ---- --nL nNWill the lot be re-graded? N'�fes ❑No M Will exces�", 1096veU9roQW ?IONO
DESIGN OR CONSTRUCTION ERRORS.
• 1 •e,-
PROPERTY INFORMATION
Existing use of property:
� Intended use of property:�ESIaOC,�/��
" _ T
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ENO IF YES, PROVIDE A COPY.
❑ Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as'provided by
Chapter 236 of the Town Code. 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,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(s)for necessary inspections.False statements'made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.'
Application Submitted By(print name): �-- 1/� �r�/1/L� �//l�(��� Authorized Agent El owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS'
COUNTY OF )
At r4 P/Y being duly sworn,deposes and says that(s)he is the applicant
(Namdf individual signing c ract) above named,
(S)he is the &ot--6w
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have performed the said work and>,3,M fip } 4his
application;that all statements contained in this application are true to the best of his/her krioV42p •be 10;;rf$
that the work will be performed in the manner set forth in the application file therewith. �.�t�:�o`�'SUFI o��co .C'G'y
. < �
Gam' �
Sworn before me this = V
� teese�:• Y
" � � �•oo No.01BI838 `ti. �
O Z
dayof
Notary Publi'e'i,�
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, 4L6-,At �2, residing at 6 �7T/fJ� �'% &2,6 1U—:4P
do hereby authorize 19ato apply on
my r,a alf to the Town of uthold Building Department for approval as described herein.
JA 5-/---z
Owner's Signature Date
�1E0 . W1 L--
Print Owner's Name
2
Evan T.Steffens N ati o n a I g ri d
Senior Supervisor
Gas Customer Connections,NY
January 22, 2021
Ellen C. Riley
136 East 79th Street,Apt. 106
New York, NY 10075
E-Mail: ERILEY4@AOL.COM; BURGERCONSTRUCIAA-OL.COM
National Grid WO# : T102371228
Service Address: 3700 Vanston Road
Cutchogue, NY 11935
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 0811", 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 833-359-0645.
Respectfully,
Z_-=� /, o
Evan T. Steffens
Senior Supervisor
Gas Customer Connections NY
1650 Islip Ave,Brentwood NY 11717
T: 833-359-0645 evansteffens(�!nationalgrid.com ngridlirudprocessing(natiionalr�rid.com
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VETERANS MEMORIAL-HIGHWAY• '* -HAUPPAUGE, NEW YORK 11'788
DATE ISSUED: 6/1/1.985
`•�, ? No. 111.46-HBF
SUFFOLK COUNTY � .
• .\TAY•✓1.,1�'�:
Home hnprovement Contractor License
BE
fF This is to certify that EUGENE BURGER
BURGER CONSTRUCTION INC
doing business as
having furnished the requirements set forth in accordance with and subject to the provisions of applicable laws,.
rules and regulations of the County of Suffolk, State of New York is hereby licensed to conduct business as a
_ HOME IMPROVEMENT CONTRACTOR; in the County'of Suffolk. �,..
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tir NOT VALCD
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17-—ON*N4-
NYSIF
New York State Insurance Fund 199 CHURCH STREET,NEW YORK,N.Y.10007-1100
nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
%xk :,^^^^^^ 112849627
BURGER CONSTRUCTION INC
P 0 BOX 934COTCHOGUE NY 11935
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
BURGER CONSTRUCTION INC RILEY
P 0 BOX 934 3700 VANSTON ROAD
COTCHOGUE NY 11935 CUTCHOGUE NY 11935
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
G 777 885-5 862674 06/29/2020 TO 06/29/2021 12/3/2020
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 777 885-5, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS
OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS:/IWWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
EUGENE BERGER-PRES
ANN BERGER-V.PRIES
BURGER CONSTRUCTION INC
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 132943792
U-26.3
Rapin ad&*DaA,*hhCo%wumt*pbuj()tavxl Ath-UOW431 M C0T1KVWiW
COWIT V0"LAWYKR il"Vitt SNNIpila Till$tN5TjjUMWT,Tills JNSTJJUMl;XT 811OULI)09
um my WMI143 0INLY.
THIS INDCiMW ma&dw day of ►TWO-THOUSAND TWENTY
WIVIAN
ROBERT 4ICLAU0I11IN,residing at,71 West Nock Road, Huntington, N.Y. 11743,KEVIN
imaaatiux rcawn& at it 8 Yorudm Drive, East Norwich, N.Y. 11732, MAROARET
NICLAUGHLIN FARRM1, residing at 214 West Kennedy Road, North Wales, PA 19454,
MICHAEL MCLAUGHLIN, residing at 307 Rushmoro Avenue, Carlo Place, N.Y. 11514,
THOMAS,MCLAUGHLIN, residing at 148 Tullamm Road,,(larden City,N.Y. 11530,NM-
MCLAUGHLK4,101ding,,ab,1 Langdon Road, Cade Place, N.Y. 11514, VINCENT
""
Hewitt Road.Unit 201;
-Bolivia;NC 28422,and SUSAN
V
MCLAUGIW,I% got 144 Radcliff Drive,East-Norwich,N.Y.11732,
ELLEN CHRISTINA RILEY,as Tni5tm of jU Dfidj*Riley Trust.under ClauseTHIRD of thi
Jaincs P.May,Jr.2002 Family OST Trust residing at,136 East 79th Street-#I OB,New York,
N.Y.10075,
party of the second P4
WrfSSEW;that the party of the first part,-in consideration of Ten Dollars and otherAuablo
consideiation paid by the party of the second part,does hereby grant and release unto the party of
the second Pam the heirs or successors and assigns of the 0aity of the second part forever,
`ALL that certain,plot,piece or parcel of land,with the buildings and improvements thereon erected,
ituate'
lying and being inure-_t,
f %
SEES g„} uA”ANNEXED HERETO AND MADE XPART HEREOF
PREMISES INOWN AS'3i*,V"6n Road,Southold;N.Y.;-Section,l 11,Block S,Lot 13;
being and intended to be the,same premises described�ia' the deed dated January 11, 1998;
recorded March 12,1998 in Liber 11883 Page 82.
TOGETHER with all right,title and interest,if any,of the party of the first part in and to any
streets and roads abutting the above described premises to the center lines thereof,TOGETHER
with the appurtenances and all the estate and rights of the party of,thefinst part in and to said
promises;TO HAVE AND TO HOLD-the promises herein granted unto the party of the second
part,the heirs or successors and assigns of the party of the,second part forever.
AND the party of the fist part covenants that the party of the first part has not done or suffered
anything whereby the said premises-have bcen,encumbered in any way whatever, except as
aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the
party of the first part will receive the consideration for this conveyance and will hold the right to
receive such consideration as a trust fund to be applied fiat for the'purpose ofpaying the cost of the
improvement and will apply the same first to the payment of the cost of the improvement before
using any part of the total of the same for any other purpose.
The word"party"shall be construed as if it mad"particV whenever the sense of this indenture so
requires.
IN WITNESS1WIEREOF,the party of the first part has duly executed this deed Ckday and year
ft above written.
IN PRESENCE OF-
�OBERT NICIAUGUhN
'AL-
KEVIN MCLAVfGHLIN
SURVEY OF
LOT 322
AMENDED MAP A OF
NASSAU POINT
OWNED BY
NASSAU POINT CLUB PR OPER TIES, Inc.
FILE No. 156 FILED AUGUST 16, 1922
SITUATE
NASSAU POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
a'
LOT(Q)
° S.C. TAX No. 1000- 111 -05- 13
215.70 SCALE 1 "=20'
N 87°53'30" EAUGUST 10, 2020
a '
6
FENCE FENCE 2tio
POST do WIRE FENCE 7.T a 1 N SPLIT RAIL FENCE A
ENCE FENCE
t.s'N. 0.2 s °
. AREA = 27,896 sq. ft.
(TO TIE LINE) 0.640 a c.
T
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10"
G tPOs^ O °
CERTIFIED T0:
\,\
G c \N ` Ellen Christina Riley, as trustee of the Bridget Riley
�e I P °.' w
Tt�J \ EOG�O4 d °: t� Trust under Clause THIRD of the James P. Riley, Jr.
2002 Family GST Trust
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m0 PREPARED IN ACCORDANCE WITH THE�MNIMUM
zo
'- \\ STANDARDS FOR TITLE SURVEYS_AS ESTABLISHED
BY T SUCH USE BYeTDHFNEW7�Ftl WTE'ADOPTED AND
FORLAN
A C/ f( 3 TITLE ASSOCIATION" ,�V0+1_-- `
r�
N.Y.S. Lic. No. 50467
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
LA
EDUCATION LAW. Nathan Taft Corwin Ili
COPIES OF THIS SURVEY MAP NOT BEARING
i THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Successor To: Stanley J. Isaksen, Jr. L.S.
no L.S.e A. In h
LENDING INSTITUTION LISTED HEREON, AND Joseph 9 9
TO THE ASSIGNEES OF THE LENDING INSTI—
TUTION. Title Surveys — Subdivisions — Site Plans — Construction Layout
CERTIFICATIONS ARE NOT TRANSFERABLE. Ys Y
PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHTS OF WAY OMCES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16
ANY, NOT SHOWN ARE NOT GUARANTEED, JameSport, New York 11947 Jamesport, New York 11947