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HomeMy WebLinkAbout28640-Z FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28640 Z Date AUGUST 9, 2002 Permission is hereby granted to : ELLIOT & WF PASKOFF 205 NORTH SEA DRIVE SOUTHOLD,NY 11971 for . DEMOLITION OF DWELLING DAMAGED BY FIRE WITH TOWN TRUSTEE ' S AND NYS DEC APPROVALS at premises located at 205 NORTH SEA DR SOUTHOLD County Tax Map No. 473889 Section 054 Block 0004 Lot No. 004 pursuant to application dated JULY 8, 2002 and approved by the Building Inspector to expire on FEBRUARY 9, 2004 . Fee $ 275 . 60 —74 'Authorized Signature ORIGINAL Rev. 5/8/02 �'Gl-�Wr� ¢ ' AUG 1 3 � 2002r FAMWEATHER-BROWN ``� _ ___----- DESIGN ASSOCIATES,INC. �l_t�,;. r ;�r TGWNi Oil: iT1OLD P.O.Boz 521 413 Main Street Greenport,N.Y. 11944 631-477-9752 (fax)631-477-0973 August 9,2002 Mr. Bruno Simone,Building Inspector Southold Town Building Department Southold Town Hall,Main Road Southold,NY 11971 Re: Paskoff Residence 205 North Sea Drive Southold,NY Dear Mr. Simone: As per our conversation,this letter is to confirm that to the best of my knowledge, all utilities have been disconnected from the existing structure,which was destroyed by fire several years ago.If any utility remains connected,the contractor will instruct the utility company to disconnect before demolition proceeds. Thank you for your attention to this matter. If you have any questions,please feel free to contact me. Sincerely, Robert I. Brown, AIA RIB/kts aED Cy�T Bq0 0 ati4`2 s fiStlL'.^-� / f ST 1634 GQ,F- 9TF OF NS\V y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIS BUILDING DEPARTMEN r Do you have or need the following,before applyin TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 ` Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. 49�-6 Check Septic Form N.Y.S.D.E.C. Trustees Examined D&/O ,20_!P� Contact: Approved 6d C7 ,20 O, : Disapproved a/c Phone: ✓ 7 7 % ��a Expiration 20 uildmg Inspector i t 4U JUL — 8 2002 PLICATION FOR BUILDING PERMIT Date (p , 20 INSTRUCTIONS OA a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 th( 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. (S' ture of applicant or name,if a corporation) ,5E�i r AIII (MailfiWaddress,9f applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 11 Name of owner of premises 4-,,5b- (As o&Vtax 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 proposed work will e done: 06- House 5House Number Street Hamlet County Tax Map No. 1000 Section 5 Block Subdivision Filed Map N6"1"-, '° 1,`Lot` r' '`' (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: 2. a. Existing use and occupancy r ©� ��- 1,� e2,5-1 le-1- b. Intended use and occupancy ✓ Addition Alteration__ 3. Nature of work (check which applicable): New Building Other Work Repair Removal Demolition (Description) 3 ® 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. ZL36 ' es, if : Front ear 8 ep h S 7. Dimensions of e ting s ctuber f rie Height' nt Dimensions of same structure with alterations or additions: FNRear Depth Height-- of Stories / Dth S7 S. Dimensions of entire new construction: Front - Rear -Depth Height Number of Stories i 9. Size of lot: Front o O Rear­-LeO Depth 3 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?YES NO ✓ Will-excess fill be removed from premises? YES NO �p 14.Names of Owner of premises / Aseo F/= AddressJ/ ���t t Phone No. i 6 Name of Architect Rio .o�a� �Y` r' Address 3�/3 Jd7�%N S phone No 1f7�-97 5� Name of Contractor np 1��N ,�viLP. e Address i3��jV at Phone No. within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 15 a. Is this property REQUIRED. * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQ 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. STATE OF NEW YORK) COUNTY O being duly sworn, deposes and says that(s)he is the applicant (Name of' dividual signing contract) above named, OHe 'sthe (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 applicatic 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 U L .� Notary Signature of Applicant ELIZABETH A STATHIS NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk County Term Expires June 8,20&(p a—_/Z 701OWN OF SOUTHOLD PROPERTY RECORD CARD Ails? OWNER STREET 2—05— VILLAGE DISTRICT SUB. L? E ) 14 FORMER OWNER N E ACREAGE S k"J, W TYPE OF BUILDING C4 RES. SfS-e2 VL. FARM comm. I IND. I CB. I misc. LAND imp. TOTAL DATE REMARKS 4 o /,j 7,e; 3 ,f-0e)- 2, W/4437 F�� 9-,R P* (a 3 4 r-eAn C.Q '7J -3 4� C-tP -NEW NORMAL BELOW ABOVE UU Farm Acre Value Per Acre Value Tillable I Tillable 2 Tb — 412-6' 4v �. Tillable, . 3 Woodland' Swampland B r u s hl.61�d--, House Plot Tota I K ONE �•..�,' , , ;;'r s;'8`.s ;...� '° ,�� ° �Ssc�`�,r � ■■■■■■■■■■■■■■■■■■■■ -�� � ✓l'�-a =C`is �+.• 7Kt �yaC x ��, y.b,�. ��py, '.�. r�) '4`. ,., '` : '+i�T,. ,,, `rrr "` . .'' '� lr r• 'x� i�' ■■■■_■_■_■_I_E_■_■■■■■■■■■■ • ;� y r ommommommmill '�(�/�:� J�1 ii., �, y�v._y�•f:�� c i r�/j P_ ^+�lT�t ■■■��■�����:■■■■■■■■■■ ■■■■■■■E■&M■■■■■■■■■ ■MEMO■■■■ No ME ■■■■■■�■M■■■■■■■■■■■ • SS0. _ E �+ �� � \0� \ i ' I•23 LOCKING C.I. T}�p jS;�{ i�%Es 4'0 COVER TO FILL TO COVER SEPTIC SYSTEM ., LtI�I DRAIN GRADE / O � / ON.SET10 I 8.6' �l FIN.GRADE MIN.EL. MIN.7:0 EXISTING 10 ^� GRADE N GRADE 6D �J 9. �0.TO \ 1 1/4'/F(.DROP 5E3' 5E2' N 4°O CAST IRON I/8'/Ff.DROP DRAIN TO SEPTIC TANK 4'0 PVC WATER 44, cml ti ZV " CR055 SECTION OF e�l���} PROF05ED SEPTIC 5Y5TEM q F°P°°o' on- a I Lac'ID SCALE: N.T.5. 0.7 \ C� ON SET Q �O ;w r..��,•...�.•:S.' '�' ;.' . • �,ti/c / �O0 \0) >iK p / SP1 It t POSED • r� DECN PILI G5 SUFFOLK COUNTY DEPARTMENT OF HFALTH S6 $� / ?�P� / PP TING NEWS ). ; ,�+ i, .� . nO�, A o ' i MIXED SAND AND LOAM PERMIT FOR APPROVAL OF CONSTRUCTION FOR PALE BROWN FINE TO COARSE SINGLE FAMILY RasfL�L?Nc ®NLY /• P"\ / ��G �' \� \\\ SAND WITI1 1096 GRAVEL 5W AM, ` 4.a DATE 1 31 10. tzl °� .' APPROVED \ \'`\ / �� r` 1 \�' WATER IN PALE BROWN FINE TO COARSE SAND WITH 10%GRAVEL 5W FOR MAXimum OF BEDROOMS �..`�"' x ch�/°� \ p`� � %. �`•, i% ' � � � \ tic \ /• , � � ,� - EXPIRES THREE YEARS FROM DAVE OF APPROVAL, o/3Es gc�pF /5ei OI \Ole" MON.FD. COMMENTS:WATER ENCOUNTEft�b 4.a BELOW 5URFA DA 5� 6 y�r BASED ON SURVEY BY MON. E[ \I\ ��,�\ SAO JOHN T. SURVEYORS,P.C. NOTE:ER PECONIC SURVEYORS. P\IPE y i I \\ .G �� TEST MOLE DATA Q° �' ' 2 d SOUTHOLD, N.Y. 1 1971 TH15 AND SURROUNDING S S/ PROPOSED FOR: RESIDENCES ARE SUPPLIED �F STF / SEPTIY . ELLIOT 4 AILEEN PA5KOFF BY PUBSTEM UTIL.POLE SCALE:N.T.LIC WATER. SOL J, F AT 50UTHOLU (S.C.W.A.) TOWN OF SOUTHOLD NOTE: ! !/ .1634A pQ� SUFFOLK COUNTY.N.Y. p 1 000-54-04-04 EX15TING STRUCTURE + E c�r \/3 /' \ F NGv, AREA 34,854 5Q.FT.TO TIE LINE (DESTROYED BY FIRE) O� FS TEST /8'/ G TO BE REMOVED. HOLE FA I f WEAT r-1 E R—B RO MAY 2. 1989 F RFL / / / O / VP FEB.13. 2001 (5POTELEV.) t- \ �;' DE51GN A550CIATE5,INC. MONUMENT EXISTING LOT COVERAGE 2.809 SQ.FT=9% O \ /6 ' •�, � ,`,� 4 13 MAIN STREET PROPOSED LO COVERAGE G.057 5Q.FT 20% P.O.BOX 521 I T E PLAN P4 ���2 GREENPORT, N.Y. 1 1944 ""''s MON.FD. G3 1 -477-9752 (Fax) 'G31 -477-0973 SCALE: I'=30' k°9° 05/14/02 -9- BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: S-/? 4 APPLICANT: S,rG.6- DATE SUBMITTED: ? 4= 7/61 SCTM# DISTRICT: 1,000, SECTION: , BLOCK: , LOT: STREET ADDRESS: 2a CITY: SUBDIVISION: PROJECT DESCRIPTION: A--ce t,iZ T s 4e eG ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: AFAST TRACK?J SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recogiition.(CREATGD before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ. REAR PROP. REAR REQ. HEIGHT PROP. HEIGHT WATER FRONT? DESCRIPTION: PANEL #: FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: E r NO, (BED ft DTE: / / PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/7s �r NO 3 SOUTHOLD TOWN TRUSTEES: r NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. x 4%) LIGHT (SQ. FT, x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: 2- SF Imo' MT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( /c5 SF)- ( SSG . SF)= /66-1 SFX $ a _$� �. �c $ 3� +$ $ �•� 2. ( SF)- ( SF)= SFX$ =$ +$ +$ _ $ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738'-02951/00001 _! January 31, 2002 VACILITY/PROGRAM NUMBER(S) PERM I T EXPIRATION DATE(S) Under the Environmental Conservation Law January 30, 2007 TYPE OF PERMIT ■ New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate I - I ❑ Article 15, Title 5: Pro- ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; tection of Waters Certification 6NYCRR 360: Solid Waste Management ❑ Article 15, Title 15: ❑ Article 17, Titles 7, 8: Water Supply SPDES ❑ Article 27, Title 9; 6NYCRR 373: Hazardous Waste ❑ 'Article 15, Title 15: ❑ Article 19: Air Pollution Management Water Transport Control ❑ Article 34: Coastal Ero- ❑ Article 15, Title 15: ❑ Article 23, Title 27: sion Management Long Island Wells Mined Land Reclamation ❑ Article 36: Floodplain ❑ Article 15, Title 27: ❑ Article 24: Freshwater Management Wild, Wetlands Scenic and Recreational ❑ Articles 1, 3, 17, 19, Rivers ■ Article 25: Tidal Wetlands 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO TELEPHONE NUMBER Aileen Paskoff (212) 217-2967 ADDRESS OF PERMITTEE 21 West Street, New York NY 10006 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Fairweather-Brown Design Associates, P.O.Box 521, Greenport NY 11944 (631) 477-9752 NAME AND ADDRESS OF PROJECT/FACILITY Paskoff Property, North Sea Drive, Southold NY LOCATION OF PROJECT/FACILITY SCTM #1000-54-4-4 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Long Island Sound E:713.8 N:4549.9 Description of Authorized Activity Remove the existing single family dwelling and construct a new single family dwelling, swimming pool, deck, wood walk, sanitary system, and pervious driveway extension. All work shall be performed in accordance with the plans stamped NYSDEC approved on 1/31/02. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMITMINISTRATOR: ed/g #40, SUNY, Stony Brook, NY 11790-2356 Jo A Wieland (MRP) AUT0 ZED SIGNATUR DATE GPage 1 of 4 January 31, 2002 95-20-1 (8l8-n-9d New York State Department of Environmental Conservation NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown . when contacting the DEC. 000/ Regional Permit Administrator Permit Number Expiration Date / 0 0 r7' NOTE: This notice is NOT a permit 08/09/2002 12:27 6314770973 FAIRWEATHER BROWN PAGE 01 FAIR'V MATTER 3R®AVN - DESIGN ASSOCUTES,MC- AUS r 9 2002 P.O.B"5,21 413 Main Street Gneemport.N.Y. 11944 rt `L��; 0 S v i t TOLD 631-477-9732 (f2i)631-477-0973 August 9,2002 Mr.Bruno Simone,Building Inspector Southold Town Building Deparmient Southold Town Hall,Main Road Southold,NY 11971 Re: Paskoff Residence 205 North Sea Drive Southold,NY Dear Mr. Simone: As per our conversation,this letter is to confirm that to the best of my knowledge,all utilities have been disconnected from the existing structure,which was destroyed by fire several years ago.If any utility remains connected,the contractor will instruct the utility company to disconnect before demobtim�a proceeds. Thank you for your attention to this matter. If you have any questions,please feel free to comtact mac. Sincerely, Robert 1.Brown,AIA RIB/kta OCCUPANCY OR APPROVED AS NOTED aeD'®qo�TFo � UNLAWFUL DATE: �%—o P. #Lc _ - dd BY: c 2 1,VI 9 HOU T CERTIFICATE NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM To 4 PM *1; OF OCCUPANCYFOLLOWING INSPECTIONS: FOR THE X8341 pQ� 1. FOUNDATION - TWO REQUIRED 9�OF Ny FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET p ® " THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION &. ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS