HomeMy WebLinkAbout50565-Z ao�sOfFat,t� TOWN OF SOUTHOLD
aye BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
"oy • o� SOUTHOLD, NY
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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#: 50565 Date: 4/18/2024
Permission is hereby granted to:
Bohlen, Nicholas .
4800 Peguash Ave
Cutchogue, NY 11935
To: demolish accessory garage as applied for.
At premises located at:
35795 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot# 97.-1-19
Pursuant to application dated 3/12/2024 and approved by the Building Inspector.
To expire on 10/18/2025.
Fees:
DEMOLITION $435.00
Total: $43 5.00
Building Inspector
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
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FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING �H
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INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS O
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��o�gUfFOLk�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
4y�o1 �ao� Telephone(631) 765-1802 Fax(631)765-9502 https://www.southoldtownny. og_v
Date Received
APPLICATION FOR BUILDING PERMIT
t.J ] �._':33`LY•-q�L�. mot, �11 i Z�;9 I i�1
For Office Use Only
PERMIT NO. ✓ Building Inspector: MAR 1 2 2024
Applications and'forms must be filled out in their entirety..lncorn 'lete
applications will=not be accepted. Where the Applicant'is notthe owner,an,.
5. r-t •_-�'a=
Owner's Authorization form(Page;2)shall be completed:.' r' �'?.'` sk1
Date:2/29/24
OWNERS)OF,PROPERTY:
Name:NlCk Bohlen SCTM#1000-97-1-19
Project Address:35795 Main Road, Cutchogue
Phone#:631-905-3856 Email:nickb_@Rgrltlshorewindowinc.com
Mailing Address:35795 Main Road,Cutcho ue
CONTACT'PERSON:'
f ..
Name:as above
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION: -
Name:Nick Mazzaferro
Mailing Address:Greenport, NY
Phone#:516-457-5596 Email:nickmazzaferro verizon.net
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CONT.RACTOR:INFORMATION:
°
Name:TBD
Mailing Address:
Phone M Email:
DESCRIPTION.OF,PROPOSED:CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair BDemolition Estimated Cost of Project:
❑Other demolish old garage $95,000
F
ll the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes BNo
1 r
PROPERTY,INFORMATION;
Existing use of property: intended use of property:
full time residence _
Zone or use district in which premises is situated Are there any covenants and restrictions with respect to
residential this property? ❑Yes MNo IF YES, PROVIDE A COPY.
@ Check Box After Reading: The owne4contractotmesign professIonaf is responsible'for ail drainage and storm water issues'a's provided by,
chapter 236 of the 7oWn,Code.APPLICATION I$HERE6Y.MADE to the Buil'ding'D'epartment,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_constructlon of buildings, ;
.adaitions,alterations or-for removal,or demolition.as'herein'described..Tlie.applicenf agrees 4o comply',with'A applicable.laws;6rdinan6es,6uildirig code,;;
hou"sing code-and regulations and to admit authorized inspectors'on premises and in'buildmg(s)'for vecessary inspections.False statements made herein are
punishable as a Class A,misdemeanor pursuant to Section.210:49 of thWNevir.York State Penallaw;:..`
Application Submitted By(print name):N iek Bohlen ❑Authorized Agent @Owner
Signature of Applicant: Date: 2/29/24
STATE OF NEW YORK)
A
COUNTY OF )
NI ck Bch IPA being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the owner
(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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this /
cig day of 20 � lJ°
Notary Public
AMBER ANZALONE
PROPERTY OWNER AUTHORIZATION NOTARY PUBLIC-STATE OF NEW YOR
(Where the applicant is not the owner) No.01 AN6345887
Qualified in Suffolk County
My Con►rnission Expires 08-01-2024
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
N. J. MAZZAFERR4 P.E.
PO Box 57,Greenport,N.Y. 11944
Phone-516-457-5596
Consulting Engineer
February 21,2024 Design, Construction, Ins�ectio_n
Page 1 of 1
Re: Residential Structure
Route 25 &Bridge Lane
Cutchogue,N.Y. 11935
SCTM#-1000-97.1-1-19
Project—Residential Construction—Building Review—Electrical
On February 21,2024 I did an inspection at the noted location.The'purpose of the
inspection was to verify that the electrical service to the rear accessory building(north
end of property)has been disconnected.The disconnection was done to facilitate the
demolition of this building.
The inspection results are:
1 —Building power supplied through a circuit connection in an outdoor junction box
located at the rear of the main structure.
2—Power feed to rear building disconnect at the outdoor junction box located on the
north wall.
Result-As of this date there is no electric power being supplied to the rear accessory
building.
Thank You,
.M
Nicholas I Mazzaferro,PE 9�
pRoFFsS101A y .
•uC.i
_ N 55005'00"E_ _ _ _ 167.80'
2 I
NOTE: b
W SITE INFORMATION BASED ON SURVEY cO1n
PREPARED BY JOHN C.EHLERS LAND
O SURVEYOR DATED MARCH 24,2020
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,`� \OOnNG
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PROPOSED SINGLE STORY ADDITION I
rM PROPOSED I
1 19J3' LLL
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221'
I EXISTING
2 STORY
FRAME
DWELLING
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0 5 25 50 ----
14.1
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ICESHIELD FLOOD
UN REQUIRED HAZARDS
REQUIRED
NONE APP OVED AS NOTED COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN CODES
DAMa B.pit �� AS REQUIRED AND CONDITIONS OF
FEE '60 BY: SOMOLD TO BA
NOTIFY BUILDING DEPARTMENT AT SOUTHOLD T N PLANNING BOARD
631 765-1802 8AM TO 4PM FOR THE $ORO OWN TRUSTEES
ORM SUPPLEMENT FOLLOWING INSPECTIONS: N.Y.S.D
1. FOUNDATION-TWO REQUIRED
AND GENERAL NOTES FOR POURED CONCRETE SO OLD HPC
60 2. ROUGH-FRAMING&PLUMBING S
40 io 3, INSULATION
20 4. FINAL-CONSTRUCTION MUST
PER 40 NYs 301 s BE COMPLETE FOR C.O.
4o ALL CONSTRUCTION SHALL MEET THE
200 REQUIREMENTS OF THE CODES OF NEW
c YORK STATE. NOT RESPONSIBLE FOR 1 Issued for Permit 10.20.21
DESIGN OR CONSTRUCTON ERRORS
NNECTIONDETAILPAGE r0 N.J.MAZZAFERRO,P.E. DRAWN9Y:ZEN
ES �Sp,S6 OF NEI.1,
'AGE yps J MA22 �� PROFESSIONAL ENGINEER 1oso21
1
c, .'Al A P.O.BOX 57,GREENPORT NY,11944
IW SCHEDULE �, '� o SCALE:1/4"-1'-0"
0 11tltltl77 w 516A57.5596 EMAIL maz Iln@msn.com
.72 AND NYS R314 IRC. s`J CI]PLY WITH R315IRC. "•0 709ye" GENERAL NOTES SHEET NO:
p�OfESSIONP\'� BOHLEN RESIDENCE
35795 MAIN ROAD �_�
CUTCHOGUE,NY 11935
SCTM#1000-97-1-19
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