HomeMy WebLinkAbout51077-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
a TOWN CLERK'S OFFICE
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 #: 51077 Date: 8/16/2024
Permission is hereby granted to;.
Lademann, John........ .._.................._............................. ..... ...eee.............. ... �_......w._........................._. ..
PO BOX 190
Cutcho ue, NY 11935
To: Demolish a single-family dwelling as applied for.
At premises located at:
3850 Alvahs Ln, Cutcho ug e
SCTM # 473889
Sec/Block/Lot# 102.-4-3.4
Pursuant to application dated 6/17/2024 and approved by the Building Inspector.
To expire on 2/15/2026.
Fees:
DEMOLITION $885.00
..........._.._.......�..._.... ...
.......—Total: $885.00
Building Inspector
.. i
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htt s:Ywww.southoldtownny.go
ra
Date Received
APPLICATION FOR BUILDING PERMIT
.J15�150V � �
For Office Use Only
PERMIT N0. �l Building Inspector JUN 1 7 202
Applications and forms must be filled out in their entirety.Incomplete BUR,D
ING DEPT.
applications will not be accepted. Where the Applicant is not the owner,anIT_
Owner's Authorization form(Page 2)shall be completed. "1 ��
Date:
OWNER(S)OF PROPERTY:
Name: �1 oAA La de-m Rn SCTM#l000-
Project Address: 0
Phone#: Ce 63 1 Or _ Email:AlAThjeEwS Q Ueriz�•� . n e T
Mailing Address: *Do RD c-L v Mc ,✓ /l '�f
CONTACT PERSON:
Name:
Mailing Address::
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CO T A&001 061WAT1ON�,?
Name.
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
p
❑New Structure ❑Addition ❑Alteration ❑Re air RDemolition Estimated Cost of Project:
❑Other $ 0
Will the lot be re-graded? ❑YesN`No Will excess fill be removed from premises? Dyes KNo
1
PROPERTY INFORMATION
Existing use of property: I\ '., Intended use ofproperty: ( Z`
�., ei1 i 7 ,1r��l���a�Y
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
A 0— this property? ❑Yes l)QNo 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 QfSiouthold,Suffo)k;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):
❑Authclrized Agent CkOwner
Signature of Applicant: s � -- Date: )
STATE OF NEW YORK)
SS:
COUNTY OF_.
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the 014' � .
(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
day of � � 20/ �
Notary Public
DONNA CHITUK
NOTARY PUBLIC,STATE OF NEW YORIC
PROPERTY OWNER AUTHORIZATION RegistrationNo.01CH4851459
(Where the applicant is not the ov ner) Q"Ued in Suffolk County
Commission Expires August 18,2026
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
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' SURVEY FOR
JOHN LADEMANN 8 GAIL LADEMANN NOV.2 8,19 78
NOV.20,197E
AT CUTCHOGUE DATE : OCT.27,1978
TOWN OF SOUTHOLD SCALE: I"°50'
SUFFOLK COUNTY, NEW YORK NO. 78-680
A UNAU TMOR12ED ALTERATION OR ADDITION TO THIS GUARANTEED TO:
SURVEY 19 A VIOLATION OF SECTION 7209 OFTHE SECURITY TITLE CO.
NEW TORN STATE EDUCATION LAW.
0 COPIES Oi THIS SURVEY NOT BEARING THE LAND
SURVE TO R'S INNED SEAL OR EMBOSSED SEAL SHALL D �O
NOT RE CON.
ON ESIDERED TO BE A VALID TRUE COPY, `� W,
1 PERSON FOR WHOM INDICATED THE SURVEYIS PREPARED,REON SMALL RUN ONLY TO aO AE
THE
G
ANO ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
MENTAL AGENCY AND LENDING INSTITUTION LISTED G)
HEREON,ANO TO THE ASSIONEE9 OF THE LENDING
INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE
TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT
OWNERS.
A DIS 7ANCE5 SHOWN HEREON FROM PROPERTY LINES +
TO EATS TING STRUCTURES ARE FOR A SPECIFIC
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
PROPERTY LINES OR FOR THE ERECTION OF FENCES. '`D•/"�7,
YOUNG e YOUNG RIVERHEAD,NEW YORKUE
NOTE: ■e MONUMENT ALDEN W.YOUNG,PROFESS ZONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.12845
HOWARD W.YOUNG,LAND SURVEYOR
N.Y.S.LICENSE NO.45893
Evan T. Steffens N at i o n a 8 grid
Senior Supervisor
Gas Customer Connections,NY
August 15, 2024 D
L5 V 15
John Ladcmann
P.O. fox 190
A U G 1 6 2024
Cutchogue, NY 11935
BX=EgG DEFT.
TQWK OF SOUMOL:',
E-Mail: NATUREWS(&.VERIZON.NET
National Grid WO#: T 102626803
Service Address:
3850 Alvahs Lane
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.
By Law, excavators and contractors working in New York City and Nassau and Suffolk
Counties must contact New York "811" at least 2 full business days, not including the day
of contact, prior to digging by calling "811" or by using the website https://newyork-
811.com/.
This confirmation letter of no active gas service line to the subject property does not
relieve the excavator of contacting NY "811".
If you have any further questions, kindly contact me at 833-359-0645.
Respectfully,
Evan T. Steffens
Senior Supervisor
Gas Customer Connections NY
1650 Islip Ave, Brentwood NY 11717
T: 833-359-0645 avan.steffens(F nztionalgrid.com n,,ridlirudp-rocessinp-.6Lnationalarid-com
JUN 2 4 2024
0 ., E l I"I.4\I'
�taNa�ln�®evarlgn�nt
Torn of a;athold
fill T12024
JOHN E LADEMANN Service To:
PO BOX 190 3850 ALVAHS LA
CUTCHOGUF NY, NY 11935 CUTCHOGUF NY 119,35
Customer Project#-.900000199670
Dear JOHN E LADElvhkNN:
This is to advise you that the PSEG-LI electric facilities at the above referenced location have
been disconnected and removed riff the building structure that is located on the property.
Please note that there may still he PSEG Ll facilities located within the property boundaries
and that NYS law (NYCRR Part 753)requires all contractors to gall fora utility locale (NY
81 1) prior to performing any ground excavation or MITrtade activity, The call to the 811 Cal
Center must be done Eat least business drays prier to the start of the work and confirmation of
utility marks heaving been identified mast be received front all the facility owners prier to any
site work.
You must also contact National Grid at 631-348-6150 to procure a letter of dewolition
associated with natural gas service,whether or not your Bowe 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 entail at BRSLIL,PSEG.com.
Very truly Your,,;,
Katherine Gianelli
Building &Renovation Services
PSEG-LI