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HomeMy WebLinkAbout51077-Z �g�EfQ( o TOWN OF SOUTHOLD BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE SOUTHOLD NY W • �y� 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 PO BOX 190 Cutchogue, NY 11935 To: Demolish a single-family dwelling as applied for. At premises located at: 3850 Alvahs Ln, Cutchogue 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 2/16/2026. Fees: DEMOLITION $885.00 Total: $885.00 Building Inspector FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) - ------------------------------------- CIO FOUNDATION (2ND) (J� ROUGH FRAMING& PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS -zs 0 ` 1 o�goFFO1,�Co TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov APPLICATION FOR BUILDING PERMIT J' �L9 _. For Office Use Only rl PERMIT NO. 'V Building Inspector: JUN 1 7 2024 Applications and forms must be filled out in their entire#y:.lncomplete BUII,DING DEFT. applications,Wi.11 not-be accepted. Where the Applicant•is not the owner,an.`,. Owner's Authorization form(Page 2)shall be completed: f ` TQw. F Scfumou2 Date: OWNER(S)OF PROPERTY: Name: TOAA La�(eanh_ SCTM#1000- Project Address: Phone#TCe_GJ___63-/-G-tr-=._.3.&-q_.2__—___—__._ EmailwAT-4jecwS Q Uerizw� Mailing Address: CONTACT PERSON: -. Name: Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: MairingAtldress:, Phone#Y/'°1 EFK;pfcp7{�i t((AT2(;=A; Email: - - - - - -- - -- _._W4I�C1i+1.1,.9i!t:•lCf-?I 1tti+F..:�..:fir^... ____.-._-...-..._-_s..-. CON1RAET0kII40ORNIATION9 —�---Y ,y.-• ..,,tt�...r cr✓�..ealttZtp,d.,.,,.�,� - Name: Mailing Address: Phone#: Email: DESCRIPTION OFPROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair RDemolition Estimated Cost of Project: ❑Other $ �� Will the lot be re-graded? ❑Yes�N'No Will excess fill be removed from premises? ❑Yes KNo 1 PROPERTY INFORMATION . p Existing use of property: I—) I AeW+1 Intended use of property: ICES tr�Elnl �gJY Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes I)QNo IF YES, PROVIDE A COPY. Check Box After'Reading: The owner/contractor/design profesMonal.is responsible for all drainage and,storm water issues as provided by Chapter 236 of the,Town Code:APPLICATIONJIS HEREBY MADE to the Building Department for,the issuance of a Building Permit pursuant to the Building Zone Crdinaece,of ihe;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 derriolition 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 buildings)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): � - I�ck'ernaln.-v►. _ ❑Authorized Agent Aowner Signature of Applicant: Date: MebVi !/ Z6 27 -!- STATE OF NEW YORK) SS: COUNTY OF L ) .40,64Y18 mr) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the © � (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 ofQ-Wte— 20,Z , Notary Public DONNA CffiTUK . NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZ TION Registration No.o1CH4851459 (Where the applicant is not the o ner) 'fi`dt°Suffolk�O1IS 2px6 commission Expires Aogust 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 Evan T. Steffens N ati Q n a lgrid Senior Supervisor Gas Customer Connections,NY - August 15, 2024 e-D U i DD John Lademann � ,P.O. Box 190 AUG 1 6 2Q24 Cutchogue, NY 11935 BUKDRW DEFT, OF Sou=0x E-Mail: NATUREWSLa)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 evan.steffens rz.nationalerid_com n ridlirudprocessing@ nationalerid.com E JUN 2 4 2024 �A�1 ! 1 LONG 9�_`.�tr tSULN to Building Departenont '6own of Southold 6/17/2024 JOHN E LADENIANN Service To: PO BOX 190 3850 ALVAHS LA CUTC:HOGUE NY, NY 11935 CUTCHCzf_UE, NY 11935 Customer Proiect#:900000199fi70 Dear JOHN E L.4DENIANN; 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 PS> G Ll facilities located within the property boundaries and that NYS law(NYCRR Part 753)requires all contractors to gall fora utility lactate(NY 811)prior to performing tiny ground excavation or regrade:activity. The call to the 311 Coll Center must be done tit.least 2 business days prior to the start of the work and confirm.ttion 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 631-345-6150 to procure a Ietter 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, Katherine Ghtnelli cf/?etiflc fM��ft Building&Renovation Services PSEG-LI • l C� SI PNp RAT!- FOCI CI COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES N AS REQUPIED ANQ CONDITIONS OF -NIp .Y.r1'ZBA PANINGBOARD + = N� RYIDEC 0 I �- I �1Arloo fDrp� off= K6 4 0 i , w nDr Dr o� 4p.0 o c• j60.Op 9. M iR c D299pFE st N a� y 10 'A. Zae00 I p. Ya roBo VS 0��� A. E�Ip PLL7�pTL 564o4p,2 /`A 4EDD P �v e, - J N 7- w Ar-gO j9968 of O` O 5 6S040 50 IVD^ Fo'l ,,rL T l - P Kry top or fo p q Pool r nor fa ROVED AS NOTED i �R: 51077 t3 J O v SURVEY FOR �■ JOHN LADEMANN & GAIL LADEMANN Q COARRAW w♦ NOV.20:1978 f81,111/ /IN NOV.20,1978 O31r 8WI3 MT04PMFM7K AT N OF OUT DATE :O..-50' 1978 R7' W/�L�Ic'�tlo11//�r��� 7r/mil TOWN OF SOUTHOLD SCALE: I°=30� FOLLOW GINSPEC ION1w&.w��7{7p���� SUFFOLK COUNTY, NEW YORK NO. 78-680 SOU DATION I' S UNAUTHORIZED SURVEY 15VIOL ALTERATIONSE OR TIN 720DN TO THIS GUARANTEED E SURVEY IS A VIOLATION IO SECTION TQ07 OF THE SECURITY TITLE CO. NEW YORN STATE EDUCATION LAW, N FOR POURED CONCRETE N COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S WEED SEAL OR VALIDEMBOSSEDTRUE SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRYE COPY. WD W. 0 1 EJ MGUARANTEES INDICATED HEREON SMALL RUN ONLY TO y O� �O T OU H-FRAMING 8 PLUMBINQ THE PERSON FOR WHOM THE SURVEY IS PREPARED, E ANO ON HIS BEHALF TO THE TITLE CONPANY,GOVEAN- YENTAL AGENCYANO LENDING INSTITUTION LISTED p NS TION HEREON,ANO TO THE ASSIGNEES DF THE LENDING INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE OWN ADDITIONAL INSTITUTIONS OR SUBSEQUENT y NA.•CONSTRUCTION MUST TO EtISTCNG STRUCTURES ARE FOR ASHOWN HEREON FROM R SPECIFIC YCLINE9 ` BE MPLETE FOR C60. PURPOSE AND ARE NOT TO BE R C0 TO ESTABLISH p PROPERTY LINES OR FOR THE ERECTION OF FENCES. `•�A ALL CO STRUCTION SHALT-MEET THE YOUNG a YOUNG 400 OSTRANDER AVENUE REOUIR EFTS OE�Fy THE CODES OFNEW RIVERHEAD,NEW YORK YORK .ENUI II WNSIBLE FOR ANDENN SURVEYOR SIICEN ENGINEER AND LAND SURVEYOR N.Y.S.LICENSE N0.12843 DESIGN R CONSTRUCTION ERROR$ HOWARD W.YOUNG,LAND SURVEYOR - (� CONSTRUCTION R7 1' GR7ilV..v N.Y.S.LICENSE N0.43893 NYSIF New York State Insurance Fund PO Box 66699,Albany,NY 12206 nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ^^^^^^ 812698502 RIVERHEAD LIGHTHOUSE INC 221 WEST MAIN ST RIVERHEAD NY 11901 SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER BETH SANTILLO DBA BETH SANTILLO TOWN OF SOUTHOLD CLEANING ATA BC PREMIRE HOME IMPROV 53095 RT 25 685 SIGSBEE RD SOUTHOLD NY 11971 MATTITUCK NY 11952 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE 12539 744-9 821760 02/13/2024 TO 02/13/2025 5/24/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2539 744-9, 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:/NVWW.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 THE SOLE PROPRIETOR, PARTNERS AND/OR MEMBERS OF A LIMITED LIABILITY COMPANY. 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. BY CAUSING THIS CERTIFICATE TO BE ISSUED TO THE CERTIFICATE HOLDER, THE POLICYHOLDER UNDERTAKES TO PROVIDE THE CERTIFICATE HOLDER 30 CALENDAR DAYS' NOTICE OF ANY CANCELLATION OF THE POLICY. NEW YORK STAT SUR NCE FUND T �V DIRECTOR,INSURANCE FUND UNDERWRITING VALIDATION NUMBER: 135768094 U-26.3 AC�® DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5/24/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Riverhead Lighthouse, Inc. PHONE CC,N ; 631-369-9600 FAX, No:631-369-9678 EMAIL 221 West Main Street ADDRESS: Riverhead NY, 11901 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:UTICA FIRST INSURANCE COMPANY INSURED INSURER B Beth Santillo Dba BC Premier Home Improvement INSURERC: 685 Sigsby Rd INSURERD: Mattituck, NY 11952 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS ,/ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000000 CLAIMS-MADE �✓ OCCUR PRE'AMM SES Ea occu ence $ 50000 ART3000739210 01/17/24 01/17/25 MED EXP(Any one person) $ 5000 A PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 POLICY 0 PRO- JECT 7 LOC PRODUCTS-COMPIOPAGG $ INC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION Y/N S P AND EMPLOYERS'LIABILITY TATUTEER EROTH- ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFF ICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Home Improvement CERTIFICATE HOLDER CANCELLATION Town of Southold SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 Rt 25 ACCORDANCE WITH THE POLICY PROVISIONS. Southold, NY 11971 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD