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HomeMy WebLinkAbout51200-Z ',afsou?. TOWN OF SOUTHOLD BUILDING DEPARTMENT ' 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#: 51200 Date: 09/17/2024 Permission is hereby granted to: Brian Reynolds 33 Deshon Ave Yonkers, NY 10708 To: Demolish an existing single-family dwelling, deck addition and accessory shed as applied for. Premises Located at: 10005 Soundview Ave,Southold, NY 11971 SCTM#59.-2-6 Pursuant to application dated 08/06/2024 and approved by the Building Inspector. To expire on 03/19/2026. Contractors: Required Inspections: Fees: DEMOLITION $1,125.00 Total $1,125.00 Building Inspector 'IELD INSPECTION REPORT DATE COMMENTS N � FOUNDATION (1ST) - --- •----------------------------------- C FOUNDATION (2ND) d z Q o y ROUGH FRAMING& -- PLUMBING \ � N r INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS -0� m X W r x b 0 z r� d b `�uf>ai 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 ht!ps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT :"'�•w;`: _R:.:�,.. For Office Use Only PERMIT N0. 51 -Ao0Building Inspector: t t AUG - 6 2024 Applications and forms�musf,be filled out in the'Ventirety.incomplete applications will"not be�accepted. Wherethe Applicant.is not,the owner,an_,: }j�,D1NG DEFT. Owner's-Authoriiatior form(Pagey2)shall be completed. .', ;_ ?, =.;r•, TOWN 0SOUTHOI Date: OWNERS)OF PROPERTY:' ; Name:'Brian Reynolds and Kelly Reynolds SCTM#1000-059.00-02.00-006.000 —11 Project Address:10005 SOUNDVIEW AVE SOUTHOLD 11971 Phone#:845-563-1815_ a „ „ Email:br an.reynolds.2@us.af.mil Mailing Address:10005 SOUNDVIEW AVE SOUTHOLD 11971 CONTACT PERSON: Name:Michael McGrath Mailing Address:P.O. Box 9.11, Sag Harbor, NY 11963 Phone#:(631)F236-2981 Emai _ MoishMcGrath@gmaiLcom nMrW DESIGN PROFESSIONAL"I N FORMATIO N: . Name: Mailing Address: Phone#: Email: CONTRACTOR:INFORMATION: Name:Able Accoustical & Drywall,_Inc. dba McGrath Contracting Mailing Address:P.O. Box„911,,rSag Harbor, NY 11963 Phone#:(631)236-2981 __ _ _ _. Email:MoishMcGrath-@gmaii.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure- ❑Addition ❑Alteration ❑Repair RDemolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes BNo 1 PROPERTY INFORMATION Existing use of propeny:Residential Intended use of property:Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to r-20 this property? ❑Yes ENO IF YES, PROVIDE A COPY. 0,Cdc Box After Real ng: The owner/contractor/design professional is responsible for all drainage and storm water issues,as provided by,,:_— ,;; Chapter 236 of the Town Coder APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the flown 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 buitding(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):BRIAN REYNOLDS ❑Authorized Agent BOwner Signature of Applicant: /gr.. .. Date: j v Y,.?o..rz:.y.. ....... STATE OF NEW YORK) SS: CO U NTY 0 F S '� (� BRIAN REYNOLDS M Q to being duly sworn, deposes and says that(s)he is a FY N (Name of individual signing contract) above named, : w OWNERU (S)he is the H c (Contractor,Agent,Corporate Officer,etc.) o x of said owner or owners, and is duly authorized to perform or have performed the said work and tom IWal fje+li o application;that all statements contained in this application are true to the best of his/her knowledge (M t3tliEl Od,7 that the-work will be performed in the manner set forth in the application file therewith. C6 ¢ Cd, o � Sworn before me this z 1 b0day ofC° � 20 vkL2` Notary Public OWNERPROPERTY T IZ T6 (Where the applicant is not the owner) Brian Reynolds residing at 33 Deshon Avenue Yonkers, NY 10708 do hereby authorize Michael McGrath to apply on my behalf to the T wn of Southold Building Department for approval as described herein. 6, / D 14AY 202 Owner's Signature Date Brian Reynolds Print Owner's Name 2 Building Department Application AUTHORIZATION (Where the Applicant is not the Owner) 33 Deshon Avenue, Yonkers, NY 10708 1, Brian Reynolds residing at 10005 Soundview Ave, Southold NY 11971 (Print property owner's name) (Mailing Address) do hereby authorize Michael McGrath (Agent) to apply on my behalf to the Southold Building Department. Ant. /OMAi 202y (Owner's Signature) (Date) Brian Reynolds (Print Owner's Name) 5/31/2024 SEAMUS MCGRATH Service To: 132 N MAIN ST 1ST FL 10005 SOUND VIEW AV EAST HAMPTON NY,NY 11937 SOUTHOLD,NY 11971 Customer Project#:900000198099 Dear SEAMUS MCGRATH: 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 PSEG LI facilities located within the property boundaries and that NYS law(NYCRR Part 753)requires all contractors to call for a utility locate(NY 811)prior to performing any ground excavation or regrade activity. The call to the 811 Call Center must be done at least 2 business days prior to the start of the work and confirmation 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 631-348-6150 to procure a letter 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 Gianelli 'Wlxa V'W'wo- Building&Renovation Services PSEG-LI L .. .g ,C - u 20.450oute 112,Suite 5;°Coram;:New York 11.72763005 May 28,2024 seanius@easthamptonlawyer.com RE: 10005 SOUNDVIEW AVE, SOUTHOLD To Whom It May Concern: On May 28, 2024, our representative confirmed that the water services were physically disconnected at the above referenced location. Please advise your contractor that care should be taken not to damage the existing vault and /or curb box, as the cost of any repairs would be billed to the premise and no service initiated until the balance is paid. Sincerely, aIA/(A Ann Bailey New Construction Assistant Manager AB/db Evan T.Steffens N ati ona Igrid Senior Supervisor Gas Customer Connections,NY May 24, 2024 Brian Reynolds 10005 Soundview Avenue Southold,NY 11971 E-Mail: BRIAN.REYNOLDS.2 ,US.AF.MIL ; MOISHMCGRATHO,GMAIL.COM National Grid WO#: T102616444 Service Address: 10005 Soundview Avenue Southold, NY 11971 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:Nnewvork- 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 wsn.steffenj cs natiopa ridfrom ng:riOIirud�rbcessiai@nationalgrid.com A ® DATE(MM/ Y CERTIFICATE OF LIABILITY INSURANCE os/os/202o24 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 endorsements. PRODUCER CONTACT NAME C.SCOTT KELLY NE w°C,No,Ext: FAX No): IL PO BOX 876 AD DRESS: EAST QUOGUE,NY 11942 INSURER(S)AFFORDING COVERAGE NAIC# 631-228-4501 / 631-228-4504(FAX) INSURER A: FARM FAMILY CASUALTY INS.CO 13803 INSURED INSURER B: ABLE ACOUSTICAL&DRYWALL INC. INSURERC: DBA MCGRATH CONTRACTING INSURER D: PO BOX 911 . SAG HARBOR, NY 11963 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 103940 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 TYPE OF INSURANCE ANSD W D POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY X 3152L7540 12/18/23 12/18/24 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES TO occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ ED S A AUTOMOBILE LIABILITY COMBI3152C5788 02/10/24 02/10/25 (a accident)INGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ AUTOS ONLY X AUYOSULED BODILY INJURY(Per accident) $ X AUTOS ONLY X AUTOS ONLY (Per PROPERTY DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE - AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION X ER T - A AND EMPLOYERS'LIABILITY Y/N 3152W 8708 4/25/24 04/25/25 ANY PROPRIETOR/PARTNER/EXECU I IVE❑ N/A E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 It yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF SOUTHOLD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 53095 MAIN RD ACCORDANCE WITH THE POLICY PROVISIONS. SOUTHOLD NY 11971 AUTHORIZED REPRESENTATIVE jial*_/�44L ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD YORK Workers' CERTIFICATE OF STATE Compensation NYS WORKERS' COMPENSATION INSURANCE COVERAGE Board la.Legal Name&Address of Insured use street address only) 1b.Business Telephone Number of Insured Able Acoustical & Drywall Inc. DBA McGrath Contracting 1c.NYS Unemployment Insurance Employer Registration Number of PO Box 911 Insured Sag Harbor, NY 11963 Work Location of Insured(Only required if coverage is specifically limited to 1 d.Federal Employer Identification Number of Insured or Social Security certain locations in New York State,i.e.,a Wrap-Up Policy) Number 2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier (Entity Being Listed as the Certificate Holder) Farm Family Casualty Ins Co Town of Southold 3b.Policy Number of Entity Listed in Box"1 a" 53095 Main Rd 13162W8708 Southold NY 11971 3c.Policv effective period 04/25/24 1 to 04/25/25 3d.The Proprietor,Partners or Executive Officers are Included.(Only check box if all partners/officers included) all excluded or certain partners/officers excluded. This certifies that the insurance carrier indicated above in box"3"insures the business referenced above in box 1 a"for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The insurance carrier must notify the above certificate holder and the Workers'Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers'Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by: IC.Scott Kelly (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 08/06/24 (Signature) (Date) Title:JAgent Telephone Number of authorized representative or licensed agent of insurance carrier: 631-228-4501 Please Note:Only insurance carriers and their licensed agents are authorized to issue Form C-105.2.Insurance brokers are NOT authorized to issue it. C-105.2(9-17) www.wcb.ny.gov