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HomeMy WebLinkAbout51891-Z 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#: 51891 Date: 04/30/2025 Permission is hereby granted to: Zimmer LLC c/o Mark Breen Orient, NY 11957 To: demolish (4)structures and construct a single-family dwelling as applied for per SCHD approval. Contact with NYS DOT shall be conducted prior to construction commencement. Premises Located at: 29525 Route 25, Orient, NY 11957 SCTM# 13.-2-7.14 Pursuant to application dated 01/31/2025 and approved by the Building Inspector. To expire on 04/30/2027. Contractors: Required Inspections: Fees: Single Family Dwelling-NEW $3,218.38 DEMOLITION $3,086.20 CO-RESIDENTIAL $100.00 Total $6,404.58 u fc ing Inspector 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 his://www.southoldtorwiuz V. Ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only If PERMIT NO. 5 1�q I Building Inspector: I , Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorizati n form(Page 2)shall be completed. Date: �JWNER(S OF PROPERTY: Name: ' SCTM#1000-wzt\ .............. A Project Address: Qq?5�2s-r &1 0 ' t Phone#: lid � EmaiUA Mailing Address: a Z 0,5P CONTACT PERSON: Name: Mailing Address: Oro Phone#: Em(0-1 / —ASL---� I ail. DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: AM Ab'd Ck � Phone#: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: — �! Email fie' DESCRIPTION OF PROPOSED CONSTRUCTION Netiw Structure ❑Addition ❑Alteration ❑Repair C?errtolition Estimated Cost of Pr 'ect: ❑Other $ T OU Will the lot be re-graded? es El No Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: I Intended use of property: Zone or use district in which premises is situated: Are there any c�Ves nts and restrictions with respect to this property? ONO 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 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 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(pr" t ): Cg<u,thorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) oLbeing duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the .......... OAJ� *144M�_ (Contractor, gent, rpoiate 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� lap r 20—aS LAURA FLEMING Notary Public NOTARY PUBLIC-STATE OF NEW YORK No.01FL6434464 Qualified in Suffolk County PROPERTY OWNER AUTHORIZATION my commission Expires 06-06-2026(Where the applicant is not the owner) I, residing at L OAMdo hereby authorize apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date W 'n, �� �C-e-pry Print Owner's Name 2 Building Department Agglication AUTHORIZATION (Where the Applicant is not the Owner) residing at 2 44D s" t j oi,ti1 (Print property owner's name) (Mailing Address) 0( s " Mn 1 CA-do hereby authorize julaL D�A (Agent) JOE. to apply on my behalf to the Southold Building Department. C't• (Owner's Signature) (Date) A 2 : (Print Owner's Name) LAURA FLEMING S,3, Y � NOTARY PUBLIC-STATE OF NEW YORK No.01 FL6434464 (� Qualified in Suffolk County My Commission Expires 06-06-2026 01 s � �.. ; 4/17/2025 MARK BREEN Service To: 24405 MAIN RD 29525 MAIN RD ORIENT NY,NY 11957 ORIENT,NY 11957 Customer Project#:900000219814 Dear MARK BREEN: 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 Giane/lllii� Building&Renovation Services PSEG-LI Evan T.Steffens Nat 1 O n a l gri Senior Supervisor Gas Customer Connections,NY April 2, 2025 Zimmer, LLC C/o Mark Breen 24405 Main Road Orient, NY 11957 E-Mail: 247_$_Qt .SMINE CEDA NOLLSHOMES.COM National Grid WO#: T 102667245 Service Address: 29525 Main Road Orient, NY 11957 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 evanwsteffens�i na4 t raaC gd.com 1vidirk r cess n -n tional rid.com, FFQ Albert J. Krupski, Jr. °5t Ir S']C'ORlMMA' ]El[L SUPERVISOR MANA ]EIS IENT w S5 Main R D TOWN UTHOHALL ,NEWBox K Town of Southold 53095 Main Road-50UTHOLD,NEW YORK 119T1 �.» CHAffER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - - - - - - - - - - - - - — - - - - - — — — - - - - - — - - - - - - APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: Fleming Date:: 1/31/2025 t ,a tsp Contact Information: laura@cedarknollshomes.com E-Mail&Telephone Number; 631-231-1518 Property Address / Location of Construction Site: 29525 Route 25 S.C.T.M. #: 1000 Orient, NY 11957 District 13 2 7.12/13/14 Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Area of Disturbance is less than I Acre. No SY.D.E.S. Permit is Re utre 9 ❑ - Project does Not Discharge to Waters of the State. No S.P.D.E.S.Permit is Required I ❑ - Area of Disturbance is Greater than 1 Acre&Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S.Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ - Area of Disturbance is Greater than 1 Acre&Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S.Permit through the Southold Town Engineering E2gineeripg Department Prior to Issuance or a Buildin Permit, P' 0" Reviewed By: _ Date ) FORM " SMCP-TOS December 2024 Town Hall Annex uu " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: la5- Owner: Location of Property: ` Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): �ITIT Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature: Name (person (p s mitting this form): IV Capacity(check applicable line): Owner Owner representative TrussReg15.docx Effective 1/1/2015 1j IIkid"I SITE: 29525 LAAIN ROAD GROUNDWATER MANAGEMENT ZONE IV: 600 GPD/ACRE ORIENT NY 111957 SITE SERA BY PRIVATE WELL: 300 GPD/ACRE AREA TO BE DEVELOPED WITHIN 2 LOTS- S.C.T.M. TAX LOT 1000-13-2-7.12&14 � SCTIA it tl 1 -2 7-11Z 13&14, LOT 7-12:12 ACRES+LOT 7.14:2.499 ACRES=14.499 ACRES � GROSS LOT AREA: 7641,261±SO FT.(17.54LnACRES)> D ) AISTED.ALLOWABLE SANITARY FLOW:14.499 ACRES X 300 GPD/ACRE =4,349i.7fM GF� SITE CLIENT DRIVEN SOLUTIONS 'C SCDF@5 REFERENCE NO.: �SYSTEM DENSITY� ,,A ALCU ONS, P.W.GROSSER CONSULTING PVVC ENGINEER AND HYDROGEOLOGIST,P.C. EXIST-BILDG-A-5,065 SF BARN NO.1 @ 0.04 GPD/SF =202.60 GPD amm JaM aS.vWNW.x,.atlNS M'. EXIST-BLDG.B-8,027 SF BARN NO.2 @ 0.04 GPD/SF =321.08 GPD Pron�.l83eu't 1,NY.rnrr Ie F—(01)5 DS PROP. D-2,811SINGLE FAMILY RESIDENCE @ 0.04 GPD/SF =112.44 GPD Ey L INFO@P ROSSMCOM 3DO.00'GPD .. �y CONSULTANTS E�IISIf..�lL.®I[FBMG TO BE EXIST. -C-2,811 SF BARN N0.3 0.04 G TOTAL -936.12 GPD Y" REMOVED Pam.-2-STOW SINGLE pA FAMILY I WEULI G F.E.EI.12.W' VICINITY MAP EXIISi1F..BUUDING TO BE FRCP. SANITARY SYSTEM SCALE: 1"=800' REMOVED FOR BUILDING 4 a& EW,. f>, ✓ D v "N AI'V N A .;n,e N "„ .• ..I". ,. ,,,.. ,,, ,..,... .,, ....,, ,,. ., ", ., ,°. �yl yam. kw "� w` �c � r `0pr1 / i 4� 'txr ,.,. ., .�, .... ,. - _ w q aro � ,m " % LC , Revised Plan Approved1I32025 29525 MAIN ROAD f - ORIENT,NY 11957 Y 3 �� aA,° , Expires 9l16/2025 PROPOSED SCDHS ► rb rr SANITARY SYSTEM EXIST. 1-STORY BARN NO.1 TO REMAIN 29525 MAIN ROAD Suffbik C'a1�.y Department Of�'IG'.jf&cervices ORIENT,TOWN OF SOUTHOLD = AREA, ,065 SF Approval!twr C i stroction-Other Tim Suagle Family SUFFOLK COUNTY,NEW YORK RSS BUILDING) �11 1 STORY BARN N0.2 TO REMAIN Reference No. 7 Irow Soo s&IA EX M r� r OVERALL RALL ` . AREA: 8,027 SF Use(s) ltitItFall,y Resin I T.1-STORY 1 NO.3 TO REMAIN (DRY BUILDING) These plans havelieee�rawiewed for genera•cwT.�ance with Suffolk TE ARE•:p►:2,811 S1F County DepartnsE=Of Health Services sxan&"ds;,, relating to water(DRY BUILDING)) supply and se:,Am a disposal. Regardlb--4s PLAN of any omissions, I' OVERALLSITE PLAN inconsistencies ar I<a& of detail, construc6m its; Tequired to be in accordance with SCALE: 1'"=150' standards, ldards,unsssyedfkaall Ikead v hd permit the DeFixtment This approval C- t, 0 150 300 ww to tlr tiNa/ s its expires 3 years fialsr,tf4e approval! date, u � ended Or renewed. 1 NOT SuIt7llMCnun O rJtHear t Ir< SCALE.- 1'"= Call(631)952-5754,48 hours in 12/26/2018 va�� �� 1 4 SURVEY INFORMATION OBTAINED FROM L.K. CLEPNWIA�S9^ Q 9P- OTES ENGIMER9l`Mr-& 1" advance,to schedule ins on(s). Approval Date ry-- CKH2401 � URVEYING,DPC DATED DECEMBER 13,2024_ Mrlr