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HomeMy WebLinkAbout36302-ZTOWN 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 #: 36302 Date: 4/6/2011 Permission is hereby granted to: 1991 Trust for I & T Safer cio Philip D Neuer Esq 1875 McCarter Hwy Newark, NJ 07104 To: Demolition of an Assessory Building; Garage, as applied for. At premises located at: 1295 Robinson Lane, Peconic, NY 11958 SCTM # 473889 Sec/Block/Lot # 98.-5-2 Pursuant to application dated To expire on 4/5/2012. Fees: 3/28/2011 and approved by the Building Inspector. DEMOLITION Total: $475.00 $475.00 Inspector TOWN OF SOUTHOL BUILDING DE PART~ TOWN HALL~b SOUTHOLD, NY 1197 TEL: (631) 765-1802 FAX: ~(631) 765-9502 SoutholdTown.NorthF~ ~l~/'sapproved a)c '-=-''~ ii' I BUILDING PERMIT APPLICATION CHECKLIST ~1 ~ "' / Do you have or need the following, before applying?4Boardsets of Building of Health Plans ~ Planning Board approval " '~ 0 ~ Survey PERMIT NO. "~ '~ '~ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Expiration ¢~-ff ,20 Iff Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public }treets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the workl e. No building shall be occupied or used in whole or in part for any purpose ~hat so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within,'l 8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, or 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 for necessary inspections. (Signamr~"~f ~ppl~cant or name, ifa corporation) (Mailing address of applicariit) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nalneofownerofpremises T~[ ~..~gg~7~ ~0~/:]b'(,l~/ /-.,LC. (As on the tax r~l! or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's Licerise No. Loc~t~of land on which,,prgposed work~,will be done: House Number Street County Tax Map No. 1000 Section Subdivision ~e'-----~tl;o ~)awt Oa P~O914 ¢'0 Hamlet Block Filed Map No. 3 O( 3 d( Lot Lot State existing use and occupancy of premises and intended use and occupitr~[cy~Ik41~roposed constru~gion: a. Existing use and occupancy 61.¢¢.¢~1-40~ ~ ~'~I'¢ILo,'~i~A.~'~x i/¢,4J'/flcSl~?..~ b. Intended use and occupancy (~,,f~.~ (7_~O US76.3 3. Nature of work (check which applicable'): New Building / Addition Repair Removal Demolitionk/ Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy; specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ¢~ ~117. Rear flc~ ~-~. Depth o~t'~ ~"J~. Height ~ © ~1', Num.ber of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size oflot: Front ,,~00 ~J~. Rear ~/ ~,~ ~-{'. Depth .Depth i fT, x2 10. Date of Purchase Name of Former OWner 11. Zone or use district in which premises are situated ~) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ¢' 13. Will lot be re-graded? YES NO 7Will excess fill be 14. Names of Owner 0f pl~ernises ~/~"-~-,_ Address Name of Architect t~/~ U~"'~ ~ ~i'~/~.d,~ Address Name of Contractor ~11SClq~fhV Address 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V/ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES 'v/ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. removed from premises? .YES ~r~eroN I (./ Phone No. O~c~rCtto6~6 Phone No f(~[' (['U (.P.. Phone No. NO V/ NO 16. Proyide survey, to scale, with accurate foundation plan and distances to property lines. l 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. l 8. Are there any covenants and restrictions with respect to this property? * YES NO v/ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) -, r'r, ^tSS: COUNTY 0 F~(.~O~ ~Od]4(1.~ O, (~r~[~/[(,/~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the /4T'©~4~ ~-C 6~¢~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said worl~ and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 2oil Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM [r.r T""FO"OW,.GA ,O.S"A".EOU,RET.ESU..,SS,O. OF* STORM-WATER~ GRADING~ DRAII~AGE AND EROSION CONTROL PLAN e~blct seccoa atock Cot CERTIFIED BYA DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. sCOPE OF WORK - PROPOSED CONSTRUCJ.'ION ITFAVI# / WORK_A_~SESSMENT [ Yes No (Include Total Area of all Parcels located within ~ ~. 1 Will this Project Retaln All Storm-Water Run-Off Ithe Scope of Work for Proposed Constrdction) Generated by a Two (2') Inch Rainfall on Site? lb. What is the Total Ama of Land Cleadng (S.F. / Ac~s) (This item will thc{ude all mn-off created by site clearing and/or construction activities as well as all and/or Ground Dista~banca for the proposed con st ruction activity? I1~C~ ~' Site Improvornenta and the permanent creation of impervious surfaces.) (S*F"^Cm') 2 Does the Site Plan and/or Survey Show Ali Proposed / r ~=..~.1. PROVIDE B~IE~F ~ROj'~CTI' D~C~ON (Pro~ ~l~ ea~es u ,cecal Drainage Structures Indicating Size & Location? This .q.~ _ ~~./.~ ~/"'~ Item shall include all Proposed Grade Changes and ~/~.'~.~ ~ Slopes Controlling Surface Water Flow. '(/~ 3 D°es the Site Plan and/°r Survey descdbe the er°si°n /r~ f~ C~'~ ~ ~.,( '~' and sediment control practices that witi be used to ~- ' control site erosion and storm water discharges. This ~[~ /[.~ ¢~/ ~' [/~*~, ~/,/~ item must be maintethed throughout the Entire ~ Construction Period. ['~J ~Y~ ' 4 Will this Project Require any Land Filling, Grading or (J Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Applicati°n Require Land Disturbing Activities r~/ Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the r~l / Site? Is this Project within the Trustees jurisdiction Gellerct DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or mom ac~es; including disturbances of less foan one acre ~at 7 Wil there be S te preparation on Existing Grade Slopes / are pan[ of a larger common plan that will ullimately disturb one or more acme of land; which Exceed Fifteen (15) feet of Vertical Rise to incJuding C°nslmctl°n actlv~es Invctvlng s°li cllaturbances °f less than °ne (1) acre where One Hundred (100') of Horizonte D stance? the DEC has defofrnioed that a SPDES permit is required for storTn water dlac~arges.. · SWPPP'~I Shall meet the Minimum Requirements of the SPDES General Rennit 8 Will Driveways, Parking Areas or other Impervious I--"'1 / for Storm Water Dl~¢he~ges from Construction actJvRy - Permit No. GP.O-tO-O0t ~) Surfaces be Sloped to Direct Storm-Water Run-Off U 1. The SWPPP shall be prepared prto~ to the aubrnJttal of lhe NOL ~l~e NOI shall be into and/or in the direction of a Town fight-of-way? submitted to the Deperirnent p~or to the commencement of consbuction ac~vity. 2. ~Tte SWPPP shNI describe the erosion and sediment corttm~ practices and where 9 Will this Project Require the Placement of Material, required, post-construction storm water management practices that will he used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the podubants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder~ s.^w. ¥om , · COUNTY OF ................. ) ......................... SS That I~ .....-~.~....c.~.~...~....~..~.~...~..~../.5".... being ~u~y sw~m~ ~ep~ses an~ sa~ thathe/she is the app~icant f~rPcr~t~ Owner and/or representative of the 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 tree to the best of his knowledge and beliefi and that the work will be performed in the manner set forth in the application fded herewith. Sworn to before me this; ...... *"~'""?'" ..........................~L~.~~day of...~..~.,~..~: ............... 20./~./ ~ ~ FORM - 06/10 BUILDING PERMIT EXAMINER CHECKLIST SCTM# 1000-- ?~'-- '~ -- ~' Snlodivision: *DateSubmitted: Y~>~-/{ DateReviewed: ~'~--[ ( Owner: Estimated Cost: 4~¢% ~- ~ dgad, l~g_ Zone: /~¢ Conforming? ' ~ Pre COs? BP -Z / C/0 Z- , Info: BP -Z / C/0 Z-__, Info: ACT: Lot Cov. PROP. Rear Property Address: /~.~._,C- ~ ~ City: 5' Building Permits (Open/Expired): BP ~ -Z / C/0 Z- ., Info: BP -Z / C/0 Z- , Info: BP__-Z / C/0 Z-__, Info: Single & Separate Search Required? Y o~}Determination: REQ. Lot Size: ' ACT. Lot Size: R/iQ. Front__ ACT. Front REQ Side ACT. Side REQ. Height. ACT. Height. REQ. Lot Coy. __ REQ. Rear__ ACT Bulkhead/Bluff Distance: -- Flood Zone: Project Description: 9 Waterfront~?~or N. ~ If yes, water body: ~~anel# ADDITIONAL APPROVALS REQUIRED Suffolk County Health: Y or(~J/- If yes, *Bed#: *Date: / / *Permit#: - If no, certification required: Y or N Received: Y or N By: NYS DEC: I'RE-nEcg/I/75 Y o~- Date: Southold Trustees: Y or~ Date: __/ Southold ZBA: Y o~ Date: / / Southold Planning: Y or~- Date: / Town Landmark C of A: Y o~TE: __ / / Permit #: / Permit #: Permit #: / Permit #: / / Town Septic: Y of.~ or NJ Letter - Notes: or NJ Letter - Notes: - Notes: - Notes: *NYS CODE Compliance (page 2): Y Notes: Fee Structure: Foundation: SF First Floor: SF Second ~'loor: SF Other. ,D~ I o-_~-o SF Total: SF Calculation: + Initial Fee: $ ~ 00~ o o + Additional Fee ( ): $ SF X $ -$ + Initial Fee: $ + Additional Fee ( ): $. TOTAL: $ 1~-7,-~-, O0 DEHOLISH EXI~TIN~ / ) FR,~-~'FRAP~= .~I',I'OOTH AND SITE DATA SCTM # PROPERTY: ADDRESS OWNER: SITE: ZONING: 1000-98-05-02, 03 & 04 1295 ROBINSON LANE PECONIC, NY T&I REALTY ESTATE, LLC 1875 McCarter Hwy., Newark, NJ 07104 116,033 SF =2.66ACRES RESIDENTIAL 40 (R-40) ELEVATIONS REFERENCED TO NGVD SURVEYOR: PECONIC SURVEYORS, PC 1230 TRAVELER STREET SOUTHOLD, NY 11971 LICENSE # 49618 DATED 5/6/06 LOT NUMBERS REFER TO "MAP OF PECONIC BAY OAKS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON OCTOBER 18, 196t AS MAP NO. 3434. LOCATI__ ON MAP t=R. OdE~T ~l'l~ RETAIN STORNI WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. CO/viPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED ~ 80UTHOLD TOW~BA~ ~ SOUTHOL9 T~PLANN NG_BOARD '"/' SO~Z~'TOWN TRUSTEES __ ~, DEC A?~OVED AS NOTED N~ '"nY RL ILOING DEP~TMENT AT ;'~b 15g2 ~ AM TO 4 PM FOR THE FO )~RED CONCRETE 2 : ~ FRAMING, PLUMBING, ~ ~PPING ELECTRICAL ~ CAULKING .: -,N~, . CONSTRUCTION & ML -7 BE COMPLE~ A[ L: UNSTRUCTJON REQUIREMENTS OF THE OODE8 OF NEW YqRK STATE NOT RE~I~ FOR DESIGN OR CONS~TION PERMIT SET )ATE: 3124/11 SCALE: 1" = 30'~)" ;HEET TITLE: SHEET NO: 1