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�SUFFn� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • SOUTHOLD, NY poi � Sao 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#: 41531 Date: 4/13/2017 Permission is hereby granted to: Lemler, Jeffrey 131 E 81st St Ph A New York, NY 10028 To: demolish existing dwelling as applied for, per DEC Non-Jurisdiction letter. At premises located at: 320 Broadwaters Rd., Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-10-6 Pursuant to application dated 4/4/2017 and approved by the Building Inspector. To expire on 10/13/2018. Fees: DEMOLITION $640.00 Total: $640.00 Building nspector -10WN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health le b So tJ1 OLD,NY 11971 4 sets of Building Plans ✓ TEL: (631)765-1802 Planning Board approval FAX: (631)765-9502 b31 ;2Survey V SoutholdTown.NorthForkxet PERMIT NO. Check Septic Form /V/)k N.Y.S.D.E.C. 6/L Trustees_ /v/4' C.O.Application N11+ Flood Permit Examined 4h 2011 Single&Separate Storm-Water Assessment Form ✓ Contact: Approved a )13 _,20 Mail to: -epch Disapproved a/c le-1 `tlOH- Phone: 2— Expiration Expiration 20 i �n `e'ctor APPLICATION FOR BUILDING PERMIT Date M O'�k 6 g ,20 17 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 streets or areas,and waterways. 1 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 work. e.No building shall be occupied or used in whole or in part for any purpose what 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 18 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 Sout folk County,New York,and other applicable Laws,Ordinances or Regulations,for the c i , or alterations or for removal or demolition as herein described.The applicant agrees to co b e s, r i ances,building code,housing code, and regulations,aj,,d to admit authorized inspectors emises and in building f essary inspections. APR - 4 2017 BUILDING DEM. (Signature of applica e, a corporation) TOS OF S®UTHOLD I Nor-�J) 11-t ,q, P rook ILl, , Aly I 1 zl 1 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician,plumber or builder Ay& `�z q - Name of owner of premises 7�� �`� �' Levi 1�k c� LewI�Y (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer - Iv/y, (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: C(A4 Ck o 3Zo I ��446 rf k-A In House Number Street Hamlet County Tax Map No. 1000 Section I OL Block to Lot J l Subdivision — Filed Map No. Lot 19 3 2.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy �LY�4 Jju -f iv t i I k-jm't b. Intended use and occupancy 1F_±J I C- tolm I'� k6u.s-e- 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal De olit on Other Work (Description) 4. Estimated Cost 0 00 . a o Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units — Number of dwelling units on each floor If garage, number of cars — 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. -- 7. Dimensions of existing structures, if any: Front 5-3 —� '' Rear �3 —�-�� Depth 3-7-' —6 " Height AnhY,:v . IS-'/ Number of Stories _rL, be-- dl-mo l;Sh-e d Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front — I I Rear 49 Depth ¢4' — I Off Height 2-C 1" Number of Stories i 9. Size of lot: Front q 2� Rear 63/ _W/ / Depth 1 C6 10. Date of Purchase �i^'�^� 'Lu 1 z Name of Former Owner Dov, Zi le h 11. Zone or use district in which premises are situated 'R —40 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded?YES NO ✓Will excess fill be removed from premises?YES NO ` �. LemIf� IoE �3vA NY ./vy l"oZz zri . q,8, 14. Names of Owner of premises &c�.J L-emler Address i Phone No. Name of Architect S U 11 A4. U-I °V /I-tkq Address Y3� l�,NY 211 Phone No zrq4l 64 4- Name of Contractor `rV'D Address — Phone No. k _ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO V * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO V * IF YES,-PROVIDE A COPY.-- STATE OF NEW YORK) SS: COUNTY OF ) TVrd') being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the A�er� (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 knowledge and belief; and 1hat the work will be performed in the manner set forth in the application filed therewith. Sworn to before fne this . >' day of 20 -4, Nttar"Public i u .w i t��f� - a - ``�� Qfa�r public,State©f New Yotk Signature of Applicant - info.02VA5045317 Qualified in Richmond County Commission F-xpires June 12 w Kenneth Stenger n at I o I a l g_®i d Senior Supervisor �" Customer Fulfillment Department March 27, 2017 Jeffrey Lemler 10 E. 53rd Street, 25th Floor New York, NY 10022 Email: LEMLER@LEMLERDDS.COM ; RON(a)-TANBUILDERS.COM National Grid WO# T101944923 Service Address: 320 Broadwaters Road 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. New York State law requires anyone planning underground excavation work to notify local utilities by making one call to a toll-free number to get your underground lines identified for you prior to doing any digging. This phone call needs to be made at least 2, days but not more than 10 days prior to starting work, not including the date of the call. The number to call is either the nationally sponsored"811", or the local number for NYC/LI area, 1-800-272-4480.This confirmation letter of no active gas service line to the subject property does not relieve the excavator of making this °811"cap. If you have any further questions, kindly contact me at 631-348-6150. Respectfully, Kenneth Stenger Senior Supervisor Customer Fulfillment Gas NY 1650 Islip Ave,Brentwood,NY 11795 T:631-346-6150 F:516-545-2333 kenneth.stenger@nationalgdd.com www.nationalgrid.com t PSEG Long Island Building&Renovation Services 15 Park Drive Melville,NY 11747 0 PSEG LAN D lie make Wags urn*far tiou. d April 3, 2017 Mr. Jeffrey Lemler 10E. 53rd Street, 25th Floor New York, NY 10022 RE: Electric Demolition Request 320 BROADWATERS ROAD, CUTCHOGUE,NEW YORK CUSTOMER PROJECT#900000047216 Dear Mr. Lemler: This is to advise you that the PSEG-LI electric facilities at the above referenced f 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 i 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 516-545-4973 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 8v Renovation Services at 1-844-341-6378 or via email at BRSLI@PSEG.com. Very truly yours, Carolyn Mackin Manager Building & Renovation Services PSEG-LI CM/am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits.Region 1 . _ . , Broo, --C C Acte�cea S:c _ rel ?9C [6 31, -'.' FF ,031)_44-01360 LETTER OF NO-JURISDICTION December 30, 2016 Mr. Jeffrey R. Lemler Re: Application ID 1-4738-04098/00003 10 E 5311 Street, 2516 Floor 320 Broadwaters Road New York NY 10022 Cutchogue SCTM # 1000-104-10-6 ARNO-DEP Dear Mr. Lemler Based on the information your agent submitted, the New York State Department of Environmental Conservation (DEC) has made the following determination. The portion of the referenced property located landward of the 10-foot elevation contour line, as shown on the survey prepared by Peconic Surveyors, P.C. last revised on 9/28/2016, is beyond the jurisdiction of Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661), no permit is required for work occurring at the property landward of the jurisdictional boundary indicated above. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the jurisdictional boundary without a permit It is your responsibility to ensure that all'necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within the DEC's jurisdiction which may result from your project. Such precautions may include maintaining an adequate work area (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. i Very truly yours, l C�S�CJci rh .Deputy JAW/mrp CC: SU11 Architecture & Design, PLLC Marine Habitat Protection File NEW YORK 1 department of or , Environmental E Conservation DROADWATER9 DOVE N8699'06°E 70.94' MHWM. ——'— TIE LINE MHWM. FE""`�E�,- N,t - SURVEY OF PROPERTYI I\ S4 O K CHAINLINK — FEC * FENCEi 37'E AT NASSAU POINT i i TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. �W 1000-104-10-06 I W I SCALE. 1'= 40' Y I MAY 9, 2012 g �- LOT 163 I, I�5.4' ENO FE 1 I 9"'E SHEDS � RES WALL 0 QP �yc POOL Q 8.2' a Z DECK 12.9 is K •les �.g m FECOR. 1 STY. FR. HSE. 1r astiv 46 ta.+' 1>s• � LOT 184 FE 0vw 'nY LOT 16 i STONE DRIVEWAY 152; DEK'AY 9� � ea' 0 82 w g 1,,,�0 cERnFTEO r0 Y� �EFFERY R. LEMLER AND ANCA LEMLER in CHICAGO 777L£INSURANCE SERVICES;LLC, °UPOLE JPMORGAN CHASE BANK, N.A. WALL 2.1'E. DECK STKDE.FE 4LA V, 0 34 LOT // s REFER TO 'AMENDED MAP OF NASSAU POINT, OWNE BY NASSAU POINT CLUB PROPERTIES, INC.- o7E, O� FILED IN THE SUFFOLK COUNTY CLERKS OFFICE ON AUG.16, 1922, AS MAP NO 156 T O� ,y� a d lip a y o��.�t�✓ro �Q ON 4B• r,2` r 445 Nq rj�' r-,•r- Tfn v AREA = 38,567 SQ. FT. (To Tie line) � . LIC. NO. 49618 ANY ALTERARON OR A00177ON TO THIS SURVEY IS A WOLA71ON �YtCONIC EYORS, P C. OF SECTION 72090F 7HE NEW YORK STATE£DUCA77ON LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SEC71ON 7209—SUBDIWSION 2 ALL CERTIFICATIONS P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON SOUTHOLD, N.Y. 11971 F12-165 REVISIONS N0. DESCRIPTIONS DATE 1 EXISTING IN-GROUND POOL STONE RETAINING WALL NO CHANGE NO CHANGE 1 , 0 — EXISTING HOUSE TO BE DEMOLISHED ' INCLUDING ALL FOUNDATIONS TO BE REMOVED \� FOOTPRINT 1800 SF _ / � NSE• ,�, 1 STORY DWELLING EXISTING SANITARY SYSTEM TO BE FILLED IN AND ABANDONED CIVIL ENGINEER , MECHANICAL ENGINEER , � N•1 16 ' ELECTRICAL ENGINEER 1� •8 / EXISTING SHED NO CHANGE STRUCTURAL ENGINEER kP�R® ED AS NOTED I� DATE: 3 s.P.4 \ FEE:, BY: NOTIFY BUILDP1 iL; .° STN N't,�" AT FDR THE 181 North 11th Street,Ste.406 YAUAO Brooklyn,NewYork 11211 t.(212)941-6494 architecture+design 3. II`; ''UI'T IO�� 4. FINAL - CGN,731 ' .:CiILN tfUST All rights reserved. The above drawings, designs and BE C i. ideas embodied therein are the property of su11; and 1,.LL -0 �STRUCr{,�'I! S� ._LL I,1ErT THE shall not be copied, reproduced, disclosed to others or RLQUIRc",BENTS OF T1 0 Df=c 0 F r;ryy used in connection withany work other than the YORK STATE. NOT Rt:'SP'GINISLE FOR specified project for which they have been prepared, in DESIGN OR CONSTRUCTION ERRORS. whole or in part, without the prior written authorization ' of Sul 1. O copyrightsu112012 sN� LEMLER HOUSE COMPLY WITH ALL CODES OF 320 BROADWATERS ROAD NEW YORK STATE & TOWN cnDES CUTCHOGUE, NY 10010 g.2 AS REQUIRED AND CONDO IONS OE T!1 3 I 7n A SHEET TITLE: MrF , U 3ARD DEMO PLAN SOJH9�-fi ,-' t SEES 1 _' N.Y.S.DEC RETAIN STORM WATER RU�IIOFF DATE: PURSUANT TO CHAPTER 236 �cxSD ARC,y PROJECT NO: 1 108 OF THE TOWN CODE. �1b SSCH°FNFy� � DRAWING BY: DC ~� FA n CHK—BY: ES :' * DWG—NO.: - P1 DEMO PLAN � �� �,... :� �. D O 1/8" = 1'-0° s. D-100.00 0 NOV 04 2016 CADO FILE No: •