HomeMy WebLinkAbout41927-Z av
_ TOWN OF SOUTHOLD
SUFFO(�co� BUILDING DEPARTMENT
�o y�
g 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#: 41927 Date: 8/28/2017
Permission is hereby granted to:
HJHW Peconic Sound LLC
11 E Broadway Ste 15F
New York, NY 10038
To: demolish existing dwelling as applied for per Trustees approval.
At premises located at:
4660 Blue Horizon Bluffs, Peconic
SCTM # 473889
Sec/Block/Lot# 74.-1-35.52
Pursuant to application dated 8/22/2017 and approved by the Building Inspector.
To expire on 2/27/2019.
Fees:
DEMOLITION $467.20
Total: $467.20
nspector
TOWN OF SOUTHOLD D ING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT VVe
or need the following,before applying?
TOWN HALL r o ealth
SOUTHOLD,NY 11971 so uilding Plans
TEL: (631)765-1802 G Pl i oard approval
FAIL: (631) 765-9502 2017 S
Southoldtownny.gov PERMIT NO. Check
®P p2, Septic Form
�ON.Y.S.D.E.C.
®
L0Trustees APPROVED
C.O.Application
Flood Permit
Examined ,20A Single&Separate
k.11 or QTruss Identification Form
Storm-Water Assessment Form
Contact:
Approved ,20_n Mail to:
Disapproved a/c
Phone:
Expiration ` 20
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Building Inspector
APPLICATION FOR BUILDING PERMIT
Date August 17 2017
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.
i b.Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets 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 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 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.
Tz
igna re of applicant or name, corporation)
P.O.Box 1248,Southold,NY 11971
(Mailing address of applicant)
State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or builder
Agent
Name of owner of premises HJHW Pecornc Sound LLC
(As on the tax roll 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 License No.
1. Location of land on which proposed work will be done:
4660 Blue Horizon Bluffs Peconic
House Number Street Hamlet
County Tax Map No. 1000 Section 74 Block 1 Lot 35.52
1
Subdivision Blue Horizon Bluffs Filed Map No. Lot 2
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Seasonal Residence
b. Intended use and occupancy Year Round Residence
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition X Other Work
(Description)
4. Estimated Cost $3,750 Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units 1 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 46'-5" Rear 46'-5" Depth 36'-1"
Height 18'-11" Number of Stories 1.5
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front 49.6' Rear 108.25' Depth 943.4'
10. Date of Purchase April,2017 Name of Former Owner Michael Koske
11. Zone or use district in which premises are situated RR/R40
12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO X
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises?YES NO X
14.Names of Owner of premises HJHw Peconic sound LLC.Address 1,E Broadway,New York,NY 10038 phone No. (646)710-0790
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X 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 X NO
* 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 X
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK
f0ece
being duly sworn,deposes and says that(s)he is the applicant
(Na signing contt)above named,
(S)He is
(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 that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to tefore me thi
day of 200
00 11r
trl_� ('� ?
^_P
Notary Public ign tore of Applicant
CONNIE D.BUNCH
Notary Public,State of New York
No.01 BUB18W50
Qualth in i oAp lrilri 14'D�d
commission Exp
Michael J.Domino,President o��®F so(/ry®l Town Hall Annex
John M.Bredemeyer III,Vice-President 54375 Route 25
P.O.Box 1179
Charles J.Sanders Southold,New York 11971
Glenn Goldsmith G • �Q Telephone(631) 765-1892
A.Nicholas KrupskiOUN1Y,
Fax(631) 765-6641
��
BOARD OF TOWN TRUSTEES
- TOWN OF SOUTHOLD
Permit No.: 9061A
Date of Receipt of Application: July 21, 2017
Applicant: HJHW Peconic Sound, LLC
SCTM#: 1000-74-1-35.52
Project Location: 4660 Blue Horizon Bluffs, Peconic
Date of Resolution/Issuance: August 16, 2017
Date of Expiration: August 16, 2019
Reviewed by: Board of Trustees
Project Description: Remove the existing 1,180sq.ft. dwelling, including existing
sanitary and drainage structures; and restore the area with clean fill, grass and
1 natural vegetation.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
site plan prepared by Jenna Principi Design, dated July 7, 2017, and stamped
approved on August 16, 2017.
Special Conditions: None
Inspections: Final Inspection.
i
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
e
e
Michael J. Domino
President Board of Trustees
Alan Hubbard Electrical Contracting Inc.
P.O. Box 2241
Aquebogue, NY 11931
(631) 697-1715
August 23, 2017
To Whom It May Concern,
I, Alan Hubbard, of Alan Hubbard Electrical Contracting Inc. will be disconnecting the existing service
on the house at Lot 2-4660 BHB Peconic, SCTM 1000-74=1-35.52. My company will be reinstalling
this service on a pole for construction use.
If you have any questions, please contact me at the number above.
Thank you for your consideration.
Alan Hubbard
4285-ME
D -
AUG 2 8 2017
BUMDING DWr.
TOWN OF SOUTSOLD \
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DENOTES STAKE ON PROPERTY LINE
SOUTHOLD TOWN TRUSTEES
REVISED 7.07.17 JP
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