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Home My WebLink About42122-Z �s�Fent�c TOWN OF SOUTHOLD moo pay 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#: 42122 Date: 11/6/2017 Permission is hereby granted to: Slavonik Frank & NormsTrust 315 Boisseau Ave PO BOX 143 Southold, NY 11971 To: demolish two accessory buildings and a single family dwelling as applied for. At premises located at: 315 Boisseau Ave, Southold SCTM #473889 Sec/Block/Lot# 62.-1-19 Pursuant to application dated 10/31/2017 and approved by the Building Inspector. To expire on 5/8/2019. Fees: DEMOLITION $785.50 tal: $785.50 Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey Southoldtownny.gov PERMIT NO. �� Z� ! Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form d Contact: Approved 120 Mail to: Disapproved a/c Phone: Expiration __ 7M D m Zrn4ect OCT 3 1 2017 APPLICATION FOR BUILDING PERMIT ,'RJj `' i' f�� ® Date a L)AA , 20 l7 T r T07,FN OF SOUTHOLD 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. 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. pp `'L_ a- (Signature of applicant o me,if a corporation) i3 iJl�klN SilZr 0 a SO'-MiOL ,NY 119-7I (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 0 VIJ ER- Name of owner of premises SCS LI5 1"lU 1�1Si12a.e� (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. 0139 mer Plumbers License No. T Electricians License No. -- Other Trade's License No. 1. Location of land on which proposed work will be done: I i S 130 IS CAU AVEN JE SoUT14-ab House Number Street ,W �{�t}Hgl(anet County Tax Map No. 1000 Section2 Blo„s � ck Lot yZY , C nil �"? x,a� �'� ';a�j „ ,1� •.•hi Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy iZl7S1DAJ i IAtr PVJkLLI tJ,/ b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition '/4 Other Work (Description) 4. Estimated Cost -37,`sl& Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 9 Number of dwelling units on each floor 1 If garage, number of cars 414t 3 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front3 Rear 23° Depth T2.7' Height %.'= ',25 ` Number of Stories 7 Dimensions of same structure with alterations or additions: Front Rear Depth _ Height r Number of Stories 8. Dimensions of entire new construction: Front Rear — Depth Height Number of Stories 9. Size of lot: Front Rear 4?/, F2-e Depth 10. Date of Purchase Name of Former Owner WOKMA !I-A V UJIV 11. Zone or use district in which premises are situated 14� (14AHLP- SUIS S5) 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOV 13. Will lot be re-graded? YES NOWill excess fill be removed from premises?YES NOS 14.Names of Owner of premises Ftm pisT. Address 5S13-5 K4%vJ S'% Phone No. 6:3 765- 3V5 Name of Architect M/ -► SAND e �l.i,A. Address 215 Re4w A. Phone No 63h --7"-1;35L Name of Contractor CNA-ihL06 *, i0c , Address law N,<AVff Phone No. 631- 74(1- 017-7 Pu fty, 1(\-7 5pJMr) NZk&WFjr 10 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wMand? *YES NO . * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. lso5 b. Is this property within 300 feet of a tidal wetland? * YES 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 OFSU F6600 CSL A-, Oq being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, C O (S)He is the �` - (Contractor,Agent, Corporate Offi er,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 before me this /a/ ` 2(14 day of 20 CARUSLE E.COCHRAN,JR. NotarNotary Public Of ®WYo Signature of Appli nt No.01C05015101,Suffolk County Commission Expires July 12;20j PSEG Long Island Building&Renovation Services 15 Park Drive Melville,NY 11747 LONG . 4 PSE j ISLAND 11n ra(tkrlhingv worh fr)wrr. 11/14/17 Southold Fire District PO Box 908 Southold, NY 11971 Re: __ Electric Demolition Request 315 Boisseau Av Southold, NY 11971 Ref#:900000060540 Dear Southold Fire District, 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 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 & Renovation Services at 1-844-341-6378 or via email at BRSLI@PSEG.com. Very truly yours, Carolyn Mackin Manager Building &s Renovation Services PSEG-LI MARTIN F. SENDLEWSKI, A.I.A. VIIIARCHITECT - PLANNER October 31, 2017 Town of Southold Building Department 54375 Route 25 Southold,NY 11971 Attn: Mr. Michael Verity Re: Demo Permit Application Southold Fire District 315 Boisseau Avenue, Southold, TM# 1000-62-01-19 Attached please find the following as required to obtain a demolition permit for the existing structures at the above noted location. • Completed Building Permit Application • (4) Sets of Plans • Contractor's Workers' Compensation • Contractor's Liability Insurance • Contractor's NYS Disability Insurance Should you require any additional information please feel free to contact me. Very truly yours, Arthur Rast Cc: Owner D � lr Q OCT 3 1 2017 TO IARq OF SOUTHOLD 215 ROANOKE AVENUE RIVERHEAD, N.Y. 119010 (631) 727-5352 FAX (631)727-5335 SURVEY OF PROPERTY SITUATE SOUTHOLD ' •• EXISTING 2—STORY H❑ TOWN OF SOUTHOLDUSE T❑ '.': •�� SUFFOLK COUNTY, NEW YORK BE DEMOLISHED ' - ALL FOUNDATI❑NS TO BE :'•d • S.C. TAX No. 1000-62-01 - 19 REMOVED PRE VIDE O SCALE 1 "=20' - ALL EXISTING U/G UTILITIES TO CONST RU TI❑N BE CAPPED AND REMOVED. PENCE JULY 119 2017 - ANY ABOVE GROUND UTILITIES .;', TO BE REMOVED AND CAPPED AT PROERTY LINE • ' - CLEAN FILL TO BE ADDED TO 3 y AREA = 15.685 sq. ft. EXISTING GARAGE p n�C• AREA OF DEMOLITION 239 '•f' o.3so ac. T❑ BE DEMOLISHED N/o pT s°�oy ALL FOUNDATIONS TO BEW REMOVED C01,000i•�' ;� tom . • CER TINED T0: - ALL EXISTING U/G UTILITIES TO �'� , O "0"„ SOUTHOLD FIRE DISTRICT BE CAPPED AND REMOVED: �, i► ` �� SAFE HARBOR TITLE AGENCY CLEAN FILL TO BE ADDED TO �• 2 o� • y ,� AREA OF DEMOLITION 00,�� PROVI k �7i '•' d. '• '� 26.5 C❑NSTR cTz�N 7A•� G _�,,�;( . .� •. �;,,,,,v �. FENCE N awM' 1 , a dam""••. _j ! •4 . 46.7 �•. :. •� •. .��. ,-.- �� ' ` .N' •�' ` - ALL ASPHALT PAVING.ON �• ' ,�' ••�v' + A, W SITE TO BE REMOVED Z > :a ' • ' '•' a, 1C�•�a 2 - ALL ASSOC, EXISITNG C*'r"P' SANITARY STRUCTURES TO 00• BE REMOVED N ••' F - PATI❑ AND LAMP POST TO w• '' ' ••'R° 1 b BE REMOVED 0 W PROVIDE - ENCLOSED PORCH TO BE 0 , CONSTRUCTION FENCE c EXISTING SHED T❑ �„ ALONG THESE AREAS REMOVED BE DEMOLISHED 1 0.0 o - ALL EXISTING U/G !„.. UTILITIES TO BE CAPPED rn •.o AND REMOVED. 1 r // • �•q- � - CLEAN FILL T❑ BE ADDED ..�_. " �Yo TO AREA OF DEMOLITION P SNFA �► FOLLO. 6� 7�t { 8,p0 T 2. ROUJ3. p4SULAT ION o L _ TI._.�! 4. FINS; ��! ` MUST ca N„ f 000'P • + ALL CONMEET THE �1rl�'sil :� .�« 5 p4 N�� Y P,CC�I�IFI 13LE FOR 75 �, d0 y DAy YORK STATE. P"DT %'t=.SI ,�Ee` pFc t l l OR COP; Tr�l1C I lO[d LRROR . PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. 2 5� ` N.Y.S. Lic. No. 50467 y '� UNAUTHORIZED ALTERATION OR ADDITION OTO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Nil, EDUCATION LAW. N a t i h I an Taft Corwin 1�\y COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Land S u r v e y o r EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. In a no L.S. LENDING INSTITUTION LISTED HEREON, AND p 9 9 TO THE ASSIGNEES OF THE LENDING Title Surveys - Subdivisions - Site Plans - Construction Layout INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Y Y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947