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Home My WebLink About42334-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY ACOA 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#: 42334 Date: 1/31/2018 Permission is hereby granted to: Trent, Martin 4390 Orchard St Orient, NY 11957 To: demolish an existing dwelling and swimming pool as applied for. At premises located at: 4390 Orchard St., Orient SCTM # 473889 Sec/Block/Lot# 27.-3-7.6 Pursuant to application dated 1/29/2018 and approved by the Building Inspector. To expire on 8/2/2019. Fees: DEMOLITION $968.80 Tot 1: $968.80 Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the f II wi TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Budden P + D TEL:(631)765-1802 Planning Board pl FAX:(631)765-9502 Z Survey I n►i PQ A South oldtownny.gov PERMIT NO. G Check `l �018 Septic Form NYSREC Trustees CO Application TnQ t. Flood Permit OU'MOLD Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ,�20 Mail to Disapproved a/c Phone: Expiration But mg I 5-7411 DAPPLICATION FOR BUILDING PER _ DEC 1 2017 DateC , b 20 1'1 INSTRUCTIONS B n MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 TONT an an 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 admit authorized inspectors on premises and in building for necessary inspectio 10) �•• MI`Q1 u( na irV pli nal V (Mailing address of applicant) State whet plic nt is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder 6whR.,✓ Name of owner of premises 6�1A N� �thorized As on the tax roll or latest deed) ap li t is co or io ,sin re of du officer ��,QVg�rteofticsillr/e. f KJL Builders Licen .No. , Plumbers License No. - Electricians License No. Other Trade's License No. ' ocpt'o 9dn o osed wor ill be done Flouse Number Street Hamlet County Tax Map No. 1000 Section Block Lot -716 r 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 b. Intended use and occupancy 3. Nature of work(check which applicable) New Building Addition Alteration Repair Removal Demolition X Other Work (Description) 4 Estimated Cost �� QQ n 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 Rear _Depth Height Number of Stories 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 �$� .�� , Rear I I S' Depth AR � 10 Date of Purchase L Name of FormerOwnerAkw • 11 tart I I Zone or use district in which premises are situated R 2� 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES NO1% Will excess fill be removed from premises?YES_NO Ora is# 0(6•LAA C. 113 A vas.St Inc. l 0 2l Z•N'3 t• 3 50 14.Names of Owner of premises Ad ress P o e No. Name of Architect Address Phone No Name of Contractor KL DILItC/Son J�&A.,a-.A�ldress Z/Za ,%j&AkLj% hone No. 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.0 PERMITS MAY BE REQUIRED b. Is this property within 300 feet of a tidal wetland?* YES NO Pe * IF YES,D.E.0 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 property9* YES NO V * IF YES,PROVIDE A COPY STATE OF NEW YORE) SS C�O`U`N_TY.OFNE'a pfd ) 0 �./1W a �Q�WfK'y � �SIL&ybeing duly sworn,deposes and says that(s)he is the applicant 3 p o (Name of individual 'gnin ntract)above named, C 5'i viN U) =;Z v (S)He is the w►Q _ uo�ely sa�idx3 uolsslutwo0 o Q C:y (Contractor,Agent,Corporate Officer,etc.) 14uno��{toA nnaN ul paglleno X' 3 £59Ll,9b1dl0'oN W r-(�- of said owner or owners,and is duly authorized to perform or have performed the said work and to make andlfdy�1kiNVplA�dpllgnd IGe1ON H -0 that all statements contained in this application are true to the best of his knowledge and belief,and that the workl}►$men1d'f'W` mim 0 Cb c�p Cn performed in the manner set forth in the application filed therewith. —AWZZ � L� U) Swo before me this o— 5 - day of D 147''v —20--�1 Notary Public Signatur f Applicant 9-63760 DEMO LTR_001.pdf 1 / 1 ,��' X PSEG Long Island Building & Renovation se-rvirr, 15 Ptirk UTlve NI(A ill, ICY 1'717 0 PSEG ISLA\() W WfAF fhnth+Iwo+*fin ywr F?- January 18, 2018 D Orient HB LLC. .AIS 2� 6 c/o Serra 173 Duane Street New York, NY 10013 Re: Electric Demolition Request 4390 ORCHARD STREET, ORIENT, NEW YORK Customer Project # 9-63760 Gentlemen: 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. Wry truly y urs. Carolyn Mackin Manager Building & Renovation Services PSEG-LI/am Kenneth Stenger Senkn at i o n a l g r id x Supervisor Customer Fulfillment Department December 19, 2017 D Rif 4F9V[3 Orient H6, LLC D 173 Duane Street JAN 2 6 2018 New York, NY 10013 E-mail: TRIN A�c��RSERRA.COM TOWN OF SOUMOLD National Grid WO#T102031516 Service Address: 4390 Orchard Street 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. 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 fines 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"call. If you have any further questions, kindly contact me at 631-348-6150. Respectfully, Kenneth Sten Senior Supervisor Customer Fulfillment Gas NY 1650 Islip Ave,Brentwood,NY 11795 T:631-348-61500 F:518-545-2333 kenneth.stenger@nationalgrid.com www.naWnalgrid.com (1)WYeO®,L�OY1W OMpYAMYN�O.WKiVQO SMRKYg1�l�A m110�Ki 4aWAv�.eN M➢m�AW IMV�YUOA AR'.�Ow[IA..[OC��ot wo Yl�YTbtlO A6lYI�IWIYIOAIOI!¢1OOIOmWWY>M KW�IeGY0i�1� YllAY1r®lILAO®WY Ne��WI WVIDIm AS.bW b[DT.(q e>R AM Ie1COM IMOM OMY,M a�A M OBp1,M bW K M1{�OI OOM/IW ai M w eMe A K H WIOIe.mMMMer.oar Mo me,Mm,IM uss�®l MO W M Y4�6 K IeYO gpNY®1n4101.K i11NWOM.[A IIYi1K Y�YIY6 i YfO41 e.a W M OAC 1Y16 WI a�VOY,M.IOM i[O�II.IIIW 1`BY iWIMMY MO el MY EIfMO nl!oeill 400 O bV dr Av ,RNwlro4 low York IM01 W.331.197.2303!mc MVV 70144 �rrtgoan 1 H.—d KYONg, and irvMpr l\ TNNIIa G.Yblpirt,MofwNanel 6lgtwr Darylai C.Adam,rroHeelarlW�K RobWt C..Tait,AtdR�et Robrt ltraluk4 MWVct �1 SITE DATA ARM^.1.1074 AOMS OR 46;M W.PT. fT\O afro \� d ZAO\A { �.p SURVEYORS WRTIFIGATION rs Oe\�+- �/% •K fC®Y MtrrY TO ORIENT MB LLO,ADVANTABE _r{ O TITLE A RTCWART TITLE INRYRANOC COMPANY {� L'EA5 AN�AR✓a IN ACG le LAID oW"Lro BY T011 OF rROr!!& L~ANP .YA.L9.NO.43343 ,A `y y q ✓ a* ``��y Q�f 3y�o SMVEY POR ORIENT HB LLO of Orient,Town of Southold 50folk 001R,ty,New York e nod Of TITLE SURVEY rs'a 9��e\3 �'6\��K�`� C-Qm4 Tax Map o 1000—21 11—09 I.I 1.6 3 �V NAP oO�aCO OGD m000rdT. .9017 Q�'`�\ � ItBrZM Or II�EVhIO a ~ PAIN 1 te-mU HOuS,4,� . x o aso bO . �V I 5cal�.I' S0' �L6 9a7o9o1 R-=-.bs ' Or 1 O•NOR4@II SET ■.NONRINT roi m 0.9TNm SCT ♦.sTAm rout o.ON1111lY