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HomeMy WebLinkAbout42625-Z TOWN OF SOUTHOLD �s• c°� BUILDING DEPARTMENT TOWN CLERK'S OFFICE ti • o� 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#: 42625 Date: 4/30/2018 Permission is hereby granted to: Mattituck Fire District 100 Pike St Mattituck, NY 11952 To: demolish existing dwelling and 2 accessory buildings as applied for. At premises located at: 13295 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 140.-3-36 Pursuant to application dated 4/20/2018 and approved by the Building Inspector. To expire on 10/30/2019. Fees: Total: $0.00 Bui ' Inspector PSEG Long Island Building&Renovation Services 15 Park Drive Melville,NY 11747 0 PSEG SLAND lllr raakr'fhnilp rerork foryoa. April 11, 2018 p Mattituck Fire District D Mr. John C. Harrison APR 2 0 2018 PO Box 666 Mattituck, NY 11952 TOWN OF SOUTTHOLD Re: Electric Demolition Request 13295 MAIN ROAD, MATTITUCK, NEW YORK Customer Project#9-64510 Dear Mr. Harrison: 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. Vei truly yours, Carolyn Mackin—Manager Building& Renovation Services PSEG-LI/am nationalgrid oC�' ��C DOApnl 18, 201 a APR 2 0 2018 - Mattituck Fire District CIO John C. Harrison ��� - Mat Box 666 TOWN OF SOUTHOLD Mattituck, NY 11952 Email: iharrisonna,mattituckfd.com National Grid WO#T102034128—13295 Main Rd, Mattituck Dear Mr. Harrison: This letter Is to advise you that the natural gas service line to the above location was physically disconnected on April 16, 2018. Please advise your contractor that care should be taken not to damage or remove the existing gas valve curb box. This curb box will be used in the future by National Grid to reconnect the gas service line to this property. 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, but not more than 10 working days in advance of starting work, not including the day the call was made. The number to call is either the nationally sponsored"811", or the local number for NYC/LI area, 1.800.272.4480.This confirmation tetter of a gas cut-off does not relieve the excavator of making this°811"call. If you have any further questions, kindly contact me at 631-348-6150. Respectfully, Christina M. Bonelli Sr. Supervisor, Central Processing Gas Customer Connections TOWN OF SOUTH[OLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTH[OLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631)765-9502 /,� Survey Southoldtownny.gov PERMIT NO. pC Check Septic Form N.Y.S.D.E.C. �(� n Trustees D (�\" !_6 (� C.O. Permit L.,_iC �__.-:� �f �r' Flood Permit Examined ® 20 D Single&Segarate APR 2 0 2018 Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20 TOWN OFSOUTBOLD Norcw mho' Disapproved a/c Phone:Caa i . Zq '198 3 Expiration 20 B n ector APPLICATION FOR BUILDING PERMIT Date April 20 2018 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,acid to admit authorized inspectors on premises and in building for necessary inspections. Mattituck Fire District (U4, (Signature of appfica* r name,if a corporation) P O Box 666, Mattituck, NY 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician,plumber or builder Owner Name of owner of premises Mattituck Fire District (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: 13295 Main Road(Rte 25) Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 1000 Block 140 Lot 03-36 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 unoccupied b. Intended use and�occupancy demolition 3. Nature of work(check which applicable):New.Building Addition Alteration Repair Removal Demolition, ' x Other Work (Description) 4. Estimated Cost $35,000 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwelling units on each floor 2 If garage, number of cars 1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front 22'3" Rear 24'4" Depth 465" 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 65 00' Rear 107 17' Depth, 237 30" 10. Date of Purchase $510,00000 Name of Former Owner Mary Berdinka 11.Zone or use district in which premises are situated Commercial 12.Does proposed construction violate any zoning law, ordinance or regulation?YES NO x 13. Will lot be re-graded?YES x NO Will excess fill be removed from premises?YES -NO x 14.Names of Owner of premises Mattituck Fire District Address 1000 Pike st, P O Box 666Phone No. 631-298-8837 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 NO x * 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 _x * 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 OFSHFMU* John C Harrison being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Secretary - (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 before me this Q day of C- 20 r Notary Public MARGARET CRUTKOWSKI SigiZtiit of Applicant Notary Public, State of New York lvL o. b_528 oualiiied in Suffolk County Commission Expires June 3,-:!ZQ� A Premises known as Note: ALL SUBSURFACE STRUCTURES; UNAUTHORIZED ALTERATION OR ADDITION WATER SUPPLY, SANITARY SYSTEMS, TO THIS SURVEY IS A VIOLATION OF # 13295 MAIN ROAD om"In JM MECKM BY dM DRAINAGE, DRYWELLS AND UTILITIES, SECTION 7209 OF THE NEW YORK STATE SHOWN ARE FROM FIELD OBSERVATIONS EDUCATION LAW W PIE MIE SEPT 2017 AND N DATA OBTAINED FROM OTHERS COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR DRAWING NO 17\MAIN ROAD THE EXISTENCE OF RIGHTS OF WAY EMBOSSED SEAL SHALL NOT BE CONSIDERED AND/OR EASEMENTS OF RECORD IF TO BEA VALID TRUE COPY ANY, NOT SHOWN ARE NOT GUARANTEED. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. GUARANTEES ARE NOT TRANSFERABLE. r ' Rey O� BOUNDARY BASED ON DEED LIBER f 162 PAGE 596 0,_�0R�1 �0� OW51 °(epee o AREA = 22,X46 SQ. o� s\°ck°d '9 N �'R , t�E°N �f\\� �� O 0.52 ACRES lentis ot4Y1 0 0% O u 5 temarns o �, end APPR (oN°p5E N6 - o` s\°ck°de v ED AS NOTED o OOE I ° o fence o °,° DATE. �tev",la's v _�tepCe.° FEE: "/1 " a °°yet oaE �y BY: o concteleC> E5 NOTIFY BUILDING DEPARTMENT AT ° RR;�ecEgt� c0ncte�e°Over 0 765-1802 8 AM TO 4 PM on 04s o. 0 /`0_ EA FOLLOWING INSPECTIONS:FOR THE I- FOUNDATION - TWO REQUIRED �s�~rP '"FOR POURED CONCRETE 2. ROUGH =•FRAMING & PLUMBING tr, 3. INSULATION E , 4 BE CONSTRUCTION MUST COMP LETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE ---REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR enc°cot CONSTRUCTION ten°e�°t °y p2vt✓ �, ERRORS. O6E 9t°ve\d�© ,no\\ 010 'b\d8 c6t, e to v c C U o Simon CS Gk te5 -- � - - '�5�_�,-�, c'+'.� _ - 0• .9 coq �9� \ �ti� . 5.0 `r 'lop IV1540 ,5770N 2SO-Rd C> - LCppOaO.CO 2 � 0 Epp halt �� ® 169.81' 7 -awry r ` area valves !'9 CIO water �'LLPJ3:0 tJ g voter meter o 49865 ��' ` r concrete 25 S ®t A 1�I® S ��sidewalk s • ign t RO A� • edge of pavement �I N iY1 dtl —sign 1 Ov uUldy pole 1 65,0 Certified to: COMPLY WITH ALL CODES OF 57 RM STORM WATER RUNOFF NEW YORK STATE & TOWN CODE PURSUANT TO CHAPTER 236 Mottituck Fire District AS REQUIRED AND CONDITIONS Cr OF THE TOWN CODE. Advocates Abstract Survey of Property r situate at QVVI Mattituck LAND SURVEYING Town Of Southold v Mintoviile@aol.com Suffolk County, New York SUBDIVISIONS TITLE & MORTGAGE SURVEYS TOPOGRAPHIC SURVEYS Tax Map #11000- 140-03-36 LAND PLANNERS Scale 1 " SITE PLANS = 30' September 6, 2017 GRAPHIC SCALE JOHN MINTO, L.S. PHONE- (631) 724-4832 LICENSED PROFESSIONAL LAND SURVEYOR 30 _ - 0 15 30 60 120 NEW YORK STATE LIC NO 49866 FAX- (631) 724-5455 93 SMITHTOWN BOULEVARD SMITHTOWN, N.Y. 11787 ( IN FEET ) 1 inch = 30 ft.