HomeMy WebLinkAbout42675-Z Sunc�, TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy. • 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#: 42675 Date: 5/14/2018
Permission is hereby granted to:
DeSimone, Claudia
PO BOX 677
Westtown, PA 19385
To: demolish existing dwelling as applied for.
At premises located at:
Equestrian Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-11-2.9
Pursuant to application dated 5/1/2018 and approved by the Building Inspector.
To expire on 11/13/2019.
Fees:
DEMOLITION $974.20
Total: $974.20
uilding Inspector
P O Box 164
THEFishers Island, NY 06390
® ®® T 631-377.6442
jtoldo@thetoldocompany.com
COMPANY www.thetoldocompany.com
May 1, 2018
To: Town of Southold
Building Department
53095 Route 25
P.O. Box 1179
Southold, NY 11971
D �C�IDa
PROJECT: DeSimone Demolition MAY 1 1 2018
Tax Map # 1000-9-11-2.9.
BUIUDING DST.
TOWN OF SOUTHOLD
The Toldo Company warrants that there is no current gas, either natural gas or
propane, service on this property.
Sincerely,
7
Jare 'Toldo
Presi ent
The Toldo Company
FISHERS ISLAND WATER WORKS CORPORATION
P.O. Box 604
v� Fishers'Island, New York 06390
631-788-7251
April 15,2018
To Whom it may Concern:
This letter is to indicate that the Fishers Island Water Works Corporation is the certified provider
of public drinking water on Fishers Island, New York. It is recognized by the New York Department of
Health (Public Water System ID#02067000)as the sole local provider of this resource to all individuals
that reside on or visit the island.
To that end, specifically regarding the property located at Tax Map#1000,Section 9, Block 11,
Lot 2.9,the Fishers Island Water Works has disconnected water service to this property as of April 15,
2018. The water service will remain disconnected until such time it is approved and authorized to
reconnect the service.
Please contact me if you have any further questions concerning this topic.
Sincerely/Wka/��Chad Mr .
Fishers Island Water Works Superintendent
NYSDOH Operator Certification Number: NY004345
FISHERS ISLAND ELECTRIC COMPANY
CUSTOMER SERVICE REQUEST
REQUEST M 275 REQUESTED BY: J.Toldo
DATE: 2/29/18 CLIENT NAME: Claudia Desimone
3133 Equestrian avenue
ACCOUNT M 15925 METER M 560 Book 3
CUSTOMER REQUESTS: READ ELECTRIC METER( ) READ WATER METER( )
SEAL METER ( ) UNSEAL METER ( ) INSTALL NEW METER ( )
DISCONNECT/CONNECT SERVICE (� PCB TEST( ) OTHER:
METER READINGS:
METER#
560 READING: H2O:
READING:
READING: METER READ =$30.00
TOTAL
0 READS = TOTAL $0.00
TOTAL
0 METERS SEALED ( ) METERS UNSEALE[ ( ) $0.00
0 Locate customer power cables ( ) $35.00 $0.00
1 SERVICE DISCONNECTED (4/) CONNECI ( ) $22.00
0 NEW METER(S) INSTALLED X $30.00 = TOTAL $0.00
1 2 3
PC B TEST- Trans.#
0 PPM X$50.00= $0.00
AMOUNT: $22.00
DATE COMPLETED: 3/29/2018 TAX:
TOTAL:
BY:J. Cushing
COMMENTS
REFERENCE: PSC#2 JULY 1,2009 LEAF#46(14)(SERVICE CHARGE,CONNECT DISCONNECT)
LEAF#6(3)(1)(INSTALL NEW METER)
-OWN`OF SOUTHOLD- BUILDING PERMIT APPLICATION CHECKLIST
BTJILDING DEPARTMENT Do you have or need the following,before applying?
TOWN BALL Board of Health
SOUTHOLD,NY 11971 - 4 sets of Building Plans
TIEL: (631)765-1502 Planning Board approval
FAX: (631)765-9502 /n
Survey
Southoldtownny.gov PERMIT NO. -Z7 Check- .
Septic Form
N.Y.S D E.C.
Tiustees
� " C.O.Application '
Flood Permit
Examined ,201 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
/� Contact:
Approved A I Mail to. � (Ao Cql
20 U� n 2^ u,�T
Disapproved a/c P.�. Vu� �L01A, hSL(-,
(( - Phone: UPJ( —'U 4142 UIo I�
Expiration l ,20
Bu! pector
APPLICATION FOR BUILDING PERMIT
Date—, March Zq , 20 Iia
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'inay 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 a ree licable laws,ordinances,building code,housing code,and regulations,and to admit
autho ' d s c s d in building for necessary inspections.
M AY - 1 2018 (Signature of applicant or name,i a corp r hon) _.
Is Icu
BUILDING �, N
TOWN OF SOUTHOLD (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C-��►-�.� C���a�-ham
Name of owner of premises Nkk �k[a. ► JPS rnc�Y��
(As_on the tax_ -roll-or latest deed)
If applicant is a corporation, signature ofUuiVauthori ed o 'ce
(Name and title of corporate o er)
Builders License No. 5q S 5 - +-1
Plumbers License No.
Electricians License'No:
Other Trade's License No.
1. Location of land on which proposed work will be done:
��133 ue400-n �, .ShC*Y ) lS�C1 nd, �l� NPN6 .
House Number sWreet Hamlet
County Tax Map No. 1000 Section Block ' , 1'j Lot,-" 2•�
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 cA I b - Z)��4C �CLm,l
b. Intended use and occupancy a. p - 5+np,`p �Cz r� L. 1�Sic o�
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal, Demolition X Other Work
(Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units d 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 8b.'b Rear I CLo.yLe �-. Depth lyRg7b .
10. Date of Purchase 11,3bl 15 Name of Former Owner "
11. Zone or use district•in•which premises are-situated, " PS•1C��'!�1 • - -g0
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 iemoved'from premises?YES NO -
14. Names of Owner of premises CAaadie- 1 L�Address -Pb, i&x; 0T Phone No. z4N n5 9'81:
Name of ArchitectAddress Phone No
Name of Contractor. 'bbl C'-.-"Lknw Addresseb,6U V4 I%/; M Phone,No. GAI-
o�35e
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 propeity within 300,feet of•a tidal wetland? * YES NO
* IF YES',D.F.C. PERMITS MAYBE REQUIRED.
' _ j }' `," �•\...Ji�kT�J t Mfrs
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 NQ ` r
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
11 SS:
COUNTY OFLD
-VL\C O being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the L�n�✓�
(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
day of AP-4L 20 J- `
o Public Signature of Applicant
APPROVED AS NOTAD
DATE: B.P. S oa
FEE: BY: �� COMPLY WITH ALL CODES OF
NOTIFY BUILDING DEPARTMENT AT -- NEW YORK STATE & TOWN CODES
765-tp0 AAM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: AS REQUIRED AND CONDITIONS OF
I. FOUNDATION - TWO REQUIRED v ��
FOR POURED CON,3RETE
2. ROUGH - FRAMING & PLUMBING 800)ED TM PtANNIN�t(M
3. INSULATION S ` I ffE-S
4. FINAL - CONSTRUCTION,MUST
BE COMPLETE FOR-C.G.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
{ORK STATE. NOT RESPONSIBLE FOR
)ESIGN OR CONSTRUCTION ERRORS.
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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