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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. Untitled Map 'i Legend Write a description for your map. __ 0-2 PCT ANNUAL CHANCE FLOOD HAZARD 1000 AE ' .�. Route VE • , ,'�� �J�!'r`" �•. ,j�'�i a ~ r �•I •"t �v Ate- �+r .:� ~" - � rr •' � a'� µ !�•,'! `r.r, yam' - ,r y 3 f _ V■ ALA&ZA �. Google Earth ASNI AP 2018 Google .X��'j�,^}•s ��I�. �'rR��� ,+n'f w r, i ..����. ? - "�ili...�-,-..- ..a��