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HomeMy WebLinkAbout43196-Z ,WwZt� , TOWN OF SOUTHOLD " ��, 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#: 43196 Date: 11/5/2018 Permission is hereby granted to: Town of Southold PO BOX 1179 Southold, NY 11971 To: demolish existing dwelling as applied for. At premises located at: 70282 Route 25, Greenport SCTM # 473889 Sec/Block/Lot# 45.-5-3.2 Pursuant to application dated 10/30/2018 and approved by the Building Inspector. To expire on 5/6/2020. Fees: Total: $0.00 (h""� Buildi 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 I a/� Suryey Southoldtownny.gov PERMIT NO. ( l K' 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 I Contact: Approved I 2p] Mail to: Disapproved a/c �i PhoneiO3l expiration 20 U D 12 } E 0 DDBui g ns ctor OCT 3 0 2018 APPLICATION FOR BUILDING PERMIT BUILDING DEPT. Date 1,01,2eq , 20� TOWN 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 ;hall be kept on the premises available for inspection throughbuf 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 D,epiutment 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. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (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. L1D Z b�don WN h pro o� sedl'work will be done: Cl--,) House Number Street Hamlet County Tax Map No. 1000 Section 45 Block Lot 3 , v uvua•auav ����-�C � . 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 Other Work (Description) 4. Estimated Cost 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 Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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.removed from premises? YES NO 14. Names of Owner of premises Address Phone No. 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 * 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 * 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK.) SS: COUNTY OF ) being duly sworn, deposes arWgUg&t4&�80 the applicant (Name of individual signing contract)above named, Notary Public,State of Now York No.01 BU6185050 (S)He is the Qualified in Suffolk county (Contractor,Agent, Corporate Officer, etc.) ssronExp►resnl 144 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. Swor to before me this day of 20 2t Qmog4 W E[In Notary Public Signature of Applicant PSEG Long Island Building &Renovation Services 15 Park Drive Melville,NY 11747 ® PSEG LONG lG-aurkrlkrr+;; rnrr�'fw nrt June 29, 2017 Michael Collins, Town Engineer Town of Southold PO Box 1179 Southold, NY 11791 RE: Electric Demolition Request 70280 MAIN ROAD, GREENPORT, NEW YORK PSEG Notification # 900000051909 Dear Mr. Collins: 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 8v Renovation Services at 1-844-341-6378 or via email at BRSLI@PSEG.com. Io trulyylyn Mackin Manager Building & Renovation Services CM/am Kenneth Stenger n at i o n a l g r i d Senior Supervisor Customer Fulfillment Department July 10, 2017 Town of Southhold Dept. of Public Works C/o Jeff Standish 53095 Main Road Southold, NY 1197157 E-mail: NANCY.FOOTED-TOWN.SOUTHOLD.NY.US National Grid WO#T101978867 Service Address: 70280 Main Road Greenport, NY 11944 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 lines 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, 1-800-2724480.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 Stenger Senior Supervisor Customer Fulfillment Gas NY 1650 Islip Ave,Brentwood,NY 11795 T:631-34&6150 F:515-545-2333 kenneth.stenger@nadonalgdd.com www.naUonalgdd.com C-� APPR VVED AS NOTED DATE: S o B.P.# 3 Y FEE:.= BY NOTIFY BUILDING DEPARTMENT AT 765-1802 8 AM TC 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - 74C REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING s PLUMBING 3. INSULATION 4 FINAL - CONSTRUCTION MUST BE COMPLETE FOR C 0. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR )ESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF -58 + EES N.Y.S.DEC Opg VNATEIR RUI`1J•"rF 'URSUANT TO CHAPTER 236 OF THE TOWN CODE. f �s SOUTHOLD TOWN Site acce 4w y„ ENGINEERING ,y State Rd PROPOSED: SILLS RESIDENCE DEMOLITION PROJECT G R E E N P 0 R T >R e . . e O /t OFl Town Of Southold tAk a' t. James A.Richter,RA a. Site Location I 1000-45-5-3.2 AS NOTED AUGUST 1,2017 �'� ! 1 - icy onavncw v mic�noK All 1. The Contractor shall receive the lump sum price for the demolition and removal of all structures located on the property in the area indicated on the site plan and the removal of all trash and debris DEMOLITION PROJECT NOTES' generated in the course of demolition activities. All excavated areas shall be filled with clean granulated fill to natural grade and(6')inches of topsoil as per the project Specifications. The items to be demolished include but are not limited to the following: Removal and disposal of a two-story wood frame single family structure with partial basement. Removal and disposal of an existing fuel oil tank in the basement of the single family residence 2. All costs associated with mark-out,earthwork,demolition,fill,compaction,restoration,carting Removal and disposal of two existing fuel oil tanks located behind the single family residence fees,safety equipment,all labor,materials,equipment and incidentals necessary to satisfactorily All excavated areas must be restored to grade with clean fill. complete the work according to the plans,specifications and/or as directed by the Engineer oiuwrmc« Removal and disposal of all miscellaneous and assorted debris in and around the residence. shall be included in the price bid for this Item. Any and all other minor items that may become apparent during demolition but are not specifically _ referenced above. 3. The Contractor must adhere to the conditions of PERMITS and is responsible for all coordination No extra charges above the lump sum price bid shall be approved or paid unless the Contractor with Suffolk County Department of Health Services and any other involved agencies. seeks and receives approval from the Engineer prior to performing the work. • �� s