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HomeMy WebLinkAbout43306-Z 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#: 43306 Date: 12/12/2018 Permission is hereby granted to: Trehan, Anita 15 Broad St Apt 3020 New York, NY 100051992 To: demolish existing dwelling and accessory buildings as applied for. At premises located at: 800 Halyoake Ave., Orient SCTM # 473889 Sec/Block/Lot# 27.-2-2.9 Pursuant to application dated 12/5/2018 and approved by the Building Inspector. To expire on 6/12/2020. Fees: DEMOLITION $2,197.90 Total: $2,197.90 d N Bui ' g nspector 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) 765-950243��� Survey South oldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C.- Trustees C.O.Application Flood Permit Examined _ ,20 1i Single&Separate �OPNIV Truss Identification.Form D Storm-Water Assessment Form Contact: Approved 12119, 20 Mail to:0111 enr b l?1r L,& Disapproved a/c O 0 `� 17 a 3 Ounc srrect ml. �N,J S TOWN C' Phone: 217- 6 3 I — 36 5'o Expiration _)20 �1Gk U (rG 1 �+ Mo,* baLey Building Inspector �° 26tp 57 APPLICATION FOR BUILDING PERMIT Date 1 b � � � , 20 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 I�epa r ment 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,housih&code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 0R;EU 7— © , L L L (Signature of applicant or name,if a corporation) 13 O 1A 41 e &J',re et (VUV q P*1 N+ 10013 (Mailing address of applicant) State whether a plicant 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 12 co oration, igna of duly authorized officer ame and title of cdYporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Lotion of land on which proposed work will be done: cC6 DD 1+A-Lg0A 1<G A-✓e^we_ ORiEy7" House Number Street Hamlet Block County Tax Map No. 1000 Section e— �— Lot 00 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 2 Sr4,4-!A e t e- b. Intended use and occupancy P.e�.�..�1or vArc.� 3. Nature of work(check which applicable): Addition Alteration Repair Removal Demolition Other Work (Description) Estimated Cost Fee r` M I ._ (To,be paid on filing this application) If dwelling, number of dwelling units Numbet t f weVing units on each 59or If garage, number of cars ,X If business, commercial or mixed occupancy, specify nature and extent of each type of use. 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 Dimensions of entire new construction: Front Rear Depth Height •.Number of Stories' . Size of lot: Front Rear Depth Date of Purchase Name of Former Owner \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 066^T 0 P] L!r Address NcA-4,1kT 0013 Phone No. Z IZ Name of Architect Address•, Phone No Name of Contractor , 414,,,x;, Address Phone N . 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓ * IF YES, SOUTHOLD TOWN TRUSTEES'& D.&G PERMITS MAY BE$EQUIRED. 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) Notary Public A8ta a of New York SS: No.01 SE6114952 COUNTY OF NewQualified in New York County My Comm.Expires Aug.30,2020 Z% c, % .rA S1L- ✓/'� being duly sworn, deposes and says that(A)he is the applicant (Name of individual signing contract)above named, ($)He is the Qbv a Lan (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 4 day of Novo vwl,/ 201 1�4otary Public Signature of Applicant D PCF�DV[E D 0 `3 'N -4 N , >� ;. DEC - 5 < i i11I�O��O Ult:l~�� 12/04/2018 TOWN OF SOUTHOLD CLARA SERRA /ORIENT OP LLC Service To: 173 DUANE ST 800 HALYOAKE AV NEW YORK, NY 10013 ORIENT, NY 11957 Customer Project#: 900000082704 Dear CLARA SERRA/ORIENT OP LLC: 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. Very truly yours, Carolyn Mackin—Manager Building& Renovation Services PSEG-LI Kenneth Stenger 1 1 at f`o n a I g r'd Senior Supervisor Customer Connections Department November 19, 2018 DR f(�Hr- ONVr= Orient OP, LLC ,,�a D C/o Trina McKeever DEC - 5 173 Duane Street New York, NY 10013 BUILD11iG TOWN OF SOUT i OLD E-mail: TRINAO-RSERRA.COM National Grid WO#: T102142884 Service Address: 800 Halyoake Avenue 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 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, 1-800-272-4480. 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 Stenger Senior Supervisor Gas Customer Connections NY 1650 Islip Ave,Brentwood,NY 11795 T:631-348-6150 F:516-545-2333 kenneth.stengeranationalgrid.com www.nationalgdd.com � ' ` | � i ' | ' ' ' 01 ci 1510 610E 9M0 1510-610L ON 901' bL o01 OS sC O OS APPROVED AS NOTED / DATOBUILDING B.P. 9uolsln s;o P,00 s \ u On 91OL,� 03bb^..dbN FEE: BY: 9—EL-S)lb 03131dN0'J A3niff5 O131J bL '°' Co­ L�< 0001��.'•= dow..J-A4W 9 NOTDEPARTMENT AT l3/T�(ls 31111 765-1802 8 AM TC 4 PM FOR THE F �IuO,J,MaN'fiaunO-)�IOWG FOLLOWING INSPECTIONS: �n PI047nos fo uMo-L'auali0 Jo p4M U'y .S4NOd?J31sJ.0 1V s?J3�1135.,'b 10-11. FOUNDATION TWO REQUIRED \ 4 -D-1-1 'do 1N211NO FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING yrs rA`��a 3. INSULATION 13 E66�0'ON's"l'SAN'9tYlOA"M QMbMOH 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE b REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 0 a�a� x °A� �" ""°'S °ad�° DESIGN OR CONSTRUCTION ERRORS. 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