HomeMy WebLinkAbout52997-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52997 Date: 05/20/2026
Permission is hereby granted to:
Mary Anne Kelley
14 Wilda Ln
Waldwick, NJ 0746►3
To:
demolish an existing cottage as applied for per Trustees approvals.
Premises Located at:
1775 Naugles Dr, Matt'rtuck, NY 11952
SCTM# 99.4-19
Pursuant to application dated 05/20/2026► and approved by the Building Inspector.
To expire on 05/19/2028.
Contractors:
Required Inspections:
Fees,
DEMOLITION $292.20
Total
Building Inspector
TOWN OF SOUTHOLD BUILDING DEPARTMENT
%4
Zb
0', Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959
Telephone (631 765-1802 Fax (631) 765-9502 h't s:'HwWw.sout,holdtown,ny4ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
GL
PERMIT NO. Building Inspector:
. ..........
Applications and forms must be filled out in their entirety.Incomplete
r4f 7'";A"rift,
*'
applications will not be accepted. Where the App licant is not the owner,an a4
Owner's Authorization form(Page 2)shall be completed.
Date: M�N 1 2 0 2(-o
. ........................................
OWNER(S)OF PROPERTY:
Nl� ac V,Aan<, SC Name., TM #1000- 14 -7 3 C
'D�....... 15 2-
Project Address�, C"'L(A,,
Phone#: 3 (;?31
'2ol - g 1 Email: a
Mailing Address:
Ar
CONTACT PERSON:
Name:
Mailing Address: 1
U
------------------ -J, ... 4,
Phone#: Email
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#.- Email:
CONTRACTOR INFORMATION:
Name*
Mailing Address, 2 -� � 0 b Cc 0�k WoJ-p-C- �"Q�M JU,Ck t �5 2-
Phone#: c2 7(.o (o Z 1 :S- Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
FINew Structure F-]Addition F-]Alteration F-IRepair emolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? E]Yes %PQ No
---
PROPERTY INFORMATION
..... ----- ..........
w�-s not ueen
I Existing use of property: Ji) '30-ri 'Intended use of property:
Zone or use district in which premises is situated,. Are there any covenants and restrictions with respect to
this property? F 1Yes T No IF YES, PROVIDE A COPY.
1:1 C h e c k Box Aft e r Reading: The owner/contractor/design professional is res ponsIbIt for a It drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Tomah of Stwthpld,,SuffWk 0'Co,00ty�New York and other applicable Laws,Ord1nancts or,Regulations,for the construction of,buildlags',
ad,ditions,alterations or forrernava!,I ord"Motitton as herein, described.The applicant agrees to coryipty-w,",ft aff applicable,laws,ordinances,building,cocle,
housing code and regulations and to admit authorized Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name).- E]Authorized Agent Downer
Signature of Applicant: IU0 Date:
CONNIE D.13U ,7 H
Notaq,Pub k-,,Mate of New Yore
STATE OF NEW YORK) N o.0,1 BU 61850 5 0
Qualified In Suffolk County le-
Y
COUNTY OF SS: Comim*sslon Expires April 14,2 CX
.being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
.day of I 1 2 0
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
1 '10
7163
residing at Mlfd-w lck .
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
so Town Hall Annex
Glenn Goldsmith, President
54375 Route 25
Nicholas K-rupski,Vince President P.O. Box 117
Eric Sepenoski 49 Southold, New York 11971
E
Liz GilloolyTelephone (631) 765-13 2
Joseph Finora Fax(631) 765-6+641
U111 I I I
BOARD OFTOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10965A
Date of Receipt of Application: May 1, 2026
Applicant: Maryanne Kelley & Dianne McKenna
sCTM#: 1000-99-4-19
Project Location: 1775 Naugles Drive, Mattituck
Date of ResolutioniIssuance: May 13, 2026
Date of Expiration: May 13, 2029
Reviewed by: Board of Trustees
Project Description: Remove imploded bungalow.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
site plan prepared b Maryanne Kelley, received on May 1, 2026, and stamped
p p p y rY
approved on May 13, 2026.
Special Conditions: None.
Inspections: Final Inspection.
If the activities do not meet the requirements for issuance of an
proposed
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
Glenn Goldsmith, President
Board of Trustees
MaryAnne Kelley
14 Wilda Lane Waldwick , NJ 07463
511812026
Building Inspector
Town of Southold Building Department
53095 Main Road
P.O. Box 1179
Southold, NY 11971
RE: Certification of No Gas Utility I Demolition Permit Application
Property Address: 1775 Naugles. Drive, Mattituck, NY 11952)
SCTIVI #: 473889-99-4-19
Dear Building Inspector,
Please accept this letter as formal notification and certification regarding the upcoming
demolition of the bungalow located at the above-referenced property (1775 Naugles
Drive).
I hereby certify that there is currently no propane gas supplied by an attached storage
tank, nor is there any other type of natural, municipal, or bottled gas attached to or
servicing the structure scheduled for demolition. There are no active gas utilities present
on the premises.
Should you require any further information or an on-site inspection to verify the status of
the utilities, please do not hesitate to contact me at 201-888-2391
Thank you for your time and assistance in processing this demolition permit.
Sincerely,
MaryAnne Kelley
Property Owne r y
tJ 0 V,A t h 9t &0
be
. a
10
ex
�A
SI-4"IA(fi
5/13/2026
MARYANN MCKENNA-KELLEY Service To:
14 W]ULDA LA 1775 NAUGLES DR
WALDWICK.,NJ 07463 MATTITUCK,NY 11952
Customer Project#:900000239058
Dear MARYANN MCKENNA-KELLEY:
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.
II
Very truly yours,
Katherine,,Gianelli
2
//Wj
Building&,Renovation Servi'.,ces
PSEG,-Ll
S.C.T.M.NO. DISTRICT: 1000 SECTION:99 BLOCK: 4 LOT(S):19
3c k-V
TI DAL WiL k
ETLAND WUNDARY
k xX kk
0Eq"-mhNE0 BY
JMO ENVIRONMEWAL CONSULTING -k-k
jUNE 10.2022
LAND N/F OF
-Ir
622 CHURCH LANE LLC k)c>c
�Ir EL 0.0 ALONG
kk k k ML OF TIOAL
�E
15-
MARSH
-MHW X
CREEK wtOTH
+7$.35V A —245'-
1151 11 4
X
46
S403 e 4b
ptFF
O t -6 A* 4 SOUNDINGS
-1 1 -v X REFRENCE MLW 0.0
e0k, h2
"-jr -K
XF
I SW FFAME rel-
4
J X MLW ALONG Nty
t I q \ \ \S 32 X A-- EMNIEDG OF TIDAL
N, N 06e - SH
34
36
-u
110
4c
38
I Sty
e —30-- FFAW X
D"ELUM f 490-W
X
39
>
AS 36
S 70031120m W
--7 LAN D N/F 0
MONO MICHAEL REDLENER
FMM lww�i
— BUILDING DEPARTIVIENTNIVILL ROAD C
631- 1802 BAM TO 4PM FOR Tm OMPLY WITH ALL CODES OF 7W M47ER SUPKY,IWLLS�DRYNELLS AAA0 CES920a
NE LOCAMNS-940W ARE FROM FX10 OBSERVAnONS
INSP W
w- AND DATA 08TANWO FRW 0714M
- now. OR YORK STATE&TOWN CODES FEMA MAP#36103CO1 43H NAVD88
1. FO JNDATION-TWO REQUIRED AS REQUIRED AND CONDITIONS OF AREA: 48,269 SO.FT.or 1.11 ACRES ELEVATION DATUM.
FO 4 POURED CONCRETE M I UNAUTNORIZED ALTERA77ON OR A0017ION TO THIS SURVEY 15 A 14GLA176IN OF SECTION 7209 OF THENEW YORK STATE EOUCAnON LAW COPES OF THIS SURVEY
Y MAP NOT BEARING THELANO SURVEYORS EMBOSSED SEAL SHALL NOT HE CONSIDERED TO SE A VALID TRUE COPY GUARANTEES`INOtC4TED HEREON SHALL RUN
GOVERNMENTAL AGENCY AND LENOnVG INS71TU77ON
2. R(4JGH'FRAMING&PLUMBING ONLY TV THE PERSON FOR MIGN INC SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY
1N ULATION LISTED HEREON,AND 70 THE ASSIGNEES OF THE LENDING INSTITUTION,GUARANTEES ARE NOT TRANSFERABLE.
3. %t�
774C OFFSETS OR DIMENSIONS Sf4OWN HEREON FROM THE PROPERTY LINES TO INC STRUCTURES ARE FOR A-SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT INC PROPERTY LINES OR TO GUIDE 774C ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
4. HIS AL-CONSTRUCTION MUff ANDIOR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY C4LLY EVIDENT ON THE PREMISES AT TIME OF SURVEY
WJNLD TOWN TRUSTEES CE-SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: J. KELLEY,
BE COMPLETE FOR CA MAP OF. 0
ALL STRUCTION SHALL MEET Tm FILED:
RE ,BMENTS OF THE CODES OF NEW SITUATED AT.-MATTITUCK
YORK NOT RESPONSIBLE FM TOVM OF;SOUTHOLD c% A
0 KENNETH M VOYCHIUK LAE2-SUMMMG,PLLC
SUFFOLK COUNTY,NEW YORK Oil#, Professional Land Surveying and Design
EDNEES- OR CONSTRUCTON ERRORS P.O.Box 153 Aquebogue,New York 11931
FILE#222-93 SCALE-1'=40' OATE:JULY 25, 2022 -,v!r I L PHONE(631)298-IM FAX(631)M-L5N