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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