HomeMy WebLinkAbout36806-Z �SUFFnI�� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
clni TOWN CLERK'S OFFICE
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#: 36806 Date: 11/9/2011
Permission is hereby granted to:
F our-S-P rope rties LLC
153 Oxford Blvd
Garden City, NY 11530
To: Demo existing Dwelling per trustees approval as applied for
At premises located at:
3490 Vanston Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 111.-5-11
Pursuant to application dated 11/4/2011 and approved by the Building Inspector.
To expire on 5/10/2013.
Fees:
DEMOLITION $610.00
Total: $610.00
I
Building 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) 765-95,02 Survey
South oldTown.NorthFork.net PERMIT NO. ` Check
Septic Form
N.Y.S.D.E.C.
R E Trustees
E BUJ C.O.Application
D
Flood Permit
Examined jj1,q 20/1 Single& Separate
NOV - 3 2011 Storm-Water Assessment Form
���v""-" Contact:
Approved ,�`v,. /� 201 r BLDG.DEPT. 4AXw I —,q-
TOWN SDI T. Mail to:
Disapproved a/c MAIL(o Rao , Qlta4AW"yt .,
Phone:&'01\154-55rs5 Illy
Expiration 120 v
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date 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 m6nths.froffi such date. If no zoning amendrhents or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in4riting, 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 agrees to coi»ply 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)
'At t . VVIPLt'- IZOAC>
CkR-0e*'ALA*A J, W,%f,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, rchitect, ngineer, general contractor, electrician, plumber or builder
Name of owner of premises �a.,(�-S rftOp1zsxw k,
(As on the tax roll or latest deed)
Iplicant i ap s a corporat'on, signature of duly authorized officer
AVoNe-02
(Name and title of corporate officer)
Builders License No. 1,qqk1qt GNSt'R.4C;rWr1
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
34�,A ykris-v� ROAD
House Number Street Hamlet r
County Tax Map No. 10,00 Section Block 495 Lot `
Subdivision thm640ta> y4p p� �AtSS/�sN .Putt Filed Map No. ltj( Lot P/o L07 516
Gw►4. ►C-1192z)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy S,0 Qt-f. t"%l A VW gwo ro w/ylayetrt> GPRA&S
b. Intended use and occupanc b1A►5wLI n 121�w..�ias
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 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 Coo Rear ►5$1 Depth 3�
Height W Number of Stories l 2—
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 15o4(t;I Rear 1461 C*' Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated R-40
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO
stone& %Mi l63 pjc�a,� Dwc%
14. Names of Owner of premisekfouo.-C Faery+taG,',&)Address V*pwar(.N:G 11W-0 Phone No(�tb�ti48-91�3
Name of Architect fkweaw►- W Address Z wrekwusta,tY. ��-14o Phone No((P31)'154-S5S5
Name of Contractor Dug-VW4- Address Fo.a-x 934 Phone No.(63%)134-Sti1-1
Gu►TG►toGuti�N:( tc935
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES X NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED,
"CgISM FwtwqT
b. Is this property within 300 feet of a tidal wetland? * YES >< NO 'f-�t�
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. 'C I•wires, of ta--a.a%mi ano"
N:{s. D Ev. A gAAtWr>
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 O6-
6ZV20 kmrc' We2>4a_ being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the '4'W*—T C �A.r� �
(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 before me this PHILIP CAMPISI
day of/�eyn �P REPUBLIC-STATE,�F N XORK
No.41 GA6
Huallfled In Nassau countyl�
My Co slon Expires June 13, @(Ji3
No �y Public Signature of Applicant
o�*q? SO�jyol
� o
Town Hall Annex J Telephone(631)765-1802
54375 Main Road m�ax(631)765-95Q2
�
P.O.Box 1179 roger.richert(C, owr -SOuth�O d.nv.0
Southold,NY 11971-0959 O • �
�y�0UNT4,N�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: Date: pZza lit
Company Name: /r '$ r
.S LEcrrL(c_
Name: f If-"� 6vF�c -iz-caL(_0
License No.: S 8 - ,G
Address: P o . (?'0 x at s- /U. ,
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
0
*Name: J,p �.S �u� fh)efA
*Address: o �,Aa,j ro N IZA A D o G
*Cross Street:
*Phone No.: _ 7,3 y S�l 7
Permit No.:
Tax Map District: 1000 Section: i Block:_o_�- Lot: 1
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
(Please Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a Temp Certificate: YES NO
Temp Information (If needed
*Service Size: 3Phase 100 150 200 300 350 400 OtherGiie
*New Service: Re-connect Underground Number of Meters Chan a of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
I& L
82-Request for Inspection Form �t O_J 1
J
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c�a•�' BOARD OF SOIITHOLD TOWN TRUSTEES
D,NEW YORK SOUTHOL
PERMIT NO.7668" . j DATE,:,OC FOBER°:19.2011
ISSUED"TO JA_MES-RILEY%FOUR-S-PROPERTIES;LLC
�L PROPERTY'ADDRESS 349b VAlVST0N ROAD. CUTCHOGUE '
1 AUT R`IZATTON
=Parsuant;to the provisions of Ohapfer 275 of the To'wnjCode of the Town ofSouthold and,in 1
accordance with the Resolution of the Board of Trustees adopted-at,the meeting.held;on,October 19,2011,.and
in consideration of application fee in the sum of$250.00 paid by James Riley/Four-S-Properties,LLC and
subject to'ahe-Terms and Conditions as stated:in t)�e Resolution,the Southold.,.TownBoa-111;rd of TrIck:ustees -
� authorizes and permits th fof
... _< e lowing
Wetland Permit to demolish existing single-family dwelling, construct new
single-family dwelling with porches ,.patios;new:sanitary system, drajnageaand; e►,1.,,
driveway; and as'depicted on the'-site plan prepared by Frederick Weberi:Architect,
last dated October i8, 2011, and stamped approved on October 25,2011. . `+/'�,
,h
t ,
r IN WITNESS WHEREOF,the said Board of Trustees herebycauses-its Corporate'Seal-to be affixed,
' and these presents to,bc subscribed by a majority of the said Board as of this date. 41
_' r
DAIV&lBeren Absent
�p ��p�- �"71e��f m•�'1�
I� 1~yl '� � �,'•� ` �W��i r.. a n 1R �'�ju t��.
}�- Ili�- .< '-��i�// .111 ..:i�// 1 �� - ::i// 1,M.., -•.:i// 11 i:!-.e. .r��/: ...Ili«- .' .:.11 '111 _
New York State Department of Environmental Conservation
Division of Environmental Permits, Region 1
SUNY @ Stony Brook
50 Circle Road, Stony'Brook, NY 11790-3409 oboe
Phone: (631) 444-0365 •Fax: (631) 444-0360
Website: www.dec.ny.gov
LETTER OF NO JURISDICTION
TIDAL WETLANDS ACT
August 2, 2011
James and Ellen Riley
153 Oxford Boulevard
Garden City, NY 11530
Re: Application #1-4738-04039/00004
3490 Vanston Road, Cutchogue
SCTM#1-000=111��=1--�- -- ---- — -
Dear Permittees:
Based on the information you submitted, the Department of Environmental
Conservation has determined that the property landward of the Top of Bank line as .
shown on the survey prepared by Nathan Taft Corwin last revised 5/12/11, is beyond
Tidal Wetlands Act (Article 25) jurisdiction. Therefore, in accordance with the current
Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required.
Be advised, no construction, sedimentation, or disturbance of any kind may take
place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without
a permit. It is your responsibility to ensure that all precautions are taken to prevent any .
sedimentation or disturbance within Article 25 jurisdiction which may result from your
project. Such precautions may include maintaining adequate work area between the
jurisdictional boundary and your project (i.e. a 15' wide construction area) or erecting a
temporary fence, barrier, or hale bay berm.
This letter shall remain valid unless site conditions change.
Please note that this letter does not relieve you of the responsibility of obtaining
any necessary permits or approvals from other agencies or local municipalities.
Sincerely,
Mark Carrara
Permit Administrator
cc: Frederick Weber
BOH-TW
file
i
Town of Southold:
i :Erosion, Sedimentation & Stour-Water Run-off ASSESSMENT FORM
O PROPERTY LOCATION: S.C.TA#.
THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
l�f STORM-W TER,GRAVING,DRAINAGE AND EROSiQN C NTROL pLAN
'G'tric a Ton s oi—e c!— "Eot CERTIFIED BY A DESIGN•PROFESS) AL IN THE STATE OF NEW YORK
SCOPE OF WORK - PROPOSED CONSTBUMON ITEM# / WORKAWMMWT' Yes Noa. What is the Total Area of the Project parcels? Will this —
(Irt�Ide Total Area of an Parcels located within t Project Retain An Storm-Wafer Run-Oif
the Scope of Work for Proposed Construction) I S. Generated by a Two(n Inch Roth non Site?
b, What is the Total Area of Land Clew MR/Ames) (fhItilem val include aO ftln off created byslite X D
►fig clearing and/or conshw ton activities as weft as an
andlIor Ground Dislthbance for ther proposed gDOo S.f., Site Improvements and the permanent creation of
construction activit)R
• (S.F fAcres) impervioussurfaces.)
PROVIDE BRIEF PROJECT DESCRIPITON tPr m Adhfitignal Pa9«as to 2 Does the Site Plan and/or Survey Stow An Proposed
Drainage Sftuchtres Indicating Size S Location?This >e, D
Item-shoo Intclude all Proposed Grade Changes and -
vt*wuc4+ Mi( n ri(p 5i p3(a1.V, F/km ' Slopes Controlling Surface Water Flow.
3 Does the Site Plan and/or Survey describe the erosion
�WlAugk l,&M" 9T(LI4011ft'Co ROYAwN and sediment control !practices that will be used to
control;He erosion and storm water discharges. This El
-CIMMUCZ NEW StW k" fAwUstm item must be maintained throughout the Entire
W W Construction Period.
�
fJ� / ` t � 1� Q Will this Project Require any LandFilling.Grading dr
Nam) . tTi�tZ� S �fit7V\ Ste. Excavation.where there is a change to the Natural
y Existing Grade Involving more than 200 Cubic Yards X !
�f�►4rtiJ��fa� /��D �l�V(ZW/�1 of Material within-any Parcel? ;
5 Will this ApPllcation Require Land Disturbing Activities
Encompassing an Area in Excess of Five Thousand n X
(5,000 S.F.)Square Feet of Ground Surface? 1 J.
6 Is there a Natural Water Course Running through the
Site? is this Project within the Trustees jurisdiction
General DEC'SWPPP Requirements: or within One Hundred(1001 feet of a Weiland or D j
Submission of a SWPPP is required for all Construction activities imroNing sod Beach? i
disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes R
are part of o larger common plan that will
oll atelydisturbances
disturb one or more aces of land; which Exceed Fifteen(15)feet of Vertical Rise to D
• �irhdud'mg Construction activities Involving soa disturbances of less Than one(1)acre where r
the DEC has determined that a SPDES permit is required for storm water discharges- One Hundred(100')of Horizontal Distance?
(SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Wll'Driveways,Parking Areas or other Impervious
for Storm Water Discharges'from Construction activity-Permit No.GP-040=001.) Surfaces be Sloped to Direct Storm--Water Run-Off
I.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town ti ht-0f-wa x r submitted to the Department prior to the commencement of construction aeh'vity 9 y?
E]
2 The SWPPP shah describe the erosion and sediment control practices and where 9 tali this Project Require the Placement of Material,
requilred,.post-construction storm water management prackes that will be used and/or Removal of Vegetequiration the P the Placement
of
m on a any �constructed i reduce the gold cons in storm water discharges a�to assure Item Within the Town Right-o€Way or Road Shoulder D
compliance unite the terms and conditions of this pemd'L In addrTbm,the swPPP:shal '
)Only Potentiel sources of pollution which may reasonably be expected to affect the Area?�'�""wn1 NOT Inru"drr HHsa tratapa0on of hklveway Aprorn) t
quaRtyof storm water discharges NOTE: If Any Answer to Questigns.Orie through Nine is Answered with a Check Mark
3.AN SWPPPs that require the post-construction storm water management practice in a Box and the oonstrue8011 site distutbamee is between AM-S.F.d i Acre in area, 1
component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage d Erosion Control Plan is Required by the Town of
that fs knowledgeable in the principles and practices of Storm water Management Southold and Must be submitted for Review Prior to Issuance of Arley Building Pert
(NOTE A Check Mark(r)andkrAr wer for each Question b Required for a Compleb Apoca*n)
STATE OF NEW YORK,
COUMTOF..........................................SS i
1'hat 1,...............(Name of u;dividual;PW .. •••.being duly swom,deposes and says that he/she is the applicant for Permit, . !
And that he/she is the .........4—v
( .�.a :: �„.......„.„„....„............................„...„.„„. f
: f
Owner.Convacter
Owner and/or representative of the 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 herewith_
Sworn to befo me this;
............ day of . r.° ,20�1
.............. ___
Notary Public: ...... N�T9Rr.i PHuip cAMpt�t......................
� SfA)E OF ......
No. �'f U✓Y�,�;, (Signature of Ap
FORM - 06/1 My Commsf'Ic,Expoes91 count"
SURVEY OF
P/O LOT 318
AMENDED MAP A OF
NASSAU POINT
OWNED BY
NA SSA U POINT CLUB PROPERTIES, Inc.
FILE No. 156 FILED AUGUST 16, 1922
O R=515.98' / % _,oOR'S�,S' SITUATED AT
/ ' / /' _L�,-2- sji°T ,�� R NAS SAU POINT
65- — —r6/. ^. /ram dll, FLAG l / / //� ' �_ R09B�E — 1,0s AD TOWN OF SOUTHOLD
— _ _ �`f° s8. �-p11 SUFFOLK COUNTY, NEW YORK
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11 11l� — MAP 20
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S.C. TAX No. 1000- 1 1 1 —05- 1 1)YI
If Sr. SCALE 1 =30
FLAG " I I 1 /— OCTOBER 14, 2010
i 562 _ -21 1 20 1 9
/ j x R=25.520 1 _
' MAY 12, 2011 ADDED TOPOGRAPHICAL SURVEY
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PREPARED IN ACCOR THE MINIMUM
STANDARDS FOR L S ESTABLISHED U 1
BY THE LAAlvT. ON DOPTED
FOR SUCH IF� T LAND
TITLE ASS �Pf CO � O
av
LAND
N.Y.S. Lic. No. 50467 NOTES:
1. ELEVATIONS ARE (REFERENCED :TO N.G.V.D. 1929 DATUM
Nathan Taft Corwin iii UNAUTHORIZED ALTERATION OR ADDITION EXISTING ELEVATIONS ARE ,SHOWN THUS:
TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW PORK STATE EXISTING CONTOUR LINES ARE SHOWN THUS:; - — — — —s— — — — -
Land Surveyor EDUCATION LAW - j
F.FL' - FIRST FLOOR
COPIES OF THIS SURVEY MAP NOT BEARING T.B.G. - GARAGE BULK
T.B. - TOP OF Or BULKHEAD
HEAD
THE LAND SURVEYOR'S INKED SEAL OR B.B. BOTTOM OF BULKHEAD
EMBOSSED SEAL SHALL NOT BE CONSIDERED T.W. - TOP OF WMLL
TO BE A VALID TRUE COPY. B W. - BOTTOM OF WALL
Successor To: Stanley J. Isaksen, Jr. L.S. CERTIFICATIONS INDICATED HEREON SHALL RUN
Joseph A. Ingegno L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
Title Surveys — Subdivisions — Site Plans — Construction Layout TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
P 631 727-2090 Fax 631 727-1727 TO THE ASSIGNEES OF THE LENDING INSTI-
HONE
( ( TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS
1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF
Jamesport, New York 11947 Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED.
30-252A