HomeMy WebLinkAbout28856-Z FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28856 Z Date OCTOBER 24, 2002
Permission is hereby granted to :
FREE LIBRARY SOUTHOLD
PO BOX 697
SOUTHOLD,NY 11971
for
DEMOLITION OF THREE BUILDINGS AS APPLIED FOR
at premises located at 53745 MAIN RD SOUTHOLD
County Tax Map No. 473889 Section 061 Block 0001 Lot No., 015 . 002
pursuant to application dated SEPTEMBER 27, 2002 and approved by the
Building Inspector to expire on APRIL 24 , 2004 .
Fee $ 577 . 10
Aut rized Signature
ORIGINAL
Rev. 5/8/02
LIPA117 Doctors Path
Riverhead, NY 11901
Long Island Power Authority
September 11, 2002
Southold Free Library
53705 Main Road
PO Box 697
Southold, New York 11971
RE: LIPA Ref. #7100199586 & T200229
53475 & 53765 Main Road, Southold
Meter #' s 093565454 & 054119462
Dear Ms. Mac Arthur:
This letter is to advise you that the gas and electric services to the
above referenced premises was removed on September 6, 2002 .
If you have any questions, please contact Rhonda Rima at (631) 548-7091.
Very truly yours,
&j, X".0 , e-'I�
Erika Lendel-Jongebbed
Design Engineer
Electric Design & Construction
ELJ/am
� a
\ I
E
SUFFOLK COUNTY WATER AUTHORITY
624 Old Riverhead Road,Westhampton Beach, New York 11978-7407
(631)288-1034
Fax(631)288-7937
September 24th 2002
Southold Free Library
53705 Main Road
PO Box 697
Southold NY 11971
Premises: 53745 Main Rd - Southold
Re: Demolition
Dear M> . MacArthur,
On 9/18/02 water service was discontinued at the above referenced location.
Please be advised that if any excavation is to take place, your water service should be physically
disconnected at your property line, on your side of the curb stop.
If you have any questions,please feel free to contact me.
Truly yours,
Suffolk County Water Authority
"- 41"�
Dona Roberts
Manager
Eastern Regional Office
DR: ah
Q�OSUFFO��coG
o� y�
Fax(516)765-1823 y Town Hall,53095 Main Road
Telephone(516)765-1800 Oy ® P.O.Box 1179
Southold,New York 11971
SOUTHOLD TOWN
--L-4AND 7 RK PRESERVATION COMMISSION
TO: Southold Town Building Department
FROM: Southold Town Landmark Pres. Comm. —Herb Adler, Jr.
DATE: October 22, 2002
RE: Bulding located at 53745 Main Rd., Southold
With respect to the above refrenced building(now owned by the Southold Free
Library). There is a mix-up in the referencing of this building on the SPLIA
records and the Town Tax maps. The building described in the SPLIA inventory
is actually not on the SPLIA list and accordingly not within our oversight, though
we would hope that the library in its intended use of this property pays some
attention to the surrounding village structures. We should correct the Town
records on this building.
F112
TOWN OF SOUTHOLD ��, BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT E o._ i 1 `! Do you have or need the following,before applying?
TOWN HALL +' SEP 127 2002 s����� Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
www. northfork.net/Southold/ PERMIT NO. qia Ge�,- Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined l '20 Contact:
Approved 120_ Mail to:
Disapproved a/c
Phone: 0 ; 7
Expiration
20_/
Buildi&4 Inspector
APPLICATION FOR BUILDING PERMIT
Date 520
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
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 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 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
0 W Af C I L—
Name of owner of premises O/
(As on the tax roll or latest d ed)
If ap ati &ature duly ut orized ffi
(Name title of corpor to officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section fD Block a / Lot / , Z
Subdivision Filed Map No. -Lot
(Name)
S
2. State existing use and occupancy of premises and intended use nd c pancy of proposed construction:
a. Existing use and occupancye ,
f
b. Intended use and occupancy ell L I ( /V
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition 6--- Other Work
r (Description)
4. Estimated Cost 0oa6 f 04 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. \19CA7,v=
7. Dimensions of existing structures, if any: Front Rear Depth
H
D
Height Number of Stories
imensions of same structure with alterations or additions: Front Rear
epth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
�i
10. Date of Purchase Name of Former Owner D,-Pe,5?-X
11. Zone or use district in which premises are situated
/M�
12. Does proposed construction violate any zoning law, ordinance or regulation? YES O
13. Will lot be re- aded? YES NO Will excess fill be removed from premises? YE (� O
14. Names of Owner of premises Addr� Phone o. 7�e — �(�77
Name of Architect Address Phone No
Name of Contractor('ePl;.AD 04010 An.AL-f' Address Phone No. 7/�—
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 MAYBE 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.
STATE OF NEW YORK)
SS:
COUNTY OF
G� )
0 t?W {_ VO 40 J rT being duly sworn, deposes and says that(s)he is the applicant
(Name of individua signing contract) above named,
(S)He is the eels' –g. `��� - ���
(Contractor,Agent, Corporate Offic r, 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
c `1-c�l, day of 20 p 6L
f WA4k— -
Notarf Public Signature of Applicant
LlftA J.CAf9PIER
Notary Public,State of New York
Nig.4622563,Suffolk County