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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