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Home My WebLink About39762-Zgv�rn�K. TOWN OF SOUTHOLD S��coL BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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 #: 39762 Date: 5/12/2015 Permission is hereby granted to: Universalist Church I To: PO BOX 221 Southold. NY 11971 Demolition of an existing church structure damaged by fire as applied for. At premises located at: 51970 Route 25. Southold SCTM # 473889 Sec/Block/Lot # 63.-6-6.1 Pursuant to application dated 5/11/2015 and approved by the Building Inspector. To expire on 11/10/2016. Fees:. DEMOLITION $100.00 Total: $100.00 SUFFnt4- TOWN OF SOUTHOLD ��, BUILDING DEPARTMENT g TOWN CLERK'S OFFICE 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 #: 39762 Date: 5/12/2015 Permission is hereby granted to: Universalist Church PO BOX 221 Southold. NY 11971 To: Demolition of an existing church structure damaged by fire as applied for. At premises located at: 51970 Route 25, Southold SCTM # 473889 Sec/Block/Lot # 63.-6-6.1 Pursuant to application dated 5/11/2015 and approved by the Building Inspector. To expire on 11/10/2016. Fees: DEMOLITION $100.00 Total: $100.00 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 3 9 �ck_ov� SoutholdTown.NorthFork.net PERMIT NO. Examined , 20 Approved , 20 Disapproved Expiration , 20 APPLICATION FOR BUILDING INSTRUCTIONS Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: S P 2 7 Phone: Date 20 l5 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 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. (Signat re of applicant me, if a corporation) " 1om Fadc waq (Mailing address of applicant) eri -r l r5Y l State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ( -(ef2�- C ofvtr d -6t^ Name of owner of premises✓l/L�✓li�i1-��Q (As on the tax roll cK4atest deed) If applicant -is a corporation, signature of duly authgrizeo fficer CN\(arc cvah ,I() r (erre gcl;arr (Name and title of corporate 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 l3 Hamlet County Tax Map No. 1000 Section ted —Block ---6---5 Lot W LPj2 1 Subdivision 2. State existing use and occupancy of premises a. Existing use and occupancy, C b. Intended use and occupancy. Filed Map No. intended,►se and occupancy of 17-, Lot construction: Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Depth Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated RIO / 1 - 20 o r 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO " Rear 13. Will lot be re -graded? YES NOt 7�Will excess fill in removed from premises? YES NO job V%YLv2r6 a_ Ohw[—W-W df �ac-Wow eatR,C�t6( , 14. Names of Owner of premises Addresses(7O Phone No.6631) 4-77 2-(_73 Name of Architect Address Phone No Name of Contractor G6M. CC(Q.GLw Fe_9fDrILOM, Address I OM (20dlaw Phone No. tO S25 8250 fic . A✓vn,cC.e 'Va Weaw j 6-ty 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 MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO t/ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan ad dist ces tQ pro ert lipes._ thou LcL C w does Kof have- -wmzt ac, it wa4, to;v cw 17. If elevation at an point on property is at 10 feet or below, must provide topographical data on survey.j�Qv2 Y P P P Y � P 50��t� 18. Are there any covenants and restrictions with respect to this property? * YES NO ✓ bw �"l e * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF61a%au,) CU-G aftGff __ being duly sworn, deposes and says that (s)he is the applicant aae of individual signing contract), abboyve named, (S)He is the co',"�' "'"C-�Dr (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 theork will be performed in the manner set forth in the application filed therewith. ®' Sworn tR before me th's Jai✓ day of _� 20 t5 Notal`Y/69MABEL C. MARTINEZ NOTARY PUBLIC, STATE OF NEW YORK NO. 01MA6061140 QUALIFIED IN NASSAU COUNTY COMMISSION EXPIRES JULY 9,206 - Signature of A Sarah From: PSEG Long Island -Customer Service <CustomerServiceLl@pseg.com> Sent: Tuesday, April 14, 2015 9:20 AM To: SARAHMMARIN@AOL.COM Subject: SERVICE CLOSED AND FINALED AS OF 3/18/15 Ud" 0 LONG PSU%J ISLAND UNIVERSALIST CHURCH 09-963-39-2860-05 MAIN RD SOUTHOLD MAIL: P 0 BOX 221 SOUTHOLD DEPOSIT AMT DUE CURRENT 30 DAY 00 .00 .00 .00 #BUDGETS BILLED BB/BAL NY 11971 BOX 221 NY 11971 60 DAY 90 DAY TOT ARREARS .00 .00 .00 CASH -DTE TE CASH -AMT * BB/AMT BILL -TOTAL BILL -DTE 04-07-15 11 553.41- * 2539.43 03-18-15 03-30-15 65 2270.99- * 290 .00 MARCH 03-16-15 85 5.03- * 290 608.92 02-16-15 02-26-15'11 290.00- * 290 .00 JANUARY 01-28-15 11 290.00- * 224 356.84 12-13-14 01-05-15 11 224.00- * 224 .00 NOVEMBER 12-03-14 11 224.00- * 224 580.41 10-17-14 10-31-14 11 224.00- * 224 .00 SEPTEMBE 10-06-14 11 224.00- * 224 659.06 08-15-14 0.9-03-14 11 224.00- * 224 .00 JULY 07-18-14 11 224.00- * 280 416.44 06-12-14 07-01-14 11 280.00- * 280 .00 MAY 06-03-14 11 280.00- * 280 427.30 04-14-14 04-30-14 11 280.00- * 252 .00 MARCH MOR SCNS ELEC-AMT-RD GAS -AMT -RD 2539.43 F .00 608.92 E .00 356.84 A .00 580.41 A .00 659.06 A .00 416.44 A .00 427.30 A .00 The information contained in this e-mail, including any attachment(s), is intended solely for use by the named addressee(s). If you are not the intended recipient, or a person designated as responsible for delivering such messages to the intended recipient, you are not authorized to disclose, copy, distribute or retain this message, in whole or in part, without written authorization from PSEG. This e-mail may contain proprietary, confidential or privileged information. If you have received this message in error, please notify the sender immediately. This notice is included in all e-mail messages leaving PSEG. Thank you for your cooperation. 0 PSEGISLANTD VW, make things tuork far}aet. CUSTOMER ORDER FULFILLMENT DEPARTMENT 175 E. Old Country Road, Hicksville, NY 11801 April 29, 2015 Sarah Jumena 1089 Rockaway Avenue Valley Steam, NY 11581 Re: Reference 900000007110 51970 Main Road Southold, NY 11971 Acct: 9633928600 Dear Sarah Jumena: This is to advise you that the PSEG-LI electric facilities at the above referenced location have been removed. You must also contact National Grid at 516-545-4982 to procure a letter of demolition associated with natural gas service, whether or not your home or business uses natural gas. In accordance with the New York State General Business law - Chapter 818, Industrial Code Rules 53, please inform the demolition contractor to notify the Utility Control Center at 811 or 1-800-272-4480, 48 hours prior to starting work to request a mark out of the utility services in the area. If you have any questions regarding the above, please contact Customer Order Fulfillment at 516-545-3137. Very truly yours, o Carolyn ackin Manager Customer Order Fulfillment PSEG-LI CM/kt 5/7/2015 Suffolk County Contractors License Search This page will enable you to search for businesses with active licenses in Suffolk County, Do not assume that the party you are researching Is not licensed if no results are returned, For further verification, please call the Office of Consumer Affairs at (631) 853-4600 Monday through Friday, from gam to 4 pen, —searcn data License and Phone License Number (Numeric portion only) Owner FlrstName Marc Business Name City There were 1 records found, Telephone Number 631 Last Name Madnoff Street Address State Search LJWIld Card Business Name j ClearScreen1 Zip Licensee / Salesperson Name Companv Phone License 9 Type Issue, pate Expire Dal:e License Category Address MARC MARINOFF M MARIN RESTORATIONS INC (516) 825-8850 22145 H 01 -Dec -93 01 -Dec -15 H1 - GC 1089 ROCKAWAY AVE VALLEY! Version 1,30 03/19/2013 3;OOPM Copyright Suffolk County Information Technology Services. All rights reserved, Consumer Affairs Home Page Suffolk County Home Paoe Caw CA, http://apps.suffolkcountww.q oVConsunw%20Affa1 rs/ContractorSearc;h/default.asox 1/1 t4tF V. STAVE TE 32 40 .44- j L. C -v NE ku A z : , I ci to / 4; Faj,1AE I , i C:�4tlm$A BLDG. w 0 IL it -bo co ol wm—.Yl—WW*.o 0-/201 C, 5.� r .l rNwYohsdi SCAM'5').%. 4c 39 6Md."wMWWtoft Q9 0. y C.3I 'V. 1000 63 6- 6.1 4 6 -2