HomeMy WebLinkAbout53176-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#: 53176 Date: 08/05/2026
Permission is hereby granted to:
Welles J Revoc Trt
c/o Michael Welles
Montclair, NJ 07043
To:
demolish an existing single-family dwelling as applied for.
Premises Located at:
275 Munn Ln, Orient, NY 11957
SCTM# 17.-3-8
Pursuant to application dated 07/17/2026 and approved by the Building Inspector,
To expire on 08/04/2028.
Contractors:
Required Inspections:
Fees:
DEMOLITION $758.20
Lal 7'58,20
Inspector _����
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 hit s.Hwww.southoldtownn .Gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only E C E W E
PERMIT NO. Building inspector: 4— � � l �i���
11
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BON,ing Department
Owner's Authorization form(Page 2)shall be completed. Town of Southold
Date:July 16,2026
OWNER(S)OF PROPERTY:
Name:275 Munn Lane, LLC SCTM# 1000-017.00-03.00-008.000
Project Address:275 Munn Lane, Orient NY, 11957
Phone#:917-887-9268 Email:bgn@nelliganwhite.com
Mailing Address:c/o Bruce Nelligan, 970 Kent Avenue, Apt. 608, Brooklyn, NY 11205
CONTACT PERSON:
Name:Bruce Nelligan (Sole Member of 275 Munn Lane LLC)
Mailing Address:375 Munn Lane PO Box 268, Orient, NY 11957
Phone#:917-887-9268 Email:bgn@nelliganwhite.com
DESIGN PROFESSIONAL INFORMATION:
Name: Nelligan White Architects, PLLC
Mailing Address:330 7th Avenue, Suite 1502, New York, NY 10001
Phone#:212-675-0500 Email:bgn@nelliganwhite.com
CONTRACTOR INFORMATION:
Name:Lucas Built LLC
Mailing Address: PO Box 745, Jamesport, NY 11947
Phone#:631-875-8660 Email:lucasbuiltllc@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair iODemolition Estimated Cost of Project:
❑Other 32,500.00
Will the lot be re-graded? ®Yes ❑No Will excess fill be removed from premises? ®Yes ❑No
1
PROPERTY INFORMATION
Existing use of property: Residence Intended use of property: Residence (future)
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes 8 No IF YES, PROVIDE A COPY.
91 Check BOX After Reading: The owner/contractor/design professional Is responsible for all drainage and storm wafer Issues as provided by
Chapter 236 of the Tgwn code-,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,Suffmilid,County,New'York and other,applicable taws,Ordinances or Regulations,for the construction of buildings,
additions,altoratlons or for removal or demolltion 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(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State penal taw.
Application Submitted By(print n me):Bruce G. Nelligan ❑Authorized Agent BOwner
Signature of Applicant: Date: July 16, 2026
STATE OF NEW YORK)
SS:
COUNTY OF jVf! V-6olk )
✓Ue U, biLq 4 n being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the c/1 e
(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
—L(Eday of JV1 420 _
Notary Public
REBECCA N CANNATA
NOTARY PUBLIC,STATE OF NEW YORK
Registration No,01CA619424o PROPERTY OWNER AUTHORIZATION
Qualified in New York County
Commission Expires November20,2028 (Where the applicant is not the owner)
1, residing at
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
PSEG
6/24/2026
275 MUNN LANE LLC Service To:
970 KENT AV APT 608 MAIN RD
BROOKLYN,NY 11205 ORIENT,NY 11957
Customer Project#:900000239843
Dear 275 MUNN LANE LLC:
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 Ll 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.
Very truly yours,
Katherine Gianelli
-2
Building&Renovation Services
PSEG-LI
i1 al i
June 5, 2026
275 Munn Lane LLG
c/o Bruce Nelligan
970 Kent Ave Apt 608
Brooklyn, NY 11206
Email: BR NELLI WI-IITE C M
National Grid WO#GBE18438196—20475 Main Rd, Orient
To Whom It May Concern:
This letter is to advise you that the natural gas service line to the above location was physically
disconnected on May 31, 2026,
Please advise your contractor that care should be taken not to damage or remove the existing gas
valve curb box. This curb box will be used in the future by National Grid to reconnect the gas
service line to this property.
By Law, excavators and contractors working in New York City and Nassau and Suffolk Counties must
contact New York 811 at least 2 full business days, not including the day of contact, prior to digging by
calling 811 or by using the website f/rye or « 1 .
This confirmation letter of a gas cut-off service line to the subject property does no relieve the
excavator of contacting NY 811.
If you have any further questions, kindly contact me on 833-359-0645.
Respectfully,
Christina M. Bonelli
Sr. Supervisor, Central Processing
Gas Customer Connections
--- SURVEY
0 PROPERTY
N TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-17-03-08
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ELEVATIONS AND CONTOUR LINES ARE REFERENCED TO NA VD '88 .Y.S LIC. NO. 051132-01
ANY AL7ERA710N OR ADD177ON TO THIS SURVEY/S A waA7lON PECONIC OD CERTIFICATE SOLUTIONS
OF SEC770N 72090E THE NEW PORK STA7E EDUCA770N LAW. PHONE (6 1) 989-9174
EXCEPT AS PER SEC77ON 7209-SU8014IS/ON 2 ALL CER77RCATIONS P.O. 80X 128
HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY iF RIVFRHEAD, NY. 11901
SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF 7NE'SURWYOR FO7-138
WHOSE 9014ATURE APPEARS HEREON. Emoil. peconicksOgmall.com