HomeMy WebLinkAbout47830-Z TOWN OF SOUTHOLD
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#: 47830 Date: 5/18/2022
Permission is hereby granted to:
3120 Grathwohl LLC._................................... w ._ ._.................................. _www............_a...... _...ww.._
c/o Dave.. r—oa—d rzak _www.wwwwwww_..._....__.... ._.ww.... wwwwwww.w..._.—.. ,.--� --._�__�.__._._.......
805 SW Broad. Ste 275..._............
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Portland,..OR 97205 ..w...........m....�... .__... ____........................... �.._... _
To: Legalize as-built finished basement at existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
3120 Grathwohl Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 110.-8-7
Pursuant to application dated —.4/71,2022 w and approved by the Building Inspector.
To expire on _..11/17/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,056.00
CO-ALTERATION TO DWELLING $50.00
Total: $1,106.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town H ) 631nex 54375 765 1802 Fax 63in 1 P 605-9502 I�t�9 Southold, NY 11�97109�9�
Telephone ( ) ) ..._.. �..._.._._.._._._...._.
Date Received
APPLICATIONFOR BUILDINGE
For Office Use Only
��. Building llnsi�: c:t��.-.... ww._.... - _.._.....M._ Ip
PERMIT NO Building
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Applications and forms must be filled out in their entirety. Incomplete � I,
applications will not be accepted. where the Applicant is not the owner,an I'�iliiOF S UI
pP P Pp ����("'h�C�:� '�II~IOR.wD
Owner's Authorization form(Page 2)shall be completed.
Date:
Ma
rch 28,2022
OWNER(S)OF PROPERTY:
---TName:3120 Grathwohl LLC scTM#1000
Physical Address:3120 Grathwohl Road„ New Suffolk
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name:Steve Libretto �...
Mailing Address:
Phone#:631-872-6164 Email:steve.libretto@me.com
DESIGN PROFESSIONAL INFORMATION:
Name:Nick Mazzaferro
Mailing Address:
Phone#: _.. ._ ...... __ .. . verizon.net
516-457 5596............. nickirna aferro.._.. ....._.... .._M .. ...._....
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email
DESCRIPTION OF PROPOSED CONSTRUCTION
_...._„ .-. _. .., ........... _..... .. .....w.. ..._. ..__.. ._ ..
......... ...__.
❑New Structure ❑Addition ❑Alteration ❑Rpair ❑Demolition Estimated Cost of Project:
VOtherwi_._. ._____��__ completed
finished basement $c
. ..ww.__._d . w_._..... _...._-�-
Will the lot be re-graded? ❑Yes 0N Will excess fill be removed from premises? ❑Yes ONO
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PROPERTY INFORMATION
Existing use of property:residence Intended use of property:residence
Zone or use district invwhich premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes VNo IF YES, PROVIDE A COPY.
VC higlck Box A W µ0 Readh1g: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town 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,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,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(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 Law.
Application Submitted By(print name): Steve Libretto Authorized Agent ❑Owner
Signature of Applicant: Date: March 28,2022
STATE OF NEW YORK)
SS:
COUNTY OF___._w_............._._._ ....w_www )
,Steve Libretto Www _being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the_.. __w._._...... _ _ ._ .Agent.. _ ..........
(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
day of
Notary Public
LL ERI" NLS l„JT IIS(' IZ TI�III'
111
Where the applicant is not the owner)
I,._ ....... www_............._... _ _ .www..- residing at. _ _ .ww__.� .... _ ..........._ _ _ _.w....
y Libretto
m..._.w. ..do hereb authorize Steve Llbr . �to apply on
.ww___..._M
my behalf to the Town of Southold Building Department for approval as described herein.
_. _..
3120 Gnithwoht LSC 3-28-2022
Owner's Signature " �. _.. .....__ date
3120 Grathwohl LLC
Print Owner's Name
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WELL SYSTEM
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1 ANDERSEN 400 SERIES
CASEMENT WINDOW;
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EXCEED 44"ABOVE
FINISHED FLOOR
*EGRESS AS PER CODE
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EXISTING FIRST FLOOR STRUCTURE
TO REMAIN,ALL AREAS
FINISHED BASEMENT
8'-0"CEILING HEIGHT
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2X4 WALLS WI H
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CLOSET ( ' ._..._.-..___.._w EXISTING FIRST FLOOR STRUCTURE
w TO REMAIN,ALL AREAS
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UNEXCAVATED-
GARAGE ABOVE FLUSH GIRDER AND
COLUMNS AS EXISTING
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SELF CLOSE HINGE
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a ° to
3120 GRATHWOHL LLC
3120 Grathwohl Road,New Suffolk 1 of 1
1000.110-6-7
Nick Mazzeferro, PE As built Pian
516.457-5596 May 9,2022