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Home My WebLink About48635-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 #: 48635 Date: 12/21/2022 Permission is hereby granted to: Tuthill Glueck, Nora 5 Timber Ln Fairport, NY 14450 To: legalize "as built" bathrooms to existing seasonal yacht club as applied for with flood permit. Additional certification may be required. At premises located at: 1400 Old Harbor Rd, New Suffolk SCTM #473889 Sec/Block/Lot# 117.-5-14.1 Pursuant to application dated 12/20/2022 and approved by the Building Inspector. To expire on 6/21/2024. Fees: AS BUILT-COMMERCIAL ADDITIONS/ALTERATIONS $552.80 CERTIFICATE OF OCCUPANCY $50.00 Flood Permit $100.00 Total: $702.80 B "ding 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) 765-95021tt // wt�tlto➢ o �n�� Date Received APPLICATION F11 BUILDING II T For Office Use Only C � PERMIT N0. 05 Building Inspector_—L R DEC Applications and forms must be filled out in their entirety. Incomplete Il UILD1NGDEP, applications will not be accepted. Where the Applicant is not the owner,an OF80MOLD Owner's Authorization form(Page 2)shall be completed. Date:12/19/22 (Update) OWNER(S)OF PROPERTY: Name:Nora Tuthill Glueck SCTM #1000-117.-5-14.1 1 Project Address: 1400 Old Harbor Rd, New Suffolk NY Phone#: Email: Mailing Address: CONTACT PERSON: Name:Lena DeSantis Mailing Address:560 Deer Dr Mattituck NY 11952 Phone#:310.995.9317 Email:Imdesantis@anchorgea.com DESIGN PROFESSIONAL INFORMATION: Name:. Mailing Address: Phone#: Email:. CONTRACTOR INFORMATION: Name: Mailing Address. Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ORepair ❑Demolition Estimated Cost of Project: bother Interior bathrooms(previously built) $ Will the lot be re-graded? =Yes I@No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of property:recreational sailing Club Intended use of property:no Change In Use Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ®Yes ONO IF YES, PROVIDE A COPY. @ Check Box After ReadllV'i : 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):Lena DeSantis ®Authorized Agent Downer Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) ,Lena DeSantis being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the 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 1) -P/V—.4 y ofC- 2DNotary Public Public PROPER IIFY OWNER110RIZATION IS (Where the applicant is not the owner) I, residing at do hereby authorize Lena DeSantis to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date UDS, Print Owner's Name - k 1, 2 , BUILDING DEPARTMENT-Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 dein Road - PO Box 1179 o � Southold, New York 11971-0959 Telephone (631) 765-1802 -FAX (631) 765-9502 r southo�I tov n . v- sea d soutk�old nn ov APPLICATION FOR ELECTRICAL INSPECTION, ELECTRICIAN INFORMATION (Ali informadonRequired) Gate; Company Name: Custom Lightinq of Suffolk Inc Electrician's Name: Benjamin Doroski License No.: 33393-IVIS Elec. email: CLOS51 70gg mail.com Elec. Phone No: 631-298-458,8 Ell request an email copy of Certificate of Compliance Elec. Address.: POI Box 1598 Ma tituck NY 11952 OB SITE INFORMATION (Alf information Required) N , Name: VN Address: ,., Cross Street: Phone No. Bld .Permit : email: Tax Map District: 1000 Section: Block: Loi: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE E (Please Print Clearly): uer"e Foota e- Circle All That Apply', Is job ready for inspection?: 11YES NO [:]Rough In Elf=inal Cho you need a Tern Certificate?: �� YES tk, NO y p Issued On Tamp Irrfor-nation: (,411 information required) Service Size[71 Ph[]3 Ph Size: �A # Meters Old Meter# New ServiceD Fire Reoonnect[]Flood Reconnect OService Reconnect Ounderground averhead U�nderg round Laterals 1 H Frame Pole Work done on Service? Y N Additional Information: