HomeMy WebLinkAbout48726-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
� a 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 #: 48726 Date: 1/12/2023
Permission is hereby granted to:
Gonzalez II, Mario
25 Clermont Ave
Brooklyn, NY 11205
To: Legalize as-built finished basement at existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
980 Greton Ct, Mattituck
SCTM #473889
Sec/Block/Lot# 107.-2-3.5
Pursuant to application dated 11/18/2022 and approved by the Building Inspector,
To expire on 7/13/2024.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $1,027.20
CO-ALTERATION TO DWELLING $50.00
Total: $1,077.20
Building Inspector
ry'µniµ,M,WN�P6,ry� TOWN E
DEPARTM
Town Hall Annex NT
54375 Main Road P. �x=11�79 SSouthold,
NY 11971-0959
N Y Telephone(631)765-1802 Fax(631)765-9502 lat,VV
Date Received
APPILICA"InON FDR BUILDING PERMIT
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For Office Use Only
PERMIT NO. Building Inspector. u )M
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted_ Where the Applicant is not the owner,an F21V .. T DF-- - .
Owners Authorization form(Page 2)shall be completed.
Date:Ncivember 2, 2022
O 'ERtS'l OF PROPERTY:
Name:Jennifer Gonzalez & Mario Gonzalez scTM#1000-107-02-3.5
Project Address:980 Greton Ct. Mattituck NY 11952
Phone#: Emaii:jennifermsims@gmaii.com
�enni#ermsims@gmail.cam
Mailing Address:980 Greton Ct. Mattituck NY
CONTACT PERSON:
Name:Joan Chambers
Mailing Address:PQ Box 49 Southold NY 11971
Phone#:631-294-4241 Emailloanchambers10@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Lou Schwartz
Mailing Address:? Ridgewood St, Bay Shore, NY 11706
Phone#:(631) 410-6838 Email:tiderunnereng@gmail.com
CONTRACTOR INFORMATION:
Name:Bill Gorman
Mailing Address:PO Box 1447 Mattituck NY 11952
Phone#:631-445-1461 Email:newenglandbarns@aol.com
OESMPTI OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition WAlteration ❑'Repair []Demolition Estimated Cost of Project:
❑Other $40,000
Will the lot be re-graded? ❑Yes igNo Will excess fill be removed from premises? ❑Yes W No
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PROPERTY INFORMATION
Existing use of property:Single Family Residence Intended use of property:Same w/finished basement
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes WNo IF YES, PROVIDE A COPY.
Clieck 11111ox Afteii" 111 adlr%g: The*wjWr/aw&aMr/de0gn professkoW is responsible for as draiinage arul sw=water Laws as provided by
Chapter 236 of the Town Code. APPUCATM IS HEREBY MADE to the Bu&ft Deparbrient for the IsmuKe of a Budding Permit pursuant to the Building Zone
onftmmce of the Tmm of Suffaft County,New Yank and cable Laws, a ,for thew of
ad ,a or for Southold, or detnoftlion as herein described.The applicant agrees to comply with A applicable laws,ordinances, code,
housing code and regulatioris and to admit authorized Impactors on premises and In buildirWs)for necessarY inspections.False statemerits made herein are
punishable as a Class A rnisderneanor pursuant to Section 21OA5 of the New York State Penal Law.
I
Application Submitted By(print name):Joan Chambers IlAuthorized Agent ❑Owner
Signature of Applicant:
Date: Nov 2 2022
STATE OF NEW YORK)
SS:
COUNTY OF _ )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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 120
Notary Public
C I I
����.............. �..... ���'
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III II IIID
(Where the applicant is not the owner)
Jennifer Gonzalez residing at 980 Greton Ct. Mattituck NY 11952
do hereby authorizeJoan Chambers to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
:- .. . . Nov 3 2022
Owner's Signature Date
Jennifer Gonzalez
Print Owner's Name
2
10 -1a�_o2-3 LOT 10 -
U sc�n+#�+3��ER_ MAP OF
GRETON ESTATES
WATER MAIN FILED: SEPTEMBER 20, 1996 — MAP #:6447
SITUATE
loan 1a1- ..,,,."''- 3
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SCTM# 1000-107-02-4.3 ' Scw# 010 q m MATTITUCK
VACANT ' PuC% vAG�.•a �� 4'S Q TOWN OF SOUTHOLD
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2ND FLOOR 'Z1 SUFFOLK, SUFFOLK COUNTY, N.Y.
gr 7 0 1st BEDiiR100 SF ADDITION VELORiVEWNi '3 o NOTES:
2nd FL1,175 SF ORP ! 0 1. PROPERTY KNOWN AS TAX MAP# 1000-107-02-3,5
aEV GFA 2,275 SF ' 2. LOT AREA =52,898 SQ.FT. (1.214 ACRE(S))
10.2 WJ PARTIAL BASOMENT 895 5.F
8'DIAM.x 12' EFF. F.F.41.4 1' O
DEPTH LEACHING POOL A-49 A-
.8-54
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RiOCES. y l -
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CROSSOVER A-37 1,500 GAL1
PIPE g_36 SEPTIC TANK WOOO CEO- 26-00,
? -0 1I i R-21 -0766
8' DIAM.x fASOIL `
12'EFF.DEPTH BORING g v
LEACHING POOL ELEV 39.4 t o
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saTM iia—to7—o2—s.1 t 980 GRETON CT., MATTITUCK, NY
PUBLIC WATER
DWELLING
ROY K. REISSIG, P.E. s� ;- 7181 N, 8.21.0766 _
MAR.
RLEV.739.421
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2
'-0.3' TOP SOIL (PT)
2.7' PALE BROWN SILTY aQa� i SCTM# 1000-107-03-2
SAND (SM) JJ � VACANT §
POOL
5.0' BROWN SAND AND EQUIP. 0A'Bf. .to
SOME GRAVEL {SP) f
17.4' C7
SCTM# 1000-107-02-15 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
9.0' LIGHT BROWN SAND PUBLIC WATER
AND SOME GRAVEL (GP) 1 DWELLING
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NEW
DANIEL R. FAL:ASCO, P,E,, P.C.
NO WATER FOUND �+ , CONSULTING ENGINEER
TEST' HOLEDATA .R".�. �10 c
N.T.S. (, SCTM PUBLIC 1000-107-02-14 1 94 STEUBEN BLVD., NESCONSET, NY 11767
(516) 317-7209
DWELLING
SCTM# 1000-107-02-13 L � ya 0569g� � DATE SCALE DRAWING NO.
PUBLIC
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