HomeMy WebLinkAbout50604-Z ra 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 #: 50604 Date: 4/29/2024
Permission is hereby granted to:
50 N Sea Dr LLC
_wuwLLu .................. ..........
28 S Delrey Rd
Montauk, NY 11954
To: Legalize an "as built" HVAC to an existing commercial property as applied for.
Requires floodplain development permit.
At premises located at:
50 N Sea Dr, Southold
SCT.M...#..473889_w-------___.............................................. ...�.
Sec/Block/Lot# 54.-5-22
Pursuant to application dated 3/21/2024 and approved by the Building Inspector..
To expire on w .1m0/29/2025.
Fees:.
CERTIFICATE OF OCCUPANCY $100.00
Flood Permit $150.00
ELECTRIC $300.00
AS BUILT-COMMERCIAL ADDITIONS/ALTERATIONS $600.00
Total: $1,150.00
Building Inspector
r 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 htt12s:(/www.south dtownn . .o
r
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO a Building Inspector:
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Date: 3 2 I -t'0
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OWNERS)OF PROF"ERTY•
Name: L�� � G cos 1\44 SCTM # 1000- A ' 2
Project Address: So N se.- 5 iiY 110I7
Phone#: e11-7 7 \1A 6 Email: '� )ln vvi4yb � . , C0
Mailing Address:
CONTACT PERSON:
Name: �C GEC
Mailing Address: rr
Phone#: � �� ��b� Email:
Dl5SI6N'PkOFtSSIONAL INOORIVIAtidN
Name:
Mailing Address:
Phone#: Email:
`CONTRACTOR INFORMATION:
Name:
Mailing Address„
Phone#: Email:
DESCRIPTION OF;PROPOSED CONSTRUCTION
❑New Structure ❑A ' n ❑Alt
❑Other eraiti n ❑Repair []Demolition Estimated Cost of Project:
�o ��� � $ 500
Will the lot be re-graded? ❑Yes brNo Will excess fill be removed from premises? ❑Yes ONO
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INF�3R ON
Existing use of property: intended use o property:
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Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑YesNNo IF YES, PROVIDE A COPY.
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Application Submitted By(print name): tnff!(/I� Authorized Agent El Owner
Signature of Applicant: Date: 3I-,)
STATE OF NEW YORK)
SS:
COUNTY OF ). 1 )'
1` (I XL '04JI'l being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the 5 -
(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
Z,1 day of c, , 20 k WA
Notary Public
TRACEY L. DWYE:R
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION IED IN SU FOLK o
QUALIFIED IN�i�4=FOI'�.b�COUNTY
(Where the applicant is not the owner) COMA AISSM EXPIRE:SXJKI ,2-&
1, residing at L� ����" Ny
do hereby authorize ��C&L � C" �J to apply on
my behalf to the Town of Southold Building Department for approval as described herein,
Owner's Signature Date
I—
�127�r
Print Owner's Name
2
BUILDING DEPARTMENT- Electrical Inspector
�0, ' TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
iamesh@southoldtownny.gov - seand southoldtownn . ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 3 Q"
Company Name:
Electrician's Name; ouaLv
License No.; a cA 1 - ME Elec. email:" " o vo �1 0�
Elec. Phone No Ellrequest an email copy of Certificate of Compliance
Elec. Address.: , /- S !vy 11911
JOB SITE INFORMATION lAll information Required)
Name:
Address: 75
Cross Street: iUl
Phone No.: e11-1 - 6�
Bldg.Permit#: 6(PC)`f email:
Tax Map District: 1000 Section: Block: LA : -2-7,
RI k �5 U FOOTAGE (Please Print Clearly):
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE
Goof AL,r Cav4 iovme.r 4� �� VJJ !Soc, -soic„ Ym IV%
v}11��� caaw.9
Square Footage:
Circle All That Apply:
Is job ready for inspection?: YES [] NO Rough In Final
Do you need a Temp Certificate?: YES RNO Issued On
Temp Information: (All information required)
Service SizeLil Ph 3 Ph Size: A # Meters Old Meter#
❑New Service[]Fire Reconnect[—]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
S0LP0 - 5S�
SURVEY OFPROPERTY
SITUATE
SOUTHOLD
TOWN OF SOUTHOLD
D North Sea Drive SUFFOLK COUNTY, N.Y.
5.1'W
N39 24 00 E 183.48 SURVEYED: JAN. 12, 2022
4.0'W 1.5 W NOTES: H
oz 1. PROPERTY KNOWN AS TAX MAP# 1000-54-05-22 3
2. LOT AREA =29,932 SQ.FT. (0.69 ACRE(S))
,p o (7 3. THIS SURVEY WAS PREPARED USING A TRIMBLE
p C4 —-- CA S3 ROBOTIC TOTAL STATION.
91} I cV + O 4. PROPERTY CORNER MONUMENTS WERE NOT SET AS o
(,Tj PART OF THIS SURVEY.
O
_OF_OVE_R_
N� RO J W Cl STANDARD NOTES:
�l . . 0 OnRIGHT PRwOD SURVEYING
50.5 2 UNAMMIZED TT,,,T"MICHAEL OomN TO MIS SURD MAP BEARING AOO
N C
LICENSED {AND SURVEYOR'S SEAL 6 A VIOLATION OF SECTION 7203.
(vim SUB-OMSON 2.OF NETS YORK STATE EDUCATION IAW.
3� AR3. ONLY BOUNDARY SURYEY MAPS%VlH THE MRVEYOR'S EMOOSSEO SEAL o
8 E GENUINE TRUE AND CORRECT COPIES OF ME SUR NALVEYCR'S ORICI
y WORK AND OPINION.
O y O O A. CERTIFICATIONS ON INS BOUNDARY SURVEY IAA' SIGNIFY THAT ME MAP
U / IYG PREPARED IN ACCOROANCE WITH THE CURRENT COSRNC CODE OF
In PRACTICE FOR LAND SURVEYS GOPTED BY THE NEW YORK STATE
1 » M.H. M.H. ASSOCIATION OF PROFESSIOWL LAND SURVEYORS, INC.THE CERTIM,..Al1ON IS a
.y�r\l• C> O 0 •CT UNITED
HE TO PERSONS
�NAN. 1 FOR0 i� GOVERNMENTAL GEN ..MAND AP SO THE
PREPARED.
u7I +{� ^ Q ¢ LENDING INSTITUTION USIED ON THIS BOUNDARY SUTt.'EY IIPP .J..
rV^J 06 (AI2 S.ME CERTIFICATIONS HIDDEN ME NOT TRPNSFcRME.
•(.Y .N N N N 6. ME LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCRCACHIATIH ARE
J < NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED. IF ANY UNDERGO
OOUND t
G N [ry IM M
PROVEMENTS OR EHCROACNMEMR6 E%6i OR ME SHOW),THE >
OILFY•T N M H O IMPflOVEMEMS OR ENCROACHMENTS ARE NOT COVERED BY 5 SUt j
to �I 'Q4 M.H. ). ME OFFSET (OR DIMENSIONS) SHOVIN HEREON MOM ME Sw:&TURES TO '^
G E PROPERTY UNES ME FOR A SPECIFIC PURFOSE AND USE AND THEREFORE m
2 ME NOT INTENDED TO CUIOE ME ERECTION OF FENCES, N.wNG
TH Y/ILIS,
9.3 POOLS, PATIOS PIANTING AREAS.ADDITIONS TO BUILONCS. ND ANY OTHER
L
,13•O} 10.4 W TYPE OF CONSTRUCTION.
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( 1 y� ONLINE �
S39°24N00"iY NIK. Cool A1r COndI F �DI IP� 2"02•92 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SjRVEYOR'S INKED y
1 OR EMBOSSED SEAL SHALL NOT BECONSIDERED TO BE A VALID COPY.
"Qs J6u,1-{- '' i4vAG MICHAEL K. WICKS, P.L.S. #50390 E
MICHAEL K. W-rcxs
Y
LAND SURVEYING
15 FROWEIN RD — SUITE E2
CENTER MORICHES, NEW YORK 11934
VOICE. 681.874.0156 — FAX.. 631.909.3845 _
urww.wicksl¢ndsumeying.co'm
RECORDS OF RICHARD C. DRAKE a
e
SCALE: SURVEYED BY: DRAWN BY: SHEET:
1"=20' M.W. J.A. 1 OF j
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