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Home My WebLink About50750-Z �o�sufFocM�oa TOWN OF SOUTHOLD BUILDING DEPARTMENT s� TOWN CLERK'S OFFICE rn x Way • �� 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#: 50750 Date: 5/28/2024 Permission is hereby granted to: Dombrowski, Paul 1700 Fairway Dr Cutchogue, NY 11935 To: demolish existing accessory garage as applied for per Trustees approval. At premises located at: $0 Rabbit Ln, East Marion SCTM #473889 Sec/Block/Lot# 31.-18-2 Pursuant to application dated 1/18/2024 and approved by the Building Inspector. To expire on 11/27/2025. Fees: DEMOLITION $336.20 Total: $336.20 Building Inspector F Glenn Goldsmit � Pr\ ident ® SUVJ' Town Hall Annex 54375 Route 25 A.Nicholas Krupski, ice: resident e`®� AL P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ®� Ca® Fax(631) 765-6641 OUNTi \-v7 E-9 BOARD OF TOWN TRUSTEES MAY 2 2 2024 TOWN OF SOUTHOLD BUMIDING 1HEP.1'. Permit No.: 10553A TOWN OF uD011,;-u Date of Receipt of Application: February 23, 2024 Applicant: Paul & Loretta Dombrowski SCTM#: 1000-31-18-2 Project Location: 50 Rabbit Lane, East Marion Date of Resolution/Issuance: March 20, 2024 Date of Expiration: March 20, 2027 Reviewed by: Eric Sepenoski, Trustee Project Description: Demolish existing 16.9'x32.3' garage; backfill area to match adjacent (neighbor) grade; place a 10'xl4' shed in the area of demolished garage. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Paul Dombrowski received on February 29, 2024, and stamped approved on March 20, 2024. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the.requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. GI nn Goldsmith, President Board of Trustees r =�o�St1FF0[K�oG TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 W�b Telephone (631) 765-1802 Fax (631) 765-9502 hiips://www.southoldtownny.gov Date Received APPLICATION FOR, BUILDING PERMIT For Office Use Only i PERMIT NO. U Building Inspector: JAN 1 L 124 Applications and forms must be filled out in their entirety.Incomplete };✓� Iu ;Y 1,.^�0 applications will not be accepted. Where the Applicant is not the owner,an T •„P.. i,, Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY Na me: SCTM#1000- Project Address: Phone#:6.J J�Ltr- ��7�p— EmailZ�� .�!�i.�(� GU!✓l—_^ Mailing Address: CONTACT PERSON: Name: /J Mailing Address: Phone#: 3l�1 Lf� -J1-'� Email:p� (, -Q DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: C �_R Qf2P 5t^ c Tl 6U__. Mailing Address: /- Phone#: (p"3 f Z ,�, f F!7mail- DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration El Repair Y; Demolition Estimated Cost of Project: ❑Other (( $ Will the lot be re-graded? l` Yes ❑No ` 1 L o°0- Will excess fill be removed from premises? ❑Yes Vo II See '0 k0 yS 1 PROPERTY INFORMATION Existing use of property: Intended use of property: �S e ��C� Zone or-use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes gGo IF YES, PROVIDE A COPY. ❑ Check Box After Reading: 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. i l Application Submitted By it e): I ❑Authorized Agent <Owner Signature of Applicant• _ Date: f STATE OF NEW YORK) COUNTY OF �l/MZ ) r 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/h edge and belief; and that the work will be performed,in the manner set forth in the application file th wi r Sworn before me this _L�day of (� 20 ` Notary Public Richard p,No NO*Public State on f Now yo* Ch�a1 n Suffo k PR6224108 OPERTY OWNEre the R AUTHORIZATION is t the, ` MYComm• I, 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 ,3o SURVEY OF PROPERTY N r 9 Op SITUATED AT 2 Of MPJER� EAST MARION ' G�JE4 ` PaFONti�Foo\ ��' TOWN OF SOUTHOLD V° I SUFFOLK COUNTY, NEW YORK • •.GONG. N ., S.C. TAX No. 1000-31 — 18-02 �° �y;. a� „'h5• i?' SCALE 1 =20' � F� ��" -�• �"�� I� APRIL 30 1998 c^ o� ;? �Z'p?, y,:'ua• NOVEMBER 16, 2012 ADD COASTAL EROSION HAZARD LINE 3? o n n y 1. �?ti/ AREA = 4,303.88 sq. ft. (TO BULKHEAD) 0.099 CIC. itl, �6• c y s,� •°. ..; moo°V. O O�oO �oo� oG�� c° s`yo yyO� O °4Fs OG 1 DO .. 2c AP P 0 ED AS NOTED s 21-516.P.# �oJs�= ° i . FEES (� a�� ° ti•=,�°.�� s.. , ZOI NOTIFY BUILDING DEPARTMENT AT o �° �`' / 631-765.1802 8AM TO 4PM FOR THE °° FOLLOWING INSPECTIONS: 6• �_,• 1. FOUNDATION-TWO FOR POURED CONCRIETi= `sue o 2 ROUGH-FRAMING&PLUN,.:: 3. INSULATION 4 FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. Sao ALL CONSTRUCTION SHALL MEET THE P�F,�o o�Go�° REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 5cP�Pe DESIGN OR CONSTRUCTON ERRORS ' o PREPARED IN ACCORDANCE WITH THE MINIMUM COMPLY WITH ALL CODES OF SBY THE L.I,A-j5 TANDARDS FOR TITLE SURVEYS AS ESTABLISHED NEW YORK STATE& TOWN CODES ADOPTED FOTLESU S�QCI 13Y � VED YORKNSTATE LAND AS REQUIRED �i Rio AND CONDITIONS OF 1WT o G BOARD _ SOMOLD TOWN TRUSTEES LAN.'` N.Y.S. Lic. No. 50467 CERTIFIED TO COMMONWEALTH LAND TITLE INSURANCE COMPANY han Waft Corwin 'II UNAUTHORIZED ALTERATION OR ADDITION ROBERT KOCH TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Land Surveyor EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Successor To: Stanley J. Isaksen, Jr. L.S. TO BE A VALID TRUE COPY. Joseph A. Ingegno L.S. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS , AND ON HIS BEHALF TO irveys — Subdivisions — Site Plans — Construction Layout TITLE COA PRED ANY, GOVERNMENTAL AGENCYTHE 631 727-2090 LENDING INSTITUTION LISTED HEREON, AND Fax (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI— LOCATED AT MAILING ADDRESS TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Main Road P.O. Rnv 1 F THE EXISTENCE OF RIGHT OF WAYS '} Y' a �_5•+.•�'f� •�� 'h.`�� flytjw��(�. .� � f�� ,l��;� � _.k�i.�Y+"11��.1 u ` ,�it,y�.� y��71' �R", �^�r.� ��:+{� ��- _ _ •�. ,• i �.�y�..- till, .�FQ`�.!�itl.. + „a�? 17a�f��+��[ify'r+T,��',�y• �ti�G'� `,j �'�tl�� '.�C '�.1.T��i �.S',M?,3.7`(�. .' �a..� ..i� ,}''x 4��.�mFA�r• S�m��Y�7�,�; ' �r)1�, h'' _s�� ,`�{i+:'. ' .Z,tt, �1+ t�� <� '�'�j`.ti. w�i , Al i «t'_ a., C�� • ` -S�w. � � ,r, �,L�.,fir Y.6,- � �r� .i'-.II'' ''1141'i[ jr"�t� 1irrM,`. •�.N+ .� +Tit M��r ,f.'a�N i 'a•. �� , ti �. ♦ U �, �.• arr 'r a I 1 - i _ F r Bruce Oster B WO ELECTRIC INC 2300 Glenn Rd. (631)767-8239 Southold, N.Y. 11971 bruceoster@gmail.com Customer: PAUL DOMBROWSKI 5127124 Address: 150 RABBIT LANE EAST MARION LIC#ME64604 QTY - DESCRIPTION . . - - - - @ - - TOTAL GARAGE HAS BEEN DISCONECTED AND IS READY FOR DEMO AT ABOVE ADDRESS .- TOTAL DUE I(q,N' �1 Page 1 9,FV y+y�116�11�11S�1C�b-liu