HomeMy WebLinkAbout50850-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 #: 50850 Date: 6/21/2024
Permission is hereby granted to:
Wirstrom M Liv Trust
PO BOX 156
Mattituck, NY 11952
To: construct accessory hot tub as applied for.
At premises located at:
4630 Nassau Point Rd, Cutchogue
SCTM # 473889
Sec/Block/Lot# 111.-8-10
Pursuant to application dated 4/25/2024 and approved by the Building Inspector.
To expire on 12/21/2025.
Fees:
SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $300.00
CO - SWIMMING POOL $100.00
Total: $400.00
Building Inspector
�., TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Spa,-
Telephone (631) 765-1802 Fax (631) 765-95021itt,s:/l rww.sotitlioldtownny o
Date Received -
APPLICATION FOR BUILDING PERMIT
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For Office Use Only „" A
2 5�' 2
PERMIT NO. S6 E5D Building Inspector,
Applications and forms must be filled out in their entirety. Incomplete ��
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:04/24/2024
OWNER(S)OF PROPERTY:
Name:Marc Wirstrom SCTM#1000-111-8-10
Project Address:4630 Nassau Point Rd, Cutchogue NY 11935
Phone#: Email:marc@wlrstrom.me
Mailing Address:11 Hoyt Street, Apt 18, Brooklyn NY 11210
CONTACT PERSON:
Name:Brad Hooks (Oza Sabbeth Architects)
Mailing Address:PO Box 2007, Bridgehampton NY, 11932
Phone#:631-808-3036 Email:brad@ozasabbeth.com
DESIGN PROFESSIONAL INFORMATION:
Name:Brad Hooks (Oza Sabbeth Architects)
Mailing Address:PO Box 2007, Bridgehampton NY, 11932
Phone#:631-808-3036 Email:brad @ozasabbeth.com
CONTRACTOR INFORMATION:
Name:Andrew Pennacchia
Mailing Address:PO Box 2007, Bridgehampton NY, 11932
Phone#:631-899-4225 I Email:andrew@moderngreenhome.com
DESCRIPTION OF PROPOSED CONSTRUCTION
®New Structure []Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 20,000
Will the lot be re-graded? RYes El No Will excess fill be removed from premises? RYes ❑No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
S; C r Vl
Zone or use district in which premises is situated: Are there any covenanttspnd restrictions with respect to
this property? ❑Yes [VNo IF YES, PROVIDE A COPY.
Rlhieck'Bost After Reading: The owner;/contractor/design professionall 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): BAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:COUNTY OF S 1--� —Ik
G d 6 KJ 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
Z 4 day of r, I ,20 q
tlblicert oestefano
Notary Public.State of New York
No,Of Ob6321 f44
��®610 ouslllled In Sutfolk C,nuntyi
„„9��. Oedrrrt4epslorr Expires Match 30a,2Q._
PROPERTY OWNS AUK" ° OIAO
(Where the applicant is not the owner)
Marc Wirstrom residing at 11 Hoyt Street, Apt 18 Brooklyn NY 11201
I,
Brad Hooks (Oza Sabbeth Architects)
do hereby authorize to apply on
my eha o the tfSouthold Building Department for approval as described herein.
February 14, 2024
Owner's Signature Date
Marc Wirstrom
Print Owner's Name
2
S.C.T.M. NO. DISTRICT: 1000 SECTION: 111 BLOCK: 8 LOT(S): 10
DWELLING WELL \
W/WELL WATER
701
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� ��" AND BECAUSE OF THIS LEGEND DIVISION
— ° ✓ LINES ARE INDEFINITE AND UNCERTAIN.
u �py " ` , .I� 1 � PROPERTY LINES SHOWN ON THIS MAP ARE REPRESENTED
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"v ON SURVEY RECORDED IN LIBER 2006 PG. 426 AND IN
COMBINATION WITH PRESENT DAY MEASUREMENTS AND FIELD OBSERVATIONS.
EL 73.5 VACANT pOp `w 7 ," 1 DWELLINGS
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SW BROWN w AREA: 37,806 S.F. or 0.87 ACRES ELEVATION DATUM.
MEDIUM 2.5" ✓
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SAND // UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY
�p MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
78 ONLY TO THE PERSON FOR WHOM 774E SURVEY 1S PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING 1NS777U7ION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, TEES GUARAN ARE NOT TRANSFERABLE.
PALE �V """ � THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
MBROWN EDIUM �00� NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCE$ ADD17IONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS
SAND AND/OR SUBSURFACE S7RU&7URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
ON. CE
& GRAVEL 07'N -'60 SURVEY OF: LOT 157 CERTIFIED TO:ADVANTAGE TITLE GROUP AGENCY, LLQ'
11 7 /M MAP OF:AMENDED MAP A" OF NASSAU POINT MARC WIRSTROM UI1NG TRUST DATED MARCH 5. 2021•
/ FlLED: AUG. 16, 1922 No.156 AMTRUST TITLE INSURANCE COMPANY AN AMTRUST
�1 TINANCIAL COMPANY,
JAN. 6, 2021 — 17 < REVISED 04-16-24 SITUATED AT. CUTCHOGUE
K. WOYCHUK LS REVISED 02-15-24 TOWN OF: SOUTHOLD ]KENNETH W. IMDYCHUK LAND SURVEYING, PLLC
REVISED 01-20-24 SUFFOLK COUNTY, NEW YORK
REVISED 07-20-23 Professional Land Surveying and Design
r P.O. Boa 159 Aquebogue, New York 11931
UPDATE 07-07-23 FILE #221-04 SCALE: 1"=30' DATE: JAN. 6, 2021 M Y.S, 09C. NO!, 050682 PHONE (691)296-1666 FAF (631) 296-1566
I
DiLandro
Andrews
NOW Engineering
158 County Rd. 39, Suite 10
Southampton, N.Y.11968
Office: (631) 259-3959
Info@DiLandroAndrews.com
Certificate No.: 0019523
Professional Seal
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Revisions
No. Date Description
1 02/02/2024 FOR PERMIT
2 --/--/-- ----
3 --/--/-- ----
4 --/-4-- ----
5 --/--/-- ----
Designed By : AN
Drawn By : AN
Checked By : AA
Date : 02/01/2024
Scale: AS NOTED
S � l 02
Sheet#