HomeMy WebLinkAbout50854-Z mr TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
ar
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 #: 50854 Date: 6/24/2024
Permission is hereby granted to:
of iar
Bryan m �.. -_---eW._� ...� .. ................_____.........................................�,
70wuBatery P_I Apt 906
_.. .. . w........ __
NewYork, NY 10280..��������������..............._............ ............... ,.
To: Legalize an "as built" second story attic space converted into a conditioned, habitable
room.
At premises located at:
3650 Bad/Shore Rd, Greenport
SCTM # 473889
Sec/Block/Lot# 53.-6-35
Pursuant to application dated 4/9/2024 and approved by the Building Inspector.
2/ ..........
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $716.00
CO-ALTERATION TO DWELLING $100.00
Total: $816.00
—0——W...................--- ....._......
Building Inspector
a�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 llttl)S "��_���� outhlclto��rim wu�
Date Received
APPLICATION FOR BUILDING PERMIT
E Q V E
For Office Use Only .
PERMIT NO" Building Inspector +n.
Applications and forms must be filled out in their entirety. Incomplete l
applications will not be accepted. Where the Applicant is not the owner,an
Owners Authorization form(Page 2)shall be completed.
Date: r wp ..d,.�.
OWNER(S)OF PROPERTY:
Name:
w SCTM#1000- !� 63 b 3
'' a..-� ^�" � IPa� # L( y�. "
Project Address: D
Phone#: Email:
Mailing Address: 0
CONTACT PERSON:
Name: J 6 U yoTl1"A%u
Mailing Address: & �'J�` r'1 B�Ea t:��-Sr t;?
Phone#- rI CP 25?.)If /-51 r Email: cJ� LAST 41 r vo d�
DESIGN PROFESSIONAL INFORMATION:
Name: .5itxl
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION: 0
Name:
Mailing Address:.
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other LOCRArL l--Le &TTI G i 4 # $
Will the lot be re-graded? ❑Yes 4No Will excess fill be removed from premises? ❑Yes [:]No
1
PROPERTY INFORMATION
Existing use of property: S ltj LIGI (iV14ce Intended use of property: S i 0&iU H-tIvii C,
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes []No IF YES,PROVIDE A COPY.
Check Box After Reading: The owner/contractor/deslpn pmfeulonai 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 Bulldhq Permit pursuant to the Bullift Zone
Ordinance of the Town of Southold.Suffolk,County,New York and other applicable taws,ordinances or Regulations,for the construction of buildup,
addlidons,alterations or for removal or demolition as herein deserted.The applicant a&m to comply with all applicable hnws,ordinances,bulldbn code,
housbt code and resulatlons and to admit authorked Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are
Punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal taw.
Application Submitted By(print na )» tMuthorized Agent El Owner
Signature of Applicant: .. . Date: �— 2
STATE OF NEW YORK)
SS:
COUNTY OF SvcC Q- _)
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the C---vLX ..
(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. MARY E.CROGHAN
NOTARY PUBLIC,STATE OF NEW YORK
Registration No,01CR6095486
Sworn before me this Qualdied in Sruffdk County
aarnnn uion Expires,duce 14,20''
/14 day of Gfir , 20
Notar Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
AP/1--d'o hereby authorize � " �^" to apply on
m be
half alf to t Town o�tlthold Building Department for approval as described herein..
er's Signature Date
rint Owner's Name
2
SURVEY OF
LOT 140, NORTHERLY HALF OF LOT 141
R AND
PART OF DESCRIBED L O T
IN
AMMENDED MAP A OF PECONI C BAY ES TA TES
SITUATE
ARSHAMOMA GUE,
TOWN OF SOUTHOLD
NIF KEIFER& OTHERS SUFFOLK COUNTY, MY
N 73' 00' 40" E 125.90' S 23' 51 ' 00" W
M N L'ONC: 04' SURVEYED FOR.• PAUL TORPEY
N 23 51 00 E PHYLLIS TORPEY
10,55 rij
TM 1000-053-06-35
35.9' '�Dt MAY 19, t 833
SURVEYED 7 MARCH, 2000
2 STORY 'i7000.c-
FRAME ASPA {.T SCALE r=30'
WQQO HOUSE WALK 0 AREA— IZ506.428 SF
OEM OR
N/F �pXp LOT 14 wirr, & 0.287 ACRES
�v��nc GARAGE Guara,tees indicated here ca than
ardor to *,3 pe=n far ',he survey
NASPHALT is pr•:pcmd, and cn his belt'..-:If to the GUARANTEED TO
DRIVEWAY t.-Ic ccrmpc-Z;r, C overr, cni::i r.g ;., PAUL TORPEY
0) 36.3 if ii;:e Fsr::on, cnd PHYLLIS TORPEY
LOT 141 to the c.s5; ncas of cl,a 1=:s. i:�g ins;;lu:i.•n. FIDEUTY NATIONAL 77&E INS. CO.
OGuarc:ntees are rrt trons:_roble to TOWN OF RIVERHEAD
LiDIvC
cow additional ins.1tuiions or su'hsecruent owners.
Z NOW AM 0
S 73' 00' 40" W 125.00' o
� t7nautt�orized cr1ier� rsn � ai "+fta to ihb
rn P;rvey i a violation of Section 7209 of SURVEYED BY
a Pew -i,o-k ;,tat* Ecucatttion Law.
LOT 141 STANLEY J. ISAKSEN, JR.
P.O. BOX 294
Copies of this survey map not bearing NEW SUFFOLK, N Y 1956
PD tho LcIld Srrvelors embossed seal shall
p nos ba c:as;derad to be a valid true 6 1-7 _.5 "
ISLAND 'I `"W LA. copy'
LIC ED LAD SURVEYOR
NY LIC. NO. 49273
0OR661
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Windows are insulating glass
28"x36"double hung
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3650 Bayshore Rd
-- plan ofatdc room
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Plan
Att fc room at 3650 Bayshore Rd.
Gr+e ,vDOA Now"6
SCAff 31000-53-6-35
Jonathan Foster R.A. LEED AP
646-334-1515
jsfoster@gmail.com
REVISIONS
N0. DESCRIPTION DATE BY
ExistingCondition Feb 16,202
Existin Condition May 20,202
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ToVic:
190sf
2 :• _ i I - II 4-ts T.:ti—
3--,jtxcl rn:+•r_ I__ -
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2nd Floor Plan
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game/studyroom I junkroom `�rV
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��•-� i ? FosterArchitecture.com
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,, _ Jonathan S.Foster R.A.LEEDAP
,; 6Bearing East Road
% East Hampron.Neiv York 11937
F ° _ uc_i q. . Ir0'-<ls -, - �-•. 64673341515
646-334-1515 jsfoster@gmag.com
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DATE DRAWN BY
1st Floor Plan October 11 2023 15t
DRAWING TITLE DRAWING NUMBER
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