HomeMy WebLinkAbout50959-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#: 50959 Date: 7/17/2024
Permission is hereby granted to:
Braverman, Steven
5700 Alvahs Ln
Cutcho ue, NY 11935
To: Install on grade hot tub at existing single family dwelling as applied for.
At premises located at:
5700 Alvahs Ln, Cutcho ue
SCTM # 473889
Sec/Block/Lot# 101.-2-18.4
Pursuant to application dated 5/24/2024 and approved by the Building Inspector.
To expire on 1/16/2026.
Fees:
ABOVE GROUND SWIMMING POOL $300.00
CO - SWIMMING POOL $100.00
Total: $400.00
Building Inspector
c ty,ayr
f J 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 httDS://www.southoldtownii �a
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only rr
i
PERMIT N0. 9I ��i Building Inspector;
M,A
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:
OWNER(S)OF PROPERTY:
Name: J�r SCTM # 1000 b — 2 8
Project Address: S A l j s,�v,
Phone#: 6 � ` S 5 S Email: MV LT-w.C-1 o�n
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
e ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
FpOtheStructur ti �� $ ,
Will the lot be re-graded? ❑Yes q�No Will excess fill be removed from premises? ❑Yes EgNo
1
PROPERTY INFORMATION
Existing use of property: �� f Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes fYNo 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 taws,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 buliding(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 taw.
Application Submitted By(print name): �� ��� � ❑Authorized Agent caner
Signature of Applicant: Jr - / Date: s�2� ' Z-V
STATE OF NEW YORK)
SS:
COUNTY OF Sqff )
Irr being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the (0 W i'tiC
(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� 20,24
04citary Public
TRACEY L. DW ER
PROPERTY OWNER AUTHORIZATION NOTARY PNO loin vesoss00
(Where the applicant is not the owner) QUALIFIED IN SUFFOLK COI
COMMISSION EXPIRES JUNE l D.
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
............. --- .......................................—.........................
SURVEY OF PROPERTY
SIT UA TE
CUTHOGUE
S . TOWN OF SOUTHOLD
68
8,00"'E' SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-101 -02-18.4
03, R� SCALE 1"=40'
APRIL 18, 2011
, AREA 49,088 sq. ft.
S
1.127 ac.
% S.2-
0,
a A
00,
-0, No,
4
4
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A
PREPARED I E,WITH THE MINIMUM
STANDA �TIM w,
04 RVEYS AS ESTARLSHCO
11 1 Al',1 ADOPTED,
P LAND
.40)IATv OTC
Z T?
'4
C?
NXS, Lic. N.� 50467
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW Nathan Taft Corwin III
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED Land Surveyor
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S.
TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. Ingegno L.S.
LENDING INSTITUTION LISTED HEREON, AND
To THE ASSIGNEES OF THE LENDING I NSTI— Title Surveys — Subdivisions — Site Plans — Construction Layout
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS
ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P.O. Box 16
Jamesport, New York 11947 Jamesport, New York 11947
L....................... ......................... ................
I 'D k _P- A 64?5509,S
From: Steve Braverman sdbravermanggmail.com
Subject: IMG 7634-preview.pvt
Date: May 24,2024atl:15PM
To: Steve Braverman sdbravermanggmail.com
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