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HomeMy WebLinkAbout50990-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#: 50990 Date: 7/26/2024 Permission is hereby granted to: Veradeana Properties LLC 240 E 47th St 17B New York, NY 10017 To: Construct a minor interior alteration to create and additional bedroom in the basement of an existing single-family dweling as applied for. At premises located at: 9425 Soundview Ave, Southold SCTM #473889 Sec/Block/Lot# 59.-6-22 Pursuant to application dated 6/10/2024 and approved by the Building Inspector. To expire on 1/25/2026. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $308.50 CO -ALTERATION TO DWELLING $100.00 Total: $408.50 Building Inspector ,.y 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 htt :fwww.soufloldtowno Date Received APPLICATION FOR BUILDING PERMIT For Office Use Onlyf-1 r% PERMIT NO. �P V Building Inspector; U 1 0 2024 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an F1 D T1 Owner's Authorization form(Page 2)shall be completed. Date: j oaf' 10 , OWNER(S)OF PROPERTY: Name: Vr?--M 01 e", SCTM# 1000- 5C) Project Address: (.� &ovoDV1ew soi yr"ot D g �, Phone#: Email: Mailing Address: yyl t7�f �r�l�V1V1 h B►O 1° CVPL� CONTACT PERSON:/; �i Name: "k tJ K6-r- KJ fJ (AkF—'f 21 Mailing Address: F, &f- �I -7 9 Phone#: 61 ( -7 `3-7c) 3 Email: DESIGN PROFESSIONAL INFORMATION: Name: I- n {A Z P C�110 S G( Mailing Address: 3DUT-H(PO RE i<,1 (2.o DC q,N Yqv 6Z7 Phone#: Email:s�s I hG o ¢-oh 62, he+ I 1 D S CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated of Project: VS Other (* ,� W $ 1,5'OOTst � Will the lot be re-graded? ❑Yes1 No Will excess fill be removed from premises? ❑Yes o 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑YeslyNo 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 210AS of the New York State Penal Law. Application Submitted By(print name): MA124AQ6E A00 NyeAAJLET20Authorized Agent Owner Signature of Applicant: cUNME D.BUNCH y" Notary Public,State of New York No.01 BU a185060 STATE OF NEW YORK) Qualified in Suffolk County SS: Commission Expires April 14,2, COUNTY OF ) 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 © day of LAC� r 20_s?� " ` 'P Notary Public PROPERTY EIS AUTHORIZATION (Where the applicant is not the owner) 1, 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 KENNY ROAD MAP OF PROPERTY SITUATE SOUTHOLD DWELLING - ? TOWN OF SOUTHOLD 4" WELL WATER SUFFOLK COUNTY, NEW YORK S 54°32'50" E 207 20 ° SCTM# 1000-59-6-22 '40 Au"IRE.TmEN UlMr A-17.5pump ic _ B- A 27.0 �-39 SOrL L 1 AREA,. U.P. BORING 0 \ 1 OJ 056 S'" 7.7 _ ;T, `� CONTROL SCTM # 1000-59-7-26 VACANT VENT SR11"Ww" 0 �sV s 9 t . C O. S WT U 9. U Avi1 N 1 2711 SF C 5 WM O IN, �E.'N4' c.F_ 1 . D 34 G ' LAND-WARD EXE c R -f#A'LR 1 STORY "# , US_S Ul- � ,tY - 9,2 SINGLE FAMILY DWELLING C-31 ,r FECYi a �ey S i.2- 22 9.2 (5 BEDROOMS) D-39 ' - � s -� 1,778 SF E.F. 1&15 BASEMENT 8,5' LONG x 475` T _ .-2. x 4 X t - C € DWELLING .� .. t WELL WATER - — A Vv SOIL BORING t 17,1 ROY K. R€ISSG` JULY 23, 2022 1 ELEV 7.7 _ ` ,4'TOP SOIL(PT) '297 38' \. 3_t' PALE BROWN SILTY SAND (SM) ELEV 17.5 2 5' BROWN SILTY SAND SOME GRAVEL(SM) t� r 120 1 LJ LT GROUNDWATER ELEV 1.7 SUFFO K COLS T DEPARTMENT r OF HEALTH SERVICES SCTM # 1000 59 7-27.003 APP OVA- CONSTRUCTE0 WORKS`0 R - 2 2- 151 7 E/S SDWELDLING AVE. 6-0'WET BROWN SAND SOME GRAVEL(SP) A SINGLE_AMILY R SI§� PUBLIC WATER ---. Date._ 10/11/23 _ H S. Re'. No. P- OF DANIEL R. FALASCO P.E. P.C. TEST HOLE DATA _9 C 3 6 d ti L - L Y f0C#LO t t €�O €-G- PO-O U _'`� _ )- N.T.S. e c*e- - O- f0 0 -: t 0 c„ r - _Urt-„ e r" 1 1 a ne saUsfamoryF RA,v ; M OF BEDROOMS. _ f CONSULTING ENGINEER 94 STEUBEN BLVD., NESCONSET, NY 11767 CR,AIG K. ----R,P- CHIEF s (516) 317-7209 Office of Vvlastewamr Management ' L �'_ DATE SCALE DRAWING NO, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 8-17-23 1"=20'