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Home My WebLink About51320-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#: 51320 Date: 10/28/2024 Permission is hereby granted to: Judith Kaufman-Weiner 905 Westview Dr Mattituck, NY 11952 To: Legalize "as built"alteration to convert the existing attached garage into habitable space (art studio) as applied for. Additional certification may be required. Premises Located at: 905 Westview Dr, Mattituck, NY 11952 SCTM# 139.4-17 Pursuant to application dated 09/12/2024 and approved by the Building Inspector. To expire on 10/28/2026. Contractors: Required Inspections: Fees: As Built Alteration $776.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $876.00 Building Inspector 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 litt ,//wivw.sa u�diold ownli Date Received For Office Use Only C �n E 5 3 a Building Inspector: 111111 PERMIT NO. l.J g p Applications and forms must be filled out in their entirety. Incomplete SEP 1 2 2024 applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Building Department Town of Southold Date:9.12.24 OWNER(S)OF PROPERTY: Name:Michael Prisco sCTM#s000-139.-1-17 Project Address:905 Westview Drive Mattituck Phone#: 516-710-3231 ]�Emal,.Lmichaelprisco@mjpesq.com Mailing Address:187 Veterans Blvd. Massapequa NY 11758 CONTACT PERSON: Name: Joan n Chambers Mailing Address:PO Box 49 Southold NY 11971 Phone#:631-294-4241 Emailloanchambers10@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Lou Schwartz Mailing Address:7 Ridgewood St, Bay Shore, NY 11706 Phone#031) 410-6838 Email:tiderunnereng@gmail.com CONTRACTOR INFORMATION: Name:as-built Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other convert attached garage to artist studio Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes MNo 1 ,, PROPERTY INFORMATION Existing use of property:residentlal Intended use of property:same Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 I this property? ❑Yes I*No IF YES, PROVIDE A COPY. ®, Check Boa Af,ter Rea klg: 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 210.4S of the New York State Penal Law. Application Submitted By(print name):Joan Chambers R'Authorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) : COUNTY OF Joan Chambers being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent (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 5LP?+-e rn ,20 "I r� 5)�,,A ar Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK 1114 WIIIhllere the " III . � IIII III ,lf I7 I'll N O ALIT=NIA N SUF OLK CO NTY m (a.mm WWWW�,�e t applicant is not the owner)� COIF SSION EXPIRES JUNE 0,2Q� Michael PriscO residing at 187 Veterans Blvd Massapequa Ny 11758 I, , do hereby authorize Joan Chambers to apply on my behalf to the Town of Southold Building Department for approval as described herein. 7elll ,oz�a& 9/12/2024 Owner's Signature Date Michael Priscp=o Print Owner's Name 2 BROy1ER ROAD y w SURVEY OF PROPERTY SITUATED AT $ MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-139-01-17 SCALE 1"=30' DECEMBER 15, 1995 AREA = 29,273.23 sq. ft. 0.672 cc. 16 0 edop i # # m # i i � IV- i a i , H #t # # AIL t 1 # AlAL 1.114ATHORIZED AVERNIM OR ADDITION ' 4 SECT muouON I D OF THE NEW VM STATE r^' q8 ALLA, \` CERTIFIED M. COPIES of TW SLRWf MAP NOT BrARM THE LANDNURrEroL N E OR F-� TOB E B A W soAul NOTOT C BE oNsomm AQUEBOGUE ABSTRACT Corp. 70 TM COPY. # TITLE No. 632-S-4960 M tea+�� J Ak Alp ROSLYN SAVINGS BANK osr r+� TOnEme ON ms�TTo SURVEY WE NORMAN WEINER " JUDITH KAUFMAN WEINER AK� i i $ i THE DOSIENCE OF ROM OF WAY i jOR�asaxrura Of C # i # - i i # # if Lathan Taft Corwin III i # Land Surveyor 'Qo 3* �S�`�• Sueceaeor To: J.� ,�.LS. ¢ _ MOB Swvap—sutId ekm— SR@ Plarw — Com&uaOan Layout PHONE(631)727-2090 Fax(631)727-1727 OFF)DES LOCAffD AT ]RUNG ADDRESS €7¢y7 ISM Main Rood P.O.Box 18 WYS�Lki NO,504 7 JmomporL Now York 11947 Jarveq mt,Now York 11947 1 _i � r O Emo II 2coz x zz� --I r— O O z ID O z �z mN i O z gc�v�r�vcnc� U' _c �mD DCTDT z 1 W N r m o W �P Oc OHO Dn n D CA . 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