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Home My WebLink About51439-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#: 51439 Date: 12/05/2024 Permission is hereby granted to: Alberto E Kaplan 468 W Broadway Apt 2H New York, NY 10012 To: Construct additions and alteration to an existing single-family dwelling as applied forto include deck repairs,outdoor shower, interior alterations, HVAC and modifications to existing porch.Additional certification may be required forthermal envelope improvements. Premises Located at: 1270 Trumans Path, East Marion, NY 11939 SCTM#31.-12-8 Pursuant to application dated 10/10/2024 and approved by the Building Inspector. To expire on 12/05/2026. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $968.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,068.00 Building Inspector ry 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 bttps://www.soutlioldtownny.g.ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 5 l 13 0 Building Inspector's �� r Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an fi> •_ Owner's Authorization form(Page2)shall be completed. �. Date: OWNER(S)OF PROPERTY: Name:Alberto Eduardo Kaplan and Anne Carey SCTM#1000-31.-12-8 Project Address:1270 Trumans Path East Marion, New York 11939 Phone#:917-862-7067, 646-732-3514 =mail-aekaplanl@mac.com, ac@secondand10t Mailing Address:468 West Broadway, 21-1, New York, NY 10012 CONTACT PERSON: Name:Hideaki Ariizumi Mailing Address:PO Box 444, Orient, NY 11957 Phone#:631 323 1426 Email:hideaki@studioabarchitects.com DESIGN PROFESSIONAL INFORMATION: Name:Hideaki Ariizumi Mailing Address:PO Box 444, Orient, New York 11957 Phone#:631 323 1426 =mail-hideaki@studioabarchitects.com CONTRACTOR INFORMATION: Name:Not yet selected Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ■Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $blot yet estimated Will the lot be re-graded? ❑Yes ■No Will excess fill be removed from premises? Dyes ■No 1 PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of propertY:Single Family Dewlling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R 40 this property? ■Yes ❑No IF YES, PROVIDE A COPY. 0 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):Hideaki Ariizumi ■Authorized Agent ❑Owner Signature of Applicant: Date: 1 p- I b- 2 STATE OF NEW YORK) SS: COUNTY OF Suffolk Hideaki Ariizumi being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (architect) (Contracto ; ent rporate 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 II� 6 112 day of CTV D -4 IDWUP A tary Public TRA Cie T ARY PUB I�STATE OF NE'bd�"YOR �"'�im. 0W YER I:1IIRQM�°: .� °III°°Y :�, .!IJ! I II IFIII )ION o�9�s I N IN su p (Where COUNTY ( e the applicant is not the owner) NM COMMISSION SION EXPIRES jD ,.S o 2p- Alberto Eduardo Kaplan and Anne Cai 1270 Trumans Path, East Marion NY I, U residing at 11939 Hideaki Ariizumi do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein.. 9:= t 09/24/24 Owner's Signature Date Alberto Eduardo Kaplan, Anne Carey Print Owner's Name 2 . ........ Mr-TAt *M OWRICT. AOM XMUo Ji ##"vr2c U LDN" 'VAI W ROAD LAAD NE OF ilk" 0ERA"104K litwIt"Ifly S 614�11 03 14&1 F ....................... IPW a o' 777 '777r " 7 V=4 7 14 'Jill o/wAry WA o MTN' S(WV54174 W WN tot tAND W OF MP BERRY r oc e e 6 '4 Lq 5 64 73`4 V q 5'y w kiis r 4 7,Off LWI Mf OF rnm mw, ItA im&mw taw axam, '43alwaoRAM TIOA0 APSACIA ................ XTM mw,w so mo,mmll NNW mactaw OAN go M,ww zvw,n% IAO Mm ir WIMEM drjFMT ftC 233--1"ll F�'.Z)T Mm Wt C% TA