HomeMy WebLinkAbout51443-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#: 51443 Date: 12/05/2024
Permission is hereby granted to:
GH Assets 2 LLC
350 Moffit Blvd FI 2
Islip, NY 11751
To:
demolish (as per Town Code definition) and reconstruct an existing single-family dwelling as applied
for per SCHD approval. Work commenced prior to building permit issuance.
Premises Located at:
3420 Rocky Point Rd, East Marion, NY 11939
SCTM# 21.4-8
Pursuant to application dated 04/30/2024 and approved by the Building Inspector.
To expire on 12/05/2026.
Contractors:
Required Inspections:
Fees:
As Built Addition/Alteration $2,164.00
CO-RESIDENTIAL $100.00
Total $2,264.00
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 It t� Iair�i . atrtlITiilllirr °
Date Recelved
For Office Use Only G L � W L
� {
PERMIT NO. Building Inspect+r., C.,
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an 4 i„W'rv1 7 I`),r.�;,�artment
owner's Authorization form(Page 2)shall be completed. Tov m c, f: lq
Date:
OWNER(S)OF PROPERTY:
Name: C-�1A A 5')P-\s Z- L.L C SCTM#l000
Project Address: 3q ZO C oMy Poi Pioqa , (fc,9+MQri orl k) 1039
Phone#: SI b 903 qd 16 Email: ()Ce,IE(P Yt -Com
Mailing Address: ICi r�i,barl f or""m in vole N14 11-1 'l
CONTACT PERSON:
Name: u le-
Mailing Address:
1Ltm ber l Aye TrwrnI+m,lie, 04 11-7
Phone#: S-« 203 ' 516 Email: (1iCUle ,
DESIGN PROFESSIONAL INFORMATION:
Name: ""
Mailing Address: 6710 wb} Norwick q It bZ
Phone#: Sib' LA-1-1 0 Email: 0& diet
CONTRACTOR INFORMATION:
Name: Zi Ma-de-0 ev-A`
Mailing Address: , � f
Phone#: � Email:
r
DESCRIPTION OF PROPOSED CON RUC 1ON
ONew Structure []Addition dAlteration UAepair 260emolition E ima ed Cost of( Project:
00ther
Will the lot be re-graded? ❑Yes No Will excess fill b removed ro ernises? Yes ONo
A
PRoORTY INFORMATION
Existing use of property: ""
Intended we of property: `
Zone or use district in which premises Is situated: Are there any covenant
rid restrictions with respect to
this property? ❑Yes IF YES,PROVIDE A COPY,
13 IM owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by
ChepW=gg of Lire Y+essrr Cede, ApphIGTION a HERESY MADE to the Building Department for the Issuance of a Building Permh pursuant to the Building Zone
Crdironoe of the Town of Southold,SuRalk,Ceresty.N@w Yank and other applicable laws,Ordinances or Regulations,for the construction of buildings,
eddMons,oftrations or for remwal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building cede,
coda end and tb admit authorhed Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are
puraheble as a Class A misdemeenor pursuant to Section 210.45 of the New York State Penal law.
Application Submitted By(print name): �okp er 0Authori2ed ent �Wner
� Coop
Signature of Applicant: Date: /ol,
STATE OF NEW YORK)
SS:
COUNTY OF SCIPCOlt I
t C IZAe cmeu being duly sworn,deposes and says that(s)he is the applicant
(Name of individual'signing contract)above named,
(S)he is the Q10 ME, —
(Contractor,Agent,Corporate Officer,etc.)
Said cw—..=or cwriers,andd is utSily taut: trued to'pca ru.�..r.i :iC sa.0��S uiw.'w TirZnC yr 'vn�Iiiw.
application;that aA statements contained in this application are true to the best of his/her knowwle g a ief;and
that the work will be performed in the manner set forth in the application f Ow"NETTA PAYNE
Notary Public.State of New York r
Sworn before me this No11� 63� 7T17'
y QLe� CC nt cz
`'ll v
Q�Y IN��k'��@G�Ir5
//�� �^ ,[ M �t 'ti^'ruiSsgtsr ExpiresAl. 24,2
��of!O 47 A
2U &4_ ,
Notary Public
(Where the applicant is not the owner)
i, residing at
do hereby authorize to apply on
MY
behalf to the Town of Southold Building Department for approval as described herein.
Owners Signature Date
Print Owner's Name
2
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NORTHERN 117 3420 Rocky Point Rd.EAST NORWICH,NY 11732 East Marion,NY ..,., [(8)
................
phone(516)427-1602
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Suffolk County Dept of
Labor,Licensing
&Consumer Affairs
"A HOME IMPROVEMENT LICENSE
Name
JOHN R SCHNAKENBERG
Business Name
AMADEO SERVICES CORP
This certifies that the
bearer is duly licensed License Number R-28512
by the County of suffolk Issued: 03/31/2000
W"KP'T Rosary Expires: 03/01/2026
Commissioner
T Is license is the Propatty of Suffolk County
,d Gatos ssior of Labor
*Li'censl'ng&Consumer Affairs,
i Fuossess on of thus tense does not guarantee its vai,dity„
tddit�ional Sueiiness NaMe
License Category
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Safety Training Center
167714uroeumyu RuHn Bel iPN m My'171r.
EPA lead Renovator Initial Course
C�p WAN ud W14wKr a t�O"d x-V—ruo ewurxe cwgpPgdrtyri
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12 Mci(ltrl y Street
MassapcNya Para, NY 11762,
Coulse S alw 101102021
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Tr4inijag Dir° ctol,-Robert F.Sturiano
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5urroV COUNTY NSW YO:K Center Moriches, N.Y. 11934
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1 UNAUTHORIZED ALTERATION OR ADDRION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209. SUB DIVISION 2, OF NEW YORK STATE EDUCATION LAW. 2. ONLY6OUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP
O THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC. THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY,.TO THE GOVERNMENTAL AGENCY,., AND TO THE LENDING INSTITUTION LISTED ON THIS
W SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WTH
4 THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET (OR DIMENSIONS SHOWN HEREON
H BOUNDARY SURVEY MAP. ( )
FROM THE STRUCTURES RE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (B) THIS SURVEY WAS PERFORMED WITH A TRIMBLE 55 ROBOTIC
� ES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE
Z TOTAL STATION. (9) THE EXISTENCE. OF RIGHT OF WAYS ANWOR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE.NOT GUARANTEED.