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51446-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#: 51446 Date: 12/06/2024 Permission is hereby granted to; Veronica Hunzinger PO BOX 6 Cutchogue, NY 11935 To: legalize "as built"additions and alterations to existing single-family dwelling as applied for. Additional certification will be required. Premises Located at: 315 Green Way, Cutchogue, NY 11935 SCTM# 109.-5-14.23 Pursuant to application dated 03/15/2024 and approved by the Building Inspector,. To expire on 12/06/2026. Contractors: Required Inspections: Fees: As Built Addition/Alteration $1,650.00 CO ESlDENTPAL $100.00 Total S1,750.00 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 la .L1 s��Www%v.s holJi'owi —ny-,, Ov Date Received II,ICATI I ppn� For Office Use Only ., PERMITNO. Building Inspector-, M AV"1 Applications and forms must be filled out in their entirety. Incomplete �Irc", "n& applications will not be accepted. Where the Applicant is not the owner,an xV Owner's Authorization form(Page 2)shall be completed. Date:3.13.24 OWNER(S)OF PROPERTY: Name:Veronica Hunzinger SCTIVI#1000-109-05-14.23 Project Address:315 Green Way Cutchogue Phone#:1-917-216-1954 Email:veronica@hunzingerpc.com Mailing Address:PO Box 6 Cutchogue NY 11935 CONTACT PERSON: Name:Joan Chambers Mailing Address:PO Box 49 Southold NY 11971 Phone#:631-294-4241 Email:joanchambersl0@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Lou Schwartz Mailing Address:7 Ridgewood St, Bay Shore, NY 11706 Phone#: (631) 410-6838 :1Emai�l-fiderunnereng@gmaii.com CONTRACTOR INFORMATION: Name:as-built Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition WAlteration ❑Repair ❑Demolition Estimated Cost of Project: 00th;erminor alterations to interior $ Will the lot be re-graded? ❑Yes ❑■No Will excess fill be removed from premises? ❑Yes INNo i PROPERTY INFORMATION Existing use of property:residential 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 this property? ❑Yes ❑■No IF YES, PROVIDE A COPY. IN Chwck Bob 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 buildingls)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):Joan Chambers VAuthorized Agent El Owner Signature of Applicant: Date: QIVN l�'D.DtI1311D STATE O F N E W YO RK) Public,state of Ihl SS: Notary 1^40.01 BU61 86060 COUNTY OF ) ouelifled In Suffolk u W2�� I"SSIOr expires April 14, kb 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 a/l- ,x ° �° ' Notary Public ERTY OWNEII AM HORIZATION Ti ,� I (Where the applicant is not the owner) I, iuh2l Cr residing at, 31 s v-rl"�T3 WA C J-X-C('WCNr_— do hereby authorize Joan Chambers to apply on my behalf to the Towel of Southold Building Department for approval as described herein. 3-13-24 Owner's Signature Date Veronica Hunzinger Print Owner's Name 2 w w i O " L , T o " O CI 9�AACL� ate# 'p .'cri ve 5 8+9'°39 f ;�., ' 260.93' AT,,, �.��� � «. - 00 .jr .. - �nd• � I7los- LOT 2S POR %. � 7"r VWS rOMDAME of AM OVAL � m o ,Q Y OF SURVE LOT 23 w 3 r� s 0 v, top � el Wy To wN OF SOUTHOLD r 1 9-6 SUFFOLK COUNTY, N, Y. h 6',� r , , V 1000— 109— 05 — scale.. 1 = 40 b sy5l)' f No V 6, 1996 _ , " — ' 80.,10 R■ 946 61' Ls f 72 63' " 4.1 T �-� EN TO, CRAZY CHWAMAN CORP. 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