HomeMy WebLinkAbout51469-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#: 51469 Date: 12/11/2024
Permission is hereby granted to:
Brian DeBroff
2220 Huntington Tpke
Trumbull, CT 06611
To:
Construct additions and alterations to an existing single-family dwelling as applied for per Trustees
approval.
Premises Located at:
271 The Gloaming Ext, Fishers Island, NY 06390
SCTM# 10.-9-14
Pursuant to application dated 10/17/2024 and approved by the Building Inspector.
To expire on 12/11/2026.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $367.50
CO Single Family Dwelling-Addition /Alteration $100.00
Flood Permit $150.00
Total S617.50
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 ltt ;�°�w�. tu11rVdtowna o
Date Received
APPLICATION FOR BUILDING I,I
E C E I V L
For Office Use Only
5tLi
1 RI 0 CT 1 7 20�_4 PERMIT NO. � � Building Inspectcar:�,,., .—
Applications and forms must be filled out in their entirety. Incomplete Building Department
applications will not be accepted. Where the Applicant is not the owner,an s
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF ROPE :
Name: 1 I`( SCTM#1000- ] 0 . — I
D
Project Address: '� Q�I�1 I w G 9-}`%<=,&/ S
Phone#: ] -- U J �7 Email:
Mailing Address: .� c U>c 7
CONTACT PERSON:
Name:" p v`�i�S /'`�4. 2�1�
Mailing Address: C �
Phone#: i 7 Email: ���4_
DESIGN PROFESSIONAL INFORMATION:
Na 5,I'_ i —
Mailing Address: 11
� �" S' ,.��o r�
Phone#: Llgc 7' Email:
CONTRACTOR INFORMATION:
Name:—S- 'X 7 1Vj5 !
Mailing Address:
Phone#: �� t� Email: y I iVF7
DESCRIPTION OF PROPOSED CONSTRUCTION
[]New Structure ❑Addition �gAlteration ❑Repair 013emolition Estimated Cost of ProjeSt
❑Other "
Eillthe lot be re-graded? ❑Yes o 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? ❑Yes ONO IF YES, PROVIDE A COPY.
❑ Check Box A teiir 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 210.45 of the New York State Penal law.
Application Submitted By(print e : 1 ,r , � uthorized Agent ❑Owner
Signature of Applicant: Date: /��/off
STATE OF NEW YORK)
:" SS:
COUNTY OF kFigOL4 )
0 M 6 H being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the �t-�t�i ` c�
(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 i/ 20 '
NotaFy Public
(Where the applicant is not the owner)
hK t residing at 'n2J
1 do hereby authorize �1 kt F to apply on
' d
my behalf to the Town of Southold Building Department for approval as described herein. I
D to
�.. t
Owner's Signature
Sworn to and Subscribed before methis
day of WvjP0j 40-�I
t
Print Owners Name
uut CINDY PEREZ
NOTARY PUBLIC �c` �
2 My Comm.Exp.Feb.28.2029 I,,,
N
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD,NEW YORK
PERMIT NO. 10493 DATE: NOVEMBER 15,2023
ISSUED TO: BRIAN DeBROFF
PROPERTY ADDRESS: 271 GLOAMING EXTENSION FISHERS ISLAND
SCTM#1000-10-9-14
AUTHORIZATION
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in
accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 15,2023,
and in consideration of application fee in the sum of I250.00'paid by Brian DeBroff.and subject to the Terms
and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the
following:
Wetland Permit for the existing 2,376 gross square foot two-story dwelling(including existing
unfinished garage/walkout basement level),with a 941sq.ft.footprint and t468sq.ft.seaward
deck with steps to ground; remove portion of roof line to construct a f235sq.ft.dormer with
windows;and to repair and replace areas of the roof that require maintenance; and as depicted
on the site plan prepared by Dameron Architecture PLLC,dated July 20,2023,and stamped
approved on November 15,2023.
IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these
presents to be subscribed by a majority of the said Board as of the day and year first above written.
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