HomeMy WebLinkAbout51546-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#: 51546 Date: 01/14/2025
Permission is hereby granted to:
David DeSetta
144 Franklin PI
Woodmere, NY 11103
To:
construct additions and alterations to existing single-family dwelling as applied for.
Premises Located at:
1775 Gull Pond Ln, Greenport, NY 11944
SCTM#35.4-14
Pursuant to application dated 10/03/2024 and approved by the Building Inspector.
To expire on 01/14/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $667.00
CO-RESIDENTIAL $100.00
1)p Total S767.00
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 htt :Llwww.sotjtholdtownn . ov
Date Received
PERMITAPPLICATION FOR BUILDING
For Office Use Only
PERMIT NO. 54- Building Inspector: O U
Applications and forms must be filled out in their entirety.Incomplete M
applications will not be accepted. Where the Applicant Is not the owner,an
Owner's Authorization form(Page 2)shall be completed. 1 ' r
Date:10/03/2024
QWNER(S),OF PROPERTY:
Name:David and Mary DeSetta SCTM # 1000-35-4-14
Project Address: 1775 Gull Pond Lane, Greenport
Phone#:516-250-1235 / 516-216-3706 Email:desetta nursery@yahoo.com
Mailing Address: 1325 Gull Pond Lane, Greenport
CONTACT PERSON:
Name:Michael Hand
Mailing Address:PO 1256, MattituCk
Phone#:631-965-1947 Email:michael @mchdesignservices.com
DESIGN PROFESSIONAL INFORMATION:
Name:James Deerkoski
Mailing Address:260 Deer Path, Mattituck
Phone#:631-774-7355 Email:jamesdeerkoski@yahoo.com
CONTRACTOR INFORMATION:
Name:
Mailing Address::
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ®Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $200,000
Will the lot be re-graded? ❑Yes Ii No Will excess fill be removed from premises? ❑Yes BNo
1
PROPERTY INFORMATION
Existing use of property:Slagle family Intended use of property:Single family
Zone or use district in which premises is situated: i Are there any covenants and restrictions with respect to
this property? ❑Yes RNo IF YES, PROVIDE A COPY.
8 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 210.45 of the New York State Penal Law.
Application Submitted (pri n e Sc ;1acher BAuthorized Agent ❑Owner
Signature of Applicant. Date: 10/03/2024
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS. Qualified in Suffolk County
COUNTY OF . ) Commission Expires April 14, 2
�Iftte4e Cw Cj q" being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(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 20) or•-P 'n ''f 1
Notary Public
PROPE117 Y OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do herebyauthorize
to apply on
,
my behalf to the Town of Southold Building Department for approval as described herein..
Owner's Signature Date
Print Owner's Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
V �� ��
I : residing at 3 -� �.
(Print property owner's name) (Mailing Address)
^� I do hereby authorize .
v
(Agent)
to apply on my behalf to the
Southold Building Department.
*(Date)
(O ner's Signature)
eS
(Print Owner's Name)
S.C.T.M. N0. DISTRICT: 1000 SECTION: 35 BLOCK: 4 LOT(S): 14 J'
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FEMA MAP#36103C0176H LOCATIONS SHOWN ARE a�AELO OBSERVATIONS
EFFECTIVE 09/25/2009 AND OR DATA 08TAINEO FROM OTHERS.
O ELEVATION DATUM NtAVD88
AREA 32,448.22 SQ.FT.or0.74ACRES
87HENEWYORK
MAR NOT SEARING THE LAND SURW YOR'S EMBOSSED SEAL SHALL NO i swELF TO THE TITLE AUD TRUE
SR, GUARAAMCSY AND LW HE ANN SHALL RUN
'STK. UNAUTHM20 ALTERATION OR AD&PON TO TWAS SURI Y IS AND Wjail
ON HIS 8 6 ONLY TO THE PERSON FOR WWOV THE �JRVEY AS PREPARED
LASTED HEREOIN, AND TO THE ASSIGNEES OF WE LET!R01 PI+PSTITUTIL�1 GUARANTEES ARE NOT TARE FO?AA S
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OR
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SURVEY oF: DESCRIBED PROPERTY �Il CERTIFIED TO: DAVID DESETTA;
HYD. . �� NARY DIESETTA'
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TowN OF-.SOUTHOLD
KEN�G "C1i 1TY
COUNTY, NEW YORK ,a,r r�s �, `� PraleesLetl C ad burvsF1'ag and ' Jg
SUFFOLK �TTa �,� �
\ �A P.O. Box 153 A uebo� S PI,LC
e, New York 11931
PHONE (831)298-15ee FAX (631) 29e-156e
=FILE # 171 SCALE:1"=30' DATE:DEC.13,2024 N,T:5 t AND. 0508&2