HomeMy WebLinkAbout51569-Z p 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#: 51569 Date: 01/17/2025
Permission is hereby granted to:
Cassano R&L Irry Liv Trt
3225 Nassau Point Rd
Cutchogue, NY 11935
To:
install hot tub as applied for.
Premises Located at:
3225 Nassau Point Rd, Cutchogue, NY 11935
SCTM# 111.-9-1
Pursuant to application dated 01/16/2025 and approved by the Building Inspector„
To expire on 01/17/2027.
Contractors:
Required Inspections:
FOOTING/REBAR, ELECTRICAL- ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL,
Fees:
SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00
CO Swimming Pool $100.00
Total S400.00
Building Inspector
y 11 '$0 r0A" TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main.Road P. O.Box 1 179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 Litt)s. vwNy'. outholdtownny go'v
Date Received
APPLICATION FOR BUILDING PERMIT
3
For Office Use Only
PERMIT NO. Building lnspectar: y OV - S 2024
Applications and forms must be filled out In their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an s f .<` _
Owners Authorization form(Page 2)shall:be completed.
Date:10/3124
OWNER(S)OF PROPERTY:
Sam#Z000-111-9-1
Name:Lee Cassano
Project Address:3225 Nassau Point Rd Cutchogue NY
Phone#:6312358202 Email:leecassano@gmail.com
Mailing Address:3225 Nassau Point Rd Cutchogue NY
CONTACT PERSON:
Name:Andrew S Braum
Mailing Address: 1924 Bellmore Ave Bellmore NY
Phone#:5167854200 Email:office@asbengineering.com
DESIGN PROFESSIONAL INFORMATION:
Name:Andrew S Braum
Mailing Address: 1924 Bellmore Ave Bellmore NY
Phone#:5167854200 Email:office@asbengineering.com
CONTRACTOR INFORMATION:
Name:Anthony Pagano
Mailing Address: 163-03 87th St Howard Beach NY
Phone#: 13 K® Email:anthonycpagano1@gmail.com
5t
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alter tion ❑Repair ❑Demolition Estimated Cost of Project:
30000
9 oth t"- 1
Will the lot be re-graded? ❑Yes 51No Will excess fill be removed from premises? ❑Yes l]No
1
PROPERTY INFORMATION'�
Sin ••
Existing use of property: �'• le Family Intended use of property: �•
g Y Single Family
Zone or use district in which remises is situate ___m ., ..
p d: Are there any covenants and restrictions with respect to
this property? ❑Yes gNo IF YES,PROVIDE A COPY.
2 Check Box After Reading: The owner/contracter/dasign professional is responobte for all drainage and storm waterissues as provided by
Chapter 23 w of the town Coach. Apf"tt t"rtffN is HERE11V MAOF to the 9ulld'in Department for the issuance of a Building perrnit pursuant to the Building'Zone
Ordinance of the Town of Southold,Suffolk,tOunty,Ne"w York and other applicable taws,ordinances or Regulations,for the construction of buildings,.
additions,afternoons or for removal or demolition as herein described.The applicant agrees to comply with all ap-pocablo haws,ordinances,builcfinig code,
housing code and regulations and to admit authorized Inspectors on premises and in building(s)for necessary Inspections.False statements made herein are
purtislisbie as a mass A. lsdemannar pursuant to 5e+ct;6n 210,45 of the Now York Ste to Penal Law.
Application Submitted By(print name):An re Braum pAuthorized Agent ❑Owner
Signature of Applicant: Date: 10/3/2024
STATE OF NEW YORK)
SS:
COUNTY OF Nassau
Andrew S Braum
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is theAgent and Engineer
of said owner or owners,and is dui authorized to�perform Noy aie officer, etc.j
Y p 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
3 rRay of 20 2-1 a*�Mowwa
llotary Public
CRISTINA A MARINELLI
Notary Public-State of New York
PROPERTY OWNER AUTHORIZATION No.01 MAS439812
(Where the applicant is not the owner) Qualified in Nassau County
My Commission Expires 08/29/2026
Lee Cassano residing at3225 Nassau Point Rd
Cutchogue Andrew S Braum
—do hereby authorize _to apply on
m I ehalf t,'o the Town ou'thold Building Department for approval as described herein.
10/3/2024
Owner's Signature
Date
Lee Cassano
Print Owner's Name
2