HomeMy WebLinkAbout51583-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#: 51583 Date: 01/23/2025
Permission is hereby granted to:
KDMC Properties LLC
c/o Kimberly Davis
Southold, NY 11971
To:
construct alterations to existing single-family dwelling as applied for.
Premises Located at:
170 Pleasant PI, Southold, NY 11971
SCTM#88.-5-48
Pursuant to application dated 02/21/2024 and approved by the Building Inspector.
To expire on 01/23/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $778.00
CO-RESIDENTIAL $100.00
Total S878.00
uilding Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
,X J Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631)765-1802 Fax (631) 765-9502 lilt s://www.soutlioldto +nn .(.,ov
i
Date Received
APPLICATION FOR BUILDING PERMIT
9 E C E Q W E �
For Office Use Only p
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PERMIT N0. 58-SL Building Inspector: � � �•� � � 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
owner's Authorization form(Page 2)shall be completed.
Date:1.25.2024
OWNER(S)OF PROPERTY:
Name:KDMC LLC SCTM#1000-88.-5-48
Project Address:170 Pleasant Place Southold NY 11971
Phone#:646-522-6445 Email:scottmcdonough@mac.com
Mailing Address:Scott McDonough, 245 W Canton Street, Boston MA 02116
CONTACT PERSON:
NameJoan Chambers
Mailing Address:PO Box 49 Southold NY 11971
Phone#: 631-294-4241 Email:joanchambersl 0@gmail.com
DESIGN PROFESSIONAL INFORMATION:
NameJLS Designs
Mailing Address:214-41 42nd Ave. Bayside NY 11361
Phone#:1-718-224-3330 Email:joe@jlsdesignsnyc.com
CONTRACTOR INFORMATION:
Name:not decided
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition WAIteration ❑Repair ❑Demolition Estimated Cost of Project:
❑other
Will the lot be re-graded? ❑Yes OCNo Will excess fill be removed from premises? ❑Yes 51 No
1
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
iR-40 this property? ❑Yes ❑■No IF YES, PROVIDE A COPY.
IN Check Box After Reading: The r/c rr/d n prafessiomwl is responsible for aB&WnW and storm Ovatet issues as provided by
chapter n6 of the Town Code.APPLICATION IS HEREBY MADE to the Buildit Depattment for the Issuance of a Bulldit Permit pursuant to the Buil"g Zone
Ordinance of the Town of Southold,Suffok CaurRY,New York and other applicable taws,Ordinances or Regulations,for the construction of butldinds,
additions,aiteratiorts or for removal or denorMon as herein described.The applicant agrees to comply with all applicable knvs,ondlnances,building coda,
housing code and regulations and to admit authorized hrspeetors on premises and In buddingis)for necessary hupecklora.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 Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
Joan Chambers
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 20,
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Scott McDonough 245 W Canton Street, Boston MA 02116
I, residing at
do hereby authorize Joan Chambers to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
1/25/2024
Owner's Signature Date
Scott McDonough
Print Owner's Name
2
SURVEY No. 513NY-22-8845 MAP OF LOT 52 "TERRY WATERS" DATE: JUNE I4th, 2022
PREPARED BY RAJ KUMAR AT BAYVIEW TOWN OF SOUTHOLD
DRAWN BY: R.M. COUNTY OF 5UFFOLK
STATE OF NEW YORK
DISTRICT 1000 SECTION 088.00 BLOCK 005.000 LOT C48.000
THIS SURVEY WAS PREPARED FOR MUNICIPAL PURPOSES ONLY �1
C�
7-
1O
PLEASANT PLACE
EDGE OF PAVEMENT EDGE OF PAVEMENT
u�
S GGO-22'- 10" E 120.001 �1
98.88'
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WITH. . . , _BASEMENT
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[ YARD YARD - - No.
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YARD WOODEN DECK — w
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WOODEN FENCE WOODEN FENCE
IRON FENCE
N GGO-22'- 1 0" W 1 20.00'
LEGEND:
WW. - WINDOW WELL
GEN. - GENERATOR
A.C. - AIR CONDITIONER
L.A. - LOWER AREA
AREA = 18,000.0 Sct.Ft
CERTI FI ED TO:
THE TOWN SOUTHOLD
1.GUARANTEE5 OR CERTIFICATION5 INDICATED HEREON 5HALL RUN ONLY TO THE PERSON FOR WHOM THE
5URVEY 15 PREPARED AND ON THEIR BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING I
INSTITUTION LISTED HEREON AND TO THE A551GNEF-5 OF THE LENDING INSTITUTION.GUARANTEES OR
CERTIFICATIONS ARE NOT TRAN5FERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. _ r
2,PROPERTY CORNER MONUMENTS WERE NOT PLACED A5 PART OF TH15 5URVEY. � I'
3.UNAUTHORIZED ALTERATION OR ADDITION TO TH15 5URVEY IS A VIOLATION OF SECTION 7209 OF THE RO MAPPING g
NEW YORK STATE EDUCATION LAW. g
4.ONLY COPIES FROM THE ORIGINAL OF TH15 SURVEY MARKED WITH AN ORIGINAL OF THE LAND SURVEYOR'S OGG LITTLE NECK AVENUE 4
INKED 5EAL OR HI5 EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE GOPIE5.
5.NO GUARANTEE 15 IMPLIED BY TH15 MAP A5 TO THE EXI5TENCE OR NONEXISTENCE OF ANY EA5EMENT5 OF NORTH BELLM ORE N.Y. 1 1710 3
RECORD THAT WOULD AFFECT SUBJECT PROPERTY,UNLESS 5URVEYOR HA5 BEEN FURN15HED WITH SUCH OFFICE (5 1 G)-509-4 1 GG �
INFORMATION BY THE CLIENT.
G.THIS IS TO CERTIFY THAT THERE ARE NO V151BLE 5TREAM5 NOR NATURAL WATER COUR5E5 IN THE CELL (5 1 G)-G5 29984 ----------set---
-
VIN
PROPERTY EXCEPT A5 5HOWN ON TH15 5URVEY. EMAIL: 5boroma In mall.com EW YO T LICEN5IGO, L.S.
7.THIS SURVEY 15 NOT TO BE UPDATED BY VI5UAL INSPECTION. pp 9 @9 NEW YORK LICENSE 050307