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Home My WebLink About51622-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#: 51622 Date: 02/11/2025 Permission is hereby granted to: Stephen Wiseman 1 Beverly Rd Bronxville, NY 10708 To: Construct additions and alterations to an existing single-family dwelling as applied for. Premises Located at: 8581 New Suffolk Ave, Cutchogue, NY 11935 SCTM# 116.4-1.2 Pursuant to application dated 11/14/2024 and approved by the Building Inspector. To expire on 02/11/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $1,839.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,939.00 &ke .. 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 lit .s://www soutlioldtown . o'v g Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only r� r't J . PERMIT NO. v Building Inspector: �i Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owners Authorization form(Page 2)shall be completed. Date:November 6,2024 OWNER(S)OF PROPERTY: Name:Susan and Stephen Wiseman �TM 000-116-01-1.2 Project Address:8581 New Suffolk Avenue, Cutchogue, NY. 11935 Phone#:914-815-1176 1 Email:Susan.wiseman35(@)gmail.com Mailing Address: l Beverly Road, Bronxville, NY. 10708 CONTACT PERSON: Name:Susan Wiseman Mailing Address: 1 Beverly Road, Bronxville, NY 10708 Phone#:914-815-1176 Email:Susan.wiseman35 Qr gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Conni Cross Mailing Address: PO Box 730, Cutchogue, NY. 11935 Phone M 631-553-0151 Email.: CONTRACTOR INFORMATION: Name: Mailing Address.. Phone#: =mail- DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition *Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other 2D Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes iR No 1 PROPERTY INFORMATION Existing use of property:Single Family Residence Intended use of property:Single Family Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to AC this property? ❑Yes @No IF YES, PROVIDE A COPY. IN 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 By Wrint name): ) . (Authorized Agent El Owner Signature of Applicant: +" Date: 11.14.24 CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6185050 Qualified in Suffolk County COUNTY OF ) Commission Expires April 14, 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 1*5+ Aday of NDie--(1, 20 Notary Public P I�w°;II .�� ll ��°�IIIV'� AU��I 1V 1 Illf��U ..........�(W�here the applicant is not the-owner)-----�� Susan Wiseman residing at 8581 New Suffolk Avenue, Cutchogue, NY 11935 I, do hereby authorize to apply on my b alf to the T w of Southold Building Department for approval as described herein. November 6, 2024 Owner's Signature Date Susan Wiseman Print Owner's Name 2