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Home My WebLink About51641-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#: 51641 Date: 02/13/2025 Permission is hereby granted to: Soundview Dr LLC 5108 Browvale Ln Little Neck, NY 11362 To: legalize "as built"alterations to existing single-family dwelling as applied for with flood permit. Additional certification may be required. Premises Located at: 605 Sound Beach Dr, Mattituck, NY 11952 SCTM#99.-1-24 Pursuant to application dated 08/13/2024 and approved by the Building Inspector.. To expire on 02/13/2027. Contractors: Required Inspections: Fees: As Built Alteration $2,153.50 Flood Permit $150.00 CO-RESIDENTIAL $100.00 Total $2,403.50 N 1/ wilding Inspector iMyL`rt �., TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 d� Telephone (631) 765-1802 Fax (631) 765-9502 htt s://www. oetl oldtowr tl a o Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only D PERMIT NO. Building Inspector: 124 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. 'Where the Applicant is not the owner,an G VETq- Ownees Authorization form(Page 2)shall be completed. TOWN SOMU01 Date:08.13.24 OWNER(S)OF PROPERTY: Name:Nick Moshouris SCTM#1000-99-1-24 Project Address:605-S. Beach Dr - Mattituck, NY 11952 Phone#:646.739.3684 Email:nickvangogh@yahoo.com Mailing Address: CONTACT PERSON: Name:Zackery E. Nicholson, RA Mailing Address: 1250 Evergreen Drive - Cutchogue, NY 11935 Phone#:631.513.6589 Email:ZENicholson.Archpgmail.com DESIGN PROFESSIONAL INFORMATION: Name:Zackery E. Nicholson, RA Mailing Address:1250 Evergreen Drive - Cutchogue, NY 11935 Phone#:631.513.6589 Email:ZENicholson.Archggmail.com CONTRACTOR INFORMATION: Name:Owner as Contractor Mailing Address: Phone#: =mail- DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $200,000 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes ImiNo 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 R-40 this property? Dyes WNo IF YES, PROVIDE A COPY. M,Check;Box After Read ii°&� 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 210AS of the New York State Penal Law. Application Submitted By(print narne):Zackery E. Nicholson, RA WAuthorized Agent ❑Owner Signature of Applicant: Date: 8.13.24 STATE OF NEW YORK) SS: COUNTY OF (31 V ZacEcruNI f cq_ I being duly sworn, deposes and says that(s)he is the applicant (Name of In 'vi ual signing contract) above named, (S)he is the (Contra or,Agent,�C porate Officer,etc.) of said owner or owners, and is duly authorized to pe orm 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 �- Jday of U la . 20 41,v2� Lary Public TRACEY L [;1 V PROPERTY ER AUTIH(HUZATION NOTARY PUBLIC,s-ra,E,",P (Where the applicant is not the owner) NO.Irr�ws<oo t" Q6LIFIED IN SUPFO K Nicholas Moshouris I, .residing at Zackery E. Nicholson do hereby authorize to apply on my beh o To Southold Building Department for approval as described herein. 7 8.12.24 Owner's SiJilature Date Nicholas Moshouris Print Owner's Name 2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT i Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 PROPERTY INFORMATION: Flood Zone:AE-(EL12) FIRM Panel:0143H SCTM#1000-99-1-24 Address:605 Sound Beach Drive city:Mattituck zip:11952 CONTACT PERSON: Name:Zackery E. Nicholson Phone#:631.513.6589 Mailing Address:PO Box 88 PROJECT DESCRIPTION: Interior & Exterior Renovations SECTION A:STRUCTURAL DEVELOPMENT(CHECK ALL THAT APPLY) Type of Structure Type of Structural Activity R Residential(1 to 4 families) ❑New structure ❑ Residential(more than 4 families) ❑Demolition of existing structure ❑ Combined use ❑Replacement of existing structure ❑Non-residential ❑Relocation of existing structure ❑ Elevated ❑ Addition to existing structure ❑ Flood proofed(attach certification) ®Alteration to existing structure ❑ Manufactured Home ❑ Other: ❑ Located on individual lot ❑ Located in manufactured home park SECTION B: OTHER DEVELOPMENT(CHECK ALL THAT APPLY) ❑ Clearing of trees,vegetation or debris ❑ Mining ❑ Grading ❑ Drilling ❑ Dredging ❑ Connection to public utilities or services ❑ Paving ❑ Placement of fill material ❑ Drainage improvement(including culvert work) ❑ Roadway or bridge construction ❑ Fence or wall construction ❑ Watercourse alteration (attach description) ❑ Excavation (not related to a structured development) ❑ Other development not listed (specify): By signing below I agree to the terms and conditions of this permit and certify to the best of my knowledge the information contained in this application is true and accurate.t understand that no work may start until a permit is issued.The permit may be revoked if any false statements are made herein. If revoked,all work must cease until permit is re-issued.Development shall not be used or occupied until a Cert.of Compliance is issued.The permit will expire if no work is commenced within one year of issuance.Other permits may be required to fulfill regulatory requirements.Applicant gives consent to local authority or representative to make reasonable inspections to verify compliance. Application Submitted By(print name):Zackery E. Nicholson Signature of Applicant: Date:02.1 1 .25