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Home My WebLink About51697-Z 0to � 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#: 51697 Date: 02/28/2025 Permission is hereby granted to: Long GM 2017 Irry Trt PO BOX 1016 Cutchogue, NY 11935 To: Construct an unheated sunroom addition with basement foundation to an existing single-family dwelling as applied for. Premises Located at: 620 Ihar Ln, Cutchogue, NY 11935 SCTIVI#83.4-14 Pursuant to application dated 01/21/2025 and approved by the Building Inspector. To expire on 02/28/2027. Contractors: Required Inspections. Fees: Single Family Dwelling- Addition&Alteration $394.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $494.00 Building Inspector Act 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 https �-so thoidti r� o Date Received APPLICATION FOR BUILDING PERMIT ,`d 17 For Office Use Only '� '� 5I69 I PERMIT NO. Building inspector: A "020 f. , 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: i �a i k'L f - OWNER(S)OF PROPERTY: Name: Cr L,, ^y SCTM#1000- t3 I Project Address: k-�c 1ni� Li! J•L : , �l3 Phone#: l 7 G? 6 o Email: 41 Mailing Address: AVL er-, CONTACT PERSON: Name: Mailing Address: 11 -1_ 7 2— Phone#: 7 7 o Email: ws 4-w is- Q A4 4A . G6-� DESIGN PROFESSIONAL INFORMATION: Name: / t e LAWd Mailing Address: Sfi �cr�► ( � '� Z Phone#: G 3 ( ��n � I. Email /� (i� r�C CONTRACTOR INFORMATION: Name: Mailing Address: k- ric,I,— °k c✓l RL - - Phone#: 6 .-- ya Email: SU�ISc in DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ®'Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ ..2sCi LPv-:1 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes I�No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ❑No IF YES,PROVIDE A COPY. ❑ Check Box Abe,Readi= 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(print name): a,2vjc 6 Vc5e,,A6`r uthorized Agent ❑Owner Signature of Applicant: Date: 1 i t`Zq 1 STATE OF NEW YORK) SS: COUNTY OF ) C U being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above na , - (S)he is the (Con-ir-a-c—to-ri Agent,Corporate Officer,etc.) of said owner or owners,and is duly author zed to perform or have performed the said work and to ma a and file this #PkIftion;that all statements contained it this application are true to the best of his/her knowledge and belief;and that th&work will be performed in the manner set forth in the application file therewith. ,qMbefore me this _ ayof �� 20 �P Notary Public l NotW Public,Mete ofl Yak o.0ll?RiFIi21fr9E, 0=11 i tv�gxpir April l8,2028OWNER sere the applicant is not the owner) residing at Z� l�e.r t—,✓ (J�c�o tf do hereby authorize c� s Yew 6 to apply on my behalf to the Town of Southold Building';Department for approval as described herein. Owne s Signatur Date PrGt Owner's e 2 Albert J. Krupski, Jr. ? , < STORMWATER, SUPERVISOR 3 �VJ[A�N A\�Gr]El��/1[]EN�C SOUTHOLD TOWN HALL-P.O.Box 1179 ]� ] 53095 Main Road-SOUTHOLD,NEW YORK 11971 T Southold � = l oW n of CHAPTER236 - STORMWATER MANAGEMENT REFERILAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner, Design Professional, Agent ontr Other) I ° t NAME: ;z,; o z >n.�,- Date: IPrmt- _ R S1 t ur Contact Information: , ,, ti T-Mail 9 Telephone:Number, �' I �-Z L I Property Address / Location of Construction Site: ao S.C.T.M. #, 1000 District Section Block Lot To BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT ❑ n�leu o" n;�turl-an�e ;s Ic�s t' an ia cre. No a.P D E.c�. Permit is Required I t �iv L it - Project does Nnt Discharge to Waters of the State. No S.P.D.E.S. Permit is Required I ❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly tn Waters the State of Ne,.v York. THE APPLICANT MUST OBTAIN! a C F C Permit ., W�t,..., of ..... ...u.., .,. ..,,.. ,.N ,. ,,.P.A....,. DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buildin Permit. ❑ - Area of Disturbance is Greater than I Acre & Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York, THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit through the Southold Town-Engineei-Mg Department Prior to Issuance of a Building Permit. Reviewed Bv: ,�� Date: FORM ' SMCP-TOS December 2024 /. LOT AREA =419�850 SO. FT. 99-169 99-132 a o IHAR LANE (47.7) ' N.51°00'00'"E. 8 3.98' sg 24 r.t 0` S.39oWOO-E. % % 25.00' et 1A ' r seff N,51°00'OO' 82:53 s 00_ O 3 % p tk 0 w a o 00 0 0 ems" aD p o �l.s; 0 z d ° Ul r tn Y j O 56.4' P-W GAR, 2-STY. 5 COVERED PORCH FR. O DWELL. J "Y 0 J 0 2 D O 0 to li 0 l0 z wel l 00 O z � 3 w OO N 8 0 p1 O z vi set set stk S.51°00'00"W. 173.50 stk 5-27-1999 STAKED PROPERTY CORNERS LOT NO. 17 TOWN OF SOU T H O L D 4-22-99 FINAL SURVEY 2-10-1999 LOCATE FOUNDATION CESSPOOL 8 SEPTIC TANK 8 WELL LOCATIONS L2_15-98 REVISED ROOSE BY OTHERS 3-3D-9B RE115FD F+ovsE JOB NO. 97— 269 FILE NO. WOODBINE MANOR SURVEYED FOR LOT NO. 14 MAP OF WOODBINE MANOR SITUATED AT C U TC H O G U E TOWN OF SOUTHOLD -SUFFOLK COUNTY NY SCALE 1" = 50' DATE 7 — 23 — 199 7 FILED MAP NO. 8239 DATE.12 — 15 — 198°6 GUARANTEED ONLY TO TAX MAP NO. 1000 -83 —4 - 14 (REF. ONLY) DISK 17E GARY M.8 LINDA M.LONG RIDGEWOOD SAVINGS BANK HAROLD F. TRAMCHON JR. P.C. COMMONWEALTH LAND TITLE INS.CO. LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 11792 N.Y. LIC. NO. 048992 516-929-4695 HAROLD F. TRANCHON JR. PENN. LIC. NO. 21115-E