HomeMy WebLinkAbout51735-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#: 51735 Date: 03/13/2025
Permission is hereby granted to:
Nicholas Brice
11 E 1st St Apt PH10
New York, NY 10003
To:
construct additions and alterations to existing single-family dwelling as applied for.
Premises Located at:
5700 Nassau Point Rd, Cutchogue, NY 11935
SCTM# 111.42-2.1
Pursuant to application dated 01/31/2025 and approved by the Building Inspector.
To expire on 03/13/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $563.00
CO-RESIDENTIAL $100.00
Total S663.00
t
Building Inspector
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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 tt� //wwwosoutlj 1K�q Gov
41
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
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PERMIT NO. Building Inspector:
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Applications and forms must be filled out in their entirety. Incomplete )AN 3 1 2025 �
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. w
Date:January 31, 2025
OWNERS)OF PROPERTY:
Name:GLC 5700 Nassau Point Road Trust sCTM#1000-111-12-2.1
Project Address:5700 Nassau Point Road, Cutchogue, NY
Phone#:917 224-7870 Email:jonathanpavlich@gmail.com
Mailing Address:117 E 29th Street, #3B, New York, NY 10016
CONTACT PERSON:
Name:Frederick Weber, Architect
Mailing Address:41 East Maple Road,Greenlawn, NY 11740
Phone#:631 754-5555 Email:fweberarchitect@yahoo.com
DESIGN PROFESSIONAL INFORMATION:
Name:Frederick Weber, Architect
Mailing Address:41 East Maple Road, Greenlawn,NY 11740
Phone#:631 754-5555 Email:fweberarchitect@yahoo.com
CONTRACTOR INFORMATION:
Namepending
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $250,000
Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? Dyes *No
1
PROPERTY INFORMATION
Existing use of property:Singie Famiiy DWeiiimg Intended use of property:Singie Family Dwelling
Zone or use district in which premises is situated: mmAre there any covenants and restrictions with respect to
R40 this property? ❑Yes ENo IF YES, PROVIDE A COPY.
❑ Check Box After I''ead" fig: 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 bulkiinglsl for necessary inspections.False statements made herein are
punishable as a ClassµA misdemeanor pursuant to Section 220.45 of the New York State Penal Law.
Application Submitted By(pr' name ,F ederick Weber ®Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
:
COUNTY ORS C....)
Frederick Weber being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent (Architect) _._...__
(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
3 I day of �20 S� /
Notary Public
Y �Z w NFDAWNAARIE
, e of ta ,Coo(Where the applicant is not the owner) n Expires Der 2 ',2028
Jonathan & Dara ` " li residing at 117 E 29th St, #3B, NY, NY
Frederick Weber
�w .._ to hereby authorize to apply on
my behalfto"'f� n of fit Tow " old Building Department for approval as described herein..
u. " � dle, YG+�
wner's Signature Date
f
Print Owner's Name
2
Town Hall Annex Telephone(631)765-1802
54375 Main Road ��� Fax(631)765-9502
P.O. Box 1179 � Ff
Southold, NY 11971-0959
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRE-I NCINEERE 9
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
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Date: . .. wo....... ..�
Owner: .. .. ' _ .: . ... _a..... .. _, _ .w.._..... ..� 1. {
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Location of Property _.... _... . w rv......� �_. ......._ _...__ ._..w %'._ �
Please take notice that the (check applicable line):
New commercial or residential structure
Addition to existing commercial or residential structure
„ rt _vw Rehabilitation to an existing commercial or residential ructure
to be constructed or performed at the subject property reference above will utilize
(check applicable line):
Truss type construction (TT)
Pre-engineered wood construction (PW)
a„w Timber construction (TC)
in the following location(s) (check applicable line):
, Gm Floor framing, including girders and beams (F)
. _........ Roof framing (R)
Flour and roof framing (FR)
Signature: .._.. __.w.; _.....M.-_...__..._.w_......,� �_. _ .- .w_... ......._....W......._µ ...
Name (person submitting this form): _..............1'1 � e- . V .t....._._m............ . ...w.,.M.:
Capacity(check applicable line):
Owner
Owner representative
TrussReg15.docx Effective 1/1/2015