HomeMy WebLinkAbout51740-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#: 51740 Date: 03/14/2025
Permission is hereby granted to:
Gabriel Kochmer
13 Peacock Path
East Quogue, NY 11942
To:
Construct alterations to an existing accessory garage to create a cabana/pool house (no bathroom) as
applied for. New construction must maintain a minimum rear yard setback of 5 feet.
Premises Located at:
780 Legion Ave, Mattituck, NY 11952
SCTM# 142.-2-13.1
Pursuant to application dated 12/17/2024 and approved by the Building Inspector.
To expire on 03/14/2027.
Contractors:
Required Inspections:
Fees:
Accessory-Alteration $370.00
CO Accessory $100.00
Total $470.00
Building Inspector ���
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone 631 765-1802 Fax 631 765-95021 tt y��wwr o �thg1dto i1n . o
P ) ) � _ —M
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ° e -
PERMIT NO. 51 114 1) Building Inspector:._1118 _.. r�y�
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. �7,
Date: (( +
OWNER(S)OF PROPERTY:
Name: iw ku,tVV'&'%q SCTM#1000-
ProjectAddress: 'ZS� ( - /GN AVC-I-VC= N-t
Phone#: 512— 21 — s$ Email: C1 kc�C tI V'X f-2 ` • CC,
Mailing Address: p S 0+�bcn.`
CONTACT PERSON:
Name; Cw S /L2,NUL,-oq o
Mailing Address: —Sij� wt%Aiv-� Qa&4N-- Qk,-) -�2t+*�t�,r) N� ft'�
Phone#: 63/- 27G -333 4- Email: n7 (M G4/L • Ct �^
DESIGN PROFESSIONAL INFORMATION:
Name: OC-r
Mailing Address: o'Q i-,tt-r QovNS� Co b0 6 ( G Sam-I0LfS
Phone#: G3 Z9 5 JEmail: 1;,, k,w w(g OPTati'L iAfS: , AACT
CONTRACTOR INFORMATION:
Name: AVAS U cn-jG v G ty-s
Mailing Address: 1.54-ct
Phone#: 6 333 4— Email: Cp7-5 7-UP— 44t e--
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition teration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $ A`
Will the lot be re-graded? ❑Yes Cho` Will excess fill be removed from premises? ❑Yes
1
.............
PROPERTY INFORMATION
Existing use of property: Intended use of property: 2G��. .._.._...
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? E]Yes DNV-TF-YES, PROVIDE A COPY.
11 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(print name 24u�thorized Agent 00wner
Signature of Applicant: ....... Date: IZIOC7
STATE OF NEW YORK)
COUNTY OF S U I
84 rl,, (1, being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the A &4
(ContrWor,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
jay of UULV)�Lw 20_4
Notary&Ij y,*icWlo
Nlotor�,--P,!060
State of York
count',)0T�;Uffo�lk
PROPERTY OWNER AUTI-10RIZATION REG#01 t0LJ6090387
1 A.
(Where the applicant is not the owner) Expires April 20
1, residing at KO L tt3 V
do hereby authorize to apply on
my be to th Town of Southold Building Department for approval as described herein.
Owner's Signature
Date
Print Owner's Name
2
Joseph Fischem.FIE
pafessiwatE _ __
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TC-T 1.FOR GARAGE AND POOL HOUSE_9M SF Md
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ow
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21801
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Jos-pf Eisehetti,RE
- _ "`"�f4� ;Frafessianai En�irre�er
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Joseph Fischetti,PE
APPROVED AS NOTED Professional Engineer
5 HRoad
NY 11
DATELI 1—K B,R 4 5 1 14 0
WJG�N.
FA V6�Ob BY dhi)
NOTIFY BUILDING DEPARTMENT AT
631-765-1802 aAM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
ROUGH-FRAMING&PLUMBING
INSULATION
FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
A DESIGN OR CONSTRUCTION ERRORS
COMPLY VATH ALL CODES OF
NEW YORK STATE&TO IN CODES
RE IFIED AND CONDITIONS OF
SCRIUM 1`10LD TOON ZBA
011m MI'PLAINN11ru Fakrtl
I.Y.S.Dm
SWIMMG
-11.'T
TOTAL FOR GARAGE AND POOL HOUSE:988 SF Prolde Wind me debris
protection for new exterior
glazing on buildings as per
NYS Code.
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RETAIN STORM WATER RUNOFF o - z
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PURSUANTTO CHAPTER 236
OF THE TOWN CODE
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h,COA cic6a'An cri OL �r 2 02D Site Plan
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Joseph Fischetti,PE
Professional Engineer
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SURVEY OF PROPERTY N
SITUATE: MA-MTUCK w E
TOWN: SOUTHOi_p
SUffOLK COUNTY, NY s
SURVEYED 14,20a020
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