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HomeMy WebLinkAbout51767-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#: 51767 Date: 03/20/2025 Permission is hereby granted to: Kreider ME Rev Trt 570 Pequash Ave Cutchogue, NY 11935 To: legalize "as built"central air conditioning to existing single-family dwelling as applied for. Premises Located at: 570 Pequash Ave, Cutchogue, NY 11935 SCTM# 103.-11-3 Pursuant to application dated 02/13/2025 and approved by the Building Inspector. To expire on 03/20/2027. Contractors: Required Inspections: Fees: As Built Alteration $500.00 ELECTRIC -Residential $200.00 CO-RESIDENTIAL $100.00 Total $800.00 ding Inspector Foci 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 hgp ://www.so tholdtowrt . ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only ` PERMIT NO. _ Building Inspector: Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an T. Owner's Authorization form(Page 2)shall be completed. Date:December 30, 2024 OWNER(S)OF PROPERTY: Name:Samuel Pa rick & Megan Dropela SCTM# 000- 03.40- '1.0 -003.00 Project Address:570 Pequash Avenue,e, Clii# 1 oq e, NY 11935 Phone#. Entail: Mailing Address:473 4th Street, Apt. 4L Brooklyn, NY 11222 CONTACT PERSON: Name:David Jude Jannuzzi, Esq. Mailing Address:PO Box 1672 MattituC , NY 11952 Phone#:631 680 1157 filaw@icioud.com DESIGN PROFESSIONAL INFORMATION: Dame: Bailing Address: Phone##: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone : Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ONO 1 PROPERTY INFORMATION Existing use of property:residential Intended use of property:residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to r 40 this property? ❑Yes BNo IF YES, PROVIDE A COPY. ❑ 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 'nt name): EfAuthorized Agent ❑Owner Signature of Appli Date: I Z/36 A�f STATE OF NEW YORK) SS: COUNTY OF ) David Jude Jannuzzi, Esq. being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Agent (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 b ore e_V t day of 20 Notary Public WILLIAM C. GOGGINS PROPERTY OWNER 'Q ARY PUBLIC-STATE OF NEW YORK (Where the applicant is not the owner) No.02GO4963689 Qualified in Suffolk County MY Commission Expires 03-12-2026 Samuel Pastrick & Megan residing at 473 4th Street, Apt 4L Bropel I, Beooklyn, NY 11222 David Jude Jannlitzzi, Esq. do hereby authorize_ to apply on my beh to a Town of Southold Building Department for approval as described herein. ner's Signature Date Samuel Pastrick Print Owner's Name Megan Dropella 2 BUILDING DEPARTMENT-Electrical Inspector � . TOWN OF SOt THOLD. Town Hall Annex- 54375 Main Road' - PO Box 1179 � Southold, New York 11971-0969, Telephone (631) 765-1802 - FAX (631) 765-9502 43- iamesh@southoldtownny.gov — seand(,southoldtownr .gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFOR ATIO (Ail Information Required) Date: Company Name: A5 Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑1 request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: PA!�TbC� 4 #? &A-PU W K IA Address: Cross Street: Phone No.: � ® Bldg.Permit#: 51-1 V1 email.- Tax Map District: 1000 Section: /03 Block: i I Lot: BRIEF DESCRIPTION OF WORK, INCLUD SQUARE FOOTAGE (Please Print Clearly): As 14 Square Footage: Circle All That Apply: Is job ready for inspection?: EJ1YES [:] N0 ❑Rough In Final Do you need a Temp Certificate?: ❑ YES r NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# ❑New service[—]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 R2 H Frame Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION MAIN ROAD (N.Y.S. RT.25) ir) ai N/F McDONAGH 42.CM FD N 44031'00" E BEECH TREE 200.00' CM UNUSABLE 02 Q(, i 22S FD 0.6,W WOOD FENCE WIRE FENCE o• WOOD FENCE O.B'S // �' d - p p ��_/ WOOD � 20.2 N� �X� OUTDOOR � DRIVEWAY O LOB, " DECK cq jT as ASPHALT SHOWER GAR W 00 2 w cq PLASTIC (SOLAR ON 136.78' — 35.4' O H 48.22' F 0 ap 0. 10.5" MAS w GREEN THE RCDF) TDE w Y HOUSE „I FR RES vSTEPS Z Ow aMAS �Jp C 2 STY /O W O LL °- STOOP r � w R D w F- � CE N #570CK/� 28.4' w D_ LL. MASS 46.30' = Z LL O PAT,io CHIMN. U) m -�r�.''d X AC LL W J Q Z X p v Y O cy ZD w I a co CD � 0 �, 3 I� v of W N x 0 a Lo I d' I-* U) 0.5'E X CM Z CM 0.4'N WOOD FENCE FD (D FD p4's w LEANS AREA= 17,000 Sq.Ft. SOUTH S 44031'00"W 200.00' N/F WOELKER DESCRIBED PROPERTY SCALE V'=30' SITUATE AT CUTCHOGUE SCTM 03.0E-11.00-003.00E SURVEYED:DECEMBER 5,2024 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK '� CIF 141 CERTIFIED TO; SAMUEL PASTRICK LAND SURVEY LONG ISLAND.COM �- , MEGAN DROPELA WARD BROOKS LAND SURVEYOR # FIDELITY NATIONAL TITLE INSURANCE NEWREZ 11 OCEAN AVENUE @CCIPYRgLTHT 2024 WARD BROOKS.ALL RIGHTS RESERVED,DUPLICATION OF THIS DOCUMENT IS A VIOLATION OF FEDERAL COPYRIGHT LAW, BLUE E POINT NY. 11715 THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE ADOPTED BY LJ w„M i THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. (63 1 ) 576-7794 (631 ) 363-3179 CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR INTEREST AND/OR ASSIGNS. CERTIFICATIONS ARE NOT TRANSFERABLE. ^ THE EXISTENCE OF RIGHTS OF WAY,ANOIOR EASEMENTS OF RECORD,IF ANY NOT SHOWN ARE NOT GUARANTEED. WAR D B RO O KS O V G MA I L.CO M ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209-2 OF THE NEW YORK STATE EDUCATION LAW. FILE#1159E DO NOT SCALE FENCES.OFFSETS SUPERCEDE