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HomeMy WebLinkAbout51771-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#: 51771 Date: 03/21/2025 Permission is hereby granted to: Hasday 2023 Family Trt PO BOX 163 Laurel, NY 11948 To;. Legalize "as built"alterations to an existing accessory garage converted to conditioned storage space only with half-bath and HVAC as applied for. Not to be used for sleeping.Additional certification may be required. Premises Located at: 200 Macdonalds Crossing, Laurel, NY 11948 SCTM# 145.-4-16 Pursuant to application dated 08/22/2024 and approved by the Building Inspector. To expire on 03/21/2027. Contractors: Required Inspections: FOOTING/REBAR, FOUNDATION 1ST, FRAMING/STRAPPING, PLUMBING , ELECTRICAL-ROUGH, ELECTRICAL- FINAL, DRAINAGE, FINAL, Fees: As Built Accessory Structure $748.00 CO Accessory $100.00 Total $848.00 Building Inspector t 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://www,southoldtoApny.gov Date Received APPLICATION FOR BUILDING PE For Office Use Only Ji'Bnn 4 PERMIT NO Building Inspector: AY-- _1_4 Applications and forms must be filled out in their entirety Incomplete applications will not be accepted. �IVhere the Applicant is`notthe owner,an° �., Oin►ner's„Authorization form(Page 2)shall be cornpleed_ Date:May 2024 OWNER(S)OF PROPERTY: Name: Hasday 2023 Family Trust SCTM# 1000-145-04-016 Project Address: 200 MacDonald Crossing, Laurel, New York Phone#:917-573-5318 Email:cho8172000@gmail.com Mailing Address: CONTACT PERSON: Name: Craig Hasday or Ina Hasday Mailing Address: 200 East 61 New York, New York 10065-8585 Phone #:917-573-531(919 _. S70,- 531 p) Email: DESIGN PROFESSIONAL INFOR Name: N/A Mailing Address; Phone#: Email CONTRACTOR INFORMATION: Name: N/A Mailing Address: Phone #: Email: DESCRIPTION OF PROPOSED CONSTRUCTION y n ❑Repair ❑Demolition Estimated Cost of Project: ❑New Structure ❑Addition ❑Alteratio OOther ExistingDeck approved b Trustees--m ( $ Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of property: residence Intended use of property:residence 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 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 inspectorson premises and in building(s)for necessary inspections.False statements made herein are punishable as a pass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): �) (� I')+�# y -t-xLLI�fsj, El Authorized Agent ❑Owner Signature of Applicant: Date: May 17, 2024 STATE OF NEW YORK) SS: COUNTY OF SUFFOLK ) CRAIG HASDAY, as Trustee being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Trustee of the Hasday 2023 Family(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 17 tbay of May , 20 Notary Public pATRICIA A.CLARK fic PROPERTY OWNER AUTHORIZATION Ftotl�ry Public,O ,state of l'�Iew�rYr No.t9tCt.S7i 1005 (Where the applicant is not the owner) Oualified in Suffolk County daa Commission Expires September3Q, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein.. Owner's Signature Date Print Owner's Name 2 YOUNG ASSOCIATES 631-727-2303 400 Ostrander Avenue,Riverhead New York 11901 admin(ayoungengineering.com HOWARD W YOUNG,Land Surveyor THOMAS C. WOLPERT,Professional Engineer r, DOUGLAS E.ADAMS,Professional Engineer&Geologist DANIEL A. WEAVER,Land Surveyor MAR 2 0 2025 ; March 19, 2025 Building, DOP r ment Town Of SOUthold via hand-deliver Attn: Ina Hasday 200 MacDonalds Crossing Laurel,New York 11948 RE: Existing Sewer Connection for Accessory Building Lot 11,Edgemere Park at Riverhead,T/O Riverhead,New York (2023-0123) SCTM No.: 1000-145-04-16 Dear Ina Hasday: On March 19,2025 Young.Associates visited your property at the above address, and can confirm that the accessory building in the northern portion of the property is connected to the existing sanitary system. Please contact us if you need anything further. Sincerely, Do gla Adams,PE,P 0 NE I' DEA/j a Encl. ESS1, Planning Engineering Land Surveying Architecture _ - ... . . ....... __ .--.,._... _...,_-_.,._.$_ -- ------- - -- , ----- - - -- -. -- - PR€.I'AR AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)8 CESSPOOLS CP)SHOD HEALTH DEPARTMENT USE I S.32 I 1 I ., \ \ 5,17 \ 3.14 \ TH Ilk O \ -T.3 F _ z m 6.57 �\ \ � 5.95+ 04 \: 4 L " O I �cO 356 + odo 00 �p 852 ��h` Ay 7-24 / 6.83 fj9p� +S. r \ 2 00 2.15 136 ,qo 4 s y \ 20 �^ +1.70 \ plo -0.10 abe \\ . 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