HomeMy WebLinkAbout51826-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#: 51826 Date: 04/14/2025
Permission is hereby granted to:
Edward M Bonanno
2026 Arch St
Philadelphia, PA 19103
To:
Construct additions and alterations to an existing single-family dwelling as applied for to include a
second story addition and finished basement.
Premises Located at:
715 Legion Ave, Mattituck, NY 11952
SCTM# 142.-2-4
Pursuant to application dated 02/14/2025 and approved by the Building Inspector..
To expire on 04/14/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $789.50
CO Single Family Dwelling-Addition /Alteration $100.00
Total $889.50
Building Inspector
F 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 htt s:�/'www.soutlioldtownn r.Lov
Date Received
APPLICATION FOR BUILDING PERMIT
La ,
For Office Use Only
PERMIT NO, � � "' Building Inspector. F B 1 4 205
1.
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:
OWNER(S)OF PROPERTY:
Name:Edward & Dana Bonanno SCTM# 1000-
Project Address:715 Legion Ave, Mattituck, NY 11952
Phone#:267-265-1600 Email:edbonanno@h_otmail.com
Mailing Address:715 Legion Ave, Mattituck, NY 11952
CONTACT PERSON:
Name:Edward Bonanno
Mailing Address:715 Legion Ave, Mattituck, NY 11952
7-265-1600 F'C`
KKO
Phone#:26 �� Umail:edbonanno _h otmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Thomas O'Neill Custom Design
Mailing Address:362 Garden St, West Islip, NY 11795
Phone#:631-8271588 Email:thomasoneillcdf@gmaii.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure BAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other
Will the lot be re-graded? ❑Yes @RNo Will excess fill be removed from premises? ❑Yes *No
1
PROPERTY INFORMATION
Existing use of property:homeowner residence Intended use of property:homeowner residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes BNo IF YES, PROVIDE A COPY.
8 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.
LQAa (3v ( lC' n n V
Application Submitted By(prl ame):Edward Bonanno ❑Authorized Agent BOwner
Signature of Applicant: Date: �� , Lq
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified in Suffolk County
COUNTY OF
Commission Expires April 9 4,2 Oe)
Edward Bonanno being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Thomas O'Neill Custom Design
(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
NO),
ay of CZL. 0 1 2 0 C'-:
Notary Public
PROPERTYI TI
(Where the applicant is not the owner)
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
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BROUND °' GARAGE CDSU FFOLK COUNTY, NEW YORK
POOL t,, " 6 TAX No. 1000-14200-0200-004000
N SCALE 1"=20'
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NOTE: LOCATIONS AND EXISTENCE OF ANY
I fn NO. 715 SUBSURFACE UTILITIES AND/OR STRUCTURES NOT
12.2' I' in 1 53 PROBST DRIVE READILY VISIBLE, ARE NOT CERTIFIED. THE
10.0' I SHIRLEY, NY 11967 CERTIFICATIONS HEREON ARE NOT TRANSFERABLE.
26.4' I, 0 PHONE: 833-787-8393
E—MAIL: SURVEYS®AERIALLANDSURVEYING.COM
N WEBSITE: WWW.AERIALLANDSURVEYING.COM
THIS SURVEY IS SUBJECT TO ANY EASEMENT OF RECORD AND ANY OTHER
N N PERTINENT FACTS WHICH A TITLE SEARCH MIGHT DISCLOSE
N DISTRICT:100 LOT:4 BLOCK:2 SECTION:142 "UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
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0 MAP/FILE NO.: N/A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF ARTICLE TIO
SECTION 7209, 54Jfd6}gVVSION 2, OF THE NEW YORK STATE EDUCATION LAW"
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CONC. MAP OF: Not on a filed subdivision map ConsMdered a valid true copy.'" 'Certification Indicated hereon signify that
this surve was prepared In accordance With the existing Code of Practice
MONUMENT for Laced urveys adopted.by We New Yorrk Skate. A%soetabon at
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0.16E P.0.B, CONIC. TITLE NO.: person for wham the survey Is prepared, and on hls behalf to the tglo
MONUMENT �/ i Company, governmental agency and Mending YnMltukion. CcrWleotlanx.are
not transferable to adsi tNanal Mnstltuticns at subsequent owners."
MAP FILED DATE: N/A
CONIC. SI FWAIK COUNTY TAX MAP ID: 01 Do—14200-0200-004000
160.02' SITUATED AT: TOWN OF SOUTHOLD
EDGE O F PAVEMENT
SUBDIVISIONMAP LOT S: N A
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,COPYRIGHT 2023. RALP HEIL,
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U DATE: F brUac 14, 2023