HomeMy WebLinkAbout51868-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
"' 0 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#: 51868 Date: 04/24/2025
Permission is hereby granted to:
Thomas Egner
28 Sunset Rd
Valley Stream, NY 11580
To:
construct alterations and repairs to existing porch addition to single-family dwelling as applied for,
Premises Located at:
8665 Route 25, East Marion, NY 11939
SCTM# 31.-3-14
Pursuant to application dated 03/19/2025 and approved by the Building Inspector.
To expire on 04/24/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $456.25
CO-RESIDENTIAL $100.00
Total $556.25
iuiIding Inspector
tirl TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�< Telephone 631 765-1802 Fax 631 765-9502111t %://WNVvVos(MUl(tolrl 'w n eov
�9
Date Received
APPLICA nON FOR BUILDING
O
For Office Use Only
PERMIT NO. Building Inspector _.. II 19 2025
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted, ere a ApplicantIs not t owner,a Bulldling Department
pees Authorization for e )shall e completed.
Town of Southold
Date: MARCH 18, 2025
OWNER(S)OF PROPERTY:
Name: DULCINEA BENSON & FRANK DECARLO SCTM#1000- 31-3-14
Project Address: 8665 MAIN STREET, EAST MARION, NY 11939
Phone#: (917) 838-6217 Email:dulcinea.benson@att.net
Mailing Address: 8665 MAIN STREET, EAST MARION, NY 11939
,.. ._.._... _ .�.__ .. ................. -
CONTACT PERSON:
Name: Frank Uellendahl
Mailing Address:
Phone#: Email:
PROFESSIONALDESIGN INFORMATION:
Name: FRANK W UELLENDAHL, RA
Mailing Address: P.O.BOX 316, GREENPORT, NY 11944
Phone#: (631) 680-0041 Email: frank.uellendahl@gmail.com
�.. ....._ .. __...... w ..._......... - . �......._. ._.. _...._..... ... .
CONTRACTORINFORMATION:
_----------
Name: TBD
Mailing Address:
Phone#: Email:
.._._.ml F _ CONSTRUCTION
DESCRIPT
PROPOSED
❑New Structure ❑Addition IT 'Alteration RRepair RRDemolition ___..._.... Estimated Cost of Project: .....
❑Other 35 K
Will the lot be re-graded? Dyes R No Will excess fill be removed from premises? RYes ❑No
O (zG l
fii u.J w
PROPERTY INFORMATION
Intended use of property:Existing use of property: RESIDENTIAL p p Y RESIDENTIAL
• Hants and restrictions with respect
t to
d. Are there an cove
Zone or use district in which premises is situate y p
R40 pp Y
this ro ert ? E]YesgiNo IF YES, PROVIDE A COPY.
gl..ww._ _._.. mm...
mck ROtt 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. APPUCATION 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 misdemeanorpursuant to Section 210.4S of the New York State Penal Low.
Application Submitted By(pr t a FRANK UELLENDAHL Authorized Agent 19 Owner
Signature of Applicant: pp���� MARCH 19,2025
z.`O�INIE D.BUNCH
Notary Public,State of New York
o.
STATE OF NEW YORK) Qualified i n Suffolk County
SS: Commission Expires April 14,2 0,' "d
COUNTY OF SUFFOLK
FRANK W UELLENDAHL, RA
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 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
day of 'Lr. 20
Notary Public
PRQ[) TY OWNER AginicmizATION
r the applicant is not the owner
(Where( pp )
DULCINEA BENSON residing at 8665 MAIN STREET, EAST MARION
I, g
NY, 11939 FRANK W UELLENDAHL
do hereby authorize to apply on
my If to the Town of Southold Buildi De rtm t for approval as described herein.
MARCH 18, 2025
frner's Signature Date
DULCINEA BENSON
Print Owner's Name
2
J O SHUA R. WICKS P ® L ® S 5UPVEY or PPOPEPTY
51MIT
SURVEYED BY:J.R.W. DRAWN BY:J.R.W. JOB NO.:JRW24-0336 j �rMan10N TOWN OF 50UMO�V
P.O. BOX 593 5UFFOV COUNTY NSW YO?K
Center Moriches, N.Y. 11934
JoshuaRWicks®gmail.com
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GUARANTEED TO:
FRANK DECARLO & DULCINEA BENSON
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(1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUB-DMSION 2, OF NEW YORK STATE EDUCATION LAW. (2) ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED
SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND
SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC. THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE
LENDING INSTITUTION LISTED ON THIS BOUNDARY SURVEY MAP. (4)THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED- IF ANY
OI UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A
Z SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDRIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT
SET AS PART OF THIS SURVEY. (8) THIS SURVEY WAS PERFORMED WITH A TRIMBLE S5 ROBOTIC TOTAL STATION. (9)THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED.