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Home My WebLink About51915-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#: 51915 Date: 05/13/2025 Permission is hereby granted to: Walter Ruiter 126 Makamah Rd Northport, NY 11768 To: Demolish an existing deck and construct additions and alterations to an existing single-family dwelling to include a finished basement as applied for. Premises Located at: 40 Grigonis Path, Southold, NY 11971 SCTM# 63.-7-5 Pursuant to application dated 04/04/2025 and approved by the Building Inspector. To expire on 05/13/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $1,550.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total S1,650.00 Building Inspector 40 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 : /www. outholcltown +. oy Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 51 5 AI-) 0 PERMIT NO. Building lnspeckear; 25 Applications and forms must be filled out in their entirety.Incomplete Building Department applications will not be accepted. Where the Applicant Is not the owner,an Town of Southold Owner's Authorization form('Page 2)shall be completed. Date: OWNERS)OF PROPERTY: Name: 60 SCTM#1000 693 . Project Address: L J O C-:7-ro'ej pen . ,. S6(J af:4 ^✓ Phone#: d 3 � �J Email: v y T� ! Mailing Address: (p p1 J da A /e® /(Jo-! CONTACT PERSON: Name: 1 4e2 7 « Mailing Address: /.-)-& Phone#: (J 3� Y 3 9 S'9 0 8 Email: -r 7- 4q YA,4 DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: ( �� _ 1'"i, Spv O/ N y)/ Phone#: J Q Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ERAddition CPAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ 9�'d$ Dac Will the lot be re-graded? ❑Yes 10lao Will excess fill be removed from premises? ❑Yes Flo 1 PROPERTY INFORMATION Existing use of property: n ^ Intended use of property:. ll� a ah,/ e 5, r , Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to 6) this property? ❑Yes Ft4No 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 ad applicable laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and in bullding(s)for necessary inspections.False statements made herein are punishable as a Gass A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(print name): 1 T E� v ��1DAuthorized Agent 001 Signature of Applicant: Date: STATE OF NEW YORK) rr S5: COUNTY OF �(,l'F44 ) a leer kLotf being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the (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 I day of 20 Nota*Pulic �r DANIEL MARZELLA Notary Public-State of New York PROPERTY OWNER AUTHORIZATION NO.OIMA6399249 Qualified in Nassau County (Where the applicant is not the owner) My Commission Expsres Oct 15. 2027 µ, 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 Telephone 631 765-1802 Tele Town Hall Annex P ( ) 54375 Main Road Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRICTION PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: L- Owner: Location of Property: q d Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line).- Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FR) Signature: Name (person submitting this form): Capacity(check applicable line): Owner Owner representative TrussReg15.docx Effective 1/1/2015 Z O 2 0� Z < p m < I I N 230 23' 50" W I I T � 29.04 m 1 101.22' i N 230 23' 50" W 75.00' r m rn c, 1 A, N 2756 00a VV I FE. 0.4' N. W -- -- - I of f ❑ � ❑ �+ "' i P/0 LOT 5 c ❑ v� UNE OF WOOD POSTS vl 6_HIGH STOCKADE � 1 MAP.P 0E FE. 0.4' S. r'*i r'i* 4' HIGH N UNK FENCE �_ w Z I CHAI FE. ON UNE 11 a 0 > I^ V CD En �m W F STOCK At F€ HIGH �1 O 0) OJ r CE rn I �P� P/O LOT 5 �l m m o 2�a q t - a M jr FE. 1.9' N. .2' FE. 8.2' N. - 1p,i* 52.7' �E �� ¢ z P9 LOT 4 Q t z m d ;D Ilk, z < r o . PO v+ 'i L DA. S 20° 56' 00" E 80.00' (A v N � O - FL 0.3' N. GRIGONIS PATH S 200 56' 00" E 110.87' c CAw. � so' vwoe) O 110.70' DEED do YAP > �I .. ml 2 M 01 LOT 8 I Cn LTI � M O m 70 0 O D � WELLS AVENUE ISSUING OF A NEW TITLE POLICY OR REDATING OF AN EXISTING THE OFFSETS OR DIMENSIONS SHOWN FROM THE STRUCTURES TO THE PROPERTY LINES POLICY REFERENCING THIS SURVEY WITHOUT BENEFIT OF AN UPDATE ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE OF THIS SURVEY BY THOMAS MATARAZZO, LAND SURVEYOR SHALL THE ERECTION OF FENCES, RETAINING WALLS, POOLS,PATIOS, PLANTING AREAS, ADDITION TERMINATE ANY LIABILITY EXPRESSED OR IMPLIED HEREON. TO STRUCTURES AND ANY OTHER CONSTRUCTION. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS 7209 OF T14E NEW VORK STATE EDUCATION LAW, OF RECORD, IF ANY, NOT SHOWN ARE NOT CERTIFIED CO-Mt OF THIS SURVEY?SAP NOa SEA-FONG THE LAND SURVEYOR'S INKED SEAL OR EMBOSSM SEAL 59 NOT BE O'NSIDSEO TO BE A VALID TRUE COPY. OF NP CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE THOMAS MATARAZZO SURVEY IS PREPARED, AND ON HIS BOiALF TO THE RILE COMPAN'�,CO ENTAL AGENCY AND SENDING INSTITUTION '�"_6 HEREON. AND TO THE Aaa MA 0 EIS THE - LENDING INSTITUTION. CERTIFICATIONS AFW- NOT TRANSFERABLE TO ADDITIONAL LAND SURVEYOR 631-472-0968 _ INSTITUTIONS OR SUBSEQUENT OWNERS, 32 SEQUOIA WAY, HOLBROOK, NY 11741 SCALE: 1"= 30' 2023 email: TomTheSurveyor@gmail.com SURVEY OF: PART OF LOT 5 CERTIFIED T0: FILED MAP: HARVEST HOME ESTATES, SECTION ONE WALTER RUITER and ANNA RUITER FILED: JULY 18, 1969 MAP No. 5337 United Nations Federal Credit Union Prime Title & Settlement Services LOCATED AT: SOUTHOLD, TOWN OF SOUTHOLD Security Title Guarantee Corporation of Baltimore SUFFOLK COUNTY, NEW YORK TITLE No.: PTS-8805-2023 TAX DESIG.: DIST 1000; SEC 63; BLK 7; LOT 5 DATE: DECEMBER 1, 2023