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Home My WebLink About51919-Z of so TOWN OF SOUTHOLD BUILDING DEPARTMENT E 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#: 51919 Date: 05/14/2025 Permission is hereby granted to: Courtney Rubenstein 2735 Beebe Dr Cutchogue, NY 11935 To: Legalize an "as built"finished basementto an existing single-family dwelling as applied forto include a wood stove(manufacturers specifications may be required).Additional certification may be required. Premises Located at: 2735 Beebe Dr, Cutchogue, NY 11935 SCTM# 103.4-37.2 Pursuant to application dated 04/27/2023 and approved by the Building Inspector. To expire on 05/14/2027. Contractors: Required Inspections: Fees: As Built Addition/Alteration $1,686.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,786.00 _2X Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 If Telephone (631) 765-1802 Fax (631) 765-9502 hitp :H,�x w. outh ldtowrmy- ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only L IL i 3 qr' i1,11 1� PERMIT NO. , Building Inspector: APR 2 7 2023 Applications and forms must be filled out-intheir entirety.Incomplete a applications will not be accepted Where t#Ie Applicant ks not the owner,an Owners`Auttio i tian of m ljPage`2)shall lie c6rriplete4. Date: OWNER(S)OF PROPERTY: Name: SCTM # 1000- 10 3 q _ 3-7 -2 Project Address: Phone#: �v3 Email: .jt�b �►�a�c� Mt✓ J -C-C)y7-1 Mailing Address: PO CONTACT PERSON: Name: Mailing Address: S 6. `""�/ Phone#: Email: DESIGN PROFESSIONAL INFORMATION; Name: Mailing Address: Scicj cy- , G Cj _ Phone#: 6A I Email: S rc, O '- ,e C),� CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition, ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: .tether � �� $ Will the lot be re-graded? ❑Yes @Vo Will excess fill be removed from premises? ❑Yes Vo 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes 6�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 Newyork and other applicable Laws,Ordinances or Regulations,for the constriction of buildings, additions,alterations or for removal or demolition as herein described.The'a0 licant `'pp agrees to comply inrith all"""' laws,ordinances building code, housingcode and regulations and to admit authorized Ins ectors on gu p premises and in building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Sectiori 210AS of the New York State Penal Law. Application Submitted By(print name): Klmh-ri-lul till' � ❑Authorized Agent Owner Signature of Applicant: Date: J�7 12,-Z::, STATE OF NEW YORK) SS: COUNTY OF SLA- r[1 W- ) being duly sworn, deposes and says that (s)he is the applicant (Name of indiviid I signing contract) above named, (S)he is the Ione,r (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 l f 120 FV ATZ-SCHWAIMBORN NOTARY PCBLh.STATE QF NEW YORK Registration No.OIGA6274028 PROPERTY OWNER AUTHORIZATION � Qualified in Suffolk County (Where the applicant is not the owner) Commission Expires Dec.24,20 I i, 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 2 140 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 .1 mr. ,00- ro err so tholdtownn . ov - sea nd southoldtownri ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATI N nformation Required) Date: Company Name: Electrician's Name- License No.: -•Iec. email_ Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: �ilmhedq � Address: C Cross Street: Phone No.: C9 BIdg.Permit #: email: � pUb�njn��l.co,�►'� Tax Map District:l 1000 Section: Block: Lot: 7-2 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Square Footage: Circle All That Apply: Is job ready for inspection?: YES ONO []Rough In D Final Do you need a Temp Certificate?: El YES ❑ 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 L 1 2 H Frame L] role Work done on Service? Y N Additional Information: as ►4-- PAYMENT DUE WITH APPLICATION SUFFOLK CO.HEALTH DEPT.APPROVAL H.S. NO. 12-SO-! 9 1/ Gl G Gc 4 f STATEMENT OF INT NT yy° EMo R Y Y�O.q THE WATER SUPPLY AND'"SEWAGE DISPOSAL 1k SYSTEMS FOR THIS °RESIDENCE WILL CONFORM TO THE STANDARDS OF THE , k Al. 73 13':SC? _- c'7.Q 1° SUFFOLK CO. DEPT. OF HEALTH SERVICES. I� pG ISI APPLICANT TTiTxT� ;„'CLI "T2» � Q� .rS �. SUFFOLK COUNTY DEPT. OF HEALTH op SERVICES — FOR APPROVAL OF m �Eaites-12SUV C/ z Sr )`� l� fva CONSTRUCTION ONLY DATE: TA/VL7 KA H.S.REF.NO.: `�.y-=71 , APPROVED: J'1 0 dm � � %J A T SUFFOLK CO.TAX MAP DESIGNATION: ( - z ^' / Q ° D V vl 7"�,�/C7L/ /V• J DIST. SECT. BLOCK PCL j � / /oOo !E '3sf 37 OWNERS ADDRESS: k� `0 TANK r 1I., _ ` a� (ra Z's S 7Jc'/. 'SD"Y✓ /5�0, U 1 �e� �5�6 9 OS6 a DEED: L. ,4 s; " F r / n TEST HOLE ., � y/ t� x �• ®1UTIIOWStD uRkwEWN OR AfglTlOJ! 71 (,•� •� �r [)j')f J�/! �! T W THIS SURVEY IS A VIOLATION OF RX2014 7289 OF THE NEW YOWL STATE FPPIIS Of THIS sURVET IAA.nO"01"' EAND 1wuRefrogR^s Iwc�sPu OR w Gulred Td1110s ro SERE SHALL NOT sE COIEIENtn Ire�. !E A A vpuo TRUE coPT. • TMRIICATHY marl+sr�ar,. TO THE K=H MR WHOA THE FWAR Y,AND ON HIS SULKLY TO 1NE ,MITTS WT+TPAT+TY,IiiOYMMIATTOAL AOHdS°' r 7-�` UREwom M"TUT."LIsm"low A" . ` fO)TIE A=TITTS Of THE LETMIHNG 9es' YYi<• 7 J 1k�1 Ma ovAR4hM An HOT TEAFOr" � . 0l 4 : C7 T' S lO S�/YI !'e"e(' TO �T lwQ O Y� _� r TITLE NO. 83O8-2-i4-193 ��1� �" `1/0�` , "r r1 �� 11r � /f6 SEAL ! : " "� Map � mf�e� a . : 'le-I/ _ - _ , VK VAS LICENSED LAND SU EYORS I GREENPORT NEW YORK a