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HomeMy WebLinkAbout52046-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#: 52046 Date: 06/27/2025 Permission is hereby granted to: Nofoaz LLC 40817 C R 48 Southold, NY 11971 To: Construct alterations to an existing single-family dwelling to finish the basement as applied for. Premises Located at: 40817 CR 48, Southold, NY 11971 SCTM#59.-7-29.5 Pursuant to application dated 05/14/2025 and approved by the Building Inspector. To expire on 06/27/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $1,111.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,211.00 Building Inspector 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 litttis://wv^wy sota�til,00ldtoNv,llai .110V Date Recefy d APIPLICAT ION FOR IIII DING PE 1'1a, s For Office Use Only PERMIT NO J O "' Building Inspector. zu 6+ jidlPt 1d Applications and forms must be filled out in their entirety.Incomplete �O applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:May 14, 2025 OWNER(S)OF PROPERTY: Name:Anya Zander SCTM #1000-59-7-29.5 Project Address:40817 Middle Rd., Southold, NY 11971 Phone#:914-325-9488 7Fmail:anya@hustle.rs Mailing Address:40817 Middle Rd., Southold, NY 11971 CONTACT PERSON: Name:Elizabeth Thompson Mailing Address:P.0.130X 464, Orient, NY 11957 Phone#:917-848-1541 Email:et@elizabeththompsonarchitect.com DESIGN PROFESSIONAL INFORMATION: Name:Elizabeth Thompson Architect Mailing Address:P.0.130X 464, Orient, NY 11957 Phone#:917-848-1541 Email:et@elizabeththompsonarchitect.com CONTRACTOR INFORMATION: Name:Peter Torkelsen & Company Mailing Address:800 Summer Lane, Southold, NY 11971 Phone#:516-807-2265 1 Email:peter.torkelsen@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition *Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $25K Will the lot be re-graded? ❑Yes iiiiiiiiNo Will excess fill be removed from premises? ❑Yes i@No 1 PROPERTY INFORMATION Existing use of property:single family residence Intended use of property:single family residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes ANo IF YES, PROVIDE A COPY. ❑ Checlic 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. Application Submitted By(print name):Ell abe h Th meson INAuthorized Agent ❑Owner Signature of Applicant: , I Date: May 14, 2025 l CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01 BU6185050 Qualified In Suffolk County SS: Commission Expires April 14,2 COUNTY OF ) 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 l� ay of 2045 Notary Public (Where the applicant is not the owner) see attachment residing at ado 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 Building Department.Apl2fleation AUTHORIZATION (Where the Applicant is not the Owner) I NOFOAZ LLC residing at 40817 County Rd 48 (Print property owner's name) (Mailing Address) Southold NY 11971 do hereby authorize Elizabeth Thompson (Agent) to apply on my behalf to the Southold Building Department. 5/13/25 (Owner's Signature) (Date) Anya Zander (Print Owner's Name)