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Home My WebLink About52052-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#: 52052 Date: 07/01/2025 Permission is hereby granted to: Jeanne-Marie Bellows 22 Old Country Rd Chester, CT 06412 To: legalize "as built" repairs/alterations to an existing accessory deck as applied for per Trustees approval. Additional certification may be required. Premises Located at: 4105 Soundview Ave, Mattituck, NY 11952 SCTM#94.-3-1.8 Pursuant to application dated 03/10/2025 and approved by the Building Inspector. To expire on 07/01/2027. Contractors: Required Inspections: FOOTING/REBAR, FRAMING/STRAPPING , DRAINAGE, FINAL, Fees: As Built Accessory Structure $250.00 CO Accessory $100.00 Total $350.00 A 4�_'_ Building Inspector � �� 1 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 hti,s /r!wwm,, otiti,oldto-,riiii g()v Date Received APPLICATION FOR BUILDINGPERMIT N 1 7*' For Office Use Only PERMIT NO. Building Inspector. Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Bi oing CIO)- ` OPnt Owner's Authorization form(Page 2)shall be completed. -own of Sout� Date:6/16/25 OWNER(S)OF PROPERTY: Name:Jeanne-Marie Bellows sCTM #1000-094-00-03-00-001-008 Project Add ress:4105 SoundvieW Ave Mattituck, NY 11952 Phone#:860.304.0345 Email:jmbellows7@gmail.com Mailing Address:22 Old County Rd. Chester, CT 06412 CONTACT PERSON: Name:Jeanne-Marie Bellows Mailing Address:22 Old County Road Chester CT 06412 Phone#:860.304.0345 Email-jmbellows7@gmaii.com DESIGN PROFESSIONAL INFORMATION: Name:BKH Architect plc Mailing Address:783 Pat Drive West Islip NY 11795 Phone#:631.241.7328 Email:bkharchitect@gmail.com CONTRACTOR INFORMATION: Name.FastWay Preservation Inc Mailing Address:46 Holly Lane Shirley, NY 11967 Phone#:631.630.6500 Email:fastwaypreservation@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION , ❑New Structure ❑Addition ❑Alteration ■Repair ❑Demolition Estimated Cost of Project: ❑Other 10 000.00 Will the lot be re-graded? ❑Yes NNo Will excess fill be removed from premises? ❑Yes NNo 1 PROPERTY INFORMATION Existing use of property:reSidence Intended use of property:residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to — j� this property? ❑Yes NNo IF YES,PROVIDE A COPY. 0 (,1iiec Box A'i'ter 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 210AS of the New York State Penal Law. Jeanne-Mare Bellows Application Submitted By(p irtt name), ❑Auhorize d Agent t zMOOwner t: zy-Signature of Applicant: Date: STATE OF NE RK) v nn Corn'c-,, SS: W k oa c)o-, COUNTY OF tk o c/, Jeanne-Marie Bellows being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Owner (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 WdL. Z day of +I L .20 61 y Q Ann G.Salauder NOTARY PUBLIC State of Connecticut My Conwr ission Expires 4/30/2029 (Where the applicant is not the owner) �� I residing at, g do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. I Owner's Signature Date Print Owner's Name 2 Glenn Goldsmith, President `gib Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10789A Date of Receipt of Application: May 27, 2025 Applicant: Jeanne-Marie Bellows SCTM#: 1000-94-3-1.8 Project Location: 4105 Soundview Avenue, Mattituck Date of Resolution/Issuance: June 11, 2025 Date of Expiration: June 11, 2028 Reviewed by: Board of Trustees Project Description: Replace in-kind/in-place existing 628 sq.ft. wood pool deck with composite decking; replace existing 3'-4" walkway and 4' steps; construct 2'-8" x 3' deck extension with 1'-8" steps. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by BKH Architect, received on May 27, 2025, and stamped approved on June 11, 2025. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. /Ovto_ 4" Glenn Goldsmith, President Board of Trustees E0 INO .VIORMATION cl L TOWN--F a. Albert J. Krupski7 Jr. STO�]l�I��l WA.]FIER r �� r �� SUPERVISOR MA INS,AGIEM I E N IF SOUTHOLDTOWNHALL-P.O.Box 1179 " � � TOWjZ of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 ✓ CHAKER 236 - STORMWATER MANAGEMENT REFERRAL FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) \n NAME: ,� � 5.. Date: 1z 1"1 Contact Informati 1 �Jagnal ha q a, IL Mad 8 Telephone Numix•r' ..� ... .. . Property Address / Location of Construction Site: �:� - S.C.T.M. # 1000 t1 cx�8 .. 4l 611LIO-D94-00-1" Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT Area or Disturbance is less than I ,Here. No S.P.D.E.S. Permit is Required I 0 Protect doc; Not Discharge to Waler:s of the Slate. No S.P.D.E.S. Permit is Re°i mired I ❑I Area of Dislurlwicc is Grcalcr Than I ;%crc&Siurni �Nalcr Runoff Discharges Dn•cctiv to Waters of the Stale of Ne\\ York. 11IL :ALPPLI('AN'I' �,IUS'I'OBTAIN a S.P.D.L:.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ Area of Disturbance is Greater than t Acre & Storm-eatcr Runoff Flog k-,Through Southold Town's MS4 Systems to Waters of the State of Nek� York. THE APPLICAN-r MUST OBTAIN a S.P.D.E.S. Permit through the Southold Tm n Eii 7inecrmg Department Prior to Issuance of a Building Permiul, r Itn ic\\cd tit r „�,, Dale: �J .0 f � �' C , v ed � Z� OPERTY e 7 j_ATE Or SUFFt LK COUN.Y, NEW YORK _-- S.C. AX Jc, 1000 94- 3-i. I SCA`E _ #amBE 99 r 9IVD r ;-rf CR € 2 " OIJ x-ji t ; �1 _ R09ETi e.RN x s vammo'-e4 ALTN 'a4D '1TLE lSU enNuC C0�??ArY s co a 3 ga - .Iap?QRrAll CHASE BARK Z AM P ' ' 'ALE 1' =60Cjk r� j t an r } gX r --- of �- -- O,ys '41 11 1 Sm �l a r _ > C$e `I`- X X � " y,�. b �i F' Nathan Taft Corwin III f f and Surveyor