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Home My WebLink About52169-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#: 52169 Date: 08/11/2025 Permission is hereby granted to: Joseph Kondracke 5 Darrow Ct Greenlawn, NY 11740 To: construct additions and alterations to an existing single-family dwelling as applied for. Premises Located at: 510 Holden Ave, Cutchogue, NY 11935 SCTM# 110.-5-21.1 Pursuant to application dated 07/15/2025 and approved by the Building Inspector.. To expire on 08/11/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition &Alteration $507.00 CO-RESIDENTIAL $100.00 Total S607.00 � � Building Inspector �� a 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) 765-9502ttl Date Received APPLICATION FOR BUILDING PERMIT EC" E0VE For Office Use Only IF IIn l � PERMIT NO. l�f Building Inspector:......... ww .www...._.._............. Applications and forms must be filled out in their entirety.Incomplete Building Departmerlt applications will not be accepted. Where the Applicant is not the owner,an `l n of Southold Owner's Authorization form(Page 2)shall be completed. Date: 7-- / 3 — -zS OWNER(S)OF PROPERTY: Name: J o.5 le �.S O �,p C. ,E SCTM#1000- I - Z ( , O O Project Address: c� ,b14 ,01k=3 N V e, G V-T L f4 ID &I U 1g. 1 3S Phone#: S 1 b - 2 3(c - 0351 Email: j Ca 1E W D M S I '� C� mil L G b M Mailing Address: rj1 p L o Ay�, G V T L f, D �U C 9 CONTACT PERSON: Name: f le N rj G N U L, Mailing Address: 2,O q L N N P'V r—� V;;-P'.5-- N fl,R-T O R-T , 7 Phone#: (p 3 ( .3 to Is ,Z 3 8 B Email:�s A� L�Iz 1�G�" i� Y>7A)IL C..c)m DESIGN PROFESSIONAL INFORMATION: Name: k O-IN Mailing Address: 2. -0 q L N N P v a, rE P � 0 R"s D S T I 3 Phone#: �p 3 1 - 31.0 8^ 7- 3 86 Email:u S A R e- )-T MP,I L.C.c" kle CONTRACTOR INFORMATION: Name: A ARL 4)A L C Mailing Address: p. 0, GO'x, 3 Zy J A m-F, sPoR-r- i1q ,�' Phone#: 5/to .. V'v- S (o (o N Email: K L 24 W ooioWfa'&)C)P Gof G%Yr»AI DESCRIPTION OF PROPOSED CONSTRUCTION El New Structure>Uclition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ S o , Will the lot be re-graded? ❑Yes"540 Will excess fill be removed from premises? ❑Yes El No 1 PROPERTY INFORMATION Existing use of pro erty: Intended use of property: 5 1 IN fA,lrn i 1, 1 A) 1 I L W (". J11 Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑YesNZo IF YES, PROVIDE A COPY, S-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, additlons,,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): X�E N S G O U L m ila N Authorized Agent ❑Owner Signature of Applicant• ` Date: STATE OF NEW YORK) SS: COUNTY OF52 FFo L je, ) 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 �S day of v 20 5 �.�- �• �' JOANN SAUL Notary Public NOTARY PUBLIC,STATE OF NEW YORK Registration No.01SA6262272 PR0 OERTYOWNER AUTHORIZATION Qualified in Nassau�un My Commission Expires: S ere the applicant is not the owner) I' J residing at v Gre a IRS a) ""�" ' do hereby authorize .�.9.c H 0 L apply on nv behalf to the Town of Southold Building Department for approval as described herein, O ner's Signature mate Print Owner's Name 2 Town Hall Annex � � Y; p ( ) Telephone 631 765-1802 54375 Main Road j Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 o� e . BUILDING DEPARTMENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION. PRE-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: .-...... ' 3 � "2, Owner: Location of Property: t7 o L to ?N A y Is, C. y --�'G HD LJ U IF--- 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) 1� 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: .... . _. w., . . ..... ..�..... .....� ........ ..m ..__ _... ..... _....__.... _.. __.. __............. Name (person submitting this form): m Capacity(check applicable line): Owner Owner representative TrussReg15.docx Effective 1/112015 s . C ,T• 1�1 , l o00 — 1 I O - S - 1 �}t']�A� � � �(f' 1 om�o- tt o -s-2�.1 3 L� Or ILJ YJ / ,CA.LE- I u T E. • .,�F� 40 vl ✓rJ: � 1 uj I 1 , 1.. ts Ln 7 t osT: 1aoo sECIaN: ! 10 3 X LOT: 2I.o01 SUP SA OF PROPERTY. 05 TITLE NO. CT5Y-LOUTTIT (�1 T(/�5RNAT€jAATT\j j/1 THE OFFSETS OR OV.IEi510.Y5 HE5Tp4 HERE5 l .U I [ .i 1 l I( � U E FROM THE PP.OPERTY U7JE5 TO THE STP.UCIURES- �--J ��..// `! 1 \J �.l VVV AP.E FOR A SPECIRC POP.P05E AND USE THEP.FFOP.E THEY ARE NOT IN-tENDEO To TOWN OF SOUTf1f10LD M1{07JUi..fliT T7iE PP.OPr&TY UNE5 ORTO GUIDETHE �7� ERECTION OF FEN'CE5. ADOTTIONAL STRUCTURES 5UFFOLK COUNTY NEW YOR ORAHY OTHFP.t`.SPP.OJQ=.Eli 1 L LOT NUMBERS: 1 1 E I O , D ( 1 _ '\ I 5 F t J 1 N 1 K 0 H D UIJKVET 1 2AcD ALTERATI F CT ADDITION THE THIS Q lll.�ss//// �.J \\\ ��!!! `ate/ 1 VV 1 �SVJ! / � i� SURVEY IS A VIOLATION OF SECTION 7209 OF THE NENl LTI 1 YORK STATE EDUCATION LAW. 3J COPIES OF TH15 SURVEY MAP NOT BEARING THE MD 62024'40" E 205.3� SUP.VEYOP.'5 INKED S EA SEAL OR EMBOSSED SEAL SNAILNOT BE CONSIDERED TO BE A VALID TRUE COPY. } GUARANTEES OR CERTIFICATIONS INDICATED HEREON moKu fur I FOUND A: MONUMENT NOT FOUND AT SHALL RUH ONLY TO THE PEPSON FOR 4YHOM THE P.O.B. O SURVEY 15 PREPARED,AND ON H15 BEHALF TO THE TITLE COMPANY,GOVEP.NMENTAL AGENCY AND LENDING IN- PEW-1 I.+ — CU 1i •ill/// STiTUNOtI LISTED HEP.EON,AND TO THE A55!GNEE5 OF THE LENDING iNSTITUnac GUAP.AIREE5 OR CF.RHF7- CV CATIONS APE NOT TP.AN5FEPABLETOAODMONAL IN- (T) l^) 5TITUTIOH5 OR 51.185EQUENT OVINER5. `R1V ; GRAVEL 0� . 113 GUARANTEED TO Li— Li J 3) IA.KA h'�,2GII7t gt 0,4Z 'u�i h> i DRIVEWAY PA(;E FRAME !?WELLING - Lu \�N FE. �, a pvlvitin510trtG1 v Q �'o,u D 4YALL 47 4y s � SURVEYED : MAY 29, 2007 OO C)_G' HUM& UPDATED 201G FOUND tviON7. ({� FOUND SPLIT RAIL V/000 L P. V. C. PENCE 62013'l 0" VV ; 223.66' Z SCALE + 1 ISL N1 URVEYORS o t p PPOFF551 .CITY 5URVEYOR5 ti uj 199 LAFAYETTE OR1VE,5YOSSET,N.Y. 1 1791 L A N D S N / F O F L I L L I A N V A N D U S E N PHONE: I-SG6-808-5800 FAX:51 G-49G-1792 RECORDS OF V/ALTER I.BR01V71,GUSTAVE A.P.OULUEF E ROBERT A.HANIES