HomeMy WebLinkAbout52210-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
volt. 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#: 52210 Date: 08/25/2025
Permission is hereby granted to:
Allison Gans
192 Water St Apt 1E
Brooklyn, NY 11201
To:
Construct a shed/garage accessory to an existing single-family dwelling as applied for.
Premises Located at:
4510 Rocky Point Rd, East Marion, NY 11939
SCTM#21.-3-26.1
Pursuant to application dated 07/14/2025 and approved by the Building Inspector.
To expire on 08/25/2027.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $325.00
CO Accessory Structure $100.00
Total $425.00
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 littL)s.//www.sot,itlioldtowniiygov.
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only E C E O V E
PERMIT No. 5.a J Building Inspector.
—JIr—_
JUL 112025
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)shall be completed. Town of Southold
Date: 11 July 2025
OWNER(S)OF PROPERTY:
Name: Erin Wolfe and Allison Gans SCTM # 1000-
Project Address: 4510 Rocky Point Road East Marion, NY 11939
Phone#: 917-750-6489 Email: erinHwolfe@gmail.com
Mailing Address: 4510 Rocky Point Road East Marion, NY 11939
CONTACT PERSON:
Name: Erin Wolfe
Mailing Address: 4510 Rocky Point Road East Marion, NY 11939
Phone#: 917-750-6489 Email: erinHwolfe@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: Tiderunner Engineering & Design
Mailing Address: 7 Ridgewood Street Bay Shore, NY 11706
Phone#: 631-839-4824 Email: tiderunnereng@optonline.net
CONTRACTOR INFORMATION:
Name: NY Shed Co.
Mailing Address: 885 Wickham Ave Mattituck, NY 11952
Phone#: 631-765-3090 Email: NYShedco@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[]Other $ 30,000
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ii�No
1
PROPERTY INFORMATION
Existing use of property: Residential Intended use of property: Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes RNo 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 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.
Erin Wolfe
Application Submitted By(print name): ❑Authorized Agent ROwner
Signature of Applicant: Date: I I / ,To �Za L5
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No. 01BU6185050
SS: Qualified in Suffolk County
COUNTY OF
Commission Expires April 14,
)
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
ay of �-j ki, l 2
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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
*a8g
Fi STO�]E�.l��lMAT]ER
Albert J. Krupski, Jr.
SUPERVISOR �V][A��A��G IEhd1ENIF
SOUTHOLD TOWN HALL-P.O.Box 1179 �y T (`l }], ]�]
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town Of,1.)o u 6/L o G C•L
CHAPTER 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)
NAME: F n„ Date: I-Loz5(Prou �) 'Jul
Contact Information: fZin k wc. k
tsA�ewl�a�r
(E.Mail&Telephone Number)
1 T --`_
�O (qqkJ
Property Address / Location of Construction Site:
S to ►2� � « � S.C.T.M. #: 1000
District
Section Block Lot
J U L 1 5 2021
Building Dep COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
` of Souttem � ,
- Area of Disturbance is less than 1 Acre. No ST.D.E.S. Permit is Required!'
Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Required !
❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit
DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit.
❑ - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Flows Through Southold
Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN
a S.P.D.E.S. Permit through the Southold Town Engineering Department
Prior to Issuance of a Building Permit.
" 1&a__ _J
a4l
, 7Reviewed By: /f/// Date:
FORM SMCP-TOS December 2024
2cC P 7 c-1
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S C T.M. NO, DISTRICT: 1000 SECTION: 21 BLOCK: 3 LOT(S): 26.1
LAND M/F OF
MARIE DALLI
LAND M/F OF I --
1 1 KONSTANTINO MASTORAKIS I 401
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LAND M/F OF
9-1 1. 1 PAUL MISTHOS
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l,.P,. MON. .�
I 237.51'
MON_ - ---- - -5 604 `2011 W - EDGE OF PAVEMENT - - --
SOUTHERN BLVD.
UPDATE SURVEY 09-25-20 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
SET MONUMENTS O4-10-20 AND OR DATA OBTAINED FROM OTHERS.
AREA:98,725.07 SQ.FT. or 2.27 ACRES ELEVATION DATUM: -------------------------
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED T0: ALUSON CANS; ERIN WOLFE;
WELLS FARGO BANK, N.A.;
MAP OF:
FIDELITY NATIONAL TITLE INSURANCE COMPANY;
FILED:
I EMINENT ABSTRACT, INC.;
SITUATED AT: EAST MARION
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
' P.O. Box 153 Aquebogue, New York 11931
404—
PHONE (631)298-1588 FAX (631) 298-1588
FILE # 220-26 SCALE:1 =4O' DATE: FEB. 19, 2020 N_Y..S. LISC. NO, 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk