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Home My WebLink About52517-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 52517 Date: 12/05/2025 Permission is hereby granted to: Steven D Swanson 375 Alvahs Ln Cutchogue, NY 11935 To: install EV charger(outdoors) as applied for. Provide protection from vehicle impact. Premises Located at: 1120 Trumans Path, East Marion, NY 11939 SCTM# 31.-12-6 Pursuant to application dated 10/29/2025 and approved by the Building Inspector. To expire on 12/05/2027. Contractors: Required Inspections: Fees: EV Charger $125.00 CO-RESIDENTIAL $100.00 Total S225.00 Building Inspector ' FUI"'o� 'TOWN OFSOUTHOI;D— BUILDING DEPARTMENT f. Town Hall Annex 54375 Main Road P. O. Box 1 179 Southold, NY 11971-0959 4 Telephone (631) 765-1802 Fax (631) 765-9502 liter, i, v^ w� . outllc�ltc �rtt� . ;c��-_ Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO, �,,. IT Building Inspector__ 0 CT 2 9 2025 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 Town of Southold Owner's Authorization form(Page 21 shall be completed. Date: 9/2/2025 OWNER(S)OF PROPERTY: .. Name: Steven Swanson SCTM# 1000- 31-12-6 Project Address: 1120 Truman's Path,East Marion,NY 11939 Phone#: 917-715-6653 Email: steven.d.swanson@gmail.com Mailing Address: 375 Alvah's Ln, Cutchogue,NY 11935 CONTACT PERSON: Name: Carlos Leon Mailing Address: 320-19 Flanders Rd, Riverhead, NY 11901 Phone#: 631-381-8046 Email: edenilson.leon@aol.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Carlos Leon Mailing Address: 320-19 Flanders Rd, Riverhead, NY 11901 Phone#: 631-381-8046 Email: edenilson.leon@aol.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: CRother Adding an electric vehicle charger $ 3000 Will the lot be re-graded? ❑YeskNo Will excess fill be removed from premises? ❑Yes IXINo 1 PROPERTY INFORMATION Existing use of Single fam ily home Intended use of property: Single family home Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Residential this property? UYes 1XNo IF YES, PROVIDE A COPY. ❑ Check Box After heading: 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 namle): C101f,/ 6 S le—ov) YAuthorized Agent El Owner Signature of Applicant.• Date: qla lay STATE OF NEW YORK) 55: COUNTY OF m_w___,,,) h ._ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the CO` �� (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 , , 20, c Notary Public MELANIEANiL AUCEA Notary Public,State of New York h9i l cation No.OI A16349734 OWNER AUTHORIZATION Suffolk oaretlr � ' QrualNied l oSu �rtt�a�esQce. a« xE (Where the applicant is not the owner) Steven Swanson 375 Alvah's Ln, g 5 I, residing at Cutcho ue,NY 1193 Carlos Leon do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. V 9/2/2025 Owner's Signature Date Steven Swanson Print Owner's Name 2 AU7HOHERE ALTERATION RU OR ONLY 1 0T 70 DVS N"AkS"IS k THEmotATION OF SE WA EG A OF THE NEW TORN STATE EDUCATION LAW(2)DISTANCES SHOWN HERCOM�FRfiYY PROPERTY MRCS 70 EMISRNO SIRVCIURES ARE FOR A SPECIFlC PURPOSE AND ANE NOT;@ IDC. T0'ESTABL'1SN TY LINES OR FOR ERECTION OF FENCES, OMES Or THIS SURVEY NAP NOT BEARING THE LA O SURVEYOR'S piVto SM OR OM SEAL SMALL NOT BE CCM5"GERO TO BE A YAUD TRUE COPY.(Q CFARR ATED HEREOYA STgAM.RUN ONLY TD THE PTALB'41 FDU WHCM THE SML£Y IS PREP'AALD AN0 ON HIS BEHALF TO THE TIRE COI�ANY,GOVERNMENTAL AGENCY M;T1D L 'O WdSt1W07Y.1 t%TO HEREON,AND TO THE ASSIGNEES OF THE LENDING E ANDRO E CERE.D1 US An NOT gAUU1SPElTAB1E TO ADDITIONAL INSDNRONS OR SLtBSECYF9iT OWNEDS'.. (5)THE LOCATION OF WELLS(W);SEPTgC TARNS(S7)AC OCSSpOOLS(CS")SNCWN NEAEON ARE FROM 7EELD ODffiRYAD&WS AND OR DATA OBTAINED FROM 071 400 Ostrander Avenue,Riverhead,New York 1101C tat.631.121.2303 Pax.631.121.014 adminegoungengineeringzol N l. 4uqO�t � I Howard W.Young,Land Strrveyo 1 Thomas C.iNaV1 vrt,"esslonai Er $moo Douglas E.Adams,ProPosslonal JSTgrnee Robert C.Tost,Arahltec F, q SITE DATA ID t AREA = 110"12 $0. FT. VERTICAL DATUM NA,V.DATUM Mas 20.1,4 2P 6T 2wp � doe SURVEYOR'S CERTIFICATION 20,4 15- NE 053 +2051 + , era as 'A0 HOB VA.YOUNd,N.Y.Z.L." O,45MB �/ 45 " "XO, I A 11 ✓ xYtL �� vo is 165 5URVEY FOR r v FE5EATE 5AANSON -Of9IAO 0 Y \ '�� o o �� ' O at East Marion, Town of Southold o� 10 ( Suffolk County, New York BUILDING PERMIT SURVEY �" � ��« "+ �� f �\�/ GOUnty Tax Map Dlelrlct 1000 Section 31 Block 12 Lot Fi ' FIELD SURVEY COMPLETED NOV.20,2012 �r MAP PREPARED NOV.26,2012 Record of Revisions ✓ % RECORD OF REVISIONS DATE 30 O $5 30 60 5aale: 1" = 50' JOB NO,2012-0234 VM 2012_0239yp OF I I E =MONUMENT SET I '= MONUMENT FOUND = STAKE SET A= 5TAKE FOUND t