HomeMy WebLinkAbout52650-Z TOWN O SOUTHOLD
8 BUILDING DEPARTMENT
SOUTHOLD., NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE,SET OF P`P L AND SPECIFICATIONS
LENTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52650 Date: 02/05/202f
Permission is hereby granted to:
Clancy Real Estate Trt
230 second Ave
Phoenixville, PA 19460
To:
Construct interior alterations to existing single family dwelling as applied for.
*Interiors only; alterations to the exterior may require additional approvals.
Premises Located at:
280 Oak Ave, Southold, NY 11971
SCTM# 77.-2-3
Pursuant to application dated 12/10/2025 and approved by the Building Inspector.
To expire on 02/05/2028.
Contractors:
Required Inspections:
Fees:
CO-RESIDENTIAL $100.00
Single Family Dwelling- Alteration $684.00
Total S,784.00
Building Inspector
a_
TOW OF OOJTHO�.D— �
a ULLDINts DEPARTMENT
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� Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 11971-0959
Telephone (631) 765--1 02 Fax (631) 765-9502 i ,-H°l w southold w j,, , o .
Date Received
APPLICATION FOR BU11DING
PERMIT
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For Office Use Only
7
PERMIT NO. 60 (PSO B u i Id i n g I rs,pe tor: ,i
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Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the,Applicant is,not the owner,an
wnees Authorization form(Page 2)shall be completed. y,
Date:12/09/2025
OWNER(S)OF PROPERTY:
Name:ClansY Real Estate Trust SCTM# 1000-
P ro'Ject Add ress:
2 k Avenue so h 80 Oak ut ol
d,d N"�( 11 71
a ,
Phone#:(484) 4 2-8541 Email:clansYg irll gverizon.net
Mailing Address:230 second Avenue, Phoenixville, PA 19460
CONTACT PERSON:
Name:Jeanne Clancy (Trustee)
Mailing Address:230 second Avenue, Phoenixville, PA 19460
Phone#:(484) 4 2-8541 Email:ManeY9 irll Ca)verizon.net
DESIGN PROFESSIONAL INFORMATION:
Name:Sean Madigan, AIA
Mailing Address:42 school street, Hampton Bays, NY 11946
Phone#:(631) 258-4749 Email:Sean madigan arc hitects.com
CONTRACTOR INFORMATION:
Name:Michael Alberti - FD Building Corp
Mailing Address: 185 Montauk Highway, Westhampton Beach, NY 11978
Phone#:(631) 779-2859 Email:Mike@fdbuilding.com
DESCRIPTION OF PROPOSED CONSTRUCT"'I
CI New Structure ❑Addition Alteration ❑Repair ❑Demolition Estimated Cast of Project:
Other . $250,000
Will the lot be re-graded? ❑Yes 'No Will excess fill be removed from premises? ❑Yes F-1No
1
PRO RTY'INFOR MATION
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
R40 this property' ❑Yes 19INo IF YES,PROVIDE A COPY.
M Check 6dx After Reading: �a is .fcw go 001 ftbr*_wow 0*40 obvmw
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Application Submitted BY(print name):lea 11 Madigan ®Authorized Agent El Owner
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Signature of Applicant: Date:
STATE OF NEWYORK)
SS:
COUNTY OF Suffolk
dean Madigan �s that y and says he is the applicant
being duly sworn,deposes ) pp
(Name of individual signing contract)above named,
Mhe is the
Agent
(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 Y"Y1, D `
Iota Public
T A C EY L. DWYER
PROPERTY OWNER AUTHORIZATION N0l„RY PUP LIC,STATE OF NEW YORK
(Where the applicant is not the owner) NO..-o-i DW63�~69c0
JUNE, F2DZP
Jeanne Clancy residing. . at 230 Second Avenue, Phoenixville PA 19460 for
in
280 Oak Avenue, Southol 11 d, NY 11971 Sean Madig�nhereb authorize to apply on
do Y pp Y
my behalf to the Town of Southold Building department for approval as described herein.
11/09/25
&n1ees,Si na a Date
Jeanne Clancy
oil Print Owner's Name
2
SURVEY OF PROPERTY
PROPERTY LOCATED AT GOOSE CREEK
LOTS 183 THRU 187 & P/O UN-NAMED ROAD
MAP OF GOOSE BAY ESTATES
FILED: SEPTEMBER 12, 1934: FILE No. 1176
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M. # 1000-077-02-03
AREA = 14,861 SF. = 8.3412 ACRES (TO TIE LINE)
SCALE: 1"=30'
NOTE: THE EXISTENCE OF RIGHT OF WAYS,
WETLANDS AND/OR EASEMENTS OF RECORD
IF ANY, NOT SHOWN ARE NOT GUARANTEED.
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TEST HOLE DATA ... " `d,
(NOT TO SCALE) 10-
BY:SHAWN M.BARRON,M.S. 10,
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16-25-2025-GRADE EL.=12.4 - '
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005' SM SANDY LOAM •Z / N� u
3.6' SM LOAMY SAND °�
q h 1 STORY, 7�
FRAME RE$.
" F,FL 11 0'^
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7.4°' SW MEDIUM TO FINE SAND t �" '„ �
.0 1 CJ
.— GRD.WATER y r D
ELEV. 0.9' Z . l,.,.s
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WATER IN MEDIUM1-
1,5" SW TO FINE SAND " � a rEXIST
5"0" SW
WATER IN MIXED r `"
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TEST HOLE• 1 ° DRlvewnY3
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SURVEYED FOR:
JEANNE CLANCY
NOTE: TOPOGRAPHIC CONTOURS RESULT FROM
AN ACTUAL FIELD SURVEY AND REFER TO
N.A.V.D. 1988
--------XX--------EXISTING CONTOUR
UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A
LICENSED LAND SURVEYORS SEAL IS A VIOLATION OF SECTION 7209 11
SUB-DIVISION 2 OF THE N.Y.STATE EDUCATION LAW. WELL
ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL
OF THE LAND SURVEYOR'S EMBOSSED SEAL OR INKED SEAL SHALL BE CONSIDEREDTO BE VALID COPIES Of
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CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED
������ SURVEYED 8Y:
IN ACCORDANCE WITH THE OF PRACTICE FOR
ADOPTED BY THE N.Y.STATE EXISTING
ASSOCIAOTIION OF PROFESSIONALLAND LANDSURVEYS SURVEYORS. S T E V E N B A R Y L S K I
SAID CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY N.Y.S.IS PREPARED.AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY 1 C. N O. 050453 AND LENDING LISTED �/
THE ASSIGNEES F THE LENDING
INSTITUTION.CERTIFICATIONS ARE NOTEON TRAN F P.O.ERABLE TO ADDITIONAL INSTITUTIONS 8 0 X 6005
OR sueseauENT OWNERS. S O U T H A M P T O N, N.Y. 11969
UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS.IF ANY.ARE NOT SHOWN HEREON. A P R I L 24. 2025
ALL NATURAL FEATURES SHOWN ON SURVEY.INCLUDING BUT NOT LIMITED TO
BLUFF CREST,CLEARING,AND WETLANDS SHOULD BE VERIFIED WITH THE
APPROPRIATE REGULATORY AGENCY. "°„"� B-23-2025: ADD UTILITIES
1�4ANID
46 3 2—U PHONE: 631-283-4525 - STEVEN@SBLSPC.COM