HomeMy WebLinkAbout52688-Z TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
SOUTHOLD, NY
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET ROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52688 Date: 02/20/2026
Permission is hereby granted to:
Ann O'keefe
151-64 27t h Ave
Flushing, NY 11354
To:
Construct interior alterations to existing single family dwelling as applied for.
Premises Located at:
470 Westwood Ln, Green port, NY 11944
SCTM# 31-2-14
Pursuant to application dated 11/12/2025 and approved by the Building inspector.
To expire on 02/20/2028.
Contractors:
Required Inspe lions:
Fees:
Single Family Dwelling- Alteration $1,188.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total S1.288.00
Building Inspector
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TOWN of SOUTHOLD—BUILDING DEPARTMENT
� Town Hall Annex 543 75 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 lit"
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Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
PERMIT NOM Building Inspector,: /............�/'11`1-
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A' lic t dn`s-an0 Torms m t'be filled ",6 i their tire, In►,+
apply` ati i r rill r of b acc �t d Vb r� the A P Ica" i��,r� �n
Owners Authorizat nn form(Page T shall b c+ l+!to .
Date: 11/12/25
OIJ'I' ER S OF PROPERTY.
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Name: Steven Frost ACT 000-0,3 . 0 ` 02. -` � .0,001
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Project Address: 470 Westwood Ln, �i re�'rl ort, NY 11944
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Phone#. 917-971-4594 Email'* st v n�. OSt '*ICIO,Uid.COM
Mailing Address* 450 W 24th
York, NY 10011
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CCNTAtT�PTRSN
Nam 'Steven Trost
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Maiting Address,-, 45,0 W 24�th S 6B,1,1 New "York NY 10011
Phone 1 1 � it. �t v � frost@
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DESIGN PROFESSIONAL INF M TI N&"
Narne. Rachael Judge
Mailing Address 66 Wyoming Ave,.,, Tong Beach,, NY 111561
Phone# 17-5 84-111112 Email: 6udge@ju,dgedesign.net
...............
CONTRACTOR I FORMATIONO
Name. Tornasz 'TarnOWSKI
Malli , dd ess: 8 Gat Rd, ve , NY 119,01
Phone#: 631-902-9681 Email:maximumhomeconstruction@gmall.com
DESCRIPTION F IPTIt` N F PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑other $2500000
Will the lot be re-graded? DYes W No will excess fill be removed from premises? TYes LO No
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PROPERTY INFORMATION
Existing use of property: R_1 Intended use of property: R-1
............................ -
zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? nYes No IF YES, PROVIDE A COPY.
0 heck tax After Reading: The owner/contractor/design profession'41 Js responsible for all 14rainage and storm1water issues as prqvi;led by
Chapter 236 of the Town Code. APPLICATION AS HERIEBY mADE to'the'Suild B in 0epartment for the issuance of a uildirig Permit pqr'suahtt'6' he"t Building Zone
ordinance of the Town of Southold,Suffolk,County,,New York and other a pplicable Laws''Ordinances or Regulations,for the construction of bulldlngs,,
additions',"alterations or'fbr removal or demolitio n' as herein described.,The apoliciant-agre�s to e6mply'with"a'll'ipplicable l4ws,./ordinAhce�j building"t6d4.,'
housing code and regulations,and to admit authorized Inspectors on premises and in buildings)for necessary inspections.False statements made,,herein are
punishable as a Class A misdemeanor pursuaritto Section 210.45 of the,New' York State Penal Law.
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Steve
Application Submitted By(p,* a, ie): DAuthorized Agent ®Owner
Signature of Applicant: Date: 11/12/25
STATE OF NEW YORK)
SS:
COUNTY OF JcA"rat yX I
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
day of 10 0"'C 20 Notary Public so
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_SZft
oplew,
'YORK
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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IV*; I * 0100
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
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LOT 94 LOT 93 LOT 92
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LOT 86
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AREA=20,250 Sq.Ft. ESTWOO D LANE
=0.465 ACRES
LOT 86 ON
"MAP OF EASTERN SHORES AT GRTTNPORT. SEC,2"
SITUATE AT GTE PORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
FILED:AUGUST 10, 19653 MAP#4426
CERTIFIED TO: PLAN B CAPITAL, TLC
GARY CASTANEDA
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PRO NATIONAL TITLE AGENCY
FIRST AMERI+CAN TITLE INSURANCE COMPANY
©,RIGHT 2W5 WARD BROOKS.ALL RIGHTS RESERVED.DUPLICATI,ON OF THIS DOCUMENT IS A VIOLATION OF FEDERAL COPYRIGHT LAW.
THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH THE CODIE OF PRACTICE ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS.
CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR 94TEREST A%NTMTR ASSIGNS.
CERTIFICATIONS ARE NOT TRANSFERABLE.
THE EXISTENCE OF RIGHTS OF WAY,ANDIOR EASEMENTS OF RECORD,IF ANY NOT SHOWN ARE NOT GUARANTEED. SCALE 1"=30'
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209-2 OF THE NEW YORK STATE EDUCATION LAW. a'`CTM 1000-0 3.00-02-00-01 4.000
DO NOT SCALE FENCES.OFFSETS SUPERCEDE.NO DORMERS,NO Sot-AR-
SURVEYED:UCTC}BER 9,2Q25
LAND SURVEY TONS ISL � - el
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,AN D.COM
WARD BROOKS LAND SLJRVEYOR
OCEAN AVENUE41
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BLUE POINT NY. 11715
576-7794 (631) -3179(631) �3 �
WAR TBROOKSO@GMAIT_.COM
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FIDE#11670
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