HomeMy WebLinkAbout52701-Z TOWN OF SOUTHOLD
y
BUILDING DEPARTMENT
� T� L.D►.SOU o , NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OFAPPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: S2701 Date: 03/02/2026
Permission is hereby granted to:
Hayward Eilenberg
401 E 86th St Apt 41F
New Yank, NY 10028
To:
Construct interior alterations to an existing single-family dwelling as applied for.A floodplain
development permit is required.
Premises Located at:
800 Goose Creek Ln, Southold, NY 11971
SCTM#78.-8-1
Pursuant to application dated 01/13/2026 and approved by the Building Inspector.
To expire on 03/01/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $378.00
CO Single Family Dwelling-Addition/Alteration $100.00
Flood Permit $150.00
Total $628.00
Building Inspector
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TOWN OF SOUTHOLD BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southol4,NY 11971-0959
Telephone(631)765-1802 Fax(631) 765-9502 http5-,�, ............
n ON
Date Received
APPLICATION FO�R BUIL.DING PERMIT
For Office Use Only La 1.1
J
PERMIT No. Building Inspector:
JAN 1 3 20(-
Applications and forms must be filled out in their entirety.incomplete
applications will not be accepted. Where the Applicant Is not the owner,an
Owner's Authorization form(ftge 2)shall be completed.
Date;12.18.25
OWNER(S)OF PROPERTY:
Narne:Matthew & Michelle Molmissey SCTM#1000-78.-8-1
Project Address-800 Goose Creek Lane Southold
...............
Phone#:1-310-892-6707 Email:matt.mordssey@gmaii.com
Mailing Address:PO BOX 235 Southold, NY 11971
CONTACT PERSON:
Name:Joan Chambers
WNW,
Mailing Address:POBox49 Southold NY 11971
Phone#:631-2944241 Email-Joanchambersl O@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Nametou Schwartz
Mailing Address: 7 Ridgewood St, Bay Shore, NY 11706
Phone#031)410-6838 Email:tiderunnereng@gmaii.com
CONTRACTOR INFORMATION:
7Narne:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
F-lNewStructure FlAddition WAlteration ORepair ElDemolition Estimated Cost of Project.
F-1 Othe r
Will the lot be re-graded? E]Yes FoR No Will excess fill be removed from premises? 7Yes FN]No
........................ ..............
PROPERTY INFORMATION
nded use of property:same
Existing use of propertY:single family :1 nte
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? nYes [R'No IF YES, PROVIDE A COPY.
.. ...................
The owner/wntractar/design professional is responsible for all drainage and storrin water Issues as provided by
Readil
chapter 236 of the Town Code. APPLICATION IS HEREBY MADE to dw BuIldIng Department for the issuance of a Bullkling Permit pursuant to the Building Zone
Ordinance of the Town of Southold.Suffolk County,New York and other applicable I awe Ordinances or Regutlations,tor the construction of buildings,
additions,alterations or for removal or demolfflon as herein described.The applicant agrees to comply wfth all applicable laws,ordinances,build' code,
U19
housing code and --mons and to admit auMorkedi Inspectors on premises and In building1s)for necessary Inspections.False staterrien made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
`�-Al oan Chambers
Application Submitted By(print INAuthorized Agent 0 Owner
0.......... Nx
Signature of Applicant:
Date
19 DEC 2025
CONNIE D.BUNCH
Notary Public,State of Now York
STATE OF NEW YORK) N0.01BU6185050
SS: Qualified In Suffolk County
COUNTY OF CommissIon Explre$Aprll 14,2y VZ
Joan Chambers being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Agent
(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.
Swo before me this
11�I�A - L
day of J 5-k44e- 2Q
................
Notary Public
1,)�IROPEIITY`
NIVE
(Where the applicant is not the owner)
Matthew Morrissey residing at 800 Goose Creek Lane, Southold, NY
Joan Chambers
do hereby authorize to apply on
my be e' wn of Southold Building Department for approval as described herein.
�Oioe#
19 DEC 2025
Ownees Signature Date
Matthew S. Morrissey
Print Owneyjs Name
1111111111pipplIM1111111111111 2
........................--................................--..........................................................-.................. .......
S.C.T.M. N 0. DISTRICT: 1000 SECT ON:78 BLOCK: 8 LOT(S):I
GOOSt'
ZONE AE(EL 71
02
LAND NIF OF LAND NIF OF
BARBARA CATALANO CAROL JOHN TAGGART
JOSEPH ORLANDO WOOD DECA
kjU
z
20.B'
2 STY FRM
DWELLING M,
FFL 103 L4
ZONE X
0.2%CHANCE ANNUAL FLOOD
GARAGE
OF'7,5'
le,
dMF(ED
tsj 14. 37.4'
8 () 4 SIK
41 K
POLE
wa,DRIVEWAY
7605-
......... V
KH, WELL 0*
0 1),
64 MIS"
GOOSE GREEK LANE
26 R;&�OF WAY
FEMA MAP#36103C01 66H T14E WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
EFFECTIVE 09/25/2009 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
A REA:20,379.1 S.F.or 0.47 ACRES ELEVATION DATUM.
............
UNAUTHORIZED ALTERARON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF 77-IIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARAN7EES 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 INSTITU77ON
LISTTD HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTON, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE S7RUCTURES 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
ANDIOR SUBSURFACE STRUffURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: MATTHEWS.MORRISSEY;
MICHELLE S.MORRISSEY�
MAP OF: ...........
WESTCOR LAND INSURANCE COMPANY,
FILED: p
K.T.G.ABSTRACT CORP.;KTG-27518-S
At
SITUATED AT:SOUTHOLD
9
A
TOWN OF:SOUTHOLD
KENNETH M WOYCHUK 1AND ST,JRVEYjNG PItt
C
SUFFOLK COUNTY, NEW YORK 'n�"uj"4 "1/ Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
F1 LE #225-211 SCALE:1"=30' DATE:NOV,10.2025 N.Y S. LISC. NO, 050882 PHONE (631)298-1588 FAX (631) 298