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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 - ------------------ 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