HomeMy WebLinkAbout52819-Z TOWN of SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
�COON,".
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT CAN THE PREMISES
WITH ONE SET OF APPR VED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52819 Date: 03/31/2026
Permission is hereby granted to:
Tomer Blechman
320 Carlton Ave
Brooklyn, NY 11205
To:
install an accessary sauna as applied for. Must provide a proper base with anchoring.
Premises Located at:
1740 Inlet pond Rd, Green part, NY 11944
5CTM#33.-3-19.7
Pursuant to application dated 03/05/2026 and approved by the Building Inspector.
To expire on 03/30/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $154.00
CO Accessory $100.00
Total S254.00
Building Inspector
Authentisign ID:24B40572-31OC-F111-A69A-00OD3A4FF82A
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
T
"own Hall Annex. 54375 Main Road P. 0. Boy. 1179 Southold,NY 11971-0959
- (631) 7d5-9502 rot .so to� dto Telephone (631) 7`6S 1802 Fay
Date Received
APPLICATION FOR BUILDING PERMIT
, f i Z P 1 MWN pp%'. rrvm i
M
For Office Use Only
a ✓,
P v
PERMIT NO., Building Inspector:
Applications and farms 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(Page 2)shall be completed.
Date:2/17/2020
OWNERS OF PROPERTY:
Name:Tomer Blechman SCTM#1000-33.- -19.7
Project Address:1740 Inlet Pared Rd, Greenport IVY
Phone#: _ 789 Email:tomer missadan c.com
(917) 880 � Y '
Mailing Address:320 Carlton Ave, Brooklyn IVY 1120
CONTACT PERSON:
Name:sara Matthews
Mailing Address:230 South Ln, East Marion NY 11989
Phone#: 201) 602-8845 Email:sara@meadpropertygroup.com
DESIGN PROFESSIONAL.INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Jeffrey Mead
i
Mailing Address:230 South Ln, East Marion IVY 11939
Phone#: 978 201- '' 82 Email:jeff@meadpropeftygroup.com
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition ❑Alteration ❑Repair 7 Demolition Estimated Cost of Project:
[!Clther Prefab Sauna with heater $12,000
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? [:]Yes RNo
Authentisig n ID:24 B40572-31 0 C-F 111-A69A-00OD3A4 FF82A
..............
PROPERTY INFORMATION
Existing use of property:Single Fam ily Intended use of property:Single Fam i ly
Existing i r�
Nwm�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40� - non conformingthis property? EJYes 9No IF YES, PROVIDE A COPY.
El C h e c k B ox Aft e r Re a d i n g: The owner/contractor/design professional is responsible for a I I drainage a nd 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 name):Sa ra M atthews Authorized Agent Downer
EXqiAaHy,signed by Sara Mafthews
Signature of Applicant: Sara Matthews Dal a:, 13:23:23-05'00 Date: 2/17/26
STATE OF NEW YORK)
SS:
COUNTY OF
Sara Matthews being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Nhe 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 th ere wit , AjjjL mb" A=' JOL jftL.-A9&,.A0
CAROLINE M MACARTHUR
Notary Public-State of New York
Sworn before me this NO.OIMA6384635
Qualified in Suffolk County
26
Y,Commission Expires Dec 17,20 1�
day of 20
...........
Notary Public
PROC)P ism RTY OWNER AUTHORIZA TI ON
(Where the applicant is not the owner)
Tamer Blechman residing at 320 Carlton Ave, Brooklyn NY 11205
,do hereby authorize Sara Matthews to apply on
M' 4 0-If to the T wn of Southold Building Department for approval as described herein.
2/17/26
T4,
Owner's Signature Date
Tamer Blech man
Print Owner's Name
2
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