HomeMy WebLinkAbout52848-Z ����4rt��Ur�orQ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH. {3NE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52848 Date: 04/08/2026
Permission is hereby granted to:
William flinger
3816th St
Brooklyn, NY 11215
To:
legalize "as built"alterations to an existing single-family dwelling as applied for with flood permit.
Premises Located at:
3300 Minnehaha Blvd, Southold, NY 11971
5CTM#87.-3-38
Pursuant to application dated 03/23/2026 and approved by the Building Inspector.
7o expire on 04/07/2028.
Contractors:
Required Inspections:
Fees.•
As Built Alteration $500.00
CO-RESIDENTIAL $100.00
trod Permit $150.00
Total $750.00
Building Inspector
� °�° �
0iH s TOWN OF CITH �EI —BUILDING DEPARTMIENT
Town Flan Annex 54375 Main Road P. ( ►. fox 1179 Southold,NY 11971-0959
«; Telephone (631) 7+65-1 U2 Fax(631) 765-9502 htt s,. �w southold�towni 4qv
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only �
PERMIT NO.
Building Inspector�
Q
IN MOWN 1 11
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 fora(Page 2)shall be completed.
Date:March 16, 2026
OWNER(S)OF PROPERTY:
Name:Susan Monaco & Will Ain er SCTM#1000-473889 87.3-38
Project Address:3300 Minnehaha Blvd, ,Southold
r Email.susanmonaco@hotmail.com
#.
h mall.co m
nn�lonaco of 917-618-4220 �u�a ��
Mailing Address: 381 6th Street, Brooklyn, NY 11215
CONTACT PERSON:
Name:Jeffrey Heidtmann
Mailing Address: P.O. Box 932, Cutchogue, NY 11935
Phone#:631-734-7484 EEma:i'il:office@jwheidtmann.com
DESIGN PROFESSIONAL INFORMATION:
Name: NA
Mailing Address.-
Phone#: Email:
CONTRACTOR INFORMATION.
Name.J.W. Heidtmann, Inc.
Mailing Address:P.O. Box 932, Cutchogue, NY 11935
Phone#:631-734-7484 Email:office@jwheidtmann.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlterativn ❑Repair ❑Demolition Estimated Cast of Project:
E Other replace front door, front bedroom window,installation of air conditioning $$23,375.00
Will the lot be re-graded? ❑Yes R No Will excess fill be removed from premises? ❑Yes 10 No
1
-------------------
PROPERTY INFORMATION
Existing use of property:,sln le family dwelling Intended use of property:,sin le family dwelling
Zone or use district in which premises is situated Are there any covenants and restrictions with respect to
this property? ❑Yes RNo IF YES, PROVIDE A COPY.
11 Check Box After Reading-. The owner/contractor/design professional Is responsible for all drainage and 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 wilding 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 210.4S of the New York State Penal Law.
e e Heidtmann
Application Submitted BY(print na ®Author•
zed Agent ClOwner
Signature of Applicant: Gate: March 16, 2626
LAMS
STATE OF NEW YO R K) ��
f �� �
SS: Kota f
COUNTYOF #oi LA6179883
Suffolk
lified In Suffolk U
Qua
JeffreyHeidtmann 2
been dulqn� st , lie is the a licant
gpp
(Name of individual signing contract)above named,
(S)he 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
16 day of � 2(]March 6 Loretta Lamb
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
. . MinnehahaBlvd.
,Bu�an Monaco 3300
I, residing at
Southold
J.W. Heidtmann lnc.o hereby authorizeo apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Datev, OL/
to
�
Print Owners Name
2 61
PROPERTY INFORMATION
Existing use of property:SqjgW jWdj"jj Intended use of property:SgjVLf�jftj1ydj"jj
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ■No IF YES, PROVIDE A COPY.
El Check Box After . The owner/contractor/design professional Is responsible for all drainage and 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 210.4S of the New York State Penal Law.
Application Submitted B (print �y t� a n ■Authorized Agent ❑Owner
Pp Y�p g
Signature of Applicant: rch 16,
Notary pub11CP State OtN' e
STATE OF NEW YO R K)
p1 'LAW79883
SS: oua1�f'ied in Suffolk C In
tY
COUNTY OF Term'��
ffJC fires E)eoember w
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the A�q"
(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
X uW �"
day of 20���,
flD
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
o hereby authorize o apply on
my behalf 41 the Town of Southold Building Department for approval as described herein.
a
W �sMarch
Owner's Signature Date
Susan o n aco
Print Owner's Name
2