HomeMy WebLinkAbout52852-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
4 SOUTHOLD, NY
� yo
0
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52852 Date: 04/09/2026
Permission is hereby granted to:
David A Gamberg
55 Harvest Ln
Cutchogue, NY 11935
To:
construct an accessory shed as applied for.
Premises Located at:
33610 Route 25, Cutchague, NY 11935
5CTM#97:2-13.2
Pursuant to application dated 03/17/2026 and approved by the Building Inspector.
To expire on 04/08/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $245.00
CO Accessory $100.00
Total S345.00
Building Inspector
T0VVN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971 0959
Telephone 631 765-1802 Fax 631 765-9502 i�,,s: ,w vw.so ,tl ol�dto nn, �.o
Date Received
APPLICATION FOR BUILDING
°
a q
For Office Use Only
U7 o w
PERMIT NO.„ 5' Building Inspector
MAR
^�III
4 7 2026
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant Is not the owner,an °
ownees Authorization form(Page 2)shall be completed.
Date:3109126
OWNER(S)of PROPERTY:
Name:David & Maryellen Gamberg SCTM#1000-473889-97-2-13.2
Project Address:55 Harvest Lane, CutChogue, NY 11935
Phone#:631-806- q 3 Email:davld amber mail.com
�► 7 9 g g
Mailing
Address:55 Harvest Lane, CutChogue, NY 11935
CONTACT PERSON
Name:David Gamberg
Mailing Address:55 Harvest Lane, CUtChogue, NY 11935
....................................
Phone#: 1- 3 -7 Email:david amber@gmail.com
63 806 y � �
DESIGN PROFESSIONAL INFORMATION:
Name:Jake Harris Camber
Mailing Address:400 Villa9 e ParkwayNE #109, Atlanta, GA 30'� 08
Phone#:631-806-8013 Email Jake c� mber mail.com
g g �
CONTRACTOR INFORMATION:
Name:Backyard Products, Branch 59 n+-d,,+-
Mailing Address:12.16 Grand Blvd. Brentwood NY, 11717 ,,1, ............
110
Phone#:831-940-9601 Email11�01^
DESCRIPTION of PROPOSED CONSTRUCTION
New Structure E]Addgion El A,lteration ❑ReP air ❑Demolition Estimated Cost of Project:
❑Other C ° $^8,700
I
Will the lot be re-graded? nYesAiNo Will excess fill be removed from premises? ❑Yes IR,No �I
1