HomeMy WebLinkAbout52907-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
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#: 52907 Date: 04/23/2026
Permission is hereby granted to:
Jeremy Gittler
15 Henderson Ave
Port Washington, NY 11050
To:
construct alterations and to legalize an "as built"finished basement to an existing single-family
dwelling as applied for. Additional certification maybe required.
Premises Located at:
2120 Brigantine Dr, Southold, NY 11971
SCTM# 79.4-22
Pursuant to application dated 03/03/2026 and approved by the Building Inspector.
To expire on 04/22/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $384.25
As Built Alteration $475.00
CO-RESIDENTIAL $100.00
Total $959.25
wilding Inspector
0�w
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959Telephone (631) 765-1802 Fax(631) 765-9502 l tt :/�'N ° ^.southoldto litho:
Date Received
PERMITAPPLICATION FOR BUILDING
For Office Use Only
PERMIT NO. 5) Building Inspector. Pis _ 3 `20 6
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(Page 2)shall be completed.
Date:03.02.26
OWNER(S)OF PROPERTY:
Name:Celine Mo &Adrian Adamkovic =CTM1000-79-04-22
Project Address:2120 Brigantine Drive
Phone#:631.513.6589 Email:ZENicholson.Arch@gmail.com
Mailing Address:
CONTACT PERSON:
Name:Zackery E. Nicholson, RA
Mailing Address:PO Box 88 - Cutchogue, NY 11935
Phone#:631.513.6589 Email:ZENicholson.ArchC@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Zackery E. Nicholson, RA
Mailing Address:PO Box 88 - Cutchogue, NY 11935
Phone#:631 .513.6589 Email:ZENicholson.Arch@gmail.com
CONTRACTOR INFORMATION:
Name:TBD
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
[]New Structure ❑Addition ®'Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other As Built Finish Basement $
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes igNo
1
PROPERTY INFORMATION
Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 I
this property? ❑Yes *No IF YES, PROVIDE A COPY.
❑Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
Cbapter 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 Cass A misdemeanor pursuant to Section 2I0AS of the New York State Penal taw.
Application Submitted By(print name):Zackery E. Nicholson, RA IlAuthorized Agent ❑owner
Signature of Applicant: Date: 03.02.26
STATE OF NEW YORK)
SS:
COUNTY OF
I being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the NCAIF
(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
{� day of � ^ t�. 20-�
Kim E.Fuentes Notary Public
Notary Public,State of New York
Qualfied in Suffolk County
LIC.#O1 FU4811700. PEA III 1 ll
m ?;, . .
Mere the applicant is not the owner)
I, ^ ; m' residing at .7/30 i a '017W, AV d
�Y 9' do hereby authorize �� �° AAC 1701,50,1 to apply on
my behalf he Town of Southold Building Department for approval as described herein.
1 Owner's Signature Date
111 o
Print Owner's Name
2
WALL TYPE LEGEND
DECK EXISTING STUD WALLS
1 NEW STUD WALLS
ZEN DESIGN
POST OFFICE BOX 88
CUTCHO3
SYMBOL LEGEND PHONE:GUE, 1 .6589
PHONE:63L513.6589
--- --- ------
7Ew pluu m copyfthtorchlbach a and sn subjunder
S%102te of th
�opyddht Act,17 U.S.O.as amended DoaamEw IM and Immm
pmtacdon as en'erchltec[uml woM'anon S.o.302 0}the
as AMIIteUuml world Copydptl ProteNon Act of 1990,the
as the smntpurtem end eempaeMdon of spaces and elements of
proleUlan InUudn but Is not limited to Me avant fawn as wall
d.O.Under such pr oboe Uan.unauthadmd us of thw ploy
DECK s, w""c nhW;a�w but Ung 'K Ie."Isad an"ao thecossa of
a compansadon to ZEU DESIGN LLR
r NEW DOOR EXISTING DOOR
NO. ISSUE DATE
1
01 SDI 02.25.26
02 BUILDING PERMIT 03.02.26
DINING ROOM LIVING ROOM f `
03 BUILDING PERMIT-REV 1 04.14.28
04 BUILDING PERMIT-REV 2 04.16.26
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MASONRY HEARTH
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ADAMKOVIC- MO
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SOUTHOLD,NY 11971
t_______ _____ �� ?�'� '� SCTMN1000-79-04-22
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13
DATE. 0416 26
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DRAWN BY: ZE.N.
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DEMO PLAN
APR 2 3 2026
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ZEN DESIGN
POST OFFICE BOX 88
CUTCHOGUE,NY 11935
PHONE 631.513.6589
— — — — — — — — — These plane am copyrighted end am subject to copyright
SEPTIC EXIT POINT protectIon�;Da Sam 1 �°a,n
roMMrcecWmlwmbs netMmitedt thea AMllform..
s the ana brcNCa but eam IlmttaO to NaSpam an from ee woof
m Na design.Under such ant c tion,U sutiout o ked me of elemems of
J rkohome such Protection,legally nmd use efosseplans.
work nname rn"buil en buildings
being
resultfaor ceceadonm
constructlon or bugdings tbingaefmd and/or monetary
Fire separation compmsatlon to ZEN DW il1 LLC
BATH required as per N0. ISSUE DATE
NYS Code
01 SDI 0225.26
02 BUILDING PERMIT 03.02.26
MECHANICAL 03 BUILDING PERMIT-REV 1 04.14.26
ROOM x GARAGE 04 BUILDING PERMIT-REV 2 04.16.26
UNFINISHED
530 SF OF FINISHED BASEMENT LIVING SPACE
CONSTRUCTED BY PREVIOUS HOMEOWNER TO BE PERMITTED UNDER THIS BUILDING
PERMIT APPLICATION.
w BRED qRC
LU E.N/ y�T
Cyr` �•�,�
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RECREATION _ _
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UTILITY FINISHED.CEILING HT=8'-O" sgT�04aa2�
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APR 2 2026 ADAMKOVIC - MO
RESIDENCE
s. 2120 BRIGANTINE DRIVE
CL
SOUTHOLD,NY 11971
SCTMM 1000-79-04-22
SCALE: 1,/4'-V-O'
r .. DATE: 04.14.26
J DRAWN BY: Z.E.N.
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a
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z AS BUILT
? EXTERIOR WALLS FURRED OUT WITH 2x4 FRAMING
< ASSUMED TO BE R-15 INSULATION. BASEMENT PLAN
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WALL TYPE LEGEND
DECK EXISTING STUD WALLS
! ! NEW STUD WALLS
ZEN DESIGN
POST OFFICE BOX BB
CUTCHOGUE,NY 11935
ED1.2 ED1.1
SYMBOL LEGEND PHONE.631.513.6589
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DWI TRASH I protma e
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t, as amended Decsman erul own
L__——J L____J NEW 6'-0"x6'-8"SLIDERS a•the enengammrt and cnmpealDon of We—and clement.of
doallut Undw wch protection.unauthorlmd use of these plena•
DECK W/(2)2x10 HEADERS censwctlon or buildingsOclng aelietl and/or monetary
worst or home represented,can legally rewit In the cessation of
companaetton to ZEN DESIGN UP,
®® NEW DOOR EXISTING DOOR
* ®® NO. ISSUE DATE
01 SDI 02.25.26
yr
a LIVING ROOM 02 BUILDING PERMIT 03.02.26
DINING ROOM 03 BUILDING PERMIT-REV 1 04.14.26
04 BUILDING PERMIT-REV 2 04.16.26
3x8 TABLE
KITCHEN
WET BAR Ah
4x8 ISLAND
2
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OFFICE TF OF N E"t'
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NOT USED FOR
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FOYER SLEEPING ADAMKOVIC— MO
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Go
r f� 2120 BRIGANTINE DRIVE
SOUTHOLD,NY 11971
SCTMN 1000-79-04-22
WALL OVEN : '? r
---------------- SCALE 1/4a-lr-0a
411
DATE: 041626
DRAWN BY: Z.E.N.
9'-811 1
s
PROPOSED FIRST
FLOOR PLAN
PORCH
Aml 0mlm
ZEN DESIGN
POST OFFICE BOX 88
CUTCHOGUE,NY 11935
PHONE:63L513.6589
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These plena are apydChted and are sub
I )ant to of th
probctlon ea an'erchllectur work'under w under9ea 102 302 d the
OaPYdOd Act 17 U.S.O.as amend W McamEer 1990 and known
aWNttMural We"r.W&M Protection At of 1990.Th.
protection bcludu but b not lMked to the
fatm as well
Ike ewangsmern and composition of spaces and olmimts of
- = design.Under such protect on,unautlunt ad me of thm planti
. work or home represented,an burly result In the cessation of
coral uctlon or buildings befn{solved and/or mmobry
c ampansation to ZEN DESIGN LLG
e
CLOSET
N0. ISSUE DATE
i
01 SDI 02.25.26
t 02 BUILDING PERMIT 03.02.26
K 03 BUILDING PERMIT-REV 1 04.14.26
I
PRIMARY
BEDROOM BEDROOM
f
FAMILY ROOM
gEREO ARC
aEl
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BEDROOM
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o ADAMKOVIC- MO
BATH g RESIDENCE
CL Iti
2120 BRIGANTINE DRIVE
g SOUTHOLD,NY 11971
BATH SCTMN 1000-79-04-22
PROSCALE: 1,/4e-ir-0.
I
DATE: 04.14.26
------------------------------- DRAWN BY: Z.E.N.
EXISTING
SECOND
FLOOR PLAN
A-102