HomeMy WebLinkAbout52921-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Jg SOUTHOLD.,
NY
, w
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#: 52921 Date: 04/29/2026
Permission is hereby granted to:
Stephen W Hammel
16 Voorhis Dr
Old Bethpage, NY 11804
To:
legalize an "as built" pergola as applied for. Additional certification may be required.
Premises Located at:
12340 Soundview Ave, Southold, NY 11971
SCTM# 54.-7-7
Pursuant to application dated 04/09/2026 and approved by the Building inspector.
To expire on 04/28/2028.
Contractors:
Required Inspections:
Fees:
As Built Accessory Structure $418.00
CO Accessory Structure $100.00
Total 518.00
Building Inspector
� TOWN F SOUTHOLD BUILDING DEPARTMENT
J Town :Mall annex 54375 Main Road P. 0. Boy. 1179 Southold, THY 11971-0959
A Telephone (631 7f 5-1 02 Fax (631) 765�-9502hl!M,-i� �., , r
e
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
PERMIT NO. Building lmecto .
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q
Applications and forms must, be felled -ut'n thietr entirety.Incomplete
v
a papal dcati ns w0l no be accepted. M ewppI1qmt is not the owner,,an
Owner's Ado a on form age 2. shall be comet
Date Peero(jtpe- Z J;, 2023
OWNER(S) P'I PERT `
Name:Ste hen W. Hammel ISCTM #1000- — --
Project Address:12340 Soundview Avenue
Phone#:516 660-1368 Email:.qwHammel@Gmaii.com
...............
Mailing Address:16 Voorhis Drive, ld Bethpage, New York 11804
...........
CONTACT, N:
Name:Step hen W. Hammel
Mailing Address:16 Voorhis Drive, Old Bethpage, New York 11804
Phone#:515 660-1368 Email:SWHammel@Gmail.com
DESIGN PROFESSIONAL INFORMATION*
Name: NA
Mailing Address:
Phone#: Email:,.
CONTRACTOR INFr RMATIOW
Name:NA
Mailing Address:
Phone#: Email.
DESC IP'T ON OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition F�Alteration O Repair ❑Demolition Estimated cost of Project:
Ra ola $1,000.00
Other 9
F'er
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo
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this property? ElYes R No IF YES, PROVIDE A COPY.
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A lication Submitted (print name). ]Authorized Agent owner
Application Y�p �
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Signature of Applicant, � Date: t� r
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STATE OF NEW YORK) F
SS:
COUNTY OF Nassau 'J
Stephen W. Hammelf
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named, f
(S)he is the 0 w n it r
(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
da of + +� 20
23
Notary Public
it r'Iff gill�
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PROPERTY OWNER AUTHORIZATION
ORK
(Where the applicant is not the owner � �.
� ��h,.n is✓va W�X%�W rvV �b�mY
Wb XR�&� �R inn
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rending at �n
do hereby authorize . , � Y ` t�,apply on
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my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
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Print Owner's Name
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S.C,T o. DISTRICT: 1000 SECTION:54 BLOCK: 7 LOT(S):7
DWELLING
VACANT WOODED W/PUBLIC WATER
150' 36555'
j LlFRS
ry
SO UND VIL E W A VENUE
ENE Or PAVMEENT
MiEft'p, W'M"
U-P. 01
N 42 05 1'00 E EL 15.6 80.0
MNe
EL 14,9!
EL 17.0
100,00' Z E'
EXIST.
Cf � I ARC
4- ASPHALT
Oc C)i DRIVEWAY 2 6,E
to EL 16,8
BRICK WALK 2 6'E
VACANT 0
DWELLING
T F80001 W DWELLINGS
B
W/PUBLIC WATER 'f RICK W
100' 0,4* BRICK W/PUBLIC WATER
nnmum
5 0
100' EL 20.6 1 STOOP 150'
III,EVER ENTRY )7EL 18.5
EL 22 5 GARAGE
110, 1 112 STY 00
FRAME DWELLING X, 0
15,4' o #12340
A�C M
LAND N/F OF RICK
FREDDIE DIAZ
BRICK PATIO
Z"
EL 20,0
.....................
Ri K, WALL
EL 22,9
1�EL 20,3
LO
E 18.5 LAND NIF OF
BERRYMAN ROSE
LEV.
OR BROWN U
OL LOAM
1.0,
BROW",
ML SILT 0 crN
6.0'
BROWN
ML SANDY
SILT
WITH
GRAVEL 17'
'' HIGHEST EXP. EL 2 6,,,,5
WATER IN WATER EL 1.5 EL 22,�2
ML
BROWN WON,
SANDY
SILT S 42 05 W 80.00,
WITH DWELLINGS
GRAVEL 1.9 WIPUBLIC WATER
WATER IN 750'
BROWN LAND N/F OF
sP FINE TO I
MEDIUM EDWARD KRAMER JR ADD A/ —
C UNIT 0615-23
SAND 28'
THE WATER SUPPLY, WELLS, DRYWLLS AND CESSPOOL
JULY 25, 2022 LOCA 77ONS SHOWN ARE FROM FIELD OBSERVA 77ONS
McDONALD GEOSERVICES AND OR DATA OBTAINED FROM OTHERS.
NAVD88
ELE VA TION DATUM:.
AREA:12,799-18 SQ.FT. or 0.29 ACRES ......
COPIES OF THIS SUR VEY
UNAUTHORIZED ALTERATION OR AD0177ON TO THIS SURVEY IS A 140LA71ON OF SEC77ON 7209 OF THE NEW YORK STAX EDUCATION W. COPIL
MAP NOT REARING THE LAND SURVEYORS EMSOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE'COPY GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR 14"OM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY GOVERNMENTAL AGENCY AND LENDING IIVS77TU77ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE Nor TRANSFERABLE
THE OFT-SETS OR DIMENSIONS SHOWV HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED To momumw THE PROPERTY LINES OR rO GUIDE THE ERECTION or FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
ANDIOR SUBSURFACE STRUCIVRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AI'THE TIME OF SURVEY
-----------
.SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: STEPHEN HAMMELo
,,,
MAP OF:
FILED: A
SITUATED AT.SOUTHOLD
"k 71
PLLC
TOWN OF:SOUTHOLD XENNB
Pir,ofessional Laud Su rive ng, and Design,
SUFFOLK COUNTY, NEW YORKa. or
P.O. Box 153 Aquebogue, New York 11931
PHONE (631)298-15 FAX (631) 298-1588
W
05 lntainLng Lhe raeords of Robart J.HeEmemy&gennath K.Woychuk
FILE #221—183 SCALE:1"=20' DATE: NOV. 8, 2021 N.Y S LIS C. NO, 08 2 ma
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