HomeMy WebLinkAbout52938-Z TOWN CIF SOUTHOLD
BUILDING DEPARTMENT
o
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#: 52938 Date: 05/01/2026
Permission is hereby granted to:
Jeremy Lamande
480 N Bayview Road Ext
Southold, NY 11971
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o,
demolish the existing deck addition and construct a new stoop to an existing single-family dwelling as
applied for.
Premises Located at:
480 N Bayview Road Ext, Southold, NY 11971
SCTM# 78.-9-41
Pursuant to application dated 04/21/2026 and approved by the Building inspector.
To expire on 04/30/2028.
Contractors:
Required Inspections,
Fees:
Single Family Dwelling- Addition &Alteration $266.00
DEMOLITION $80.00
CO-RESIDENTIAL $100.00
Total S446.00
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UHdi ng Inspector
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold Y, N 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 -//"ww'.so i ho4dtow n
Date Received
APPLICATION FOR BUILDING PERMIT
ILJ
For Office Use only .:...
PERMIT NO,,,- Building Inspector:
Applications and forms must be filled out 1n their entirety.Incomplete
eppl catio ns will not be accepted. Where here the A►ppllcant is not the,owinier.,an
� Owner's Aut orh ti rn form(page )shall be,completed.
Date: 4/15/2026
ES),OF PROPERTY
Name:Sara Levenson SCTM#1000-78.-9-41
Project Address:480 North Bayview Road Extension
Phone#:917-751-5880 Email:saralmahergrnail.com
Mailing Address:480 North Bayview Road Extension, Southold, NY 11971
ITACT"PEI So l:
Name:Sara Levenson
Mailing Address:480 North Bayview Road Extension, Southold, NY 11971
Phone#:917-751-5880 Email:saralmaher@gmail.com
DESIGN PROFESSIONAL I IFOR ATI I
Name:Dina l=erraiuolo, PE
Mailing Address: 101 Garfield Place, Brooklyn, NY 11215
Phone#:917-998-3060 Email:dina@dmfengineering.com
CONTRACTOW INFORMATION:
Name: ,8pecht-Macular Pools
Mailing Address: 265 Brookfield Avenue, Center Moriches, NY 11934
Phone#: 631-696-3900 Email: Elkeb@specht-tacularpools.com
DESCRIPTION,OF PROPOSED ONSTRUCTION
FINew structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Gather Qe.," e 1^
Will the lot be re-graded? ®Yes ❑No Will excess fill be removed from premises? ❑Yes W No
1
...............
---------------------------- ---- ---------------------
PROPERTY INFORMATION
----------
Existing use of property:residential Intended use of Property: residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
'R-4 0 this property.? RYes ®No IF YES, PROVIDE A COPY.
9 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 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 qmp),,- kr 4,*- C-h + R Authorized Agent 171 Owner
Signature of Applicant-, Date:
STATE OF NEW YORK)
SS:
COUNTY OF
CC
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing c6itract)above named,
(S)he is the
(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
20
2,1 d a y of 'io
Notary Public
CHRIST!"NA,DIANNE PAR SE
NOTARY PtjALJC,STATF,0,FNFW,YORK
PROPERTY OWNER,AUTHORIZATI N Registration No.0 1 PA6415578
Qualified in Suffolk ,u Int
(Where the applicant Is not the owner', My,Commission Expires
L
I t
residing at
do hereby authorize to(apply on
my behalf to the o,''n of Southold Building Department for approval as described herein.,
I1I2ko
............Owne,RsSignature Date
Sara Leve n so n
Print Owner's Name
.......................
.............
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EX/ST/NG FR.4A,?1 1G- PLAN
OCCUPANCY OR APPRO EDASNOTED
USE IS UNLAWFUL DATE; °- -o.P.s/��yar�
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