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Home My WebLink About52999-Z A � TOWN OF SOUTHOLD BUILDING DEPARTMENT sir rwy SOUTHOLD, IVY X 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#: 52999 Date: 05/20/2026 Permission is hereby granted to: Bransbourg Gilles Rev Trt 240 E 29 St New York, NY 10016 To: construct additions and alterations and to legalize "as built" interior alterations to an existing single- family dwelling as applied for. Additional certification may be required. Premises Located at: 2160 N Bayview Road Ext, Southold, NY 11971 SCTM# 79.-6-3.8 Pursuant to application dated 01/21/2026 and approved by the Building Inspector. To expire on 05/19/2028. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition &Alteration $294.00 As Built Alteration $728.00 CO ESIDENTIAL $100.00 Total 1 122.00 w, Building Inspector a TOWN OF SOUT HOLD--BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765 1802 Fax(631) 765 9502 S o I dto'wnny,.,.fr,,oy, NIPPON 0,11 IN I no--- Date Received APPLICATION FOR BUILDING PERMIT w i Y � V For office Use only f A )Y J PERMIT NO. Building Inspector,,, 2 ri 2 k .............. ----- ------------ 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"");shall be completed. �r Date;01.19.26 OWNER(S)OF PROPERTY: Name:G�I�e�i r -SCTM#1000- Bransbou Project Address: C) , 'eA,, j Phone#:831.Si ,.8 ,gg Email*ZBNicholson.Arch@gmail.com Mailing Address:240 East 29th Street - New York, NY 10016 CONTACT PERSON: Name:Zackery E. Nicholson, IAA Mailing Address:PO Box 88 - Cutchogue, NY 11935 Phone#:631.513.5589 Email:ZENicholson.Arch@gmaii.com DESIGN PROFESSIONAL INFORMATION: Name:Zackery B. Nicholson, BA Mailing Address:PCB Box 88 - Cutchogue, NY 11935 Phone#:631.513.6589 Email.ZENicholson.Arch@gmaiI.com CONTRACTOR INFORMATION* Name:TBD Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure 19,Addition RAlteration []Repair D Demolition Estimated Cost of Project: ❑Other Will the lot be re-graded? DYes R No Will excess fill be removed from premises? ❑Yes No 1 PROPERTY INFORMATION Existing use of property:Single Fam Dwelling Intended use of property:Sir1 le Fam Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes RNo IF YES, PROVIDE A COPY. chieck Bioxr Rie,aidi� , ��: The mn+r�/contr�+for/design professional Is responsible for all drainage and storm wow issues ues as provided A� TIOX IS HEREBY MAJX to the� ant for the Issuance of a gang emit pursuant to.the guild zone Chapter��of the Toawn Code. �A► �� ordinance of the Town ofSouthold,Suffolk,County,New York and other applicable Laws,ordinances or R+gulations$for the construction of builftg„ additlons,alterations or for removal or demolition as herein d +r lbedL The applicant agrees to comply with all applicable laws,ordinances,building fie, housing code and regulations and to admit authorized Inspedorr on premises and In bullding(s)for necessary Inspections.False statements made herein are puplshabte as a Class A misdemewor pwirasat to Section MAS of the New York State pens.Law. . E. Nicholson, .�'w��C!"� , n C�wr�er A lication Submitted R rint name . ' Authorized Agent ❑ Signature of Applicant: Date: 1.19.26 COI NIC D.BUNCH Notary Public,State of New'Mork STATE OF NEW YORK) No,OI BU6185050 SS: Qualified In Suffolk County Commission Expires April 14,2 a, COUNTY OF being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, Mhe 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 rX a � � day of - ,_... o � Notary Public PROPERTY °10001011111ZAT (Where the applicant is not the owner) Bransbourg24 East 9th Street Gilles I, residing at blew York, 0016Zackery Nicholson do hereby authorize to apply on my b� b t , h 0, old Building Department for approval as described herein. 01 ,12,26 I" R Owner's Signature Date Gilles Bransbourg Print Owner's Name 2 07 r ZACKERY E. NICHOLSON, RA " ENICHOL" +I N ARCHOGMA L.CC' M POST OFFICE BOX 88 CUTCHOGUE, NY 11935 PHONE: 631.513.6589 Town of Southold-Building Department May 12th, 2026 53095 Main Road Po Box 1179 Southold NY 11971 � P � Re: Br ns bo ur Residence a 2160 North Bayview Southold, N.Y. 11971 Distr'ct-1000, ,Section-79, Block-5, Lot-3-8 044 RE.: Energy Certification - Existing Second Floor Bedroom To Whom It May Concern, I inspected the existing second floor bedroom at the above referenced property. The room is approximately 300 square feet in area and is an as-built condition. The space was originally noted as storage at the time of the construction of the house in the -1988 and has since been converted into finished habitable bedroom space by the prior owner. Limited exploratory demolition was performed in select locations in order to observe existing structural & insulation conditions. Based upon these observations, it is my professional opinion that the insulation values present within the existing assemblies are generally consistent with the residential energy code standards applicable at the approximate time of original construction. The inspection results are as follows: 1 - Exterior Walls - Based upon limited exploratory demolition, the exterior wall assemblies appear to contain batt insulation consistent with approximately R-13 insulation values typical of residential construction standards of that era. 2 - Ceiling/Roof Assemblies - Based upon limited observation of adjacent attic spaces, the ceiling/roof assemblies appear to contain insulation consistent with approximately R- 19 insulation values typical of residential construction standards of that era. This certification is based upon visual observations and limited exploratory openings only. No destructive investigation beyond the limited exploratory demolition noted above was performed. Concealed conditions may vary. To the best of my professional knowledge, the existing second floor bedroom appears to contain insulation generally consistent with the applicable residential energy standards in effect at the approximate time of construction. 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