HomeMy WebLinkAbout53020-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#: 53020 Date: 05/26/2026
Permission is hereby granted to:
Jeremy Lamande
480 N Bayv►iew Road Ext
Southold, NY 11971
To:
Install an HVAC system to an existing single-family dwelling as applied for.
Premises Located at:
480 N Bayv►iew Road Ext, Southold, NY 11971
SCTM#78.-9-41
Pursuant to application dated 05/18/2026 and approved by the Building Inspector.
To expire on 05/25/2028.
Contractors:
Required Inspections:
ELECTRICAL-ROUGH,, PLUMBING., ELECTRICAL- FINAL, FINAL,
Fees:
HVAC $250.00
Co Single Family Dwelling-Addition /Alteration $100.00
Total 350.00
Building Inspector
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.HOLD BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 1 1 971-
0959
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Telephone (631) 765-1802 Fax (631) 765-9502 ,it -, w �., l idt 4
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10
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
0
PERMIT 2 N(J. Building N�ns.e tor:
ow
'Y 2026
MA
Applications and norms must be filled out in their entirety.Incomplete
applications will not be accepted. where the Applicant is not the+owner,an
�
wne s Authorization farm(Page 2)shall be completed.
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Date: 5/15/2026
OWNER(S)OF PROPERTY:
Name: Sara Levenson SCTM#1000—78.-9-41
Project Address: 480 North Bayview Road Extension Southold NY
phone#: 917-751-5880 Email:saralmaher@gmail.com
Mailing Address: 480 North Bayview Road Extension Southold NY 11971 91
CONTACT PERSON:
Name:Sara Levenson
Mailing Address: 480 North Bayview Road Extension, Southold NY
Phone#:917-751-5880 Email: saralmaher@gmail.com�?g om
DESIGN PROFESSIONAL.INFORMATION:
Name: Dina Ferraiuolo
Mailing Address: 101 Garfield Place, Brooklyn, NY 11215
'` Email: dins dmfen Ineerin c m.
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, 57 ,
Name: Accardi Plumbing & HeatingCorp.Cor
Mailing Address: 19 Philips Street, Bohemia, NY
Phone#: 631-567-2194 Email: Nick rw lumbin cor .
C? p g p com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New structure C1Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
NOther HVAC Condenser Unit & Heat Pump $ 31
Will the lot be re-graded? ❑Yes ENO Will excess fill be removed from premises? ❑Yes NNo
-----------
PROPERTY INFORMATION
Existing use of property. residential Intend use of pro perty: residential
Are there any covenants and restrictions with respect to
Zone or use district in which premises is situated&
R-40 his property? FlYes 0 No IF YES,, PROVIDE A COPY.
waiter issues as provided by
8 Check Box After Read-in owner/contractor/design p is responsible for all drafritage MW SM
9 The of artnJUNIt thie issuance of a sWiding Permit pursuant to the Building zone
Chapter 236 of the Town code.APRKA-tiON LS HERMY Mm*to the D OF f or,
Suffolk �IkW the construction of buildings,
Ordinance of t1he Town of Southold.. County,New York and other appfia*k Laws,ordinances or Regulat
additions,alt6rations 6vforleimo0l.or demolition as herein described.The aWfimnt agrees to comply with all apprKable laws,ordinances,building Code,
housing code and regulations and to admit authorized in 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.
�'r-Zap iti C 4Authorized Agent [I Owner
pp Alication Submitted By(print name): TD I
Datep
Signature of Applicant:
STATE OF NEW Yid RK)
SS:
COUNTY OF
t being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract) 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
d ay
20
of Notary Public
M4W ,Li O
t LP,4MN
141611"10W408ti4 ft—of Nsw*rk
A No.",24-41324
PROPERTY OWNER AUTHORIZATION
POW olk( hereW the applicant is not the owner) �r Sl
L
.ej1 S o residingat.
do hereby authorize �r�e,�-r�n�Lu�C�)C CD to apply on
my behalf tot',5 'own of Southold Building Department for approval as described herein
Date
0 is Signature
Le vefisfy,
Print Owner's Name
2 ......
..........
LOT T9
LOT la
N 26*08',30" E
194.76'
0)
PROPOSED IN GROUND F&q
O� SWIMMING POOL(FILED
A UNDER SEPARATE
e APPLICATION)
T
a:
w
60A"
480 North Bayview Road Ext
f
SOUTHOLD,NY 11971
APPROXIMATE LOCATION
OF BOSCH IDS PREMIUM (51 No.. Rowm Qww
CONDENSING UNIT AND
MITSUBISHI MXZ-4D30NL
y HEAT PUMP SEE SPEC
SHEETS FOR ADDITIONAL
INFORMATION.
ISSUED FOR:
HVAC Condensing Unit
Site Plan Filing
DATE:
2W RIGHT OF WAY INGRESS AND EGRESS May 16,2026
USER 577B PACE 424
DRAWING TITLE,
Site Plan
S 23*33'40" IN 217.5 7'
Private Road 21
LAND NOW OR FORMERLY OF NOSKEMCZ
23'RIGHT OF WAY 04MM AND EUREM DRAWING NO-:
USIEN 57"PAW 427
c—10 1 00
PROJECT NO: SARA
NOTE. DRAWN BY: DIVIF
CON7RACTOR SHALL NSTALL OUTDOOR HVAC UNITS IN ACCORDANCE WITH MANUFACTURER'S PUBLISHED INSTALLATION INSTRUCTIONS SCALE; ill=20'
AND ALL APPLICABLE CODES, NCLUDING THE NEW YORK STATE MECHANICAL CODE,NEW YORK STATE RESIDENTIAL CODE,AND
NATIONAL ELECTRICAL CODE,CONTRACTOR IS RESPONSIBLE FOR VERIFYING AND PROVIDING ALL MANU ACTURER—REQUIRED
CLEARANCES FOR AIR INTAKE,DISCHARGE,SERVICE ACCESS,AND COMBUSTIBLE MATERIALS REFER TO EQUIPMENT SPEC SHEETS SHEET 9 OF 1