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Home My WebLink About53032-Z TOWN of SOUTHOLD BUILDING DEPARTMENT SOUTHOLD IV Y 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#: 53032 Date: 05/28/2026 Permission is hereby granted to: Dominique A Randolph 315 Fourth St New Suffolk, NY 11956 To: legalize the "as built" conversion of an existing screened porch to a sunroom to an existing single- family dwelling as applied for. Additional certification may be required. Premises Located at: 315 Fourth St, New Suffolk, NY 11956 SCTM# 117.-10-16 Pursuant to application dated 05/22/2026 and approved by the Building Inspector. To expire on 05/27/2028. Contractors: Required Inspections: Fees: As guilt Alteration $650.00 CO-RESIDENTIAL $100.00 Total S750.00 Bui ldi ng Inspector � To�"VN (3F SOIJT' GLD H —BUILDING DEP`ARTM ENT Town Hall Annex 54375 Main Road P. 0.Box 1179 Southold,NY 11971-0959 51 (631) 6 -1802 Fax(631) 765-9502 ft �� wNVw.s t� o dto �vngL e Telep --------------------------- hone7 5 Date Received APPLICA riON BUILDING For Office Use only u i 9 yy+III d,II III'o ullP 41 III III .o PERMIT NO. Building Inspector. Applications and forms must be filled out in their entirety.Incomplete ri applications will not be accepted. where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 021 IL"I OWN ER(S) P" PERTY: MOOR#1 Name. SCTM#1000- _ .. Project Address: . J Phone#: Email:, MailIng Address. 4+, CONTACT PERSON: Name: Mailin Address: MW W Phone#: Email r Gam DESIGN PROFESSIONAL INFORMATION: Name: P. . p0(0f� f Marlin Address. '' '` . 70*1�- 7 0 Phone#: IA 5 V� Email: e. Teti6OA4 CONTRACTOR INFORMATION: Name: Mailing AddreI Phone#: Email: PROPOSED CONSTRUCTION 'A&"v- r DESCRIPTION OF a tot ❑ ew Strt re, ❑Addition C1Alteration ❑Peparir Demolition Estimated Cast of Project: f p I ,, U I I - - " $ Other III the lot'be e, raded' ❑Yes No will excess fill be removed from premises? ❑Yes o i 1 PROPERTY INFORMATION Intended use ofproperty: Existl ng use of property. � . ' i ` Are there an covenants and estrictions with re ect to Zane or use district in which premises �s situated: y p this property? MYes 9116 IF YES, PROVIDE A COPY. r � 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 buildings)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.4S of the New York State Penal Law. i i i Application Submitted B (print Flame : MA� Athoe Agent ❑Owner pp l Signature of Applicant: Gate: C0NNIE D.BUNCH Notary P"u �lic,State,of New York STATE CJ F NEW YO RK) o.01,BU6185050 SS: Quallfled in Suffolk County COUNTY OF Commission Expires APril , I being duly.sworn,deposes and says that(s)he is the applicant (Narneofi �ividual stgning 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 bef re,me this D,,c�'da of 20 Notary Public PROPERT Y OWNERAUTHORIZATION (where the applicant is not the owner) Dominic Randolph 315 4th ST, Now Suffolk, NY 11956 I, residing at Richard M. Mato do,hereby authorize to apply on my behalf to the Town,of Southold Building Department for approval as described herein. 6th of May, 2626 Owner's Signature Date Dominic Randolph Print Owner's Name i 2 SYMBOL LEGEND JACKSON STRE T f 71 MONUMENT FND 7 0 I.P. 1,8.FND 0 I.P. I.B.SET ,05.66 SPOT ELEVATIONS f F-i" TRAFFIC SIGNAL POLE CC-) LJ11UTY POLE >- GUY WIRE c:� UTILITY POLE:W/VOiT LIGHT POLE TAX LOT 17 SIGN NIF OF NATHAN WARNER ESTATES FIRE HYDRANT 1 STORY MANHOLE BUILDING BOG MM'A"-INLET f *8"-INLET MON FNO S83 12.6 043'40"E 103.10 MON Iz E"-INLET 4wmw owpowmam III I I wl I 1111101!1!tl FIND YARD INLET DILAP.3'SPLIT RAIL FEN. 0�4* YARD INLET FEN CL CABLE TV BOX 0.8* Z 1-6' A/C UNIT ®ELECTRIC METER WALL -#I TAX LOT 16 ©GAS METER CN C14 ®WATER METER 0) - CO U_j 0 9v GAS VALVE C6 xwy WATER VALVE TEST HOLE 8.7- tR TREE SHRUB FRAME SHED Cj 0 BOLLARD 18.5I A WETLAND FLAG D.C.DEPRESSED CURB FE.FENCE 18.1* MAS.MASONRY (J I PLAT PLATFORM FRAME GRAVEL W.W.WINDOW WELL GARAGE DRIVEWAY B/W BAY WINDOW 8 C/E CELLAR ENTRANCE, O/H OVERHANG WALL R/O ROOF OVER 0.5' 8.9, L,S.A.LANDSCAPED AREA CANT.CANTILEVER Lj < oe i 1 STORY 0, pp ae 1 STORY 0 T"WT 14.1 9.91 47.9' NIF OF GEORCE HljVSCH 0 STORY L] 2 STORY FRAME BUILDING #315 CL "'T CO 22.2' 48.4° CL 2X I STORY 70.8' 0 u- < Q FEN FEN f 14.1 FEN 106 6'STOCKADE FEN. 4'STOCKADE FEN. FEN 7*11LIL 2.5' F01--1 ti.�a LOT AREA mom vm" I *Now *w~ t 20,363.06 S.F. T GRAPHIC SC ALE N8304 8 0 0 Or 102.77 GAR 0.47 AC. 1,0 0 10 20 TAX LOT 15 2.2' 20 NIF OF ANDREW GOODALE FRAME GUARANTEED TO: GARAGE DOMINIQUE A.A. RANDOLPH CHRISTINE RANDOLPH IN FEET FIRST REPUBLIC BANK,ISAOA I inch = 20 f t. STEWART TITLE INSURANCE COMPANY (BAL4175S) SCALICE LAND tlN SURVEYING SURVEY OF PROPERTY A I w a y s 0 n P o i n t SITUATE 99-2c)5\Nesl Fk)fin"jn Avenue, Lindfmhurst, New York, 11757 -N_W SUFFOLK, TOWN OF SOUTHOLD Emall�V,,�Scaflce@y�iistaf"�dsk��"vey,corn PhMlle�63a-957-2,4on Fax�6322,26:�400 \e 0 o/l, SUFFOLK COUNTY, NEW YORK -05 DR.:MC CREW.:AL SCALE: 1 20' �lk SUFFOLK TAX MAP NO. L A 0 DATE SURVEYED:05/25/2018 JOB No.S18-0997 1000-117,00-10.00-016-000 0)U0WA40I AAJlAA`TT**(A A=*N'M THISVAAP%&MMW= UI NAND 904nws SIX IS A V4L*%s OF IS w''Ok 7ml'we-woAN t Or w1w Yc"STAIE OUCA40N 4AK(2)DKX sawmAw sowy UAK*44 INS,SuGly"'S C ED SEAL ARE GENUINE TRUE AND COFSW COPIES OF THE SURMOR'S ORK04AL WORX AND OPINION.13)CIRIMAIMO ON THS BOUNDARYTHE mw*" MR wXITCaStm Cw,Of 0WOCt tmo umm ADOmp SY IK NEW yoft VAVATSAaxwna"of CANO suft'"NstmTHE CER111FICAT04 IS LIMITED TO PERSONS FOR WHOM JVC BOUNDARY SURVEY OUP IS PREPARED.To INS" 0 M'4411 ft MYOVAT04o rm t AK NOT"WIvusax,(S)'1wr to""�Or UmmaNOW4 AIPROWAVVIS OR CWJ*I AW NOT ALWAYS M40WN AND OFTEN MUST BE ESTIMATED_IF ANY UNDERGROUND[LvRDvuDm OR w THIS TGr=(,6)rK 003V(OR 004NM45)OKWA IMMAW MOM INC MCAft$10 TK pft^'Mlr 4�KVS#Ag FOR A%FVWC PUROW MO USE AND THOUFORE ARE NOT MT0400 TO GUIDE TKE EREC11ON OF Fe4CES,RE7AINNG WALLS.POOLS.PATIOS CONNER u'm w1a I m I NW SXY AS NMI W-7%5 SUWV,(4)TKS SURI WAS PVWC*WCD VAN A SKCIRA I NT WAKft JOIX,VAtAX,(0)YK qKWENCE OF RIGHT'S OF WAY AN EASEMENTS OF RECORD IF AWY.NOT SHOWN ARE NOT GLARANTEED,