HomeMy WebLinkAbout53059-Z TOWN of SOUTHOLD
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BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT CAN THE PREMISES
WITH CANE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 53059 Date: 06/11/2026
Permission is hereby granted to:
Cutchogue Vineyard LLC
3 Greenacre Ct
Great Neck, NY 11021
To:
legalize "as built" alterations to an existing single-family dwelling as applied for. Additional
certification may be required.
Premises Located at:
4782 Alvahs Ln, Cutchogue, NY 11935
SCTM# 102.-1-3.4
Pursuant to application dated 02/19/2026 and approved by the Building Inspector.::
To expire on 06/10/2028.
Contractors:
Required Inspections:
Fees:
As Built Alteration $566.00
CO-RESIDENTIAL $100.00
Total 666.00
eliding Inspector
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�'' kation and forms must be filled o i "their e nt �� .��r �� �� � � ire' ���� ��
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-1pplications will not be ziccepted, Where the Applicant Is not the owner,an � w
Owner's Authorization form(Page 2)shall be completed.
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Date: .1 2
OWNER(S)of PROPERTY:
Name: r - � � �: i t _r 1000-1
Project Addr ss.4782 Alvah'S Lane Cutchogue
-, u► it Mirro 1-646-382-5153 . rl r ro(cv
'ken in on-cap►.com
Naam,
Mailing Address.3 Greenacre Court Great Neck NY 11021
CONTACT PERSON:
Nar e'Joan Chambers
III110
Mading Address,PO Box 49 Southold NY 11971
-Phone :631-- 4-4241 'mail "oan harn rsl0'004�-gmail.com
DESIGN PROFESSIONAL INFORMATION',
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Name:Lou Schwartz
4 a
7 Ridgewood S , Bay Shore, NY 1170
Mailing,A� rs I
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Phone : 31 410-6838 1 Eni4ail'tidorun �ro g Ii„com �
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CONTRACTOR INFORMATION;
Name;
Tabling.Address:
Phone
DESCRIPTION OF PROPOSED CONSTRUCTION
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".'D tnolition Estimated Cast of Project-.
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rano existing bathrooms/add interior doo� c a telau n c rr u #
Will hle. lot e nz-graded � es � o Will ex�+es�fill removed from pren�is s;� +�
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Are. there are covenants arc restriction with respect t
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A The ownericontractor/desigri Professional is responsible for all dcainage andeStotal water IsSiAs tas provided by
Chapter 236 of the'i own Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit putsuant to the Building Zone
Ordinance w-York and other applicable Laws,Ordinances or Regulation5. e construction i i i s, �
additions',alterations or for removal or demolition as herein described,The applicant agrees to comply with all applicable laws,ordinances,building code,
housing _and regulations an to admiti jnspe(3ors on premises and In it it r rwecc55ary lti!spection5.False statements e herein
punishable as a ass A mis+emeartor pursuant to Section 210,45 of the New York State renal W ,
Joan
Chambve%r bo--
Application racbmied By(print e . uthot'tzed Agent [30ner
Signature of Applicant.- CONNIE D.BILINCH D ate
otaxy Public', 'tat o 'N"ew York
Qualified In Suffolk Count
COUNT'�OF
'an ham rs
being duly sworn, deposes and sags thkalt is)he is the applicant
(Narne irrc r cs l �g�ir col ttract)above named,
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(S)he is the Agent
fContractor,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 base of his/her knoviledge and belief;and
that the work will e peg formed in the manner set forth in the a plic-'ation file therewith.
Sworn before me this
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Notary Public
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�III�Illr��110 1I
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Juslin Mirro residing at 3 reenacre Court Great Neck, NY 11021
do hereby authorize Joan (D h a m be r to apply an
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