HomeMy WebLinkAbout53167-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
a
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#: 53167 Date: 08/04/2026
Permission is hereby granted to:
Peter Cvikevich
475 Rambler Rd
Southold, NY 11971
To:
construct additions and alterations,including an outdoor shower,to an existing single-family dwelling
as applied for.
Premises Located at:
475 Rambler Rd, Southold, NY 11971
SCTM#88.-5-32
Pursuant to application dated 05/22/2026 and approved by the Building Inspector..
To expire on 08/03/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $556.00
CO-RESIDENTIAL $100.00
Total $656.00
101,
Building Inspector
TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P.0.Box 1179 outh+old,NY 11971-0959
Telephone(631) 7 5-1802 Fax(631)7+65-9502
Date Received
For Office Use Only
PERMIT NO. auilr`ig! M A Y 2 2026
� or� �.�
Applications
pp nations and forms must be fired out in their entirety.Incomplete °° °°° w
applications will not be accepted. Where the Applicant is not the owner,an �
Owner's Authorization farm(Page 2)shall be completed.
Date:
OWNER(S)CAE PROPERTY. ce-1
P1-r' k;'eName• I KE.VtW-t,,4106' uev SCT1111#1000
Project Address: Yf 7
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Phone#
• Email. ee V Cg, CO,
Mailing Addi*ss: 4 1 Ile
—------------
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CONTACT PERSON:
Name: T � ° �
V-C) ?c>k''.)Lxzs
Mailing Address
Phone#.
'�'I*�-- ,.� Email:
DESIGN PROFESSIONAL INFORMATION:
Name.-
Mailing Address:
r Phone#:
Email: �A
�..1�.9 .
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CON TRUC` ]ION
❑New StructureXAddition ElAlteration Cl Repair Q Der3nolitio►n Estimated Cost of Project:
❑Other $
µ
Will the lot be re-graded' CJYes o Will excess fill be removed from premises? ❑Yes C]No
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S.C.T.M. NO. DISTRICT: 1000 SECTION:88 BLOCK: 5 LOT(S):32
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LOT 18 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
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LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
0,1 N AND OR DATA OBTAINED FROM OTHERS.
� RAI �'' AREA:18,971.32 SQ.FT. OR 0.44 ACRES ELEVA77ON DATUM:
0.11 00 o2
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5� UNAU774ORIZED ALTERATION OR ADDITION TO 774IS SURVEY IS A V10LAT70N OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY LOT 1 9 LISTEDTO THE HEREON,EANDNTOOTHASSIGNEES OM 774E UOF THE LENDING/NS77TU770N,Y IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY,GUARANTEES ARE NOT TRANSFERABLE
GOVERNMENTAL AGENCY AND LENDING INSTITUTION
774E OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIF7C PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
N ANDIOR SUBSURFACE S7RUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 20 13F NCI, CERTIFIED TO: PETER CVIKEVICH;
MAP OF: NOBUKO TANGE; THE SECURITY TITLE
TERRY WATERS #2901
FILED: DEC. 29, 1958
GUARANTEE CORPORATION OF BALTIMORE;
4 CASTLEROCK LAND SERVICES, INC.;
1/I' SITUATED AT:SOUTHOLD
TOWN OF:SOUTNOLD KENNETJEI M WOYCHUK jAn G, PLLC
Professional Land Surveying and Design
�► SUFFOLK COUNTY, NEW YORK ��� §�_ � � �g g
UPDATE SURVEY 02-13-26 - � P.O. Bog 153 Aquebogue, New York 11931
PHONE(631)298-1568 FAX(631)298-1588
UPDATE SURVEY 04-20-17 FILE#27--104 SCALE:1"=20' DATE:SEPT. 2, 2007 N.Y.S.LISC. NO. 050862 maintaiuing the records of Robert J.Hennessy&Kenneth 11.woychuk