HomeMy WebLinkAbout53205-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#: 53205 Date: 08/17/2026
Permission is hereby granted to:
Deutche Bank Natl Trt Co
Novastar Mort Fund Trust
Laurel, NJ 08054
To:
construct an interior demolition of an existing single-family dwelling as applied for. Additional
approvals will be required. Any minor site clearing shall comply with Chapter 236 of the Town Code
(stormwater management).
Premises Located at:
350 Brigantine Dr, Southold, NY 11971
SCTM# 79.-4-43
Pursuant to application dated 07/30/2026 and approved by the Building Inspector.
To expire on 08/16/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total $350.00
uilding Inspector �����
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hail Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502lti :/ wvv. citt}?olltorvtry.
Date Received
O
APPLICA
TION FOR BUILDING PERMIT
For Office Use Only C W E
PERMIT NO, {� _ Building Ins �ck�p: _ —.w
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building f?� irf en
Owner's Authorization form(Page 2)shall be completed. Town of
Date; �.
OWNER(S)OF PROPERTY:
Name-. 1 6 � "" 1 n SCTM#1000- a 21
Project Address: ~` c n c '" 4
Phone#:
V .� Email
t c
Mailing Address: 1`
CONTACT PERSON: ll
Name: t
Mailing Address: CA CLA
Phone#: C7' µ � Email. n t
DESIGN PROFESSIONAL INFORMATION:
+ (
Name: MIA
Mailing Address: C
Phone#: E ail:
CONTRACTOR INFORMATION:
Name
Mailing Address: 153 1
Phone#:isi V
DESCRIPTION OF PROPOSED CONSTRUCTION
ZNewStructure El Addition ❑Alteration FlRepair Qgmolition Estimated Cost of Project:
Will the lot be re-graded? Yes E]No --- 'WA excess fil e removed from premises? ❑Yes No
2tt1 I 1 tees -to rc rr6 in
1
PROPERTY INFORMATION
Existing use of property:&I �( S( + Intended use of property:
C „Cu —
Cj Zone or use district in which premises i ituated: Are there any cis enan s a -t tin pect to
this property? tiles ❑No IF YES, PROVIDE A COPY,
Check Bax After Reading: The ownerJcontractor/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 building(s)for necessary inspections.False statements made herein are
e as a Class A mis
demeanor pursuant to Section 210.45 of the New York State Penal Law.
punishable
Application Submitted By(print name):—t(rno� , S, CI d I in ❑Authorized Agent Owner
Signature of Applicant: -( — _J a � Date: f�_31_Z02
�P
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified in Suffolk County
COUNTY OF . Commission Expires April 14,20JX
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
� f
day of
L( t Z0 %7/v��
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
residing at
� do hereby authorize ___to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
__-------------
BEARINGS SHOWN HERMN ARE
BASED ON FILE MAP NO,4M
SYM130LLEGEND GUARANTEED TO: HARBOR LIGHTS ESTATES
p MDNUNENT rND T111.E NO.77552—S
p I.P.J LD.rvD TIMOTHY S,CIWN AND NOREEN T.CIWN 50' �YIIJE"11
O I.P.I I.e.sET PARTNERS ABSTRACT CORP. _ )
FIDELITY NATIONAL TITLE INSURANCE COMPANY
SPOT ELEVATIONS
'01 UTILITY POLE
-- GUY WRE
{d UTILITY POLE W/LIGHT
( LIGHT POLE
SON
FIRE NN
PVC FEENCECE((PVC)
STOCKADE.ih'CE(STK)
—x— CHAIN LINK FENCE _
-- WIRE FENCE -
(CQ MANHOLE
® A-INLET FM LOT 30 FAf LOT 21 I
"B'-INLET rAr L0r dt TAX L0r 44 I
YARD INLET
®YARD INLET '
f
ED A/C UNIT l
88 a{f51 0tf0q
m ELECTRIC METER 1 PIPE $ ; u ,� F� ; wa
I
®GAS METER MCat
DC WATER
DC GAS VALVE
Si' FFF
4j WATER VALVE
TEST HOLE
( —.--- -- --
C:J TREE
0 11 All
WETLAND FLAG
D.C.DEPRESSED C08
IDOA �r
FE FENCE __
HAS.MASONFYIto 4
PLAT.PLATFORM FM LO 2$ - - . - �1, �� '' FM for as
W.W.ONDOW WELL TAr L0r 40 /
S/W DAY WIN OW s _ >f
C/E CFLLAA ENTRANCE 'lS4U• uy low
T a
Op O'hAHANG - -. L.,,,,
to
mc
R,/0 ROOF OVER
1042' 4 >
GANT,OL CANiILEYER =OOL GENERALLf ON LINECAaSS CUTSTAKE0/.CNLER.O.W.RIGHT OF WAY ;}'�.. i
T
naate� �y
+ti4 zTN
GRAPHIC SCALE FM LOT 28
x o 13 w r"Lor ao
LOT AREA
*�. 20,000.00 S.F.
FM LOT 23 0.46 AC.
- VAr LOr IY
• { IN PEEP )
1 inch m 30 I it
TAX MAP N0, 350 BW§�RNEgSOUTHOLDPNPE �RK 11971
' CALICE L°wOF 1000-079.00-04.00-043.000
{ z HARBOR SE GHATS 1 STATES
land surveying JOB No.S26-0828
- FILE DATE: 06/08/1965 MAP NO. 4362
DATE SURVEYED: 03/20/2026 STUATE
mjslandsurvey.cam P:631-957-2400 s AND TO N O rSOUTHOLD 1 South Ba Avenue, fsli NY 11751 JM DR:MM CREW SCALE:1 30'
No a
_m