HomeMy WebLinkAbout53281-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#: 53281 Date: 09/16/2026
Permission is hereby granted to:
Lambros Gavalas
4545 Rocky Point Rd
East Marion, NY 11939
To:
legalize "as built" alterations to an existing single-family dwelling as applied for. Additional
certification will be required.
Premises Located at:
280 Pond Ave, Southold, NY 11971
SCTM# 56.4-2.30
Pursuant to application dated 08/31/2026 and approved by the Building Inspector.
To expire on 09/15/2028.
Contractors:
Required Inspections:
Fees:
As Built Alteration $1,068.00
CO-RESIDENTIAL $100.00
Total $1,168.00
Buildinglnspector���
.e TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 jlittps://N�tww.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only r
PERMIT NO. 5"5,1-4 Building Inspector: 03
Applications and forms must be filled out in their entirety.Incomplete fir' ��
applications will not be accepted. Where the Applicant is not the owner,an o%
Owner's Authorization form(Page 2)shall be completed. 10
Date: 3/ p1117
OWNER(S)OF PROPERTY:
Name: res XV
SCTM#1000-
Project Address:
Phone#: Email:larN�✓'�5 .Q �QS BD� C'OGGC
Mailing Address:
CONTACT PERSON:
Name: Id �-
Mailing Address:
Phone#: Email: nw
DESIGN PROFESSIONAL INFORMATION:
Name:
0,0
Mailing Address:
Phone#: ell
7f/
— '`7 t�'�� Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition XAlteration ❑Repair ❑Demolition Estimated Cost of Pr ect:
❑Other $ -•~"�
Will the lot be re-graded? ❑Yes 00 Will excess fill be removed from premises? ❑Yes, ' o
1
PROPERTY INFORMATION
Existing use of property:Primary residence Intended use of Property:Primary residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? 0- Yes Who IF YES, PROVIDE A COPY.
Chock Box,After Readi 'rhe f' t r/ J p i is fr3pansitim for as dreavage and starm water wtues as ity
Chapter 236 of the Toww Code:APPLICATION fS FOEMMY MME to the BrsCdiara Depattraent fair the istiewme age Buildlaq(emit pur%UMt to the Wilding zone
ordiname of the Toom otSootftold,5uff0ft Cowity.New York and other opp6mbie uarr;,ontirina r or BegrrNtiorm t r the CaMA.umcflaw of bmiidings,
araditions alterwbions or far rernovel or derootition w hertift described.The applicant agrees to corofty with sit app came ordhoomr,eaifding coft
bousiq codeand reguatfims anti toad im4 impedon,to premisesand in.B ' 3l 1tw,necMary inspections.rasesu ents made hereinare
puns able as a Ctm A misamenaw pws ArA to Section WAS of the New York Staldc Pip Law.
Application Submitted By(print name Authorized Agent QCtwner
Signature of Applicant: - Date:
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NE'W YORK) No.01 BU6185050
Qualified in Suffolk County
COUNTY OF cJ% Commission Expires April 14, 2�a�
Z14C being duly sworn,deposes and says that(s)he is the applicant
IName of individual signing contract)above named,
(S)he is the
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duty 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
a,
LILday of 2 D
Notary Public
PROPERTY E AUTHORIZATION
(Where the applicant is not the owner)
Lamtwos Gavalas residing at 280 pond ave southold ny
i,
do hereby authorize bq e" to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
�
Owner's Signature Date
L.arnb(os Gavalas
Print Owner's Name
2
pppp DRO
"� THE EXISTENCE OF RIGHTS OF WAY SECTION 7IZE ALTERATION OR ADDITION
UNAUTHORIZED
MN CHECKED Mu ffil DEC.1D2O BNq�9NG A JOB NO.2O 1147 AND/OR EASEMENTS OF RECORD IF TO THIS SURVEY IS A VIOLATION OF
ANY. NOT SHOWN ARE NOT OF THE NEW YORK STATE
GUARANTEED, EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
Area— �� i�3 S.f. THE LAND SURVEYOR'S INKED SEAL OR
1i Premises known OS: EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY. '
280 Pond Avenue, Southold GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED,AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
p t"1 ON, AND
'Eli h p,,0T I To THE ASSIGNEEDING S OF I THE LENDSTED ING INSTI-
1" Y(C1d M iYV[, t.J TUTION. GUARANTEES ARE NOT TRANSFERABLE.
aATE. �.�.�
enUe
FEE. .. d V
bJCkTI BUILDNI "B�1TME AT on t
765.1802 8 AM T ?M FOR THE Owl W 1
FOLLOWING INSPECTIONS:
1.FOUNDATION•TWO REQUIRED &cwb "
FOR POURED CONCRETE er '
2. ROUGH-FRAMING&PlUMSING tron��n 0it 0_'a �
3. INSULATION �'' � yop
4.FINAL-CONSTRU",'ION ° ..
BE COMPLET
ALL YNST'RUO ;a ALL MEET °
REQU! tat. 1 S FTHEC DESOFN.W o
K STATE. IT S'ISLE FC'�, si t°ce
DESIGN 01?t TTION ERRORS(00
51*0
4ppr
r
COMPLY WITH ALL*6bES OF F
NEW YORK STATE&TOWN CODE" 26•T'
AS REQUIRED AND CONDITIONS O
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-� Survey of Lot 36
SUBDIVISION MAP OF LONG POND ESTATES SECTION TWO
FILED NOVEMBER 29, 1990 AS FILE NO. 9031
Certified to: situate at
MICHAEL MAVROMOUSTAKOS AND VIVIAN MAVROMOUSTAKOS
EMINENT ABSTRACT, INC. (EA1906-S) Arshamomaque
WESTCOR LAND TITLE INSURANCE COMPANY
WELLS FARGO BANK, NA Town of Southold
Suffolk County, New York
Michael W. Minto, L.S.P.C. District 1000Section 56 Block 1 Lot 2.3
LICENSED PROFESSIONAL LAND SURVEYOR
NEW YORK STATE LICENSE NUMBER 050871 Scale 1"- 40' Surveyed July 5, 2017
87 Woodview Lane Updated December 21, 2020
Centereach, N.Y. 11720 GRAPHIC SCALE
PHONE/FAX: (631) 580-1202
10, p xo 0 NYC to
CELLULAR: (631) 766-9714
W EMAIL: mikemfnt0Ispc0gmail.c0m
( 1N FEET )
1. inch = 410 fL