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Home My WebLink About47635-Z TOWN OF SOUTHOLD Fat BUILDING DEPARTMENT TOWN CLERKS OFFICE 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#: 47635Date: 4/1/2022 Permission is hereby granted to: Pre orio, Eliseo .................._...................— —w--_.................-_-- 1455 Wells Rd ___._�.___..__.---.......................�.. Laurel NY 11948 To: construct alterations (finish basement and second floor accessory apartment) to existing single-family dwelling as applied for. At premises located at: 1455 Wells Rd., Laurel _w__w___......_._._._......_._._........ ___ SCTM #473889 Sec/Block/Lot# 126.-8-3 Pursuant to application dated 2/15/2022 and approved by the Building Inspector. To expire on 10/1/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $601.60 CO-ALTERATION TO DWELLING $50.00 Total: _...............wwww...w$65..1...�.o. B ing Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT n i Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 ��Ia:�� r�� Date Received APPLICATION F i P BLI11 DING PERMIT For Office Use Only PERMIT NO. ✓`�... _ Building Inspector .. ...... ...... 111 0 FFR 1 1= Applications and forms must be filled out in their entirety. Incomplete BUILDING DEPT. applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SUTHOLD Owner's Authorization form(Page 2)shall be completed. Date:2/15/22 OWNER(S) OF PROPERTY: Name:Eliseo Gregorio SCTM #1000- 126-8-3 Project Address:1455 Wells Rd Laurel Phone#:631-644-3572 Email:freshairandac@gmail.com Mailing Address:1455 Wells Rd Laurel CONTACT PERSON: Name:AMP Architecture, Jess Magee Mailing Address: 1075 Franklinville Rd Laurel NY Phone#:516-214-0160 Email:jmagee@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name:AMP Architecture, Anthony Portillo Mailing Address: 1075 Franklinville Rd Laurel NY Phone#:516-214-0160 Email:aportillo@amparchitect.com CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition *Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other-- Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION [Existing use of property: Single Family Residence Intended use of property: Single Family Residence one or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 NC this property? OYes MNo IF YES,PROVIDEA COPY. Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by hapter 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 punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): AM,P Architecture, Jess Magee Authorized Agent ❑Owner Signature of Applicant: Date:� �� `�„��~ P- j S/00- STATE OF NEW YORK) S5: COUNTY OF Suffolk ) AMP Arc' being Mee being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the a ent (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� � ` . ARISAI-:,A H.TAN Sworn before me this Notary Public, q0�K No. OITA 086001 day of 20 "�a qualified In Suffolk Couali,P Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I Eliseo Gregorio residing at 1455 Wells Rd Laurel NY AMP ARCHITECTURE do hereby authorize�_�,��,•_ __......��_..wto apply on my behalf ° e Town of hold u` '` g Department for approval as described herein, caner s i Date Print Owner's Name 2 Operating Business Address:1075 Franklinville Rd,Laurel NY 11948 LLC Brooklyn Office:450 951 St,C9,Brooklyn,NY 11209 Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 Manch 22, 203 Town of Southold MAR 2 3 P.[). Box 1179 DEPT SoUtho|dNY11971 - RE: Gregorio Residence 1455Wells Rd Laurel 0Y ToWhom |tMay Concern, 1, Eliseo Gregorio,the property owner of 1455 Wells Rd, Laurel NY, live at this address full time and this ismnyprimary and principal residence.