HomeMy WebLinkAbout49664-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S 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#: 49664 Date: 9/8/2023
Permission is hereby granted to:
Aiello, Joseph
25 Rose Ct
Fort Salon a NY 11768
To: legalize "as built" AC to existing single-family dwelling as applied for.
At premises located at:
1820 Marlene Ln, Laurel
SCTM # 473889
Sec/Block/Lot# 144.-2-33
Pursuant to application dated 8/3/2023 and approved by the Building Inspector,
To expire on 3/9/2025.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00
CO-ALTERATION TO DWELLING $50.00
Total: $450.00
Building Inspector
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 iattDs://www.$ )Liti,ioldtowi,ui
Date Received
APPLICATION FOR BUILDING PERMIT
F t Hite Use Only I
4qb
PERMIT NO. Building Inspector- AUG - 3 2023
Applications and forms must be filled out in their entirety.Incomplete
applicationswill not be accepted. Where the AppwlIcant'is not the owner,an BU11DING DEPT.
Ovwner"s dlawtlar�rl pilon t�brin(0 )shall be"' mOleted. "TOWN 01 (".l
Date: 7/31/2023
OWNER(S)OF PROPERTY.-
Name: Joe Aiello / Diane Aiello SCTM#1000- ,y L4 2 3
Project Address: 1820 Marlene Lane, Mattituck, NY 11952
Phone#: 631-946-9780 Email: jaaiello@yahoo.com
Mailing Address:
CONTACT PERSON:
Name: Joe Aiello
Mailing Address: 1820 Marlene Lane, Mattituck, NY 11952
Phone#: 631-946-9780 1 Email: jaaiello@yahoo.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
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 o Will excess fill be removed from premises? []Yes XINo
t
PROPERTY I'NFORMATION'"
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
Check BOX After Reading: The owner/contra to4design professional Is responsible for all drainage and storm water Issues as.provlded 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 hereln`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 Sectlon'210AS of the New York State Penal Law.
Application Submitted By(p t name): ❑
Authorized Agent *, Owner,
Signature of Applicant: Date: I
STATE OF NEW YORK)
SS:
COUNTYOE, �d_AVI_16 )
�'lbeing 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.
MICHAEL to GON /ALE
Sworn before me this NOTARY PUSLIG STATE OF NEW YORK
SUFFOLK COUNTY
LIC, 01 GO62e 2�3
day of o 20� COIv'4 ,F'XpP 11/2'3/2024
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
1, residing at
do hereby authorizeto apply on
,
my eh If to the own of Southold Building Department for approval as described erei
,.
�IwneNSignature Da
Print Owner's Name
2
gyp , , BUILDING DEPARTMENT-Electrical Inspector
" r�ro TOWN OF SOUTHOLD
Town Hall Annex- 54375 Main Road - PO Box 1179
co
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
ro err southoldtownn ov seand soutloldtownn , ov
AP'PLICAT'ION FOR ELECTRICAL II SPE T'lION,
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
'Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑1 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Joe Aiello
Address: 1820 Marlene Lane, Mattituck, NY 11952
Cross Street: Main Road
Phone No.: 631-946-9780
Bldg.Permit#: email: iaai
Map Lot:
Tax Ma District: 1000 Section: Block: .
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
Inspection of central A/C unit installed around 2014. Added to existing home.
S u�re Footage:
Circle All That Apply
Is job ready for inspection?: ® YES NO Rough In Final
Do you need a Temp Certificate?: YES [:] NO Issued On
Temp Information: (All information required)
Service SizeEll Ph 3 Ph Size: A #Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground[]Overhead
# Underground Laterals 1 2 Ej H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLI9ATION
SURVEYED i=GR:- .�,Qitl.e BAC E �.Q
u
LOCATED AT / ,,47T17/C., , TOWN OF SUFFOLK COUNTY N.Y.
LOT
MAP OF QF�C,�/��,Q %" , CO. CLK. NO. FILED
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SCALE I" = Q0 Zs
SUFFOLK MO. TA
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DIST. SEC.
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- SURVEYED . 19BY
WILLIAM R. SIMMONS JR.
PIO BOX 377
JAMESPORT, L. 1., N. Y. 11947
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