HomeMy WebLinkAbout51135-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#: 51135 Date: 08/28/2024
Permission is hereby granted to:
Stephen L Capozzoli
PO BOX 1887
Southold, NY
To:
construct an accessory apartment in the basement of an existing single-family dwelling as
applied for.
Premises Located at:
575 W Shore Dr, Southold, NY 11971
Section\Block\Lot#80.4-44
Pursuant to application dated 06/26/2024 and approved by the Building Inspector.
To expire on 02/27/2026.
Contractors:
Required Inspections:
Fees:
SINGLE FAMILY
.. ..
L DWELLING-ADDITION OR ALTERATION $487.50
CO-ALTERATION TO DWELLING $100.00
Total 1,987.50
It
Building Inspector
H
a
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
;r Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 5o ih Lldlp 11 :.y .
Date Received
APPLICATION FOR BUILDING I T
For Office Use Only ) D
[EC[EO'V[E ID
PERMIT NO,` " �. Building Inspector. /
JUN 2 6 2024
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BUMDING DEPT.
Owners Authorization form(Page 2)shall be completed. SMMjoy
Date:
OWNER(S)OF PROPERTY:
Name:STEPH CAPOZZOLI SCTM#1000 ,( ' �: V.-1-44
Project Address: ,5, WEST SHORE DRIVE - SOUTHOLD NY 11971
Phone#:&3 1 _ �., d. Emailacap621 @gmail.com
Mailing Address:SAME
CONTACT PERSON:
Name:JOEL DALY
Mailing Address:PO BOX 343 - 205 BOISSEAU AVENUE - SOUTHOLD NY 11971
Phone_#:631-765-1223 Email:joel@joeldalybuilders.com
DESIGN PROFESSIONAL INFORMATION:
Name:TIDE RUNNER ENGINEERING & DESIGN
Mailing Address;7 RIDGEWOOD STREET - BAYSHORE NY 11706
Phone#:631-839-4824 Email:
CONTRACTOR INFORMATION:
Name:JOEL DALY GENERAL CONTRACTING, INC
Mailing Address:205 BOISSEAU AVENUE PO BOX 343 - SOUTHOLD NY 11971
Phone#:631-765-1223 Emailloel@joeldalybuilders. com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure TKAddition Niteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other '"
Will the lot be re-graded? ❑Yes IRNo Will excess fill be removed from premises? RYes ❑No
1
PROPERTY INFORMATION
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 ONO IF YES,PROVIDE A COPY.
❑ Check Sox After Reading, The owner/contractor/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
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal taw.
Application Submitted By(print name): . []Authorized Agent ❑Owner
Signature of Applicant: Date:
CONNIE D.BUNCH
ry Public,State of New York
STATE OF NEW YORK) No.OIBU6185050
Qualified in Suffolk County
SS: Commission Expires April 14, 2-WY
COUNTY OF
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
ay of \j ZC
Notary Public
PRQF)IFRTY......... ,OWNER 114 I T( N
(Where the applicant is not the owner)
61-P-K2
I, residing at
., v do h
� � �u., ereby authorize �� �� r�� to apply on
my behalf o he Town of Southold Building Department for approval as described herelt z
Owner's Signature Date
�,7�L/
, ... l'
Print Owner's Name
2
Nunemaker, Amanda
From: Stephen <sc3075283@gnoaiioorn>
Sant: Thursday,August 8\ 20241O14AK4
To: Nunennaker,Amanda
Subject: [SPAK4] - G55/575 West Shore Drive Southold, NY11971
Hi Amanda:
This email will certify that my wife and |own G55/575West Shore Drive in Southold NY11971, VVe are the only residents
and will continue 10 occupy the entire house except for the proposed basement apartment.
Thanks
Stephen and Susan[apozxo|i
6S5 West Shore Drive
Southold, New York 11971
(631) 953'5412
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
mr unexpected emai|s.
1
ID BUILDING DEPARTMENT- Electrical Inspector
Pll
(i � t TOWN OF SOUTHOLD
Tiwn Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
01
w.
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr a southoldtownn .gov - seand�a sogthoId town n_y.ggv
APPLICATION FOR ELECTRICAL INSPECTION
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 Re, . d)
Name:._... _..._...ww___...�,........-.....
Address:._ w..._ � .w_.. ._: ........._..._._... ... .......... w._._ ww ..__ ..... ..
Cross Street
Phone No.: � _
_ _._..ww....... �� .`�... ..m_a_._................
B I d g.Perm it #: email:
Tax Map District: 1000 Section. Block, Lot:
BRIEF DESCRIPTION nF WORK. INCI_ UnF .01JARE FQ.0.ZAGE (Please Print Clearly):
P
Square Foota e:
Circle All That Apply:
Is job ready for inspection?: YES NO Rough In Final
Do you need a Temp Certificate?: 0 YES NO Issued On
Temp Information: (All information required)
..........._�.... www.... .. Old Meter# ..w_....... __..._...
Service Size 1 Ph 3 Ph Size: A # Meters .......____.m,,,m,m,,,m _.__,_
❑New Service❑ Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION a
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