HomeMy WebLinkAbout51208-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#: 51208 Date: 09/20/2024
Permission is hereby granted to:
Christopher M Lucarelli
3835 Deep Hole Dr
Mattituck, NY 11952
To:
Construct additions and alterations to an existing single-family dwelling as applied for to
include an outdoor shower.
Premises Located at:
3835 Deep Hole Dr, Mattituck, NY 11952
SCTM# 115.-16-21
Pursuant to application dated 08/08/2024 and approved by the Building Inspector.
To expire on 03/22/2026.
Contractors:
Required Inspections:
DRAINAGE, FOOTING/REBAR, FOUNDATION 1ST, FOUNDATION 2ND, FRAMING/STRAPPING , PLUMBING,
ELECTRICAL- ROUGH, FIRE RESISTANT PENETRATION, ELECTRICAL- FINAL, INSULATION , FIRE SAFETY
INSPECTION , FIRE RESISTANT CONSTRUCTION , FINAL,
Fees:
Single Family Dwelling- Addition&Alteration $823.50
CO Single Family Dwelling-Addition /Alteration $100.00
Total $923.50
__2d_a_
Building Inspector
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 llti[)S',//' VNV",,SOLitholdto\N,nnv,s4ov
Date Received
APPLICATION I
a
For Office Use OnlyLJ
PERMIT NO.k O o Building Inspector: � UG 8 2024
a
Applications and forms must be filled out in their entirety.Incomplete I Nair DEEM
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date: July 31,2024
OWNER(S)OF PROPERTY:
Name: Karly & Chris Lucarelli SCTM# Z000- 115-16-21
Physical Address: 3835 Deep Hole Drive, Mattituck
Phone#: 516-480-1409 Email: kjt5390@optonline.net
Mailing Address:
CONTACT PERSON:
Name:Same as above
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:Nick Mazzaferro
Mailing Address: Greenport, NY
Phone#: 516-457-5596 Email: nickmazzaferro@verizon.net
CONTRACTOR INFORMATION:
Name:homeowner
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
El New Structure VAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $50,000.00
Will the lot be re-graded? ❑Yes VNo Will excess fill be removed from premises? ❑Yes VNo
1
PROPERTY INFORMATION
Existing use of property: single family house Intended use of property: same with addition
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes & No IF YES, PROVIDE A COPY.
❑ Check Box 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 210AS of the New York State Penal Law.
n
Application Submitted By(print name): ) tI L ctC Q(2 9 Cht,Srr __ 11❑Authorized Agent �O wner
Signature of Applicant: ' Date:
STATE OF NEW YORK)
COUNTY OF
Luc('(Jl-
t being Y dui 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
l�before me this
- _ � 20 2q
No Pu
CHELS A L. CHALONF-
Notary Public, State of New York
Registration#01CH6287106 PROPERTY AUTI-JORIZATION
Qualified-In Suffolk County
Commission Expires Aug.5,20, le (Where the applicant is not the owner)
I, 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
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REVISIONS YOUNG & YOUNG
MAY/6,/9Tf 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
JULY 22,1975 ALDEN W YOUNG HOWARD W.YOUNG
PROFESSIONAL ENGINEER AND LAND BURVREYKOR
LAND SURVEYOR.N Y.S.LIC NO.IZOAS N Y.S LIC.NO.45009
SURVEY FOR:
UNAUTHORIZED ALTERATION OR ADDITION TO
THIS SURVEY 13 A VIOLATION OF SECTION BEN MENDOZZA
720.OF THE NEW YORK STATE EDUCATION
LAW LOT NO. 53 M DEEP HOLE CREEK ESTATES"
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYORS INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY AT GUARANTEED TO: °
MATTI TUCK GUARANTEED TITLE DIVISION OF
SUARANTEER INDICATED HEREON SHALL RUN - AMERICAN TITLE INSURANCE CO.
ONLY TO THE PERSON FOR WHOM THE TOWN OF SOUTHOLD SOUTHOLD SAVINGS BANK
SJRVEY 15 PREPARED,AND ON HIS BEHALF
TO THE TITLE COMPANT,GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED ByHEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y.POI µ
INSTT T N5 OR SUBSEOUENTIOWNERS.0MAL ''SCALE. I"- 40' DATE: AUG I0,1973 -714
E
I U 10 NDING INSTITUTION GUARA'TE;'S ARE
IOSl6-