The URL can be used to link to this page

Home My WebLink About51507-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 40 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#: 51507 Date: 12/27/2024 Permission is hereby granted to: Victoria Emily G Trust 29925 Main Rd Cutchogue, NY 11935 To: Legalize "as built"second story bathroom alterations and door replacements as applied for.. Additional certification may be required. Premises Located at: 29925 Route 25, Cutchogue, NY 11935 SCTM# 102.-2-15 Pursuant to application dated 09/30/2024 and approved by the Building Inspector. To expire on 12/27/2026. Contractors: Required Inspections: Fees: As Built Addition/Alteration $564.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $664.00 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 hlWs://www.soutlioldto;manj.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only 6, M PERMIT NO. 5 ,50 1 Building Inspector: Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an1� ,, Owner's Authorization form(Page 2)shall be completed. � " ' t° • Date: September 27, 2024 OWNER(S)OF PROPERTY: Name: Emily Victoria ISCTM::#:1000-473889-102.-2-15 Project Address: 29925 Main Road Cutchogue, NY 11935 Phone#: 631-734-7643 Email: N/A Mailing Address: 29925 Main Road Cutchogue, NY 11935 CONTACT PERSON: Name: Emily Victoria Mailing Address: 29925 Main Road. Cutchogue, NY 11935 Phone#: 631-734-7643 Email: N/A DESIGN PROFESSIONAL INFORMATION: Name: N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Leeco Carpentry LLC Mailing Address: 205 Horton Ave Riverhead, NY 11901 Phone#: 631-278-1740 Email: brigidocarpenter@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Remodel of second floor bathroom 30,000.00 Will the lot be re-graded? ❑Yes 19No Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Residential 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. Emily �cto t«ia Application Submitted By(prin me). ❑Authorized Agent @Owner Signature of Applicant: b'� Date: , Z r �_0� STATE OF NEWYOR�K) COUNTY OF w f$ Emily Victoria being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, Owner (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 ` 94 dayof � , �° � 20�17' Notary Public JOHN A. MAKI Notary Public-State of New York No.01MA6164838 PROPERTY OWNER AUTHORIZATION Qualified in Suffolk County (Where the applicant is not the owner) My Commission Exp,04/30/202.7 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 2 BUILDING DEPARTMENT-Electrical Inspector tfft TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631)765-9502 ro err southoldtownr . ov seand sou holdtownn o^ APPLICATION FOR ELECTRICAL INSPECTION . ELECTRICIAN INFORMATION (Ail Information Required) Date:Ir Company Name: 77 Name: License No.: ,r . ail: Phone No: request an elraail copy of Certificate Compliance Address.: JOB SITE INFORMATION (All Information Required) Name: ' Address: Cross Street: Phone No.: email: Bldg.Permit#: S 15 Block: a Lot: 15 Tax Ma District: 1000 Section: 0� RIEF DESCRIPTION OF WORK Please Print Clearly) Check All That Apply: NYES []NO '°Rough In []Final Is job ready for inspection?:: Do you need a Temp Certificate?: YES PNO Issued On Temp information: (Ail information required) Old Meter# Service Size 01 Ph 03 Ph Size: #Meters New Service ❑ Service Reconnect Underground Overhead Underground Laterals 1 H Frame Pole Work done on Service? N Additional Information PA1flIAEI T DLIE WITH APPLICATION Electrical Inspection Form 2020.xisx