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Home My WebLink About51634-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#: 51634 Date: 02/12/2025 Permission is hereby granted to: Andrew Ceresney 160 Stratford Rd Brooklyn, NY 11218 To: reconstructand enlarge existingdeck addition (to include an outdoor shower and hot tub)to existing single-family dwelling as applied for. Premises Located at: 3415 Laurel Trail, Laurel, NY 11948 SCTM# 126.-12-4 Pursuant to application dated 12/16/2024 and approved by the Building Inspector. To expire on 02/12/2027. Contractors: Required Inspections: FOOTING/REBAR, FRAMING/STRAPPING , DRAINAGE, FINAL, Fees: Single Family Dwelling- Addition&Alteration $685.00 SWIMMING POOLS-ABOVE-GROUND WITH REQUIRED FENCING $300.00 CO-RESIDENTIAL $100.00 r Total $1,085.00 Building Inspector � r 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 li'ttL)S,'//www,sotitho,ldtovvnny.gov Da=e Received APPLICATION FOR BUILDING PERMIT � I For Office Use Only 1 PERMIT NO. 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,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: 1190 l 'r-- SCTM#1000- Project Address: ( � L . Phone#: Mailing Address: 3 4 1 5 L Au,g,sk. CONTACT PERSON: Name: �IaN G L°M A N Mailing Address: 2p 9 L Phone#: (fl 3 1 (o a — 3 8 6 Email: DESIGN PROFESSIONAL INFORMATION: Name: �.� . N, � Mailing Address:C) ° N Ps V11115: S^ 0 F 7 Phone#: eo3i ^3Ch1�3 ^ z. :?� E3 Email 51 �" � - � fZ. GQM CONTRACTOR INFORMATION: Name: G. Mailing Address: v IN T ) V M Phone#: 3(0.5 s 2 v Email DESCRIPTION OF PROPOSED CONSTRUCTIONo to-TL.ootri s C OAA []New Structure ❑Addition ❑Alteration epair ❑Demolition Estimated Cost of Project: �jLC)ther G 1J y O O I' �i�G $ � t7 � Will the lot be re-graded? ❑Yes''-Vo Will excess fill be removed from F remises? ❑Yes'560 1 + PROPERTY INFORMATION Existing use of property: Ie �O i G Intended use of property: I 'F AV-n I 1 m 11. e tl.9 M L.L,I r-j Zone or use district in which premises is situated: Are there any covenants and restr ctions with respect to this property? ❑Yes';KNo IF YES. PROVIDE A COPY. C'hec ftx f er Reading' The ownor/contractor/design professional Is responsible for all drainage and storm truer 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 law.,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 nann Ivputhorized Agent ❑Owner Signature of Applican Date: STATE OF NEW YORK) SS: COUNTY OF S y fEO L �) N c- L 110 A.N being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the �v (Contractor,Agent,Corporate Officer,etc.) of said owner or owners,and is duly authorized to perform or have performed the said work anc'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 day of .20 Notary Publi PATRICIA A,WAL, PI �� IIIV mr OWNER . 11w ll10RIZ, 1'IIII m 1, °°°'° „ Notary No.WWA °2ew y�rx " ChmPikgid:in Suffolk OUnt (Where the applicant is not the owner) mrnissiar,EWres November , residing at l3 FP— do hereby authorize r*J to apply on my behalf to the T n of Southold Building Department for approval as described herein. Owner's Signature ate CL& L 1 Print Owner's Name 2 4 � Town Hall Annex �' � Telephone(631)765-1802 54375 Main Road Fax Fax(631)765-9502 P.O. Box 1179 � Southold, NY 11971-0959 dry BUILDING DEPARTI.'ENT NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRUCTION PRF-ENGINEERED WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION Date: 2,L Owner: V 4 N IF— Location of Property: . -- ._.� �. Please take notice that the (check applicable line): New commercial or residential structure Addition to existing commercial or residential structure Rehabilitation to an existing commercial or residential structure to be constructed or performed at the subject property reference above will utilize (check applicable line): Truss type construction (TT) Pre-engineered wood construction (PW) Timber construction (TC) in the following location(s) (check applicable line): Floor framing, including girders and beams (F) Roof framing (R) Floor and roof framing (FIR) Signature: Name (person submitting this form): ''� ? _ G Capacity(check applicable line): Owner Owner representative TrussRegl5.docx Effective 1/1/2015 ft(') BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD � Town Hall Annex - 54375 Main Road - PO Box 1179 o� Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ., am�esh so�atholdtowrut .g ov �- sea nd�� southoldto nn y . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Ail information Required) Date: ll - 1s -2 Company Name: S A1. r - l p%alT1 l" . Electrician's Name: b A 16 S License No.: 3 07 !a Elec. email: a ps, S , Al L Elec. Phone No: 5,I 6- 1 request an email copy of Certificate of Compliance Elec. Address.: 19 3 4 14 Pr I N p,V IS/ =IF—AI&N Ck I I I I (0 (o JOB SITE INFORMATION (All Information Required) Name: , Address: 1. 1 l9 Cross Street: Phone No.: -. - O:3 a io Bldg.Permit #: email: Lv-)p1 ivc- Aac,l4 v;_rL Aloe 40n4 Tax Ma District: 100 Se ton: /2,G Block: 2.,,, Lot: ,BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): o v -r-L rc'T S V-o 4 ^E.)c r faN ho >_10 bE 4-V- w I -T J+ R-o'T'" -V V +B I'SI-rGIAEN Al� EP S care Foota e: Circle All That Apply: Is job ready for inspection?: YESZ NO [:] Rough In El Final Do you need a Temp Certificate?: YES® NO Issued On Temp Information: (All information required) Service SizeEll Ph 03 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 H Frame Pole Work done on Service? Y FIN Additional Information: PAYMENT DUE WITH APPLICATION Suffolk County Dept. of Labor, Licensing & Consumer Affairs HOME � �IPPOVEMENT LICENSE Name C F= E � R P GALLAGHER i nss Name CP GAI_ I AGHE- R CONSTRUCTION This cert' fes thCat the CORP nearer is duly licensed by :he County cf scffolk License Number H-29486 W"kAz, T. Rog ery Issue : 09/20/2000 �Cornrnissioner Expires : 09G01 r2a26