HomeMy WebLinkAbout51677-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#: 51677 Date: 02/24/2025
Permission is hereby granted to:
Charles Neocleous
205 Central Dr
Mattituck, NY 11952
To:
construct alterations to existing single-family dwelling as applied for,
Premises Located at:
205 Central Dr, Mattituck, NY 11952
SCTM# 106.-3-19
Pursuant to application dated 01/13/2025 and approved by the Building Inspector.
To expire on 02/24/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $451.00
CO-RESIDENTIAL $100.00
Total $551.00
Building Inspector
*PPP4' j34%1
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 hgps1/www.southoldtoLA . o
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only h
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:11/27/24
OWNER(S)OF PROPERTY: ) /
Name: o' / t�arbatc�- rQdG/ U SCTM#1000-
Project Address: /a
Phone#: 300 ... Email: bAr>f�/!e aoL , G6,�
Mailing Address: 02o.15r
CONTACT PERSON:
Name:Megan Carrick
Mailing Address:PO Box 877 Jamesport NY 11947
Phone#:631-804-3796 Email:megan.cmtarChitecture@gr iailcom
DESIGN PROFESSIONAL INFORMATION:
Name:Charles Thomas
MailingAddress:PO Box 877 Jamesport NY 11947
Phone#:631-804-3796 Email:cdthomas63@aol.com
CONTRACTOR INFORMATION:
Name:Two Brothers Construction- William Rivera
Mailing Address:8 Saint Marys Drive, Riverhead NY 11901
Phone#:631-745-1454 =Mail.
William.riveral9524@app.invoicehom com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of P ject:
❑Other $TBD
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? Yes WNo
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PROPERTY INFORMATION
Existing use of property:Single Family Home Intended use of property:Single Family I iloMe
Zone or use district in which premises is situated: Are there any covenants and restrictions with espectto
this property? ❑Yes ®No IF YES, PROVIDE A COPY.
W Check Box After Reading: The owner/contractor/design professional Is responsible for all drainage and storm water Issues as py Mded by
Chapter 236 of the Town Code.APPUCATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant tot ie Building Zone
ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of t ull41ngs,
additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,bi Ild'i!ng code,
housing code and regulations and to admit authorized inspectors on premises and In building(s)for necessary inspections.False statements m ode herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name):M an Carrick ®Authorized Agent ❑Owner
Signature of Applicant: """" ate: I//.3 f Z�
STATE OF NEW YORK)
SS:
COUNTY OF,5U-
0eq an Ca (c being duly sworn,deposes and says that(s)he is the ipplicant
(Nam individual signing contract) above named,
(S)he is the
(Contract r,Agent, rporate Officer,etc.)
of said owner or owners, and is duly authorized to or have performed the said work and to make z nd file this
application;that all statements contained in this application are true to the best of his/her knowledge and )elief,and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of—JA 2-0
notary Public
-rk P A 1:Yy, r.VA,E R
NOTARY PiJ?LIC,8 FA ' OF NEW YOR
PROPERTY OWNER AUTHORIZATION e„ , , IE0IN 80--
J,,l FIE7 i J""l)-"h lY.l'C COUNTY
(Where the applicant is not the owner) COMM.-9 ON l wiF)REMIIJNCl,
A70-14'�cresiding at
'L - do hereb authorize / ✓Q o apply on
ft/ l� ��) -' y
my behalf a Town of ouch uilding Department for approval as described herein.
Owner's "ignature Date
Print Owner's Name
2