HomeMy WebLinkAbout51803-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#: 51803 Date: 04/03/2025
Permission is hereby granted to:
610 Eastwood Dr LLC
145 E 74th St Apt 11A
New York, NY 10021
To:
construct additions and alterations(and to legalize as-built 2nd floor bathroom)to existing single-
family dwelling as applied for.Additional certification may be required.
Premises Located at:
610 Eastwood Dr, Cutchogue, NY 11935
SCTM# 110.-3-12
Pursuant to application dated 01/07/2025 and approved by the Building Inspector,
To expire on 04/03/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $484.00
As Built Alteration $87.00
CO-RESIDENTIAL $100.00
Total S671.00
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 hl ://www, otltl old ownil . Gov
Date Received
APPLICATIONIL I
For Office Use Only
PERMIT NO. Building Inspector: JAN 7 2025
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:2024.12.24
OWNER(S)OF PROPERTY:
Name:James Harvie SCTM#1000- 110.-3-12
Project Address:610 Eastwood Drive, Cutchogue, NY 11935
Phone#:(917) 216-3495 Email:jrharvie@gmail.com
Mailing Address:610 Eastwood Drive, Cutchogue, NY 11935
CONTACT PERSON:
Name:Jake LaChapelle
Mailing Address:P.O. Box 1251, Mattituck, NY 11952
Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com
DESIGN PROFESSIONAL INFORMATION:
Name:Jake LaChapelle AIA
Mailing Address:P.O. Box 1251 Mattituck, NY 11952
I
Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com
CONTRACTOR INFORMATION:
Name:tbd
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $ 001000
Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property:single-family res. Intended use of property:single-family res.
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.
8Check Box After eadir:g: 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 Law.
Application Submitted na ):J ke LaChapelle BAuthorized Agent ❑Owner
Signature of Applica t: Date: f 0zy2-15
CONNIE D.BUNCH 1'
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified in Suffolk County
Commission Expires A rll 14,2 �
COUNTY OF Suffolk p
Jake LaChapelle being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(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
"I ay of n u Gl C-0 20�
Notary Public
dll I QP111Iwi I 'il°;R AlTI kWRIZATION
(Where the applicant is not the owner)
I James Harvie residing at 610 Eastwood Drive, Cutchogue, NY 11935
do hereby authorize Jake LaChapelle to apply on
my behalf to th Town of Southold Building Department for approval as described herein.
12/28/2024
Owner's Signature Date
James Harvie
Print Owner's Name
2
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