HomeMy WebLinkAbout51849-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
moll,
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#: 51849 Date: 04/21/2025
Permission is hereby granted to:
Daniel Gill
75 Morris St
Jersey City, NJ 07302
To:
construct additions and alterations to existing single-family dwelling as applied for.
Premises Located at:
3663 Rocky Point Rd, East Marion, NY 11939
SCTM# 21.-6-3
Pursuant to application dated 03/13/2025 and approved by the Building Inspector.
To expire on 04/21/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $537.50
CO-RESIDENTIAL $100.00
Total 637.50
ding Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
ip Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631) 765-9502 htt s://www.sou hol,dtownnv,wv
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only K
Sq
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PERMIT NO. Building Inspector {�
Applrcatiorls and forms must be filled out in their entirety.Incomplete-'
applicatlgn5 will not be accepted; Where the Applicant is not the owner,an IIIII�� °t, t
Owner`s authorization form(Page 2)shall bexompleted,
Date:03/03/2025
OWNER(S)OFPROPERTY:
Name:Daniel and Patricia Gilt SCTM#1000-21-6-3
Project Address:3663 Rocky Point Road, East Marion, NY 11939
Phone#:631-252-5484 Email:dgil53@hotmail.com
Mailing Address:3663 Rocky Point Road, East Marion, NY 11939
CONTACT PERSON:
Name:Mathew Smith
Mailing Address:PO Box 152, Mattituck, NY 11952
Phone#:631 603 9092 Email:msmith@amparchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Portillo
Mailing Address:PO Box 152, Mattituck, N.Y. 11952
Phone#:631 603 9092 Email:aportillo@amparchitect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address;
Phone#„ Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
g otherlNTERIOR RENOVATION AND NEW ROOF AT PORTION OI $
Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes X No
1
PROPERTY INFORMATION
Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-80 NC this property? ❑Yes W 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 210.45 of the New York State Penal Law.
Application Submitted By(print n IMP Architecture ❑Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
S _ )
COUNTY`OF
A\-/�\V A-v being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Aqtnl
(CiWractor,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
_J
�y
day of �2' ► \ , 20 [_ J w✓ �
Public
[Regis
A CEE AUFCND
PROPERTY OWNER AUTHORIZATION Y PUBLIC,STATE OF NEW YORI
tration No. 01A00019644
(Where the applicant is not the owner) ualified in Suffolk County
ission Expires Janua
I,
Daniel Gil residing at 3663 Rocky Point Road, East Marion
AMP Architecture
.,.----... do hereby authorize to apply on
my la h lUto t e owrx uthold Building Department for approval as described herein.
� ✓ t,.. ..�. "' _ y 3/4/2025
Owner's Signature Date
Daniel Gil
Print Owner's Name
2
Certifications indicated hereon signify that this plat of the property depicted hereon was made in accordance with the existing Code of Practice for land Surveyors adopted by the New York Stale Association of Professional land Surveyors. This certification is
only for the lands depicted hereon and is not certification of fide,zoning or freedom of encumbrances. Said certifications shall mn•only to the persons and/or entities listed hereon and are not transferable to additional persons,entities or subsequent owners.
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Lk- SURVEY ;
.VIEW: SURVEY
The offsets'or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore are not inwded to guide in the fettces,tewrring walls,pools;patios,planling'areas,additions to.buildings,and ony_ '
other construction. Subsurface and environmental conditions were not examined or considered as•a part of d is survey.Easements,Ilig ayof rid �f any;= re n&Aov+nr..Property comer monuments,were,eot placed as,a pad of this`
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