HomeMy WebLinkAbout51854-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#: 51854 Date: 04/21/2025
Permission is hereby granted to:
Elmont Rlty LLC
4007 Merrick Rd
Seaford, NY 11783
To:
Legalize as built interior alterations and window replacements at existing single family dwelling as
applied for.
Additional certification may be required.
Premises Located at:
480 Eastwood Dr, Cutchogue, NY 11935
SCTM# 110.-3-13
Pursuant to application dated 03/14/2025 and approved by the Building Inspector.
To expire on 04/21/2027.
Contractors:
Required Inspections:
Fees:
As Built Alteration $865.00
CO Single Family Dwelling-Addition /Alteration $100.00
Try i 965.00
Building Inspector
ell
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
411
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 iias: r' .su:todtorr: or,
Daie
APPLICATION FOR BUILDING PERMIT
r
For Office Use Onlyot
PERMIT N0. Building Inspector:
Applications and forms must be filled out in their entirety.Incomplete ' 00
applications will not be accepted. Where the Applicant is not the owner,anto
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:. -t-MoNT gEALTY LLC SCTM#1000- 0�3��?�
Project Address: �d EASTWOOD )9_ CUTC#0GUC &; Y 1 / CM—
Phone#: V6 Email: CiW-e s ��- C.014A
Mailing Address: b�� M C �°R I�K �� SC F�kD NY 1-7S3
CONTACT PERSON:Name: EP-iC--TKiOS `p (-T KI !
Mailing Address: Ob i f�,keKklc�
Phone#: �� 3 1 6 8 5 Email: Q S �-GK T h 0� U OA
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: NIP
Mailing ddress: �a
Phone#: �,vl Email:
DE5CRIPTION OF PROPOSED CONSFRVCTION
❑New Structure ❑Addition ❑Alteration Fgpair, ❑DemQ11tiop Esti
$ ate Cost fPrtaect:
❑Other -t I _ ,,� "� 0
Will the lot be re-graded? ❑Yes)tNo Will excess fill be removed from premises? [Dyes NrNo
1
PROPERTY INFORMATION
Existing use of property: SI N(rtF FAMILY t I_�6 Intended use of property:.0KGLe CAMI LY 1-+jME
Zone or use district in which premises is situated:. �t' Are there any covenants and restrictions with respect to
this property? Dyes�ENo 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 Cade. 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 Gass A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name): j)C wl E T9 W -pETa4 k1T ❑Authorized Agent J bwner
Signature of Applicant: Date: 3 3
STATE OF NEW YORK)
SS:
COUNTY OF 'N J�Sf k Q )
DCAE T (0 S being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)heisthe IMC-V lA 3C-91 MlkNACkC-K 0r CLMtt,1T LLC
(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
��,r� L
day of (,t2 20 ?I
el
Public
BRIAN BUTTERWORTH
Notary Public-Stale of New York
No 01 SU 1368
PROPER'ry O'sAINER AUTHORIZATION QualVied in Nassau ou
Cor=(Where the applicant is not the owner) Myission F. tites ,20
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
a,Ss2ss s
SCOPE OF WORK:
At 480 Eastwood Drive,Cutchogue, NY,the homeowners have asked me to complete the
following:
1. Kitchen:
Remove all existing kitchen cabinets,appliances and tile.
Install new tile.
Direct replacement of kitchen cabinets.
Install new appliances.
Install new counter top and back splash chosen by homeowner.
2. First Floor Bathroom:
Remove first floor toilet,vanity and shower enclosure.
Install new tile,toilet,vanity and shower.
CY
occuPANoR . t
3. Second Floor Main Bathroom: s
Remove tile,shower,toilet and vanity. USE IS UNLAWFUL
Install new tile selected by homeowner. WITHOUT CERTIFICATE
IFICATE
Install new vanity and toilet. OF OCCUPANCY
_..:r
4. Master Bathroom:
Removal of tile,vanity,toilet,shower and tub. COMPLY WITH ALL CODES OF
Install new the chosen by homeowner. NEW YORK STATE&TOWN CODES
Install new vanity,toilet, shower and tub. AS REQUIRED AND CONDITIONS OF
,�r...,.. SOIIiHOI.DTOWNZBA
APPROVED A ' ' ';:`1) So TOWN PLANNING BOARD
DATE: B.P.# ��S S0U11'�OIDTOWNRISTIR
FEE 9�BY: _ N.Y.S.DEC
NOTIFY BUILDING DEPARTMEE T 1�:r O ULDHM
631-765-1802 8AM TO 4PNI FOR THE AID
FOLLOWING INSPECTIONS: =�:�.:.•�;.
1. FOUNDATION-TWO!--'
gECfMMDW==N RMUMED
FOR POURED COE•,C ` �.....;
2. ROUGH-FRAMING&rs 3
3. INSULATION
4. FINAL-CONSTRUCTION Mi.,:lr
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW Additional
YORK STATE. NOT RESPONSIBLE FOR Certification
DESIGN OR CONSTRUCTON ERROkS May Be Required.
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