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51992-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#: 51992 Date: 06/13/2025 Permission is hereby granted to: Brendan Osean 87 Overlook Rd Morristown, NJ 07960 To: demolish an existing dwelling and to construct a single-family dwelling as applied for per DEC Non- Jurisdiction letter, SCHD&Trustees approvals. Premises Located at: 12632 Route 25, East Marion, NY 11939 SCTM# 31.-14-8.2 Pursuant to application dated 04/14/2025 and approved by the Building Inspector. To expire on 06/13/2027. Contractors: Required Inspections: Fees: DEMOLITION $430.40 Single Family Dwelling-NEW $2,821.75 CO-RESIDENTIAL $100.00 Total S3,352.15 �� � 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 ktttiv�^ > �r, ostclltxetr tv Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspctm- ZQ�S APR 4 ApplicatiAns and farms co must be felled out�n their entirety Inmplete a hcatons wrll pot be acre ted Where the Appl�cait is not the owrner an � 11� �O R?�� t 0 ner's'Autfiorizat�ari"#ofm(Page 2sha11 be completed, "Ian of�ao� lm . Date:4/11/2025 1.OWNERS)OF=PROPERTY: Naime:Brendan Sara Osean scrM �.cl�-31-14-8.2 Project Address:12632 Maid Rd,, East Marion, NY 11940 Phone#:973--886-8634 JEnail:brendan.osean@gmail,com Mailing Address:87 Overlook Rd., Morrisville, NJ 07960 CONTACT;PERSO,N: Name:McCarthy Management, Inc.-Thomas J. McCarthy Mailing Address:46520 County Rd. 48, Southold, NY 11971 Phone#:631-765-5815 Email:tmccarthy.tmccarthy@gmail.com ,,,DESIGN"PROFESSIONAL INFORMATION, Name:Jeffrey T Butler, P.B., P.C. Mailing Address:PO Box 634, Shoreham, NY 11786 Phone#: Email:.ieff@butler-ae.co.m 631-208-8850 1 CONTRACTOR 1NFORMATI©N: °; Name:McCarthy Management, Inc. Mailing Address:46520 County Rd. 48, Southold, NY 11971 Phone#:631-765_5815 Email:tmecarthy.tmccarthy@gmail.com DESCRIPTION OF PROPOSED CONSTRUCTIC?N ®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes BNo Will excess fill be removed from premises? ❑Yes ®No 1 PROPERTY INFORMATION Existing use of property:Vacant W/foundation Intended use of property:SFR 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. 8 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 describe .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 buildmg(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant toSection 210.45 of the New York State penal Law. p Application Submitted By(p "nt na ): McCarthy [Management Inc. B Authorized Agent []Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) A-h S�::31W being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the ik 6 `,� (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 __ 7day of 20 Notary Pub1}e "" ' SC OTT ESI,W)�i York NotaryPublic,Suite ot New 55298 PROPERTY OWNER AUTHO TION ��uififi dw �iunty il�iirie�in Suffolk t� z� t 011 (Where the applicant is not the owner) Commission Expires February S. 0 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 Brendan & Sara Osean Print Owner's Name 2 Authentisign ID:FBB16A16-E816-F011-BB3D-00224822F75A a Brendan & Sara Osean 12632 Main Road East Marion, NY 11940 To Whom It May Concern: Brendan& Sara Osean authorize Thomas J. McCarthy and/or McCarthy Management, Inc. and its employees to act on my behalf and handle all necessary work involved with Local Townships, County and NYS municipalities or any other entity for the subject property located at 12632 Main Road,East Marion,NY 11940. Suffolk County Tax Map# 1000-31-14-8.2. Thank you. Sincerely, 04/13/25 Brendan Osean Owner