HomeMy WebLinkAbout52050-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#: 52050 Date: 07/01/2025
Permission is hereby granted to:
Cutchogue Development LLC
2090 Sound Ave
Baiting Hollow, NY 11933
To:
Demolish an existing garage and construct a new Morton building accessory to the existing office
building.
Premises Located at:
29205 Route 25, Cutchogue, NY 11935
SCTM# 102.-2-12.5
Pursuant to application dated 12/16/2024 and approved by the Building Inspector..
To expire on 07/01/2027.
Contractors:
Required Inspections:
Fees:
DEMOLITION $401.00
Commercial-Accessory Structure $588.00
CO Accessory Structure $100.00
Tota I S1,089.00
��� Building Inspectorr�� �
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 htt :/war ,w s utliol t wnn -.go—v
Date Received
APPLICATION FOR BUILD1N§,*"W
For Office uy • r
PERMIT NO. 5 Building Inspecton
DEC � � ��N
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: j - Z-Zoz-J-4
OWNER(S)OF PROPERTY:
Name:Q SCTM#1000-
Project Address:
Phone#: cJ d__ c _ 5qLt S Email:JeqC owen
Mailing Address: Zbg0
CONTACT PERSON:
Name:
Mailing Address: ZZ � 6LT�S4—L Qk --
Phone#:�3L_ Z3o5_ d Email: •4f1'1. W ft1(->r:b t
DESIGN PROFESSIONAL INFORMATION:
Name: U JJ
Mailing Address: ZZ C 4S wG1�5
Phone#: Z3 ' _� Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address: - - oe
,vL
Phone#: Z ('I Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
pair ❑Demolition Estimated Cost of Project:
Other
tructure ❑Addition ❑Alteration, ❑Re $
Will the lot be re-graded? ❑Yes XNo Will excess fill be removed from premises? ❑Yes o
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes L*o 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 210.4S of the New York State Penal law.
Application Submitted By(print name): VJ;F� AA VLL� tAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF ,.,... )
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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.
k
Sworn before me this
day ofr. 20 Cu I I I J,
Notary Publirs,,�,\ Amt414
\P110PERTY OWNER AUTHORIZATION
(Where the applicant is not the..,owner)
I, JI!<� LPL- residing at P '�r,�� CM � +,
do hereby authorize VkL4=44 o apply on
my behalf to the Town of Southold Building Department for approval as described herein.
1056�4er''s Signa'C Date
� F
Print Owner's Name
2