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Home My WebLink About52056-Z � x 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#: 52056 Date: 07/01/2025 Permission is hereby granted to: Keil Alvahs Ln Farm LLC 30 E Gate Dr Huntington, NY 11743 To: demolish interior of single-family dwelling(fire damage), deck and portions of exterior sheathing and siding as applied for. Additional permits/approvals will be required. Premises Located at: 17950 Route 25, Mattituck, NY 11952 SCTM# 115.4-15 Pursuant to application dated 02/19/2025 and approved by the Building Inspector. To expire on 07/01/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $250.00 CO-RESIDENTIAL $100.00 Total $350.00 ..lding Inspector s �Fa TOWN OF SOUTHOLD—BUILDING DEPARTMENT im Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-95021 1tl)$: /NN�r�l, Nr.sOtltlloldto NVIII V Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. z Building Inspector: I 0 p Applications and forms must b6'filled out.in them„entirety"Incomplete,,, applications will not be accepted:;Where the`Applicaint; ,not t',owner,an v Owners Authorization forth(Rage )shall"be'cornpleted. Date:2025.02.17 OWNER(S)OF PROPERTY: Name:Keil Alvahs Lane Farm LLC SCTM#1000-115.4-15 Project Address: 17950 Main Road, Cutchogue, NY 11935 Phone#:(631) 692-7627 Email: - Mailing Address:30 East Gate Drive, Huntington, NY 11743 CONTACT PERSON: Name:Jake LaChapelle Mailing Address:P.O. Box 1251, Mattituck, NY 11952 Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com DESIGN PROFESSIONAL°INFOI;MATIONc Name:Jake LaChapelle AIA Mailing Address:P.O. Box 1251 Mattituck, NY 11952 Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com CONTRACTOKINFORMATION: Name: Ed Lucas, Lucas Built LLC Mailing Address:P.O. Box 745, Jamesport, NY 11947 Phone#•(631) 682-5356 Email:lucasbuilt@optonline.net DESCRIPTION OF PROP""OSED"CONSTRUCTION;,",, ❑New Structure ❑Addition ❑Alteration ®Repair El Demolition Estimated Cost of Project: ❑Other 100.000 Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes "0 1 PROPERTY INFORMATION Existing use of property:single-family res. Intended use of property:no change Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes RNo IF YES, PROVIDE A COPY. 8 Check Box After Reading: The owner/contractor/design professlanal Is responsible for all drainage and storm water Issues as provided by Chapter 236 of the Town Code.APPUCATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Butlding 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.Tha applicant agrees to,comply with all applicabke,laws,ordinances,building code, housing code and regulations and to admit authorized Inspectors on premises and In building(s)for necessary Inspectlons.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(pVna :1Jr"-k LaChapelle ®Authorized gent ❑Owner Signature of Applicant: Date: �I q ryp�L�� STATE OF NEW YORK) SS: COUNTY OF Suffolk 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 r`` Nll�— ��i day of , 20 . AMY M.SCHLACHTER I Notary Public NOTARY PUBLIC,STATE OF NEW YORK Registration No.01SC5039767 Qualified In Suffolk Counl Y OWNER AUTHORIZATION Commission Expires February,27, 0�"i (Where the applicant is not the owner) l Eric Keil residing at 2045 Westview Drive, Mattituck, NY do hereby authorize Jake LaChapelle to apply on my b9h if t e Town,of Soythold Building Department for approval as described herein. Y Owner's Signature Date Eric Keil Print Owner's Name 2 Nunemaker, Amanda 1J5-4-45 From: Jake LaChapelle <jake@lachapellearchitecture.com> Sent: Tuesday,July 1, 2025 1:44 PM To: Nunemaker,Amanda Subject: List of removals for 17950 Main Road Follow Up Flag: Follow up Flag Status: Flagged Amanda, i The following is the removals scope list for the above address, minus replacements indicated in the drawings.We'd like to pull the demo permit: - remove all gypsum wallboard and trim remove all insulation - remove duct and mechanical systems - remove plumbing and fixtures - remove electrical systems and fixtures - remove wood flooring and the - remove siding at southeast corner of house where damaged - remove windows and doors J - remove framing and sheathing at breakfast nook and bathroom extension where damaged (included in certificate of occupancy Z-6000) - remove deck flooring and framing where damaged at deck(included in certificate of occupancy Z- 20175) - remove other fire and smoke-damaged finishes and materials Thanks, Jake Jake LaChapelle AIA NCARB LaChapelle Architecture P.O. Box 1251 Mattituck, NY 11952 jake@lachapellearchitecture.com (646) 251-5058 c ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i