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Home My WebLink About52078-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#: 52078 Date: 07/09/2025 Permission is hereby granted to: John L Lademann PO BOX 123 Cutchogue, NY 11935 To: legalize "as built" accessory garage as applied for. Additional certification may be required.. Premises Located at: 1200 Harbor Ln, Cutchogue, NY 11935 SCTM# 103.-1-21 Pursuant to application dated 06/12/2025 and approved by the Building Inspector. To expire on 07/09/2027. Contractors: Required Inspections: Fees: Accessory-New Structure $669.50 COAccessory $100.00 Total $769.50 wilding 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 tt �s:/1WWW southo1dtownn .g'oy Date Received APPLICATION FOR BUILDING PERMIT ECE9 � For Office Use Only 2025 U0 PERMIT N0. Building Inspector: Applications and forms must be filled out in their entirety. Incomplete Building Department applications will not be accepted. Where the Applicant is not the owner,an Town of Southold Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: J�JI,,J fi j-oA,✓ L�D��`'� SCTM#1000- /v 3, Project Address: o f�ai-fur- l Cg7 _A,1 Y !l y_Tf— Phone#: 3 / 6 Sri- 3*--7Z Emai1: .v�lT�rr?Cw5 Ver-/z.-.y..y i Mailing Address: to, v. 13ox 123 Ctt I c-Ao 3.r— CONTACT PERSON: Name: To dA-1 C Lp 9 EM iAN,./ Mailing Address: P. 0, iYUY 1go Ci �c��,0 e' 'V 1193� Phone#: 631 45-/ 9fr9� Email:,(jg1 ZEwS Vehiz�:, .•7zT DESIGN PROFESSIONAL INFORMATION: Name: J ufqe.S T. 17e-e Fkj v * . Mailing Address: J (� v Dee h Or M q,%Tr rt c!c /v Phone#: G 3I 77y 733'S' Email: JameS��erK�S/�r[� ,AoO CONTRACTOR INFORMATION: Name: o r� F is�G� �� Tih�` T3L, , / 7-4 Mailing Address:.. Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: Will the lot be re-graded? ❑Yes MNo Will excess fill be removed from premises? ❑Yes 2No 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? ❑Yes 91No 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 name): y"krn c—, LcacQehlcahn Authorized Agent ❑Owner Signature of Applicant: 'i Date: J w� L� � u Z,S r STATE OF NEW YORK) SS. COUNTY OF o) ) -:yOhr\ 4. Laderv--v0.r< being duly sworn, deposes and says that (Ahe is the applicant (Name of individual signing contract) above named, �-// ,, Whe is the a 2 v —e e .ud-Dr ;" " o-IF'�e7�r ,�-wwd-efnoLr\v) (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 day of ToneNotary Public Public ELtZASM A,VVfWERS PROPERTY OWNER AUTHORIZATION NotagstraWn tate Ne9wYork 9 Clualihed In Suffblk CbuIV (Where the applicant is not the owner) oo" F-Xpireg S�OpleMbe3O,2o2-(o 1, 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 Z u � V) 1 N h N.14 49130R E 190.00 u Q Q V I1 c� d IN 0 N � I1l '+ r0THIS SURVEY 1 50 —... NAUTHORR�EY�IS AR YIOLATOION ODITroI. SECTION.7209 OF THE NEN YORK STATE , DUCATION LAW. �a COPILS OF THIS SURVEY MAP N4T RMARING THE LAND SU;VEYL L'S IFII,D SEAL OR EMEOSSED SEAL SHAH N.)T SE CONSIDERED TO SE A VALID TI UE COPY, 6— GUARANTEES INVILAT.D HEREON SHALL RUN 99 ul' ONLY TO THE FOR WHOM THE SWVEY Y, IS PREPALED, A C . M.S O:NAL► TO I^ I TITLE COMPANY, GOVLRitMiNTAL AGEMCV AMA LENDING INSTITUTION LISILU HoRON, MA Q TO THE ASSIGNEES OF THE SENDING MTlr �Iy I TUTION, GUARANTEES ARE NOT TRAPWKAvL, W' TO ADDITIONAL WSTITUTIONS OR fiISSEOUI� 3 O 1WNFRS. co DEIVEWAY Cf T I�. - 221 in = � I 0-,I;WN PIPE n TITLE M-NO.S-56595 Z cy _- � � AL G s u rFQ L I< CO. ra x PARCEL � � I GO O �G 3 — 1— Z 1�.�. N r DAd.CHETCARP. 501 E I 1 AMENDED .JULY"7, 1981.. I GUARANTEED M THE SOUTHOLD SAYINGS BANK+ TN E SURVEY G�1 I C/�Cv0 T I rl Imo.I N SP OF PROPERTY � .. __�.__.-.......�. >�EnrE DV-- -MI vAEDT Via.. -— TU`►'LE SON JOHNS ��_ MPA Y__ J N iJADEMAN N �.�....� ____... .�.�.. a u ', GUTHO� D LfCENSED LAND SURVEYORS TOWN OF SGJrHOLD N.Y. u