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Home My WebLink About52111-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#: 52111 Date: 07/16/2025 Permission is hereby granted to: Joseph L Galzerano 124 Stratford Ave Garden City, NY 11530 To: Construct additions and alterations to an existing single-family dwelling to include deck addition, outdoor shower,cathedral ceilings and HVAC modifications as applied for. Premises Located at: 910 Brigantine Dr, Southold, NY 11971 SCTM#79.-4-32 Pursuant to application dated 06/20/2025 and approved by the Building Inspector. To expire on 07/16/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $768.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $868.00 1� /a Building Inspector , TOWN OF SOUTHOLD—BUILDING DEPARTMENT t Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 Nett s�:�"�wm .soutl�roldtowliri ��. ow Date Received APPLICATION FOR BUILDING PERMIT I I For Office Use Only E E � C! E �? PERMIT NO. � � I Building Inspector: �v\ J J N 2 0 2025 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Building Department Owners Authorization form(Page 2)shall be completed. Town of Southold Date:2025.05.09 OWNER(S)OF PROPERTY Name:Elizabeth & Joseph Galzerano scrM# LOOO-79.-4-32 Project Address:910 Brigantine Drive, Southold, NY 11971 Phone#:(516) 509-7050 Email: - Mailing Address:124 Stratford Ave ,Garden City, NY 11530 CONTACT PERSON: Name:Jake LaChapelle Mailing Address:P.O. Box 1251, Mattituck, NY 11952 Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com DESIGN PROFESSIONAL INFORMATION: Name:Jake LaChapelle AIA Mailing Address:P.O. Box 1251 Mattituck, NY 11952 Phone#:(646) 251-5058 Emaii:jake@lachapellearchitecture.com CONTRACTOR INFORMATION: Name:tbd Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $150,000 Will the lot be re-graded? ❑Yes @No Will excess fill be removed from premises? ❑Yes 8'No 1 ry A i 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? OYes WNo IF YES,PROVIDE A COPY. W Check Box After IReadin : 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 pass A misdemeanor pursuant to Section 210AS of the New York State Penal Law. v Application Submitted int im ):Jake LaChapelle ®Authorized Agent !]Owner Signature of ApplicarlL. CONNIE D.BUNCH Date: .ZS otary Public,State of New York No.0 1 BU6185050 STATE OF NEW YORK) Qualified In Suffolk County SS: � Commission Expires April 14, 2 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 aLV day of 0 r Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I Elizabeth Galzerano residing at 124 Stratford Ave. Garden City, NY do hereby authorize Jake LaChapelle to apply on my behalf to the Town of Southold Building Department for approval as described herein. 1-1 Owner's Signature Date Elizabeth Galzerano Print Owner's Name 2 S.C.T.M. NO. DISTRICT: 1000 SECTION: 79 BLOCK: 4I LOT(S):32 ANCHOR LANE 0 ' S 05 10 64 E MAP OF HARBOR LIGHTS ESTATES SEC. 1 #4362 N ' LOT 4 0.0"W MON. N 00'r7 44 PICK DEER FENC o E GENERALLY O/L N -1 MON 8.0t N 195.07 w 12 1*, CO FM" . FC �O � SHAD ai ,`C . 3.3'E CIDzo 0.3'N U.P„ N �? _ N x -- 101.6' BELG. BILK. CURB CO WOOD NCLOSE 2Fa.7 m STOOP PORCH' 2 CAR :vN ASPHALT DRIVEWAY p z co •.� CONC. 11 7' GAI"�AGE r O PATIO o +r Z I ^ ° 1 57.7' o L x 1 S'7Y FRM O LOT 49 DWELLING N o W Q c91'0 w D m Q' c z CO 00 CQ H � x 3.0'W rn co L6 r- 1.s'w MON. FC , n e " 4' CHAINLINK 0, 'S 208.90 MON. I a 1.0'E N 70 46 40 W FENCE , 0.13'W' Io.2 s LOT 50 t5 AREA: 22,,,505.40 SQ.FT. or 0.52 ACRES ELEVA77ON DAR/M: UNAUTHORIZED ALTERA77ON OR ADD/AON TO THIS SURVEY IS A 140LA710M OF S£CAON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY CL MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS7I7U7ION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADD17101VAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUSWRF`ACE S7RUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 49 CERTIFIED TO: JOSEPH L. GALZERANO;. MAP OR HARBOR LIGHTS ESTATES SEC. 3 ELIZABETH M. GALZ"ERANO'" FILED: AUGUST 7, 1968 No.5147 JPMORGAN CHASE BANK N.A.• SITUATED AT: BAYVIEW FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC• TowN OF: SOUTHOLD KENNETH M WOYCKUK LAN—D SURVEXING. PLLC SUFFOLK COUNTY, NEW YORK f ssio ud Surveying and Design THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL P.O. O l 3 A q ebogue, New York 11931 LOCA77ONS SHOWN ARE FROM FIELD 06SERVA77ONS FILE 17-1 O2 SCALE: 1"=20'DAIE: JULY 5, 2017 PHONE (630298-15e6 Fax (e30 296-15M AND OR DATA OBTAINED FROM OTHERS N.Y.S. LISC. NO. 0'50882 maintaining the records of Robert J. Hennessy t Lsnnsth H.IIoyebnk