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Home My WebLink About52119-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#: 52119 Date: 07/22/2025 Permission is hereby granted to: Christopher Donohue 49 Aspen St Floral Park, NY 11001 To: construct alterations to an existing single-family dwelling as applied for. Premises Located at: 5075 Route 25, Laurel, NY 11948 SCTM# 125.4-13 Pursuant to application dated 06/11/2025 and approved by the Building Inspector. To expire on 07/22/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $353.25 CO-RESIDENTIAL $100.00 Total S453.25 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 r Telephone (631) 765-1802 Fax (631) 765-9502ti A'f cailolt�j �f. er, Date Received APPLICATION FOR BUILDING PERMIT 02 For Office Use Only PERMIT N0. 5, _..2 Building lnspectora— Applications and forms must be filled out in their entirety. Incomplete Building OeP a�{rnent 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:6.11.25 OWN .... ER(S) OF PROPERTY: Name:Ben ........�.�...__�.....�,�..... Doroski SCTM#1000-125-1-13 Project Address:5075 Main Road - Laurel, NY 11948 Phone#:W631.484.6481 Email:doroskirealty@gmail.com Mailing Address:830 Monsell Ln - Cutchogue, NY 11935 CONTACT PERSON: Name:Zackery E.I� Nicholson, RA Mailing Address:.. _ ... Cutchogue,...�.�w�ww... .......-...�ww_ ,.... .w..__.._�w.......,-�...w_..._�_�.—,._.. 1250 Evergreen Drive - NY 11935 Email:ZENicholson.Arch@gmail.com #; mail:ZENicholson.Arch@gmail.com — ...._ 631 5116 89 DESIGN PROFESSIONAL INFORMATION: Name:Zackery E. Nicholson, RA Mailing Address: 1250 Evergreen Drive - Cutchogue, NY 11935 Phone#:631 .513.6589 Email:ZENicholson.Arch@gmail.com CONTRACTOR INFORMATION: Name:Ben Doroski W Mailing Address:830 Monsell Ln - Cutchogue, NY 11935 doro Phone#:631.484.6481skirealty@gmail.com [.Email.: ..�...��.._._......�......,....m.,� �, M......_... � .m�. ......... ... DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition *Alteration WRepair ❑Demolition Estimated cost of Project: ❑Other $Will the lot be re-graded? ❑Yes ONo Will excess fill be removed from premises? ❑Yes iRNo 1 PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R_80 this property? ❑Yes ®No 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):Zackery E. Nicholson,RA i0lAuthorized Agent ❑Owner Signature of Applicant: Date: 06.11.25 CONNIE D.BUNCH STATE OF NEW YORK) Notary Publilir,StMe of New York SS: No,0`1 BU61 86050 COUNTY O F ) all In Buffos CSouw �� C�oMroli�eion F_xp 'e A4aOI 14,2" 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. Sworn before me this ` day of ... Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Ben Doroski 830 Monsell Ln - Cutchogue, NY 11935 residing at ..... Zackery E. Nicholson o hereby authorize --.. ..___ to apply on my behalf to own of Southold Building Department for approval as described herein. 06.10.25 Owner's Signature Date Ben Doroski Print Owner's Name 2 APPROVEO AS NOTEO *w 0 w v��w4*w��l "? DAM. B.P.# 5 C= FEE BY IN OT WI —BUILDING D E PA RfkE_N_T AT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED FOR POURED CONCRETE ELECTRIcAL 2. ROUGH- FRAWING& PLUMBING INSPECTION REQUIRED 3. INSULATION 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS PLUMBER CERvF1cA'n(, ON LEAD CONTENT BEFO� COMPLY WITH ALL CODES OF CER77FIC4 TE OF OCCUPAN(,, NEW YORK STATE &TOWN CODES SOLDER USED IN WATER AS REQUIRED AND CO DITIONS OF SUPPLY9YSTEMCANN07 SOVRMOLD WN ZBA EXCEED 2110 OF I%L EA P M Co MOLD T W S g OUTHOLD CM PLANNING BOARD W SOM10 TOWIN TRUSTEES VS D SOU OLD PLUMBING OLD HPC ALL PLUMBING WASTE SC &WATER LINES NEED TESTING BEFORE COVERING OCCUPANCY OR Provide wind porn debris USE IS UNLAWFUL protection for new exterior Y glazing on buildings as per de WITHOUT CERTIFICATE NS Co . OF OCCUPANCY All exterior lighting installed,replaced or repaired shaH conform to Chapter 172 of the"rown Code SPACE52 SO �l OF MEW SHED : :g WAUS r.fr G RIE t - - ZEN DES M_A-3=^0 POST OFFICE I CUTCHOOUE.NI PHONE:631.51 ` j c��n�i an 85L K ., y ' ' - = NO. ISSUE -v SE4SONa 01 501 •=-' ?[ _ -- > >.- -.... --- 02 PERMIT SET '� -z _` i kq 03 REV - ...... OA REV 2 B_DROO_%` j 91,M ram W'_P SCREE DOOR ATTACHED S-ORAGE SHED G 3 SEAS0. eu v- - - G c -=. g a vlNG Room a _, SL DE _.�.,c G _ _ - - u l : Oc Ni DORG RESIDE : %, 5075 MAIN vvb 7€r 1 lv SYMBOL_> i - -_ - LAUREL.NY « -DRAWN ft A, I G2 1 2 C°«vE EX S CC�n; -� .- t.t & RQPC) _ FW FL€( « E u•3: r S'<.. u , vN n r 1 1 0 20 10 5 /,(UUI- 2V; 2V� ZEN DES POST OFFICE I CUTCH OGUE,N) PHONE..63151 SECOND FLOOR KITCHEN j BATH1 LAUNDRY BA TH 2(NEW) No. ssuE --------- 01 SDI 'SZ2V 02 PERMIT SET 1$12 V 1 i12 1 11/2 V ! '11/2 V I i/2 v 03 REV I LAY L4V 0,Al rl All 'I S1,11YR SHIVR ED- `STING FINISH 1ST FLOOR 0 SECOND FLOOR TIP 'UNCHANGED) DN Co. 4 3 TO APPROVED SANITARY DISPOSALSYSTEM BASEMENT rol E.Ni RISER DIAGRAM 0444' OF W DORO! RESIDE 5075"LL TYPE LEGEND IL LEGEND LAURELM,NAIY SCTM#1000-I -------------- MO Sm- AND CO2DETECTOR f- , F SCALE: DE W4LL EXISTAC 5701 WALLS DATE- DRAWN SY: NEW STUO WAI I E SECOND FLC GiRDER HEADER NVW DOOR EXISTING DOOR RISER DIA FjVO14 0 up 0 =bm?"ABOVE WMEMIONS 0 M UMN A-1 20 10 5 0 ZEN DES POST OFFICE =.' CUTCHOGUE,N' PHONE:631.5: mF� fm € _ r N0. ISSUE 01 SDS 02 PERMIT SET 03 REV i 06 REV 2 -URROUT REFRAME2xdWALLSAS REQUMED onlyOVERER GRAVE-1 BtSE tt � ' p_0444 OP NI 1 u -RLA1 BARS AT g e R%ERS D0R4 1 u x3 C CR � ? _ RESIDE a 3500 PSI CONC'R_:_. 5015 MAIN _ LAUREL,NY SCTM#SODO-7 SCALE: DATE: DRAWN 6Y: BUILDING! AT SGREEI r