HomeMy WebLinkAbout52214-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#: 52214 Date: 08/26/2025
Permission is hereby granted to:
Fussy Monkey Properties LLC
232 Madison Ave
New York, NY 10016
To:
To install window and door replacements in-kind as applied for.
Premises Located at:
955 Aquaview Ave, East Marion, NY 11939
SCTM#21.-2-12
Pursuant to application dated 07/02/2025 and approved by the Building Inspector.
To expire on 08/26/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $350.00
jv�
Building Inspector
� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
j Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 h l 10 J o ra
Date Received
APPLICA I ION FOR BUILDINGE C E W E
For Office Use only qi u II0
25
PERMIT NO. 5 I Building Inspector-.
Building epa e t
Applications and forms must be filled out in their entirety.Incomplete Town of Southold
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:6.25.25
OWNER(S)OF PROPERTY:
Name:Christine Topsoe SCTM#1000-21-2-12
Project Address:955 Aquaview Ave. East Marion
Phone#:1-212-684-3200 Email:chris.w@rsa-nyc.com emily@rsa-nyc.com
Mailing Address:232 Madison Ave. Mezzanine NY NY 10016
CONTACT PERSON:
Name:Joan Chambers
Mailing Address:PO Box 49 Southold NY 11971
Phone#:631-294-4241 Email Joanchambers10@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Dierdre M. McDermott
MailingAddress:
9 9th Street Brooklyn NY 11215
5 D Sr B
Y
Phone#:1-917-843-9797 Email:dmmcdermott@future-expansion.com
CONTRACTOR INFORMATION:
Name:SCI Builders Inc..
Mailing Address:50 Station Rd. Building 5, Suite 4 Watermill NY 11976
Phone#:631-259-3410 =Email:phil.f@scibuildersinc.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration *Repair ❑Demolition Estimated Cost of Project:
❑other window & door replacement
Will the lot be re-graded? ❑Yes NNo Will excess fill be removed from premises? ❑Yes ENO
1
PROPERTY INFORMATION
Existing use of property:single family residence Intended use of propertY:same
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes N NO IF YES, PROVIDE A COPY.
N Check d ft r Read fiMing, The owner/contractor/design professional 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 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):Joan Chambers Authorized Agent []Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
Joan Chambers
.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
day of ,20
Notary Public
2' 2111II' i 111[' CTIl i IUZ Ti i
(Where thew..w.w.w. ..��.. . .�o
( applicant is not the owner)
Christina residing at
To soe 955 Aquaview
I, p ,
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
June 26th, 2025
Owner's Signature Date
Christina Topsoe
Print Owner's Name
2
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