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HomeMy WebLinkAbout52260-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#: 52260 Date: 09/12/2025 Permission is hereby granted to: Thomas Westermann 2200 Aldrich Ln Laurel, NY 11948 To: Legalize as built interior alterations as applied for. Additional certification may be required. Premises Located at: 2200 Aldrich Ln, Laurel, NY 11948 SCTM# 125.-1-2.21 Pursuant to application dated 08/28/2025 and approved by the Building Inspector. To expire on 09/12/2027. Contractors: Required Inspections: Fees: As Built Alteration $1,100.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,200.00 Building 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 httns://wwwsoutholdtownny.gov Date Received APPLICATION BUILDING IL Ip PERMIT For Office Use Only DEC E W E Building Inspector: PERMIT NO.—�t✓' ��' " AUG 2 8 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 Owner's Authorization form(Page 2)shall be completed. Town of Southold Date:dw, ugust, 2025 OWNER(S)OF PROPERTY: Name: Mr. & Mrs. T. Westermann scrM# s300-125.00-01 .00-002.021 Project Address: 2200 Aldrich Lane, Laurel, N.Y. 11948 Phone#: 631 .298.1962 1Email: pindarsmom@optonline.net Mailing Address: 2200 Aldrich Lane, Laurel, N.Y. 11948 CONTACT PERSON: Name: Mr. Thomas Westermann Mailing Address: 2200 Aldrich Lane, Laurel, N.Y. 11948 Phone#: 631.298.1962 Email: pindarsmom@optonline.net DESIGN PROFESSIONAL INFORMATION: Name: Nigel Robert Williamson Mailing Address: P.O. Box 1758, Southold, N.Y. 11948 Phone#: 631 .834.9740 Tmail: nigel_arc1 11 hitect@hotmail.com CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTIONifAS- Soivr QEM6AT;;j Boom- 875-47 SQ- FT-, ❑New Structure ❑Addition RAlteration ❑Repair []Demolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? IRYes ONO BcoQs om. 4 - 120,53 So_ FT. ltJ ASemEOr- _ TOTAL- 'r". AvpTG AiQ H ODLE.0- 4 CLa,16 Co0JDLWif14 U#►i-r 94 4scDHA0 MA )VFA .°I-PII A� Co.• As- BUILT G"4AaaLi Ccmul UJ G0W—RSF- INT Wo,oD 809-Ji► , STOVF- SU AL 00. /4 239. 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 R40 this property? ❑Yes ®No IF YES, PROVIDE A COPY. 8 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 bulldingis)for necessary inspections.False statements made herein are punishable as a class A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Williamson Nigel Robert Wlllla rued Agent El Owner BAutho Application Submitted By(print name): g I Signature of Appli an ° Date: 28 juA,�rVST-j 20215-. STATE OF NEW YORK) SS: COUNTY OF ) Nigel Robert Williamson 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 2eday of 2-5-AJGIu"r 20 Notary Public BRIA,N A. ANDFEWS Notary Public,State Of New York No, 02,AN5014509 PROPERTY OWNER AU rtiORIZATION C�ualltNed In Suffolk Count (Where the applicant is not the owner) Oommrsron Expires1 /15/ - Thomas Westermann residing at 2200 Aldrich Lane Laurel, N.Y. do hereby authorize N igel Robert Williamson to apply on my behalf to the Town qf u old Building Department for approval as described herein. Owner's Signature Date n YA lo rya. �✓_S � � Print Owner's Name 2 fN�` M BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: a Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ElI request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: MC. 4 t4g4. I: Wg4Tegk1 00 Address: 2200 Q,Lt3f-lc.k f,L M L4. 111748' Cross Street: Phone No.: 631. 298. 1962 Bldg.Permit#: S email: indars~ c t0AI-ne.,A- Tax Map District: 1000 Section: 12 6.00 Block: O l•0 0 Lot:002.021 BRIEF DESCRIPTION OF WORK„ INCLUDE SQUARE FOOTAGE (Please Print Clearly � &S- Bu i l-r- RFGi2EaTic>0 1Zp011-s-rs..47 sQ. Fr ,� 8F Dwom 4-- lip.- - Fr. Io P BASF -0 JDILE2 G�36 coODF-0si►J air Sq s g i' AV TCG QI1L HA G U >� is Iii^ I IJr WA Square Foota o: " . *13 Circle All That Apply: Is job ready for inspection?: YES NO F]Rough In Final Do you need a Temp Certificate?: El YES 0 NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION . �52,sSo�2-s �60 4 � E,XTGr M / kITGH�N a CA to IZ 1 GMu GHI WEY 19" Is.. "P- aw Rmn. �. L'ivINC, .H. vERMo ur ccsr`►NGs DE i a►J T Ea.ICO R.E" kl D 9URJ41"Cr STOVE StrRitaL Mo. 14239 �..xTG. GARAGE. E,KTC, CovEt-ED POW-k A5 - BUILT MAsotdz`( GHIMOF-� WOOL) SUPWIN4 Sl-OVE ' MR. 4 MR5. T WrsTE.R.M,t� NI1 2200 L.1 DR:ic H LAME L,&.URF-L WY )I948 5G4.LE %4 . 1'-0 S G.T.M_ loon - i 2s.00 - oI_oo -002.021 . D&TE; 28�AUCUST; 20ZS-. HBO PRL55URE ►.IOTF- : TA llic PROVIDE \v-L FIRESLOGKI►JGc TO ALL E.RTIGdL PUBLIC, H2 O HORIZONTAL OPEWIWC,5. ps p � 0 TI& C,♦;if',ey �f'r D b'd 0 - REMbVE I,cTrx.B�sE.rl�lr Ij'T O R.6,G E 4cJ iiJ DO k1. 1=1J LARGE. >X%r. tNG Fop- ExrG. I� 414DE CW 1.4-. F N O 0/4-x cl LVL GIRDER, EXT6,. IC A:' 3 O-Of SD/Co. ` ( pEAcAVFL b BED ooM 4- � TZEG1ZEAT1OW ROOM � 3q k 36� ��r R Fm.-5 F� ��SP. yo3�o �. -s�SP. c� . &J8„ Q D5 u o S ►�Ir 40 E- CASE MENTCtx ZLC-W14- 120.53 SQ. Fr_ 875..47 50 , FT klE41TE w� GLA.,.51G sEZIE;s coMpncr OPERATOR HANDLE w/ WHITE-1N5EGT 5GRESQ. 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