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
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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
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