HomeMy WebLinkAbout52278-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#: 52278 Date: 09/22/2025
Permission is hereby granted to:
Stephen K LaGreca
9 Croydon Ct
Dix Hills, NY 11746
To:
construct alterations to an existing single-family dwelling as applied for.
Premises Located at:
2255 Old Orchard Rd, East Marion, NY 11939
SCTM# 37.-3-2.1
Pursuant to application dated 08/07/2025 and approved by the Building Inspector.
To expire on 09/22/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $320.00
CO-RESIDENTIAL $100.00
Total $420.00
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) 765-95021 � rY�� lap � :� �1a
Date Received
For Office Use Only
PERMIT NO, Building Inspector
Applications and forms must be filled out in their entirety. Incomplete Oe,P r1 an
applications will not be accepted. Where the Applicant is not the owner,an ui nowf Southold
Owner's Authorization form(Page 2)shall be completed.
I
Date: "7
OWNER(S)OF PROPERTY:
Name: SCTM# 1000- ,?
Project Address: 21-SS l.� QC�a�1 ^ � JVk At' I, t�A,1 1 ) '
Phone#: 4 i' i ^l _ �'v'7 —S 2S 1 Email:
Mailing Address: CQ d� N 2"" "� yr sy I
CONTACT PERSON:
Name: -t' — Ve— L—A, 6,4—Q—c.A
Mailing Address: C�Q a Y11- ,-j �f 7 +4Z s N Al
Phone#: 9 ( �I — �o '7 —S2 S I Email: S L_ A <-kecA O��an/�-eve .,✓
DESIGN PROFESSIONAL INFORMATION:
Name: ��� �� _ S Lt \A/^P-% Z— 94 i A AQCW T —�
Mailing Address: p J Cv ve— A/.y, 1 ) Cd 95
Phone#: 2 3 y 1 g'� Email SSA Lc 4--i e (2- ,,SAL; 1
CONTRACTOR INFORMATION: MQ.
Mailing Address: ., �" � w - "` �
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
p oje
❑Neh Structure ❑Addition Iteration ❑Re air ❑Demolition Estimated ct:
❑ r
Ot e
Will the lot be re-graded? ❑Yes Ira! Will excess fill be removed from premises? OYesQAO
1
PROPERTY INFORMATION
Existing use of property: I A7; §A-x M j>— Intended use of property:
ray
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? E1YesQf4o IF YES, PROVIDE A COPY.
The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
tr 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 R tint Warne): �2 +p' ClAutharixed Agent caner
Signature of Applicant: Date:
CoNW 0.BUNCH
Notary Pubiio,State:of New York
STATE OF NEW YORK) No,01OU6185 60
SS: Qualified In Suffolk County
COUNTY OF ) Commission Expires April 14,2-&-4�
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
a'y of MIA CAIQ� ,2I4
Notary Public
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
S.C.T.M. N0. DISTRICT. 1000 SECTION: 37 BLOCK: 3 LOT(S):2.1
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R=947.56' L=120.75'
PROPER''Y UNE ALONG yRREGULAR CURVE
W,M. WOOD 1L FENCE
Joy PIPE WOOD RAIL FENCE GRAVEL
0.4'N GRAVEL
OIL EIW EDGE OF PAVEMENT
OLD ORCHARD (30') ROAD
U.P.
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
UPDATE 05/14/25 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 10,730.86 SQ.FT. or 0.25 ACRES ELEVATION DATUM.
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
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 INSTITUTION
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 EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOTS 8 & 9 CERTIFIED TO: STEPHEN K. LaGRECA;
MAP OF: GARDINER'S BAY ESTATES SECTION 2 PAULA M. LoGRECA;
FILED:SEPTEMBER 23, 1927 AS #275 FIDELITY NATIONAL TITLE;
J.P. MORGAN CHASE BANK N.A., ISAOA;
SITUATED AT: EAST MARION
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE # 225-80 SCALE: 1 "=20' DATE: APRIL 18, 2025 PHONE (631)298-1586 FAX (631) 298-1588
N.Y.S. LISC. NO. 050882