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Home My WebLink About52516-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 52516 Date: 12/05/2025 Permission is hereby granted to: Sewell JW & MS Revoc Trt 4438 Ellicott St NW Washington, DC 20016 To: install HVAC system as applied for. Premises Located at: 2255 Mill Creek Dr, Southold, NY 11971 SCTM# 51.-6-38.2 Pursuant to application dated 10/28/2025 and approved by the Building Inspector. To expire on 12/05/2027. Contractors: Required Inspections: ELECTRICAL- ROUGH, PLUMBING , ELECTRICAL- FINAL, FINAL, Fees: HVAC $250.00 CO-RESIDENTIAL $100.00 Total $350.00 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 htt s://Nvw .,so Bohol wnw�n . ,oY Date Received a : For Office Use Only f PERMIT NO. Building inspector: Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owners Authorization form(Page 2)shall be completed. Date: 10- Zn OWNER(S)OF PROPERTY: Name:John and Maryann Sewell revocable Trust SCTM#1000 5 6— 6 .3&.;— _ —3 Project Addres55 Mill Creek Drive Southold NY 19971 Phone#:202-486-1648 Email:michael sewell@hotmail.com Mailing Address:4438 Ellicott Street NW Washington DC 20016 CONTACT PERSON: Name:Michael P. Sewell (Trustee/Power of Attorney) Mailing Address:4438 Ellicott Street NW washington DC 20016 Phone#:202486-1648 Email:michael.-Sewell@hotmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Kolb Heating and Cooling Mailing Address:11500 Old Sound Avenue PO Box 106 Phone#:631-298-5527 Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther Install central A/C system 15,000 Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes lgNo 1 PROPERTY INFORMATION Existing use of property:single-family residential Intended use of property:single-family residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes ®No IF YES,PROVIDE A COPY. W Check Box After I .eadllln ': The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chapter Z36 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 taws,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 210AS of the New York State Penal Law. IA t ❑Authorized Agent 'Owner Application Submitted ply( rlln name) � �►g r P ' Signature of Applicant: Date: CAROLINE M MACARTHUR STATE OF NEW YORK Notary Public-State of New York SS: NO.0IMA6384635 COUNTY OF 9VPI�--6 L 6 Qualified in Suffolk County ) 1 My Commission Expires Dec 17,2026 i 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 OLM ZD Notary Public PROPERTY OWNER AUTIJORIZATION (Where the applicant is notthe 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 IN 2 5URYFY OF PROPERTY N 51TUATE: SOUTHOLD TOWN: SOUTHOLD CER TO: W E 5UFFOLK GOUNTY, NY Meg an, S. Se el and Michael Ser4ell, as Go-Trustees of11-T The Join W. 5,otNoll and Maryann S. Revocable Trust u/a/d July 25, 2016 SURVEYED 04-Oct-2021 Fidelity National Title Insurance Company. S 04-11-2021 SUFFOLK COUNTY TAX # 1000 - 51 - 6 - 58.2 1 I _ `N Nit s T N #: z t I r € �e \ - 530 F s e z \ $ P 3 \ \\ j art v3 - • �� a e s z �s Y ` Q 4A e y Y b!Mr'zetl alfara'ono oW -to a w vey rt ` nqp I.L- 1 Ilc 10e 0q.si.rveywS seal' a vlolalbn OI eeclbn 1209,sub tlEv .2,Of IM lat�- New York Se EA.collon Lon,' Yb�eI Icr €ra a==y e�rkeci wAx �Pnc s�rtl MONUMENT FOUND `' ELEVATIONS REFERENCE MSL N6VD '24 AREA = aci,640 S.F. OR 2.2G AGRES JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 6RAPHIG SCALE III= 50' RIVERHEAD,N.Y. 11901 631-369-8288 REF.C-\Usm\Tohn a PROS\2000 pros'\20-267 update 2021.pro