HomeMy WebLinkAbout52582-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WIfTH O N E SET OF APPROVED PLANS,AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52582 Date: 12/30/202S
Permission is hereby granted to:
Marratime Cptl V LLC
71 15th Ave
Sea Cliff, NY 11579
To:
Construct a pool house with covered patio accessory to an existing single-family dwelling as applied
for per SCHD approval.
Premises Located at:
1635 Laurel Ave,, Southold, NY 11971
SCTM#56.4-1.3
Pursuant to application dated 11/07/2025 and approved by the Building Inspector.
To expire on 12/30/2027.
Contractors;
Required Inspections:
Fees:
Accessory-New Structure $470.00
CO Accessory Structure $100.00
Total $570, 0
Building Inspector
�
br� 'TOWN OF SOUTHOLD—BUILDING DEPARTMENT
b�
�� y Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
y
Telephone 631) 765-l 802 Fax (631) 765-9502 Littp, .,soutotrn ;
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 5 Building'Inspecto
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an „1
Ownees Authorization farm(Page )shall he completed.
D ate:11/06/25
OWNER(S)of PROPER :
Name:Marratime Capital V, LLC SCTM# 1000-56-01-1.3
Project Address: 1635 Laurel Avenue, Southold, NY 11971
Phone#:516-946-235 Email:dino.marra@marrcon.com
Mailing Address:PO Box 152, Mattituck, NY 11952
CONTACT PERSON:
Name:Brooke Epperson
Mailing Address:Po BOX 152, Mattituck, NY 11952
Phone#:531 603 9092 Email:bepperson@amparchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Portillo
i
Mailing Address:Po Box 152, Mattituck, N.Y. 11952
Phone#:631 603 9092 Email:aportillo@am parch itect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address,,
Phone#4, EmailI.-
DESCRIPTION OF PROPOSED CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Cat h e r accessory pool house 100,000
Will the lot be re-graded? F�Yes ❑No Will excess fill be removed from premises? WYes ❑No
1
.......... -------------
PROPERTY INFORMATION
Intended use of property:Single Family Residential
Existing use of property:Single Family Residential
Zone or use district in which premises is situated., Are there any covenants and restrictions with respect to
R80 Non-Conforming this property? E]Yes iONo IF YES, PROVIDE A COPY.
Check Box After Reading.' 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 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,bufldlng 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(pri w e). RAuthorized Agent Owner
Signature of Applicant:
Date.
STATE OF NEW YORK)
COUNTY OF
X too being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing co'litract)above named,
(S)he is the
%(1%ritractor,,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
ell
_d a y of 001 20
ota,ry,Public
DARCEE AU�' r_NIANGER
+101"AR'(PUBLIC.STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION Rea jo. 01AU0019644
,istration
oualifiedin Suffolk County
(Where the applicant is not the owner)
1,ry 9, 2028,
mrinission 1_-:-P`8.s
...........................
1, nvx)-;1,, 31, jASY residing at..........
to,apply on
do hereby authorize4I.XV
my behalf to th, of Southold Building Department for approval as described herein,,
Owner's Signature Date
01 --------11
Print Owner's Name
2
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