HomeMy WebLinkAbout52619-Z h4�daf�a,,rHo`o TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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..g 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#: 52619 Date: 01/21/2026
Permission is hereby granted to:
Lemonaid Home LLC
20 Beekman PI #PHC
New York, NY 10022
To:
construct a deck addition to an existing single-family dwelling as applied for.
Premises Located at:
2850 Reeve Rd, Mattituck, NY 11952
SCTM# 100.4-7
Pursuant to application dated 11/25/2025 and approved by the Building Inspector.
To expire on 01/21/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $400.00
CO-RESIDENTIAL $100.00
Total 9500.00
�r Building Inspector
Docusign Envelope ID: DC7818F5-8BF8-4DA9-9969-808A4E697720
TOWN OF SOUTHOLD —BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 11971-0959
Telephone (631) 7�5-1802 Fax (631) 765-9502 tt s. . th .
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
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PERMIT N0. Building lnspector,
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Applications and forms must be filled out in their entirety. lncom,plete
applications will not be accepted. where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
a
Date:
OWNER(S) PROPERTY:
Nm :
SCT M # 1000- 100.- 01 - 07 O O
Project Address: 2850 REEVE ROAD MATTITUCK,NY 11052
Phone# 347-685--4188 Email: maisonnorthforkc�,,'.gmail.com
MailingAddress. Po a-ox 164
CONTACT PERSON
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MailingAddress: 205 BAY AVE GREENPORT
hone : 1 77 Email: info@ribrownarchitect-com
DESIGN PROFESSIONAL INFORMATION:
Name, ROBERT 1. BROWN ARCHITECT P.C, AND ITS, AGENTS
ai�Iin A d ss* 2,05, BAY AVEY 11944
E il:Phon 7 infb@r'l.bro�w,narc,h'itect.com
CONTRACTOR INFORMATION:
FN a M e
a:1111 n g,,Ad dress
Phone #:: Email:
DESCRIPTION OF P PC ED' ONSTR CTIC N
®New Structure ❑Addition ❑Alteration �._,.1 Pepair ❑Demolition Estimated Cost of Project:
CJ Other PROPOSED WOOD DECK $
100000
Will the lot be re-graded? FYes ®No Will excess fill be removed from premises? ❑Yes ii�No
1
Docusign EnvelopE,11):DC7818F5-8BF8-4DA9-9969-808A4E697720
PROPERTY INFORMATION
Existing use of property:SINGLE FAMILY RESIDENTIAL intended use of property: N O C HANG E
.......... -
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R_4 0 this property? FlYes ®No IF YES, PROVIDE A COPY.
--Hpp P ...................
19 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,Suffu;ki-tounti,New or 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 mf the New York State Penal Law.
Application Submitted By(print name): RYAN IDOL' , (AS AGENT`} ®Authorized Agent DOwner
Signature of Applicant: Date: S
/V
ONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01 BU6185050
Quallfied In Suffolk County
SS: "bX
Commission Expires April 14,2
COUNTY OF
RYAN S I D O R ,being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
ROBERT 1. BROWN ARCHITECT P.C.
(S)he is the I'll....11111111111111111-�-- 0
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is cluly'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
ay of
_ --tom. �``_,,v '
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I"IIIAISON NORTH FORK LLC 2$50 REEVE RD
residing at,
MATTITUCK, NY 1195� do hereby authorize ROBERT I. BROWN ARCHITECT P.C. to apply on
my behalf to the'Town of Southold Building Department for approval as described herein.
S,11 g n e d,bow
11/19/202S
1406,-,
Ow ne r's i, ,MW I W Date
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Print Owner's Name
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