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HomeMy WebLinkAbout52622-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT Y 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#: 52622 Date: 01/21/2026 Permission is hereby granted to: Lawrence Scott 2880 Delmar Dr Laurel,, NY 11948 To: Construct additions and alterations to an existing single-family dwelling as applied for. Premises Located at: 2880 Delmar Dr, Laurel, NY 11948 SCTM# 125.-4-12 Pursuant to application dated 11/25/202S and approved by the Building Inspector. To expire on 01/21/2028. Contractors: Required Inspections: Fees• Single Family Dwelling- Addition&Alteration $397.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total 497.00 Building Inspector T+[► N C �' C UT'HC LT —BUILDING DEPARTMENT A4 5 Main load P'. ►. Boy 1179 authold NY 11971-0959 Town Hall Anne. 537 4 h,° Telephone (631) 765-1802 Fax (631) 765-9502 .h,tti.)s://www.southoldto v�) oov ti � y m y, Gate Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NCI. 5R ( QL-, Building Let " .: Applications and forms must be filled out in their entirety.Incomplete ° applications will not be accepted. Where the Applicant is not the owner,an �a Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name:Joan Scott & Lawrence Scott SCTM#1000-125-4-12 Project Address:2880 Delmar Drive, Laurel NY 11948 .......... Phone#:516-551-2838 Emil:lscott2128@aol.com Mailing Address:430 St Marks Ave, Brooklyn, NY 11238 CONTACT PERSON: Name:Brooke Epperson Mailing Address:PO Box 152, Mattituck, NY 11952 Phone#:531 603 9092 Email:b►epperson@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name:Anthony Portillo Mailing Address:PO Box 152, Mattituck, N.Y. 11952 Phone#:531 503 9992 Email:aportillo@amparchitect.com CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure 'Addition ©Alteration ❑Repair ❑Demolition Estimated Cost of Project: F-1(Jther $I b,Doc) Will the lot be re-graded? -]Yes No Will excess fill be removed from premises? Yes LINO 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-4o this property? ElYes No IF YES, PROVIDE A COPY. *,Check Box After Reading". The'owner/contractor/design professional is respon'sible,f6r all drainage and storm water issues as provided bV Chapter 236 of the Town Code. APPLICA71ON 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 and other applicable Laws.,Ordinances or Regulations,for the constwctlor�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 remises and in buildiisg(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. t............. Application Submitted By r narne):AMP Architecture WAuthorized Agent 0Owner Signature of Applicant: Date: STATE OF NEW YORK) CO U NTY 0 F(i'�'10 � : , Am p Architecture being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Arch itect (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, tary,Public ............ D I A!N�NM G�E:''FZ A R- GEE ALJF �[' J C, N o. OlAkJG0119644 PROPERTY OWNER AUTHORIZATION Regisi1r,aflo n 4 QU3. 1ified in S�_W,' lk GO,Lfir)ty (Where the applicant is not the owner) if ,jp.'\�' I ",or ''Z E C 2028 S 0 r x r,e s 111 .......... Lawrence Scott, Joan Scott residing at 2880 Delmar Drive, Laurel do hereby authorize Amp Architecture to apply on my Wehalf to the Town of Southold Building Department for approval as described herein. f N ove m be r 24, 2025 o %Owl tv Owner's Signatur Date Lawrence S cott, Joan S cott Print owner's Name 2 ............................ ...................... .... ............................... ..................... Note' ALL SL1I3S0Rr&;(_ r. 13 NA IJ I J "CI)AtfLUATION OR ADDITION WATER SUPPLY. SANITARY TO THI'-, el-IRVEY IS A VIOLATION OF No jm 1 09 OF THE NEVV YORK STATE DRAINAGE, ORMELLS AND UTILI)ILS, SECT10t, 72 SHOWN ARE FROM FIELD ORSERVATIONs, EDUCATION LA�V, m Af PT, J%Y 2011a AND OR DATA 01EITAINE0 FROM OTHERS. COPIES OF THIS SURVEY IJAP NOT BEARING THE LAND S0Rvn,'Or%'S INKf-D SCAL OR THE CXISTCN-E OF RIGHTS OF WAY Ft.480SSI:D SEAL SHALL NOT 13E CONSIDERLD AND/OR EAS'EMENTS OF RECORD IF To EIE A VALID TRUE COPY. ANY. NOT SHOWN ARC NOT C4.)ARANTECU. GUARANTEES INDICATED HEREON 5HAt,L RUN ONLY TO THE PERSON FOR WHom rHE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE 71TLE COMPANY. GOVERNMENTAL AGENCY AND LENDJNG JNSTrTLITION) LISTcn HEREON, AND rO THE ASS(GNEEG OF THE I-11140INC JNST(— TUTION. GUARANTEES ARE NOT TRANSFERABLE. -1 E 1r) of NZ 0 0 14& GIs 4 1 N Ak 31 1.84 > IL low, LOI 20 Soo -0. IT -04 X L01 0 47% Cerfif led to: Sean M. Brodarick Erin T.Brodffick ;:iurvey of Lot 38 USAA Federal Savings Bonk WP Of LAUREL COUNTRY ESTATES Judicial Title Insuronce FN JX 221 1970 ni E NO 5486 situate at Laurel 1AND SURVEYING Town of Southold Mintoville@aol.com Suffolk County, New York 508"SIONS ME&MORTGAOC SURVE-n Tax Map #1000-125-04-12 TOPOGRAPHIC SURVEYS tMD PLANNERS July 99 2017 Scale 1 30' SITE PLANS GRAPHIC SCALE JOHN !"TO. L.S. PHONE; (631) 724-402 30 I 13 30 60 120 txlNsco Paorms4N&LA40 SuRvrfoR NEW YORK$TATF UCH No,49M FAX-(631) 724-5455 . ......... ...................... 93 MUMTOW BOULEVARD SWTIfTOWN, N.Y, 11767IN FEET ) ........... I inch = 30 it.