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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#: 52961 Date: 05/08/2026
Permission is hereby granted to:
Andrew Kandel
112 W 18th St Apt 5C
New York, NY 10011
To:
legalize an "as built"finished basementto an existing single-family dwelling as applied for. Additional
certification may be required.
Premises Located at:
1670 Stars Rd, East Marion, NY 11939
SCTM# 22.4-16
Pursuant to application dated 03/04/2026 and approved by the Building Inspector.
To expire on 05/07/2028.
Contractors:
Required Inspections:
Fees#,
As guilt Alteration $1,748.00
CO-RESIDENTIAL $100.00
Total 1848.00
�Building Inspector
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
' Town Hall Annex 54375 Main Road P. 0. Box. 1179 Southold,NY 11971-0959
Telephone(631) 765-1 02 Fax(631) 765-9502 lit s. ww, .so ,��1 o o,wn. w .u� v.
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only (LJ
a4,
PERMIT NO.
Building Inspector.
nnnNG�'l .. a. dig
MAR 2026
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. mu be filled out in their entirety.Incomplete
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Applications and forms must fit` p
applications will not be accepted. Where the Applicant is not the owner,an
Ownees Authorization farm(Page 2)shall be completed.
Date:2026.02.26
OWNERS OF PROPERTY:
Name:Andrew Kandel SCTM #1000-22.4-16
Project Address: 1570 Stars Road, East Marion, NY 11939
Phone#: 917 716-4721 mail:akandy@gmaii.com
Mailing Address: above
CONTACT PERSON:
Name: Jake LaChapelle AIA
Mailing Address: P.O. Box 1251, Mattituck, NY 11952
Phone#: (545) 251_5058 Email: jake@lachapellearchitecture-com
DESIGN PROFESSIONAL INFORMATION:
Name: Jake LaChapelle AIA
Mailing Address: P.C . Box 1251, Mattituck, NY 11952
Phone#: (646) 251-5058 Email. jake@lachapellearchitecture.com
CONTRACTOR
INFORMATION:
Name:Joel Daly, Joel General Contracting Inc
Mailing Address: 205 Boisseau Ave, Southold, NY 11971
Phone#: 631 755_122 Email:Joel@joeidalybuilders.com
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DESCRIPTION OF PROPOSED CONSTRICTION
❑New Structure ElAddition Alteration ❑Repair 0 Demolition Estimated Cost of Project:
F-1 other
$10,000 �
Will the lot be re-graded? MYes *No Will excess fill be removed from premises? ❑Yes *No
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Existing use f r e : � Intended use of property:
"� popY Slrl �iy �dentl �" �" r" o�u« hain
Zone or use district in which premises is situated; Are there any covenants and restrictions with respect to
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this property? ❑Yes No IF YES, PROVIDE A COPY,
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Jake LaChapelle IApplication Submitted B �t f,el@'Authorized Agent ❑owner
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Signature of Applica Dates
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Notary Public,.Mate of New York
5TATE OF NEW YORK) No.01 BU6185050
SS:
Qualified In Suffolk COUNTY
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� UNTY OF
Commission Expires April 14,2 %
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Mhe 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
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that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
ay of 20 �
Notary Public
FROPERTY OWNER AUT
(where the applicant is not the owner)
Andrew K 112 W 1 th 1 t, Apt 5C New York NY 10011
g, residin at �"
o herebyauthorize
Jake ke Launapelle
to apply on
my ha f; ' ,Hof Southold Building Department forapp approval as descri ed he ein.
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