HomeMy WebLinkAbout53045-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#: 53045 Date: 06/03/2026
Permission is hereby granted to:
Monte Redman
4510 Peconic Bay Blvd
Laurel, NY 11948
To;
construct an unfinished and unconditioned accessory storage building as applied for,
Premises Located at:
4510 Great Peconic Bay Blvd, Laurel, NY 11948
SCTM# 12$.-4-21
Pursuant to application dated 05/18/2026 and approved by the Building Inspector.
To expire on 06/02/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $725.00
CO Accessory Structure $100.00
Total S825.00
i +ding Inspector
TOWN OF SOUTHOLD BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 h ,°)s, ` "W.S llol,d o'!L - �,
Date Received
APPLICATION
For Office Use Only
Wi
,o
` I
NO. �a �� inspector-
PERMIT " ill" AY
Building 8 20,26
Applications and forms must be filled out in their entirety. Incomplete m
applications will not be accepted. Where the Applicant is not the owner,an
a
Owner's Authorization form(Page 2 shall be com
pleted
.
Date.2026.05.12
OWNER(S)OF PROPERTY:
II
Name: LLC SCTM# 1000-128.-4--21
451 OPECBB
Project Address:4510 Peconic Bay Boulevard, Laurel, NY 11948
Phone#:(917) 774-9093TwEmail:v.mag ro2555@9 ma i l.com .... .
Mailing Address: P.O. Box 1571, New York, NY 10150
CONTACT PERSON:
Name: Jake LaChapelle AIA
Mailing Address: P.C . Box 1251 Mattituck, NY 11952
Phone#. 251-5058 Email. jake@lachapellearchitecture-com
646
DESIGN PROFESSIONAL INFORMATION:
...Name.
LaChapelle AIA
Jake
Mailing Address: P.O. Box 1251, Mattituck, NY 11952
Phone#• (646) 251-5058Email: jake@lachapellearchitecture.com
CONTRACTOR INFORMATION:
Name: CJM Carpentry
Mailing Address:P.C . Box 1569, Southold, NY 11971
Phone#:(631) 745-1958 1 Email:c'mcar ent Ilc@Yahoo.com
J p ry
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure FAddition ❑Alteration ❑Repair ❑demolition Estimated Cost of Project:
r $250,000
❑Othe
Wi the lot be re-graded? FYes No Will excess fill be removed from premises? ❑Yes �No
ll
PROPERTY INFORMATION
Existing use of property: single-family residential Intended use of property: no Chan1ge
Zone or use district in which premises is situated., Are there any covenants and restrictions with respect to
R-4O this property? 0Yes RNo IF YES, PROVIDE A COPY.
...............X,
I is res' r a 11 drainage"and"' W4teriwiuesa�,rprovi W
C 6,�Clc's OXA e
11e,ad1i1,,i9, The owner/contractor/design pr6fesilona pondble f6
1 chip" 36'ot ihe'Tawri Code."APPUCATION IS HEREBY MADE to the Building Department for the,Issuanceof a Build! Ptrrrilt
1 0 UO,"r 2
v
a
hcii the Town,of Southold,,Suffolk Cuny,NewYorkand other appliawOrdinanoulatt on4
ad bui_,"'iIco e�
4 i 6ns'N,alterations or fo r remova l or em dolition as h 'ere in,/descrlbed.T he pli apcant t com agrees o ply with all appl icable Ift - d
us ng e and regulations and to admit authorized inspectors on premises and In building(s)for necessary inspections.1allse statements made hemirt are
pprilsbablea's a Class A misdemeanor pursuant to Section 110.45 of the New York State Penal Law,
............
Jake LaCha elle AlA
Application Submitted By
nt 'WAutn: rize, Agent" Downer
Signature of Applica,n Date, 7,0,1
CONNIE D. BUNCH 7! 7
Notary Public,State of New York
STATE OF NEW YORK) No.0IBU6185050
SS: Qualified in Suffolk County
Commission Expires April 14,2_
COUNTY OF
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
a too yo
y o
Notary Public
X r
PROPERTY OWNER AUTHORIZ, ION
(Where the applicant is not the owner)
Valentin Ma ro residing at 909 Third Ave, New York, NY 1 0 1 50
Ae do hereby authorize Jake LaC�hapelle to apply on
my be, 1, n of,S ol, g Department for approval as described herein.
5/12/2026
P's Signature Date( �
Valentin Ma ro
Print Owner's Name
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