HomeMy WebLinkAbout53046-Z TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
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SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST RE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 53046 Date: 06/03/2026
Permission is hereby granted to:
Beach Land Development Corp
PO BOX 1086
Vilest Hampton Beach, NY 11978
To:
construct interior alterations to the existing commercial building(Unit#2- personal service nail salon)
as applied for.
Premises Located at:
11600 Route 25, Mattituck, NY 11952
SCTM# 122.-3-17.1
Pursuant to application dated 05/26/2026 and approved by the Building Inspector.
To expire on 06/02/2028.
Contractors:
Required Inspections:
DRAINAGE, FOOTING/REBAR, FOUNDATION 1ST, FOUNDATION 2ND, F RAM IN GST"R PPING , PLUMBING ,
ELECTRICAL- ROUGH, FIRE RESISTANT PENETRATION , ELECTRICAL- FINAL, INSULATION , FIRE SAFETY
INSPECTION , FIRE RESISTANT CONSTRUCTION , FINAL,
Fees:
Commercial-Alteration $404.00
CO Cmmerdal $100.00
Total S504.00
N
Building Inspector
Y TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 11971-0959
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Tole (631) 765-1802 F ( 3 ) 765 9502
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0
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
M AY 2 6 2026
PERMIT NO. Building Ins c o °;
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWN ER(S)OF PROPERTY:
Name: Avt-,-4- RR Fsam #1000- "'.. ( /70, /
Project Address: Av- G --
Phone#: ���� �� E mai l
3131'V44
Mailing Address: �
CONTACT PERSON:
NOR
Name,
i
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFO
RMATION:
CAN.
Name,
Mailing Address.-
Phone#: E m ail:
+�D X,
CONTRACTOR INFORMATION:
Name:,
Mailing Address: e
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION CT I N
❑New Structure ❑Addition FKAlteration D Repair ❑Demolition Estimated Cost of Pro ct:
❑Other
Will the lot be re--graded? ❑Yes o Will excess fill be removed from premises? ❑Yes ❑No
1
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PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants an, strictions with respect to
I
this property? FlYes b F YES, PROVIDE A COPY.
C.1"Colieclic Box Readl*1191','11 The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by
an 0 F
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,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,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 210.4S of the New York State Penal Law.
40
Application Submitted By(print name): P ElAuthorized Agent C wner wner
Signature of Applicant- Date: 00
STATE OF NEW YORE )
SS:
f6 r'COUNTY OF V±t 0
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
d ay of" Ma 20
-A A
ITary Public
TIRCEY Lit DR
W- AW -r F tw'YORKI
PROIRERTYOWINER AUTHORIZAT1,1110N pUEL1,00 S ATE 0' 'N
14, 00 01;DWISM900 Illy,
(Where the applicant is not the owner) L IIN�$UFFWCQ0 W
' P
C411S781 EVIAESdUNE 30,2bal
residing at
do hereby a uth e to apply on
my behalf to the Town of Southold Building Department fo proval as described herein.,
Owner's Signature. Date
Print Owner's Name
2
11700 Main Road Mattituck
NAIL SALON
SCOPE OF WORK
REMOVE NON-STRUCTURAL WALLS FROM OLD CLOSEST AND BUILD TWO NEW
CLOSETS
SPACKLE AND PAINT
NO CHANGES TO PLUMBING, ELECTRIC, EGRESS AND OR HVAC SYSTEMS
THE USE IS THE SAME TY011E OF USE AND SAME PARKING REQUIRMENT AS PREVIOUS
SALON
COST TO COMPLETE$8000