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Home My WebLink About45633-Z �o�guFFDi oTOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERK'S OFFICE ca oy • '{ 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#: 45633 Date: 1/4/2021 Permission is hereby granted to: Branche, Joan 212 Oak St Greenport, NY 11944 To: dmolish an existing swimming pool as applied for. At premises located at: 170 Oak St, Greenport SCTM #473889 Sec/Block/Lot#42.-1-22 Pursuant to application dated 12/15/2020 and approved by the Building Inspector. To expire on 7/6/2022. Fees: EMOLITION $100.00 Total: $100.00 Building Inspector �SUFK�o TOWN OF SOUTHOLD ��o aye BUILDING DEPARTMENT y TOWN CLERK'S OFFICE 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#: 45633 Date: 1/4/2021 Permission is hereby granted to: Branche, Joan 212 Oak St Greenport, NY 11944 To: dmolish an existing swimming pool as applied for. At premises located at: 170 Oak St, Greenport SCTM #473889 Sec/Block/Lot#42.-1-22 Pursuant to application dated 12/15/2020 and approved by the Building Inspector. To expire on 7/6/2022. Fees: DEMOLITION $100.00 Total: $100.00 Building Inspector �o�g�yFFO�tcOGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hLtps://www.southoldtownny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Us my L 2 ,L4>> =3. ``� •-" PERMIT N0. J� Building Inspector: DEC 1 4 2020 ~ Applications and fo his 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. €; r' Date: OWNERS)OF PROPERTY: a • _ Name: SCTM#1000- P h-y.s ical 000-Physical Address: �ee►1- (J----W--- Phone#: Email: Mailing Address: - - ---- -_— 2-L srf- - - —---- -- - CONTACT�PERSO`1- Name: Mailing Address: Q e# Phone 3 _ Email: ° - -- 3 I-- 3 �- f J DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF,PROPOSED CONSTRUCTION []NewStructure ❑Addition ❑Alteration ❑Repair emolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? Yes El No Will excess fill be removed from premises? ❑Yes 1:1 No 1 12-09-20;03: 17PM;SPRINGS SCHOOL ;6313246082 # 1/ 1 PROPERTY INFORMATION Existing use of property: pg Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes o IF YES,PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractor/design professional Is responsible far all drainage and storm water Issues as provided by Chapter Zge 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 bulldings, additions,alterations or for removal or deeioution as herein described.The applicant agrees to comply with ad applicable laws,ordinances,building code, housing code and regulations and to admit authors:ed inspectors on premises and In bullding(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. Application Submitted B (print name l lSh � Y(p :) r Authorized Agent ❑Owner Signature of Applicant: // Date: 1 oZ — / a STATE OF NEW YORK) SS. COUNTY OF Re,l Ili. ) � 1�r d 71r,e h (I� S A e being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the_ l� G�y —f (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 L41 20 Notary Public LINDA S. CARLSON PROPERTY OWNER AUTHORIZATION Notary Public, State of,New York No. 01 CA6137178 (Where the applicant is not the owner) Qualified in Suffolk County Commission Expires Nov. 14, 20 I, Qonn E. Granche residing at 9 Arn-aqon --,e i-4 Dr. F. , Ca 4 �i o ry i: (`O n,NY do hereby authorize V r i S A e n B l -5 h e— , to apply on IVorA-h i=o r K Remi t ES;+(=k-' Q my behalf to the Town of Southold Building Department for approval as described herein. ��-®-oma► � . ��ui � 2 ` � � 2. C) Owner's Signature Date Joon E . Gf- ci, tnc-he- Print Owner's Name 2 �� y"�:�-•`:•t• � _ /�' -�.�.•�.•� n. ,� '___ -_; _ -- �- - _. •r, --moi — -__ '--- --__ —_ ' •�= _' - - '� - - - - - SPJRVEti��i.r• FOS AZ A&E'T/-/ O.a r/i r;. Az E b �' c• o�-`�cxn' '�.ter? N Y NO • . - 5 _ , -_ � . nr.y.-►"•i_;:��a:' /moo.a Ilk i t:Vit•,• � d. - `• - - •��:No10 . Loi rust-��-'r4� �sla`v� �c'��-r- .�o Gf.-a�.�.�ti;-�,� -�0 1�� ,=�n-•:: :�.'� AO'/Vl� c_ �:� Tfrory.�,� � �.-i�C Sr. E�;� " �• Gc�oraN f�, C'o...f-�-;• •.� ,,�.,�,- ::> - •• SU7�Sc7.�.rC C6&mrA-f 'G'/CI-fc LS 1 ®../f'/*D•�'7 7 '://ri.f. .7f>� .:1;' ��f�✓CG/N_t