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Home My WebLink About47257-Z Rt OL ., TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 47257 Date: 12/22/2021 Permission is hereby granted to: Hollander, Jonnah 461 Dean St Apt 22E Brooklyn, NY 11217 To: alter an existing accessory garage to an accessory pool house as applied for per SCHD approval. At premises located at: 275 Maple St. Greenport SCTM # 473889 Sec/Block/Lot#42.-1-15 Pursuant to application dated 11/30/2021 and approved by the Building Inspector. To expire on 6/23/2023. Fees: ACCESSORY $272.80 CERTIFICATE OF OCCUPANCY $50.00 Total: $322.80 i Bing Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 . E Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only — PERMIT N0. 1,45Building Inspector: 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:11/29/21 OWNER(S)OF PROPERTY: Name:Jonnah Hollander SCTM#1000-42-01-15 Project Address:623 Maple St Greenport NY 11944 Phone#:203-434-3878 Email:JGH1 130@gmail.com Mailing Address:623 Maple St Greenport NY 11944 CONTACT PERSON: Name:AMP Architecture, Jess Magee Mailing Address: 1075 Franklinville Rd Laurel NY 11948 Phone#:516-214-0160 Email:jmagee@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name:AMP Architecture, Anthony Portillo Mailing Address: 1075 Franklinville Rd Laurel NY 11948 Phone#:516-214-0160 Email:aportillo@amparchitect.com CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ®Never Structure OAddition .-Alteration ❑Repair ❑Demolition Estimated Cost of Project: 'Other Tb>01 1-[(JSA& $ Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? Dyes FmNo 1 PROPERTY INFORMATION Existing use of property:Single Family Residence Intended use of property:Single Family Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes *No IF YES, PROVIDE A COPY. Q - - e _{ The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by 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 210.45 of the New York State Penal Law. AMPArchitecture Jess Magee Application Submitted By(print name):- ; A A � BAuthorized Agent ❑Owner Signature of Applicant: Date: 1.2 STATE OF NEW YORK) SS: V COUNTY OF Suffolk AMP Architecture, JeSSagee being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the agent (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.&,ht-�— BARBARA H.TAND Sworn before me this Nry Public,State Of New York No. DTA 06 00t c� Qualified In Suffolk County OZ 1 day of 20 C;)- l Cr, mission Expires f / 0 Notary Public R_ T W (Where the applicant is not the owner) � _ c- 1 1G i, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 t E Q, 0 all a. 94 UR Q F E --.0.051 ' ! _ NI4°4600"E co C'qty N° _.. --- m 6 w LLl - ��s�= see_ ----- OL ,0051 41 _ #7 z E r �'L S lu t 3 � � - M— - ( # .' E [ MR i V