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Home My WebLink About47649-Z 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#: 47649 Date: 4/6/2022 Permission is hereby granted to: Ohayon, Gal .... ............... 105 Freeman St Brooklyn, NY 11222.....................�w.�w�..._.................._ ..��w_.._..�_ww��.._._._._._............ w___._._....................... w .w� .._ To: Construct interior alterations and garage conversion to living space at existing single family dwelling as applied for. Additional certification may be required. At premises located at: 745 Gagens Landing Rd, Southold.._ m_aaaa _._ ..H SCTM # 473889 Sec/Block/Lot# 70.-10-32 Pursuant to application dated _2/24/2022 and approved by the Building Inspector.. To expire on _ 10/6/2023. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $472.00 CO-ALTERATION TO DWELLING $50.00 Total: $522.00 Building 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 IAt : w srt�Ma «rwta Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. /6) Building Inspector..............._.M._..wH..w_... ....,,�.... �J °.. F E B 2 42022 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:2/24/22 OWNER(S)OF PROPERTY: Name:Gal Ohayon scrM#1000-70-10-32 Physical Address:745 Gagens Landing Road, Southold NY 11971 Phone#: Email: Mailing Address: CONTACT PERSON: Name:Constantine Rigas Mailing Address:22260 Main Road, Orient NY 11957 Phone#:917-509-8751 Email:c@rigasco.com DESIGN PROFESSIONAL INFORMATION: Name:Joseph Fischetti P.E. Mailing Address: 1725 Hobart Road, Southold NY 11971 Phone#:631-765-2954 Email:Joseph@fischetti.com CONTRACTOR INFORMATION: Name:Constantine Rigas Mailing Address:22260 Main Road, Orient NY 11957 Phone#:917-509-8751 1 Email:c@rigasco.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition *Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $200,000 Will the lot be re-graded? Dyes RNo Will excess fill be removed from premises? Dyes *No 1 PROPERTY INFORMATION Existing use of property:Single Family Intended use of property:Single Family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes *No IF YES, PROVIDE A COPY. Check Box After Reading: 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 210AS of the New York State Penal Law. Application Submitted By(print na e): ` ��r` /4`- � ®Authorized Agent ❑Owner Signature of Applicant: Date: '"I,,,,r I� 4('ti°�1..- l� CON IE C.BUNCH \ STATE OF NEW YORK) Notary Public,State of New York SS: No,01 BU6185050 COUNTY OF ) Qualified in Suffolk County, . Commission Expires April 14, 2c'° .. 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 &n i.um(. day of20_�� Notary Public PROPERTY OWNER AUTIJORIZATION (See separate authorization) 2 Building Department Application AUTI ORMATION (Where the Applicant is not the Owner) I, Gal Ohayon,residing at 745 Gagens Landing Road,Southold NY 11971 do hereby authorize Constantine Rigas to apply on my behalf to the Southold Building Department for any and all needed permits. .w..._ _ 2/21/ZZ................._.........._._.......... (Owner's Signature) (Date) Gal Ohayon (Print Owner's Name)