The URL can be used to link to this page

Home My WebLink About47925-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY ek 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#: 47925 Date: 6/7/2022 Permission is hereby granted to: Jacksons Todd ........ ..................... .......... 246 Fairview Ave w Bayport, NY 11705 To: legalize "as built" outdoor shower as applied for. At premises located at: 510 Flint St., Greenport .. ............... ...... ......._ SCTM # 473889 Sec/Block/Lot# 48.-2-20 Pursuant to application dated 5/3/2022 and approved by the Building Inspector. To expire on 12/7/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ADDITION TO DWELLING $50.00 Total: $450.00 Building Inspector tai rr�a 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 lat ;fr� ° a�watr111atarrrtfl <1 Date Received APPLICATION FOR BUILDING PERMIT n For Office Use Only Qj MAY 3 2022 PERMIT NO. ra .._. ,. Building I � ector�,, iw�t� Fns ' BUILDING DEET Applications and forms must be filled out in their entirety.Incomplete i'�i� i OF SDtfi`i..KJ applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: 2 OWNER(S)OF PROPERTY: Name: ( 0 U j4c'�Sd� SCTM#1000- Project Address: 1`7 60 ��iN7 s� �i;r,,JA0 /y �J7 -7 Phone#: 3 n� � � Email; Mailing Address: �� _.. CONTACT PERSON: Name:... � 6" Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: �........... ............. ...... .,......... ....._.__.w_........ .......... . Name: Mailing Address: Phone#: Email: ......... CONTRACTOR IIUFORMATI�OIV:mm.......... ......._M_..........�,_ ..__.._...._........ ...._ ___.._...,..- Name. Mailing Address: �� _ ..� w �ww .._- ,��_ -....._�� ,.., m� ... .�_.._.... ....._ . _...,, _M.........._. .w..�. Phone#: Eail• DESCRIPTION OF PROPOSED CONSTRUCTION G. Xe ^Stt-ucture ❑Addition ❑Alteration ❑Repair ❑Demolition EstirXiated Cost of Project; other .__w f � ........ Will the lot be re-graded? ❑Yes .. No Will excess fill be removed from premises? [-]Yes UNo 1 PROPERTY INFORMATION Existing use ofMproperty: bXXMµ101IOntended use of property: "/, �M Zone or use district in which premises siis'situated: Are there any covenant, and restrictions with respect to this property? OYes XNo IF YES, PROVIDE A COPY. heck Bol(After Reading: The owner/contractor/design professional is responsible for ad drainage an .w_.__..w....,.iswe. ...,,,,, s drains a and storm water Issues as prodded 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 Gass A misdemeanor pursuant to Section 210.43 of the New York State Penal Law. . �1 Application Submitted By(print name): u '-"•'`G ❑Au,� f thorizedAgent .Owner / Signature of Applicant: Date: '`1 lz / zl, STATE OF NEW YORK) COUNTY OF .. .__) ,.�` being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, OS he is the ..www 0 .mm.. ..w,...w . . __ ......._..._ _ __..�..w._v_._..._.. (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 .__.. .. ...� .... . ...... .._,m.....R 21 �. _ ...,. .._..... Notary Public NOTAijy PUBLIC,S TA l:OF NEW YofjK PROPERTY OWNER AUTHORIZATION NO, GIU'AL.IEiE iiV ri r LK COUNTY (Where the applicant is not the owner)00( ( (SSiON EXF^INES,JUNE 30,zpack I, residing at _vw_...._�wwww.w.....M. .._..._ ...................................do hereby authorize....._.,.w ........_w ...............vw___...w.n ,-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 APPR VED AS NOTE D- DATE: B.P.# FEE: • p Y NOTIFY BUILDINIG ` '-DARTMENT AT 765-1802 8 AM 7'C - 71M FOR THE FOLLOWING INSPEC'FIJNS: FOUNDATION T11,1;C, REQUIRED FOR POURED CC,5,J C PETE 2, R& 64-- 8 frl UMBfNG INSULATK)N( a%4 44 F, WVyo w""VIVO 1NAL - C;, ~ l"" AILL A4C-E.T,TPiL R E Q 11 TS > CODES OF NEW OZ-1 yc NOT RESPON131911 -FO.r DESI '11CONSTRUCTION ERRORS, din -� 14-yCl- i r1�FPsjdw0 ql D �4 CAAWA6- -ri) KAe_ D ®2 -rb PAc�A50C-r-' _,5!WUfg_ (jAS IOST-�LdD CC)KX�!:ILY N T'll Al L (,,`,ODES Of:' NEW ii(ORK S"T A FE & 1C)MI C,"ODES I I AS REOL)'�"Ef) 1\11�D C(Dt,,,,�.)fTONS OF )CCU-PANCY OR U- L— JSE IS Aliiiiiiii,AWR R 121 0 E1,0Af't VITHOUT" CER"rIFICA OCCI NANCY