HomeMy WebLinkAbout48238-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#: 48238 Date: 8/31/2022
Permission is hereby granted to:
Castelforte LLC
259 Barton Ave
Patchogue, NY 11772
To: legalize "as built" alterations to existing single-family dwelling as applied for.
At premises located at:
750 Kerwin Blvd, Greenport
SCTM # 473889
Sec/Block/Lot# 53.4-44.46
Pursuant to application dated 7/18/2022 and approved by the Building Inspector.
To expire on 3/1/2024.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $449.60
CO-ALTERATION TO DWELLING $50.00
Total: $499.60
Building Inspector
� ra r 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 litti)s://www.sotitholdtowLiny.gov
j
Date Received
APPLICATION IL I T
�N2 For Office Use Only
Fol�
PERMIT NO. � Buildingknspectars � Q„ ,. 2022
UU). Nt #. tp'J.
Applications and forms must be filled out in their entirety.Incomplete TOWN SOMI
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name: SCTM#1000-
Project Address:
Phone#: Email:.
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: IHI
l:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition Id,Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[--]other $
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes ❑No
1
PROPERTY INFORMATION
Existing use of property: 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 ❑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 210.45 of the New York State Penal Law.
Application Submitted By(print name): ❑Authorized Agent ❑Owner
Signature of Applicant: �-� ' Date:
STATE OF NEW YORK) CONNIE D.BUNCH
SS: Notary Public,State of New York
COUNTY OF ) No.61BU61 R'S0S0
Qualified in Suffolk County
Cornrnission Expires Aprll 14, L .
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
day of ... 20`
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
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 33.- q - AlIf.,Y& S
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BATH °O
x �'8" o W W.I.C.
x � 10'7" x 7'8"
V 2
BEDROOM O7
14'6" x 13'2"
PRIMARY BATH]'{ Q
PRIMARY 18 ROOM 12'9"x 10'3"
BEDROOM BONUS 'ROOM
BEDROOM 10'5" x 13'5" 12'5" x 15'9"
14'4" x 11'3"
w
CLOSET
Ln
12'9" x 5'1"
�n
V
!c')01 I w FAMILY ROOM
loo 18'9" x 16'11"
KITCHEN
18'0" x 13'0"
BREAKFAST NOOK
DINING AREA 12'2" x 13'0"
18'2" x 13'0" �H DW
1
REF
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sidepP
M
LIVING ROOM ROOM u, o rn
FOYER 12'9" x 13'3" W�
17'2" x 13'3" 11'9"x 13'3"
GARAGE
18'5" x 227"
BATH
" x '
SIZES AND DIMENSIONS ARE APPROXIMATE, ACTUAL MAY VARY.
O O FAMILY ft00M
18'9°x 16'11' x7'8°
KITCHEN BATH
18'0'x13'0' ' �
BREAKFAST NOOK
DINING AREA 12'2"x 13'0" [14'4".
M
18'2'x 13'D° \ '2'
IF
PRIMARY BATH
J PRIMARY BEDROOM 12'9'x 10'3"
5. 12'9'x 18'11'
BONLS ROOM
WING ROOM ROOM o m II BEDROOM J 12'5'x 15'9'
17'2°x 13'3' 7,913-3-
FOYER 12'9"x 13'3" . M 10'5'%13'5'
GARAGE '3' Iq
18'5x 227"
`?f CLOSET
BATH
FLOOR 2 x FLOOR 3
BASEMENT
68'6"X 40'4'
F H
FLOOR 1
SIZES AND DIMENSIONS ARE APPROXIMATE, ACTUAL MAY VARY.