HomeMy WebLinkAbout48491-Z TOWN OF SOUTHOLD
� r BUILDING DEPARTMENT
�d' `
s`a TOWN CLERK'S OFFICE
P-O SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED FLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 48491 Date: 11/15/2022
Permission is hereby granted to:
Kovoros, Mihail
852 Hilldale Ave
Hilldale, NJ 07642
To: install window replacements to existing single-family dwelling as applied for.
At premises located at:
3950 Old North Rd., Southold
SCTM #473889
Sec/Block/Lot# 55.-2-3
Pursuant to application dated 9/16/2022 and approved by the Building Inspector.
To expire on 5/16/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ALTERATION TO DWELLING $50.00
Total: $250.00
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 Infos:// www. oiitlioldtoLAr�. o
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
4 'rSEP 1
PERMIT NO. Building Inspector- i,
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.
j
Date: V025 �a
OMINER(S)OF PROPERTY:
Name: A , 01 j ' C1 ffU' Ct1 V01�S SCTM#1000- 5-5 —
Project Address: 32,5C) O La �J D I I' l 9-Cad 50 I
Phone#: _ (f Email:
ailing Address: 2
CONTACT PERSON:
Name:
kvc e
Mailing Address:
Phone#: Email: C) -D S5 YKOLA
...
DESIGN PROFESSIONAL INFORMATIO
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: 0
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
NOther . * I
Will the lot be re-graded? ❑Yes YNo Will excess fill be removed from premises? ❑Yes,'ONo
1
PROPERTY INFORMATION
Existing use of property: Q, 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 9�No IF YES, PROVIDE A COPY.
Check BODS 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. APPUCATION 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 e): Ams, Osla. 110 VOY-05 ❑Authorized Agent -Awner
Signature of Applicant: Date: 1 �� "```""'''
�e� 3�Ys� 111 III
STATE OF RM Y6RIE}— ,
SS:
COUNTY OF
4—n. .s kA,rj .,�X being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the A4 M",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
11'h
6 day of .20 Zz
Not Public
NADIA G POST
Notary Public-State of New NCR AUTHORIZATION
My Commission Expires Apr 2"y "�'� .,'"""""`�"",.�""""�."�""�,"�".��"' "'"""�"".»��... .,�
7 re the applicant is not the owner)
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
1409 Gmail
Southold 'Window Permit
stacey kovoros <kovoross@gmail.com> Tue, Sep 6, 2022 at 9:24 PM
To: stacey kovoros <Kovoross@gmail.com>
Hello,
Please see the list of the make and model/specs of the windows we are replacing and are requesting a permit for.
the make of all the windows is Crystal Windows
Quantity
Spec: 28W
36Wx40H casement series 235 vinyl-1
33.5 Wx36.5 double hung series 235 vinyl-1
8 feet 8.5 inches Wx, 53.5 H series 2300 aluminum thermal sliding windows in Vinyl -1
37.5Wx40.5W double hung 235 series-1
20 Wx 24H Casement series 235 Vinyl- 3
36 Wxx53H double hung 235 series-7
28 W x 56 H casement series 235 vinyl-5
Total 19 windows
APPA VED AS NOTED
1FIF�:
�D 'P.#A%L1C 0M Ali...'Y' i .A II C 011 1
I ': : r P1`° IDM , I IF`uu19D'.,DbID� F .
N01"IFY BUUFJ ING DF.G "�AR
FD F I:::N"F A"T" AS V I V Q l i1 i �_�''� A N�' `�� 'k)i °
765-1802 S M "M " N0 F=OR -N IE
..,..q pp ..Wp p' .n , w ! reF P BP g.P
�p w
1. EOI.YNDA "IO .. TWO RE00F E[.
FOR POURED CONC�::�LrE
E. ROI.UG�I - F11=8XVING & FP,...UF"Idl'W
S. NSUIL...AMN
W. FINAL .. N"''I i DPW MUST
BE COMPLEN...
N...L. CONSTRUCU Fdr.,!, S,_.aM.mi... MEET' 1f1Iff::":
g,,EWRF: IG=:V' TS OF-Fi...iE CODES OF NEW
FORK S FATE. NOT Rr;::wSF'O1VSRBi....E FOR
CY
R CONSTRUC"FON ERRORS, i�
N
-ISE IS I
"VITHOU
)PANCY