HomeMy WebLinkAbout48707-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#: 48707 Date: 1/9/2023
Permission is hereby granted to:
Sonnenfeld, Kenneth
_...... _ _... . .._.. _ . .._..�.... .....................................
1385 Yor.............................._...... _.......
New York, NY 10021
To: Construct interior alterations and window replacement to an exisitng single family
dwelling as applied for.
At premises located at:
965 Greenway W,.
...Ori..n.t......._ ...............................
.� ...� �_.
SCTM # 473889
Sec/Block/Lot# 15.-1-27
1/15/2022 and approved by the Building Inspector.
Pursuant to application dated 1 ....._..... .... .......__
To expire on 7/10/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $283.20
CO-ALTERATION TO DWELLING $50.00
Total: ............... $333.20
6
; 6
Building Inspector
FRIO
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
k�� Telephone (631) 765-1802 Fax(631) 765-9502 lett w �.souffiold'to' rit �. Yov
Date Received
APPLICA n0N F0111 " iT
For Office Use Only
I „I
I
PERMIT NO. � Building 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:October 20th, 2022
OWNER(S)OF PROPERTY:
Name:Kenneth Sonnenfeld & Margaret Brivaniou SCTM#1000-315.-l-27
Project Address:965 Greenway West, Orient, NY 11957
Phone#: (516) 662-4317 Email:khsonne@aol.com
Mailing Address:965 Greenway West, Orient, NY 11957
CONTACT PERSON:
Name:Jake LaChapelle AIA
Mailing Address:P.O. Box 1251 Mattituck, NY 11952
Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com
DESIGN PROFESSIONAL INFORMATION:
Name:Jake LaChapelle AIA
Mailing Address:P.O. Box 1251 Mattituck, NY 11952
Phone#:(646) 251-5058 Email:jake@lachapellearchitecture.com
CONTRACTOR INFORMATION:
Name:tbd
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition HAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $1oo,000
Will the lot be re-graded? Dyes 19No Will excess fill be removed from premises? Dyes @No
1
n ti
PROPERTY INFORMATION
p.,rty siln j _ use f property:no Chan e
g ...., Pae �.,m .,� f a it f"a"d ._.�_. Intended use o..... . _.,, �� 9 -_
Existing use of ro
Zone or use district in which premises is situated Are there any covenants and restrictions with respect to
R40 ResidentialLo . . . ro ,
W density No IF YES,PROVIDE A
this property? Yes„ _ v w, wI'll .. m ." _ a
IN heck Box After Reading: The owner/cont ac6or/design professional Is responsible for all drainage end storm wets blues es provided by
Chapter 236 of the Town Code. APPurATION 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 M buliding(s)for necessary inspections.raise statements made herein are
punishable as a class A misdemeanor pursuant to Section Z10AS of the New York State Penal law._
Application Submitted By(print name):J LaC'#'ha e �mm ... mmINAuthorized Agent 130wner
Signature of Applicant: Date: Oct.20th,2022
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified in Suffolk County
COUNTY OF Suffolk 1 Commission Expires April 14,2�:.1 I
Jake LaChapelle 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.
Sworn before me this Q
0�1 clay of 0 %,4*kj l .20�
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
1, Kenneth Sonnenfeld residing at � 17
�cJ
Jake LaChapelle t0 apply on
do hereby authorize pp y
my beh if to the Town of 5ca holABuilDepartment for approval as described herein.
I&I Oct. 18th, 2022
Owner' ig tore Date
Kenneth Sonnenfeld
Print Owner's Name
2