HomeMy WebLinkAbout49073-Z r 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 #: 49073 Date: 3/31/2023IT mmmm�
Permission is hereby granted to:
Manikas K Irry Inc Only Trtw ______________ �.... ...___ . ._._ _ . ....., �.. m
400 E 58th St Apt_8F
.__ .. .mm _......._
New
York, 10022 -111111-1.1----- ................
To: Construct an accessory screened porch structure to an existing single family dwelling
as applied for. Must maintain a minimum side yard setback of 10 feet.
At premises located at:
52330 CR 48, Southold
SCTM # 473889
Sec/Block/Lot# 135.-3-18
Pursuant to application dated 3/6/2023 and approved by the Building Inspector,.
To expire on 9/29/2024.
Fees:
ACCESSORY $360.00
CO-ACCESSORY BUILDING $50.00
............................
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Total: $410.00
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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 )itt : wvr .soLltlldawaty, o
Date Received
APPLICATION FOR BI r
For Office Use Only D, k
Il �Ut h
PERMIT N0, Building Inspector.
MAR 0 6 0
� V
Applications and forms must be filled out in their entirety. Incompletetat!iI a JMGJ.)ZPT
applications will not be accepted. Where the Applicant is not the owner,an r6ie0)0FS 11YT�,k0L D
Owner's Authorization form(Page 2)shall be completed.
Date: March 3, 2023
.. ...,—_......................... . .......
OWNER(S)OF PROPERTY:
Name: Vasilianna and Kostas Fakiris on behalf of MANIKAS SCTM#1000- 135_03_18
Project Address: 5233 NORTH ROAD (C.R. 48), SOUTHOLD, NY 11971
Phone#: (917) 4181620kfakiris@sum'mitwaterproofing.com
Email:
Mailing Address: 59 FERNWOOD LANE, ROSLYN, NY 11576
CONTACT PERSON:
Name: FRANK W UELLENDAHL RA
Mailing Address: P.O.BOX 316, GREENPORT, NY 11944
Phone#: (631) 680 0041 Email: frank.uellendahI@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name: see contact person
Mailing Address:.
Phone#: Email:
CONTRACTOR INFORMATION:
Name: JOEL DALY CONTRACTING
Mailing Address: P.O.BOX 343, SOUTHOLD, NY 11971
Phone#: (631) 765 1223 L!7!L_j2eIdaIyhi@opton line.net
DESCRIPTION OF PROPOSED CONSTRUCTION
ONewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition EstimatedCost ofProject:
❑Other $ 50K
Will the lot be re-graded? Yes ❑No Will excess fill be removed from premises? RYes El No
1
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PROPERTY INFORMATION
o
Existing use ABL
oRESIDENTIAL Intended use of property: RESIDE IA.CCESSE srpW 'JRE
f property: RES. �.. ....._. ......_ . i
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R_40 this property? ❑Yes iiNo IF YES,PROVIDE A COPY
t' r w r"M ""d::W 1}0: 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,
housfig code and regulations and to admit authortzed Inspectors on remises and in bullding(s)for necessary Inspections.False statements made herein are
..P�liable as a Class A misdemeanor pursuantPenal law. 9
to Section of the New York State
FRANK W UELLENDAHL RA
Application Submitted ( r 9 a BAuthorized Agent ❑Owner
�:' g
Signature of Applicant: CQNNIE D.BUNCH Date: MARCH 6, 2023
X Notary Public,State of New York
STATE OF NEW YORK) No,0"I BU6185050
SS: Qualified in Suffolk Count
COUNTY OF SUFFOLK ) Commission Expires April 14,
FRANK W UELLENDAHL RA being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the ARCHITECT
(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 MARCH 2023
A
Notary Public
PROPERTY OWNER AU"PlJORIZATION
(Where the applicant is not the owner)
KOSTAS FAKIRIS 59 FERNWOOD LANE,ROSLYN,NY 11576
residing at
FRANK W UELLENDAHL RA
......do hereby authorize to apply on
my behalf to wiw`7,oww+ r Gradt;d Building Department for approval as descri ed he elrv.
mm. _ ._ ..... 3
Owner' w>Id ture Date
Print Owner s Name
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