HomeMy WebLinkAbout49181-Z TOWN OF SOUTHOLD
� " BUILDING DEPARTMENT
'r TOWN CLERK'S OFFICE
SOUTHOLD, NY
04
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 #: 49181 Date: 4/28/2023
Permission is hereby granted to:
Keil Otto Florists Inc
30 E Gate Dr
Huntin ton NY 117435199
To: repair existing front porch of single-family dwelling as applied for.
At premises located at:
38145 Route 25 Peconic
SCTM # 473889
Sec/Block/Lot# 85.-2-16
Pursuant to application dated 3/28/2023 and approved by the Building Inspector.
To expire on 10/27/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $250.00
Building Inspector
J l
%/! lI1JI,l/11r.11
11,/�..,r
%/ �/llJlllr/
/��uca✓ t<rii/ >ll�/� rf� .,//ii flf�/ar ,11/�,/,Ilr,r! /1 .,,, ,.
i
APPLICATION FOR BUILDING PERMIT
II�� pp
dor Office Use Only
r r�
r y
�, a e
f pp r�y
PERMIT NO, Building Ir�„��p�s�kceara.� �° F Mi/��1f�
r �
i
Date:March 17th, 2023
r,
Name:Otto Keil Florists Inc. SCTM #1000-85.-2-16
Project Address:38145 Main Road, Peconic, NY 11958
Phone#:(631) 692-7627 Email:
Mailing Address:30 East Gate Drive, Huntington, NY 11743
Name:
Jake LaCha
e
pll e AIA
..,..... —. .........._�,.,_..._.
Mailing Address:P.O. Box 1251 , Mattituck, NY 11952
Phone#_(631) 251-5058 Email ake lacha ellearrchitecture com
0111 MOORE ! m
rv ,
Mailing Address P O Box 1251 , Mattituck, NY 11952
a ,..� . .., � .a. ..
Phone#:(631 ) 251-5058 -M..Ilearchitecture.com
Name Ed Lucas
,,. .,,,.: w r.� ,„,W-,»» � ., r..mr;ormrm rnwr+ vnrrv.r., r ,..xnr.o w;;rr;9;,➢i...f,N ^rrr.wr.. r »�w.gv>r v;v f1,ruNlla�"f�N➢,r o�;➢v�A wr�w wwrtva:•. .. .,.,w.*n ,���r»,w ��o�w,,..-,r,. -
Mailln.gdl G..T
�/
eu�r»w✓,w,rri�+r a�ol�r, �mui, ✓am;�n�, wua i� i 1!, i „!,ri,;,,w°� �«..:aw� ,,;�.ni �°.�°.,,,,u:. °„ ��ew, � ...,...., .
�w,wn �uyw�ruraN;a° WillrsGw Ju� r viNM��r�oJ�°. 'rf D ii W' �la'u,/d�rY^°�w°,rmr+��°�wr"•w d�� J
f 1l
�” ,, ,,, ,� /� ✓i„,,,, i �/, / ,,,,r,,,/ �,,, / „r�/i° / /rr �r rig,/ r-rr/�,
o�,v°vwfiPYR...y��u w Puu'l� �w 7” tt,1mH °.,..,awn r °,,, ° ,,,.
! J%w%//„%/1�///%r//
,t; o remises? DYes No
/
� e s flfJ�kue�i from p
/ilii'/�
//�� r r %�
/i iii �/
r,r
%� 1
rfrJ/rr, //��,,,�..
io// �,
-
J l
r
1
f
- a� �� aq------
intended use of property,
7,.,l-le 10T° any covenants and restrictions with resp to
A-Cthis properly? :_'Yes JR 11 No IF YES, PROVIDE A COPY.
Application Subm,it:eti y: ):Jake LaChapelle BAuthorixed
Signature of Aoplir Date:
A71Z OF
SS:,
::
L��w �
Jake LaGhapelle being duly sworn, deposes and says that(s)he is the applicant
Agent
(Con-tractor,Agent,Corporate Officer, etc.)
of, s3,.d 0N+,--e:-o or ovvle-s,a7nd =s uiy authorized to perform or have performed the said work and to make and file this
Cpl z3ti n,,V-211 contained in his application are true to the best of his/her knowledge and betief;ard �
that the wore w3,14 be oerfor�e�in�-:e ra>azner set forth in the application file therewith.
s ,M,, before me this
/ _w
affi da}`of. NlR'�F.t{- 20, 2� �
DIANE DISALVO f 4�mry Public
NOTARY PUBLIC-STATE OF NEW YORK
No., 01 DI475593
Aualliled ,In Sullolk County" r
twy Comml4slon Expires April 3U 2U
II�r 111 �i r o/ rri 1
Ir r r <
to apply
r
l
Ir
r
u'm�rmrmmwmvrerowm�marw✓�msw���mnw.l�� nw�va", i .�/�,,�/ ,', % �fr i rrra/! ri /if// „i„,,,, , ;%
;,,MOON W WON
/ir/,rfa%fir //rr���/ 1��������/�f„ •, ,,,�,,, , ,,
// OM
r/rill/ /r ri / /i/i//
� /j/rra�yiGiiiir rr r,err,
fir