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Home My WebLink About49377-Z R TOWN OF SOUTHOLD BUILDING DEPARTMENT M 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#: 49377 Date: 6/13/2023 Permission is hereby granted to: Cia uta, Daria 203 W 90th St Unit 8H New York, NY 10024 To: install window & door replacements to existing single-family dwelling as applied for. At premises located at: 635 Soundview Ave Ext, Southold SCTM #473889 Sec/Block/Lot# 50.-2-7 Pursuant to application dated 5/11/2023 and approved by the Building Inspector.. To expire on 12/12/2024. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO-ALTERATION TO DWELLING $50.00 Total: $250.00 Buil inn 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 https://www.sotitholdtowniiy.14-194 04i ov Date Received APPLIcxrm FORBIJUILDING PERMIT For Office Use Only — PERMIT NO. Building Inspector:. 1 � Applications and forms must be filled out in their entirety. Incomplete ED applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date:May 11 th, 2023 OWNER(S)OF PROPERTY: Name:Daria Ciaputa SCTM # l000-50-2-7 Project Address:635 Soundview Avenue Ext, Southold NY 11971 Phone#:917-744-1891 Email:dciaputa@gmail.com Mailing Address:635 Soundview Avenue Ext, Southold NY 11971 CONTACT PERSON: Name: Rachel Terry, North Fork Woodworks, Inc. Mailing Address: PO Box 1407, 810 Traveler Street Southold NY 11971 Phone#:631-298-7900 Email:rachel@nfwoodworks.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:North Fork Woodworks, Inc. Mailing Address: PO Box 1407, 810 Traveler Street Southold NY 11971 Phone#:631-298-7900 1 Emaii:rachel@nfwoodworks.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: DOther window replacement $20,000.00 Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Residential this property? ❑Yes iRNo IF YES, PROVIDE A COPY. 8 Check Box A'f'ter 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 ant name): ,` is�I�y Authorized wgent Downer Signature of Applicant: I Date: STATE OF NEW YORK) °SS. COUNTY OF' �0 � ) lJ being duly sworn, deposes and says that(s)he is the applicant (NarTle of individual signing cont act) above named, (S)he is the 4(-V,7 V nA= (Contractor,A nt, Corporate Officer, etc.) of said owner or owners, and is duly authorized to pe drm 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 LL ),A day of 4— a 20 ,23 �4` N Y��6 bl�i� jENC)"�A.��kPO �ry biic, ,#3)E Off NO*1A%" 1 No.OIS150709 d9 ioI�Ik Czit, r� PROPERTY NESAUTHORIZATIONCoMflquion Jan.6. ., ' (Where the applicant is not the owner) I Ucxc 1 Q ► C - . �� residing at6-35 Ave- , A_ � do hereby authorize �� to apply on Illy k alf to the Town o outhold Building Department for approval as described herein. Owner's Signature Date k--,kX,f a— C, el c-S,I Print Owner's Nam 2 � f BUILDING DEPARTMENT- Electrical Inspector ,n� 7 TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro err southoldto nn .gov ,seand@southoldtown,ny.gov ww� Am APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: May 11th, 2023 Company Name: Platinum East Electric, Inc. Electrician's Name: Keith VonEiff License No.: 34091-ME Elec. email: platinumeastl @yahoo.com Elec. Phone No: 63-765-9424 El I request an email copy of Certificate of Compliance Elec. Address.: 1320 Knneys Road, Southold NY 11971 JOB SITE INFORMATION (All Information Required) Name: Daria Ciaputa Address: 635 Soundview Ave Ext, Southold NY 11971 Cross Street: Soundview Avenue & Lighthouse Road Phone No.: 917-744-1891 BIdg.Permit#: email: dciaputa@grnail.com Tax Map District: 1000 Section: 50 Block: 2 Lot: 7 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Re-feed existing outlets due to flood. Square Footage: 1800 Circle All That Apply: Is job ready for inspection?: El YES NO ❑Rough In Final Do you need a Temp Certificate?: YES NO Issued On Temp Information: (All information required) Service SizeF_11 PhE]3 Ph Size: A # Meters Old Meter# ❑New Service[]Fire Reconnect ✓ Flood Reconnect[]Service Reconnect❑Underground[]overhead #Underground Laterals M 1 2 H Frame Pole Work done on Service? OY N Additional Information: PAYMENT DUE WITH APPLICATION