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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#: 49965 Date: 10/30/2023 Permission is hereby granted to: Faloon, Kell 80 Old Boston Post Rd #26 New Rochelle NY 10801 To: construct additions and alterations to existing single-family dwelling as applied for. At premises located at: 470 Moores Ln N, Greenport SCTM #473889 Sec/Block/Lot# 33.-2-39 Pursuant to application dated 10/6/2023 and approved by the Building Inspector, To expire on 4/30/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $673.00 CO -ADDITION TO DWELLING $100.00 Total: $773.00 Builds g Inspector Ir irt+ ka 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 Iitt. :/Jwww.so tholdtowi ill ov Date Received APPLICATION FOR BUILDING PERMIT C. iy Ty For Office Use Only p PERMIT NO, > Building Inspector: o r 6 20 a Applications and forms must be filled out in their entirety.Incomplete BUILDING DEPT. applications w11 not be accepted. Where the Applicant is not the owner,ara TOWN F TTA �, • Owner's`Autf or6tion form(Page 2)shall be comPleted. Date: OWNER(S)OF PROPERTY: Name; ,r SCTM#1000- - a 3 -I -tIL4 EAteen keu Project Address; A p l -9- " Phone#: _�'j Emil: a � � +�2 Mailing Address: 0 did bt5 e- , s�kw CONTACT PERSON: &4'p'p 40 1fp ' Name: Ido, Mailing Address: Phone#: / Email. DESIGN PROFESSIONAL INFORMATION: Name; i� k ✓ tf Mailing Address: ' " LL . Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑Other p $ OOGT ❑New Structure Addition Alteration ❑Re air ❑Demolition Estimated Cost of Project: Will the lot be re-graded? ❑Yes Ido Will excess fill be removed from premises? ❑Yes No hew roe"k - 1 6 NSURVEY OF PROPERTY of ,02 c 0 , A T GREENPORT 1- � X010 � TOWN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 002AO �• � 1000-33-02-39 j4rocJSCALE: 1'=30' 03 0 MA Y 30, 2013 �m w O t� tn PO 10 0 00 0 CPI 0�� CERTIFIED TO: cor.N KELLY F. FALCON � � KATHLEEN A. DONAHUE ; t CHICAGO TITLE INSURANCE COMPANY BANK OF AMERICA, N.A. ITS SUCCEESSORS � o AND-;ASSIGNS, AS THEIR INTEREST MAY APPEAR LOT NUMBERS REFER TO "MAP OF EASTERN SHORES u� ����� AT GREENPORT� SECTION THREE�� FILED IN THE SUFFOLK 1 AY CAOUN LTY E CLE K'S OFFICE ON SEPTEMBER 27, 1965 ,.. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION �' CON/C SU OR. Y.S. LIC. NO. 49618 *� S, P.C. jy OF SECTION 72090E THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICA770NS AREA-19,500 SQ. Fr. HEREON ARE VALID FOR THIS MAP AND COPIES 774EREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR 774E IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 13-183 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 WOI�K L:""no) A-4. 6Mg. n����� ������-��.�=VST l O-I�s�_ �s�� � _ � �� " ��15 i I�,�- -- --� -- - lo; s Ear Poo sF 91 Sao t'<hi Ex 15T6- 1-7 ��ri1-Cdr , �� Z✓ --_ t �G_ (�1�. _ _ L IQ_ �o_. 1''l ..._ > fi © ► w o t� t �o �r' l �� 9AM E _ �, ` - r�� s �� � �, �� ' �5A Mf;� xis Cow. r\fM S MwK Tv CAD I O E 1 ��Gtr R 6 A M b .f�T�f� +r� o SM1 I%L 2� �� _ [ 3 L 2.9, GJ�oy �4 S t�I/�L�S t I c i o ,y d - - _ � OK- k 2. 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