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HomeMy WebLinkAbout50244-Z q 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#: 50244 Date: 1/23/2024 Permission is hereby granted to: Silver Sands Hldgs I LLC c/o Alexander Perros 19215 Soundview Ave Southold, NY 11971 To: (Units 26 & 27) install a self-closing fire-rated door between motel units as applied for. At premises located at: 1220 Silvermere Rd, Green ort SCTM # 473889 Sec/Block/Lot# 47.-2-13 Pursuant to application dated 12/19/2023 and approved by the Building Inspector. To expire on 7/24/2025. Fees: NEW COMMERCIAL, ALTERATION OR ADDITIONS $300.00 CO - COMMERCIAL $100.00 Total: $400.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT „fTown Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 � Telephone (631) 765-1802 Fax (631) 765-9502 litt s://W °. oLitllO]dtoWilli V.-L,ov z , Date Received APPLICATION g 1 a Office Use Only PERMIT NO. Building Inspect�dr: Y 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:December 18, 2023 OWNER(S)OF PROPERTY: Name:SILVER SANDS HOLDINGS I, LLC SCTM#1000-47-2-13 141P Project Address: 1220 SILVERMERE ROAD, GREENPORT, NY 11944 Phone#:917-318-0027 EmaiI:ALEX@SILVERSANDSMOTEL.COM Mailing Address:1400 SILVERMERE ROAD, GREENPORT, NY 11944 CONTACT PERSON: Name:ALEXANDER PERROS Mailing Address: 19215 SOUNDVIEW AVENUE Phone#:917-318-0027 Email:ALEX@SILVERSANDSMOTEL.COM DESIGN PROFESSIONAL INFORMATION: Name:N.J. MAZZAFERRO, P.E. MailingAddress: PO Box 57, GREENPORT, NY 11944 Phone#:(516) 457-5596 Email:nickmazzaferro@verizon.net CONTRACTOR INFORMATION: Name:HIGHLAND PEAK GROUP, LLC Mailing Address:19215 SOUNDVIEW AVENUE, SOUTHOLD, NY 11971 Phone#:917-318-0027 Email:ALEX@SILVERSANDS-MOTEL.COM DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition WAlteration ❑Repair ❑Demolition Estimated Cost of Project: (]Other Add fire-rated door between rooms $12,000 Will the lot be re-graded? ❑Yes W No Will excess fill be removed from premises? ❑Yes W No 1 PROPERTY INFORMATION Existing use of property:RR Intended use of property:Transient Housing Zone or use district in which premises is situated:. Are there any covenants and restrictions with respect to RR this property? Dyes ®No IF YES, PROVIDE A COPY. jj Check Box After 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 By(print name):Alexander PerroS ❑Authorized Agent RlOwner Signature of Applicant:. Date: STATE OF NEW YORK) CONNIE D. BUNCH Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF SUFFOLK Qualified in Suffolk County Commission Expires April 14, 2C3:4� being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contr t)above named, (S)heisthe OWNER (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 December 18r,,. Notary Public PROPERTY OWNER AUTIJORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date ALEXANDER PERROS Print Owner's Name z