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HomeMy WebLinkAbout50998-Z a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 4 h 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#: 50998 Date: 7/30/2024 Permission is hereby granted to: Cevher, Mehmet 1235 kerly Pond Ln Southold, NY 11971 To: Legalize window and door replacements to an existing single-family dwelling as applied for. At premises located at: 1635„Akerly Pond Ln, Southold SCTM # 473889 Sec/Block/Lot# 69.-5-8 Pursuant to application dated _6/6/2024 and approved by the Building Inspector,. To expire on 1/29/2026. Fees: CERTIFICATE OF OCCUPANCY $100.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $500.00 Total: $600.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 •;W Telephone (631) 765-1802 Fax (631) 765-9502 fit : /w°wv r, out--ldttawnn-. o Date Received APPLICATION FOR BUILDING PERMIT pih' J For Office Use Only PERMIT NO. -I Building Inspector: � '� 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. t.a Date: OWNER(S)OF PROPERTY: ` Name: SCTM # 1000- /L,4/"e I L'e? f 'p—( A Project Address: , Phone#: Email: Mailing Address: dy CONTACT PERSON: Name: jot- Mailing Address: Phone M. " Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION p .r � litionl Estimated Cost of Project: ❑New Structure ❑Addi ti ro ❑AlterationReaI ❑Demo ry $ [--]Other:, oe_ e Will the lot be re-graded? ❑Yes ONO Will excess fill be removed from premises? [--]Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Intended use of property; Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes ;No IF YES, PROVIDE A COPY. E Check of the wn After_. .... Reading: The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by Chap 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,alteration;or for removal of 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 pursuantto Section 210AS of the Newyork State Penal Law. Application Submitted B (print name �� �" Y Ip )° ClAuthorized Agent wner Signature of Applicant: Date: 6 Z CNNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No. Q f BU f 85050 SS: Qualified In Suffolk County COUNTY OF ) Corr missiOn EXpires Apri1 14 n a y being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the (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 \�TA (\- - ZO Notary Public PROPERTY OWNER AUTHORIZATION (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 Print Owner's Name 2 LL= D '. i,d4G625='T� 4ro: 1" APPROVED AS NOTED SOoi,2' Cr F.D_T7 PR:JMOTTMI G-00 [PT' UP L.,TEF 1,C'-'FS ^_921 cr. 06 30 2fi'4! �..LE �y `'3 b-2, .,e.P 5 0 PLY L CODES F 94305'. 6.00-.65 + a_' DA - Pella 47 47,5 DH 7 °�V �g y NEW KSTATE T( �� 11 @ 546,15 FEE c©•OD B OF [PIC:. UP L,:iTER - LO Es _ ' - ..9_'7 on 06 2G 3034] R UIRED AND CONDITIONS R 1 4 R1,5 1ngle Doot 1 346.�1 NOTIFY BUILDING DEPARTMENT AT _ [F,CT. of LATER 1,07 E, _ 2911 c,r, Or, '0 20241 631g65— 8(2 8AM TO 4PM FOR THE 94305= P90.34 Pella 47.5 : 45 DH FOLLOWING INSPECTIONS: - - 3 0 445.1- [PICF UP LATER L0:9ES d 2921 0� 06.20 2024] FOUNDATION-TWO REQUIRED - -- IM DM ORDERU: 50269135R FOR POURED CONCRETE - NY ,, SUBTOTAL: R °29.R0 ROUGH-FRAMING&PLUMBING --.- N - STATE r : 29: - 79 NY - .SUFFOLK COUNTY TA : 3R1,32 TOTAL, TA:;: 711.11 INSULATION -_ CC: ;ioo oo FINAL-CONSTRUCTION MUST 100.01) BE COMPLETE FOR C-O- LCC: i.455.91 .......... /+�7 Si IPED REFID:990R40 05'iC "A 11:37:-5 ALL CONSTRUCTION SHALL MI �E ECODE RESP o REQUIREMENTS OF THE CODES OF NEW Lc F:.::;;:cx::. .•;4623 YORK STATE NOT RESPONSI SCOE RESr^ U BLE FOR RErnD REr•1n: D 05.16;24 11:39:02 DESIGN OR CONDUCTION ERROR SCOD LL'A.PO: 00 LCC. :,:;Y.Y.}iX:::•::i-Y,+:i93R1 ..::�:: ,.i::S3r3 SWIPED REFID:990R40 05-'16;24 11:45:55 SCODE RESP U 2921 60 05/16,24 11:46:06 R.EF=: 084 CUSTOMER: GUZEL CEVHER END OF REPORT 13 1/!f 1�1GL�Lc2� o T IJ