HomeMy WebLinkAbout51312-Z 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#: 51312 Date: 10/24/2024
Permission is hereby granted to:
ADUJC LLC
300 Saint James PI #1
Brooklyn, NY 11238
To:
demolish existing single-dwelling and accessory garage as applied for.
Premises Located at:
1095 Seventh St, Greenport, NY 11944
SCTM#48.-2-42
Pursuant to application dated 09/09/2024 and approved by the Building Inspector.
To expire on 10/24/2026.
Contractors:
Required Inspections:
Fees:
DEMOLITION $1,46140
Total $1,46 49
-.... Building 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 htt .-Hmrww wi�n .d
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Date Received
APPLICATIONIL
For Office Use Only 'D ENVE
PERMIT NO. 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 BUffimr.
Owner's Authorization form(Page 2)shall be completed. "1 ;-)F SOUT1101
Date:9/9/24
OWNER(S)OF PROPERTY.
Name:Charles Willis scTM#so30-48-2-42
Project Address: 1095 7th Street, Greenport, NY, 11944
Phone#: q�'� _ 3._ Oql Email:cdouble@gmail.com
Mailing Address: 1:6 1 a-
CONTACT PERSON:
Name:Brianna Lopez
Mailing Address:2408 Montauk Hwy#2A, Bridgehampton, NY 11932
Phone#:631-808-3036 Email:brianna@ozasabbeth.com
DESIGN PROFESSIONAL INFORMATION:
Name:Oza Sabbeth Architects
Mailing Address:2408 Montauk Hwy#2A, Bridgehampton, NY 11932
Phone#:631-808-3036 Email:info@ozasabbeth.com
CONTRACTOR INFORMATION:
Name:Modern Green Home
Mailing Address:2408 Montauk Hwy #2A, Bridgehampton, NY 11932
Phone#:631-899-4225 Email:andrew@moderngreenhome.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair WDemolition Estimated Cost of Project:
❑Other 12.000
Will the lot be re-graded? RYes ❑No Will excess fill be removed from premises? ❑Yes @No
1
PROPERTY INFORMATION
Existing use of property:Single Family Residential Intended use of property:Single Family Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? OYes ONO IF YES, PROVIDE A COPY.
0 Check Box After Read ir1g: 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 a:a Class A misdemeanor pursuant to Section 220.45 of the New York State Penal Law.
Brianna Lopez
Application Submitted By(print name):: is OAuthorized'JAgent EIOwner
Signature of Applicant: ' �"- — Date:
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk _
Brianna Lopez
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
Agent
(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
L day of t ' ,ZO
otary Public flLfl KOG,H
i01.fxA I+IflIH
Y RK
TARY PUBLIC,STATE OF NEW YORK NOTARY PUBLIC,'STATE OF N 0
NO. 01 K00008884 flUA N0, 01 K000088R4
IIALIFIEI) IN SUFFOLK COUNTY I: I, I @ 111""Y L„14 TIII l0 R( )C LIFIED IN SUFFOLK COUNT'
COMMISSIOU EXPIRES MAY 31,2027 "" " " °
(Where the applicant is not the owner) MY COMMISSION EXPI:ES MAY 31,
Charles Willis 1095 7th Street, Greenport, NY, 11944
I, residing at
Brianna Lopez
do hereby authorize to apply on
my behalf to the Town of Sout Id Building Department for approval as described herein.
CAN NA-ft I LA)Jfww August 31 , 2024
Owner's Signature Date
Charles Willis
Print Owner's Name
2
VILLAGE of GREENPORT
ELE RIC DEPARTMENT METER ORDER
ORDER WRITTEN BY;
CHAT �. CUSTOMER �._.�.._
# f (f ACCT#
- 7y -
WORK O BE DONE:
( ) INSTALL REMOVE ( ) INSTALL RADIO ( ) CHANGE METER ( ) READ ONLY
CUSTOMER OUT
NAME 7 t,
ADDRESS
PHONE #
MAIL FINAL BILL TO:
CUSTOMER IN
NAME
ADDRESS
PHONE #
DATE WORK TO COMPLETED:
INSTRUCTIONS:
COMMENTS:
INSTALLED METER INFO REMOVED
VILLAGE # \ b�
MFG # � �
TYPE Z 0-1 teo 3u-� 2-4-0
MAKE
RADIO ID # --�-
METERING READING
METER MULITPLIER
WORK DONE BY: DATE: ,.