HomeMy WebLinkAbout51436-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#: 51436 Date: 12/04/2024
Permission is hereby granted to:
Emmanuel Galanakis
69 78th St
Brooklyn, NY 11209
To:.
construct accessory structure as applied for. The on-grade patio must have a minimum setback of 4'
from the side yard lot line.
Premises Located at:
1910 The Long Way, East Marion, NY 11939
SCTM#30.-2-128
Pursuant to application dated 10/11/2024 and approved by the Building Inspector.
To expire on 12/04/2026.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $278.00
CO Accessory $100.00
Total S378.00
_—JAL — . �
id ng Inspector
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TOWN OF SOUTHOLD-BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
,�(2--o Telephone (631) 765-1802 Fax (631) 765-9502 It :llww. ot�tilcajdkowra
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO, Building Inspector:
Apphcatlons and forms must be fiI led,out in their entirety. Incomplete
appUcatlons wlll not be accepted Where the Applicant is not the owner,an
Owner's Authonzatlon'form(Page 2)shall be completed,
Date: September 26, 2024
OWNERS)OF PROPERTY;,:-
Name:Emm;anuel Galanakis & Marie Minarao SCTM#1000- 30- 2- 128
Project Address: 1910 The Long Way, East Marion NY 11939
Phone#: 917 270-8683 1 Email:emmanuel.galanakis@hotmaiI.com
Mailing Address: 89 78th St. Brooklyn, NY 11209
„CONTACT PERSON
Name: Ural Talgat
Mailing Address: 438 7th, Street, Greenport, NY 11944
Phone#: 831 477 8963 Email: ural89@hotmaii.com
DESIGN PROFESSIONACINFORIVIATION-
Name: It
Ural Ta
lg
Mailing Address: 436 7th Street, Greenport, NY 11944
Phone#: 631, 477 8963 Email: ural59@hotmail.com
CONTRACTOR INFORMATION
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF,PROPOSED�CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $ 25,000
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ®Yes ❑No
1
PROPERTY INFORMATION
Existing use of property: Single Family Residence Intended use of property: Single Family Residence
Zone or use district in which premises Is situated: An s proper d restrictions with respect to
property? F]Yes BNoIF YES, PROVIDE A COPY.
R-40 �w
li3 Check Box After Reading: The owrw/contractat/design professional If responsible for all dralAage and storm water Issues as provided by
chapter,296of the Town We. APPUCATION IS HEREBY MADE to the auming Department for the Issuance of a Building Permit pursuant to the Building Zone
ordinance of the Town of Southold,Suffolk,county,Now York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
additions,efterations or jot rentdwl or deYnolltlon e1 herein descrlbetf,"e appllarit agrees to comply with on applicable laws,ordinances,building code,
housing c9de atd teguMttohI fine to sijen t authorited lMspectors off preml&6 and M buIIdIHB(s)far necessary inspections.False statements made herein are
leunlrhabpe ss a Ma A rnlademsanor pursuant to$action 210.45 of the New York State Panel Law,
Application Submitted By(print name): Ural Talgat ®Authorized Agent []Owner
Signature of Applicant: Date: ``0/, —
�� .a
STATE OF NEW YORK)
SS.
COUNTY OF su��Jk
Ural Talgat being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Architect
f (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
y that the work will be performed in the manner set forth in the application file therewith.
j Sworn before me this .--
_ day of—� ��� 20 __..
i
Notary Public
R i 'i � OWNER a�UTHOR)ZI°T)O " lalaetllllC042sfle
ll"�riX
(Where the applicant is not the owner) +� r car
}
Emmanuel Galanakis&Made Minerdo residing at 69 78th St. Brooklyn, NY 11209
fro hereby authorize
Ural Tagat to apply on
bah 1 h Town of olor 0)l partme t for approval as des ribed herein.
4
Owner's Signature Date
4
Print Owner's Name
2