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Home My WebLink About51452-Z a , 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#: 51452 Date: 12/06/2024 Permission is hereby granted to: Scaglione KA Rev Trt 195 Railroad St Bayport, NY 11705 To: install window replacements to existing single-family dwelling as applied for. Premises Located at: 1155 Main St, Greenport, NY 11944 SCTM# 34.-1-9 Pursuant to application dated 10/15/2024 and approved by the Building Inspector. To expire on 12/06/2026. Contractors: Required Inspections: Fees: Single Family Dwelling- Alteration $250.00 CO-RESIDENTIAL $100.00 Total S350.00 Building Inspector ,40,, V 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 litt s,//www.soutl oldtowii.i v Date Received APPLICATION FOR BUILDING PERMIT r0 For Office Use Only 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 okra "d Owner's Authorization form(Page 2)shall be completed. Date: 9/30/24 OWNER(S)OF PROPERTY: n Name: Kim Stahl 0q.00c7 Project Address: 1155 Main St 10co,C)m 'OD 01 0 o-c" d 0 ".0Ov Phone#: 516-819-2730 Email: Kstahi15@aol.com Mailing Address: 195 Railroad St Bayport NY 11705 CONTACT PERSON: Name: Kim Stahl Mailing Address: 195 Railroad St Bayport NY 11705 Phone#:516-819-2730 Email: Kstahl15@aol.com DESIGN PROFESSIONAL INFORMATION: Name: N/ A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Renewal By Andersen Li / LiCC Mailing Address: 2029 New Highway Farmingdale NY 11735 Phone#: 631-843-1713 x 2255 Email: Cvalente @rba long island.corn DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition W Alteration IR Repair ❑Demolition Estimated Cast of Pr j ct: ❑Other $_.a-.® � Rai Will the lot be re-graded? ❑Yes @*No Will excess fill be removed from premises? ❑Yes WNo 1 N PROPERTY INFORMATION Existing use of property: Residential Intended use of property: Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes iiNo IF YES, PROVIDE A COPY. 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): Kim Stahl ❑Authorized Agent ®Owner Signature of Applicant: Date: STATE OF NEW YORK) S. COUNTY OF � � �C) 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 October 20 24 Notary Public (Where the applicant is not the owneCNOTARY j1,T"o Y�a�aa 4 :idYl»Y'7 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 ma iauotsSIUELu(r,) NOW= =Pjr CNV ISI veaMl O JNO I 30 NHSdaCNV AH'Ih'MaNII2I SUMN snutaftsff �s� ossau� n uu gi BUIPS PUB SMOPUMSUMN i PP 0n IN3VaWWWI o nS o Juno J zip u `2IO OVUIROD ,LXMNaA0-d&'ql �]WOH r`se ssoutsnq lonpuoo oq pasuo3ii /,gwoq s! xzoA maNjo mS `3uojjnS j.o Alunoo atpjo suoi niaaa pm } sains 'stAq ajgnotiddvjo suoisTnoJd auk ol joafgns pue tgym aouupa000n u tpoj has sjuauxazmbaz ate paustum3 3uinnq VRG 3 I SMOGNaA NOZSRD CIKV ISI OAIOrl se ssouisnq Buiop SXD(IIXNHOf IaR Aiwoo of s< snU f asUa3z7 J013VJIu :) I UaUolaAoljulj,awoTj AJNIIOD VIOAAAS H-166£b 'ON soovoi/I :Q'3f1SSI alva 88LII XUOA AkkaM `HJ11VddnVH * AVtkMILI 'I MOWZK SMWalaA sjzbf'V iausnsuoD V .Suisuaal7 c joab7 fo juau j tvJaa djunoD :VlofnS