HomeMy WebLinkAbout51545-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#: 51545 Date: 01/14/2025
Permission is hereby granted to:
Peter Kontopirakis
1560 Willow Dr
East Marion, NY 11939
To:
install exterior basement door and stairway to existing single-family dwelling as applied for.
Premises Located at:
1560 Willow Dr, East Marion, NY 11939
SCTM#22.-5-19
Pursuant to application dated 11/12/2024 and approved by the Building Inspector.
To expire on 01/14/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total $350.00
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Building Inspector
TOWN OF SOUTHOLD=BUILDING DEPARTMENT
l Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 htt s:flww ,southoldto rn�� 0
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
M NOV �. �
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
Owner's Authorization form(Page 2)shall be completed.
Date: 0 Z Z
OWNERS)OF PROPERTY:
Name: - 1 'S SCfMOD- ..
Project Address: 1 S O Q Ac' ors 3
Phone#: Email:
Mailing Address: X Z Z '2, 0 , i4 Z
CONTACT PERSON:
Name: ?'e-T e A J 1 C"a
Mailing Address: �U Z d
Phone#: 917 l I q Email: G 6 + wtq
DESIGN PROFESSIONAL INFORMATION:
Name: A
Mailing Address: o V-�� J 71
fl b�
Phone#: (D� 3 3 90 Email 5 5 �J L1 t
CONTRACTOR INFORMATION:
Name: � C-4 O nr- \JJ1 f c J
Mailing Address: ( 1 Hdfs iV
Phone#: 16 Email: I'1 e-
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair El Demolition Estimated Cost of Project:
o
XOther a S'erM e A4 �_ o o q� c-C w 5 $
Will the lot be re-graded? ❑Yes' No Will excess fill be removed from premises s
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PROPERTY INFORMATION
Existing use of property: Re e n-A-\ JX t dM Intended use of property: �-{Si den4-t M AUM
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
C) this property? ❑Yes Goo 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.
s
Application Submitted By(print name): ���- KvN7oe/2A-�I ❑Authorized Agentr� Owner
Signature of Applicant: _ Date: ) ] Z 1 Z I
STATE OF NEW YORK)
SS:
COUNTYOF SUF90k-4C )
FOTEZ IC coN'T t 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 N�V �M ►3Ei2 20 2L4
Notary ub is
TIMOTHY LEITCH
NOTARY PUBLIC STATE OF NEW YORK
SUFFOLK COUNTY
PROPERTY OWNER AUTHORIZATION LIC.#01 LE0024350
(Where the applicant is not the owner) COMM. EXP. soa
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
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SURVEY FOR
SOF'FtYl.lf MdWY DEPARNEW OF HEUTH MWZ JOHN PARASKEVAS
S E FAMILY"DWELLING 47NLY LOT 19 °HIGHPOINT AT EAST MARION, SECTION I" NOV 3,1987
CATE"� � 'Mt#S REF NO 3 AT EAST MARION DATE SEPT 4,1986
The sewage disposal and water supply facilities for tM TOWN OF SOUTHOLD SCALE I"=50'
prwcAwnglm beemospeciedUylpsmNpattr otantl/Dr SUFFOLK COUNTY, NEW YORK NO B6- 969
Bureau of Wastewater Ma ION L OR ADDITION ro THIS
Chief nd(u tD tir ter 4000PIES OF TMIS"VE
6 mr a I Cae
-SURVEY
TNOIA O TIONALTE O
�� dA �� SURVEY 6 A VIOLATION M SECTION 1203 OF THE L
'i NEW PORK STATE EDUCATION LAW OF N>e�,.
NOT BEARING SEAL SHALL
THE LAMA I, ..•-^"
SURVEY C H INNER SEAL OR VALID
R SEA
N DUNO 1�NTEES OIN IDICATED HEREON SHALL ERUN PONLY TO Q3'RD W *C8
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HEALTH DEPARTMENT-DATA FOR APPRONDL 70 CC0457RLtlC7 THE rcasa+FOR WHOM ro THE IS PREPARED AND QI HIS BEHALF THE TITLETITLE COMPANY,GOVUIN-
M NEAREST WATER SIAy N MY • HSgUMiCE OI WATERS INWtWITE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
M SI/F CO TAX MO. gliT', G,SE CTBON-=L KOCK..WQdL_'LOT 01! HEREON,
AND
TO THE ASSIGNEES OF THE LENDING p �C
MTNERE AIM NO OMELLDMS WITNIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE Y ,-
OTHER THAN THOSE 5NOWN HEREON TO ADOITIOMAL INSTITUTIONS OR SUBSEQUENT
R THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS ROIOENCE M DNSTA ICES SHOWN HEREON FROM PROPERTY LINES "
WILL CONFORM TO THE STANQARDS OF THE SUFFOLK COUNTY DEPARTMENT TOEXISTING STRUCTURES ARE FOR •SPECIFIC
OF HEALTH i[RVICCi PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES w�, ANO yr�SO
ADDRESS m�.....a.....,........
YOUNG & YOUNG 4RIVI OR3 F
hVt'NTE 14• MONUME,N7 �a-SIAK.: '�,r-yT
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN IN YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON JAN.11,1984 AS FILE NO 7680 AND LAND SURVEYOR N YS LICENSE NO 12845 qk ? *?
HOWARD W YOUNG, LAND SURVEYOR ,F�1 9g6 k
N THE LOCAA LICENSE'K0*tWO..L(w1,SFpTlq TAN'N•••.fa713 cElaP'q-DclK.Y•y SHOW"HEREON NYS LICE NO 4589.1 �p
ARE FRNaM FNELD GYFSE'R TIOWS AND ON DATA OSTAMSD fft"OTHERS IDNL✓ A O,.
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