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Home My WebLink About51573-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#: 51573 Date: 01/21/2025 Permission is hereby granted to.: Dale Weiner 454 W 46th St Apt 4AN New York, NY 10036 To: Construct additions and alterationsto an existing single-family dwelling as applied for to include HVAC system and demolition of the existing screened porch. Premises Located at: 640 Diedricks Rd, Orient, NY 11957 SCTM# 18.-3-25 Pursuant to application dated 11/18/2024 and approved by the Building Inspector, To expire on 01/21/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition &Alteration $1,284.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,384.00 __JAD_ 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 https://www.soutlioldtowiliiy.gov �'So�@* 0". Date Received APPLICATION FOR BUILDING PERMIT L, � WL For Office Use Only 6 -73 4 PERMIT No.5 1 Building Inspector. ,� �� ,�� f, �r°�. ,'if� ,r Applications and forms must be filled out in their entirety.Incomplete ��, rt i applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name:Dale Weiner SCTM#1000-0 18-03-25 Physical Address:640 Diedricks Road, Orient NY 11957 Phone#: Email: Mailing Address:454W. 46th street, Apt 4AN, NY NY 10036 CONTACT PERSON: Name:Constantine Rigas Mailing Address:22260 Main Road, Orient NY 11957 Phone#:917-509-8751 Email:c@rigasco.com DESIGN PROFESSIONAL INFORMATION: Name:Joseph Fischetti P.E. Mailing Address:1725 Hobart Road, Southold NY 11971 Phone#:631-765-2954 Email: CONTRACTOR INFORMATION: Name:Constantine Rigas Mailing Address:22260 Main Road, Orient NY 11957 Phone#:917-509-8751 Email:c@rigasco.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure IRAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $250,000 Will the lot be re-graded? ❑Yes IgNo Will excess fill be removed from premises? R'Yes El No 1 PROPERTY INFORMATION Existing use of property:Single Family Intended use of property:Single Family Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes RNo IF YES,PROVIDE A COPY. II IW 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 210AS of the New York State Penal Law. @Authorized Agent Owner Application Submitted By(pr'I name)a - +� � Ag Signature of Applicant: 17ate: " STATE OF NEW YORK) SS: COUNTY OF I being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)Jbove named, (S)he is the �^� O` (Contractor,Agent,Cor orate Ifficer,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 fi day of It I2)1 P Y ak Q ,20R otary Public PROPERTY OWNER AUTHORIZATION (See separate owner authorization) � '�a�w � :C& ' IM O1 1 OVVF" Ol,i. i"rIF Amy ,ur-F �r< 7 rt t vrq hl SI 4 E-XF IRr- .i l 2 VWWWUJftVAdJuudAWAQflW1 A-VT1J0R1Z6,j-10hj (Where the Applicant is not the Owner) 1.[We N ciner,residing at 640 Died?Ickv Road,Orient NY 11957 do hereby authorize Constantine Rigaz to apply on my behalf to the Southold Building Department for any and all needed permits. (Own ,'s Signature) (Date) ( (Print Owner's Name) rQ Scott A. Russell 0 F STO]KI��1 WATE K SUPERVISOR - MANAGEMENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold C TER 236 . STORMWATER MANAGEMENT REFERRAL,FORM ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - - - - - - - - - - - - - - - - - - - - - - - APPLICANT (Property Owner, Design Professional, ent, Contract Other) NAME: C�0"� � Dater ( \` Contact Information: C J (E-Mad&Telephone Number) 1 Property Address / Lpcation of Construction Site: S.C.T.M. #. 1000 District Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT — — _ — .... _ _ ® — .,. w — _ — ..... _ — -... _ _ — — — — ,. . _ _ - - - _.. ®- Area of Disturbance is less than I Acre. No .P.D.E.S. Permit is Required ! i Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is 11er,Hired l (� ❑ - Area of Disturbance is Greater than I Acre&Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.C.Prior to Issuance of a Buildine Permit. - Area of Disturbance is Greater than I Acre &Storm-water Runoff Flows Through Southold Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit through the Southold Town Engineering Depart Prior to Issuance of a Building Permit. Date: Reviewed By: g rnpm n CMf P-TOR nr-tnhal-9(114 9C_ e \ \ pIN,\ r %cv IN, / co ` b, / IN, / 00 4 �O / x z ,' / o Ink , 0 / W ''On