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HomeMy WebLinkAbout51591-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#: 51591 Date: 01/28/2025 Permission is hereby granted to: Noblehouse Seaport LLC 1970 Straits View Dr Tiburon, CA 94920 To: Construct a garage and pool house structure with outdoor shower accessory to an existing single- family dwelling as applied for. Premises Located at: 2345 Route 25, Greenport, NY 11944 SCTM#35.-1-27.2 Pursuant to application dated 10/23/2024 and approved by the Building Inspector. To expire on 01/28/2027. Contractors: Required Inspections: Fees: Accessory-New Structure $725.00 CO Accessory Structure $100.00 Total $825.00 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 littps://www.sotithc)ldto\yLln Y Date Received APPLICATION FOR BUILDING PERMIT a For Office Use Only / F 5 1 59 Building lr�spect�ar:__, � _� C, PERMIT NO. w--� 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: OWNER(S)OF PROPERTY: Name: e. �" r� SCTM# 1000- �j — n�-7 . 2 Project Address: S r Phone#: _ 3 p = © � _ C� Email: Le Mailing Address: { C) S'fral fS View ew D(-, I VIU("6y1 0— Z1 CONTACT PERSON: Name: of "2 Mailing Address: Phone#: �2 Emaap DVYI�S . � °y1Cil� ►� DESIGN PROFESSIONAL IN`FORMATION: Name: l,(?�f�l rr-o 104eer Mailing Address: Phone# - Email: CONTRACt6 IN 91 1'Nhdf; TIO N. /� Name: Kid ITV'if Ie- C-"tl - ,,m r Mailing Address: � � t' ' e' ��" Phone#: ��) -X A—7 5'1 EmaiN: DESCRIPTION OF PROPOSED CONSTRUCTION New Structure ❑Addition ❑Alteration ❑Rep air ❑Demolition Estimated Cost of Project: Other 42c o 0 $ 9 Will the lot be re-graded? Yes El No Will excess fill be removed from premises? ❑Yes�!Oj 1 PROPERTY INFORMATION Existing use of property: � �� �}-,� Intended use of property: ee5JL0VThq— Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes XNci 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): Mc*-eo pAuthorized Agent ❑Owner Signature of Applicant: — Date: STATE OF NEW YORK) SS: COUNTY OF ) 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 Ys� day of n(�-6-*)b r , 20_2�-- otary Public TRACEY L. DWYER R PER,TY OWNER NER AIJ�"I�ORIZ TIO Ci�7AFlYP 01D oo 1 I (Where the applicant is net the owner) Cc QQALIIED�S � � COUNTY I, residing at / u0 /". f/eGl eW— � .do hereby authorize to apply on my e I the Town of Southold Building Department for approval as described herein, ZI Z O er s Signature Date 4? Print Owner's N one 2 ofFO( BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 jamesh@southoldtownny.gov - seand@southoldtownnygov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (Au Information Required) Date. Z f Z� Company Name: e Electrician's Name: ,p License No.: C Elec. email: " Elec. Phone No: — q q 30 1 request an email copy of Certificate o C mpliance Elec. Address.: �' (0- JOB SITE INFORMATION (All Information Required) Name: �. J 40 Address: �k - CL )l Xd4 V-)OLT, J Cross Street: Phone No.: - O "- 0 3 - Bldg.Permit#: email: '� , co Kn Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): 0 ' ro of hoct Se VUi� Sc reeyr ecf- r"n a r2a- a ock �ar-citj e, Square Fooa e: Circle All That Apply: Is job ready for inspection?: YES NO Rough In F Final Do you need a Temp Certificate?: 1:1 YES E]NO Issued On Temp Information: (All information required) Service Size01 Ph FJ3 Ph Size: A # Meters Old Meter# ❑New service[:]Fire Reconnect[:]Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y LJN Additional Information: PAYMENT DUE WITH APPLICATION