HomeMy WebLinkAbout51592-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#: 51592 Date: 01/28/2025
Permission is hereby granted to:
James E Arvotti
33 Miller PI
Levittown, NY 11756
To:
Construct a covered patio addition to an existing accessory garage as applied for.
Premises Located at:
340 Summit Rd, Southold, NY 11971
SCTM#78.-9-27
Pursuant to application dated 12/03/2024 and approved by the Building Inspector.
To expire on 01/28/2027.
Contractors:
Required Inspections:
Fees•
Accessory-Addition/Alteration $238.50
CO Accessory Structure $100.00
Total $338.50
� � 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 hitl ss//�WwW.SOLttl101dtowi'i.iiy.
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector: DEC 3 K24
Applications and forms must be filled out in their entirety.incomplete .......I
applications will note be accepted. Where the applicant 6 not the owne're'an
Owner's Authorization form(Page 2)shall becompleted.e
Date:27 NOVEMBER 2024
OWNERS) OF PROPERTY:
Name: JAMES ARVOTTI —FsCTM# 1000- 78 - 9 - 27
Project Address: 340 SUMMIT ROAD SOUTHOLD, NY 11971
Phone#: Email: JARVOTTI@AOL.COM
Mailing Address: 33 MILLER PLACE LEVITTOWN, NY 11756
CONTACT PERSON:
Name: ROBERT I. BROWN ARCHITECT P.C. & AGENTS
...........
Mailing Address: 205 BAY AVE GREENPORT, NY 1944
-------------
Phone#: 631-477-9752 NFO@RIBROWNARCHITECT.COM
.......... .... ..
DESIGN PROFESSIONAL INFORMATION:
Name: SAME AS CONTACT
Mailing Address:
Phone#:
CONTRACTOR INFORMATION:
Name: PETER TORKELSEN
Mailing Address:
Phone#: 516-807-2265 Email: PETER.TORKELSEN@GMAIL.COM
DESCRIPTION OF PROPOSED CONSTRUCTION
E)New Structure ®Addition ElAlteration ORepair DDemolition Estimated Cost of Project:
Eother COVERED PORCH $ 42,000
Will the lot be re-graded? E]Yes ®No Will excess fill be removed from premises? E]Yes *No
PROPERTY INFORMATION
Existing use of property: SINGLE FAMILY RESIDENTIAL Intended use of property: NO CHANGE
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes ANo IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/design professiona6s 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): RY eS OR BAuthorized Agent ❑Owner
Signature of Applicant: Date: `�j -jNe;cWe
STATE OF NEW YORK)
SS: I/
COUNTY OF 5- -FCCI1� . )
RYAN S I DOR being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)heisthe ROBERT I. BROWN ARCHITECT P.C.
(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 eC'flY,Y1�1?IZ 20 2q AA ac-w �� �/ t�
Nolry Public
T,RA CEY L. DWYER
L"I RY PUP-LiC,ST,6TF OF MEW YORK
PROPERTY OWNER AUTHORIZATION n10.01DIW3069G)
(Where the applicant is not the owner) "I'J IFJ N si i'+0 L.K iµO';,r',I:'Y
COMBAT ,R On, J NE ,V,
JAM ES ARVOTTI residing at 340 SUMMIT ROAD
SOUTHOLD, NY ROBERT I. BROWN ARCHITECT P.C.
do hereby authorize to apply on
my behalf„ the Town of Southold Building Department for approval as described herein.
�z-
Signature Date
v
Print Owner's Name
2