HomeMy WebLinkAbout51596-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#: 51596 Date: 01/30/2025
Permission is hereby granted to:
John F Conte
1215 Saltaire Way
Mattituck, NY 11952
To.
legalize"as built"front porch repairs to existing single-family dwelling as applied for. Additional
certification may be required.
Premises Located at:
1215 Saltaire Way, Mattituck, NY 11952
SCTM# 100.4-26
Pursuant to application dated 01/29/2025 and approved by the Building Inspector.
To expire on 01/30/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
As Built Alteration $250.00
Total $600.00
cling 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 ht ,a:llwww,aoutholdtowae ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
SPERMIT NO.. � � � — Building Inspector:_ D EC — Ifs -
ll taohi 1d formstnuq b � o
App art a fitted gut ira their error ky l9cplei-
MP,pt , n mnrrier,an Building eRpplicatins`wllinchbeacce W e i a ua
t�r"s Y:uthprizab6+a�°farm(Page shall b w,ccwnip►l ted Southold
Date:November 2, 2023
Namew scrm#1000-
�,JOhrI :+Orlte
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Project Address
Phone#:631 831 8786 ci m.._ .-...
Mailing Address 1215 Saltalre "may+ @gituck 1`1962
+ OLTAC PERSON: '
Name.Same as above
Mailing Address:
Phone#: Email:
I9E$16N PROFESSIiDi►IJ k INr6F IINA NCiIV
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Name:
Mailing Address:
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Phone#: Email:
CONTRACTOR INF R AtION
Name:
Mailing Address:
Phone#: Email:
OFIIII1
NIDI:S-.. .. .m
RUCTION
N I��`PR01SE1�CQI+�a"l" r .
❑New Structure ❑Addition ❑Alteration CRepair ❑Demolition Estimated Cost of Project:
d�Oti7erh reiwr $8500.00
Will the lot be re-graded? ❑Yes NNo Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
use of roe
Existing use of property:R13SIC�entla� ., Intended_.. _ P_. P IC�@11t1 ! . .. ,.,.... ,...
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ®No 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 theBuilding 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'ar,demolitlon 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):JOhn Con ❑Authorized Agent NOwner
Signature ofA ppllca nt _. .. Date: 11/212023
....;_..� , �._ ...W.._ _ . . :. _. .. . . ,.. .,.W... .._ _.._ .nw _.,r_. ... .... ._ ... �....
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 1)& _
(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
LLD*" day of ovemr,ef- .20 a3
t Public
EVE 1.,.0AT&SC0 AMBOR
\,crl- RY I�VBLIE. "LATE OF NEW YOR
PROPERTY OWNER AUTHORIZATION Registra lon No.OI A6 74028
Qualified in suffalk County
(Where the applicant is not the owner) �°wnnlission Expires Deco 24,
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
i
Print Owner's Name
2
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