The URL can be used to link to this page

Home My WebLink About51627-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#: 51627 Date: 02/11/2025 Permission is hereby granted to: Peconic landing @Southold 1500 Brecknock Rd Greenport, NY 11944 To: Construct a screened porch in same location as an existing patio to a single-family dwelling as applied for. Premises Located at: 1205 Route 25, Greenport, NY 11944 SCTM# 35.4-25 Pursuant to application dated 11/13/2024 and approved by the Building Inspector.. To expire on 02/11/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $375.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $475.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 M Telephone (631) 765-1802 Fax (631) 765-950211tt ://way° . cLit;holdtowiiri �.. Date Received APPLICATION FOR BUILDING PERMIT r� For Office Use Only PERMIT NO. v j w a Building Inspector: Applications and forms must be filled out 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. P, Date:11.12.24 OWNER(S)OF PROPERTY: Name:Reed & Jane Rubin SCTM#1000-35-01-25 Project Address:25 Oriole Ln - Greenport, NY 11944 Phone#:917.856.4189 Email:reedrubin@msn.com Mailing Address:580 Park Ave, 7C, New York, NY 10065 CONTACT PERSON: Name:Zackery E. Nicholson, RA Mailing Address:1250 Evergreen Drive - Cutchogue, NY 11935 Phone#:631.513.6589 TEmail:ZENicholson.ARCH@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Zackery E. Nicholson, RA Mailing Address:1250 Evergreen Drive - Cutchogue, NY 11935 Phone#:631.513.6589 Email:ZENicholson.ARCH@gmail.com CONTRACTOR INFORMATION: Name:Michael Sirico Mailing Address:1220 Pine Tree Rd - Cutchogue, NY 11935 Phone#:631.871.4403 1 Email:michaelsirico@optonline.net DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure MAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other `20-25k Will the lot be re-graded? Dyes M'No Will excess fill be removed from premises? RYes [:]No 1 PROPERTY INFORMATION Existing use of property:Single Family - Condo Intended use of property:Single Family - Condo Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to HD this property? ❑Yes ❑No IF YES, PROVIDE A COPY. IW Check Box After Readl Ong* 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. Application Submitted By(print name):'-ackery E. Nicholson, RA W Authorized Agent ❑Owner Signature of Applicant: Date: 11.12.24 CONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF Qualified In Suffolk County Commission Expires April 14,269LSI 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 Ne 20 /'-j Notary Public 1)1101)IERTY !Imp"1'1IH RIZ llIIII (Where the applicant is not the owner) I residing at Reed Rubin 580 Park Ave, 7C, New York, NY 10065 do hereby authorize Zackery E. Nicholson to apply on my behalf to the Town of Southold Building Department for approval as described herein. /J& 11 .12.24 Owners Signature Date Reed Rubin Print Owner's Name 2 <34I34J , " tl " r / 1 I rc , I 07 If 39.40 I r 4, � y Y 41