HomeMy WebLinkAbout51755-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#: 517SS Date: 03/18/2025
Permission is hereby granted to:
Dominic Fonti
70-36 Kessel St
Forest Hills, NY 11375
To:
legalize "as built"accessory structure as applied for. Additional information may be required.
Premises Located at:
522 S Harbor Rd, Southold, NY 11971
SCTM#75.-4-27
Pursuant to application dated 12/05/2024 and approved by the Building Inspector.
To expire on 03/18/2027.
Contractors:
Required Inspections:
Fees:
As Built Accessory Structure $460.00
CO Accessory $100.00
Total $560.00
uulding Inspector
sr 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 htt s://wwwsoutho1dtownnvgov
Date Received
APPLICATION FOR BUILDING PERMIT E 1
V 4 a I
r ,
For Office Use Only Yry
PERMIT NO, Building Inspector:
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:Dominic Fonti SCTM#1000-75-4-27
Project Address:525 South Harbor Road, Southold, NY 11971
Phone#:917-699-4591 Email:dfonti2735@gmail.com
Mailing Address:70-36 Kessel Street, Forest Hills, NY 11375
CONTACT PERSON:
Name:Dominic Fonti
Mailing Address: 70-36 Kessel Street, Forest Hills, NY 11375
Phone#:917-699-4591 Email:dfonti2735@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Stacy Duka
Mailing Address:55 Gerard Street, #158 Huntington, NY 11743
Phone#:212-505-2020 Email:stacy@phabitatdb.com
CONTRACTOR INFORMATION:
Name: tAn bacc wv
Mailing Address:
Phone#: TTM11.
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Re air ❑Demoliti n Estimated Cost of Project„
Maintain roofed over / f
❑Other �
$75,000.00
-i' �
Will the lot be re-graded? Dyes BNo Will excess fill be removed from premises? ❑Yes BNo
1
PROPERTY INFORMATION
Existing use of property:Residential Intended use of property:Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-80 Primary / R-40 Secondary 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 the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance of the Town of Southold,SuffoU4 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 210.4S of the New York State Penal Law.
Application Submitted By tint name):Stac Duka INAuthorized Agent Downer
Signature of Applicant: Date: 1 71-0
STATE OF NEW YORK)
SS:
COUNTY OF
Stacy Duka being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Authorized Agent
(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. nlOdai ,s M reire-Quint nilla
INry Public-State of New lark
Sworn before me this No.0IM00021547
Qualified in Suffolk Corm
-3 day of pl CGIM b 20 2Y My Commission Expires 02128 2028
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Dominic Fonti residing at 70-36 Kessel Street, Forest Hills
I, .
NY 11375 Stacy Duka
do hereby authorize to apply on
m behalf to the Town of S old Building Department for approval as described herein..
Owner's Signature Date
Print Owner's Name
2
m C"'!
Town Hall Annex Telephone(631)765-1802
54375 Main Road ,a Fax(631)765-9502
P.a. Box 1179
su
Southold, NY 11971-0959 r
Ip
BUILDING DEPARTMENT
NOTICE OF UTILIZATION OF TRUSS TYPE CONSTRU 1QN, F I -I NGII IEEREI
WOOD CONSTRUCTION AND/OR TIMBER CONSTRUCTION
Date:
Owner: � �� ..� .............._ .
Location of Property: �� S
Please take notice that the (check applicable line):
New commercial or residential structure
Addition to existing commercial or residential structure
- Rehabilitation to an existing commercial or residential structure
to be constructed or performed at the subject property reference above will utilize
(check applicable line):
.... .... Truss type construction (TT)
Pre-engineered wood construction (PW)
w Timber construction (TC)
in the following location(s) (check applicable line):
Floor framing, including girders and beams (F)
Roof framing (R)
Floor and roof framing (FR)
Signature: It
Name (person submitting is form):
Capacity(check applicable line):
Owner
Owner representative
TrussReg15.docx Effective 1/1/2015