HomeMy WebLinkAbout51880-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#: 51880 Date: 04/29/2025
Permission is hereby granted to:
Olympus Capital LLC
2363 36th St
Astoria, NY 11105
To:
construct accessory garage as applied for.
Premises Located at:
1430 Bay Haven Ln, Southold, NY 11971
SCTM#88.-4-16
Pursuant to application dated 04/22/2025 and approved by the Building Inspector.
To expire on 04/29/2027.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $509.00
CO Accessory $100.00
Total $609.00
Building Inspector
y x„+
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
r Telephone (631) 765-1802 Fax(631) 765-9502 htls: r «rw.sotjtojdtr � wv
Date Received
APPLICATION FOR BUILDING PERMIT E C E UEµJ
For Office Use Only YP
60--�PERMIT NO. Building Inspector:
Applications and forms must be filled out in their entirety.Incomplete ilr"� 'i`
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:Nick Karakostas SCTM#1000-88.-4-16
Project Address: 1430 Bay Haven Lane
Phone#:917-745-7108 Email:nikokarakostas@hotmaii.com
Mailing Address: 145 Budds Pond Road, Southold, NY 11971
CONTACT PERSON:
Name:Brett Kehl, (Kehl Design Assoc. LLC.)
Mailing Address:265 Jasmine Lane, Southold, NY 11971
Phone#:631-433-9084 Email:ssbn654@optonline.net
DESIGN PROFESSIONAL INFORMATION:
Name:Kehl Design Assoc. LLC.
Mailing Address:265 Jasmine Lane, Southold, NY 11971
Phone#:631-433-9084 Email:ssbn654@optonline.net
CONTRACTOR INFORMATION:
Name:N/A at this Time
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
WNew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other Garage 75K
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo
1
PROPERTY INFORMATION
Existing use of property:Residential, Single family Intended use of property:Residential, single family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? Dyes WNo IF YES, PROVIDE A COPY.
M Check I13ox 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 15 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(pri'n a r t D. Kehl MAuthorized Agent ❑Owner
Signature of Applicant: Date: `l Z Z
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Ouailfled In Suffolk County
sufflok
COUNTY OF ) Commission Expires April 14,2Q
Brett D. Kehl being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 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.
Sworn b fo-e me this
Ij day of . 20 s"p
Notary Public
PROPERTY PERT N ',;I A TI,,,1 I "I , N
(Where the applicant is not the owner)
I,
ALREADY ON RECORD residing at
do hereby authorize tpply on
my behalf to the Town of Southold Building Department for approval as described herein. All
Owner's Signature Date
Print Owner's Name
2
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