HomeMy WebLinkAbout51935-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#: 51935 Date: 05/20/2025
Permission is hereby granted to:
Theodore Stratigos
30 West St Apt 12B
New York, NY 10004
To:
legalize "as built" alterations to existing single-family dwelling as applied for with flood permit.
Premises Located at:
550 Blue Marlin Dr, Greenport, NY 11971
SCTM# 57.4-27
Pursuant to application dated 04/10/2025 and approved by the Building Inspector..
To expire on 05/20/2027.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
Flood Permit $150.00
CO-RESIDENTIAL $100.00
Total S750.00
uilding Inspector
tiff TOWN OF SOUTHOLD—BUILDING DEPARTMENT
11
"us Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
,"A Telephone (631) 765-1802 Fax (631) 765-9502 https://www.sout:holdtowLuiy.gov
Date Received
PERMITAPPLICATION FOR BUILDING
,
For Office Use Only
F°I'
PERMIT NO. Building Inspector.--k- I �
Applications and forms must be filled out in their entirety.not the owner,an
PP Iri
applications will not be accepted. Where the Applicant is Toii of Southold
Owner's Authorization form(Page 2)shall be completed.
Date:10th April, 2025
OWNER(S)OF PROPERTY:
Name:Theodore & Carissa Stratigos SCTM#Z000- 057.00 - 01.00 - 027.000
Project Address:550 Blue Marlin Drive, Southold, N.Y. 11971
Phone#:917.608.8165 1 Email: ttratigos@gmail.com
Mailing Address: 550 Blue Marlin Drive, Southold, N.Y. 11971
CONTACT PERSON:
Name Nigel Robert Williamson
Mailing Address: P.O. Box 1758 Southold, NY. 11971
Phone#: 631 .834.9740 Email: nigel_architect@hotmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: Nigel Robert Wiliamson R.A.
Mailing Address: P.O. Box 1758, Southold, N.Y. 11971
Phone#:631 .834.9740 Email: nigel_architect@hotamail.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION AS- Buliur STORAGE eH. 192 SQ. FT hliTH EXT4.
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yt\e)s )ONO
IJA
• PROPERTY INFORMATION
Existing,use of property: S'bJCtLF �A+�r L.� DWEt�l A14 Intended use of property: 5t w14 c.E gv�ti 9j►�f6�LtR1�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
P,q.p this property? ❑Yes I*No IF YES, PROVIDE A COPY.
M Check Box After Reading: The-owner/contractor/design professional is responsible for all drainageand storm water issues as provided by
Chapter 23.6 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 pursuantto Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): I j 1 GEL Q0gE2T W 1 Lc.I A.M150J I@Authorized Agent ❑Owner
Signature of Applica u, _�., Date: j f r� �z •
STATE OF NEW YORK)
SS:
COUNTY OF l
d 1, dLc r being duly sworn,deposes and says that Ohe is the applicant
(Name of individual signing contract) above named,
V14he is the AR04 f
(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 A1P7,fT ,20 2-4
Not i t + .JANNU7_ZI
NOTARY PUBLIC,STATE OF NEW YORK'
Registration No.02JA6052585
PROPERTYAUTHORIZATION Qualified in Suffolk County l
Commisslionion F
Expires February 13,
(Where the applicant is not the owner) ...,..
I, 7'!-taD02.E &r&A7-;&CLc residing at
%uT14oL-Z IJ. 11471 Rio hereby authorize 1+ N - - i � t t to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
30 RY4 207-4
Ownel's Signatu re Date
TN Elm"I -Firsyg
Print Owner's Name
2
BUILDING ttTMENT- Electrical Inspector
�Al �° ��
N OF SOUTHOLD
Town 4126 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
D��Iwn �631) 765-1802 - FAX (631) 765-9502
ameshCaRlholdtownny.gov wand sotholdtownn . ov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: MIL, Mas . 1" SruTi giros
Address: SSD 8uvs HaL14 .Daivp- TOL>n.ow Irg7!
Cross Street: Chou. H 1J bWE
Phone No.: ai El. - GaTra-Cr 631.834.9740.
Bldg.Permit#: 511.3 5 email:ni ,)_col.: �►' wew. .cam,
Tax Map District: 1000 Section: 057,000 Block: 01•00 Lot: 0Z7-o00
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE �OOTAOE Please Print Clearly):
SrvQ a�r- 9m. 192 So_, �. I Yrrm j J �� i . �`
Square Foota e: 1192 .%z.
Circle All That Apply:
Is job ready for inspection?: R YES NO Rough In Final
Do you need a Temp Certificate?: 0 YES NO Issued On
Temp Information: (All information required)
Service Size Ell PhE]3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals 0 1 2 D H Frame LJ Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
ELEVA TIONS SHOWN REFER TO
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TE ME CM -
MAP OF LOT 6
AS SHOWN ON
"MAP OF SOUTHOLD 5SHORES AT ARSHAMOAOUE"
TOWN OF SOUTMOLD
SUFFOLK COUNTY, NEW YORK
MAP NO.3853 FILED 812911963 TAX MAP DESIGNATION 1000-057-01-027
HRIS DP fl HE .S i DATE OT, 202021
REFERENCE MO. 19728R1 SURVEY SOLUTIONS _
SU ORS
SURVEY PREPARED FOR LAB46 HUNTING HILL DR.
MUNICIPAL PURPOSES DIX HILLS, NY 11746
(631 858-1675 M Y S. LIC. NO. 49857
CLIENT: STRA TIGOS C COPYRIGHT
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