HomeMy WebLinkAbout52085-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#: 52085 Date: 07/10/2025
Permission is hereby granted to:
George Sarkis Jr
144 Bay Ave
Greenport, NY 11944
To:
Construct alterations to the basement of an existing single-family dwelling as applied for. No areas of
the basement are to be used for sleeping.
Premises Located at:
65 Rockcove Ct, Greenport, NY 11944
SCTM# 33.-3-19.13
Pursuant to application dated 06/16/2025 and approved by the Building Inspector..
To expire on 07/10/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $862.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $962.00
1jLU
Building 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) 7G5-95021tt ://N�, eaheldtorrr ev
Date Received
APPLICATIWI FOR BUILDUNIG PERMIT
For Office Use Only 1�
PERMIT NO._5 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. SO S
Date: �r
OWNER(S)OF PROPERTY: ..cc
Name: S ✓� SCTM#1000-
Project Address: 15 ROLAC %(P—
Phone#. I �j "?j 'I y 3 Email: O. C , �C��, �Iris S e� rnGZ
MaiiingAddress: d o Hers Ode �� `
CONTACT PERSON
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name: �� G . 1- I
V "�G G
Mailing Address: VOUx y�e 0l(
Phone#: ,� ""f."t.. .. PAix
O ," "\-6cl l�
CONTRACTOR INFORMATION:
Name:
Mailing Address:
--rPhone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New St tore EAdd*t*O )AA.1teration ❑Repair ❑Demolition Estimated Cost of Project:
5 I 'D J0
tler $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes NO
PROPERTY INFORMATION
Existing use of property_ „. �, Intended use of property:
Zone or use district in which premises is situated: Are here any
ty?c oven rs and
er restrictions with respect to
his
,PROVIDE A COPY.
41,�a,r' " "u I sr �uadire a a,m,urati rrs tair�frsii n professional is responsible for all drainage and storm water is5itcc as previfided by
Chapter ,3E of the jowl CodeAPPLICATION is HEREBY MADE to the Building Department far the issuance of a Building Permit pursuant to the auildingZone
Ordinance of the f un County,New fork and other applicable laves,ordinances or Regulations,for the construction of buildings,
additions;alterations or for rrl'rr` aN or,tin�llN;ion as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
housing code and regulations and to ai t"it buthoriaed Inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punish-dhle as a CNass'A misdemeanor pursuant to Section 210.4S of the New York State Penal law.
r
pplicat°ion Submitted (print narnel: C'1 �« � ���S `� ❑Authorized Agent Owner
i hat r o A iScant: Date: l0 I I20t
STATE OF NEW YORK)
SS:
COUNTY OF
G,, C,r SGw/IL.J Jr . being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the G W Ane Y'
(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 3 Url 20 Z�
Notar P' ITTANYACONRAD
Public,State of New York
Reg No.01C06245154
r rya Cuakied in Suffolk County
;,,i I f4..,�3 Commission Expires July 18,202-11
(Where the applicant is not the owner)
p, residing at
do hereby authorize to apply on
I
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2