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HomeMy WebLinkAbout52231-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#: 52231 Date: 09/03/2025 Permission is hereby granted to: Michael Schreiber 133 Wooster St Apt 14 New York, NY 10012 To: legalize "as built"generator as applied for. Premises Located at: 14755 Soundview Ave, Southold, NY 11971 SCTM# 50.-3-7 Pursuant to application dated 06/05/2025 and approved by the Building Inspector.. To expire on 09/03/2027. Contractors: Required Inspections: Fees: As Built Generator $250.00 CO-RESIDENTIAL $100.00 Total S350.00 uilding Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT `s Town Hall Annex 54375 Main Road P. a_ Box 1179 Southold,NY 1 1 97 1-0959 Telephone(631)765-1802 Fax (631) 765-9502 bit Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. � u3 Suilding ins ctc'sc� Applications and forms must be filled out in their entirety.Incomplete EluIlcllrig E)ep trtme t' applicationswill not be accepted. Where the Appiiwnt Is not the owner,an own Of Southold Owrnees Authorisation forme(Page I)shall be ownpleted. Date:614125 OWNER(S)OF PROPERTY: Name:lona Kleinhaut & Michael Schreiber --[5CrM#1000-50-3-7 Project Address:' Southold, NY 1 1 971/1 4755 Soundview Ave Southold M Phone#:917-796-4453 Email:ionrask(gaol.com Mailing Address:50 Hyatt Road Southold, NY 11971 CONTACT PERSON: Name:John Nastasi Mailing Address:321 Newark Street Hoboken, NJ 07030 Phone#: _ _ Email: 1 77 nos c'Tsl. @mails©m I�20 653 25 t ) g DESIGN PROFESSIONAL INFORMATION: Name:John Nastasi Mailing Address:321 Newark Street Hoboken, NJ 07030 Phone#-201-653-2577 Email:nastasi.j@?gmaii.com CONTRACTOR INFORMATION: Name:Greg Ross Mailing Address:595 North Street Manorville, NY 11949 Phone#:516-322-7619 ]ImLail: regrosS@lossbrosconsltruclion.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ©Addition OAlter3ation ❑repair ElDemolition Estimated Cost of Project: ❑mr otherGenerator $29,000 Will the lot be re-graded? OYes ®No Will excess fill be removed from:premises? ®Yes L7No 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 District 1000, Sec 50, Block 3, Lot 7 this property? E]Yes RNNo IF YES,PROVIDE A COPY. 0 Check Box After Reading: The / / pmlawww b mwwsags for dl and storm won bsues n prarkTed bit for 1f Ordina"alt a Town of SOU00 , .Comm Now mW rather o�oEi � IN"a�sOVdimn of 6�HOW, tW fear raa�aaeatai or sew tws001'n The to M"a*walla di iauuas, =do# fousfteWe and regmkftm and to ado* an pnaa"ha mW In I* Raise anode MtWnwe punkhable as*Gm it w6donemm pursuant to Sett M 7.UM of tine Ww VO'k Skala Pond law. Appillcation Submitted By( at name):Jennifer Ross lilAuthorized Agent QOwner Signature of Applicant: Dates STATE OF NEW YORK) COUNTY OF5I° n �-s being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the Contractor (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. Daniel T.Pinto Notary Public,State of New York No.al]P[6405949,Suffolk County Sworn before me this . I day of v UV ZD Notary Pubic PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) Iona Kleinhaut residing at 14755 Soundview Avenue Southold 1, Jennifer Ross to apply on do hereby authorize PP Y my behalf to the Town of Southold Building Department for approval as described herein. owneei Signature Date Iona Kleinhaut Print Owner's Name 2 WAIT FVD. \ Y VMR114PWAtEWAIER ►��J' weorosm FDIM- \ / 14 'ji: 1510, j - \ % pRopoSM PRIVATE I wto TO PROPOSED TENM To BE Mao CID zr a . yo BE m, 6O11—� t0000, V WAS' PAP ,� " � F , Pam. — APO. ppja '' *A N .' m 6.00AT ' �o OF— ` \ �0, s moo. To YAE �r'0 5B•0 i