HomeMy WebLinkAbout52204-Z Of SO& 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#: 52204 Date: 08/21/2025
Permission is hereby granted,to.
House of Daige LLC
Attn: David Hoffman
New York, NY 10010
To:
demolish an existing accessory garage as applied for.
Premises Located at:
1195 Ruch Ln, Greenport, NY 11944
SCTM#52.-3-13
Pursuant to application dated 07/14/2025 and approved by the Building Inspector.
To expire on 08/21/2027.
Contractors:
Required Inspections:
Fees:
DEMOLITION $333.00
Total $333.00
Building Inspector
p rrx PM
c u E 0 V E
07.22.2025
AUG 1 4 2025
Location: 1195 Ruch Ln, Greenport, NY 11944 Building Department
Project description: New Construction Town of Southold
To whom it may concern,
We are writing to inform the Town of Southold,Chief Building Official that Phil Ferrantello Architect, PC
has performed a general review of the property associated with the new construction project at the
above noted address, in accordance with the drawings prepared bythis office which will form the basis
of the issuance of a building permit.
Based on our site review,we certify that the existing garage structure currently located on property
does not contain any active utilities.
Should you have any questions or comments, please feel free to reach out to me directly.
Regards,
Philip R Ferrantello
RA, LEED AP BD+C
(631)860-4373
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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 https:i/www.southoldtownnv.gov
Date Received
APPLICATION FOR BUILDING PERMIT
E C
For Office Use Only
5
?964
PERMIT NO. Building Inspector: JUL 4 4 2025
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)shall be completed. Town of Southold
Date:
OWNER(S)OF ROPERTY:
Name: 2Av-h—C`--- L
SCTM# 1000- ),7
Project Address: a ' b G
Phone#: '1 ® Email: Z per,,V L L ,° C Qv�f Co
Mailing Address:
CONTACT PERSON:
Name: A—v-- Vf L
Mailing Address:
Phone#: L d j/ EmailQ A�-
DESIGN PROFESSIONAL INFORMATION:
Name:��� ,
Mailing Address: l Jy- �.�. _ IL
Phone#: `)I 6 3 Email:
CONTRACTOR INFORMATION:
Name: O l��&A-'
Mailing Address: 1 G k►0-'' ( Zv 1 1
-27
Phone#: �/ Emai : �� �� c f a.+� , LQ
DESCRIPTION OF PROPOSED CONSTRUCTION
wa-M Fe_❑"Addition ❑Alteration ❑Repair ❑Demolition Estimated Cpt gf Project:
Other 1�'-�`► �O �kl t G1 _ �1"�
Will the lot be re-graded? ❑Yes yo Will excess fill be removed from premises? ❑Yes ONO
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ONO 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,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 210.45 of the New York State Penal Law.
.Application Submitted By(print name): � 5� � � ❑Authorized Ag nt wner
Signature of Applicant: Date: �• �� Z�
CONNIE D.BUNCH
Notary Public,State of New York
No.01BU6185050
STATE OF NEW YORK) Qualified in Suffolk County
SS: Commission Expires April 14,2_2
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the 6 C,-,le'. L,
(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
1 day of 1 ✓ 120
Notary Public
PROPER TY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
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Town Hall An Telephone(631)765-180
54375 Main Ro
P.O.Box 1179 G
Southold,NY 11971-0959 �� �OUNT`I,� o AP R VED AS NOTED
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PRI VA TE ROA D AETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
AREA 6.000 $0.FT.
SUR V•EV -OF,PROPERTY
AT
ARSHAMOMAQUE
CERTOWD TO: TOWN OF SOUTHOL D
PECOAINC ABSTRACT ANc01alPORATED TI SUFFOLK COUNTY N.Y.
TITLE NO. -S-7TIa
NiORSTAR MORTGAGE CORORATION
DAAM POLLACK 1000 - 052 - 03 - 13
L.BUZIO-POLLACK
SCALE 1" = 20'
OCT. 3 1989
.,' N.Y. S. LIC. NO.49668
Pmi:red in atxordattae with the mintmtNn
sio.;•„ds for this surveys as established by
PIC ON 1 C SURVEYORS , P.C. the L.I.A.L S. and approved and adopted
( 16) 765 - 5020 - The New York &ate
P.O.BOX 909
MAIN ROAD
SOUTHOL D, N.Y. 11971