HomeMy WebLinkAbout52342-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52342 Date: 10/10/2025
Permission is hereby granted to:
William J Schneider
34 Lincoln Cir
Yonkers, NY 10707
To:
install window replacements to an existing seasonal dwelling as applied for with flood permit.
Premises Located at:
1605 Island View Ln, Greenport, NY 11944
SCTM# 57.-2-42.5
Pursuant to application dated 08/29/2025 and approved by the Building Inspector.
To expire on 10/10/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
Flood Permit $150.00
CO-RESIDENTIAL $100.00
Total $500.00
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�� �fld'ing 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) 765-9502 https://www.sotithold,townny.2LO
Date Recived
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
PERMIT NO. ? z Building Inspector-,,
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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.
Date: p �_
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OWNER(S)OF ROPERTY:
Name: William Schneider SCTM# 1000-
Project Address: 1605 Island View Lane Greenport NY 11944
Phone#: 914 364-1124 Email:williamjpe27@aol.com
Mailing Address: 34 Lincoln Circle Yonkers NY 10707
CONTACT PERSON:
Name:William Schneider
Mailing Address:
1605 Island View Lane Greenport NY 11944 p 3Y nc 1,
Phone#:914-364-1124 Email:williamjpe27@aol.com ®d7°
DESIGN PROFESSIONAL INFORMATION:
Name: N/A
Mailing Address,
Phone#: Email: w
CONTRACTOR INFORMATION:
Name: Renewal By Andersen LI
Mailing Address: 2029 New Highway Farm NY 11735
Phone#: 631-843-1713 x 2255 Email: cvalente@rbalongisland.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
El Other Replace 6 windows 14578
Will the lot be re-graded? ❑Yes QNo Will excess fill be removed from premises? ❑Yes IgNo
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PROPERTY INFORMATION
Existing use of property: Intended use of propertyo
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes W No IF YES, PROVIDE A COPY.
Check BoxAfter 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 w (em neider ❑Authorized Agent @Owner
Signature of Applicant: Date: / / Zi
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk f )
1q �+ P� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Owner
(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 ,, II ,���
&clay of August ,2025 �.. ,�
Notary Publlc ::�51�r*��'�� � 1 w
C*�K IwC7tk 'rY
JEX
PROPERTY 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.
Owner's Signature Date
Print Owner's Name
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