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Home My WebLink About52420-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#: 52420 Date: 10/31/2025 Permission is hereby granted to: Michael Javidi 178 Sterling St Greenport, NY 11944 To: Construct a non-habitable storage building accessory to a single-family dwelling as applied for. Structure must maintain minimum side and rear yard setbacks of 5 feet. Premises Located at: 960 Middleton Rd, Greenport, NY 11944 SCTM#40.-5-10 Pursuant to application dated 09/25/2025 and approved by the Building Inspector. To expire on 10/31/2027. Contractors: Required Inspections: Fees: Accessory-New Structure $573.00 CO Accessory Structure $100.00 Total S673.00 Building Inspector f,i fW rr TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 +• `' Telephone (631) 765-1802 Fax (631) 765-9502 litt s://'www.sou tho)dtow tiny.goar Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only � PERMIT NO. Building Inspector: Is Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an DUPI n9 Department Owner's Authorization form(Page 2)shall be completed. Town of Southold Date: OWNER(S)OF PROPERTY: Name: Michael Javidi SCTM #1000-40.-05-10 Project Addre : iddleton Road, Greenport, NY. 11944 Phone#:631-948-5505 Email: Mailing Address:25 Middleton Road, Greenport, NY. 11944 CONTACT PERSON: Name: Michael Javidi Mailing Address:25 Middleton Road, Greenport, NY. 11944 Phone#:631-948-5505 Email: DESIGN PROFESSIONAL INFORMATION: Name:Kehl Design Assoc. LLC. Mailing Address:265 Jasmine Lane, Southold, NY. 11971 Phone#:631-433-9084 Email:ssbn654@optonline.net CONTRACTOR INFORMATION: Name: NA AT THIS TIME Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $50K Will the lot be re-graded? ❑Yes IRNo Will excess fill be removed from premises? @RYes El No 1 PROPERTY INFORMATION Existing use of property:Single Family Residential Intended use of property:Single Family Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes ANo IF YES, PROVIDE A COPY. 17 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):Brett D. Kehl RAuthorized Agent ❑Owner Signature of Applicant: Date: s— STATE OF NEW YORK) SS: COUNTY OF suffolk ) Brett D. Kehl being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Agent (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 215 -day of 20 2S otary Publi FRANK NOTARY PUSUC,STATE OF NEW YORK Registration No.05FR628MI PROPERTY OWNER AUTHORIZATION OwMad MY i "80* �M25' (Where the applicant is not the owner) Michael Javidi residing at 25 Middleton Road, Greenport, NY 11944 L, do hereby authorize Brett D. Kehl to apply on my behalf n of S thold ing,Department for approval as described herein. Owner's Signa ure Date Michael Javidi Print Owners Name 2 S.0 T M NO DISTRICT 1000 SECTION 40 BLOCK' 5 LOT(S) 10 LOT 8 o to S76006'40"W 126.86' 0o PIPE - 05 5 7 S x 4' CHAINLINK FENL�E 31 O W ' Z � LU .M Uj O 23.9' LOT 9 N � � o Ln -� CONC 1 STY FRM STOOP _ 41' CD 'ram CONC DWELLING CONC WALK a L` L.6CATi6v c1F I18' �25 v P2uPo S,c0 WOOD v ��,E DECK o Z a '_+ o 67 2' . 27 g' - - A' LJAJ O 1.0'W _ NK 29 8' - ro a --� Q Z ASPHALT DRIVEWAY N15 � 0,3`N a---i °' `mumt# 6' STOCKADE 4' STOCKADE 6' STOCKE _ 0.8'N g'S S76006'40"W o.s's 124.04' U P LOT 10 N 00 V WASHINGTON AVENUE THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 9,409. 14 SQ..FT. or 0.22 ACRES ELEVATION DATUM: __ UNAUTHORIZED ALTERAnON OR ADDIRON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF 7HE NEW YORK STATE EDUCA770M LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING 1NS17TUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TU770N, GUARANTEES ARE' NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT 7HE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADD17IONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY of LOT 9 CERTIFIED TO NICHOLAS CARLTON BOGATY, MAP'OF: FLEETFIELD EVA HORTON BOGATY, FIDELITY NATIONAL TITLE INSURANCE COMPANY, FILED: AS No.1351 SITUATED AT. GREENPORT - - TOWN of SOUTHOLD KENNETH WQ)LCff K 1AND SURVMNG, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design- --- + P.O. Box 153 Aquebogue, New York 11931 FILE !1 15-1 71 SCALE. 1 "=20' DATE. SEPT. 30, 2015 PHONE (631)298-1588 PAX (631) 298-1588 NY S. LISC NO 050882 maintaining the records of Robert J. Hennessy & Kenneth N. Wayohuk