HomeMy WebLinkAbout52466-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#: 52466 Date: 11/18/2025
Permission is hereby granted to:
James Pierce
6 Birch Ln
New Hyde Park, NY 11040
To:
Construct a roofed over front porch addition to an existing single-family dwelling as applied for.
Premises Located at:
2330 Brigantine Dr, Southold, NY 11971
SCTM#79.-4-20
Pursuant to application dated 10/06/2025 and approved by the Building Inspector.
To expire on 11/18/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $292.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $392.00
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) 765-9502 https://xvww.sotithioldtowntiy.gov
10
Date Received
APPLICATIONI
For Office Use Only
PERMIT NO. 5�a Building Inspector, 6 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: 0 2 S
l 6
OWNER(S)OF PROPERTY:
Name: i dwle-S $ 04LOxne- p;�0-cjt- SCTM#1000-
Project Address: 2.3 3®
1
Phone#: 5!6 _ 901 — 37fl Email: J� ,,, (p nl�ore�0-�cn ��✓ c�
Mailing Address: 2-330
CONTACT PERSON:
Name: /JV/-'
Mailing Address: S� /-erg AVIep?ur
Phone#: � ( - 32q - 0 y/0 Email: e✓an (� vr�.v alre�.�du� /�, e (0, t
DESIGN PROFESSIONAL INFORMATION:
Name: a P
Mailing Address: 172-5 ,� ,1 r� �'�rr d .fc�c, /� A r // / �/
Phone#: �
`�� �76Y
CONTRACTOR INFORMATION:
Name: /�l�u/ u/cct✓� �
Mailing Address: 51 Fermi A1✓&4gC- Fla,,ele AW
Phone#: 6 V s 91 _ Email: 01as2('" er,,9 efriegsyc b�tI^/J . LOA'+Z
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 3,7 006. 00
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes 'J�lo
1
PROPERTY INFORMATION
Existing use of property: /2t3 de✓11-ia 1 Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Ads this property? Dyes RNo 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 Toxin 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 210AS of the New York State Penal Law.
Application Submitted By(print name):.�,e �owloyle- EXuthorized Agent ❑Owner
Signature of Applicant: Date: 1Q161/2 S
STATE OF NEW YORK)
COUNTY OF
[(
(t� r�OrMC-t C� being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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 of8 420 ZS
Notary Public
CHRISTINE M.MARINO
"OtWY Pubk-state of New York
PROPERTY OWNER AUTHORIZATION OuaFftd in SuWk i
Where the applicant is not the owner) mycmvn ss'On es �rr�6,20 v0
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
2
PROPERTY INFORMATION
Existing use of property: 12t3 l Jei lLf q r Intended use of property: RO-9 4
i
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Nar� [� �J this property? ❑Yes�No IF YES,PROVIDE A COPY.
❑Check Box After Reading: The owner/contractor/design professional Is responsible forall drainage and storm water Issues as provided by
Chapter 236 of the Town Code.APPUCATION 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 taws,ordinances or Regulations,for the construction of bundhtgs,
addRlons,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,bulhling code,
housing code and regulations and to admit authorized Inspectors on premises and In buUding(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 taw.
Application Submitted By(print name): .10� ,�o Foyle E Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
COUNTY OF
�►.l-e I rjlrAjA j [-e_
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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 n
day A dAXA, 20 5 0
Notary Public
CHRIVINE M,MARINO
'1'�- olNar Yorit
PROPERTY OWNER AUTHORIZATION W00
oonj=V(Where the applicant is not the owner) `
1
I, c� C4 n&_r—S k e- f"C-e— residing at c� 3 X3 Wr x to n e< 1�'<.
sa %JM o 1 d fJ'( 1 l cl'I( do hereby authorize p r Mv W I to apply on
my behalf to the T n of Sout old Building Department for approval as described herein.
2-S .
e lgna Ta Date
Print Owner's Name
2