HomeMy WebLinkAbout52493-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#: 52493 Date: 11/25/2025
Permission is hereby granted to:
Seth Haber
919th St
Garden City, NY 11530
To:
install new window and door replacements to an existing single-family dwelling as applied for.
Premises Located at:
275 Soundview Ave Ext, Southold, NY 11971
SCTM#50.-2-5
Pursuant to application dated 10/15/2025 and approved by the Building Inspector.
To expire on 11/25/2027.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $2S0.00
CO-RESIDENTIAL $100.00
Total S350.00
Building Inspector -.�
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959
.d� Telephone (631) 765-1802 Fax(631) 765-9502 htt v://ww . outiloldtowntl . ov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only O
PERMIT NO. +� Building Inspector:
T 2�,425
i
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an evlldllng Department
Owners Authorization form(Page 2)shall be completed. :p �o : old
Date:
OWNER(S)OF PROPERTY:
Name:Seth Haber SCTM#1000-50-2-5
Physical Address:275 Soundview Ave Extension, Southold NY 11971
Phone#:617-901-3742 ]:Eail'haberseth@gmail.com
Mailing Address:275 Soundview Ave Extension, Southold NY 11971
CONTACT PERSON:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 Email:c@rigasco.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:Constantine Rigas
Mailing Address:22260 Main Road, Orient NY 11957
Phone#:917-509-8751 [Email:c@rigasco.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
NOther endows/Doors $30,000
Will the lot be re-graded? Dyes El No Will excess fill be removed from premises? Dyes ❑No
1
I
PROPERTY INFORMATION
Existing use of property:Single Family Intended use of property:Single Family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes R No 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 15 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(prin name : Co A INAuthorized Agent ElOwner
Signature of Applicant: Date:
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
No.01 BU6185050
SS: Qualified In Suffolk County
COUNTY OF ) Commission Expires April 14,2�
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contrac above named,
(S)he is the
(Con actor,Ag nt,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
y of / ZD
Notary Public
P11R01PIIC;;R"'1' OWNER III°°� II III TIII
(see separate authorization)
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
Seth Haber
I, .owner of 275 Soundview Avenue Extension, Southold NY 11971 do hereby authorize
Constantine Rigas to apply on my behalf to the Southold Building Department for any permits needed.
l 10/14/25
(Owner's 'Signature) (Date)
Seth Haber
(Print Owner's Name)