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HomeMy WebLinkAbout52584-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#: 52584 Date: 12/30/2025 Permission is hereby granted to: Tina Bogeat jes 100 Daly Blvd Unit 1505 Oceanside, NY 11572 To: Repair first story bathroom due to water damage. Premises Located at: 1470 Westwood Ln,Greenport, NY 11944 SCTM#33.-2w21 Pursuant to application dated 11/10/2025 and approved by the Building Inspector. To expire on 12/30/2027. Contractors: Rewired Inspections. Fees: Single Family Dwelling- Alteration $250.00 CO Single Family Dwelling-Addition /Alteration $100.00 ELECTRIC -Residential $100.00 Total 450.00 Building Inspector u � a llim TOWN OF SOUTHOLD--BUILDING DEPARTMENT µ Town Hall Annoy 5437.E Main Road P. 0. Boy. 1179 Southold, I"��' 11971-0959 W pS w T"elephonef31 76 -102 �'ax31) 7E --90 r tl �. �l�twt � yu o 2#1 y� m «' ,+ r 43 Date Received APPLICATION FOR BUILDING PERMUT 'E, , C E 0 W E " 0 1 "1 For Office Use Only I'D ,N F fir/� -' �,IOV 1rPERMITNCB. Building I s e for Applications and farms must be filled out in their entirety. Incomplete applications will not be accepted. where the Applicant is not the owner,an Southold _ : ,M i Owner's Authorization farm(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: NamesSCTM # 1000- ~ . Tmk ! ------------- Project Address: "' ­Lo C oclf' eivt,eAA "00 Phone#: Email. M ailing Address: owt­ -e_ CONTACT PERSON: Name + = [ ts Mailing Address: It C� � Phone#: i -- "- - Emailo, ' DESIGN PROFESSIONAL IONAL INFORMATION: Name: Mailing Address: Phone#: Email., i CONTRACTOR INFORMATION: Name: C)(,o N .. Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ClAddition DAlteration 45Rep air ❑Demolition Estimated Cast of Project: Mather will the lot be re-graded? ©Yes No Will excess fill be removed from premises? ❑Yes o ' , , oe�)