HomeMy WebLinkAbout52591-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#: 52591 Date: 01/05/2026
Permission is hereby granted to:
Robert G Murphy
PO BOX 115
Orient,, NY 11957
To:
Replace two window in-kind as applied for.
Premises Located at:
595 Youngs Rd, orient, NY 11957
SCTM# 18.-1w6.3
Pursuant to application dated 11/13/2025 and approved by the Building Inspector.
To expire on 01/05/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total 350.00
Wilding Inspector
TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Yp Town Hall Annex 54375 Main load P. 0. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 s.-//
i
Date Received
APP L 1ATC N FtF BUILD111IG PERMIT
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For Office Use Only
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PERMIT NO
Building InspectarF
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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 �a
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Owner's Authorization form(Page 2)shall be completed.
Date: ---
OWNER S of PROPERTY:
Na men SCTM#1000-
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Pro jest Address: � (/�!//��
Phone M. Email: Ir"N 31
Mailing Address.
CONTACT PERSON:
Name
Mailing Address
Phone# Email:
DESIGN PROFESSI 0 NAL INFORMATION:
Name.-
Mailing Address:
Phone# Email:
CONTRACTOR INFORMATION
Name
Mailing Address.
Phone#: Email
DESCRIPTION of PROPOSED CONSTRICTION
ElNew Stwcture Addition ❑Alteration ❑Repair D,e o ition Estimated Cost of Project:
Clother "A J-
Will the lot be re-graded?
,� ? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes ❑No