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HomeMy WebLinkAbout52738-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#: 52738 Date: 03/10/2026 Permission is hereby granted to: Marilyn Hofmann PO BOX 452 Peconic, NY 11958 To: legalize "as built" HVAC as applied for with flood permit. Premises Located at: 1100 Huntington Blvd, Peconic, NY 11958 SCTM# 67.-2-21.1 Pursuant to application dated 02/04/2026 and approved by the Building Inspector. To expire on 03/09/2028. Contractors: Required Inspections: Fees: As Built HVAC $500.00 Flood Permit $150.00 CO-RESIDENTIAL $100.00 Total S750.00 ��� Building Inspector SUFF01 TOWN OF SOUTHOLD—BUILDING DEPARTMENT R Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 o �► '` Telephone (631) 765-1802 Fax (631) 765-9502 tt / wtli `13 Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only T PERMIT NO. Building Inspector., , 4 2026 1 Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: SCTM# 1000- Name: � � Zl�� 1 _ Project Address: Phone#: Zv3 - " f" Email: �c Gaw � r '�vw� 5 3 C- 1; o%,J L w Mailing Address: CONTACT PERSON: Name: Mailing Address: j Cr "Il j t �t ;arl-�� G-T— Ce Phone#: 3-S-20 Email: . M MV - DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#:(�-1_��� _ '� i� l Email: DESCRIPTION OF PROPOSED CONSTRUCTION []New Structure >LAddition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: []Other Will the lot be re-graded? ❑Yes N$Vo Will excess fill be removed from premises?A IL ❑Yes ❑No 1 mr w AP 5 ECG S TES tATE•. ,� B.P.itr 579 FEE BY: NOT1 BUILDING bEPARTMENTAT 631-765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: I `,M y�Ul `�` OR 1. FOUNDATION-TWO REQUIRED � FOR POURED CONCRETE �' ,'E ! N 2. ROUGH-FRAMING&PLUMBING 3. INSULATION 4""'fi ; j1 U CERTIFICATE 4. FINAL-CONSTRUCTION MUST BE COMPLETE FOR C.O. 1' OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTON ERRORS COMPLY'WITH ALL CODES OF FLWHONE2 � Q F O K STATE &TMI ODE S REQUIRED AND CONDIMNS OF COMPLY WMI mpmm " " ---�_ ,IOUTHO TOWN ZBA FLOOD DAMAGE PREVENTION SOM TOWN PLANI',MG BOARD�U UTI- CODE. /YD TOWN' USTEES �UT" 0ipc ELECTRICALHD ' � �. . .° � v . �. .:y:>a , . � ���2<��������m � � �°����a���. :���} �:. x. ��� � ' � . � �������� � , , � . ::y .y.. �w���+r�����.�;a �ez :««c , �s� .\© � �«. .: , , . , � � . \ � § ƒ 2 � �\ , \ } \ � \ � ©`Q