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HomeMy WebLinkAbout52768-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#: 52768 Date: 03/18/2026 Permission is hereby granted to; Christopher Gallagher PO BOX 287 Southold, NY 11971 To: install door and window replacements to an existing single-family dwelling as applied for. Premises Located at: 390 Oak Dr,Southold, NY 11971 5CTM#80:2-14.1 Pursuant to application dated 02/13/2026 and approved by the Building Inspector. To expire on 03/17/2028. Contractors: Required Inspections: Fees• Single Family Dwelling- Alteration $250.00 CO-RESIDENTIAL $100.00 Total 350.00 -------------- Building Inspector Jed Wr J"01 N OF SOUTHOLD—BUILDING DEPARTME. T Q T W11 11 al.l Aniaex 54375 MaM Road P. 0. Box 1]7 o-Lithol.d,NY 11 71-095 (631) -r ele)�ol)e; 765-1. 02 Fax `�65-9502 ,w.s the Io . v I Cute Received I APPLICATION FOR BUILDING PERMIT L.7 H p0l' For Office Use Only PERMIT N0.50� Inspector� ��' �,� � � ���� hI'�� N 4J26 � � a "p Applications and forms mint be filled out In their entirety. Incomplete applications will not be accepted. Where the Applicant is not the-owner,are Ownees Authorization farm(Page 2)shall be completed. Date ax OWNER(S) of PROPERTY" Name., Gallagher SCTM # 1000- .. protect Address:3 0 Oak Cyr Southold NY 11971 Phone#:631--765- , 4 Email:caailag@opton I in .net Mailing Address:PO Box 237 Southold NY 11971 CONTACT PERSON. Name: Gallagher Mailing Address:PO Box 287 Southold NY 11971 Phone#:6 31-7 - 4 Email:caallag@optpoline.net . v DESIGN,PROFESSIONAL INFOA I TI N: Name: Mailing Address: Phone#: Email. NTRACTORJNFOR ON'" Name. Rle�n ewa-11 y An dersen MailingAddress 029 New HighwayY, �73 Farm _ ._ Phone#: 31-�34 -�1713 X 2 Email cvalente,@.rbalongisland.com DESCRIPTIONOF-PROPOSED CONSTRUCTION eme ❑New Structure ©Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project ❑Other Replace 1 window and!4-panel door 20634 Will the lot be re-graded? ❑Yes W No Will excess fill be removed from premises? ❑Yes IRNo I� `y w rrwiem^^-+�„.• "„ mnvnvr�wrwwv nvmm immmnmvivu ii mmnw,n rrmw.xvn�•^•,,•---^^w^�^^w^^�^-v.,.�.mrr.,,y,wvv w,wn rvm����vvnmmmmmr rvvw mmmmv,..r�^w,wveririw w,wvvrmm�.,,,.,,,^-,,..,.,�mmm �xvun�nimvvmn�M....�vvummm w�mmmm,..rimnmm,w vin xmm�.m rnmim .. .. ,mm rw;mvrinnr wi, w m�mrvmm vi vvvmrrv..,r..rr�m wwvmrvvvi ..,.r�.mn' rm war,..rrr,�.rs^vnrrommmmm..�r �mri...w,. r��u.wmmmimmmwm'-���+�.,. rmm�^rorven ir�r�rnmrmw�^+r.wn rtt vrv....,,,, rn m mmmmmmvmmmmmmn ieMni,. mry vume n rr�i mrm�w�ve ,irc mnrr rnm�,nuw � ,- � w ��,.... „^• �� „^^^^F f PROPERTY INFORMATION +m 'n;.wmm o�mm�en mm n �m�,�nmmm• mmm�envra w+ r iv+m+mi n�mv �...�+�w+�nmimm�m»w��inmrm.•,nnmmmmmmuw.mri v,.u�o memuuwwwuwmoo iwxmm�,�mi��u n,mrm,i.,umi�..a unn mmny vxmT ii r^nnwv mma�se+zr���n.r m�mrm^er•. �rvm r��e,,,.-+W+m .n TM+�+n+n�i,.i,� w.v mmmmww o mm,n nr rvmm rworvrurvwm»+'.w ci.,..mm imrv^•�em,^uw�-+r—,.. rr Existing use of property. Intended use of property". Zane or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? E1Yes *No IF YES, PROVIDE A COPY. The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code. A►PPLICA►TION 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,Ccuntyr,New York and other applicable Laws,Ordinances or Regulation ,for the co"ristruction 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 Z10.45 of the New"York State Penal Law. Application Submitted B (print name): Gallagher ❑Authorized Agent Rowner Signature of Applicant: '�� Gate: A 13 :2 ,d CONNIE De� UNCH STATE OF NEW YO RK) Notary Public,State of New York. No.01 BU6186050 S: Qualified In Suffolk County COUNTY OFSuffolkµ Commission Expires April 14,2DZ� 6 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the Owner 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 February /6 day of 20 Notary Public PROPERTY OWNER AUTHORIZATION - (Where the applicant is not the owner) 6 I, residing at I o hereby authorize to apply on Southold Building Department forapproval e r in. m behalf to the Town of South a rtmentas described herein. Y g p Owner's Signature Gate i Print Owner's Name i 2