HomeMy WebLinkAbout52843-Z o
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#: 52843 Date: 04/08/2026
Permission is hereby granted to:
Karl Abdelnour
21075 Soundview Ave
Southold, NY 11971
To:
legalize "as built" alterations(window replacements and HVAQ to an existing single-family dwelling as
applied for.
Premises Located at:
21075 Soundview Ave, Southold, NY 11971
SCTM# 51.4-17
Pursuant to application dated 03/20/2026 and approved by the Building Inspector.
To expire on 04/07/2028.
Contractors:
Required Inspections:
Fees:
As Built Alteration $500.00
CO-RESIDENTIAL $100.00
Total $600.00
Building Inspector
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54 ? Main Road P. C . fox 79 Southold, Y t t971-0�9 9
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Telephone(631) �"+6 -�l 02 (631) 765-9 0►Z"tt �V V.S� f�tl ,,L(, �—()
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y Dante Received
APPLICATION FOR BUILDING PERMIT
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For office,Use Only
6100-A,
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PERMIT NO. Building I .pector'.
MAR 1 9 2026
. a foams must be filled out in their entirety.Incomplete
Applications and � 'tY P
applications will not be accepted. where the Applicant is not the owner,an Building De' rat �
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O wnees rthorization farm(Page 2)shall be completed. Town of Southold,
Date: ' /16/20 6
OWN-M)of PROPERTY
Name: Karl & Megan Abdelnour SCTI I#10 51-4-17
Project Address:21075 , oundview Ave, Southold
Phone#:347_$�4 En meganabdeinour@gmail.com
Mailing Address.21075 oundview Ave, Southold, NY 11071
I
COWACr PERSON:
Name: Megan Abdelnour
wiling Address:21075 Soundview Ave, Southold NY 11071
Phone#:: ' 47-8 4- Email: Meganarbdelnou r@ gmail.conn
DESIGN PROfE%IONAL INFORMATION:
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Name: rl
F
MailingAddress:
Phone#; Enil
CONTRACTOR RACTOR INFOR ATION:
Name:nla.
WIN
6
Mailing Address:
Phone#: Email:
DESCM11711ON OF PROPOSED CON cnON
ill Will
EI Ne+w Structure ElAddition . ��Alteration C]Repair ElDemolition Estimated cast of Project:
� leted� - �front house-replaced win comp s,siding,roof,gutters,porch boards,hyac p
Will the lot be re-graded? ElYes ❑No Will excess fill be removed from premises? Ell 11 No
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PR0'r`t0*RTY INFORMATIC'No"I
Intended use of prope--&..
Existing use of property: zi U r1y:same
rer%id,^nce
Zone or use district in which premises is situated. Are there any covenants and restrictions with respect to
r-40 this property.? FlYes No IF YES, PROVIDE A COPY.
0 Check Box After ReadilIg". The"-mr/=ft*Mr/desIp professional is msponsible for all drainage and storm water Issues as provW*d by
OwVW 236 of Ow Town Call#- APPLICADON IS KREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone
Onfinence of the Tmw of Southold,Suffok County,,Now York and other applicable LAws,,Ordlrwmm or Regulations,for the construction of buMings,
d ftprd,skm dom or for nmwW or dam oRtion as herein described.The applicant agrees to comply with all oppkable laws,ordinances,building code,
housft code end entl to admit sudvrfted IrnspeMrs on premises and In bulldlng(s)for necessary inspections.False staternefits made,herein are
pwkww wilholveiiii in 4 Cim A mhderne*nor pumnnt to Section 210AS of the New York State Penal Low.
Megan Abdelnour
Application Submitted By into name): OAuthorized Agent @Owner
9gnawre of Applicant: V Date: 3/16/2026
S - OF NEWY RK)TAM
SS-
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COUNTY OF
Megan Abdlnur being duly sworn,deposes and says that(s)he is the applicant
(Name of individual Signing contract)above named,
(S)he is the homeowner
(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
day of, -2,01 ................
Notary Pubti�' RELLi
001,
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PROPERTY OWNER AUTHORIZATION ko ::
<
(Where the applicant is not the owner)
residing at 0 0'' kwl
do,hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name