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HomeMy WebLinkAbout52857-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#: 52857 Date: 04/13/2026 Permission is hereby granted to: Schowalter Holdings LLC 1015 orchard Ln Southold, NY 11971 To: Legalize "as built"alterations to an existing single-family dwelling as applied for to convert a roofed over porch into habitable living space as well as reconfigure the floor plan as applied for.Additional certification may be required. Premises Located at: 645 Hamilton Ave, Mattituck, NY 11952 SCTM# 140.-2-1 Pursuant to application dated 11/10/2025 and approved by the Building Inspector,, To expire on 04/12/2028. Contractors: Required Inspections: Fees: As Built Alteration $640.00 CO single Family Dwelling-Addition/Alteration $100.00 Total $740.00 Building Inspector o4 TOWN OF SOUTHOLD--BUILDING DEPARTMENT y(� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 eMuYeMn M ww � o Telephone (631) 7+�5-1 02 Faxax (631) 7E�5-902 h, w .. Date Received APPLICATION FAR BUILDING PERMIT Va/ For Office Use Only PERMIT NO. Building Isetr, r r Applications and farms 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. � ��W �°I Of w Date,,' e OWN ER(S)OF PRE P°ERA"c Name: SCTIVI#1000- .� r Project Address:, ° Phase# qm ' - q Email r Mailing Address: + ` CONTACT PERSON: Name: i Sno r Mailing Address. �- �- f rclia�� tip, L4; Phone#: - Emaiki- DESIGN PROFESSIONAL INFORMATION: Name: 0,0 rt `' bc Mailing Addre ss� Phone# ��3 Erna�l: ` ` ��,� r u meS CONTRACTOR INFORMATION: Name, Mailing Address-, Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION C]N Structure ❑Addition ©Alteration ❑Repair ❑Demolition Estimated Cost of Project: MOther At Will the lot be re-graded? ©Yes R.466 Will excess fill be removed from premises? ❑Y d 1 .................... ....................qg PROPERTY INFORMATION Existing use of property: 0.4ft j,ce Intended use of property: Zone or use district in which premises is situated: Are there any covenants an restrlctibns with respect to �> this property? FYes =, o IF YES,,, PROVIDE A COPY, El Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Code.-APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Sotttholdv, 4ffolkol Court p New York and other applicable Laws,Ordinna noes or Regulations,for the construction of buildings, additions;-alteritions or for rernoval or demolition as,herein described.The applicant agrees to comply with all applicable,laws,ordinantes,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 210.45 of the New York State Penal Law. tm Application Submitted By DAuthorized Agent 0ownerjp t name). 4 phtm Signature of Applicant: Date: OIL E D.BUNCH ry,Public,StWe of New York STATE OF NEW YORK) No.0 1 BU6185060 Qualified In Suffolk County SS: Commission Expires April 14,1 COUNTY OF being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the (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 of _J1 204�F Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) residing at 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 2 .........................000