HomeMy WebLinkAbout52865-Z TOWN OF SOUTHOLD
` BUILDING DEPARTMENT
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SOUTHOLD, NY
'Colo,11
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#: 52865 Date: 04/15/2026
Permission is hereby granted to:
John P Parisi
48 Windsor Rd
Rye Brook, NY 10573
To:
construct additions and alterations to an existing single-family dwelling as applied for.
Premises Located at:
1855 Greenway E, orient, NY 11957
SCTM# 15.-1-10
Pursuant to application dated 03/31/2026 and approved by the Building Inspector.
To expire on 04/14/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $271.00
CO-RESI ETIAL $100.00
Total $371.00
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Town Mall Annex 54375 Main Road P. 0. Box. 1179 Southold,NY 11971-0959
' Telephone (631) 765-1 02 Fax (631) 765-9502 , Up ,: w .'Sou� oldto���
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Date Received
APPUCATION FOR BUILDING PERMIT
For Office Use only
5,
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PERMIT NO. �� Building Inspector ector °
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:3/30/26
OWNER(S)OF PROPERTY:
Name:Johnathan Parisi SCTM # 1000- 15_01-10
Project Address: 1855 Greenway East, Orient
Phone#:646-366-6618 Email:john.parisi@nm.com
Mailing Address: 1855 Greenway East, Orient
CONTACT PERSON:
Name: Brooke Epperson
Mailing Address:PO Box 152, Mattituck, NY 11952
Phone#:631 603 9092 Email:bepperson@amparchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Porti l to
Mailing Address: PO Box 152, Mattituck, N.Y. 11952
Phone#:631 603 9092 Email:aportillo@amparchitect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address.;
Phone#: Email:
DESCRIPTION CRIPTION OF PROPOSED CONSTRUCTION
❑New Structure Addition RAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑other $25,000
Will the lot be re-graded? 7Yes 5�No Will excess fill be removed from premises? ❑Yes RNo
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..........
PROPERTY INFORMATION
-
Existing use of property., Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
0 KD this property? 7Ye S/*o IF YES, PROVIDE A COPY.
A
OU Chec"k Box After Re'aiding'.*, The owner/contractor/design professional Is responsible for all drainage and storm water Issues as provided by
Chapter z'3'6'of thet'dwn Code.,APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 8010%Zone
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws..Ordinances or Regulations,for the construction 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 210.45 of the New York State Penal Law.
Application Submitted By(print name):
4
Authorized Agent Downer
- .
Signature of Applicant: Date,
STATE OF NEW YORK)
ss..
COUNTY OF , }
'AA) 10 being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
N 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
_day of 120 - ------
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PROPERTYOWNER AUTHORIZATIP! COM
(Where the applicant is not the owner)
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to apply on
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my behalf to the Town Southold Building Department for approval as described herein.
.......................Owners Signature Date
Print Owner's Name
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