HomeMy WebLinkAbout52866-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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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#: 52866 Date: 04/15/2026
Permission is hereby granted to:
John P Parisi
48 Windsor Rd
Rye Brook, NY 10573
To:
install a generator as applied for.
Premises Located at:
1855 Greenway E, Orient, NY 11957
SCTM# 15.4-10
Pursuant to application dated 03/31/2026 and approved by the Building Inspector.
To expire on 04/14/2028.
Contractors:
Required Inspections:
Fees:
GENERATOR $125.00
CO-RESIDENTIAL $100.00
Total $225.00
p Building Inspector
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Main load P. t ►. Box 1179 Southold NY 11971-0959
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Town Hall Annex 543 75 ,
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Telephone (631) 7+ 5-1 C 2 Fax (631) 7 5-95 2 ���t � 1 � . outho �. o, ����n,v NP
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Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT No. r Building Inspecto �° r
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........... ------- ............................--------
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:3/3O/2O
OWNER(S)OF PROPERTY:
Name:Johnathan Parisi SCTM# 1000- 15_01-10
Project Address. 1855 Greenway East, orient
...........
Phone#:646-36 -6 18 Email:john.parisi@nm.com
Mailing Address: 1855 Greenway East, orient
CONTACT PERSON:
Name:Brooke Epperson
Mailing Address:Po Box 152, Mattituck, NY 11952
• Email:Phone#. hitect.corrl
531 603 9092 bepper�on��ampalrc
DESIGN PROFESSIONAL INFORMATION:
Name:Anthony Portillo
FMailing Address:Po Box 152, Mattituck, N.Y. 11952
Phone#:881 603 9092 Email:aportillo@amparchitect.com
CONTRACTOR INFORMATION:
Name:
Mailing Address.
Phone#M Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
FINew Structure ❑Addition [Alteration ❑Repair ❑Demolition Estimated Cost of Project:
CilOther Generator 15,000
Will the lot be re-graded? ❑Yes 14No Will excess fill be removed from premises? ❑Yes ®No
.........................
PROPERTY INFORMATION
Existing use of property: Intended use of property: sInp 4,0�
Zone or use district in which premises is situated-, Are there any covenants and restrictions with respect to
this property? F-]YeswNo IFYES, PROVI DE A COPY.
C)
A
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 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 210.4S of the New York State Penal Law.
A �
Application Submitted By(print name):& �,� authorized Agent Elowner
Signature of Applicant: Date:
STATE OF NEWYORK)
SS:
COUNTYOF
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
_day of ZOO
Notary Public
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PROPERTY OWNER AUTHORIZAT11001A Mr 0. Z Qmuffed,wwwway
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(Where the applicant is not the owner) cmwWwExpimosi
MA-Inalr-", residing at, vjb
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do hereby authorize 4( to apply on
my behalf to the T n of Southold Building Department for approval as described herein.
'nerl's Signature Date
Print Owner's Name
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