HomeMy WebLinkAbout52867-Z �4��ti{84ur�o<d 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#: 52867 Date: 04/15/2026
Permission is hereby granted to:
Alice Kramer
PO BOX 277
Southold, NY 11971
To:
legalize an "as built" HVAC system as applied for.
Premises Located at:
230 Booth Rd, Southold, NY 11971
SCTM# 54.-7-6
Pursuant to application dated 04/01/2026 and approved by the Building Inspector.
To expire on 04/14/2028.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
CO-RESIDENTIAL $100.00
Total 600.00
Building Inspector
M
TOWN OF SOUTHOLD--BUILDING DEPARTMENT
hru Town Tall Annex 54375 Maim Road P. 0. Box 1179 Southold,ITT 11971-0959
Telephone (631) 7�65�-180�2 Fax (631) 765-950►2 �t �')�s� �'��,ww,.s ,ut o dt �' r�
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---------------
Date Received
APPLICATION FOR BUILDING �PERMIT
For Office Use Only
_1 ol 1 2026
PERMIT NO. wilding 1nsptr�W �
APR
Applications and farms must be filled out in their entirety. Incomplete [,,� ill ��w��, ���
applications will not be accepted. Where the Applicant Is not the owner,an
p r,
Owner's Authorization form(Page 2)shall be completed,
Date.
OWNER(S)OF PROPERTY:
Name:Alice Kramer SCTM#1000-
Project Address: 230 Booth Toad Southold NY 11971
Phone#:631-7 ,5-,5 Email:remarke@optonline.net
Mailing Address:Box 277 SoUthold NY 11971
CONTACT PERSON:
Name:Alice Kramer
Mailing Address:Box 277 Southold NY 11971
Phone#:631-7 j,5-5699 Email;
DESIGN PROFESSIONAL INFORMATION:
Name.,
E
Mailing Address"
Phone#: Email
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED ED CONSTRUCTION
i
EI
Structur r TAddition FlAlteration ❑Repair 713emolition Estimated Cost of Project:
Other� 3. Col.,
$
Will the lot be re-graded? ❑Yes 7 No Will excess fill be removed from premises? TYes 7 No