HomeMy WebLinkAbout52943-Z TOWN of SOUTHOLD
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BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT O►NTHE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52943 Date: 05/04/2026
Permission is hereby granted to:
CAST Inc
PCB BOX 1566
Southold, NY 11971
To:
Legalize an as-built outdoor walk-in cooler as applied for.
Premises Located at:
53930 Route 25, Southold, NY 11971
SCTM#61.4-19.1
Pursuant to application dated 04/24/202+6 and approved by the Building Inspector.
To expire on 05/03/2028.
Contractors:
Required Inspections:
Fees:
As Built Accessory structure $600.00
CO Accessory $1.00.00
Total $700.00
Building Inspector
P
� p w TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 11971-0959
'� Telephone (631) 765-1 02 Fax (631) 765-9502 � � w� u � � � �� � X. O
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
PERMIT NO.
Building in pecto°,
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' Authorization form{Page 2}shall be completed.
Date:April 24, 2025
OWNER(S)OF PROPERTY:
N a m e:E ri ca Steindl SCTM# 1000 Lf
-
Project Address:53930Main Road, Southold, NY1 1
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phone#:631-477-1717 Ernail:estoindl@castnorthfork.org
Mailing Address:PO Box 1566, Southold, NY 11971
CONTACT PERSON:
Name:Cora Fitzgerald
Mailing Address:PO Box. 1566
phone#:631-477-1717 Email:cfitZ erald castnorthfork.or
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DESIGN PROFESSIONAL INFORMATION:
Name:NIA
Mailing Address:
Phone#: Email..
CONTRACTOR INFORMATION:
Name:N/A
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
Cl New Structure C]Addition FlAlteration C]Repair ❑Demolition Estimated Cast of Project:
11
9 Othe ally 1 ,708 see Attached
Will the lot be re-graded? C]Yes 0 No ill excess fill be rernov d from premises? F]Yes R No
1
O TY` FORMATION
Existing use of property: Intended use of property:
Zone or use district In which ..remises is situated: Are there any covenants and restrictions with respect to
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this property? OYes C]No IF YES, PROVIDE A COPY.
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❑ 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 Lavers,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.
• name ..Cora Fitzgerald A i Owner
Application Submitted By(print )
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Signature of Applicant:
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS.. No.01BU6185050
Qualified In Suffolk County
COU NTY OF Commission Expires AprII 14,
being duly sworn, deposes and says that (s)he is the applicant
Name of indlvl
( l; igning 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
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Notary Public
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PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
EricaSteinl90 Main d oulthC►Id, NY 119?'1
residing at„, �.�....rvrvrvrvrvrvrvrvrvry
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do hereby authorize
fora Fitzgerald
to apply on
my behalf to the Town of Southold Building Department for approval as described herein
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to
Owner's Signature
Erica
Steindl,
Print Owner's Name
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WALK-UV COOLERS&FREEZERS
Mfg.Dale
23-AT-82474-01A 7 24 2023 41
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r This door is designed and certified for use in walk-in cooler applications
1 Q WARNING:Cancer and Reproductive Harm
www.PS5Warnings.ca.gov
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For Installation manuals warranty information ❑ ❑ ! , - f. ; '. `•, r'
`and other resources regarding this product, t ? +.•%' -
-just snap the OR Code or visit.
x www.imperialbrown.com 4r' x �� � a '•! {
MANUFACTURED BY
k IMPERIAL BROWN(East Coast Division, _ v'1.r3+► ,+ t
209 Long Meadow Dr -Salisbury,NO 2E 147 ■ ` 4
>, 704-636 5t 3' ❑1 i
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https://mail.google.com/mail/u/0/#inbox/FMfcgzQgLPQtWMnKILSQjZmzzNVXNRJJ?projector=1&messagePartld=0.1 1/1