HomeMy WebLinkAbout52960-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
0
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 52960 Date: 05/07/2026
Permission is hereby granted to:
Jonathan Keith
7 Rroosev►elt Rd
Maplewood, NJ 07040
To
construct additions and alterations to an existing single-family dwelling as applied for
Premises Located at:
590 Willow Terrace Ln, Orient, NY 11957
SCTM# 26r"2"9
Pursuant to application dated 04/23/2026 and approved by the Building inspector,
To expire on 05/06/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition &Alteration $376.00
CO-RESIDENTIAL $100.00
Total S476M
l' i ng Inspector
4
Ir
N OF SOUTHOLD BVILDI NG DEPA]k ,MENT
All
Town 14aH Annex 543 75 Main Road P. 0. Box 1179 Southold, NY 11971-0959
Telephone(631)765-1802 Fax(631)765-9502
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Date"#omod
APPLICATION FOR BUILDING PERMIT
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PERMIT NO,
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OAltenation ORepair ElDernolition Es ti TI 4 H 0,
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Will the lot be re-graded? OYes 0 Will excess fill be removed from premises? ElYes P�Nllo
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Existing use of property.- Intended use of property-.
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Zone or use districtiln which premises is situated: Are there any covenants and restrictions with respect to
this property? DYes IF YES,PROVIDE A COPY.
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Applita6lon Submi d rint h'', me): J0 c kc, )dAuthorized Agent
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Signartutillie of Applicant: ........... Date:
-F,i i"Ar,
STATE OF NEWYORK)
S
COUNTY OF
being duly sworn,deposes and says that(s)he is the applicant
(Name of Jndiwidual signing contract)above named,
(S)he is the
U (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/i 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 20
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N lita PU c
1)2wn
Q ate of New York
J 0 lil,-sr 46
PROPERTY OWNER AUTHORI N
Where the applicant is not the net OD
41,111t,"ill 10/11/20±:
5TO W, OTI�
N residing at moomidiffifti 0
........... ....
C, to apply on
do hereby authorize ..........ii 1' 11 0 010 Oil ii,
my behalf to the Town of Southold Building Department for approval as described herein.
of
ners lignature 03,te
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Print Owneri Name
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GUARANTEED TO.
LOT AREA JONATHAN&KATHRYN KEITH:
IN 1" "'1"� 2A405.38&F FIDELITY NATIONAL TITLE INSURANCE PANY;
1 Inch 30 & 0.54 AC. ATLANTIC HOME LOANS,INC.
URVU OF PROPMTY
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LOT 16
MAP OF
SURVEYING P.C. WILLOW TERRACE
�,► I w a y s 0 n P O i n t SECTION NO. 1
o�iLrwh 16*a J'Wi bm m AvVmw,,N, Lumm(ICmIbUITS1, tjelo yollk .11757 FILE DATE: 11/28/1969 FILE NO. 5407
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SUFFOLK TAX MAP NO. ORIENT, TOWN OF SOUTHOLD
K -02600-0200-009000
DATE SURVEYD.03/09/201e JW No.S18-0323it7
SU FFO LK COUNTY, NEW YO R K
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