HomeMy WebLinkAbout53009-Z TOWN OF SOUTHOLD
~Q `' BUILDING DEPARTMENT
SOUTHOLD, NY
cov,
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#: 53009 Date: 05/21/2026
Permission is hereby granted to;
Christopher Psyllos
24-11 19th St
Astoria, NY 11102
To:
construct an accessory garage as applied for.
Premises Located at:
760 The Greenway, East Marian, NY 11939
SCTM# 30.-2-39
Pursuant to application dated 05/01/2026 and approved by the Building Inspector.
To expire on OS/20/2028.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $327.50
CO Accessory Structure $100.00
Total S427.50
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971_0959
"M�* ��� Telephone (631) 765-1802 Fax (631) '765-9502 httsl p :fva ww.struthaldvv to� nny.�ov
NO
Date Received
APPLICATION FOR BUILDING PERMIT
�J
For Office Use Only '
4 I I
PERMIT NO. Building Inspector.-
IV AY 1 211.1�
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:
OWNER(S)OF PROPERTY:
Name:JUST HOMES, LLC SCTM# 1000-
ProjectAddress:760 THE GREENWAY, EAST MARION NY 11939
phone#: _ EmaiI:CPSYLLOS VERIZON.NET
917 751 6291 @
Mailing Address:213-35 40TH AVENUE, BAYSIDE NY 11361
CONTACT PERSON:
Name:CHRISTOPHER PSYLLOS
Mailing Address:213-35 40TH AVENUE, BAYSIDE NY 11361
Phone#:g17 751-6291 Email:CPSYLLOS@VERIZON.NET
DESIGN PROFESSIONAL INFORMATION:
►vame:PATRICIA O'NEILL ARCHITECT, PC
MailingAddress:257 CIRCLE DRIVE, MANHASSET NY 11030
Phone#:516 365-1799 Email:pATRICIAONEILLARCHITECT@GMAIL.COM
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#:
Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
FA New Structure OAddition OAlteration ORepair ❑Demolition Estimated Cost of Project:
❑Other $20,000
Will the lot be re-graded? ❑Yes �7mNo Will excess fill be removed from premises? BYes ONo
1
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PROPERTY INFORMATION
Existing use of property: ANY Intended use of property:
NEW GARAGE
Zone or use district in which premises is situated,# Are there any covenants and restrictions with respect to
this property? E]Yes F]No IF YES, PROVIDE A COPY.
ig 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 210.45 of the New York State Penal Law.
DAuthorized Agent wrier
Application Submitted By(print name)
>
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract},A�ov°e 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
ks*
day of 20,
Notary Public
PROPERTY OWNER AUTHORIZATION rwodM SU WOU"06
wctwy P%61,10, YO*
(Where the applicant is not the owner) No.0,,j s,,T5,0210wM
,0 led in,OJO"county
u1Wq
residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
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