HomeMy WebLinkAbout53014-Z ��„F$pGyo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
41" SOUTHOLD, NY
0
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#: 53014 Date: 05/22/2026
Permission is hereby granted to:
Anton Settler
PO BOX 732
Greenport, NY 11944
To:
replace an existing window to asingle-family dwelling as applied for.
Premises Located at:
145 Osprey Nest Rd, Greenport, NY 11944
SCTM#35.-6-36
Pursuant to application dated 05/13/2026 and approved by the Building Inspector.
To expire on 05/21/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total 350.00
B Ong Inspector
Docusign Envelope ID:6B999971-1089-85 2-825E-2B4D9130ADFO
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TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold NY 11971-0959
Telephone 31) 765--1802 Fax (631) 765-9502
0;
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use only
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PERMIT NO.
A Building Inspectors J m�
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A lications and forms rnu ttiye-filled out] ',their entire in'ci om.fete
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applications will not be accepted. Where the Applicant Is not the owner,an
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Owner's Authorization form(Page 2)shall be completed.
Date: 5/6/26
t w" E (S)Cal=Pik' E T"
Name: Marla Milne STM#l000-
Project Address: 145 Osprey Nest Rd.
Phone#: 212-529-5427 Email: marla@northforkpaintings.com
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Mailing Address: 145 Osprey Nest Rd., Greenport, NY 11944
CONTACT PERSON:
OM
Name: Glynn Norgan - Go Permits LLC:
Mailing Address: PO Box 30, Glastonbury, CT06033
Phone#: 412-404-0306 Email: permits@gopermits.org
DESIGN PROFESSIONAL I .FOWATIONwI
Name: n/a
Mailing Address:,,
Phone#: Emaik:
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CONTRACTOR ACT R INF IRMAT' fi:
Name: Horne Depot USA
Mailing Address: 2455 Paces Ferry Rd. Atlanta, GA 30339
Phone#: 412-404-0306 Email: permits@gopermits.org
DESCRIPTION N OF PROP ED CONSTRUCTION"
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demoli-cion Estimated Cost of Project:
D(Other
Remove and replace 1 window,same size, no structural change. $ 3784
Will the lot be re-graded? E]Ye !o Will excess fill be removed from premises? ❑Yes 0 No
Docusign Envelope ID:6B999971-1089-8532-825E-2B4D9130ADFO
WON$
PROPERTY INFORMATION
Existing use of property: single family intended use of property: single family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? F]Yes n No IF YES, PROVIDE A COPY.
D Check Box After,Rea'dJng"O. The owner/t6ritrictoi/design-rofesstonal'is r'esponsibie/i for iall�,drai'nage and storm water issues as provided by
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Chapter 2,36 of the Town I Code. APPUCATIOX IS HEREBMADE to the BuIldin gbepartment for the,issuance of a Building,Perrnit pursuant to the Building Zone
Ordinance of the Town of 5outh6ld,Suffolk,county,New York and other applicable Laws,ordinances or Regulations,for the construction of buildings,
additions,alterations or,f6r,i6mo'va'I or,di M'olftion as herein described.The applicant,agrees to CoMply with all applicable laws,ordinances,building code,
housing code and regulations and to'admit-authorize'd inspectors,lon premise end In building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuantAosection 210.45 of the NewYork State Penal Law.
............
Jennifer Winke
Application Submitted By(print name),- DAuthorized Agent El Owner
Signature of Applicant: Date: C5,
STATE OF NEW YORK)
SS:
COUNTYOF Guilford
Jennifer Winke - Go Permits LLC being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Ag ent for Contractor
(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 20 N ota ry Pu ic
*nPY H,01slion
PROPERTY OWNER AUTHORIZATION N'OTIARY PUBLIC
(Where the applicant is not the owner) MYC(l Guiltordcounly,NC,
My 7�or
mmission Expjf"000bef 04
I., Marla Milne residing at 145 Osprey Nest Rd.
Greenport, NY 11944 do hereby authorize Jennifer Winke - Go Permits LLC to apply on
MY behalf to the Town of Southold Building Department for approval as described herein.
Signed by:
ftmY A N61, 5/6/2026
n atu re Date
Marla Milne
Print Owner's Name
2