HomeMy WebLinkAbout53018-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITS 0NE SET OF APPROVED PLANS AND SPECIFICATIONS,
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 53018 Date: 05/22/2026
Permission is hereby granted to:
Zervos TJ&BM Family Trt
235 Fawn Ln
Cutchogue, NY 11935
To:
install replacement windows and door to an existing single-family dwelling as applied for.
Premises Located at:
235 Fawn Ln, Cutchogue, NY 11935
5CTM# 103.-4-22
Pursuant to application dated 05/15/2026 and approved by the Building Inspector.
To expire on 05/21/2028.
Contractors:
Required Inspections:
Fees:
CO-RESIDENTIAL $100.00
Single Family Dwelling- Alteration $250.00
Total S350.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
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Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 um.
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Date Received
BUILDING PERMITAPPLCT �I� �C� - -.
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For office Use only
' AY 1 5 �2026
PERMIT NO. Building Inspector:
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Applications and forms must be filled out in their entirety. Incomplete
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applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNERS OF PROPERTY:
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Project Address:
'' Email:"
Phone#: - -
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Mailing Address: a � 1� ��►
CONTACT PERSON:
Names Ck n no�,
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Mailing Address:
Phone#: 4:31- Liq'--91 Email: MINA
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DESIGN PROFESSIONAL.INFORMATION:
Name:
Mailing Address-.
Phone Email.
CONTRACTOR INFORMATION:
Na me:
Mailing Address:
Phone# Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑Ne w Structure ❑Addition EAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑other
'll"1liII the lot be re-graded?
lies ❑No Will excess fill be removed from premises? ❑Yes ❑No