HomeMy WebLinkAbout53024-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
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#: 53024 Date: 05/27/2026
Permission is hereby granted to:
Loulou Contoveros
32-10 68th St
Woodside, NY 11377
To:
Install window and door replacements in-kind to an existing single-family dwelling as applied for.
Premises Located at:
470 Sunset Dr, Mattituck, NY 11952
SCTM# 106.-8-1
Pursuant to application dated 05/11/2026 and approved by the Building Inspector.,
To expire on 05/26/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total ;3S0.00
Building Inspector
M
Docusign Envelope ID:D78E9B5F-6338-821 D-823E-A AOFEAE5FC2
TOWN OF SOUTHOLD--BUILDI:NG DEPARTMENT
Town Hall Annex 54375 Main Road P. 0. Box 1179 ►Southold,NY 11971-0959
Telephone (631) 7E5-180.2 Fax (631) 765-9502
Date Received
I
APPLICATION FOR BUILDING PERMIT
For Office Use Only6
�
PERMIT No., Building Inspector: ` 202
Applications and forms,must be filled out in their entirety. Incomplete
applications will not be accelated. Where the'Applicant is not the owner,an
Owner's Authorization`form(Page 2)shall be completed.
Date: 5/5/26
OWNER(S)OE PROPER/"Y: •"'
N ame
# 1000
-
Pauline Rodlts SC TM
Project Address: 2425 Stanley Rd. 410 rt.+ (k M11 —
Phone#: 646-529-2718 Email: pauline370@aol.com
Mailing Address: 2425 Stanley Rd. Mattituck, NY 11952
CONTACT PERSON.
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Name: Glynn Norgan - Go Permits LI-C
Mailing Address: PCB Box 30, Glastonbury, CT 06033
Phone#: 412-404-0306 Email: permits@gopermits.org
DESIGN PROFESSIONAL INFORMATION.
Name: n/,a
Mailing Address,,-
Phone#: Email-,
CONTRACTOR INFORMATION:
Name: Warne Depot USA
p �
Mailing Address'
Paces Ferry Rd. Atlanta, GA 303139 �
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Phone#: 412-404-0306 Email: permits@gopermits.org
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition ❑Alteration nRepair ❑Demolition Estimated Cost of Project:
Other Remove and replace 2 windows and 1 patio door,same size, no structural change, $ 8301
Will the lot be re-graded? ❑Yes DINO, Will excess fill be removed from premises? F-]Yes ❑No
1
Docusign Envelope ID:D78E9B5F-6338-821D-823E-ACAOFEAE5FC2
---—-------- --- ...............................................................—------------------------------------ ..................
PROPERTY INFORMATION
................................................
Existiniz 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? MYes ENo IF YES, PROVIDE A COPY.
El Check Box After Readih gl: The owner/contractor/design professiionallis,responsible for all drainage and storm water issues as provided by
Chapter 2-36 of the Town,Code.,APPLICATI I ON IS HER I EBY MADE to the'Sultding Department for the,issuance ota 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 dernolitilaitas,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,CIass A misdeme York State Penal Law.
[5Authorized Agent El owner
Application Submitted B y(print name): A
Signature of Applicant: Date:
0 V-4vN C
STATE OF NPAL*&M(-�
SS:
COUNTY OF 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 Agent 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 mannerset forth in the application file therewith.
Sworn before me this
day of 20 'L(..p qA
Notary Pub'j,,[c
Sydney Holston
NOTARY PUBLIC
Guilford County,' PROPERTY OWNER AUTHORIZATION
My mmisslon EXPiTeS October 04,2028 (Where the applicant is not the owner)
it Pauline Roditis residing at 2425 Stanley Rd.
do hereby authorize Jennifer Winke - Go Permits LLC to apply on
1,404to the Town of Southold Building Department for approval as described herein.,
5/8/2026
I ir 11 1121 mil 111,;r,
Owner's Signature Date
Pauline Roditis
Print Owner's Name
2
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