HomeMy WebLinkAbout53042-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
14,` 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#: 53042 Date: 06/03/2026
Permission is hereby granted to.
Joseph Trapani
95 Willow Pond Ln
Southold, NY 11971
To:
construct master bathroom alterations to an existing single-family dwelling as applied for.
Premises Located at:
95 Willow Pond Ln, Southold, NY 11971
SCTM# 70.-9-64
Pursuant to application dated 06/02/2026 and approved by the Building Inspector.
To expire on 06/02/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total 350.00
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Building Inspector
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` " m TOWN F SOUTHOLD—BUILDING DEPARTMENT
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Town Hall .Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959
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Telephone (631) 7 5-1 2 Fax (631) 76 -95 ►2 l��.t� �. � 1� � o �it �.
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Date Received
APPLICA"I*100"'N 1`0"kll BUILDING PERMIT
For office Use Only
PERMIT NO. -'" Buclding nspector .......................
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Applications and farms must be filled out in their entirety. Incomplete
lications will not be acce ted. where the A licant is not the own7an 2026'
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Owner's Authorization form(Page 2)shall be completed.
F;ulldlkng Department
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OWN ER(S)OF PROPERTY:
Name: -- SCTM # 1000- -70 •- "- �`�
Project Address: �►/,'
Phone# Email:
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address: Ae
//70
Phone# w Email: CJ41k, � r� � , ► �r�caw, ��
DESIGN PROFESSIONAL INFORMATION:
Na me:
Mailing Address: 57 1' _�, •T7 A" r�� � '
Phone# — .�,.. .I'` Email ,d,4,m L- e �4>.re c,r1o, C ce
CONTRACTOR INFORMATION:
Name: 45
Mailing Address-
Phone#: Email
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition DAlteration FI Repair ❑Demolition Estimated Cost of Project:
❑others
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'Yes C <o will excess fill be removed from remises? ❑Yes ��o
Will the lot be re-graded. ❑ p
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Signature of Applicant.,
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(ConLractor, Agent, Corfmate Officer, etc �
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(;t Sill o,4%n e r or oviners. land is duly authorized to perform or have performed the said work and to makt.' an f�1cj this
d jppiratit:)n, that ('411 statements contained in this application are t!'lJE'` to the best of hi0er knowledge and :N 'l!pf, an I
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