HomeMy WebLinkAbout53062-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, NY
O
Cfi�bM7'1.
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#: 53062 Date: 06/12/2026
Permission is hereby granted to:
Anna M ten Napel
1 Deepdale Dr
Rocky Point, NY 11778
To:
legalize an"as built" rear covered deckadditionto an existing single-family dwelling as applied for per
Trustees approval. Additional certification maybe required.
Premises Located at:
320 Glenn Rd, Southold., NY 11971
SCTM#78:2-21
Pursuant to application dated 05/27/2026 and approved by the Building Inspector.
To expire on 06/11/2028.
Contractors:
Required Inspections:
Fees:
As Built Addition/Alteration $896.00
CO-RESIDENTIAL $100.00
Total S996.00
Building Inspector
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el(sl.wol�)re,l TOWN l ( TJTLI( LI►--BUILDING DEPARTMENT
V . Bo 1179 Southold NY 11971-0959
� ,� � Town�-Ia11 Annex 54375 11/laln Road P. (�► ,
1 Fax (631) 765-95 y ou o 0
Telephone (631) 765-1 02 �"a
Da
te Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
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PERMIT NO Building Inspector' w i
7 202(1
M A Y 12
Applications and forms must be filed out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,,an i
Owner' Authorization form(Page 2)shall be completed. � �v � � �
Gate. 501
OWNER(S)OF PROPERTY:
Name: SCTM # 1000- ',71 f
Project Address:
Phone#: F Email:
Mailing Address:
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wom
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email,
DESIGN PROFESSIONAL INFORMATION:
r
Name:
Mailing Address:
Phone#: Email,
!LZ...............
[--CONTRACTOR INFORMATION.
F
Name. ,
Mailing Address:
Phone#: Email v
DESCRIPTION of PROPOSED CONSTRUCTION
❑New StructureOAddition C�Alteration ❑Repair E]Demolition Estimated Cost of Project��
❑Other
lot be re- raded? F�Yes5�No Will excess fill be removed from premises? ❑Yes �RNoWWII the g
........... ... .............
PROPERTY INFORMATION
Existing use of property: intended use of property:,
4_�?Y
Zone or use district in which premises is situated Are there any covenants and restrictions with respect to
.
this property? E]Yes �RNo IF YES, PROVIDE A COPY.
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0 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 theissuance 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.
Application Submitted By(pr t name), d4v I V4
'Authorized Agent ElOwner
/10*r
Signature of Applicant: 0"Oeoo� Date: 61241;2�
STATE OF NEW YORK)
SS:
COUNTY OF
lkeOl being duly sworn, deposes and says that (s)he is the applicant
Name pf"individual signi4g contract) above named,
(S)he is the /il e
(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
_Jeq4L,
Notary Pu lic
VICKI t BERRY
Notary Public- State of NeW-York
No. 01BE6070081' ty PRO PERTY OWNER AUTHORIZATION
Qualified in Suffolk Coup
Com�nistionExpire*gA,,-,-I'?- 3e--) 'Where the applicant is not the owner)
AA residing at
010/
do hereby authorize to apply on
I I 600ell 1/4r
C9 &-L-LZ
my behalf to the Town of Southold Building Department for approval as described herein.
d1ol;F P Zido&
Owner's sighature Date
Print Owner's Kame
2
®° TownHall Annex
Glenn Goldsmith,President
54375 Route 25
Nicholas:Krupski,Vice President p.0.Box 1179
Eric Se enaski Southold,New York 11971
p
Liz GYllooly Telephone t631 765-1892
)
Joseph
5eh
Fax(631) 76 5-6841
IOU 10 11
p Finora
a,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 10897A w
Gate of Receipt of Application: December 11, 2025
Applicant:,, Anna Ten Napel
SC * ,00-78-2m2l
Project t n 2,, Glenn Road, Southold
�
Dat of lu, nis ance: January 14, 2026
Date of Expiration: January 14, 2029
Reviewed by: Board of Trustees
Project Description: 9
• Extend existing deck V x 6'; deck to be 398 sq,ft. after
extension.
project meets all thr is for issuance, o n
AdministrativeFinaing1s. 'The,P,ermit set fort
in Chapter����"5ote u c
. , r ixtallows o�r�the operations s� indicated on the
issuanceof an Administrative i
��� iServices,, resew onDecember-1 11 2�'
site, plan prepared y ��C es
and ,,starnped approved on January14, 2026.
Special Conditions: None.
Inspections: Final Inspection.
If the proposed acti
vities do not meet the requirements for issuance of an
Administrative Perm
it set forth in Chapter 275 of the Southold Town Cade, a
Wetland Permit will be required.
This is not a determination from any other agency.
p
Glenn goldsmith, President
Board of Trustees
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