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Home My WebLink About53097-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#: 53097 Date: 06/29/2026 Permission is hereby granted to: Peconic Landing @Southold 1500 Brecknock Rd Green part, NY 11944 To: Cottage#9-Construct a screened porch addition on an existing patio as applied for. Premises Located at: 1205 Route 25,Greenport, NY 11944 SCTM#35.4-25 Pursuant to application dated 06/11/2026 and approved by the Building inspector. To expire on 06/28/2028. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $321.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $421.00 Building Inspector MM TOWN OF SOUTHOLD--BUILDING DEPARTMENT Town Hall Amex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 Date Received APPLICATION FOR BUILDING PERMITe;:a ,. For Office Use Only Ap 'b6D PERMIT NO. Building Inspector.- , p Applications and forms must be filled out in their entirety.incomplete applications will not be accepted, where the Applicant is not the owner,an � � „ r➢ q R. Owner's Authorization farm(Page 2 shall be completed. { g � p Date: dfC2r1 OWNERS)OF PROPERTY: Name; ""' SC'TM#1000- Physical Address de Phone#: L.OWN" Email: ,e.\ ► .062 Mailing Address: CONTACT PERSON: Name: I M, 0W01 Expediting aiJin „Address: BOX 39 1 Phone#: Email a LAI let DESIGN PROFESSIONAL INFORMATION: Name; I'll MOL Mailing Address: Phone#: U3� E mail: ,� r�, y CONTRACTOR INFORMATION: Name, , Mailing Address" u Phone#: J Email: DESCRIPTION OF PROPOSED CONSTRUCTION i New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: t er < 3,4/ r Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? y�s ❑NO 4c t sa 1 .................-------- ---- NNW", PROPERTY INFORMATION Existing use of property,-,, Intended use of property: ............ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to th is property? RYes El No IF YES, PROVIDE A COPY. Check Box After Reading: The ownwr/contractor/design professional Is responsible for&.11 drainage and storm water Issues as provided by Chapter 236 of the Town Code, APPLICATION IS HEREBY MADE to the Building Department for the Issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southoldir 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 egrees to comply with oil applicable Ill ordinances,,buUdft 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. [A Application Submitted El Authorized Agent owner By(print name). F a) ICU Signature o f Applicant: Date: Y l X4 STATE OF NEW YORK) S: COUNTY OF C► - . being dui sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the.,...... el"C"o (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 Notary Public T,AM,M 11§ fj ArrA N PROPERTY OWNER AUTHORIZATIOWTARY PUSLIC STATE OF NEW YORK tS.U,,F FO L K (Where the applicant is not the owner') 12020 it '.111PIMMI. PAR MA81Q1H 11,30 residing at o &LA�do hereby authorize fta� to appil ly on o my behalf t T f 1 , ,011 Building Department for approval as descri d herein. owr'kros sig6a,ture Date Print Owners Name 2 TOWN OF SOUTHOLD—BUILDING DEPARTMENT � Town Hall Anne. 5437 Main Road P. O. Boy 1179 Southold, NY 11971-0959 w�+ Telephone (631) 76 -1 o2 Fax (631) 765-9502 �t � �, �� ° � 'sout.,01ldt't wny. �� Gov ----------------- Date Received I APPIiiiiii]CATION FOR BU11iiiiDING PERIVII'"M[1111111 For Office Use Only PERMIT NO. Building Inspector._ L Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date: t OWNER(S) OF PROPERTY: Name, SCTM# 1000- Project Address: k`soc)eR) Phone#: ail: Mai IingAddress: N�Ji CONTACT PERSON: _ F Name.- Mailing Address: � Phone#: - email:' \Sco �� DESIGN PROFESSIONAL INFORMATION: M Name 4: Mailing Address; Vi �J w Phone#: Q Emailrodl, ou CONTRACTOR INFORMATION: Name: �� Mailing Address: Phone#: a Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure 'Addition RAlteration ❑Repair ❑Demolition I Estimated Cost of Project: ❑other Will the lot be re-graded? ❑'Yes lMo will excess fill be removed from premises? ❑Yes KNo r r .................. PROPERTY INFORMATION Existing use of property",, intended use of property: . ............... Zone or use district in which premises is situated:, Are there any covenants and restrictions with respect to this property? r-]Yes NIo IF YES., PROVIDE A COPY. heck 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 15 HEREBY MADE to the Building Department for the issuance 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(print name, E]Authorized Agent 12KOwner + E-0 Signature of Apph an 4,pec",4_1 Gate. 01 STATE NEW YORK Ssq COUNTY OF being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing Ati,tract) above named, (S)he is the (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 Notary*P�ublic IgAIL -ML--A&'-gl� III WINE A KJOHA"' PROPERTY OWNER ALIJI'HORIZATION Notary Rubfic-State of New York NOII,O'INV6205599, (Where the applicant is not the owner) Qualfflod,in SOO*County, [MY.Commission Upires may II t, 2o2q 24 "A"q residing at 0,K —do hereby authorize to apply on my behalf to the Town of'"outhold Building Department for approval as described herein., owner's 4 ,u re Date .S 4-1 0 IK Print Owner's ame La fid /f7 7 'i 1 1 2