HomeMy WebLinkAbout52978-Z ofsouryD 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#: 52978 Date: 05/14/2026
Permission is hereby granted to:
N F Housing Alliance
116 South St
Greenport, NY 11944
To:
demolish an existing accessory garage as applied for.
Premises Located at:
270 Oak St, Greenport, NY 11944
SCTIVI#42.-1-24
Pursuant to application dated 05/08/2026 and approved by the Building Inspector.
To expire on 05/13/2028.
Contractors:
Required Inspections:
Fees:
DEMOLITION $276.70
Total $276.70
-- ----------------------
-BtIft
ing Inspector
FIELD INSPECTION REPORT I DATE COMMENTS
FOUNDATION (1ST)
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INSULATION PER N.Y. �
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS 1
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ao� coG�3 TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o ao�� Telephone(631)765-1802 Fax(631) 765-9502 https://www.southoldtownnygov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ` 'i L Ti
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PERMIT NO. 5 Building Inspector: — 6
M AY 6 202
Applications and forms must be filled out m their entirety Incomplete
applications will not be accepted: Where the Applicant is not the owner,an nil`r^ ' ^ '
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Owner's Authorizatoon form(Page 2j shall be completed Y'`M"
Date:
OWNERS)OF OPERTY
Name: NlrJ.l�`{'�t.. SCTM#1000-
Project Address: `Y- 'IL 11r1
L Oc'`LC _ e
Phone#: V39Email:
Mailing Address:
i
CONTACT PERSON
. ... _
Name:
Mailing Address: [t
4ilQ �. Se L.l .`fI(
Phone#: �?v(_ Ltq 17 MIJ6. Email: Q ii
DESIGN PROFESSIONAL INFORMATION "
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR,INFORMATION_ w Yt
Name: S�G i11 Sk�eZ .
Mailing Address: C Pi7bR (Ztc.{ 1 tqC
Phone#: Email: Q
(000 .. SIC.�►eZeG S :Jla 1 [cl�-
DESCRIPTION OF PROPOSED CONSTRUCTION' �$
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❑New Structure ❑Additi n ❑Alteration ❑Repair VDemolition � Estimated Cost of Project:
❑Other (9; t r-) 0\AA n h t e
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes 5ro
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� A
� T Y
Existing use of property: S ,�� Intended use of property: `
Zone or Me district in which premises is situated: Are there any covenan,�ts,Iand restrictions with respect to
this property? []YesLSNo IF YES, PROVIDE A COPY.
Check Box After Reading: The owner/contractor/des gn professional is responsible for all draniage and storm water issues as provided b k '
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Chapter236 of the Town Code APPLICATION 15 HEREBY MADE to the Building Department for the issuancerof a Bwldmg Permit pursuant to the Building tune
Ordinance of the Town of Sduthold Suffolk County,New;York and`other applicable{Laws Ordinances or Regulations,for the construction of buildings
addttwns,alterations or for removal or demolition as herein described The applicant agrees to comply with all appl6i laws ordinances,!W`16' code
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housnig code and regulations and to admtt authoraed inspectors oo premises and m budding(s)for necessary mspections'False statements matle herein are '.
punishable as a Llass A misdemeanorrpursuantao Section210 45 ofahe Newyork StatePenal Law
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Application Submitte y(p 'nt name): CLt\yC4 vvwvt G ❑Authorized Agent [Awner
Signature of Applican • Date: ? aLogo
STATE OF NEW YORK)
SS.
COUNTY OF )
—rc,amr, being duly sworn, deposes and says that(s)he is the applicant
(Name ndividual signing contract)above named �-- /�
(S)he is the f t �J osr_ 1,y ` ,w,0-1`inn/ c t i c ('�ttv a,.tce —.t,ti`
(Contractor,Agent, Corporate Officer,etc.q
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 Ml"I + 209 -
Notary Public
Patdela Wainer
Notary PUM06 State of Now YNS
Na 01WAG140448
Gualiflati in PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
SURVEY OF LOT 68
"MAP OF THOMA5 F.PRICE,5r.ESTATE"
FILED WITH THE CLERK OF 5UFFOLK COUNTY N
DEC.12,Ig21 A5 MAP a 551
SITUATE: GREENPORT W
TOlNN: SOUTHOLD
5UFFOLK GOURTY, NY
SURVEYED Oq-10-02 S
5UFFOLK COUNTY TAX N
1000 42 1 24
CERTIFIED T'O:
NORTH FORD HOUSING ALLIANCE,Inc,
COMMONWEALTH LAND TITLE
INSURANCE COMPANY
A P OV OAS NOTED
DA .P.
E S750 �0T
FEE D BY FW.r 13,
„
NOTI BUILDING DEPARTMENT AT o , 6
631-76 1802 8AM TO 4PM FOR THE GAR'S'5,
FOLL ING INSPECTIONS:
1. F NDATION-TWO REQUIRED �ggMF a F
F POURED CONCRETE �� R• I E. emi fh
2. R JGH-FRAMING&PLUMBING
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3. IN ULATION Q� %
4. FI AL-CONSTRUCTION MUST
B COMPLETE FOR C.O.
ALL Ci STRUCTION SHALL MEET THE /� Woo o
REQUI EMENTS OF THE CODES(IF NEW °�CK % ti
YORK E. NOT RESPONSI FOR x x
DES[G ORCONSTRUCTON ER156RS
Fr � °
x / /
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RETAIN ST RM WATER RUNOFF
PURSUAN1 TO CHAPTER 236 0�
OF THE TO N CODE.. m �RgsrORY
'� /O � MF NSE• a ro O
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FE
CO Y WITH ALL CO C. �k
NEW Y RK STATE&T W
AS R IREO AND NDi IONS '20"Ws0 z50.00
TOWN �� �
SOUiN TOWN PLANMNG BO�I�'TOWNTRUSTEES Asp.RoADyA
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OLD HPC
NOTES:
MONUMENT FOUND 1. <...w..s.-...,�„��".....
p PIPE FOUND
AREA= 1,500 SQUARE FEET
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S.LIC.NO.50202
GRAPHIC SCALE 1"= 20' RIVERHEAD,N.Y.11901
369-8288 Fax 369-8287 REF.\\Hp serveAd\PROS\02-263.pro
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