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Home My WebLink About53130-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#: 53130 Date: 07/15/2026 Permission is hereby granted to: Thomas F Thorp 1705 Kerwin Blvd Greenport, NY 11944 To: Legalize an "as built" HVAC system to an existing single-family dwelling as applied for.Additional certification may be required. Premises Located at: 1705 Kerwin Blvd, Greenport, NY 11944 SCTM#53.-4-44.12 Pursuant to application dated 06/25/2026 and approved by the Building Inspector. To expire on 07/14/2028. Contractors: Required Inspections: ELECTRICAL-ROUGH, PLUMBING, ELECTRICAL- FINAL, FINAL, Fees: As Built HVAC $500.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total S600.00 Building Inspector t TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-95021 tq,s:�� 7.so�a�t� c�lclt�w�n�u . xQV Date Received BUILDINGAPPLICATION FOR N For Office Use Only r PERMIT N0. � '4...�� Building Inspector: JUN 2026 Applications and forms must be filled out in their entirety. Incomplete Building D pjrtment applications will not be accepted. Where the Applicant is not the owner,an Town of ScwthOld Owner's Authorization form(Page 2)shall be completed. Date:6=25=2026Thorp OWNER(S)OF PROPERTY: Name:Thorp -T SCTM#1000-53.-4-44.12 Project Address: 1705 Kerwin Blvd, Greenport, NY 11944 Phone#:516-353-9952 Email: Mailing Address:690 August Lane, Greenport, NY 11944 CONTACT PERSON: Name:Owner Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name:NA Mailing Address: 'W wa,: �f� Email: Phon o t;= .i ,,.:ixi_ u ,vzu m r CONT ' Name:NA Mailing Address: Phone#: Email:. DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑' Other Central Air Conditioning $7500 Will the lot be re-graded? ❑Yes *No Will excess fill be removed from premises? ❑Yes IiiiiiiNo 1 PROPERTY INFORMATION Existing use of property:Single Residence Intended use of property:Single Residence Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property. ❑Yes *No IF YES, PROVIDE A COPY. 8 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 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. pp y(print ❑Authorized Agent *Pwner Application Submitted B tint Warne Signature of Applicant: Date: l9 -��I0 STATE OF NEW YORK) SS: COUNTY OF J being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contraactnab—ove named, (S)he is the... �...... C>� )ar�[� _ ........ (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 POWs W0.0 III PubII%Stab of IW (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 � f BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 l deb Southold, New York 11971-0959 Telephone (631) 765-1802 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 6-25-2026 Company Name: As-Built Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.. JOB SITE INFORMATION (All Information Required) Name: Thorp Address: 1705 Kerwin Blvd, Greenport, NY 11944 Cross Street: August Lane Phone-No.: 516-353-9952 BIdg.Permit #: 5 31 email: Tax Map District: 1000 Section: 53• Block: 4 Lot: 44.12 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Central Air Conditioning Square Footage: I NA Circle All That Apply: Is job ready for inspection?: YJ YES NO Rough In Final Do you need a Temp Certificate? YES R] NO Issued On Temp Information: (Ail information required) Service Size"h Ph 3 Ph Size: A # Meters Old Meter# ❑New Service[-]Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y FN Additional Information:AS-Built PAYMENT DUE Itll'ITH APPLICATION