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Home My WebLink About53142-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY COURT 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#: 53142 Date: 07/21/2026 Permission is hereby granted to: Susan L Johnson 9650 131st St Seminole, NY 33776 To: Legalize 16 in-kind windows to an existing seasonal dwelling as applied for. Premises Located at: 723 Private Rd #12, Southold, NY 11971 SCTM#87.4-5 Pursuant to application dated 07/06/2026 and approved by the Building Inspector. To expire on 07/20/2028. Contractors: Required Inspections: Trees: As Built Alteration $500.00 CO-RESIDENTIAL $100.00 Total $600.00 Buf ding Inspector U 6 M J 4N � u TOWN OF S►[�iJ�'�HOLD—BUILDING IIEPARTMENT A � Town Hall Anne.54375 Main Road P. 0. Boy. 1179 Southold,NY 11971-0959 � �uµ _ +6 1 7 5-9512 �� tt 1 '' � �.so , ��" � Telephone (631)765 1 02 Fax ( � dtown o� e Date Received APPLICATION FOR BUILDING PERMIT For office Use only 3 PERMIT NO. 5 4k Building Inspector: ........ U L 2026 Applications and farms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an „�ild'Ing D P aenl h tom Ownees Authorization form(Page 2)shall be completed. `own of Southold Date:071001202 OWNER(S)OF PROPERTY: Name:Susan Johnson,Megan Sowada,Whitney Morrow,Devin Hultgren SCTM#1000-473889 87.-4-5 Project Address:723Private Rd #12, Southold, NY 11971 Phone#:727-421_ 875bazooka8l99@gmaii.comEmail: Mailing Address:9650 131 St St, Seminole, FL 33776 CONTACT PERSON: Name:Susan Johnson Mailing Address: 550 131 St St, Seminole, FL 33776 Email: Phone#:727-421_ 7 bazooka31929 mall.com 8 5 DESIGN PROFESSIONAL INFORMATION: Name: ' Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: W , Mailing Address: Phone#. Email: DESCRIPTION OF PROPOSED CONSTRUCTION ture ❑Addition ❑Alteration ❑Re air ❑Demolition Estimated Cost of Project: ❑New Strut p ❑o ther $' 1 Will the lot be re-graded? FlYes ❑ o Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of Property:SU m m e r h o m e intended use of Property:SU m m er hom e Zone or use district in which premises is situated.: Are there any covenants and restrictions with respect to this property? MYes E]No IF YES, PROVIDE A COPY. 0 Check Box After Reading: The owner/contractor/desIgn prafesslonW Is responsible for all drainage and storm waw Issues as provided by Chapter 236 of the Town Code. APPUCA11ON IS HEREOV MADE to the BuWng Department for the Issuance of a Building Permit pursuant to ft Building Zone Ordinance of the Town of Southold,Suffolk County,,New York and other applicable Laws,Ordinances or Regulations,for On 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 tie wsvny Inspections.False stMaments made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Low. Application Submitted By(print name):S u sa n Johnson OAuthorized Agent ROwner Signature of Applicant: Date: ONNIE D.BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01BU6185050 SS: Qualified In Suffolk,County CO U NTY OF Suffolk Commis,sion Expires April 14, 2La2 being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)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 tx�_n 6A4A-day of 1210MI111111111C441 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 Owners Name 2 5 &��Csc A-SERIES CASEMENT WINDOW I r Interior Exterior Summary Product ID# A►CW 1820 Unit Width 19 1/4" Unit Height 23 11411 Interior Color Pine Interior Stain Unfinished Pine Glass Low-E4® Glass Hardware Traditional Folding, White Grille Pattern None LAj erior Color White erior Trim Profile None 100 SERIES SINGLE-HUNG WINDOW J f I Interior Exterior Summary Product ID# 100SHS3046 Unit Width 35 1/2" Unit Height 53 1/2" Interior Color White Glass Low-E Glass Hardware Standard Lock and Keeper, White Grille Pattern None Exterior Color White 100 SERIES SINGLE-HUNG WINDOW -- 7,1 Interior Exterior Summary Product ID# 100SHS2020 Unit Width 23 1/2" Unit Height 23 1/2" Interior Color White Glass Low-E Glass Hardware Standard Lock and Keeper, White Grille Pattern None Exterior Color White 100 SERIES SINGLE-HUNG WINDOW i f Interior Exterior Summary Product ID# 100SHS2626 Unit Width 29 1/2" Unit Height 29 1/2" Interior Color White Glass Low-E Glass Hardware Standard Lock and Keeper, White Grille Pattern None Exterior Color White L 100 SERIES SINGLE-HUNG WINDOW - ---------- Interior, Exterior Summary Product IM 100SHS3040 Unit Width 35 1/211 Unit Height 471/211 Interior Color White Glass Low-E Glass Hardware Standard Lock and Keeper, White Grille Pattern None Exterior Color white 100 SERIES SINGLE-HUNG WINDOW i � I Interior Exterior Summary Product ID# 100SH53640 Unit Width Al 1/2" Unit Height 47 1/2" Interior Color White Glass Low-E Glass Hardware Standard Lock and Keeper, White Grille Pattern None Exterior Color White