HomeMy WebLinkAbout53146-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#: 53146 date: 07/24/2026
Permission is hereby granted to
Frank Palumbo
3200 Sound Dr
Greenport, NY 11944
To:
Construct alterations to demolish the entire interior of a single-family dwelling as applied far to
include windows and doors.
Premises Located at:
3200 Sound Dr, Greenport, NY 11944
SCTM#31-1-7
Pursuant to application dated 07/01/2026 and approved by the Building Inspector.
To expire on 07/23/2028.
Contractors:
Required Inspections:
Fees:
DEMOLITION $1,294.00
Total ' 1294.00
Building Inspector
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u.A, TOWN OF S[ILrTI�oLI)—BUILDING DEPARTMENT
Town lull Annex 54375 Main Road P. 0. Boy 1179 Southold, NY 11971-0959
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Telephone631 765-1802 Fax (631) 765-9502 t �/wr .so .gl(ttowtitiy-.gov
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Date Received
I
APPLICATION
FIR BUILDING PERMIT
For Office Use Only
PERMIT ISO. Building Inspector
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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 farm(Page 2)shall be completed.
Date. 2L
2
OWNER(S)4F PROPERTY:
Name: SCTM#1000-
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Project Address# S6 uelcl
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:Phone#: -- EV�rm ail +
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Mailing Address:
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CONTACT PERSON:
Name: r
Mailing Address: 10
- Email:
P h one#. 631
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DESIGN PROFESSIONAL INFORMATION:
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Names C�l„r- -- LA)
Mailing Address: Z.,
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Phone#.,, ma Ei l: �� E .A) -
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CONTRACTOR INFORMATION:
Name:
Mailing Address: ` ,,
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Emailrc a
Phone#.
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DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition CAlteration [:]Repair VDemolition Estimated Cast of Project
❑Dither
L"lWillof be re- raded? ❑Yes No will excess fill be removed from premises? ❑Yes �No
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PROPERTY INFORMATION
Existing use of property:, Intended use of property:
Zone or use district in which premises is situated: I Are there any covenants and restrictions with respect to
this property? OYes 7 No IF YES, PROVIDE A COPY.
El 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 regulatjons'and,,to a,dmit a4thorizet(inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor`pur p I MAO Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): VAuthorized Agent ❑Owner
Signature of Applicant: ' " , _�' Date:
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STATE OF NEW YORK)
SS:
COUNTY OF-50
*eiO 00�, cl�_I Vj -,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
ay of 20Q Uf2 L
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
is A
6( eS*7?0Ong at2-i 26
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VVk-t CO 1_4\ to apply o n
&/VNdo hereby authorize
behalf to th Town of outhold Buildin "De partment for approval as described herein.
Owner's Signature ae
,Lullli
Print Owner's Name
2
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