HomeMy WebLinkAbout53221-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#: 53221 Date: 08/24/2026
Permission is hereby granted to:
John Weiss
840 Fleetwood Rd
Cutchogue, NY 11971
To:
Legalize an"as built"HVAC system addition to a single-family dwelling as applied for.
Premises Located at:
840 Fleetwood Rd, Cutchogue, NY 11935
SCTM# 137:5-6
Pursuant to application dated 08/10/2026 and approved by the Building Inspector.
To expire on 08/23/2028.
Contractors:
Required Inspections:
Fees:
As Built HVAC $500.00
CO Single Family Dwelling-Addition /Alteration $100.00
Total $600.00
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Building Inspector
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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) 765-9502 htt .L'WNV1A.SOL1tholdtDynri (jy
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
W.
PERMIT NCI. Building inspector .._... ,V
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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 '00V 01
Owner's Authorization form(Page 2)shall be completed. w o
Date-
OWNERS)OF PROPERTY:
Name: �C� f IS SCTM #1000-
Project Address: stio,
V d e
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Phone#; -
Mailing Address:
CONTACT PERSON:
Name:
Mailing Address: 1f � 1 C . '?o: Lo (q �J 3
Phone#: Email: .,
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email;
CONTRACTOR INFORMATION:
T �
Name: }( C'
Mailing Address: 3 1 i, i S
k
Phone#: 63) - - 3 _-) Ei il:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ORepair Oitl emolition Estimated Cost of Project:
NOther�� c , � t b� C "°(
Will the lot be re-graded? ❑Yes 1�No Will excess fill be removed from premises? ❑Yes EXNo
1
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? Dyes ❑No IF YES, PROVIDE A COPY.
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.
Application Submitted)By( rin a e a� v� e` S ❑Authorized Agent I�lOwner
Signature of Applicant: Date:
CONNIE D.BUNCH
Notary Public,State of New York:STATE OF NEW YORK) No,01ROS1 BSL 50
SS: Qualified In Suffolk County
Commission Expires April 14,2 a
COUNTY OF � )
_ 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 `
Z19
1, " day of ,fit Ll 20
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 Owner's Name
2