HomeMy WebLinkAbout53247-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#: 53247 Date: 09/03/2026
Permission is hereby granted to:
Anthony R Daniele
PO BOX 253
Southold, NY 11971
To:
install a window replacement to an existing single-family dwelling as applied for with flood permit.
Premises Located at:
990 Koke Dr, Southold, NY 11971
SCTIVI# 87.-5-9
Pursuant to application dated 08/17/2026 and approved by the Building Inspector..
To expire on 09/02/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Flood Permit $150.00
Total 500.00
Building Inspector
—�—_�
r � 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 httas://vvNvw.southoldtownn '.gov
Date Received
APPLICATIONlPERMIT
For Office Use Only
PERMIT NO. -� Building Inspector.
Applications and forms must be filled out in their entirety. Incomplete et
applications will not be accepted. Where the Applicant is not the owner,an u11ding O P fold
Owner's Authorization form(Page 2)shall be completed. B-town of sou
Date:08/05/2025
OWNERS)OF PROPERTY:
Name: 1000-
Anthon Daniele :=CTM087-00-05-00-009-000
Project Address:990 Koke Dr, Southold, NY 11971
Phone#:(212)247-2500 =mail-.anthonyrdaniele@gmai1.com
Mailing Address:990 Koke Dr, Southold, NY 11971
CONTACT PERSON:
Name:Lindsay LoSon
Mailing Address:2029 New Highway Farmingdale, NY 11735
Phone#:315-335-8730 Emaii:rli-990koke—by@permifFlowteam.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:RENEWAL BY ANDERSEN OF LONG ISLAND
Mailing Address:2029 New Highway I Farmingdale, NY 11735
Phone#:631-843-1713 Email:rli_990koke—by@permitflowteam.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure OAddition 5RAlteration ORepair ❑Demolition Estimated Cost of Project:
❑Other $11,985
Will the lot be re-graded? Dyes RNo Will excess fill be removed from premises? ❑Yes iiiiiiNo
Page 1 of 49
PROPERTY INFORMATION
Existing use of property:Residential Intended use of property:Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
SOUTHOLD this property.? ElYes @No IF YES,PROVIDE A COPY.
I
N Check Box After Reading. The owner/ccotractor/design professional b 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,Now 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 promises and In building(s)for necessary Inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name):Lindsay Loson MAuthorized Agent DOwner
—P ..
Signature of Applicant: ZA404 oLCA,04, Date: 08/05/2026
Florida 103
RISA 13RANA
STATE OF RWdM) Notary Public-State of Florida
SS: Commission#HH501559
COUNTY OF Miami-Dade Expires on April 12,2028
Lindsay Loson being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(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
10th day of August ) 20 26
Notary Public Risa Brana
DRIVER LICENSE
Notarized remotely online using communication technology via Proof.
PROPERTY OWNER AUTHORIZATION
(Where,the applicant is not the owner)
Anthony Daniele residing at 990 Koke Dr, Southold, NY 11971
do hereby authorize Li ndsay Loson to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
08/05/2026
Owner's Signature Date
Anthony Danielle
Print Owner's Name
Page 2 of 49