HomeMy WebLinkAbout53267-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#: 53267 Date: 09/11/2026
Permission is hereby granted to:
Sotirios Planzos
57 77th St
Brooklyn, NY 11209
To:
install window replacement to an existing single-family dwelling as applied for.
Premises Located at:
1155 Sound View Rd, Orient, NY 11957
SCTM# 15.-3-14
Pursuant to application dated 08/21/2026 and approved by the Building Inspector.
To expire on 09/10/2028.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Alteration $250.00
CO-RESIDENTIAL $100.00
Total $3350.00
Building Inspector
tlPE ,r TOWN OF 80UTIIOLD—BUILDING DEPARTMENT
`. Town Hall Annex 543T5 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y
Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For office use only
PERMIT NO. Building Inspectors
Duiitir� Dep �� nt
Applications and forms must be tilled out in their entirety. Incomplete Tows ofmw
applications will not be accepted. Where the Applicant Is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:08/14/26
OWNER(S)OF PROPERTY:
Name:Ted Planzos SCTM# 1000-015.00-03.00-014.000
Project Address:1155 Sound View Road, Orient, NY 11957
Phone#:(917) 860-5821 :Em:�ll:s:planzos@aol.com
Mailing Address:1155 Sound View Road, Orient, NY 11957
CONTACT PERSON:
Name:Lindsay Loson
Mailing Address:2029 New Highway Farmingdale, NY 11735
Phone#:3153358730 Email.rii_1155sound_bp@permitflowteam.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:RENEWAL BY ANDERSEN OF LONG ISLAND
Mailing Address:2029 New Highway Farmingdale, NY 11735
Phone#:631-843-1713 1 Email:rli_1155sound_..bp@permitflowteam.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition WAlteration ❑Repair ❑Demolition Estimated Cost of Project:
710ther $18,266
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes $4No
Page i of 30
,, PROPERTY INFORMATION
Existing use of property:Residential Intended use of property:Ilesidential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Southold I
this property? ❑Yes RNo 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 budding 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)f Lindsay Loson eAuthorized Agent ❑Owner
Signature of Applicant: Date: 08/14/2026
STATE OF KKiMMRK)-k Pennsylvania
SS:
COUNTY OF Northampton )
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.
Commonwealth of Pennsylvania•Notary Seal
Sworn before me this Angel Manuel Urbsez,Notary Public
Northampton County
14th August
My commission expires January 0,2030
day of 20 26 Commission Number14se795
Notary Public
Notarized remotely online using communication technology via Proof.
PRCIPERTY OWNER AUTHORIZATION
(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
Page 2 of 30