The URL can be used to link to this page

Home My WebLink About53319-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#: 53319 Date: 09/24/2026 Permission is hereby granted to: Harold Haupt 870 Critten Ln Southold, NY 11971 To. legalize "as built" additions and alterations to an existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 870 Critten Ln, Southold, NY 11971 SCTM#70.-12-11 Pursuant to application dated 09/08/2026 and approved by the Building Inspector. To expire on 09/23/2028. Contractors: Required Inspections: Fees: As Built Addition/Alteration $724.00 C0-RESIDENTIAL $100.00 Total S824.00 �lilding Inspector �'�trtt TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1 179 Southold, NY 11971-0959 �. •� Telephone (631) 765-1802 Fax (631) 7 65-95 02 https %/www.southoiiow1 tv,,, ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only k PERMIT NO. ._ Building Inspectrar�:,.__.. . . �.. Applications and forms must be filled out in their entirety. Incomplete P applications will not be accepted. Where the Applicant is not the owner,an t . WM. Owner's Authorization form(Page 2)shall be completed. =1 Date: OWNER(S)OF PROPERTY: Name: rsiAR SCTM # 1000- 473r 0, --a— I/ Project Address: 4, Mr,, ✓ er a/�� e) li571 ......_ Phone#� 745 1D + Email: C`' rr Pt/ Mailing Address: CONTACT PERSON: Name: Mailing..Address Phone#: 1,3J- 7d,S — _ Email. .....y :� dice► M cow DESIGN PROFESSIONAL INFORMATION: dz. Name: B � J �a: ' 1 2:zta . b ...... " Mailing Address: z 7 G4, 14 A-r y ......... Phone#: y Y , '. `161 Email: CONTRACTOR INFORMATION: Name: Mailing Address: �.. .. ......_ _WW ........... Phone#: Emaik DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair [:]Demolition Estimated Cost of Project: tKOther &XiS— )0L, tA tz P e A il j Will the lot be re-graded? ❑Yes XNo Will excess fill be removed from premises? ❑Yes 1XNo 1 PROPERTY INFORMATION i 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? Eyes ❑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 re admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are regulations an d toP punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): GAD-Y ❑Authorized Agent I4Owner J. Date: 0911i 110" Signature of Applicant: � OONNIE D.SUNCI-'9 Notary Public,State of New York No,01 BU 185050 STATE OF NEW YORK) Qualified In Suffolk County SS: Commission Expires April 14, 2 OAY COUNTY OFTu-"f`,m��.. ......... A � d4i, ITITITITIT mm 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 met Is � 20 hay of ', (� .. Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) residin g at 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 a� frFO( BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road - PO Box 1179 oo gas o . Southold, New York 11971-0959 Telephone (631) 765-1802 13 APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: Electrician's Name: e License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: ag �A"-r Address: 76 `A-oT646 Z,4 i4o a I1 71 Cross Street: ?A2kra,4 Phone No.: , 1- ��4?_ 7Sy Bldg.Permit#: J �)-_-� I q email Tax Map District: 1000 Section: Block: Lot: BRIEF DE SC IPTION OF WORK, INC DE SQUARE FOOTAGE (Please Print Clearly): I^ �� .. Square Footage: 14 61 h Circle All That Apply: Is job ready for inspection?: I YES NO []Rough In Final Do you need a Temp Certificate?: 11 YES 0 NO Issued On Temp Information: (All information required) Service Size Ill Ph F-13 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead Underground Laterals M 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION PA, V� �� fbi" :,f o f curyG Lof .z7 M � 4c^ [� cons. well w� � Q Fourad— Cess�.c►oI �� V v e Iv B9�Z `.407 W. 1,r Lo � S OF L.OT O vVNEO BY NAROL- ,D HAUP77- A T SpUTHOL® �� TOwfv OF- SOUTHOL® v� OAK CourcTY, N.Y. `uar'ae7 teed Ao Me Sad mol OMC-Pr!f Otto W- !Fora a OFS011T75IWAvV? �iled irr SualkCount�r Clerks vfficc , ', � cu'� d" r' , ,ror a's MaP No. 2 f 4 f �r r7 ►or" ; I' '. '"