HomeMy WebLinkAbout46859-Z TOWN OF SOUTHOLD
W � � BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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 #: 46859 Date: 9/22/2021
Permission is hereby granted to;
Knudsen, William
6425 Skunk Ln
Cutcho ue, NY 11935
To: Construct accessory garage at existing single family dwelling as applied for. Existing
frame sheds to be removed.
At premises located at:
6425 Skunk Ln
SCTM # 473889
Sec/Block/Lot# 104.-4-5
Pursuant to application dated 9/10/2021 and approved by the Building Inspectors
To expire on 3/24/2023.
Fees:
ACCESSORY $536.80
CO-ACCESSORY BUILDING $50.00
DEMOLITION $181.00
Total: $767.80
Building Inspector
z.
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
98
Telephone (631) 765-1802 Fax (631) 765-9502 �
Date Received
APPLICATION IFOR U PERMIT
-
For Office Use Only a
PERMIT NO. _ Building Inspector.
ap
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 form(Page 2)shall be completed. Tol
Date:8-5-2021
OWNER(S)OF PROPERTY:
Name: William Knudsen —7scTM#l000- 104-4-5
Project Address:6425 Skunk Lane Cutchogue NY 11935
Phone#: 516-721-8730 :::�Emaikpp112@aol.com
Mailing Address: 6425 Skunk Lane cutchogue
CONTACT PERSON:
Name: same as Owner
Mailing Address:
Phone#: F
mail:
DESIGN PROFESSIONAL INFORMATION:
Name: John G. Gleason RA
Mailing Address: 336 Sixth Ave St. Jmeas NY 11780
Phone#: 516-319-1575 Email: gleasonarchitect@gmail.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑ ❑ ❑ ❑ Estimated Cost of Project:
Addition Alteration Repair
Demolition 50,000
❑Other
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? Yes ❑No
1
I PROPERTY INFORMATION
Existing use of property: 1 family Intended use of property: 1 family
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40
this property? ❑Yes ;*No IF YES, PROVIDE A COPY.
0 hni k Box Arte-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(print name): William Knudsen ❑Authorized Agent igOwner
Signature of Applicant: ��� � � = �.
Date:
STATE OF NEW YORK)
SS:
COUNTY OF S
William Knudsen being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the Owner
(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
day of Wit° 7st 20,
Notary Public
Oub Lc NStateBRUSH
N York
P 1 - New
ER �UT C)pi N0.O16Ri318051
=ilified in Suffolk County
(Where the applicant is not the o t ' Commission Expires Jan 2U, 2023
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
NfojF TOWN�® OF AUTO- GUE
�l
I TALIA FEUERSTEIN SUFFOLK COUNTY N.Y:
FOXCOR,
�
i.,•N 1000-104-04-05
f'+1DMF
SCALE.- 1 =20
NUARY 11, 2021
SEPTEMBER 7A 2021 (PROPOSED GARAGE)
c£ +
F&N=
i CMF
09.
SHEDS TO BE REMOVED
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CONC.fl 2
y 0s
CovER N/O/F
i MICHAEL ODONNELL
2 ` BELINDA MELLO
(31
JON GARnELD
L X CELLA HARTMAN
WOOD
STOOP
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Slee
25 fi R
N/O/F CHiMN-
JOHN LOMBARD
WOOD
W000 DECK DECK
AD.
RAIN RUNOFF CONTAINMENT.'
WOOD
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PROPOSED GARAGE 744 Sq, Ft.
744 x 0.17 x 1 = 126 Cu.Ft.
126142.2 =3 VF
Provide 1 DW 8'0 x 4' Deep= 4 VF
Connected by Gutters & Leaders l
� o
n
2
Q�
KEY o
= REBAR CMF C-C
=
WELL
k
j?,
= STAKE t
TEST HOLEWATER
PIPE ,.51a6�_ 5 METER
= MONUMENT
= WETLAND FLAG
�Q, = UTILITY POLE
—x—x—x— = CHAIN LINK FENCE
= PICKET FENCE
= SPLIT RAIL FENCE AREA= 15,352 SO. FT.
LIC. NO. 496
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA710N OF SEC77ON 7209 C P.C.
OF THE NEW YORK STATE EDUCA77ON LAW EXCEPT AS PER SEC77ON X631) 765- _ t1 AX (631) 765-173
7209—SUBDIVISION 2. ALL CER77nC4T7ONS HEREON ARE VALID FOR THIS MAP ( 0. BOX 909
AND COPIES THEREOF ONLY 1F SAID MAP OR COPIES BEAR 7H£IMPRESSED SEAL
OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. 377R1RSTREET
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