HomeMy WebLinkAbout47181-Z tray TOWN OF SOUTHOLD
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#: 47181Date: 12/6/2021
_ .........
Permission is hereby granted to:
Hubbards Katherine
2465 El ohs Ln
Mattituck,NY 11952
To: Construct accessory storage shed at existing single family dwelling as applied for.
Maintain minimum 15 feet from property lines.
At premises located at:
2465 Elgahs Ln.,Mattituck
SCTM#473889
Sec/Block/Lot#108.-4-7.14
Pursuant to application dated 11/16/2021 and approved by the Building Inspector.
To expire on 6/7/2023.
Fees:
...................................................
ACCESSORY $164.00
CO-ACCESSORY BUILDING $50.00
Total: $214.00
Building Inspector
TOWN OF SOUTHOLD—BU11,DING DEPARTMENT
Town Hall Annex 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959
-1802 -9502 hit s://www.sotitho�(it( n iy�gq�y
viq P", Telephone(631)765 Fax(631)765
o
Date Received
APPI ICATION FOR BUILDING PERMIT
Office Use
ff1"",0",
PERMIT NO. ....... Building InspectorT
...
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted.Where the Applicant is not the owner,an
N Ol"'.K)UTHMD
Owner's Authorization form(Page 2)shall be completed.
Date: 12 NJO'2-<,)2—( I
OWNER(S)OF PROPERTY:
Name: SCTM1000- rTr,,
Project Address
J L/,
t.5 Z_
Phone#: Email:
-
.__( %.3t :2 3 3
Mailing Address: /J_r A Jj0jc
CONTACT PERSON:
Name:
Mailing Address: 6_V, _rI (1),
Phone#: -23
'Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address: '6 c c,l k t,uk,
Phone#: U( e�v
Email
CONTRACTOR INFORMATION:
Name:
Mailing Address: A v ,Ut4 7,L)c(C
C, Email: A,r
Phone#: e"
DESCRIPTION OF PROPOSED CONSTRUCTION
214ewStructure ElAddition DAlteration DRepair DIDemolition Estimated Cost of Project:
7
Will the lot be re-graded? Eyes Lql4c; Will excess fill be removed from premises? ElYes
.................................. ------
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
�-
,�,/ _, y C> this property? ❑Yes"o IF YES,PROVIDE A COPY.
LTJ 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 Gass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(prim;name): ��(��=�i� ����avc� ❑Authorized Agent ❑Owner
Signature of Applicant: ,,. t i Date:
STATE OF NEW YORK)
SS:
COUNTY OF_jt 11 U )
✓1i^-* �vaYi�CUv c.` 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
/5—day of Ari.,l,n'A61Z lv- 20
Notary Public
"B t ounr sej!dx3 aalsslwwo;J M
Pqunoo Iloyng o pal;gene
Bsslaet0N[0'ON,oiin4S!b88 PROPIIE11 U"1f OWN01 AU 111,1 11IRRAT M
Alok M3N do Alvis onend mvl Ril ... .......... ........................_-_- ,,,,............... .....,.
3800IN 0VIOI&Md (Where the applicant is not the owner)
PATRICIA C MOORE
NOTARY PUBLIC,STATE Or NEW YORK
Registration Na.Oi M04861 Fis8 residingat
ua ler in pres Juan 16.,u o UOtiFly�.
My Ccrmn miesirTEx f ,
.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
-z-
NEW YORK SHED CO.
FROM ELEVATION BACK ELEVATM
NOTES;
stv to to Le Pre-fabated of
tr-Som widows
518'P�wwg Dwe'emp
Exte.o siding
�cl V,
---------------
----- ------ -----
-----------
I-----------li------
-- ------ --
4
PLM 6,T UTREFOMATIONPLV;
................. ............. ................................................... ...................... .......................
FINAL SURVEY FOR
o LOT NEW GARAGE
LOT It
MAP OF
N 51*21'10" E 257.26' ELIJAH'S LANE ESTATES
SECTION No. I
FILE No. 6065 FILED FEBRUARY 14, 1974
ASPHALT)WVEVAi, SITUATE
Lo
MATTITUCK
Ooe LON DRAJN SLIB 02 TOWN OF SOUTHOLD
�I
FRAME GARAGE GNAW SUFFOLK COUNTY, NEW YORK
1 4
A0 0.3' Ln S. C. TAX No. 1000-108-04-7.14
o ED SCALE 1"=30'
C� ........
oVm cc C. Z:
z 24 3'
NOVEMBER 2, 2020
p m FEBRUARY 8, 2021 FINAL SURVEY ON GARAGE
CJ1 N x8 FCS AREA = 40,734 sq. ft.
62 C 0.935 cc.
9- —————
r;
.4:41 1 H]
0 0
08 LOT (DI
ING AND ADDITIONAL STRUCTURES, IF ANY,
NOT SHOWN.
2&3'
Cn
Ef
90
PO 0
0
6 2021
258.36' ob 1AFT
S 51'21'10" W
09
yNW
L 0 T
C�
'Lk�,No. 461
0 t�4 UM,WNOM�MN M
TO
-TION TINE NW RTATaft Corwin Ill
NO
TO K A�D TRUELand Surveyor
............................
1-3 ON lO.E---..E.-
0, ON HIS OFJ WF TC1 THE S-r To:S.W
W
J. kJ,,LS,
AN A,hgyn, S.
NGKWN�'AND
TIENt.M
'FABOR ROAI) N n PRONE(631)727-2090 F.(531)727-172
THEEXISTENCE OF MOW OF WAYS Of��10 Ar "�w�?a's
.0 -OF
RECORD,IT -NO
AW�0ROI'"A,S=WrNT,NE NOT OU—NED. ION.m.i,,Road
P.O.S..16
J.�d.F.W.Y�11"7 1-:N,.7YI.?6.11.7
..............—-----....... .....--------------......... ..____......4a: 4..