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Home My WebLink About47203-Z » rt s TOWN OF SOUTHOLD BUILDING DEPARTMENT 00 ar 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#: 47203 Date: 12/8/2021 Permission is hereby granted to Harned, Richard PO BOX 212 Laurel, NY 11948 To: install generator as applied for. At premises located at: 1090 Laurelwood Dr., Laurel SCTM # 473889 Sec/Block/Lot# 127.-7-9 Pursuant to application dated 11/18/2021 and approved by the Building Inspector. To expire on 6/9/2023, Fees: ACCESSORY $100.00 ELECTRIC $85.00 CERTIFICATE OF OCCUPANCY $50.00 Total: $235.00 3 Building Inspector ., 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 i t ps , A, „� QCIV Date Received APPLICATION For Office Use Only =_# r PERMIT N0. �`� Building Inspector: __ t Applications and forms must be filled out in their entirety.IncompleteEi , 1 applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization formPag e 2 shall be completed. �SULCI NN p - .HO-D Date:November 18, 2021 OWNERS?OF PROPERTY: Name:Richard Harried SCTM # 1000- 7 Project Address:1090 Laurelwood Drive Laurel NY 11948 Phone#:631-298-8640 Email:leearthar@yahoo.com MailingAddress:PO Box 212 Laurel NY 11948 CONTACT PERSON: Name:Se n O'Neill Mailing Address:PO Box 64 Jamesport NY 11947 Phone#:631-722-3595 Email:oneilloutdoorpower@hotmail.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR II EOR ATION, Name:Laurel Lighting Inc. Mailing Address:1977 Main Road Laurel NY 11948 Phone#:631-457-3363 Email:kfcelectric@aol.com DESCRI[PTION OF PROPOSED CONSTRUCTION , ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $10,000 Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes [:]No 1 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 this property? ❑Yes ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The owner/contractorldesign 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. O'Neill Application Submitted By(print name:Sean= XAuthorized Agent ❑Owner Signature of Applicant: -� Date: November 18, 2021 STATE OF NEW YORK) SS: COUNTY OF i , ) Sean O'neil I 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 day of 1 V Q V ' , 20 otary Public IJ TPA ' , A _ A R NaOy PROPERTY OWNER AUTHOR17ATION (Where the applicant is not the owner) ,2Dad I, Richard r residing at 1090 LaurelLaurelwood Drive kil Laurel NY 11948dohereby authorize Sean O'Neill to apply on my behalf to the Town of Southold Building Department for approval as described herein. a November 18, 2021 Owner's Signature Date Richard Harned Print Owner's Name 2 hl y gats' -AREA 41, _ . - - MAI 1N EXCESS OF 500 10 1 rq L v` s c65tx c \ 17, fil tj,6, roY> S;R7 TK, CS t oil -4 'yI t AP 1 d I 4V € 4 -4 JUA d ( v 0 � r 'VELI i N.21109'50w1!000' ED-PIPE LAURELWOOD � A,4 � �..,° FINAL SURVEY 3-12-77 J OLT THE WATER SUPPLE SEWAGE SAE ; � ARKM ADISPOSAL THIS RESIDENCE KQVAL` WILL �ONFORM ` O THE STAND— ADDRESS � � TUf L As THE SUFFOLK COUNTY T EF O. T. F HEALTHSEr VIDES. TELEPHONIE n� 'o t: JOB C3. 7-3 3� LE iC7. S URELWOO? ESTSRUN - S?It TitR S '..Te1 THE' �F °"ft'Y f�R ViCi THE S 58 Y IS SURVEYEDpFOR y` E R., &^EOIFI i CR-HIS S SEML P€R- RAE F TO - h4 USE Af FIt T7 s , YA R _ ][ csHv; r v r 1. s,I. LOT NUMBER 29 i s t saTIT s AP OF LAUELi�dUGl3 ESTATES r a x�a cqs, rc: c o „ � €Txc€z5aw T of° s s _SSEQUE! SITUATED AT LAUREL ALIT t11s TD. HIS,`56RY Y is A . I tlLzdsrlc ...c ID .2e c= COPIES rH�s s; vEv I�aR.Not Tt'.,WN vF SOU THOLt}- SUFFOLK COUNTY .Y, � vt YQR SFT :LDU Atlas �eax�ac e -AND SU?YEVOR'i F E SE OR EMBOSSED SEAL SCALE 11" _ 50° DATE 6-17- 3977 SH,tlL NOT BE CONSIDERED TO 6E _ VALID TRUE COPY. FILED MAP NO, 5595 DATE 5-17- 1917 BOOK NO- LOOSELEAF PAGE ( R EAD lky!WOS BANK HAROLD F. T:RANCHON JR. PC. TSE TILE LAND SURVEYOR d SUCCESSOR TO WILLIAM G €lE ER � NORTH COUNTRY ROAD WADING R z t Y, LIC, N , 0148992 NEW YORK 11792 TR Ka ' .r�•, .LIC�N ,29 ,§5-E (51611929-4695 ALT 473- 3626 A e