HomeMy WebLinkAbout46926-Z S�FQ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
o • 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#: 46926 Date: 10/5/2021
Permission is hereby granted to:
Kofinas A 2011 GST Exempt Tr
805 West Rd
Cutchogue, NY 11935
To: install deer fence as applied for.
At premises located at:
5405 Rocky Point Rd., East Marion
SCTM # 473889
Sec/Block/Lot# 21.-1-6
Pursuant to application dated 9/23/2021 and approved by the Building Inspector.
To expire on 4/5/2023.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspector
o� FO 1-1���. TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y g Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 hit
ps://www.southoldtownngov
Date Received
APPLICATION BUILDING R IT
For Office Use Only
PERMIT NO. Building Inspector. 2021
1--' SEP 2 3
Applications and forms must be filled out in their entirety.Incomplete; "
applications will not be accepted. Where the Applicant is not the owner,an -BTJJLD-k G
Owner's Authorization form(Page 2)shall be completed. �0�,•-4.; • � ,• •
Date:
.OWNER(S)OF PROPERTY:
Name: SCTM#l000-ZI I
Project Address: S q ®S �L�`�� �! ,___ �S T.__Mg2c b•J DJ
Phone#: -,G , {, 10 c f S g Email: t
Mai ling Address:
CONTACT PERSON:
Name:
Mailing Address:5_Y.O S_� _____�_�_
Phone# Email: b(of
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
,,��N-ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
��VOther ���
Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ❑Yes El No
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenanttsynd restrictions with respect to
this property? ❑Yes I%o 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 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): ❑Authorized Agent ner
Signature of Applicant: Date:
1
STATE OF NEW YORK)
SSI!?
COUNTY OF-50"IjLt/ )
DE-V3E1?A ka7 c nm,S being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 0u 7lf e–
(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
fday �Prr�-P m P t' .20 21 (,Z=jA0rLd d 7)
of
—r
otary Public
TRACEY L. WYER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTHORIZATION No.01DW6306900
QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2Q�/41
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
2
COMPLY WITH ALL CODES OF
NEW YORK STATE
REQUIRED AND CONDITIONS OF
- 1
�BD WN ZBA AY - —
�A,� APPROVED AS NO E
- o
I'�T[�•�►- _ DATE:
v UVJ.!<G1� O.H:VPRFS L.0-To
F 1'N w B.P.#
o EE: BY
�o N7g'50'20„E �'� �, m 6Dx o� n NOTIFY BUILDING I�;�
p Btu Aucs �, ARTMENT AT
mGA1EAI ET 765-1802 '$AM TO
1 e o FOLLOWING INSPECTIONS:FOR E
09 /� 4'CH.L wALL SSP N 1. FOUNDATION - TWO REQUIRE
�w� � BRIE Na •a STORY &. ; FOR POURED CONCRETE
u+'D o DEgc go. 5b'JSF405 4, + T.' `$ p 2. ROUGFI -
FRAMING & PLUMBIN
�� 4A_ 3. INSULATION
W
m �•,° ;_ PROP�E = P.0.0.
0 4:;FINAL - � TRF�,,,4,TIS
NIPMUSTBE,COMPEE4aiL zcAR 3 To
�� _ .o.
ALL CONSTRUCTIO^ ;J
"00D �r ALL MEET THE
O 27'S �S SLAh, .DR1vEwAY`MS”BwCK pIRB 2p1•a3, REQUIREMENTS OF THE CODES OF NEW
�,� N $ON.1- YORK STATE. NOT RESPONSIBLE OR
°'B" ��"`E �` a 2.1 L�A DESIGN OR CONSTRUCTION ERRORS.
LA iD A'E RICA y's N1
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� STRATUORS ROAD
SURVEY OF AERIAL LAND SURVEYING, D.P.C. NOM LOCATIONS AN EXISTENCE of ANY
53 PROBST DRIVE SUBSURFACE U1NJ71ES AND/dt SIiTUCmRE9 NOT
LOT 1 SHIRLEY, NY 1,967 CF�R7r;CATON HEEREONN�ARENOa'T�7RAN THE
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PHONE: 833-767-8393
•E-MAIL• SURVEYSOAERIAU ANDSURVEYING.COM
WEBSITE: WM AERW-LANDSURVEYING.COM M95 WRYEY IS soarer m ANY EAM77T W REDIM ANO ANY OTHER
ISMIM
MAP OF DISTRICT:1000 LOT:006.000 BLOCK:01.00 SECTION:021.00 �T FACIS VI�OX A 7RIE gARcx 10 A XUMI
STRATMORS ESTATES AT EAST •ICER)) MINAUMM 1MYO/NS AISAVmAHCIFANAAXFARHSA
MAP/FILE NO.: 3723 x+T S.2�OF me�MM SME WIMUM LAW
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FILED ON FEBRUARY 20, 1963 AS MAP No. 3723 MAP OF: "MAP OF STRATMORS ESTATES AT EAST MARION" L, Sd,•„V„p,,,,��M �.
SITUATE TITLE NO.: 20-33985 a.H.m n..ur.Y b Awa hb X"htlr
MAP FILED DATE: FEBRUARY 20, 1963
EAST MARION, TOWN OF SOUTHOLD
COUNTY TAX MAP ID: 1000021000100006000
SUFFOLK COUNTY, NEW YORK SITUATED AT: EAST MARION, TOWN OF SOUTHOLD
TAX No. 1000021000100006000 �aFN y�
SCALE 1"=30' SUBDIVISION MAP LOT S: 1 vHq
DECEMBER 4, 2020 o ALEXANDER KOFINAS 2011 GST EXEMPTION TRUST
E DER TO— AS R STEE ®,,zaro MAN HSI.
AREA = 20,253.45 sq. ft. Eh z 9 GEORGE KOFINAS AS TRUSTEE AM&wm%MEMM 111.1
0.465 ac. w FIRST AMERICAN TITLE INSURANCE COMPANY JOB NO.: 20.-945. IMD
U O $ G DATE: DECEMBER 4.2020