HomeMy WebLinkAbout47536-Z t TOWN OF SOUTHOLD
t � BUILDING DEPARTMENT
TOWN CLERKS OFFICE
SOUTHOLD, NY
r,",
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 #: 47536 Date: 3/10/2022
Permission is hereby granted to:
dnew _.....
Quart Ro........... ....-._.www_..___.,...._ ...------ __..� .... __ .... .. ....._ .............__..�
PO BOX 1949
— ..................
__
�outhol� N-1-1
______.Y 11971.. ..
To: Legalize as-built deck addition to existing single family dwelling as applied for.
Additional certification may be required.
At premises located at:
.....
1035 Kennet's Rd.,Southold
..._www._ ............ W........................._.... . _...__w .._..........____ �...................w..._
SCTM # 473889
Sec/Block/Lot# 59.-7-22
Pursuant to application dated 2/10/2022 . and approved by the Building Inspector.
To expire on � 9/9,/2023.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $754.40
CO-ADDITION TO DWELLING $50.00
Total: $804.40
Building Inspector
"NI TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
P ) ) l °
Telephone 631 765-1802 Fax 631 765-9502�y��t 2�.J1--.rw_w�
Date Received
P SIG ICA'110N FOR B1.111 DING PIIII 1 m
For Office Use Only
INM
r I 1
T I j
PERMIT NO. . �'� Building Inspector°_-_.—...,.. U",�
�1
Applications and forms must be filled out in their entirety.Incomplete I
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed. T VV ()F Sera N FHOL
Date:
OWNER(S)OF PROPERTY:
Name: ". ry SCTM#1000 2 2,
Project Address: ZZ
mail:
ttt�Phone#: " 170 m
v�
Mailing Address: "Ar ,` r � � �:�
CONTACT PERSON:
w
a
Name:
Mailing Address,, 42
Phone
f r" Email ,
#:
DESIGN PROFESSIONAL INFORMATION:
Name: r
11 n�V
Mailing Address:
t' LEmail: ,
Phone#: L2__.. ___._-�. —
v
CONTRACTOR INFORMATION:
Name: '
Mailing Address
Phone#: 4 Emai 2'
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes No
1
PROPERTY INFORMATION
Existing use of property intended use of property ,
Zone or use district in whichpremises'is situated: Are there any covenants and restrictions with respect to
this property? E]Yes 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 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): ElAuthorized Agent "ROwner
Signature of Applicant: Date:
CONN15 D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No. 01 BU6185050
Qualified in Suffolk County
SS: Commission Expires April 14, 20A-
COUNTY OF
being duly sworn, deposes and says that(s)he is the applicant
(Name of in,�vidUal signing=on�tract) 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
day of r—Avr�4h-,,LL,j 20
Notary Public
P p,-I"V
..........
(Where the applicant is not the owner)
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
F,W AVENUE SURVEY OF
LOT 5 & P/O LOT 4
MAP OF SUBDIVISION
KNOWN AS
KENNEWOOD
FILE No. 2180 FILED MARCH 30, 1954
LOT07 SITUATED AT
LOTul
SOUTHOLD
TOWN OF SOUTHOLD
o SUFFOLK COUNTY, NEW YORK
LOTO
6 0 1 S.C. TAX No. 1000-59-07-22
N 48'02'10" E 153.31' SCALE 1"=20'
FOUND I-t\C PIPE 2'ABOVE GRADE
JANUARY 21, 1997
POST 0IRIE PENCE
DM OAT,
0.2-s-
z T
AREA = 15,343.85 sq. ft.
0.352 ac.
CERTIFIED TO-
0 1 STORY SIR" cow. FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
C o FRAME HOUSE RODNEY THOMAS QUARTY
LOT@oCML.
26-2-
o
;A Ul
PREPARED IN ACCORGAME WTH THE)AININIUM
FRAME C . DINT "E DRIY�"Y STAMW FOR TITLE SURVEYS AS ESIAWSHED
13 GARAGE kl APRON By THE DLULS.AND APPROVED AND ADOPTED
FOR
5'3 "X TITLE SUCH USE BY THE NEW YORK STATE LAND
ASSOCIATION.
wvzE oo;
It o II
10-
P10IL'OT(D C? 1
C2
> N.Y.S. Li-, Na. 49665
S 48'02'10" W153.57' UKATHORIZED ALTERATION OR ADDITION
P10 LOT(4) ^ TO THIS SURVEY IS A VIOLATION OF
SECTION 72M OF THE NEW YM STATE
EDUCATION LAW.
'Joseph A. Ingegno
COMES OF THISSURVEY MAP NOT NEARING i
I
3 to THE LAND SURVEYORS INKED SEAL OR I
EMBOSSED SM.SMALL HOT BE COMIDERID Land Surveyor
TO OF A VALID TRUE COPY-
CERTIFICATIONS INDICATED HEREON SHALL RUN
IS
ONLY TO THE PERSON "lom THE:SURVEY
LCIT(D PRVMM,AM ON HIS BEHALF TO THE
TfRE CD&FANY.07YERNIAENTAL AGENCY AND
I
LISTED Nile Surveys -SubdSubdivisionsSite PI.- - C�ttiLayout
LENDING INSTITUDIDN HEREON,AND
TO THE ASSIGNM OF THE LENDING INSIT I
TUTION.CIEFEREFICkTIONS ARE NOT TRANSFERASU.
I PHONE (516)727-2090 Fox (516)722-5093
CONIFAY BROS, OFFICES LOCATED AT MAkING ADDRESS
THE EXISTENCE OF RIGHTS�Of,:AY One Union Sq P.O.Box 4.931
00/0R*EASELIDUS OF RECORD,
IF I
ANY.NOT SHOWN ARE NOT GUARANTEED. AquebogiR,, New York 11931 Riverhead, New York 11901