Loading...
HomeMy WebLinkAbout47717-Z ��o�SupFot,r TOWN OF SOUTHOLD ay BUILDING DEPARTMENT x ; 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#: 47717 Date: 4/21/2022 Permission is hereby granted to: 1220 Youngs Avenue LLC c/o Theresa McCarty 330 Wesland Rd Southold, NY 11971 To: install deer fence as applied for. At premises located at: 1220 Youngs Ave, Southold SCTM # 473889 Sec/Block/Lot# 60.-2-8 Pursuant to application dated 3/21/2022 and approved by the Building Inspector. To expire on 4/21/2023. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector AAkd SSS �SUFFac,r�o TOWN OF SOUTHOLD—BUILDING DEPARTMENT .0o ,Gym a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Q/ oy�o Telephone(631) 765-1802 Fax (631) 765-9502 hLtps://www.southoldtowm.gov ov 1#. Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only D �C IVAR I� PERMIT NO. � Building Inspector: 20 2 TO suitoP'V �� G 0,1p Applications and forms must be filled out in their entirety. Incomplete W�OFSOU�IOC® applications will not be accepted. Where the Applicant is.not the owner,an''- Owner's Authorization form(Page 2)shall'be completed.. Date: .OWNER(S)OF PROPERTY: Name:- 'L 1, SCTM #1000- (ep Nj��03 �� !�... Project Address_ ZZ y0- ri [.Ll - Phone#: �� �1 c�e Email: ii 11 - --- �--_--1- �.�-.of-_fid_. Mailing Address:� D - ola - 114y- .CONTACT 114y-.CONTACT PERSON: ; Name: Mailing Address:-3 - �c ra. _._.. So t—fkD ..... . - 1 4 . _. . - Phone#: Email: herencz-Q Zai l�d DESIGN PROFESSIONAL]N FORMATION: Name: Mailing Address- Phone#: Email: CONTRACTOR INFORMATION: Name: r _ - - Mailing Address: -.. .- _- 63-&-5-f5- . - e._.- 2.5 - . . a4+1.+Uck H - -.I '_52._.. .. _. . Phone#:_. {_).._-.qZ'.4-7.�7 Email: h0 r`��-�o. e C 0-0 DESCRIPTION OF PROPOSED CONSTRUCTION V wStructure ❑Additon ❑Alteration ❑Repair ❑Demoition Estimated Cost of Project: her $ � Will the lot be re-graded? ❑Yes X�lo Will excess fill be removed from premises? ❑Yes VNO 1 PROPERTY INFORMATION {a Existing use of property: Res"Cz2Ac e— Intended use of property: S Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes kNo 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):J h&,r � �ear ❑Authorized Agent Owner Signature of Applicant: ell Date: CONNIE D.BUNCH STATE OF NEW YORK Notary Public,State of New York SS: No.01 BU6185050 COUNTY OF ) (Qualified in Suffolk County Commission Expires April 14,2 � 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, Cc-porate 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 fn�tc , 20,9a &0C� Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 ENP �ppp p -OF- ZD <SZp•2 p 1p"E� r�,,��� TZ � W r � 00 p APPROVED AS NOTED w>p DATE: XX o2 B.P.# \ U � y s FEE: � BY: NOTIFY BUILDING DEPARTMENT AT 1► �d� 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION - TWO REQUIRED \ FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING \ 3. INSULATION 4.*F-fNAL - CONSTPUCTION MUST BE COMPLETE ^.c3 C.O. ALL CONSTRUCTICN SHALL MEET THE 00 Nzi REQUIREMENTS OF THE CODES OF NEW \ YORK STATE. NOT RESPONSIBLE FOR \ DESIGN OR CONSTRUCTION ERRORS. \���� 0/� oN Z.s r t� z COMPLY WITH ALL CODES s NEW YORK STATE & TOWN CODE,' \ O AS REQUIRED AND C4DITIONS \ O Y f SOijTFtfi6�td��BOARD S UTH TEES N.Y.3 E ``Z o �o ,3033 3 4 PI Z �° v> 3� m Y� D�1 00 r O L o y s � �v� 0 t 00 -� e °lp O 3 d 0 r- � ;n 0 .� �y � O r `flJ► .. RETAIN STORM WATE RUNOFF PURSUANT TO CHAPT0 236 OF THE TOWN CODE. �.g 3 A � 19���2 �N21•p�a'Sp'� 1 . tT C'���