HomeMy WebLinkAbout48116-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
`". TOWN CLERK'S OFFICE
IF I'll
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#: 48116 Date: 7/26/2022
Permission is hereby granted to:
Lam a LL Revoc Trust
_ _................ .._ .............._._.
80 S Elliott PI #1 .... ._�_......__.. w_
Brooklyn, NY 811217 ......._...........
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To: construct accessory structure as applied for.
At premises located at:
1115 S View Dr., Orient .......
....SCTM # 473889................ ...-............. ...............
Sec/Block/Lot# 13.-3-4
Pursuant to application dated 4/25/2022 . and approved by the Building Inspector.
To expire on 1/25/2024.
Fees:
ACCESSORY $568.80
CO-ACCESSORY BUILDING $50.00
Total: $618.80
Building Inspector
s TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
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Telephone (631) 765-1802 Fax (631) 765-9502 rt // µ t).tliold;toNvi g1
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Date Received
lPlI ICATION FOR BUILDING PERMIT
For Office Use Only Gryul �w
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PERMIT NO. Building Inspector:
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Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an RU IIN�Q':�DEP'TT
Owner's Authorization form(Page 2)shall be completed. ` �"' ;')F 9:,(Y''
Date: March 25th, 2022
OWNER(S)OF PROPERTY:
Name:Lilly Lampe & Alex Robins JscrM#1000-13-3-4
Project Address:1115 Southview Drive, Orient, NY 11957
Phone#: I Email:lilly.lampe@gmail.com; alexrobins101 @gmail.com
Mailing Address:80 South Elliott Place #1 , Brooklyn NY, 11217
CONTACT PERSON:
Name: David Murray
Mailing Address:449 Main Street, Greenport NY, 11944
Phone#: 631 .477.0075 Email:dmurray@murraydesignbuild.com
DESIGN PROFESSIONAL INFORMATION:
Name: "
Mailing Address: !7
J
Phone#: �- Email: Ar lamr�
CONTRACTOR INFORMATION:
Name:Murray Design & Build
Mailing Address:449 Main Street, Greenport NY, 11944
Phone#:631 .477.0075 Email:dmurray@murraydesignbuild.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
EilOtherPool House $100,000.00
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property: Residence Intended use of property: Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? Dyes *No IF YES, PROVIDE A COPY.
❑ Check Box After Rea difig.' 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 nam David Murray RAuthorized Agent ❑Owner
Signature of Applicant: ~ ' ` �, Date:
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
David Murray 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 t is
Iq
day of20
l
. PuWfimb flrlowsm
NOTARY Nol ^Pzrl>lic,StaitofNew York
` PUBLIC Na llll`lft.,t 280 2
Qualified in Suffolk CountyPROPERTY OWNER AUTHORIZATI
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✓#4NItlXot"
(Where the applicant is not the owner)
I, residing at
do hereby authorize David Murray to apply on
my baiif to th Tow of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I, Lillian Lampe residing at w80 South Elliott Place#1,...........Brooklyn NY 112*
(Print property owner's name) (Mailing Address)
do hereby authorize_Dave Murray
...w......ww�._wwwww.. __��. (Agent)wwwwwww_.............�.....W....�
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Southold Building Department.
10/11/21
(Owner's Signature) (Date)
Lillian Lampe 10/11/211
�.....................
(Print Owner's Name)
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