HomeMy WebLinkAbout48137-Z 4¢o�g11FF0(A'coG
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 48137 Date: 7/29/2022
Permission is hereby granted to:
Regan, Mary
4835 43rd St Apt 5C
Woodside, NY 11377
To: Demolition of accessory shed to an existing single family dwelling as applied for.
At premises located at:
705 Capt Kidd Dr., Mattituck
SCTM #473889
Sec/Block/Lot# 106.-5-8
Pursuant to application dated 6/28/2022 and approved by the Building Inspector.
To expire on 1/28/2024.
Fees:
DEMOLITION $242.80
Total: $242.80
Building Inspector
o�suFFotK�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y • o�� Telephone(631)765-1802 Fax(631) 765-9502 haps://www.southoldtom=.Rov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
Q RJUN 9 R gn99
PERMIT NO. O I Building Inspector: 1
BUILDING DEP .
Applicationsand forms must be filled out in their`entirety: m
Incoplete TOWN OFSOUTHOLD
applications will not be;accepted. Where the'Apphcant is not the_owner„an
Owner's Authorization form(Page;2)'shall be.completed:. ,
Date: Sv N
OWNERS)\\OF PROPERTY: ` 1, _
Name:...LRr SCTM#1000- l_o.Cv_ ,
Project Address:
Phone#` �K�__ --g3j Email: - .'I__..r m_�._.__,_
ilin
Mag '
...__. _._._ Address:
CONTACT:PERSON:
Name:
Mailing Address:
f�t�d 01I Phone#:#: EmailC��
DESIGN PROFESSIONAL INFORMATION
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION;
Name:
Mailing Address _ D•
Phone#: Email:
`DESCRIPTION OF-,PROPOSED CONSTRUCTION _
❑New Structure ❑Addition ❑Alteration El Repair Demolition Estimated Cost of Project:
❑Other
Will the lot be re-graded? ❑Yes Jallo Will excess fill be removed from premises? ❑Yes RNo
i
PROPERTY INFORMATION
Existing use of property: Intended use of property:
n-
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes 3bNo 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 Buildmg Zone
Ordinance of the Town of Southold,•Suffolk,County,New•York and other applicable Laws,Ordinances or Regulations,for the construction ofbuildings,
additions,"alterations'i r for removal'or demolition as herein'described:The applicant agrees to comply with all applicable laws,ordinances,building ode,
housing code and regulations and to admit authorized inspectors on premises and in building(t)for necessary-inspection_s.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210A5 of the New York State Penal Caw.
Application Submitted By(print e of Apname): �i ('S i s ❑Authorized Agent LdOwner
_..- -
Signaturplicant: '�
-- -_-. -_ . _ _ -. _ _.. ._- - - _-_-_ -- Date: a _TQ i
IiTATE OF NEW YORK)
-OUNTY OF S V6 k )
C1r,ris '�l d k 6e.� 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,Corporate Officer,etc.)
I f 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
hat the work will be performed in the manner set forth in the gppliq)on file therewith.
Worn before me this •"..•• .
''•
:�'�P'' STATE
OF s
day of_� ,,V 1/1J ,20 11= TENNESSEE i =
i t NOTARYPUBUC Notary Public
,,,
PROPERTY OWN&MR40AIZATION
(Where the applicant is not the owner)
residing at
do hereby authorize to apply on
y behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
PUMILLO ELECTRIC ELECTRICAL
.10470 MAIN ROAD
MATTITUCK, NY 11952 Work Order/Invoice
MASTER ELECTRCIAN, LIC., M.E. #2300 1249
(516) 480-9061
TE OF R TEL. \ f
. ORD 94011)�
ORDE OI iTO: SYRRf9AYWORK ❑CONTRACT ❑EXTRA
JOB S�ME/NO.
/,c y.lG t
J B LO
or no
NP '�r.+
� J
Fri 4 A i� Rr YF ftr��siTtxc vC !i
INVOICE DATE JOB TEL.
CHECKMARKS DENOTE: oo� TERMS:
❑WORK TO BE DON
ORK PERFORMED E �y� �Q4i �4�
C�Wy���'v QQ yQA" DESCRIPTION OF WORK_
TEMPORARY SERVICE
LIGHT FIXTURE(S) d
SWITCH(ES) /
RECEPTACLE(S)
RECEPTACLE(S)GFCI
SERVICE PANEL
SUB-PANEL
LABOR HRS. @ AMOUNT
CIRCUIT BREAKER(S)
FUSE(S)
ANTENNA WIRE -
CABLET.V.WIRE
TELEPHONE WIRE
SMOKE DETECTOR(S)
DOOR CHIME(S)
CEILING FAN(S) TOTAL LABOR
BATHROOM FAN/LIGHT CITY. MATERIAL @ AMOUNT
BASEBOARD HEATER(S)
FAN DRIVEN HEATER(S)
RADIANT PANEL(S)
RANGE
RANGE HOOD
DISHWASHER
DISPOSAL
WASHER
DRYER S
WATER HEATER Q�U I Ii
WELL/SUMP PUMP - --•-�
f `
HOTTUB/SPA
Rta
POOL LIGHT(S) TOWN OF SOUTHOW
POOLPUMP
AIR CONDITIONER(S)
BOILER/FURNACE
HEAT PUMP
GENERATOR
KITCHEN
DINING ROOM
H n)I
WORK ORDERED BY TOTAL
LIVING/FAMILY ROOM _ MATERIALS
BEDROOM #1 #2 I hereby acknowledge'the satisfactory completion of the above TOTAL
'described work. LABOR
BEDROOM #3 #4
r,
BATHROOM #1 #2 .y
;aa jT� SIGNATURE
Z
BASEMENT i•
GARAGE T hank Yo u!
NEW ADDITION - TOTAL`L
--CAI
gal Qt
CL
0)
o
jd
V1 a q� -a Z
Lo- 0
lz d -0
TS
cS
�--
tC
Q) 2r..
-� �. .� c >,�,,i
0
cf�fc�
N 860 00' 30" W 100.01 SCTM N 1000-106-05-08
APPROVEDAS NOTED DESCRIPTION: AREA LOTCOVERAGE: Q
DATEl a LOI B.P. # 0� V0.0vfNtt: 4.000.Osq.ff. DI)Sa[
O 0.6 a
EXIST] STY, nOUSF: 208SQ R. 1]J':.
O CDMls WA— 431.2 Sp iT- )6%
FEE: a a .� BY N O NED a)5350.T- 4044 cc
NOTIFY BUILDING DEPARTMENT AT 404 29.4•
765-1802 8 AM TO 4 PM FOR THE Goy 2.8' O
M N TOTAL 1 2.9881 241.
FOLLOWINGINSPECTIONS: 52.0' "�J ME Ef 6BOUNDS BY 0.0BFPT OT UBVfY OnTE: CROQO21
1. FOUNDATION-TWO REQUIRED �A O �1/
FOR POURED CONCRETE
2. ROUGH-FRAMING,PLUMBING,
STRAPPING, ELECTRICAL&CAULKING 30.8 c/)
3. INSULATION COVERED O o
4. FINAL-CONSTRUCTION &ELECTRICALo PORCH x o >
MUST BE COMPLETE FOR C.O. eIL o 47' m _ _ _ , ® r—) z
STOOP 1i 17.3' I F;
ALL CONSTRUCTION.SHALL MEET THE 5,.,' <
REQUIREMENTS OF THE CODES OF NEW
� K
YORK STATE. NOT RESPONSIBLE FOR x
DESIGN OR CONSTRUCTION ERRORS.
SITE PLAN
N EXISTING 1 STY. 30.5' SCALE:r=to-o
HOUSE
741 o w �5y
IOT 4r
27.1' O .2
COMPLY WITH ALL CODES CIF
28.3M ENEW YORK STATE &TOWN CODES
OTo
AS REQUIRED AND CONDITIONS I. E
Ln w=
S®_.f.�im��� " `C�.,. Pni�` :. �'l)-1` O 35.0' �4 1
lll11111'ygE` )t!,?i)�•;t'.'V:"tn' M 29.1'1*0
6
Imo . .. O ®® [• O
ken
N
SOUMOLD TOWN TRUE S
N.Y.S. DEC S 860 00' 30" E 100.01 -u/
1 '
1P1
-�^�t4,El!�CSi'e\�` ian uNnon
CAPTAIN K O ®D DRIVE ¢ iAr.X 6 1 rJ 4= s11e rNunluEn