HomeMy WebLinkAbout48401-Z ,�� SUFfot TOWN OF SOUTHOLD
�o�° cook i BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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SOUTHOLD, NY
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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#: 48401 Date: 10/14/2022
Permission is hereby granted to:
King, Kevin
131 Maple St
Brooklyn, NY 11225
To: install deer fence as applied for.
At premises located at:
10945 Sound Ave., Mattituck
SCTM #473889
Sec/Block/Lot# 141.-3-1.1
Pursuant to application dated 9/1/2022 and approved by the Building Inspector.
To expire on 4/14/2024.
Fees:
DEER FENCE $75.00
Total: $75.00
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Buildi Inspector
r srcoa<,..
� 4oSufF°tK�o1TOWN OF SOUTHOLD —BUILDING DEPARTMENT
N x{ Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
y o�g Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownny.jzov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT N0. Building Inspector: SEP 0 1 2022
FL=DJ
BUILDING UtR :
Applications'and'foims.m'ust be filled out.in their entirety. Incomplete TOWN OF�OUTHOLf)
applications will not be accepted.°Where the Applican'is not"the owner,an
Owner's`Auth;oriiation form(Page,2)shall be completed.
Date:
OWNERS)OF-PROPERTY
Name; A �,�"� rJ y I S�� �� SCTM # 1000-
Project Address: 1 pati r C�_f�i� O c� (\1.1)
Phone#: (� 6�7 8-71-2-3 ._ Email: '�yt�i �An, , Lar,
Mailing Address:
CONTACT PERSON: .
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL"INFORMATION::-
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR,INFORMATION:'
Name:
Mailing Address:
Phone#: Email:
'DESCRIPTION OF PROPOSED CONSTRUCTION '
[]New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other QS'EP— �'fW (,C �' f'-T , $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes eNO
1
„ . ..,
..0 P d
OPERTY.INFO,RMQTION�'
Existing use of property: rL&:-S i Intended use of property: Dr (Z- G
Zone or use district in which premises is situated: Are there any covena;;No
nd restrictions with respect to
this property? Dyes IF YES, PROVIDE A COPY.
❑;Check”Box After,Reading'i-The'owner%contractor/design professional is'responsible"forall drainage and storrh water issues,as provided by
Chapter`236_of ihe�Town'Code. APPLICATION IS HEREBY MADE tolhe Building.Departinent for,the issuance offa Building Permitputsuant to'the Suildiri"g Zone
Ordii ance.of tMJown of Southold,;SuffolkCo
, unty;Ne
, w York:and other applicable,Laws;Ordinances:or Regulations;for the tonstr"uction of buildings;•;
additions;alterations or for�rernoval'or demolition as herein described The applicant agrees to complyfwith all apghcable laws,;ordinances,building code,
housing code"and regulations and to admit authorized inspectors on prerriisesand in buildings)for necessary inspections.Faire statements made herein are'
punishable"as a Class A,misdemeanor.`pu�suant to`Section'210:45°of the New York"State.Penal laws""'
Application Submitted By(print name): -"a JV A114 A K T:-CSY/H r_-� ❑Authorized Agent LJOwner
Signature of Applicant: D,�,,,,, � r.�tn. Date: A f CPT 2,0 2-7-,
CONNIE D.-BUNCH---
Notary
:BUNCH--.." -
Notary Public;State of New York
STATE OF NEW YORK) No.01BU6185050
Qualified in Suffolk County
COUNTY OF
SS: Commission Expires April 14,2OaL(
)
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,)
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
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
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C2,
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY,NEW YORK
now or fumody
P fldppo 0 40'
N 8G°53'10"E 100.00'
SCTM B 1000.141•3-1.1
`
AREA= 36,199 Sq.ft.
I( 0.63 Acres.
® e oowoto monumant round
0•ptpe found14
-
rt NSF
� tJ
N �
� ctaip Mt she0 O
37.2'
APP 0 ED AS NOTED Q
/ema 13'w
DATE: P.#—t#yu—
is e
FEE: 081w
NOTIFY BUILDING EEPARTMENT AT °ate
765-1802 8 AM TO 4 PM FOR THE ,
FOLLOWING INSPEC i IONS: I "d
1. FOUNDATION - TWO REQUIRED A 'o'• `' r.'?
FOR POURED CO !CRETE m�'
2. ROUGH - FRAMING & PLUMBING W"° ".'�''^�
3. INSULATION I� 1
4. FINAL - CONSTPUC T ION MUST 9 I "' 2sfa"'rip;"°°'B
BE COMPLETE FG -.0.
ALL CONSTRUCTC'N SHALL MEET THE N "' aw—
REQUI.,REMENTS OF T 'E CODES OF NEW ^ ~ I g I O
YORK STATE. NOT F ESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. �� ' ►�
( / �
ti 1 a
COMPLY WITH ALL CODES OF ( ,mnaeAn.,y q 1000'+,.
NEW YORK STATE & TOWN CODES ( —, a
AS REQUIRED AN D CONDITIONS OF S83'37'30..w 1 120.00'
W°Wa
S^IEOLD TOWN ZBA SO UND A VENUE
SO i._p ._ G BOARD
- USTEES yQ-�'oaNGALLq
050MA 4v
LAND
JOHN OALLACHFR
LAND SURVEYOR
59 FLORENCE DRIVE
SURVEYED:OCTOBER 24,2011 fYIANORYiLLEN.Y.11949
-- (631)-074.0400