HomeMy WebLinkAbout48549-Z 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 #: 48549 Date: 12/1/2022
Permission is hereby granted to:
Johnson, Jean
165 Duane St Apt 4C
New York, NY 10013
To. construct an outdoor shower and make alterations to an existing accessory deck
surrounding swimming pool as applied for. Two CO's required.
At premises located at:.
1015 Sound Dr, Greenport
SCTM # 473889
Sec/Block/Lot# 33.-3-20
Pursuant to application dated 9/28/2022 and approved by the Building Inspector,
To expire on 6/1/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00
CO-ADDITION TO DWELLING $50.00
ACCESSORY $306.80
CERTIFICATE OF OCCUPANCY $50.00
Total: $606.80
uil ing Inspector
" F � ', TOWN OF SOUTHOLD —BUILDING DEPARTMENT
f °t Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone 631 765-1802 Fax 631 765-9502 _tt : Www v so tlaa ldta °nn .
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
f
PERMIT NO. Building Inspector:
Applications and forms must be filled out in their entirety. Incomplete tea,
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:
„, e6UfJ JMIJ S61.J SCTM # 1000-
Project Address: 4D ` � 56010 �Vl6"1 N F', tI—
Phone#: 7t b -7 4.4 f& 1� Email: kyd v ` K rv5dn c► yki4, &J4
Mailing Address: J O IC; s 6 4-7 ��, GriR,R I
CONTACT PERSON:
Name:
Mailing Address: p I e, A
Phone#: (0�5 1 33s (40 ZTO Email ` ' C AOL , 66M
DESIGN PROFESSIONAL INFORMATION:
Name: ,"M 6tRl
Mailing Address: 'I) Vi 1.S j7�N
Phone#: 69; 1 -7'4G x 3 ej Email: ,t 1 10 qq4
'CONTRACTOR INFORMATION:
Name:
Mailing Address: 92 b H,&1A1PV/'J
Email
Phone#: 51 ( 27 (0( JOE Di1�1'' ��
DESCRIPTION OF PROPOSED CONSTR ' ION
❑New Structure ❑Addition b1Alteration ❑Repair ]Demolition Esti ed Cost of Project:
❑Other DOlTLfW-N S $ -
Will the lot be re-graded? ❑Yes 540 Will excess fill be removed from premises? ❑Yes �0
-4 &A/fDO+ SiqdwF� 4kc&
1
PROPERTY INFORMATION
Existing use of property: (LC S I() Intended use of property: S➢i �s '
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes 5fNo 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(p „ant name): uthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF SIrCc,rLL )
being duly sworn, deposes and says.that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the AL
(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 ofd 20 Z
Notary Public
LEO P DAVIS
NOTARY PUBLIC,Swe of New'York
N
,Suffolk o city
No.
Expires:/
(Where the applicant is not the owner)
i, apinw JCH �O�J. residing at i®1<
do hereby authorizeto 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
Suffolk County Dept.of
Labor, Licensing & Consumer Affairs
HOME IMPROVEMENT LICENSE
G� Name
JOSEPH DUNN
S t Mness Marne
s certifieshat
irer is ul licensed DUIN DEVELOPMENT CONSTRUCTION
COBE
the County of suffolk
Ucense Number: Ht-,6,3347
Rosalie Drago Iss l: 01A5/20
Commissioner Expires: 01/4 / 02
S.C.T.M. NO. DISTRICT: 1000 SECTION:33 BLOCK:3 LOT(S):20
SOUND SRI .
EDGE OF PAVEMENT
o.3'E
N74-04'10"E 145.96' o V
a
o �z cn
GRAVEL DRIVEWAY o
DRAIN 44.0'
3.3'W ® N
U SpG� O
lwZi. 7{'yt{ rm
2ND FLR.
Y
CANTI 4' WOOD FENCE
z
J
CONC STONE PATIO
�x 40.9'
;q 561 50 4' `
3.2'W
GATE
r. 1'.8'W 6' STOCKADE FENCE ^ 2 STY FRAME 1.0 6,.,., 44.0'
rt '' DWELLING #1019 Ye""
S,r
LLw�x ®: 50.3' ci.'t0.5". GATE OLO
��N 4VERL�T04P ��''M0
Zaw
z a a X WOOD 48.4'
g=U DECK h�
w IMS
CK
EL
a !N ROUND POOL
0 � O m
CL
LL
w WOOD DECK I.8'W 0
CJ b
O 0 m
� � m
m z
o
2 47.1' �
LOT 16
2.9'E
9'9 E 6' STOCKADE FENCE
0.5'N
19 9 HYD
0.5'E DEER 0.7'S ¢
°'SN i FENCE S 74°04'10"W 151.65'
LOT 15
THE WATER SUPPLY, WELLS DRYWELLS AND CESSPOOL
LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS
AND OR DATA OBTAINED FROM OTHERS
AREA:22,319.05 SQ.FT. or 0.51 ACRES ELEVA77ON DATUM: -----—----—_—_________
UNAUTHORIZED AL TERA 770M OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SECT70N 7209 OF THE NEW YORK STATE£DUCA 77ON LAW COPIES OF 77-IIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777UTTON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECT70N OF FENCES, ADD177ONAL S71?UC7URES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY
SURVEY OF:LOT 16 CERTIFIED TO: JEAN BROWN JOHNSON;
MAP OF: EASTERN SHORES AT GREENPORT FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC;
FILED:APR. 27, 1964 No.4021
SITUATED AT:GREENPORT
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
PHONE (681)298-1588 FAX(631) 298-1588
FILE #220-113 SCALE:1"=20' DATE:AUG. 20, 2020
N.YS LI,'C. N0. 050882 maintaintna the records of Robert J.Henneasy&Keemeth M.Raychuh