HomeMy WebLinkAbout48570-Z .�r 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 #: 48570 Date: 12/8/2022
Permission is hereby granted to:
Kalich, Richard
605 Saltaire Way
Mattituck, NY 11952
To: Construct new single family dwelling on vacant land as applied for, per SCHD approval
and Trustees no jurisdiction letter.
At premises located at:
4660 Blue Horizon Bluffs, Peconic
SCTM #473889
Sec/Block/Lot# 74.-1-35.52
Pursuant to application dated 10/14/2022 and approved by the Building Inspector,.
To expire on 6/8/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $2,974.40
CO-NEW DWELLING $50.00
Total: $3,024.40
Building Inspector
TOWN ®F S®UTH®LD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,N 11971-0959
Y
Telephone (631) 765-1802 Fax (631) 765-9502 •+ ��• �G rr _ wiz, ov-
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
fir' �
PERMIT NO. ��" Building Inspector:
Applications and forms must be filled out in their entirety. Incomplete '" oil
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: m (i �t:no` rte-( C�i c`✓�ca C, (C_ SCTM #1000- 7� / _ .� =J Z
Project Address: C� lu I .-. L" C y
Phone#: t f Email: ,f P
Mailing Address: 1 liG ) (� c ( (�S-2—
CONTACT PERSON:
Name. Cil 01c T-e—
Mailing Address: . i`Lz �,1 - %1 CJ t(q 7 I
Phone#: , ' _� � _
��� 7 � � Email: C-f)q oo(r -' tgoo1'(-'a rL&°( l
DESIGN PROFESSIONAL INFORMATION:
Name: 4M V0
Mailing Address: L�EG
Phone#: ' �� -- -- -9=> `� Email: '
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: 1Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition [--]Alteration ❑ p Re air ❑Demolition Estimate Cost of Project:
Other $
Will the lot be re-graded? gYes ❑NofV1 In1wi Will excess fill be removed from premises? ❑Yes %.No
1
PROPERTY INFORMATION
Existing use of property: wlc.C � - Intended use of property:
Zone or use district in which premises is situated: Are there any covenants a d restrictions with respect to
f-- q C this property? ❑Yes o 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 15 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.
I' d C� L�A�
Application Submitted By(print nam ) u �I � �Authoriaed Agent ❑ caner
Signature of Applicant: P � Date:
STATE OF NEW YORK)
5:
COUNTY OF2.4
C.
t`" being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the ;, ,
( ntractor,Agent, Corporate Officer, etc,)
of said owner or owners, and is duly aut' orized 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 20c;�(
d-;L" � NICE ICING
Lblic,State of New
o.01 PE6130636
PROPERTY ONE.1�1 AU'T.H.��I� alifiedInSuffolk Co
ut
ssi n Expires July 1
(Where the appi.cant
is not the owner)
I, residing at
do hereby authorize �I 6-
rC to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
�n
I Own is Signature Date
Prin Owner's Name
2
1
Glenn Goldsmith,Presidenttf S00, Town Hall Annex
A.Nicholas Krupski,Vice President A. Route 25
P.O.Box 1179
John M.Bredemeyer III Southold,New York 11971
Michael J.Domino ■ Telephone(631) 765-1892
Greg Williams__ "* Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD -
November 8, 2021
5P tricia C. Moore, Esq.
020 Main Road
-S7uthold, NY 11971
RE.' RICHARD & MARY KALICH
4660 BLUE HORIZON BLUFFS, PECONIC
SCTM#: 1000-74-1-35.52
Di ar Ms. Moore:
Tile Southold Town Board of Trustees reviewed the site plan prepared by Adam C.
2losik, RA and determined that the proposed dwelling and accessory structures are
t of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and
C apter"111 of the Town Code.
Therefore; in accordance with the current Wetlands Code (Chapter 275) and-the
Coastal Erosion Hazard Area (Chapter 111) no permit is required.
Please be advised, however; that no clearing, no removal of vegetation, no cut or
fill of land or removal of sod, no construction, sedimentation, or disturbance of
any kind may take place within 100' landward from the top of the bluff, or seaward
of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the
coastal erosion hazakd area-as indicated above, without further application to,
and written authorization from, the Southold Town Board of Trustees pursuant to
Chapter 275 andlor Chapter 111 of the Town Code.
It is your responsibility to ensure that all necessary precautions are taken to prevent any
sedimentation or other alteration or disturbance to the ground surface or vegetation
within Tidal Wetlands jurisdiction and Coastal E=rosion Hazard Area, which may result
from your project. Such precautions may include maintaining adequate work area
between the tidal wetland jurisdictional boundary and the coastal erosion hazard area
and/ your project or erecting a temporary fence, barrier, or hay bale berm.
2
i
I
I .
This determination is not a determination from any other agency.
If you have any further questions, please do not hesitate to call..
sincerely,
Tenn Goldsmith, President
oard of Trustees
Gd' °
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