HomeMy WebLinkAbout48698-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
a
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 #: 48698 Date: 1/5/2023
Permission is hereby granted to:
R.u..h....m
142 Raxbu. /....R.d.............................. .a........_..........................--------------
............ .......... __ ._ _.............
Garden City, NY 11530
To: Construct additions and alterations to an existing single family dwelling to include a
three season room, front porch and interior alterations as applied for.
At premises located at:
1390 Water Terrace, Southold
SCTM # 473889
Sec/Block/Lot# 88.-6-13.17
Pursuant to application dated 10/28/2022 and approved by the Building Inspector.
To expire on 7/6/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $564.40
CO- RESIDENTIAL $50.00
------------------
Total: $614.40
Building Inspector
� r TOWN OF SOUTHOLD—BUILDING DEPARTMENT
' ow Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 htt s://www.souttioldtowjinv.p-ov
Date Received
APP
LI ,, BUILDINGT
For Office Use Only
PERMIT NO. "�� Building Inspector:
1
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:October 28th, 2022
OWNER(S)OF PROPERTY:
Name:Karl & Angie Ruhry ScrM#1000-88_6_13.17
Project Address:1390 Water Terrace, Southold NY 11971
Phone#: Email:kruhry@gmail.com ; aruhry@gmail.com
Mailing Address:1390 Water Terrace, Southold NY 11971
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:" "
Phone#:"
CONTRACTOR INFORMATION:
Name:" "
Mailing Address:" "
Phone#:" " Email:" "
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure RAddition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
El Other Interior Renovation and Construction of new Sun Room $1125,000
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes RNo
1
PROPERTY INFORMATION
Existing use of property: ' S� H� Intended use of property: Vet.Amce
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes Nlgano IF YES, PROVIDE A COPY.
glut"c* Box,Afteilr IIVteadilling: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code. APPUCATION 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 210AS of the New York State Penal Law.
Application Submitted By(print name): �(��l4 DAuthorized Agent ❑Owner
Signature of Applicant: Date: 2,2
STATE OF NEW YORK)
SS:
COUNTYOF 5Q - 14-
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CA.V �CI J�fJ�V' being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contr ct) above named,
(S)he is the I 3
(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
VIA—
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Lary Public
BRITTANY A CONRAD
Notary Public,State of New York
Reg.No.01C06245154
1,1 " ualified in Suffolk oun
PRO
PURI 'l All��I°"' II I "11111111 11 commission Expires July 18%
(Where the applicant is not the owner)mmmmm
I, V, residing at 3�1,� lJ���-r �'G�✓�C� , SCJ��n-U�c�
do hereby authorize u.V Gl vVf to apply I on
my b alf t e 7 w o So Fold Building Department for approval as described herein.
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Owner's Signature Date
,164-14e-L &r---. 4✓q-ky
Print Owner's Name
2