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HomeMy WebLinkAbout48800-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 #: 48800 Date: 1/25/2023 Permission is hereby granted to: Leo, Peter 114 Radcliff Dr East Norwich, NY 11732 To: Legalize as-installed AC unit at existing single family dwelling as applied for, with flood permit. Additional certification may be required. At premises located at: 630 N Sea Dr, Southold SCTM # 473889 Sec/Block/Lot# 54.-5-16 Pursuant to application dated 12/20/2022 and approved by the Building Inspector. To expire on 7/26/2024. Fees: AS BUILT-ACCESSORY $400.00 CO-RESIDENTIAL $50.00 Flood Permit $100.00 Total: $550.00 Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ht �s://www.SOLltliotdtown ov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector., OEC 9 Applications and forms must be filled out in their entirety.Incomplete BUILDINGDEPT applications will not be accepted. Where the Applicant is not the owner,an MW01OFSOM&D Owner's Authorization form(Page 2)shall be completed. Dater Lq 12-0 ZZ OWNER(S)OF PROPERTY: Name: 'pe+r", - (,e ILCTM#1000- Project Address: G30 KfO r.Wl 9-C-Q DoVC sb U. 0 d Phone#: 516 . 313 Z3 SY Email: Mailing Address: 61,08 sG><.�.t) U NI II° ISliYOC " ' CONTACT PERSON: Name: P r e- Le J Mailing Address: of rr $ sG w b 04-l•>t I..Qrl Co 11 C � �/`C �"N 3I-V Lf Jo Phone#: — Email: 5-1.10 3 13.g 35� r I-Ca sc�bl G4 C • -�., 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: Wther Cil(r " vxdCb6v1Ir1 uV+nti- N Will the lot be re-graded? ❑Yes EUNo Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Intended use of property: tib►me Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R _140 this property? ❑Yes El No IF YES, PROVIDE A COPY. ❑ Check Box After Reading: The oumer/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, additlons,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(p t name): Pf-,V-fr LCO ❑Authorized Agent owner Signature of Applicant: Date: 12,1 11l U 2,-1— STATE OF NEW-*QRK) T-CA-)V1e-c4-et SS: COUNTY OF 1ULlit�'KS CY` ) ,Pe+G✓ being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the VQ r'-,,e.-r" (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 20 Notary Public ti STATE Of PROPERTY OWNER AUTHORIZATION TENNEOM NoTARY (Where the applicant is not the owner) 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 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 � Telephone (631) 765-1802 - FAX (631) 765-9502 m, ro err scrutholdtowrin . my seand southoldtownn . ov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: pf.�-CS sl ( C L✓1C - Electrician's Name: �Fi vi ri GLS License No.: 3bLt `S S Elec. email: S 4eA t C,-rr)'c i el(, t.b Elec. Phone No: 51 (-80}- request an email copy of Certificate of Compliance Elec. Address.: Zot l LC- wvrA-1cC Dr- wGtn , L1{ It-+4,6 JOB SITE INFORMATION (All Information Required) Name: Pt+t r Leo Address: q l O Sa.w 1-v0�4n Lae%-0- Cross Street: ,-e- s Phone No.: 513 . 5-Ll BIdg.Permit#: 6� email: 2fLt r e, l r-o - sco b l �t . Tax Map District: 1000 Section: 5t-I - as Block: 67. po Lot: 1,6. 000 BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): w c- vYC c d CL p-e-r w►i.f fa'- 4ne mr-c�v nd t--{-�u h i tyj i,� - Loc-a.+e d OV, +tjz wa5v-- s►cl-C, of- 4'w— kous.e , T� wets 00-CaAg in plac c WQ461; WVI?� Wt- �Oh}- +Vf- koL-� Square Footage: 1 tiro Circle All That Apply: Is job ready for inspection?: R YES NO Rough In 12 Final Do you need a Temp Certificate?: R YES © NO Issued On Temp Information: (All information required) Service Size 1 Ph3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION SUR Y 0 Ar NORTH SEA ROAD SOUTH LD TOWN DP SOUTHOLD 30 24 000" E " SURVEYED:SEPTEMBER 21, 2020 583.48' ch 01 O p W W r ,.�"«C P I O O x � y I B e a �u { 1 1 a d � � N P t� ! —1 r w AC +H W O Cfl n. w o 48.35' s X34 10 '30 .. o as M S 4�30�, .. �3 0 NI FIC�VFM1�d9 ddYAAfs "V'dFti1'r�tla'CJ A`SGdt�FT'lYtbf.Wd AFUA3�Fddd:R �r'fA S.a'A"V tgp�,A�,.ZS - Mik1p!Pi7d MNS'6h�.krPali',�97p1,70w�5��-q��—p�'.N6:Yy' 1111sAr.Fm, . 1 59'dY V WAS'PPEP '1FP�A,YkCruk� raTTTAafTscaw� J� 4.Pmlllllr1CORNER'Ntgp�L7Pf�"ri'!M WERE Nh51`SET AS, R-11 ray nam SURVEX m V Y Y'M1'ir..,VYY9 N."i r'NC tt,'pingBn}'S a,l�i'Yp M 9i,VefeL°Po CQf.R`4"�`I'M) 5UFi4fi.Y Pada tq ie!''r"'1V C44Ck"JM1IN'ucry.J?CF M'CiecFJY yds r 4C5 Ga%FF'k W'NS rill G C C� NFRCC'Lrr:VmrtVA. �,'9 S—D;¢RI.5FaNU,Po0' S"ry41 Ew'^nrCl TD K i,MA;o, r n x rar:-."�cr ncw�- m Pca. :d naFv. _ mrm ��rnvr.cwy �`, I MJ-cHAEL K WICKS srErc>r sn twm7.r�zaxu,rw,m wuo ,, Cwr x ruru�.dmi a LAND SURVEYING m r r 7c c u fw r v a va r rma �y,�w 4. ar � nim r �n s'v r,•x.nr x. ; r r c�i rE7rmEn K„ f e xx ,xur F , +f �+1kaMeufa6usxi':d"c'lu1f0E"1 — — SOURd9CS 1 1E82 e M Y'Wo O6DfiNXY„a 7Sk34 631.908.9845 rwe �-u rr ti,cup�h m' ru r r +R Ei SPA` y � n w' k �?^i'wESY. 1dT11G& W�X1:Tf5: P.LS Y198T1 9"�.757,". 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