HomeMy WebLinkAbout48904-Z TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
s TOWN CLERK'S OFFICE
;Y 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#: 48904 Date: 2/14/2023
Permission is hereby granted to:
McTaggart David
35-49 76th St A t 41
Jackson Hei hts, NY 11372
To: Remove old deck and construct new deck attached to existing dwelling as applied for.
At premises located at:
1150 S Harbor Rd Southold
SCTM # 473889
Sec/Block/Lot# 75.-3-15
Pursuant to application dated 1/30/2023 and approved by the Building Inspector.
To expire on 8/15/2024.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $558.40
CO-ADDITION TO DWELLING $50.00
Total: $608.40
Building Inspector
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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 It ://W
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. 0 Building Inspector, 10 7073
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m.
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.
d.
Date: December 14, 2022
OWNER(S)OF PROPERTY:
Name: David McTaggart,Jocelyn Bell-McTaggart SCTM#s000- 75,_3_15
Project Address:1150 S. Harbor Rd. Southold NY 11971
Phone#:
Email:
Mailing Address:
CONTACT PERSON:
Name: Ural Talgat
Mailing Address:
436 7th Street, Greenport, NY 11944
Phone#: 631 477 8963
Email: ural59@hotmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: Ural Talgat
Mailing Address: 436 7th Street, Greenport, NY 11944
Phone#: 631 477 8963 Email:
ural59@hotmaii.com
CONTRACTOR INFORMATION:
Name,
Mailing Address:
Phone#:
Email:.
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair- ❑Demolition
Other New Deck Estimated Cost of Project:
30,000
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? BYes ONO
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PROPERTY INFORMATION
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Existing use of property: Single Family Residence Intended use of property: Single Family Residence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? []Yes No IF YES,PROVIDE A COPY.
❑ Clieck 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 bulldingis)for necessary inspections.False statements made herein are
punishable as a pass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): Ural Talgat BAuthorized Agent El Owner
Signature of pplicant: Date:
STATE OF NEW'y0
SS:
COUNTY OF S'C,( �o IIS )
Ural Talgat being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Architect
(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
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3 f day of_O e CC,
,M6 Cr 20
Notary Public
LAUREN M.M KISEICK
NotM Pulallt,Elam of Now Yo*
I)IF CIIII'm'III i"" ' Nl!!!'`F i,1 i i' IIII' ii' I IID. n ca �l
.. .
Qualified In Sufrolk County
(Where the applicant is not the owner) commission Expires May 23,20
residing at 5� ���'� � ' �or
Ural Talgat
R 11 do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
C"-7 12 Z z Zz
ner's Signature Date
o ca; tea: o,C's
Print Owner's Name
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