HomeMy WebLinkAbout48929-Z t 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 #: 48929 Date: 2/17/2023
Permission is hereby granted to:
Martin, Liam w ____...._._-
O BOX 165
---
.0 NY 11957
To: Construct additions and alterations to an existing single family dwelling as applied for.
At premises located at:
1640 Calves Neck Rd Sotuhold
SCTMw# 473889 _ ..a .... ... .. ................
Sec/Block/Lot# 70.4-39.1
Pursuant to application dated 1mm/27/2023 and approved by the Building Inspector,
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To expire on 8/18/2024._IT
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $1,779.60
CO-RESIDENTIAL $50.00
..
..
.........................
..._�.
Total: $1,829.60
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 lett s://Nv ,v .sou lio! to !n yov
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Date Received
For Office Use Only f JAN 2 7 r 023
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Y.
PERMIT NO. Building Inspector:
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:January 27, 2023
OWNER(S)OF PROPERTY:
Name:Lisa & Liam Martin SCTM#1000-70-04-39.1
Project Address:1640 Calves Neck Rd., Southold, NY 11971
Phone#:516-250-7052 1 Email:liamconti@yahoo.com
Mailing Address:P.O.Box 165 Orient, NY 11957
CONTACT PERSON:
Name:Elizabeth Thompson, Architect
i
Mailing Address:P.O.Box 464 Orient, NY 11957
Phone#:917-848-1541 Email:et@elizabeththompsonarchitect.com
DESIGN PROFESSIONAL INFORMATION:
Name:Elizabeth Thompson Architect
Mailing Address:see above
Phone#: Email:
CONTRACTOR INFORMATION:
Name:T.B.A.
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure @Addition PRAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
500K
Will the lot be re-graded? ❑Yes @No Will excess fill be removed from premises? ❑Yes R No
1
PROPERTY INFORMATION
Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes @9 No 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 210AS of the New York State Penal Law.
Application Submitted By(print name): Elizabeth Thompson @Authorized Agent ❑Owner
Signature of Applicant: Date: Jan. 27, 2023
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No. 01 BU6185050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Expires April 14, 20aA
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(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
�1
day.of 20 0—)
Notary Public
PROPIE11„I,,, OWNER „ 1',l,„1 1-IIS, I O@'
(Where the applicant is not the owner)
(see attached) residing at
do hereby authorize to apply on
my behalf to the Town of Southold iftilding Department for approval as described 'herein.
Owners Signature Date
Print Owner's Name
2
Build
t�jin�DaEURMIAmgimgm
AUTHORtZATION'
(Where the Applicant is na die()wner)
...............
TV-Siding
----------
(Print imverty,ovaier's name) (Mailing Addrea)
(10 hereby authoyin,-,
................
(Agont)
to apply on my,behalf tx)the
Soudiold 1.3WIding]")eputntent.
......... �N
............ ............ ..........................
(Owner's Sigmturc) (Date)
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(Print Owwr's Nwmc)
Scott A. Russell 56 5T01K1\\AWA\T]E1K
SUPERVISOR �V� A A\�G�]EI��I[]EI��C'
SOUTHOLD TOWN HALL-P.O.Box 1179 t
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town
own of Southold
CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETEDBYTHE APPLICANT
ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. )
- -- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -
APPLICANT:
- - ._.. _ ._.. _.. - - -. _ - - ._. ._ - ._.. - _ - - ...- _._. _ _ - - - - .....APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) ,.
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NAME: a 55,cc)N Date: +i
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B�O,�NVd6plC j
Contact Information: e+e_ �, �VVAoarcL
E-Mail&Telephone Numbei)
I1 Pro ert Address / Location of Construction Site:
S.C.T.M. #: 1000
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District
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70 0 3g I
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v...�� .� Section Block Lo �(f
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7OWN0FRWOWPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT
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- - — - - - — — - — - - — - - —
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Area of Disturbance is less than 1 Acre. No S.P.D.E.S. Permit is Required !
Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re uired !
f
s Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly
to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit � 4
x DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a BuildiPei mita
LJ �
- Area of Disturbance is Greater than i Acre & StorW1York THEAPPLICANT MUST' OBTAIN
Through SoutholdI i
Towns MS4 Systems to Waters of the State of New
a S.P.D.E.S. Permit through the Southold Town Engineering Department {
') Prior to Issuance of a Building Permit fl
s i
1r� 30 3
Reviewed By: _ Date
�FC1RM # CM('P TCIC (lrtnl a ... ....
UNATHORIZED ALTERATION OR ADDITION
Area= 43,310 s.f. DATE f�Y 2622 DRgWfNG JOB NO. 22-323 TO TUHIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
Ti o�go� THE LAND SURVEYORS INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BEA VALID TRUE COPY.
R_22.39 / GUARANTEES INDICATED HEREON SHALL RUN
., ONLY TO THE PERSON FOR WHOM THE SURVEY
L�41.62 IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON AND
TO THE T TION L 5TE
ASSIGNEES H LENDING
/a�, INSTI-
TUTION. GUARANTEES ARENOT TRANSFERABLE.
Ay o`N THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMENTS OF RECORD IF
(p \ ANY, NOT SHOWN ARE NOT GUARANTEED.
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Premises known as:
# 1640 Calves Neck Road, Southold
Certified to:
LIAM MARTIN AND LISA MARTIN Survey of Described Property
EMINENT ABSTRACT, INC. (EA3151-S) situate at
FIDELITY NATIONAL TITLE INSURANCE COMPANY
Southold
Town of Southold