HomeMy WebLinkAbout48930-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#: 48930 Date: 2/17/2023
Permission is hereby granted to:
Innamorato, Michael
.._ ....... ..__........................... ...
2145 Oaklawn Ave
Southold, NY 11971
To: Construct an accessory garage to an existing single family dwelling as applied for.
Must maintain 15 foot setbacks and shall not exceed 1,200 square feet.
At premises located at:
2145 Oaklawn Ave, Southold
SCTM #473889
Sec/Block/Lot# 70.-3-22.3
Pursuant to application dated 2/6/2023 and approved by the Building Inspector.
To expire on . 8/18/2024.
Fees:
ACCESSORY $580.00
CO-ACCESSORY BUILDING $50.00
Total: $630.00
.. ._.... .....w......w.... .............................�.
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 littps://www..southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Insectae FEB E B U 6 2923
Applications
plications will not be accepted. lWhere the Applicant ed out in their s the e owner,an rety.Incomplete l'S0U
PT
a wT
Owner's Authorization form(Page 2)shall be completed.
Date: C,
OWNER(S)OF PROPERTY:
Name: l« c, ISCEM #:1000- /70 --3 —� , 3
Project Address: Oik5`� � r . �,�" //I'-- 5 u14k �0 N i� /'/' S 7/
Phone#: /r Email: V411V C0
Mailing Address:Qz '/ C�/1/fc: �• r+ X71
CONTACTPERSON:
Name:/A
Mailing Address: ,
Phone#: 11, 231f- Email: ..
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:,
Name: R
Mailing Address: it° aft,
Phone
Email: ca v/o'7 1 ou u6
#� .3 .�' ' 3� ma �''� �� - �f �� , U,-r-,
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other G 44-& $-5 `J
Will the lot be re-graded? ❑Yes IXo Will excess fill be removed from premises? Dyes o
1
PROPERTY INFORMATION
T
Existing use of property: Intended use of property:
.
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes E* 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 m demolition as herein described.The applicant agrees to comply with aR 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.
Application Submitted By(print name):/ /%6/lne( _l�tJ�V�I/Kbr17"� ❑Authorized Agent ❑Owner
Signature of Applica n Date: /Z
STATE OF NEW YORK)
SS;
COUNTY OF T II V-- )
r C '� being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the 6VAe4
(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 applicationg
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
7 day of 7 riJ ! 20 Z 3
Notary Public
JAIME RODRIGUEZ
Notary Public-State of New York
PROPER iUTHORIZATION No, 01 f'06 1
Qualified in Suffolk County
(Where the applicant is not the owner) Ivry Commission ion E?plre Nov.02,2023
I, 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
411, 34
L IG; E
FEB 0 ,1 2023
13UILUINU DEPT � .
TOWNOFSOUTHOLD
Scott A. Russell � r�� STORMWATER
SUPERVIS03t MANAGEMENT
sovilJOU)7 i.rK\HALL-P n.Ile. 11'91 Ve5
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Town of Southold
CHAPTER 236 STORMWATERNMNAGEMENT REFERRAL FORA
1 _ APPLICANT INFOR.,%-t
�TIDN TO BE CONIPLETF.D RY THF. _APPLICANT
O%-I—Y FOR PROPERTIES ONE ACK IN AREA OR LARGER
APPLICANT; (Pro>� rt 0%,.ner. Dr_3gn Pr tessiona] APent- Contractor, I.
w.� Other.)
A AAtE_ t� bate:
� Comtaet hof orma'irm:
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