HomeMy WebLinkAbout49017-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
i
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 #: 49017 Date: 3/13/2023
Permission is hereby granted to:
Fredrickson, Gar
670 Youngs Ave
Southold NY 11971
To, Demolish existing garage and construct new accessory garage at existing single family
dwelling as applied for. Must maintain minimum 3'-0" setback to rear & side yard
property lines.
At premises located at:
670 Youngs Ave, Southold
SCTM # 473889
Sec/Block/Lot# 64.-1-1
Pursuant to application dated 8/23/2022 and approved by the Building Inspector..
To expire on 9/11/2024.
Fees:
ACCESSORY $244.00
CO -ACCESSORY BUILDING $50.00
DEMOLITION $142.00
Total: $436.00
Building Inspector
5TOWN 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://www soutl ooldto�w�aa� ��
Date Received
APPLICATIONFOR BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector.
Applications and forms must be filled out in their entirety.Incomplete ? "'
I
ro .,P
applications will not be accepted. Where the Applicant is not the owner,an BUM
Owner's Authorization form(Page 2)shall be completed. t0 ; r
Date: 23rd August, 2022
OWNER(S)OF PROPERTY:
Name: SCTM#1000-
Mr. & Mrs. G. Fredrickson
Project Address: 670 Youngs Avenue, Southold, N.Y. 11971
Phone#: 516.749.1782 1Email: dakotaf1957@gmail.com
Mailing Address: 670 Youngs Avenue, Southold, N.Y. 11971
CONTACT PERSON:
Name: Nigel Robert Williamson
Mailing Address: P.O. Box 1758, Southold, N.Y. 11971
Phone#: 631 .834.9740 Email: nigel_architect@hotmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: Nigel Robert Williamson R.A.
Mailing Address: P.O. BOX 1758, Southold, N.Y. 11971
Phone#: 631 .834.9740 Email: nigel_architect@hotmail.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
®New Structure ❑Addition ❑Alteration ❑Repair %Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Ye ONO
iF.
f s6poSgo 624, So— Fr C~ C w S rV/&4;6 o V C12.
DE/i.otisxf G,a(�s'>"ia�' 10 .3' x 14.3' q'ALKC -
1
PROPERTY INFORMATION
S I I r
Existing use of property: )OF ,y am Intended use of property: D����
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.
Check Box After @t ead.ln : 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 tone
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 Bass A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(prim name): 4i CEL P'�geg4- rLL.►p- 10. gAuthorized Agent ❑Owner
Signature of App�lican . Date: 2.'� �}I,fufr, 2012'-_
STATE OF NEW YORK)
SS:
COUNTY OF
1 i being duly sworn, deposes and says that?1he is the applicant
(Name of individual signing contract)above named,
(t91heis the #4 MrJt"
(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
23today of 2022—
Nota
r
DAVID J.JANNIJZZI
NOTARY PUBLIC,STATE OF NEW Y R
Registration No.02JA6052585
[T I I OWNER ILII 1U XIII I Qualified in Suffolk County
__ .. . ...... .., .. _...M�.�. 2
(Where the applicant i5 not the owner) Commission Expires February 13,
I, residing at 7dcJ 1 €vdE
71 do hereby
' t.. & `�. ,tom to apply on
�+ Y authorize
my behalf to of ut'hold Building Department for approval as described herein,.
elle z
Owner's Igna re Da e
� sa40
tint 6 er's Name
2
4
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25
Ftoad °
q�el
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65
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Found W 1
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27.2 ! �n
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landing
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MINENT ABSTRACT,
INC. (EA3005—S) . mm...a��.w
IDELITY NATIONAL TITLE INSURANCE COMPANY Survey of Decri ►e+ "ro Property
ARRY FREDRICKSON AND MARYANN FREDRICKSON
situate in the
Town of Southol.