HomeMy WebLinkAbout49298-Z 49
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
r 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 #: 49298 Date: 5/23/2023
Permission is hereby granted to
O'Donnell Michael
314 8th Ave
Brooklyn, NY 11215
To: install deer fence as applied for.
At premises located at:
6575 Skunk Ln, Cutcho ue
SCTM # 473889
Sec/Block/Lot# 104.4-6
Pursuant to application dated 4/24/2023 and approved by the Building Inspector.
To expire on 5/22/2024.
Fees:
DEER FENCE $75.00
Total: $75.00
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 h .s.Hwmv w,southoldtowtiii . o
Date Received
PERMITAPPLICATION FOR BUILDING
For Office Use Only
PERMIT NO. Building Inspector:
APR 2 L 2023 �
. V
i w..
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:April 20, 2023
OWNER(S)OF PROPERTY:
Name:Michael O'Donnell,Celia Hartmann,Jon Garfield, Belinda Mello SCTM#1000-473889 104.4-6
Project Address:6575 Skunk Lane, Cutchogue, NY 11935
Phone#:347-256-9204 1Email:michaelodonne11314@gmaii.com
Mailing Address:314 Eighth Avenue, 3L, Brooklyn, NY 11215
CONTACT PERSON:
Name:Michael O'Donnell
Mailing Address:314 Eighth Avenue, 3L, Brookllyn, NY 11215
Phone#:347-256-9204 Email:michaelodonne11314@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name:Not Applicable
Mailing Address:.
Phone#: Email:
CONTRACTOR INFORMATION:
Name:North Fork Fence, LLC, Attention Gina
Mailing Address:6865 B Main Road, Mattituck, NY 11952
Phone#:631-298-4777 Email:northforkfence@gmail.com
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
D Other8 foot deer fence, interior of property for garden approx 120 linear feet per plans $5,000.00
Will the lot be re-graded? ❑Yes @@No Will excess fill be removed from premises? ❑Yes WNo
1
PROPERTY INFORMATION
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 I
this property? ❑Yes *NO IF YES, PROVIDE A COPY.
W 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 210.45 of the New York State Penal Law.
Application Submitted By(print name):Michael O'Donnell ❑Authorized Agent @Owner
Signature of Applicant: �- Date: April 20, 2023
STATE OF NEW YORK)
SS:
COUNTY OF Y64-w-1,
Michael O'Donnell being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Owner
(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
o�TMdayofaL !rM _ •2
Notary Public
BERNARD BONNER
Notary Public,State of New York
No.0 1806285183
Qualified in Kings County PROPER N OWNER AU
Term Expires July 1,-F8'N`' (Where the applicant S IIOt the Iowner) III
9,oa - ppII
1, 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
06/09/1998 12:43 5167286707 hlORTHSTAR SURVEYING PAGE 02
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