HomeMy WebLinkAbout49600-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 #: 49600 Date: 8/21/2023
Permission is hereby granted to:
Dean CompanywwThe LLC
_._... ......... ... ........_......... . . ...
651 Vanderbilt St#4U
............ .. __-
Brooklvn, NY 11218 .........
To: Construct an accessory garage to an existing single-family dwelling as applied for.
Minimum setbacks of 10 feet is required.
At premises located at:
Tepee Trail SoutholdITITmmmmm
180 _...._ ........._._......�.
SCTM #473889
Sec/Block/Lot# 87.-2-20
Pursuant to application dated 7/24/2,023_ and approved by the Building Inspector.
To expire on x 2/19/2025.
Fees:
ACCESSORY $298.80
CO-ACCESSORY BUILDING $50.00
Total: $348.80
� ... _....................._. ....
Building Inspector
a
,, 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 ht s://www,soLitholdtowMy.gov
t
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. I v`' Building Inspector.
—i
01 1
Applications and forms must be filled out in their entirety. Incomplete 4 2023
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF PROPERTY:
Name:Dean Co. LLC c/o Richard Dean scrM#s)00-087-02-20
Project Address: 180 Teepee Trail - Southold
Phone#:917-524-4404 Email: rdean33902@hotmail.com
Mailing Address: 651 Vanderbilt Street #41J Brooklyn, NY 11218
CONTACT PERSON:
Name: Richard Dean
Mailing Address: 651 Vanderbilt Street #4U Brooklyn, NY 11218
Phone#: 917-524-4404 Email: rdean33902@hotmail.com
DESIGN PROFESSIONAL INFORMATION:
Name: Richard Dean
Mailing Address: 651 Vanderbilt Street #41J Brooklyn, NY 11218
Phone#: 917-524-4404 Email: rdean33902@hotmail.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone M Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
BNew StruCtLLIr -lA " ° -iln ❑Repair ❑Demolition Estimated cost of Project:
E10t r New Accessory $195,000
Will t raded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes RNo
Jl1
PROPERTY INFORMATION
Existing use of property: Residential Intended use of property: Residential
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes IRNo 1F YES, PROVIDE A COPY.
IN 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):. Richard Dean ❑Authorized Agent @@Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF Kings )
Richard Dean being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
of said owner or owners,and is dui authorized to perform or have performed the a uCa
(Contractor,Agent,Corporate Officer,etc. � CC
Y p p e s�wi oPrW t
application;that all statements contained in this application are true to the best of h` h o' and
`P ' W0 61
that the work will be performed in the manner set forth in the application file the ' ;ission Expires 02/04/2027
Sworn before me this
day of ,. ,20
Notary Public
/1'.. L ucak
Notary RA-%jic, State of
PROPERTY OWNER AUTHORIZATION R e g a aN J o t_LJE 8(b', 4°
(Where the applicant is not the owner) qq'u44allifiee�:rypipp In, `�.'ffol �:a ik/
;qq?yy
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
� I AWING LIST: RVIII ( K � Sill E PLAN NOTES: Li �
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SS FLOOR AREAACCESSORY BUILDING REQUIREMENTSlChapters - 2 ®® Uj
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M , p Lot Area Gross Floor Area Height Side/ Rear Setback Accessory Building Area Lot
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(square feet) (square feet) (feet) (feet) (square feet) Coverage . ;
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20,000 (MAX.) 10(MINIMUM) 1, (MAXIMUM) (MAXIMUM)
SEE F 2 FOR ZONINGL m