The URL can be used to link to this page

Home My WebLink About49621-Z : TOWN OF SOUTHOLD a +� ff 014, 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#: 49621 Date: 8/25/2023 Permission is hereby granted to: Garrels Gerald PO BOX 114 Orient NY 11957 To: construct additions and alterations to existing single-family dwelling as applied for. At premises located at: 370 Munn Ln, Orient SCTM # 473889 Sec/Block/Lot# 17.4-1 Pursuant to application dated 7/19/2023 and approved by the Building Inspector. To expire on 2/23/2025. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $569.60 CO-ADDITION TO DWELLING $50.00 Total: $619.60 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 htt: ://wwA. otithol townii: . ,ov Date Received APPLICATION FOR BUILDING PERMIT t : For Office Use Only r PERMIT NO. " � Building Inspector:- JUL 1 9 2023 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an g Owner's Authorization form(Page 2 shall be completed. t Date:7/19/2023 OWNER(S)OF PROPERTY: Name:Richard Hoblock - Gerald Garrels =CTM # 1000-17-4-1 Project Address:370 Munn Lane, Orient Phone#:310-508-5394 1 Email:hoblo3@aol.com Mailing Address:PO Box 114, Orient, NY 11957 CONTACT PERSON: Name:Michael Hand Mailing Address:P01256, Mattituck, NY 11952 Phone#:631-965-1947 Email:michael@mchdesignservices.com DESIGN PROFESSIONAL INFORMATION: Name:Jim Deerkoski Mailing Address:400 Deer Path, Mattitck, NY 11952 Phone#:631-771-7355 Email:jamesdeerkoski@yahoo.com CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure *Addition WAlteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $100,000 Will the lot be re-graded? ❑Yes IRNo Will excess fill be removed from premises? ❑Yes @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 R40 I this property? XYes ❑No IF YES, PROVIDE A COPY. ❑ Check Box After Re i f1 : 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):An I ft SChum cher IgAuthorized Agent ❑Owner Signature of Applicant: Date: 0- r�i'��pZ3 STATE OF NEW YORK) SS: COUNTY OF U r- ) x �� 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 1'1 ' .day of U ,20* 3, No �Pu ic SES RLY L RINGHOFF t4olary Public,State Of New York PROPERTY AUTHORIZATION RegistratiOn No.0*16,30set , .. ...... Qualified in Suffolk Count r (Where the applicant is not the owner) CommlWon Explm rM y 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 mm 2C Scott A. Russell STO]KI��1 WA\T]E]k SUPERVISOR SOUTHOLD TOWN H ALL-P.O.Box 1179 _µ MANAGEMENT (� { 53095 Main Road-SOUTHOLD,NEN YORK 11471 � TQ W n qf�J U u4 h o l] d 1" CHAPTER 236 - STORMWATER MANAGEMENT REFERRA.L FORM i APPI 1( ANT INFORMATION TO BE. COMPI.F:IFED ICY "THF, APPLICANT � C i 'LY FOR PROPERTIES ONE ACRE IN AREA - _ - - - .-. _ - _ - - _ - - - - - - _APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: y,,,,c , . 1 _ Date: �p Contact Information: 0IT t-A .- fE blad Tcleph:me Nnmherl —7 Property Address / Location of Construction Site: 7 c S.C.T.M. #: 1000 District w , Section Block L_ of n BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Area of Disturbance is less than I Acre. No S.P.D.E.S.Permit is Required! 0 Project does Not Discharge to Waters of the State. No S.P.D.E.S.Permit is Required! 0 - Area of Disturbance is Greater than 1 Adre&Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S.Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Buildigg Permit. - Area of Disturbance is Greater than 1 Acre&Storm-water Runoff Flows Through Southold f Town's MS4 Systems to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit throw h the Southold Town Englneering Department Prior to Issuance of a Building Permit, I Reviewed By: Date. 1 o FC'iR hQ 0 C7u1('P-T(lC(lrtnlpr 7(114 C' iR3 �- u� eCC' LV3 � ZIVR\/EY OF PROPERTY 5'hM=TOM SOUTHOLt> N iSuFf=oLrCZXJNIY, W —EUC�lCS (RIGHT OF WAY) 1Le�AVIC' W E FOL t_'�._assa'Ti' */�sL=- :. E— 839�}}!' __ Y �"� TAS$� e _a. _= aca_ _=®16450' _--------- ------------ -- - -- - =s_ i2 STORY V LAND NOW O FO - Y OF CS ,J REID A- - �+1 -tAr+AFFY .,.. FRAME g HOUSE � s ® L � ILo I N� 00 A $ rn >70 �c o =rn FRAME M A GARAGE Z-C U LAND NOW Q ORF D REID A.MASiA��Y A F+ t G e t e N83031'00"W 2 � y L_ ot 281.45'NET ' I LAND NOW OR FOR €? Y OF - a NOTES; Dr A WILLIAM W 5rI [g�R[ WF Y+ Cl. f v �".. 9 � MONUMENT FOUND {� �• _ _ O PIPE FOUND y- - POST FOUND CERTIFIED TO: I = - .lAY MALCOLM KEWEDY eARa AREA= 46,206 SF OR 1.06 ACRES F[R5T AMERiGAN 7PTLE d GE COMPANY OF NEN YORK JOHN .. FREERS LAND SURVEYOR A A�5TI2 P,. NORTH FOl$?C�A 6RAPHIG SALE I"= 30' 6 EAST MAIN STREET N.Y.S.LIC,N0.50202 RIVERHEAD,N.Y.11901 �$ — 369-8286 Fax 369-8287 REF.-\\Hp server\dTROS\01-156.pro