HomeMy WebLinkAbout49655-Z ,� ata 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 #: 49655 Date: 9/7/2023
Permission is hereby granted to:
Weathers Revocable Trust
2047 Arlington Ct
.__............ ._
Houston, _._ _._......�
TX 77008
..................___
To: Demolish existing deck and legalize new "as built" deck addition to an existing
single-family dwelling as applied for.
At premises located at:
336 Oak St, Cutcwhogue _. _.. ._ ._..._._._._.......... ..
SCTM # 473889
Sec/Block/Lot# 136.-1-25
Pursuant to application dated 8/1/2023 and approved by the Building Inspector..
p __......................5.
To ex ire on 3/8/20 ITITmm
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $487.20
CO -ADDITION TO DWELLING $50.00
Total: $537.20
........ . / w.........__..........
Building Inspector
a TOWN OF SOUTHOLD—BUILDING DEPARTMENT
� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Fax 765-9502I ://we�wrww.southoldtownn
631 Dov
Telephone (631) 765-1802 ( )
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Ohly p
PERMIT NO. Building Inspector: six AUG 2023
Applications and forms must be filled out in their entirety. Incomplete TJILD'I' G.I^)T
TT-
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:The Weathers Revocable Trust SCTM# 1000-136-1-25
Project Address:335 Oak Street, Cutchogue, New York, 11935
Phone#:713-426-0958/713-202-3647 Email:lweathers@krimshaw.com
Mailing Address:2047 Arlington, Houston, Texas, 77008
CONTACT PERSON:
Name; A /—
S � l ;
Mailing Address: 6 p '5 (pU /l/
Rhone#: Email:
a A P . n cT
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
I
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
they a v C $
Will the lot be re-graded? ❑Yes PO Will excess fill be removed from premises? Ayes ❑No
1
PROPERTY INFORMATION
Existing use of property: (.. r" , gfj,. Intended use of property: S4 AfIE
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes o 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 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): 5
C#W4)0r2_ uthcirizod Agent ❑Owner
Signature of Applicant: Date I Z 3
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: r No.01 BU6185050
COUNTY OF ) Qualified in Suffolk County
Commission Expires April 14,2
being duly sworn,deposes and says that(s)he is the applicant
( signing )
Name of individual si nin contractabove named,
(S)he is the AR-C'14aFea 1'.,14&&W/
(Con ra "or,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
1-4A.4— dayof
Notary Public
PROPERTY OWNER,AUTHORIZATION
(Where the applicant is not the owner)
Lloyd Ray Weathers residing at 2047 Arlington Street Houston,
I,
Texas, 77008 do hereby authorize Mark K. Schwartz to apply on
my,behalf to the To Southold uIlding Department for approval as described herein.
2 0 �
o ner"s Signatu � Date
Lloyd Ray Weathers, Trustee,
Print 0 rsName
2