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Home My WebLink About49733-Z TOWN OF SOUTHOLD foSUFFoi BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, NY L z ,� 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#: 49733 Date: 9/20/2023 Permission is hereby granted to: Lopez, Fausto 3200 Peconic Ln Peconic, NY 11958 To: Demolish an existing accessory shed (8 x 16'2") as applied for. At premises located at: 3200 Peconic Ln, Peconic SCTM #473889 Sec/Block/Lot# 74.-3-14 Pursuant to application dated 8/25/2023 and approved by the Building Inspector. To expire on 3/21/2025. Fees: DEMOLITION $138.70 Total: $138.70 Jf)i) Building Inspector r �o��SOffO[�coGy TOWN OF SOUTHOLD—BUILDING DEPARTMENT z Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy�0• �a�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtowrmy.go Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only D PERMIT N0. l L� 1(� Building Inspector.J11A 5 2023 i.J AUG 2 �" Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an BU11DING DEPT. Owner's Authorization form(Page 2)shall be completed. TOWN cr sOI1nw.1--m, Date: $ P 2 3 OWNER(S)OF PROPERTY: Name:. ._ � h .._ ..... .._...._.. _._.... . . ._.._.__.. SCTM#1000- L f,, 3 •. _._.. . .. . . .. - Project Address: r Phone#: Email: J f ,2Df ,G� �4�P,�. G'g Mailing Address: 3�6.rT_.. ._ /`I '�✓__.. /Rw_ .."-� 4 �✓�O�r...._-..__ !_ .. _ !_l .`f`%._.___.____. :.. ... . .. ... .. CONTACT PERSON: Name- - . A4,Yf Iq 6;9vC . Mailing Address: Phone#: Email: DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone•##: Email: - - -- CONTRA.'C ,INFgRMAtIl6 (: aM Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition [--]Alteration ❑Rep it Dem lition Estimated Cost of Project: ❑Other W21 $ ov Will the lot be re-graded? Eyes ONO Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Intended use of property:. Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? Dyes ENO 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 1S 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 fortrem oval 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. ; _...._thorized Agent 'Owner Application Submitted:By(p�int.na e): ❑Au„_-___..__..__-_.._._____...._.. ._ Signature of Applicant: '— _ Date: STATE OF NEW YORK) .SS: COUNTY OF 'S It ) 610nd-_Q being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the Dl n e R (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 fi� _day of Aunus4 20_a Q tk4 d UJUeA 61ary Public DWYER PROPERTY OWNER AUTHORIZATION TRACEEOF NE I+IQTAAY PUSLlC,STATE ONEWYORK (Where the applicant is not the owner) NO.01DW330680f) QUALIPIED IN SUFFCLCOUNTY COMMSSION EXPWS JUNE a2gZ( 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 DRAWN NN CHECKED NN I DATE Off 2020ORAWINC J�NO, 2Q^9S1 THE EXISTENCE OF RIGHTS OF WAY UNAUTHORIZED ALTERATION OR ADDITION AND/OR EASEMENTS OF RECORD IF TO THIS SURVEY IS A VIOLATION OF ANY, NOT SHOWN ARE NOT SECTION 7209 OF THE NEW YORK STATE GUARANTEED EDUCATION LAW _ COPIES OF THIS SURVEY MAP NOT BEARING Area 24,638 s.f. THE LAND SURVEYOR'S INKED SEAL OR Premises known as; EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY # 3200 Peconic Lone, Peconic GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. GUARANTEES ARE NOT TRANSFERABLE �ooal �`s' �y'� o�S � ,,• tam a � Ol 2r 1.0 'Ca 01.E �i'01 �al�i 40 � a 6 gS`'ryeePo>>� 26,%• 1010 pp 4 �,�ime ✓� t gyp' 0- % y 6 / ®�/� ppe 4 ek a �` n�{ Certified to: BANYAN TITLE AGENCY, INC. (BANYAN AN 7877-20) Survey of Described Property CALIBER HOME LOANS INC„ ITS SUCCESSORS AND/OR ASSIGNS situate at FAUSTO LOPEZ Peconic Town of Southold Michael W. Minto, L.S.P. C. Suffolk County, New York LICENSED PROFESSIONAL LAND SURVEYOR NEW YORK STATE LICENSE NUMBER 050871 District 1000 Section 74 Block 3 Lot 14 87 Woodview Lane Scale 1 "= 40' Surveyed October 15, 2020 Centereach, N.Y. 11720 GRAPHIC SCALE PHONE/FAX: (631) 580-1202 CELLULAR- (631) 766-9714 0 Pa 40 Ila +sv `�� EMAIL mikemintolspc®gmrnl.com ( IN FEET ) 1 inch = 40 Pt