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Home My WebLink About50216-Z uTOWN 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#: 50216 Date: 1./.1.6/2024 Permission is hereby granted to: McFadden, Thomas 104 Jacks..... . ....�....... �.... �. .. ... m. .. Jackson Ave ... � �., _....�... ..— ....�.,.......... � 1111...... u� 11570 Rockville_Centre NY e1157 _ _______ —.............. 1111_.... .........._........ �.. _. To: Construct a front porch addition and interior alterations to an existing single-family dwelling as applied for. At premises located at: 265 Oak Dr, Southold SCTM # 473889 Sec/Block/Lot# 80.-1-31 Pursuant to application dated 11/30/2023 and approved by the Building Inspector. __.. To expire on 7117/2025. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $603.50 CO-ALTERATION TO DWELLING $100.00 Total: —_ .......................m$703.50 ........ --------------- � .. ... 1111... �..... ......- Building Inspector � t 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 https:L/www.southoldtownny-ZoV. Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector. i////ilii%illi i //�i/�% ///�%i �� //i i/ i/ // i �/i i i/�%/✓/l// �/� /// iP� i%f ii/% iiiii Date: i/13 0/2- �1F aROPERTY Name: � � � SCTM # 1000- o u J? Project Address: '' 1117/ Phone#: ld (v �Ug £S�ffs� Fill Mailing Address: lQy j-,qeK50ns ,q-ve, ,QDC,LJ;�(e ( �q�i'� A fI5 7Q CON "AGT�PERSON: Name: lOf��15 �y� r Mailing Address; 1 p� V�4 Al y Phone#: 1, 4 2-69- ff 4 gU Ema i l: T l►1 I L({ 1.1Y)�� t�,E/�Q DL r�'� DE'SIGN PROFESSIONppAC'INFORMATION: Name: M&)�Jir Mailing Address: Zy [,d7►�S�UI�f� �I� �! e , cam' A //S Phone#: Email: b PC 12-'mo 2-011 r A e-1 COITI;ACTOR�N fra �� Name: &Q(A i t"k �-fit Av ��JL� l L f� Mailing Address: L'I , V few d f ( N 7 l Phone#: 38 I _313-7 Email: T" a't5re e-hEnd A DESCRIPTION OF PROPQSED CONSTRUCTION ❑New Structure � d � > dition 11Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other M P6i17� - $ Will the lot be re-graded? ❑Yes E6*N'O Will excess fill be removed from premises? ❑Yes E�No �os��t� koli.FN �n1�FF�2P2�5�S .Z �L SLA FF6ckCoLie4tFt�l7-39+ 1) E�CK 7 s Aa"EB06-LAC- fal 1t931 t w l '7q,3 � �lLo X158 tVAIl,�c.uM PROPERTY INFORMATION ' Existing use of property: it)e—INC Intended use of property: ifQS I oe 1c-e Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to & 4 0 this property? ❑Yes FNo 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, APPLICATI 11 ON 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 remo"i or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations andlo admit authorized'inspectors on premises and in buildings)for necessary inspections.False statements made herein are punishable as a Class Amisdemeanor pursuantto Section 210AS of the New York State Pena(kaw. Application Submitted By(print name): 7j ws ❑Authorized Agent L10wner Signature of ApplicanL,;k-)yN„6 /I'l Date: (I 13v12- 3 CONNIE D. BUNCH STATE OF NEW YORK) Notary Public,State of New York No.01 BU6185050 SS: Qualified in Suffolk County COUNTY OF ) Commission Expires April 14, 2ODL/ 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 day of , M 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 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 LOT •as GRAUAa 301.60 { _ N .� LOT-45 o i. �r aVt .TON "• gA5.70 a p - ?go I Al ►SOUSE � _ � L o I}� 01 IN`GUtia UP OF PROPERTY SCALE 201= I° SURVEYED FOR O= IRON PI E JUN L. W A R R T - AUARANTEEO 70 Tub AIAER16AN TtTLE• SITUATE AT INSURANCE COIAPANY AND TO TWE- OT HEOT E' � S 0 UT Ia 0 L n �"� � SOU7IIOL0 50.YINfi5 BANK SURYE-YE - APRIL 11,1972 "° '"°'�""N" LOT NUTABERS SNOWN RMRTO • BLOCK L•, ".nA....c "AAP OF REYOON $s 01tE FIIEp IN TUE TOWN OF SOUTNOLD, W.Y. -w,�„ VAN T U Y L & S O N SUFFOLK COUNTY CLE21V OFFICE AS R V�1� IAAP NUMBER- 631 „ LICENSED LAND SURVEYORS GR6EIyPORT, N(=W YORK