HomeMy WebLinkAbout50282-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
a ;w� SOUTHOLD, NY
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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#: 50282 Date: 1/31/2024
Permission is hereby granted to:
Nerreau Brian
105 Mountain Laurel Rd
Fairfield, CT 06824
To: legalize "as built" accessory garage as applied for. Additional certification may be
required.
At premises located at:
705 Wood Ln Peconic
SCTM # 473889
Sec/Block/Lot# 86.-6-8
Pursuant to application dated 11/2/2023 and approved by the Building Inspector.
To expire on 8/1/2025.
Fees:
AS BUILT-ACCESSORY $660.80
CO-ACCESSORY BUILDING $100.00
Total: $760.80
Building Inspector
Authen[isign ID:667CFADA-756F-EE11-9937-6045BDD47265
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 lilt ,://www..sotttholdtownny
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only r P w
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Building Inspector.
PERMIT NO. .. r
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Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:10.13.23
OWNER(S)OF PROPERTY:
Name:Brlan & Shari Nerreau SCTM# 1000-86-06-08 -
Project Address:705 Wood Lane Peconic
Phone#:203-913-3149 203-258-9305 Email:snerreau mail.com
Mailing Address:105 Mountain Laurel Rd. Fairfield CT 06824
CONTACT PERSON:
Name Joan Chambers
Mailing Address:PO Box 49 Southold NY 11971
Phone#:631-294-4241 Email:joanchambers10 mail.com
DESIGN PROFESSIONAL INFORMATION:
Name:LOu Schwartz
Mailing Address:7 Ridgewood St. Bay Shore NY 11706
Phone#:631 -410-6838 Email:tiderunneren mail.com
CONTRACTOR INFORMATION:
Name:as-built garage
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
[]NewStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project;
❑Other as built garage
Will the lot be re-graded? ❑Yes 5il No Will excess fill be removed from premises? ❑Yes W No
1
Authentisign ID:667CFADA-756F-EE11-9937-6045BDD47265
PROPERTY INFORMATION
Existing use of property:Resldential Intended use of property:same
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-4othis property? ❑Yes *- No 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 buildingls)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):)oa n Chambers @Authorized Agent ❑Owner
Signature of Applicant: Date:
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01 BU6165050
SS: Qualified in Suffolk County
COUNTY OF ) Commission Exp; April 14,2-�
Joan Chambers being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Ag ent
(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 11 /
day of N�� Y � 20 d�� �'�� �Y1
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
Brian Nerreau 105 Mountain laurel Rd., Fairfield CT
,residing at .
do hereby authorize Joan Chambers to apply on
my ber�fAw-i
f,„�a Town of Southold Building Department for approval as described herein,
4v I4 Mt;,1141 '+
Nerreau 10/20/23 10/20/23
Owner's Signature - Date
Shari Nerreau Brian Nerreau
Print Owner's Name
2
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CoA 776 �= E L E VAT I O N S
'��FESSIONa
8 . 20. 23
Ss\ers JOAN CHAMBERS
�� (631)294-4214