HomeMy WebLinkAbout50329-Z ' 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 #: 50329 Date: 2/12/2024
Permission is hereby granted to:
Magenta Cap Mgmnt LLC _
520 E 86th St
New York, NY 10028
To: construct horse shed (#2) as applied for per Planning approval. Future relocation will
require approvals.
At premises located at:
13945 Oregon Rd, Cutcho ue
SCTM # 473889
Sec/Block/Lot# 83.-2-9.3
Pursuant to application dated 1/9/2024 and approved by the Building Inspector.
To expire on 8/13/2025.
Fees:
NEW COMMERCIAL, ALTERATION OR ADDITIONS $400.00
CERTIFICATE OF OCCUPANCY $100.00
Total: $500.00
Building Inspector
� r 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 lltti)S,'//WNVW, OL]tliol,dtow,ml-Y..ao ,
Date Received
BUILDINGAPPLICATION FOR
W
For Office Use Only �
PERMIT NO. Building Inspector: ,J Hr,
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: 2 12-12-
OWNER(S)
ZOWNERS)OF PROPERTY:
Name: '+P-1
MIft � SCTM# 1000-
Project Address: 13gys )RE(70N �� • Cu&4,q !,( e
Phone#: Email: �/
Mailing Address: So2Q F ac-6s �3 !vew '/LIC N/
CONTACT PERSON:
Name: KA-4i Ie2✓L e ro 5 e-
Mailing Address: 3-;?-d Sr. �13 N/y, NIV
Phone#: .)! 7 30 I '30 q3 Email: - ke7o/etvse me •com
DESIGN PROFESSIONAL INFORMATION:
Name: "t „�"�"(04-<4 I 0
Mailing Address: �'7 onJ A Scc ,'4r— 0201 New 02K
Phone#: R'0 8 - ' `(o - ( r0 L/4/ Email: �T��7 M rD -3i0 .CO
CONTRACTOR INFORMATION:
Name:
Mailing Address: S i r �S 3)r'r}1,1 1 S , S✓LL
Phone#: S/t'p g0 7 -,?-57 -5-
02-.57 -5- Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other tfgr5e. S6 10 ' K Z-0 + , v�
Will the lot be re-graded? ❑Yes 10No Will excess fill be removed from premises? ❑Yes Clio
1
PROPERTY INFORMATION
Existing use of property: 11OrSE F,- -r/`f Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
A. this property? ❑Yes Cr7 No IF YES, PROVIDE A COPY.
2-c"I'lieck Box After Reading:. The owner/contractor/design professional Is responsible for all drainage and storm enter 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 buildings)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 220.45 of the New York State Penal Law.
Application Submitted By(print name): DAuthorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF
t— being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signi g c h ct)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 20
Notary Public
PROP'ERTY' OWNE'RION
(Where the applicant is not the owner) v�
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