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HomeMy WebLinkAbout1000-79.-5-20.12 I,fxI DI INC, LX151MG LX61 ING, Ly'll"TING 314"x4(r,` 34"AG" Ft 4",[(," CA'�CMI-Nl C k,-I\A f II" ("A"ALINAFANi ("A51A.MLN7 WINDOW WINDOW W"q[)()W WINIL)OW o tD PECONIC LAND TRUST SHELLFISHER PRESERVE 102,73 NORTH BAYVIEW ROAD SOUTHOLD,NY zo FEBRUARY,2024 SCALE:1/4"_1 -0" —---------- Robert I. Brown VVIN ow Architect, P.C. Ave. GiI NY ACCf55ORY BUILDING (BUILDING #7) (-1101�111(111;1111)r ow i m rd i i I,ec t.co rn ............ 631-477_9752 x If I K5T f LOOK PLAN ............ 1)4" 1'0'- A,` F 5 11 L I ............. .......... ................. ........ now or formerly Robert Hermon ' 9nrvrging .. : r. `$1.00 ..S. r,9riW ¢ To. so ' TEgTWELL Gt z + CA,1 Ck 0 '01 ht al tix w3749, s,f. 94444 a M1 141 s.f.L0 5.74°�549„ Ma`s E"• �'" \ " q'� �n kP "'~*', a' �x4 shoo w. S pit"-v.""a'wr.pt,y� ,g7,3�49'W IV-�gp.p'. - 4•" t4,h° H3� *g p �, + ~ #�A7p"ap ' 5. 949'M[ W. .. ' ""'�,,..,.. ri ""^-.J Rxl�o.�zp�r NE�84ENO DON ,.• tL -" 35p.05Qg w 15. stp 19 7e, hG/4�13+#9`r " c 1 3�+ �a,'FLdK r"".•--^ F ,d�C�1. ai to m (t0o tape �" -NPIAt• . MIII prtp4" to r}}}kaa} �� - •! iffL 19 fl l MG} .10{ {�. �.` CE4cHj P N"#S� ""s......,�' ` !„� ' .} (4) .. .Fh4Al Ea BATE( 3ga2, 5 r75.S6' "n a a' "[`=. --"-•-97 \:/ / q carcn eastti k t eanr �. oa49.W. 7ssvo, z p p 089,s.f{ V �.r P'•,���� s t'X� ,�� �(J� oK�+. r94,e5,,.� zrar .t,tl,w /a��4•r S.6'r°57 14"E . ""� „ C A•, 13.6856 Acres n4� s, vw —80 7 ... 000"1 .:' ,W . +Ia np"ae.y.w. ..RIGMT Oa�W " + i.te t ji"-�""--=-.-._.,.emu rre LrpE.• _ "-_-.---.�._-7�-..........� .-...,, C5 /Mra p�•(.. '{ ..v 1/. u�."`. tV" !.'3'� IMI .. ,. ,wNp Z . ''k.b0f .S' N��}�-•'Yr -,WTr 41 +'7Sll,tSB' aw.a} • bti ,K � y, w�•�}� },rip �� bat 1 41 3 tl FOR INT[RNAL USE ONLY 00000 W, SITE PLAN USE DETERMINATION i^r��"�It 2 ,,1;, ? .Soi 661d-i Owr.,.�. .... initial Deterrnination Planning Board Planning ._µ..�,_..�-._..... Date' _: _._. .f.. ._../.w ... Datc Sent:_. ..._../.. '_..�_>..... ... Project Name: Project Address.- Suffolk Count i ax iota No.. 1000-� � .a, �� Zoning District: _ ......Y I __ y Request: —Lq _PEO __ c _._ cry supporting �in docun��entation as to proposed use or uses should (Note: Copy of Building Permit Application and pp g be submitted.) Initial Determination as to whether use is permitted: Initial Determination as to whether site plat, is required: Signature of f3 a� ding Inspector -------------------------------------------------------------- Planning Department (P.D.) Referral: _ __ �. --. , ✓ �� P.D. Date Received: Date of Comment: Comments: Ur CAjot 2Z2" t SignaVtre,of Planning Dep�St �Reviwer inal Qetermination Date: Signature of Building Inspector RECEIVED FOR INTERNAL USE ONLY j 8 2 SITE PLAN USE DETERMINATION I CECEIVEP] di Tin Initial Determination Planning Board � i Date: 2�—J— Date Sent: Project Name: P 'i tG Lam t Project Address_ 10 X� ) I jd Suffolk County Tax Map No.: 1000-�- - Z0, I Z Zoning Districts ::-:R © 2� Request: a � 1 z� I f1 D roo pi ) _K f. (Note: Copy of Building Permit Application and supporting documentation as to proposed use or uses should be submitted.) Initial Determination as to whether use is permitted; Initial Determination as to whether site plan is required: C4C� � 0Y) Signature of B '�inSnspector ---------------------------------------------------- Planning Department (P.D.) Referral: P.D. Date Received: �_J Date of Comment: Comments: Signature of Planning Dept. Staff Reviewer Final Determination Date: Decision: Signature of Building Inspector 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 littps:f y y.southo dtownny.gov Date Received APPLICATION FOR BUILDING PERMIT I For Office Use Only t PERMIT NO, Building Inspector: _ fi Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an r , Owner's Authorization form(Page 2)shall be completed. Date:2/21/2024 OWNER(S)OF PROPERTY: Name:Peconic Land Trust SCTM# 1000-79-5-20.12 Project Address:10273 N Bayview Rd, Southold, NY 11971 Phone#:631-283-3195 Ext. 143 1 Email:jwilson@peconiclandtrust.org Mailing Address:296 Hampton Road, Southampton, NY 11968 CONTACT PERSON: Name:Jacqueline Wilson Mailing Address:296 Hampton Road, Southampton, NY 11968 Phone#:631-283-3195 Ext. 143 Email:jwilson@peconiclandtrust.org DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 0 Other Education Building#7 needs CO $ Will the lot be re-graded? ❑Yes RiNo Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of property:Education & Aquaculture Intended use of property:Education & Aquaculture Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R40 this property? Yes ONO IF YES, PROVIDE A COPY. JR 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):Melanie TebbenS (Vice President) Authorized Agent ROWner Signature of Applicant: ' _ JI Date: STATE OF NEW YORK) SS: COUNTY OF SOCC-0 ._It ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, §§ (S)heisthe �sl_c—e c a c,,VJ t (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 Notary Public Kathleen Kennedy PROPERTY OWNER AUTHORIZATIOff,,tary Public State of New York :a, ai KE6047674 (Where the applicant is not the owner) Qualified in Suffolk County Commission Expires 09/05/2W6 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 rat so [off, U, vc I TOWN OF S _ YUTHOLD BUILDING DEPT. 631.7651802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. L l FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] LECT ICAL (FINAL.) [ ] CODE VIOLATION [ C/o L l RENTAL tic, A r omitA tr./ vv j s e _ 4%) ,•1G/ AT INSPECTOR FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N00 7917 Z Date ................yl.m.......ig................... 19...75. Permission is hereby granted to: ...QY21 a�—COL AX.Paradls* Aqua Farms ......................... .. —........ .................................... ........................ ......... to .......- .......... ............ ................. ................................................... ...... .................. ................ at premises located at ........................................... Southold N.Y* ............. .................................................. . ... ........— ................................... ........................ .......................... ........—....I .............. .......... ...--....... ..................—...... ..........-.......... ......--... .. pursuant to application dated ....... .............April.....30......... .. 19... and approved by the Building Inspector. 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