HomeMy WebLinkAbout50299-Z TOWN OF SOUTHOLD
�o ay BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 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 #: 50299 Date: 2/5/2024
Permission is hereby granted to:
Scaringe, James
26 Pearson Ave
Somerville, MA 02144
To: construct deer fence as applied for.
At premises located at:
1180 Greenway W, Orient
SCTM #473889
Sec/Block/Lot# 15.-1-23
Pursuant to application dated 1/10/2024 and approved by the Building Inspector.
To expire on 8/4/2025.
Fees:
DEER FENCE $100.00
Total: $100.00
Building Inspector
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST) N
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FINAL
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o�gufFOLKell TOWN OF SOUTHOLD—BUILDING DEPARTMENT
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y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownny.Rov
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Date Received
APPLICATION FOR BUILDING PERMIT
El:
For Office Use Only Iy )
PERMIT NO. BuildingInspector: JAN
2024
Applications.and forms must be filled out in their entirety.Incomplete ITI.D. r� �,�„y„
applications will not be accepted. Where the Applicant is not the owner,an =` "='^ r l k
Owner's Authorization form(Page 2)shall be completed.._
Date:
OWNER(S)OF PROPERTY:
Name: htp t- -Ro/jimeJv J u 1,-Ats Sc-a H n e, SCTM#1000-
Project Address_ l�q J-i'
_.._ --
Phone#: Email:
Mailing Address:
Address:
CONTACT PERSON: .
Name: P4 64p—T)
Mailing Address: (`�P—e,n W,C-A
Phone#: Email__- _ _ 6![A(-�[_t\gll �1��Da Cp
-- - - - b_I - -_l-g 5 - — - -- -
DESIGN PROFESSIONAL-INFORMATION:
Name: � L
_.-._ � 1._ 2 -__._ N._ _- -----____.. _ .__. -- ._-.---_.____.__.-.__.__... -.--_._.._.___._.- ------_-----
Mailing Address:
Phone#: �—� Email:
CO NTRACTO R'I N FORMATION: -
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
[;9Other Deer -Fet\k-e- 5 DO • D D
Will the lot be re-graded? ❑Yes pNo Will excess fill be removed from premises? ❑Yes o
1
PROPERTY INFORMATION
Existing use of property: nn_ Intended use of property:
Zone or use district in which premises is situated: Are there ahy covenants and restrictions with respect to
this property? ❑Yes 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 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 ame): A�� Jti(/�Lr /JUS�� ❑Authorized Agent Ea/wner
Signature of Applicant: Date:
- - - -- CONNIE-D.-BUNCH -
Notary Public,State of New York
STATE OF NEW YORK) No.01BU61"85050
SS: Qualified in Suffolk County
COUNTY OF
Commission Expires April 14,2��
)
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
1 day of JGI 1'>L( 20 9Ll
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
4 ,.
APPROVED AS NOTED
DA B.P.#
FEE Br
NOTIFY BUILDING DEPART AT
631.765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO RE01 I!^�!?
FOR POURED CONCR=""
2. ROUGH-FRAMING i
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD TOWN A
SOUTHOLD TO PLANNING BOARD
SOUTHO OWN TRUSTEES
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