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HomeMy WebLinkAbout50585-Z TOWN OF SOUTHOLD r BUILDING DEPARTMENT "G TOWN CLERK'S OFFICE a4e 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 #: 50585 Date: 4/24/2024 Permission is hereby granted to: Healy, Janet 195 Mathews Ln Cutcho ue, NY 11935 To. replace pool fence as applied for. At premises located at: 195 Mathews Ln, Cutcho ue SCTM # 473889 Sec/Block/Lot# 84.-1-15 Pursuant to application dated 3/15/2024 and approved by the Building Inspector. To expire on pppp10/24/2025. Fees: ACCESSORY $125.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $225.00 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 http :l/www.so,uth ldtownny. y Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector., MAR 5 rGririr /ri dp�Slca#i � and fc�rrt»sUs#b11l�edn,hir en#I� #y 1rhpl /j///ir %�✓/ /r /i// / % r� ""r i//%//r r//%i///i//%/i�%/rr rr/ %ii// %rr�, �/i /4%j/M-111, .".,r pP( � czr�s,Gutf) t � cert SI �r „ p1(c�Int Is roof the�wher an .. r Date: 3 OWNERS)OF PROPERTY Name: \� � SCTM# 1000- J Project Address: S �✓1�E��„e,ti,� Lv� Phone#: 10 Email: kqv-V'-"-s C� Mailing Address: CONTACT PERSON: Name: Mailing Address: q r , Phone#: 9 5-Z.S Email: ��� � �3 V%46,1 cams" DESIGN PROFESSIONAL"INFORMATION: Name: s� Mailing Address:. Phone#: Email: CONTRACTOR INFORMATION: Name: A Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition AI''teration DR e air ❑Demolition Estimated Cost of Project: E❑Other C L j= E ti L L --l�-C (`n /1- 5 ©C� Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ZY'-es ONO 1 PROPERTY INFORMATION Existing use of property: 00r., Intended use of property: p Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes 2 o 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 name): - "S. ❑Authorized Agent ❑Owner Signature of Applicant: " Date: CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 Qualified in Suffolk County SS:COUNTY OF Commission Expires April 14,2� l/ ) 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® 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) 1, 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. 5 1, , i . �'t}, 1 •• �•^ I i v:� -au 5'I .A. I I wz ;� ; r �J`l:. -tau•, tV..�-:... A ..�'�,�, •. .. - ..• �fr� .0,45 E. 19.t3� r J ! .' (VACANT) r ✓ ' 01 r r� C �y���yrr t !' _ • •j{. R� a'l'' •t � • y' ( ,t3"' �Ql.✓r�.� 1, `� � ,�;.".may 1'L. ,��• ;1 .1 1 - Gtl�tP, Qom' i' I .,- _�L« , :R;� _(��jJ�.,�/(�V�� ,,� J ,�'./• 1, .. '_ ..'JY. ,yp�'ti` ;yr,''Jl.•� Ali ra Wi or MAIM � •F'�-', •� �a .�:i •. '.yam'. �� � .. ..• �.�,� �. ,ter r, .Cr•: .. K .. _ .. •• ,. ... .; rM�•.I�S,�1 :i•....:lcllv.'�1w f•R'Vrl.r"3C�'.�•',. = ';' .. r•- �� _ ;i Shalt 1 c i .. •t.t '� /' -. j^J.'..•,:Q1S9S If+Q`r:3irh�IINP �T fl.� :.�,^t� ^ �R�taiDBf+lCE� L� i•'�4�J ar,;Y 1•,v,r,s`�rsan lo+Wh��r.'yi t..; ar.6 an hle trrS;':'`o(,.•,tr^.rl _ ly+�/ is i.rr•.•:':1. �..lr)t�vi¢fti9 � .' 1 (• _ I© I a,..:a,r"..i r•.ilY'u fR37i110�'l'�� "'�` 1, � +;� 4C iYti t�''a.rRiaae�@fa IiWt VCa`:ai;f1r\� ,•1 ' gyp.• a� 9Y+:dfS:. ':�,� %Of NFL, i S E1E45_CQUN'1•Y RAD�1a.Esit-1FwNL•' 1 a :9 . ,,a.�.��• rr 'Sx.� ' SOUTWOLD N.Y. YZ is SEEM t•