HomeMy WebLinkAbout50773-Z r 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 #: 50773 Date: 6/3/2024
Permission is hereby granted to:
Fahey, Richard
39 Canterbury Rd
Rockville Centre, NY 11570......_._._.....-......... ... ..........._...... .... �r �... .................... ..
To: Construct deck addition "in-kind" replacements and repairs to an existing single-family
dwelling as applied for
At premises located at:
480 Kouros Rd, New Suffolk
SCTM # 473889
Sec/Block/Lot# 117.-6-19.3
Pursuant to application dated 4/22/2024 and approved by the Building Inspector.
To expire on 12/3/2025.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $741.00
CO-ADDITION TO DWELLING $100.00
Total: $841.00
---------------- _�.
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 littl)s://www y. oo til ldto n ,,, �'
Date Received
APPLICATION FOR BUILDING PERMIT
71
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FDr Office Use only
PERMIT NO. 50� Building Inspector: Jof
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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:4.18.24
OWNER(S)OF PROPERTY:
Name:Pamela Fahey SCTM#soon-117.-6-19.3
ProjectAddress:480 Kouros Rd. New Suffolk
Phone#:41-79-278-63-00 1Email:pamela fahey@yahoo.com
Mailing Address:4 Cambridge Drive Massapequa
CONTACT PERSON:
Name:Joan Chambers
Mailing Address:PO Box 49 Southold NY
Phone#:631-294-4241 ::]:E:m::ail:joanchambersl 0@gmail.com
DESIGN PROFESSIONAL INFORMATION:
Name:Lou Schwartz
Mailing Address:7 Ridgewood Sr. Bay Shore NY 11706
Phone#:631-410-6838 Email:tiderunnereng@gmail.com
CONTRACTOR INFORMATION:
Name:Even Keel Home Services Wayde Bennet
Mailing Address:240 Mailer Ct. Southold NY
Phone#:1-516-322-8801 Email:rwbennett@optonline.net
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration WRepair ❑Demolition Estimated Cost of Project:
❑Other existing deck re-surfacing, new handrail and repair of deck framing. $
Will the lot be re-graded? ❑Yes ' No Will excess fill be removed from premises? ❑Yes IgNo
I
i
PROPERTY INFORMATION
Existing use of property:residential Intended use of property:same
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 this property? ❑Yes ANo IF YES, PROVIDE A COPY.
Check Box Aftc r 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 15 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):Joan Chambers JjAuthorized Agent []Owner
Signature of Applicant: Date:
CONNIE D.BUNCH
STATE OF NEW YORK Notary Public,State of New York
No.01 BU6185050
SS: Qualified In Suffolk County
COUNTY OF ) Commission Expires April 14,2 Czar
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 Agent
(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
Q 1
ac)--crN-0 day of 20-dj
Notary Public
(Where the applicant is not the owner)
residing at
do hereby authorizeJoan Chambers to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
2
Owner's Signature Date
Print Owner's Name
2
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ALL EXISTING DECKING TO BE REMOVED. — I _d I — — — — — — _ I ( — — -------------- ---------- ---- — --—— --- -- --
- - - - - - - -{— ;' —Y , ( - -- 1 - - - - - - - -� — I- - - - - - - - SIZE OF DECK WILL NOT VARY -- —
EXISTING DECK JOISTS, LEDGER & GIRDER --""—"--
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EXISTING MASONRY PIERS TO REMAIN. I 25•' 25" 25" 25' I OF EXISTING DECK. INSTALLED ACCORDING To------ -- —
_.--.___-___-___________-- -----------_--_- - - --MANUFACTURERS DIRECTIONS------------------ ui
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FASTENED TO ( 3 ) 2X8 ACQ GIRDER.
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W/ DECK
STAGGERED.
PLAN &
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SIMPSON H2 CLIPS OR EQUIVALENT. HOUSE SECTION
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DECK SECTION AR�FESSIONP�
112 " = 1 ' — O " 3 . 2 2 . 2 4 JOAN CHAMBERS
(631)294-4241