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HomeMy WebLinkAbout50817-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#: 50817 Date: 6/13/2024 Permission is hereby granted to: Martin, Liam PO BOX 165 ............. .......................... Orient, NY 11957 To: Construct an 8 foot deer fence with required pool barrier protection to an existing single-family dwelling as applied for. At premises located at: 1640 Calves Neck Rd, Southold SCTM # 473889 Sec/Block/Lot# 70.4-39.1 pp ............4 and approved by the Building Inspector. Pursuant to application dated 5/2/202 _w_ To expire on d. 6/13/2025.mmmmmm Fees: DEER FENCE $100.00 Total: $100.00 _.........................Js Building Inspector xta�sn ry rsaM I tw TOWN OF SOUTHOLD—BUILDING DEPARTMENT A Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 (141"s i� Telephone (631) 765-1802 Fax (631) 765-9502 jitt s,//www.southol(Itownjiy.gov Date Received" APPLICATION FOR BUILDING PERMIT iI C r For Office Use Only PERMIT NO. ✓o�/ Building Inspector:A�1& MAY 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: OWNER(S)OF PROPERTY: Name: Liam Martin SCTM # 1000-70-4-39.1 Project Address: 1640 Calves Neck Road, Southold, NY 11971 Phone#:631-734-7923 (Agent) Email: Creativeenvdesign@yahoo.com Mailing Address: CONTACT PERSON: Name:David Cichanowicz/ Creative Environmental Design Mailing Address: P.O. Box 160, Peconic, NY 11958 Phone#: 631-734-7923 Email: creativeenvdesign@yahoo.com DESIGN PROFESSIONAL INFORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:Creative Environmental Design Mailing Address: P.O. Box 160, Peconic, NY 11958 Phone#:631-734-7923 Email:creativeenvdesign@yahoo.com DESCRIPTION OF PROPOSED CONSTRUCTION []New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other Deer Fence $ Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes ❑No 1 PROPERTY INFORMATION Existing use of property: Residential Intended use of property:Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes *No IF YES, PROVIDE A COPY. H 0heck Box After Re:dh1g. 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, David Cichanowicz/Creative Environmental Design Application Submitted B (print name): Authorized Agent ❑Owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Suffolk ) David Cichanowicz 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 S day of , 2021- Notary Pubficf PENNY LOUI E MAIFFETONE NOTARY PUBLIC,STATE OF NEW YORK ry ,.._.. d_.ww N Registation No.01MA8402379 (Where the applicant is not the owner) Qualtfled In `*County CommlBelon residing at do hereby authorize David Cichanowicz/Creative Environmental Design to apply on my behalf to the Town of Southold Building Department for approval as described herein, Owner's Signature Date Liam Martin Print Owner's Name 2 PROPERTY INFORMATION m Existing use of property: Residential Intended use of property:Residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes®No 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 220.45 of the New York State Penal Law. David Cichanowicz/Creative Environmental Design Application Submitted'R (print name): BAuthorized Agent ❑Owner Signature of Applicant: Date: 51) J e o�L l STATE OF NEW YORK) SS: COUNTY OF Suffolk ), David Cichanowicz 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 Sd 10 ' � dayof 20 �/ ... Notary Pubficf PENNY LOUkSE MAFFETONE ,STATE OF NEWYORK PROPERTY OWNER WJ°�1HORI T11 IN Nr�T gfta C to No.OIMA6402M (Where the applicant is not the owner) old In Suftk County '20V I, Liam Martin residing at 640 Diedricks Road Orient NY David Cichanowicz/Creative Environmental Design do hereby authorize to apply on my b6h If to the T,Ow o Vaut�ho,Id~ Ilding Department for approval as described herein. 1 May 1 2024 Owner's Signature Date Liam Martin Print Owner's Name 2 Suffolk County Dept.of Labor,Licensing&Consumer Affairs HOME IMPROVEMENT LICENSE Name DAVID J CICHANOWICZ Business Name INDIAN NECK CORP DBA This certifies that the bearer is duly licensed License Number H-29895 by the County of suffolk Issued: 12/13/2001 Jerulifer Cabrera, Expires: 12/0112025 Commissioner �t Y' t 435' FENCE I I_•�I'I I II - - - - - - • - -- - _y C COOP,PE �. - - - - - . - - - ' E , RE,E � T T.R (QNNd��O�jN' ••- cu rdn 15x3O Co POOL O cu E c: >,POOLIDEED FENCE 5TRETT EE5 .0 U) LJJ DECK U cu RE510ENCE BILOO 5TREET TREE5o0 x �, FRONT All ll� PROP05E0 FOOL PEER FENCE LOCATION GARAGELIAMRTIN : OWNER 5CTN# 1000-70-4-39.1CL c FLOWERING FLO IN TREE '426STEL EDGING U) _ - _ _ - _ - - - - . _ _ . _ - - - T TRE5 STREET TREES PROP05EDSCREN PLANTING1, 7 T IC- I S- N O . . 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