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HomeMy WebLinkAbout50973-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
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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#: 50973 Date: 7/23/2024
Permission is hereby granted to:
Campbell, Kathryn _....._................._ ...
Attn: Sullivan & Cromwell
�.._....... _._. ...........................
125 Broad St
._.... ._..�........................................................................
_...� ...
New York, NY 10004
To: Construct an accessory garage to an existing single-family dwelling as applied for.
At premises located at:
757 Orchard Rd, Southold
SCTM #473889
Sec/Block/Lot# 66.-2-10
Pursuant to application dated 4/24/2024 and approved by the Building Inspector.
To expire on 1/22/2026.
Fees:
ACCESSORY $368.50
CO-ACCESSORY BUILDING $100.00
Total: $468.50
Building Inspector
tl " TOWN OF SOUTHOLD—BUILDING DEPARTMENT
�i Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502 littps://Nvww.solitli ld'toA�ntr o
Crate Received
PERMITAPPLICATION FOR BUILDING
For Office Use Only
e
PERMIT NO. �� Building Inspector:
t a
Applications and forms must be filled out in their entirety. Incomplete ID'
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:April 23, 2024
OWNER(S)OF PROPERTY:
Name:Kathryn A. Campbell SCTM # 1000-66-2-10
Physical Address:757 Orchard Road, Southold
Phone#:631-856-0481 Email:kathleeenpittari@gmail.com
Mailing Address:Same
CONTACT PERSON:
Name: Robert E. Herrmann, En-Consultants
Mailing Address: 1319 North Sea Road, Southampton, NY 11968
Phone#:631-283-6360 Email:rerrmann@enconsultants.com
DESIGN PROFESSIONAL INFORMATION:
Name: Ural Talgat
Mailing Address:436 7th Street, Greenport, NY 11944
Phone#:631-477-8963 Email:
CONTRACTOR INFORMATION:
Name:N/A
Mailing Address:
Phone#: Email:.
DESCRIPTION OF PROPOSED CONSTRUCTION
BNewStructure ❑Addition ❑Alteration ❑Repair ODemolition Estimated Cost of Project:
❑Other construct 20'x 24.33'garage in-place of existing 16.4'x 24.3'garage. $
Will the lot be re-graded? ❑Yes iiiiiiiNo Will excess fill be removed from premises? ❑Yes ®No
1
PROPERTY INFORMATION
Existing use of property;.Residential, 1—fanrLly dwelling Intended use of property: No change
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R—_40 this property? ❑Yes ®No IF YES, PROVIDE A COPY.
"Ili Mill° III fox A e 'U U 10 a4 The owner/contractor/design professional is responsible for all drainage and storm water Issues as provided by
Chapter 236 of the Town Code. APPUCA71ON IS HEREBY MADE to the Building Departrnerrt 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 Lewis,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,
I 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 210AS of the New York State Penal law.
Application Submitted By(p I'm n me): Robert E. Herrmann ®Authorized Agent ❑Owner
Signature of Applicant: Date: April 23, 2024
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk
Robert E. Hemnann, Etr-Consultants 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
23rd day of Aril 2024
Notary Public
KIM H. STEPHENS
Notary Public-State of New York
No.01 ST6015931
Where the applicant is not the owner) Qualified in Suffolk county
My Cmnisslm Expires August 02,20_
Kathryn A.Campbell c/o Sullivan&Cromwell,125 Broad St.
I, ,residing at
New York,NY 10004 do hereby authorize En-Consultants to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
X
Owner's Signature J Date
Kathryn A.Campbell
Print Owner's Name
2
EXISTING TOWN DEFINED LOT COV
OVER BUILDABLE LAND AREA GE
(TOTAL LOT AREA LESS WETLAND AREA =16,141 sq. ft.)
tFRONT
RIPTION AREA % LOT COVERAGE
NCL ROOF OVERHANG) 1.405 sq. ft. 8.7%
d'
ORCH 298 sq. ft. 1.8%
WOOD DECK 80 sq. ft. 0.5%
SHED 19 sq. ft. 0.1%
XISTIN R ARV�AE q. ft.
399 s 2.5%
TOTAL EXISTING 1 2.201 sq. ft. 13.6%
MAXIMUM
_ 3,228 sq. ft. 20%
PROPOSED TOWN DEFINED LOT COVERAGE
OVER BUILDABLE LAND AREA
(TOTAL LOT AREA LESS WETLAND AREA =16,141 sq. ft.)
°N DESCRIPTION AREA % LOT COVERAGE
HOUSE (INCL ROOF OVERHANG) 1.405 sq. ft. 8.7%
FRONT PORCH
298 sq. ft. 1.8%
Co WOOD DECK 80 sq. ft. 0.5%
SHED 19 sq. ft. 0.1%
PROPOSED GARAGE 489 sq. ft. 3.0%
TOTAL PROPOSED 2,291 sq. ft. 44.2%
yS 1,0 ��� MAXIMUM 3,228
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UNAUTHORIZED ALTERA11ON OR ADDITION
41 � TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW 'YK STATE
p EDUCATION LAW.
COPIES OF THIS SURVEY' MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
® / EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION USTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI—
TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE
UEE OF RR FTHE
/ FASMENTSO O ,
ANY, NOT SHOWN ARE NOT GUARANTEED.
T TITLE
PREPARED IN ACCORDANCE � MINIMUM
INIMLIkd Nathan Taft Corwin III
VEYS AS ESTA131JSHED
y
BY THE LI A L S. AND APPROVED AND ADO —--
FOR SUCH USE BY THE NEW YORK STATE LAND ■ _. w
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