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HomeMy WebLinkAbout50976-Z ' TOWN OF SOUTHOLD � � . BUILDING DEPARTMENT TOWN CLERK'S OFFICE " SOUTHOLD NY s»a 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 #: 50976 Date: 7/23/2024 Permission is hereby granted to: Ohriker, Anita 67-35 Yellowstone Blvd Apt 6-K Forest Hills, NY 11375 To: construct addition and alterations to existing deck of a single-family dwelling as applied for. At premises located at: 250 Wild Cher Way, Green port SCTM # 473889 Sec/Block/Lot# 52.-3-31 Pursuant to application dated 6/3/2024 and approved by the Building Inspector.. To expire on 1/22/2026. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $281.50 CERTIFICATE OF OCCUPANCY $100.00 Total: $3 81.50 Building Inspector N N 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 https://wviw.southoldtownnv.gov gatopceived APPLICATION FOR BUILDING PERMIT For Office Use Only I� PERMIT NO. � Building Inspector: �____ 12 Fe"t �"'". ,�'�� Date: o f Name: SCTM #1000- Project Address: 0 ati`/ c��2✓zV �,,,'A c5-,u77,0 L— /mil. //9 7/ Phone#: � 6 �� - D �2,2 Email o A r v Mailing Address: ;7 3S_ Ye�- Lo&.j C Xe- t/i1 �/� a `r T IIS *7' f COI1'ACT PiSON: Name: Mailing Address: r ,Pti} l ¢I J7 Phone#: ,_ ® � _ g Email: Iti f�RC�F�SSIONAL 1NF11IV� TION: �w Name: Mailing Address: Phone#: Email; C(�,NTRACT�F�INFQf�MATI©N Name: X'4 14 f, 97,1.4A 44 A I IV " Mailing Address: j- Phone#: & 3 ( to O 3 , Ito Email: Ul,/ m 41 n ✓1 L /Ceq, , DESCRIpT1O*�P PAOP4SED CONSTRUCTION " ❑New Structure ❑Addition ❑Alteration *'Repair ❑Demolition Estimated Cost of Project: ❑Other $ ' Will the lot be re-graded? ❑Yes*0 Will excess fill be removed from premises? ❑Yes tlo 1 r r r r, r / r, / / r / / / Existing use of property: - f` Intended use of property: S Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes- o IF YES, PROVIDE A COPY. ,., / i.. ,,, ✓ :,: r r, r r...rr. ,!/ ,/ rr //,,... :r//r ri ..r rr/Ga r„, , t� ,,, lr,:�„/i,i%., /ii; ,,, i,,. ,/iii�ii�rriiiir,r/"cii"%,r,, „rr, .//i//,��G,/ri,,,,, ;r:pvi .ii/.ri ,�,,./ ,/,"�;,, „%„ /�,r, rv,,,:: ,-✓ r a r r l� //r// ,,//�/ ; rvi/r „i" ri .r; '(�r/�/ ri /o rr/i�. ,, r/, /��� �G ,/( "r /„„ . i/ l -/ / r. ,./�/.i ,!///��. / r/,�./ %/,r,.//,i� ✓/ //,/,r,r r.. /,;rrl%rimer/r%////i/Dr/r=rr�,r{ii„✓r./ir/,/ rrlr /r%Dior„,:/, „�i�',/,,/,//io/i//,//%//i.//r.,,�,./i.r. /ice, „r,�/ir,.,.,, ,,.r /„ .. ,�p / r /r � asi,✓r rrr. .,,, � �. ".,,, .,,„ r„ .�,.,; i /io,,;,,.r„ ,,,„,„.,crr✓iio r<,. ,.„rz„ Application Submitted By( n name): ��� !`f ❑Authorized Agent ©'Owner Signature of Applicant:`" Date: 51,�ZO/A y STATE OF NEW YORK) SS: COUNTY OF ®� ) 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 fore me this AIAN M. NhlBEfi li ed in New 3 3 )0 day of 12 0 Notary Neblic,BI Commission E Y5M911*T11 �ublic Qua flxpires 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 of F►�.A�-ZN E � •�pools �,,.._.. �.,�' j, N.7S'gg"pp�F 165.0 b AQ + w% Q 41 , al GMfC.pp,fir. 4 .- . C-4 r x ~, SUFFOLK COUNTY HEALTH D$PART DATE OCT 19 1981 . H. D. REF. � The sewage' disposal,and water supply + A facilities for this location have been , inspected by this department and found to be satisfactory, - I Chief of General EaK neeerija�k �• G— Services