HomeMy WebLinkAbout50765-Z O'F/( TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
• SOUTHOLD, NY
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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#: 50765 Date: 5/30/2024
Permission is hereby granted to:
Baxter , John
6915 SE Harbor Cir
Stuart, FL 34996
To: Remove and relocate an accessory garage to a different parcel as applied for.
At premises located at:
5095 Nassau Point Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-9-12
Pursuant to application dated 4/9/2024 and approved by the Building Inspector.
To expire on 11/29/2025.
Fees:
DEMOLITION $662.20
Total: $662.20
. �OI
Building Inspector
o�OF Ft TOWN OF SOUTHOLD
oy BUILDING DEPARTMENT
y x 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#: 50765 _ Date: 5/30/2024
Permission is hereby granted to:
Baxter , John
6916 SE Harbor Cir
Stuart, FL 34996
To: Remove and relocate an accessory garage to a different parcel as applied for.
At premises located at:
5095 Nassau Point Rd., Cutchogue
SCTM #473889
Sec/Block/Lot# 111.-9-12
Pursuant to application dated 4/8/2024 and approved by the Building Inspector.
To expire on 11/29/2025.
Fees:
DEMOLITION $662.20
Total: $662.20
Building Inspector
FIELD INSPECTION REPORT DATE COMMENTS
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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 httl)s://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
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For Office Use Only
PERMIT NO. Building Inspector: A P P,
Applications and forms must be filled but 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:
OWNERS)OF PROPERTY:
Name:Matthew Glassman/Tracy Heller I SCTM#1000-111-9-17-
Project Address:4995 Nassau point Road, Cutchogue, NY
Phone#:(214) 536-1375 1 Email:maft.j.glassman@gmaii.com
Mailing Address: 18 Vanderbilt Ave.,Brooklyn, NY 11205
CONTACT PERSON:
Name:Frederick Weber, Architect
Mailing Address:41 East Maple Road, Greenlawn, NY 11740
Phone#:(631 ) 754-5555 Email:fweberarchitect@yahoo.com
DESIGN PROFESSIONAL INFORMATION:
Name:Frederick Weber, Architect
Mailing Address:41 East Maple Road, Greenlawn, NY 11740
Phone#:(631 ) 754-5555 Email:fweberarchitect@yahoo.com
CONTRACTOR INFORMATION:
Name:North Fork Woodworks
Mailing Address:81 0 Travelers Street, Southold, NY 11971
Phone#:(631 ) 298-7900 Email:SCoft@nfwoodworks.com
DESCRIPTION OF PROPOSED CONSTRUCTION
EINewStructure ElAddition ElAlteration EIRepair ODemolition Estimated Cost of Project:
EOther Relocate existing garage. New foundation $80.000.
Will the lot be re-graded? i@Yes El No Will excess fill be removed from premises? R'yes ONO
PROPERTY IMFORMATION
Existing use of property:Dwelling Intended use of property:Dwelling w/ Garage
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R-40 I
this property? ❑Yes R No IF YES, PROVIDE A COPY.
® Chec;-Box After Reading: The owner/contractor/design professio:iai is responsible far all drainage and storm water issues as provided by
Charter 236 of the To-wn Code. APPLICATION IS HEREBY hmDE to the Building Department for the issuarse of a Sodding Permit pursuant to the SsuldlIng Fosse
Qrd'mance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the constnrction of buildings,
addiP.is s,alterations or for removal or demolition as herein dasaibed.The applicant agrees to comply with all applicable Laws,ordinances,building code,
housing code and regulat mns and to admit authorized inspectors on premises and in bruldingis)far necessary inspectiarm False statements made herein are
punishable as a class A misdemeanor pursuant tin Section 21Q45 of the Neva York State Penal Law.
Application Submitted By(p ' t Frederick Weber igAuthoi-ized Agent QOwnef
Signature of Applicant:
STAI E OF NEW YORK)
SS:
COUNTY OF }
Frederick Weber
being duty sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent (Architect)
(Contractor,Agent, Corporate Officer,etc.)
of said owner or owners, and is duty 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 y/f
St day of /L'�q YCL 20�
Jayson Berkshire Notary Public
Notary Public, State of New York
Reg. No. 01BE0010921 PROPERTY OWNER AUTHORIZATION
Qualified in Kings County -
Commission Expires 07/11/2027 (Where the applicant is not the owner)
I Matt Glassman/Tracy Heller residing at 18 Vanderbilt Ave.,,
Brooklyn, NY 11205 Frederick Weber
do hereby authorize to apply on
my behalf to the Town of Southol uildi D artment for approval as described/herein
Owner's Signature,/ Date
MattGlassman/Tracyl-leller
Print Owner's Name
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.\ 42"oPK I \ \ � -r� NOTIFY BUILDING DEPARTMENT AT
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS.
FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
OAK- ROUGH-FRAMING BPLUMBING
\ \` ks' �\ 6 _ �, q� \ J INSULATION
\ 34 FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
3°"0PK REQUIREMENTS OF THE CODES OF NEW
6y YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
COmPLYVM ALL CODES OF
,,'�1 ,z•oPK NEW YORK STATE$TOWN CODE;
362� REQU AND CONDMONS a
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