HomeMy WebLinkAbout51136-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#: 51136 Date: 08/28/2024
Permission is hereby granted to:
Fiona Faherty
5785 Vanston Rd
Cutchogue, NY
To:
Legalize"as built"additions and interior alterations to an existing single-family dwelling to
include a rear and a front deck as applied for. Additional certification may be required.
Premises Located at:
7195 Great Peconic Bay Blvd
SCTIVI #
Section\Block\Lot # 126.-10-12.2
Pursuant to application dated 07/02/2024 and approved by the Building Inspector.
To expire on 02/27/2026.
Contractors:
Required Inspections:
Fees:
AS BUILT-SINGLE FAMILY ADDITION/ALTERATION $948.00
CO-ALTERATION TO DWELLING $100.00
Total $1,048.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959
V� Telephone(631)765-1802 Fax(631)765-9502 httys://www.soutb,Qlt_ll0—MU1Y
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
r\
S � a3�
PERMIT NO. Building lraspcctor. lU�. J L"('24 /
Applications and forms must be filled out in their entirety rich rrpiete
Owners Authorization be form accepted. Where the"Applicant�s not the owner,an fd BUILDING DEPT.
PFPa a"2 shall be complete
1 9 �'
( g ) P IO°�Y*w'
Date:6/26/24
OW NER('S OF PROPERTY:
_..
Name Fiona W_.. ,.n... _. .v . ......_m.. ..... M#1000 126-1w0-1.2 µ2�_.'—
Projec SCT __.. ,. ....
P ect A dress:7195 econ
„ . , . is Bad Blvd. Laurelr
4
P h o n e# Emf1 ail onaoj oq r@gmail com -,._... .....w-.,
� _�5 �
Mailing Address �-� �
CONTACT PERSON: ,e i r a t/r„^' �;i i�('� x/f„,4"'W�I�� u���d''��� r� �°I" i✓ %;P r^%�",� �U����T//%
r
Name:Megan Carrickw
Maili
ng Address:P` 7! Box 877, Jarrl'le ppf! Y 1„1947
Pho.. a . . .. n.
n #631-804-3796 Email:megan_cmtarchitecture@gmail.com
tie ...-
DESIGN PROFESSIO I1[,/1L`INFORMATION.
e,
Name:Charle6 Thomas"
Mailing Address:
__... PO Box� `T, Jamesport_N w ,11947 a .
Phone#:516-702-3519 Email:cdthomas63@aol.com._
CO C IORINFORMAT.. '4""P ni a"u„
IOfiI ��. ✓
ss�
Name: J ,.,.. .._ ...., a _......_,r
Mailing Add "(....
Phone#,, �. _. . , ... .._ .. . . . ._.�
Email V\W-ce, 1ma►l" YVI
DESCRIPTIO P PRO OSEI7 CON ,
STRUCTION
❑New Structure ❑Addition BAlteration ❑Repair ❑Demolition Estimated Cost of Project:
[:]Other L l l ii V` U o
Will the lot � _ e._ _._.. .e _. ..._,.._._. ,v._... .. . . .
be re-graded? ❑Yes IkNo Will excess fill be removed from premises? ❑Yes BNo
1
PROPERTY INFORMATION
. Intended use of roe n le familyFcme
Existinguse of ro ertY•Sin le-Family ome �
thisproperty?Y FlYes No IF YES,PROVIDE A COPY.
to
Zone or use district in whichp PY
e M .
1.
O-L 0
remises is situated: 1 Are there an covenants an restrictions with respect
R Check Box After Reading: The c WrW)r/r*Wa ct0r/des$gn professional Is responsible for SIN drainage and storm water Issues as provided by
Chapter 236 of the Town Code.APPLICATION IS ttEREBY MADE to the Building Department for the Issuance of a gultding(Permit pursuant to the Building zone
ordinance of the Town of Southold,Suffolk,County,Now York and other appucaable taxww$,ordinances or Regulations,for the construction of build higs,
additions,alterations or far removal or demolition as herein described.The applicant agrees to comply with all appilcabte laws,ordinances,building code,
housing code and regulations and to admit autharited Inspectors on premises and in bulidingfs)for necessary inspections.False statements made herein are
punishattle zas-a Can A misdemeanor Pursuant to Section 20.+1S of the Now York State Penal taw.,
Application Submitted By(print name): 11 Megan Carrick _r BA 11 u.t_hort iI_.zed Agent.. ., CIO wner
nature of Applicant: f d
Date: ;
Sig -- CONt I O.'SU
Notary Public,State of New York
STATE OF NEW YORK) No,Q1 BU61€5050
SS: Ctualifted In Suffolk County C
COUNTY OF ) Commission Expires April 14, _ Q 0
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 before me this
day of CIAq- /,��M—v -L
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, rfoy , residing at 2Is V"Sfol'L
NU 0 fs Ot do hereby authorize Megan Carrick/Charles Thomas to apply on
my behalf tq the Town of Southold Building Department for approval as described herein.
-
6-1(0ljV1-'
Ow er`s ;nature Date
Print Owner's Name
2
........................................................ ........—-------- .............. -...........—.............................................--.....................
SURVEY OF PROPERTY
SITUA TE
LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-126-10-12.2
SCALE 1"=30'
JULY 31, 2023
JANUARY 2 2024 ADD PROPOSED ADDITIONS
MAR& 8 2024 UPDATE SURVEY
JULY 17: 2024 UPDATE SURVEY
LIT AREA 10,071 sq. ft.
'j (0 0. 0.231 ac.
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PHONE(631)727-2090 Fe,(631)727-1727
'EFTCES LOCATO AT A.U,ADOTESS
1586 own R-0 P.O.'* IS
J—mpr4 N..Y.rk 11947 No,Y�k 11947
E-M,11:NC—in3ftal.mm 50467 44-134
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