Loading...
HomeMy WebLinkAbout51209-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#: 51209 Date: 09/23/2024 Permission is hereby granted to: Kevin Cande 675 Halls Creek Dr Mattituck, NY 11952 To: legalize "as built" finished basement of existing single family dwelling as applied for. Additional certification may be required. Premises Located at: 675 Halls Creek Dr, Mattituck, NY 11952 SCTM# 115.-17-17.21 Pursuant to application dated 03/12/2024 and approved by the Building Inspector. To expire on 03/25/2026. Contractors: Required Inspections: Fees: As Built Addition/Alteration $1,678.00 CO-RESIDENTIAL $100.00 Total S1,778.00 Building Inspector . F d , 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 httDS://www.southoldtowjiny.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only C ' 6 U L PERMIT NO. Building Inspector: �` I r 2 n LA .., 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:3/5/2024 OWNER(S)OF PROPERTY: Name:Kevin and Jayne Cande =CTM # 1000-115-17-17.21 Project Address:675 Halls Creek Drive,Mattituck Phone#:631-655-1645 Email:mailto:jkcaande@gmaii.com Mailing Address:675 Halls Creek Drive,Mattituck CONTACT PERSON: Name:Michael Hand Mailing Address:PO 1256, Mattituck, NY 11952 Phone#:631-965-1947 Email:michael@mchdesignservices.com DESIGN PROFESSIONAL INFORMATION: Name:James Deerkoski Mailing Address: Deer Path, Mattituck Phone#:631-774-7355 Email:jamesdeerkoski@yahoo.com CONTRACTOR INFORMATION:'' Name: Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: 2 Other As Built basement Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of property:Single family dwelling Intended use of property:Single family dwelling 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 Boca 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 Gass A misdemeanor pursuant to Section 210AS of the New York State Penal Law. Application Submitted By(print name):Gene Schumacher BAuthorized Agent ❑Owner aI Signature of Applicant: Date: 3/5/24 CONNIE D.BUNCH Notary Public 3tptG of NOW York STATE OF NEW YORK) No.OIBU618,6060 SS: Ouallfled In Suffolk ant COUNTY OF Ool'rtrrl18810"Sxplr 6 April 14,i-��y ) 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 tl—�_ ay of OL , a 20 - Notary Public 1r)I1' 0F @'.ARTY OW1 ER AUTI-10RIZA3,,I (Where the applicant is not the owner) I, 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 BuM41M Dwart real A licablo AUTHORIZATION (Where the Applicant is not the Owner) I, J A-I N€ Cn N kt residing at &-7 s gnus CKE rc K p�Ov . (Print property owner's name) (Mailing Address) Min Irj r- - tj i ti g s do hereby authorize 94A c"A,e I. tt A N D (Age) M r,t1 ©E s(Q'N ;V yLv)os s to apply on my behalf to the Southold Building Department. er's Signature) (Date) J^(K E Cp-v N'0"E, (Print Owner's Name) Building Department ARgUicado�n AU N (Where the Applicant is not the Owner) I KF-v i H c A r a rc residing at °1 -t«1_s c I-LEY, vmq (Print property owner's name) (Mailing Address) MArr lTv G 1L. M tit q SZ), do hereby authorize M I c H A f L tVA r►p (Agent) K G H h E S 1 G N s'e Ro l G e& to apply on my behalf to the Southold Building Department, (dw-n-eirls Signature) (Date) KevTN a^ND E (Print Owner's Name)