HomeMy WebLinkAbout51212-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#: 51212 Date: 09/23/2024
Permission is hereby granted to:
Christopher J Meyer
1055 Akerly Pond Ln
Southold, NY 11971
To:
construct basement entry with exterior stairway to existing single-family dwelling as
applied for.
Premises Located at:
1055 Akerly Pond Ln, Southold, NY 11971
SCTM# 69.-5-9
Pursuant to application dated 09/18/2024 and approved by the Building Inspector.
To expire on 09/23/2026.
Contractors:
Required Inspections:
Fees:
Single Family Dwelling- Addition&Alteration $250.00
CO-RESIDENTIAL $100.00
Total S350.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
7
.' Telephone (631) 765-1802 Fax (631) 765-9502 htt s://www,southoldto�wnn .g o
"
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only D OCROVE
PERMIT NO. ' Building Inspector: 12 SEP 1 2
024
Applications and forms must be filled out in their entirety. Incomplete
applications will not be accepted. Where the Applicant is not the owner,an BUILDING DEFT.
Owner's Authorization form(Page 2)shall be completed. TOWN OF SOUTHOLD
Date:
OWNER(S)OF PR PERTY:
Name: OhIU6 V M t4e- SCTM# 1000-
Project Address: l o,55 btt,
Phone#: � �� � ' (�5(] Email:
Mailing Address: e., .
CONTACT PERSON:
Name:
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: �� _ 457 _ 661(P EEail:
CONTRACTOR INFORMATION:
Name: DWnWt.�
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑IAlteration - Repair ❑Demolition Estimated Cost of Project:
IKOter $
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes o
1
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use Adistrict in which pi emises is situat Y p
d: Are there an covenants and restrictions with respect to
this property? Dye o IF YES, PROVIDE A COPY,
Check Box After Read!n , The cyhhtper/contractor/clesign professional is responsible for all drainage and storm water issues as provided by
Chapter g6 o rW
f the Tow ' rie Appt!Fi, NIT L, S�,HERESY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone
Ordinance, ref"'ra*t3on"'s or"o(for removal or 5otrtho1d, ffo ; a inty,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
addition afte de ohjtfpn as herein described.The applicant agrees to comply
ho code and regulations and to admiVao, 'rixed inspectors on premises and in building(s)for necessary inspelcti nIs.Iaws Fal '
Pu IW as a Class A misderneanol pa��n Section 210.4S of the New York State Penal Law. se statements made herein are
Application Submitted B (Pr— me): O'd a, ❑Authorized Agent Xowner
Signature of Applicant:
Date: q.
STATE OF NEW YORK) CONNIE D. BUNCH
Notary Public,State of New York
SS: No.01 BU6185050
COUNTY OF ) Qualified in Suffolk County
Commission Expires April 14, 2
being duly sworn, deposes and says that(s)he is the applicant
(Name of individ al signin 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 a .�y�v��.�
Notary Public
PROP ITT' IA/IVPI A AUTHORIZATION
TION
(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
LAND N/F OF SITE PLAN ..... ..
CAROL SMITH _•...., ........_.,.
397.35' N 70'32'97"iP 5CALf: ` I-Cr
• -- � .: SCiM: 1000
_ %nForrutao"taken arm iumry +prepared by
Kenneth M,y " - PPOP05ED �r + uwCt:Ca�tMdvt N wV rhjk trtd'SYtlrveying,PLLG
"(Xk =
NEW GARAGE d,a�^ "l c'tok'rer L,202 Y
PROPERTY ARr1ti5: U
✓ ✓ Pxi5ting Lot Area: 1 15,186.51 sq.ft. Z O
Ensting mouffe. 1455 sq.ft >+}
Fxl5ting OuCbuddings: 1 042 sq.ft. Yn N v O
= Fxisdn Lot C�:aG"fin e: 2.I% Lu � z �
�'✓ '% '� Proposed New Garage: 2305 sq.ft. W Q t O
p / r Totals 2%of property area N L O
f°rolPo5ed'VotM Lot,G+iv«'raN6et: q t O ro p
_
Area of Construction Includes:
New Accessory Garage
p.. Extent of Construction: 2305 sq it.
w II + Extent of Land D15turbance:
dd f 4,000 50.Ft.+!- W W
Includ,5trvctng• OQ,
ure,excavating,electnc,etc. YY
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LAND N/F OF 11 Y
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