HomeMy WebLinkAbout51221-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#: 51221 Date: 09/26/2024
Permission is hereby granted to:
North Fork Storage LLC
c/o Post Management
New York, NY 11024
To:
Legalize interior "as built" alterations to the rear, existing commercial storage building to
create 3 units,each with a means of egress, as applied for. Additional certification may be
required.
Premises Located at:
115 Commerce Dr, Cutchogue, NY 11935
SCTM#96.4-1.2
Pursuant to application dated 08/09/2024 and approved by the Building Inspector.
To expire on 03/28/2026.
Contractors:
Required Inspections:
Fees:
As Built Commercial $700.00
CO Commercial $100.00
Total $800.00
-212-
Building Inspector
" 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 litt,�.m ww w.110 as
Date Received
APPLICATION FOR BtAIDING PERMI I"'
o IEC Er-510VE
For Office Use Only
PERMIT NO al Building Inspector
_... :-��.. �._.�...., AUG" .
� .
Applications and forms must be filled out in their entirety.Incomplete BUILDING DF
applications will not be accepted. Where the Applicant is not the owner,an TOWN
Owner's Authorization form(Page 2)shall be completed.
Date:08/07/24
OWNER(S)OF PROPERTY:
Name:North For Storage LLC sum#l000-G��
Project Address 4Kommerce Rd., Cutchogue, NY 11935
Phone#:917-526-2242 Email:ms@goodfriendstorage.com
Mailing Address:same as above
CONTACT PERSON:
Name:Marc Slayton
Mailing Address:137 Riverside Dr. 6B, New York, NY 10024
Phone#:917-526-2242 Email:ms@goodfriendstorage.com
DESIGN PROFESSIONAL INFORMATION:
Name: M A,C 14- SC -' -
Mailing Address: e C A/
Phone#: 63(-73 "- l Email: ,, 'fir A" e a*, L' �
CONTRACTOR INFORMATION:
Name:.
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition KAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other _w.ww_a_—....._........ .......... _ _�M $
Will the lot be re-graded? ❑Yeso Will excess fill be removed from preml s? ❑Yes ❑No
z
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Lhousing
n Of SOUthhold this property? ❑Yes *No IF YES, PROVIDE A COPY.
eC Box A eIP° adling: The owner/contractor/design professional Is responsible for all drainage and storm water issues as provided by
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
ce of the Town ofSouthold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings,
s,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
code and regulations and to admit authorized Inspectors on premises and in building(s)for necessary inspections.False statements made herein are
ble as a Class A misdemeanor pursuant to Section 210.4S of the New York State Penal Law.
Application Submitted By(print name): 1f,,49- c fC 4 y r�/
/ ❑Authorized Agent Owner
Signature of Applicant: Date: 08-07-24
STATE OF NU ORK)
SS:
COUNTY OF o ck )
being duly sworn a deposes
(Name of individual sig mg contract)above named, p and says that(s)he is the applicant
4
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
� Sarah Amyg�
day of /�-iALIGI.S 20 2+ .... Notary PUbI1C
MCP 2-3-�OQ6
No.50150742
(Where the applicant is not the owner)
I Marc Slayton residing at 137 Riverside Dr. New York
NY 10024
.w _do hereby authorize
-to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
T
08-07-24
O�wne lgnaZr'e
Date
Marc Slayton -North Fork Storage LLC
Print Owner's Name
2
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96 —
H REVISIONS:
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SCALE:
JOB#:
FLOOR PLAN - a 8/6/2024
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SCALE: 1/4n = 1 -On �� .�� �� SHEET NUMBER:
A- 1