HomeMy WebLinkAbout51223-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#: 51223 Date: 09/27/2024
Permission is hereby granted to:
North Fork Storage LLC
c/o Post Management
New York, NY 11024
To:
Legalize interior"as built"alterations to an existing commercial carport to create 2 storage
units, as applied for. Additional information may be required.
Premises Located at:
50 Commerce Dr, Cutchogue, NY 11935
SCTM#96.4-1.4
Pursuant to application dated 08/09/2024 and approved by the Building Inspector„
To expire on 09/27/2026.
Contractors:
Required Inspections:
Fees•
As Built Commercial $700.00
CO Commercial $100.00
Total $800.00
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. Q.Box 1179 Southold,NY 11971 0959
4 Telephone(631) 765-1802 Fax(631)765-9502 1�1 :/��v vw soudw1, 1 0M it ggw.
Date,Received
APPLICATION BUILDING PERMIT
For Office Use Only
PERMIT NO. Building Inspector;,ww� ...�.. __ -' Qy P,02
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 DEPT.
Owner's Authorization form(Page 2)shall be completed. TOWN,)F SOUTH.OI
Date:08/07/24
OWNER(S)OF PROPERTY:
Name:North Fork Storage LLC SCTM#1000-
Project Address.5OCommerce 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:
Mailing Address " ? m 3_3 , ! 6 or, _ ./1O l
Phone#: Email: ��
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition A,
Iteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other_w_.._.._..... .... _... __ ..._.. _
Will the lot be re-graded? ❑Yes o Will excess fill be remov from premises? ❑Yes ❑No
2
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
Town of Southhold this property? Dyes WNo IF YES,PROVIDE A COPY.
❑ Cii c f,'k!Box Fier 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 Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): !44oC C —�—'4�7VAJ ❑Authorized Agent C wner
Signature of Applicant: Date: 08-07-24
STATE OF N r ORK)
SS:
COUNTY OF )
cvlrt. " �� ,r _ being duly sworn,deposes and says that(s)he is the applicant
(Name of individual siging 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 Sarah Amep
Notary Public
day of 61.5 ,20 2 /w 44,V yw4 �ry�
5 ,. 4 %, M*liGS12y�GVGV
No.50150742
PROPERTY OWNER ALJT11QR1ZAT10N
(Where the applicant is not the owner)
Marc Slayton residing at 137 Riverside Dr. New York
1,
NY 10024 do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
08-07-24
O�kner's Sigma°ure Date
Marc Slayton -North Fork Storage LLC
Print Owner's Name
2
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