HomeMy WebLinkAbout51250-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#: 51250 Date: 10/07/2024
Permission is hereby granted to:
Hay Harbor Club Inc
PO BOX 477
Fishers Island, NY 06390
To:
Reconstruct a portion of a porch to an existing commercial building as applied for.
Premises Located at:
990 Fox Ave, Fishers Island, NY 06390
SCTM#9.-3-1
Pursuant to application dated 08/15/2024 and approved by the Building Inspector.
To expire on 10/07/2026.
Contractors:
Required Inspections:
Fees•
Commercial- Repairs $1,679.00
CO Commercial $100.00
Total $1,779.00
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 littL)s,://www.sotitti.oldtownny,ixov
A(P
Date Received
For Office Use Only
PERMIT NO. I C) Building Inspector
Applications and forms must be filled out in their entirety.Incomplete1lgt �onldi
applications will not be accepted. Where the Applicant is not the owner,an 0i
Owner's Authorization form(Page 2)shall be completed.
Date:7/30/24
OWNER(S)OF PROPERTY:
Name:Hay Harbor Club, Inc SCTM#1000-009-3-1
Project Address:Fox Avenue, Fishers Island, NY 06390
Phone#: Email:
Mailing Address:PO Box 477, Fishers Island, NY 06390
CONTACT PERSON:
Name:Bruce Kinlin
Mailing Address:59 East 54th Street, Suite 92, New York, NY 10022
Phone M 212-695-2988 Email:bruce@kinlinrutherfurd.com
DESIGN PROFESSIONAL INFORMATION:
Name:Bruce Kinlin
Mailing Address:59 East 54th Street, Suite 92, New York, NY 10022
Phone#:212-695-2988 Email:bruce@kinlinrutherfurd.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
i
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition iRAlteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other 1 $
Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes BNo
1
PROPERTY INFORMATION
Existing use of property:Country Club/Recreation&Sports Facility Intended use of property:Same/No change in Use or Occupancy
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes A No IF YES,PROVIDE A COPY.
N Check Box After"Readir'rS: 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 authorised Inspectors on premises and in building(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal Law.
Application Submitted By(print name):Bruce Kinlin @Authorized Agent ❑Owner
Signature of Applicant: Date: 7/30/24
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(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 ,20 (�`4
Notary Public
JO ANNE GORDON
NOTARY PUBLIC-STATE OF NEW YORPROPERTY OWNER At)"! ) , II1ION
Where the applicant is n o. �wnerav����
No. O1 G06197530 ( pp ' of the owner)
Quallfled In Weslz he$lor C ount
My commission Expires I (
I ar residing at _6cyi Ir VV191 t
do hereby authorize Bruce Kinlin to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
3 1 1 4—
Owner's Signature Date
L=c,
Print Owner's Name
i
2
Building De artment Anplicaflon
AUTHORIZATION
(Where the Applicant is not the Owner)
I, �"I l ✓�2 residing at G r
(Print property owner's name) (Mailing Address)
do herebyauthorize
Bruce Kinlin
(Agent)
to apply on my behalf to the
Southold Building Department.
,1 ) aJ,&�
(Owner's Signature) (Date)
Lna r
(Print Owner's Name)
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FRONT PORCH PERMIT 08.05.24
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REPLACE EXISTING DECORATIVE TRIM AT POSTS AND 71 SCREENED EXISTING
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HORIZ. SURFACE MOUNTED LIGHT FIXTURE
N VERT. SURFACE MOUNTED LIGHT FIXTURE
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$D DIMMER SWITCH
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ELECTRICAL NOTES .
FRONT PORCH PERMIT 09.05.24
1. ARC-FAULT TYPE OUTLETS ARE REQUIRED UNLESS NOTED I I REVISION ISSUE DATE
AS GFI
2. ELECTRICAL INSTALLATION TO BE DESIGN-BUILD BY A LICENSED _ - - - D HAY HARBOR CLUB
CONTRACTOR i PORCH RENOVATION
3. GC TO FURNISH AND INSTALL ALL LIGHT FIXTURES AS PER 7 FOXAVENUE
ARCHITECTS SPECIFICATIONS / i FISHERS ISLAND,NY06390
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