HomeMy WebLinkAbout51283-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 FLANS AND SPECIFICATION'S
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 51283 Date: 10/16/2024
Permission is hereby granted to:
Douglas O Massey
PO BOX 228
Mattituck, NY 11952
To:
construct new foundation under house and to reconstruct front porch and rear stoop to existing
single-family dwelling as applied for.
Premises Located at:
14065 Route 25, Mattituck, NY 11952
SCTM# 140.-3-27
Pursuant to application dated 08/26/2024 and approved by the Building Inspector,
To expire on 10/16/2026.
Contractors:
Required Inspections:
Fees:
Foundation $250.00
Single Family Dwelling- Addition &Alteration $111.25
CO-RESIDENTIAL $100.00
Total S461.25
Building Inspector
TOWN OF SOUTHOLD —BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1 1 97 1-0959
M Telephone (631)765-1802 Fax (631) 765-9502 lid, s:// ,r aw ijttioldtowni,iy.&cL�.
Date Received
APPLICATION FOR BUILDING PE11111W r
For Office Use Only � . r
. "
PERMIT NO. Building Inspector:
Applications and forms must be filled out in their entirety.Incomplete A UG
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
BUM DJ uG t ETTE
Date:8.16.24
OWNER(S)OF PROPERTY:
Name:Doug Massey & Jennifer Hatfield SCTM# 1000-140.-3-27
Project Address:14065 Main Rd. Mattituck
Phone#:631-526-8223 Email:dougiesm@gmail.com
Mailing Address:same
CONTACT PERSON:
Name:Joan Chambers
Mailing Address:PO Box 49 Southold NY 11971
Phone#:631-294-4241 EmailJoanchambersl O@gmaii.com
DESIGN PROFESSIONAL INFORMATION:
Name:Lou Schwartz
Mailing Address:? Ridgewood St, Bay Shore, NY 11706
Phone#:(631) 410-6838 Email:tiderunnereng@gmail.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ®Repair iRDemolition Estimated Cost of Project:
2Other Raise house, new foundation, new covered entry deck,floor and wall repair $
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes WNo
1
r
PROPERTY INFORMATION
Existing use of property:residence Intended use of property:resldence
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
RO & R40 this property? ❑Yes IBNo IF YES, PROVIDE A COPY.
❑ Clieck Box After,Read i rig: 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):Joan Chambers ®Authorized Agent ❑Owner
Signature of Applicant: Date: 08/03/2023
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185050
Qualified in Suffolk County
COUNTY OF
Commission Expires April 14, 2 Q�q
-TO BC LS being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 'T
(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
�J ? day of ,20 1-
Notary Public
PROPER ['Y OWNER II III r
Where the applicant is the owner)
( pp e )r
►. 100& �69 residing at ��- b6 S I(V��c n� LSD
�S M
I ClL do hereby authorize DA70 to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
S R 2?
Owner's Signature
Date
r,KQ
Print Owner's Name
2
S.C.T.M. NO. DISTRICT: 1000 SECTION: 140 BLOCK: 3 LOT(S):27
LAND N/F OF
MARTIN FINNEGAN
N 73052'30"E 140.23'
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EL 26.2
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EL 25.7
EL 26.2 Y # rE
S 74022'00"W 74.31'
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JOSEPH GRATTAN Is.es
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9.516£
FENCE
2-7
LAND N/F OF
ELIZABETH FICNER
LAND N/F OF
DAVID DERIDDER Pft
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EL 26.6
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1-3?4 811511 W S 7 037*0 "W
APIM c26520, 4'
WAIIERMAX
IN ROAD
_ THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA:36,593.43 SQ.FT. or 0.84 ACRES EDGE OF 41 ELEVA71ON DATUM: NAVD88
UNAUTHORIZED ALTERA71ON OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SEC71ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU71ON
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING /NS71TU710N, GUARANTEES ARE NOT TRANSFERABLE.
7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADD177ONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF:DESCRIBED PROPERTY _ _ CERTIFIED T0: JENNIFER HATFIELD;
MAP OF: DOUGLAS MASSEY;
s
V
FILED:
SITUATED AT:MATTITUCK
TOWN oF:SOUTHOLD � OYC PLLC
SUFFOLK COUNTY, NEW YORK 1 Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE #223-47 SCALE:1"=40' DATE: APRIL 28, 2023 PHONE (831)298-1588 FAX (631) 298-1588
N.Y.S. LISC. NO. 050882