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HomeMy WebLinkAbout51309-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#: 51309 Date: 10/23/2024 Permission is hereby granted to: Kenneth R Schulz 1710 Deep Hole Dr Mattituck, NY 11952 To: Construct additions and alterations to an existing single-family dwelling as applied for. Premises Located at: 1625 Deep Hole Dr, Mattituck, NY 11952 SCTM# 115.-14-20 Pursuant to application dated 08/23/2024 and approved by the Building Inspector. To expire on 10/23/2026. Contractors: Required Inspections: Fees• Single Family Dwelling- Addition&Alteration $848.00 CO Single Family Dwelling-Addition /Alteration $100.00 Total $948.00 _. Al 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 littp ://www. oittlioldtowLn gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only !I PERMIT NO.����A Building Insparr. AA AUG +f Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. BUMDING DE . "I°ON ' w)E SO ;i' 1.0 "" Date:8/12/24 OWNER(S)OF PROPERTY: Name:Kenneth and Donald Schulz SCTM#1000-115-14-020 Project Address:1625 Deep Hole Drive, Mattituck I/ Phone#: 51�- ( 95- H r I D Email: Mailing Address: 2� IDM tole ►ve Ma�+�►�ucy N 1195 CONTACT PERSON: Name:Megan Carrick Mailing Address:PO Box 877 Jamesport NY 11947 Phone#:631-804-3796 Email:megan.cmtarchitecture@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:Charles Thomas Mailing Address:PO Box 877, Jamesport NY 11947 Phone#:516-702-3519 Email:cdthomas63@aol.com CONTRACTOR INFORMATION: Name- !BD Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure WAddition W Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $. Will the lot be re-graded? ❑Yes ❑■ No Will excess fill be removed from premises? ❑Yes *No 1 PROPERTY INFORMATION Existing use of property:Single Family Dwelling Intended use of property:Single Family Dwelling Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to R-40 this property? ❑Yes ❑■ No IF YES, PROVIDE A COPY. ❑Check Box After 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 210AS of the New York State Penal Law. Application Submitted By(print name):Megan Carrick OAuthorized Agent ❑Owner Signature of Applicant: � �/ Date: BUNCH Notary I Notary Public,State of New York STATE OF NEW YORK) No.01 BU6185050Qualified in Suffolk County SS: Commission Expires April 14,2cg� 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 (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 '^ ay of �� D "_aj r 1 Notary Public P FPS TY IIN 1l:1`11R AUT111 III III TI N (Where the applicant is not the owner) Kenneth Schulz residing at 1710 Deep Hole Dr., Mattituck NY I, do hereby authorize Megan Carrick to apply on my behalf to the Town f So thold Building Department for approval as described herein, d ::'` 08/13/2024 LJ 21 Owner's Signature Date Ken Schulz Print Owner's Name 2 .......... .......................... ............ ......................... ..... .................. Survey for: KENNE TH S CH UL Z & DONALD SCHULZ At Mattituck Town of 0 " (>;,. Southold 0). Suffolk County, New York '0 0 S.C.T.M.: 1000-115.00-14.00-020.000 001 0 SCALE:1"=20' NOTES: 1. AREA = 14160 S.F. 2. m = MONUMENT FOUND, 0 = PIPE FOUND. 3. REFERENCE DEED: L 13048 P 346 '0- �A AUG 21, 2024 AMEND PROPOSED STRUCTURES 00-1 DATE: JULY 12, 2024 > 50 JOB NO:2024-320 <1 CERTIFIED TO: KENNETH SCHULZ DONALD HULZ' S011-1 'J,, % 'n 6\1 00 '00. DAVID H. FOX, L.S. P.C. N.Y.S.L.S. #50234 0 FOX LAND SURVEYING LOT COVERAGE (HOUSE & SHED) N9� 64 SUNSET AVENUE WESTHAMPTON BEACH, N.Y. 11978 EXISTING 1297 S.F. OR 9.2%' (631) 288-0022 PROPOSED 2095 S.F. OR 14.8% UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY- CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE I PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHAlf TO THE ITTLE COMPANY. GO'4RNMCN TALL, AGENCY AND 1.�NOINO INSTITUTION USTED HEREON . DTO THE ' A AN SSWNE�I55 Or THE LENDING INSUTV710N. CERTATiCAtONS AR, NOT RASLE 70 ADDPTWNAI INVOUTIONS OR �.T OVMFRS. -iw DWG: 2024-320