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