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HomeMy WebLinkAbout51499-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#: 51499 Date: 12/20/2024 Permission is hereby granted to: Eugene Allen 4075 Aldrich Ln Mattituck, NY 11952 To: demolish existing accessory barn as applied for. Premises Located at: 4075 Aldrich Ln, Mattituck, NY 11952 SCTM# 120.-3-14 Pursuant to application dated 10/29/2024 and approved by the Building Inspector. To expire on 12/20/2026. Contractors: Required Inspections: Fees: DEMOLITION $1,131.80 Total $1,131.80 . __. Building Inspector fir : 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 ( tt s:f/www. outholdtown , Gov Date Received APPLICATION FOR BUILDING PERMIT gg b For Office Use Only e. w "• �� i � PERMIT N0. Inspector. � Building Ins 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. Date: OWNER(S)OF PROPERTY: Name:Eugene Allen SCTM#1000-120000300014000 Project Address:4075 Aldrich Lane, Laurel, NY 11948 Phone#:631-903-1886 Email:euallenO5@gmail.com Mailing Address:4075 Aldrich Lane, Laurel, NY 11948 CONTACT PERSON: Name:Eugene Allen Mailing Address:4075 Aldrich Lane, Laurel, NY 11948 Phone#:631-903-1886 Email:euallen05@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address: Phone M Email: CONTRACTOR INFORMATION: Name:N/A Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair WDemolition Estimated Cost of Project: 17 ❑Other 00.00 Will the lot be re-graded? igYes El No Will excess fill be removed from premises? iRYes ❑No 1 PROPERTY INFORMATION Existing use of property:Workshop Intended use of property:Workshop Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to Residential this property? ❑Yes RNo IF YES, PROVIDE A COPY. N 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(pri name):Eugene Allen ❑Authorized Agent ROwner Signature of Applicant: Date: 10/29/2024 STATE OF NEW YORK) SS: COUNTY OF Suffolk °f AIL,+1 being duly sworn, deposes and says that(s)he is the applicant (Name ndividual 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 day of Pelozel- 20 2 / Notar* Public KONSTANTIN SHESTAKOV NOTARY PUBLIC STATE OF NEW YORK SUFFOLK COUNTY PROPERTY OWNER AUTHORIZATION LIC. #01SH0029382 COMM. EXP. 10/01/2028 (Where the applicant is not the owner) I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 4LpRICN LN• URVEY .19002-00"E• 129•_ 50 s PROP ROF SK - MATTITUCK,TOWN OF SOUTHOLD "q SUFFOLK COUNTY,NEW YORK S.C.TAX No. 1000120000300014000 t� , V SCALE 1"=30' O d! a NOVEMBER 12,2020 h �" AREA= 68.085 sq.ft. 1.56 ac. OTar goo, _ O h to h ` PP E S NOTED N� .# FEE Wwmn B BUILDING D ARTME 031-765.1802 SAM 4PM FOR THE NNE FOLLOWING INSPE IONS: 1. FOUNDATION- 0 REQUIRED FOR POURED C CRETE 2 ROUGH-FRAMIN 3&PLUMBING INSULATION 4. FINAL-CONSTFIL CTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION HALLWff" �k��JNI)IME eviNa ,NY1196T R REQUIREMENTS OF TI E CODES OF IM.6)972-5812 w YORK STATE. NOT R SPOIYSlftE�GS DSSIIRVEYING@.MAIL,COM DESIGN OR CONSTRU TON ERRORS �g@ggy µw 6µ qq pOII pgp ,p+�q,I�ryI-^� (DISTRICT:1000 LOT:014,000 BLOCK:03,00 SECTION:120,00 DOMPLY YG Vr WW..,� R....,,W�. 4J' I�.� '^'+m+°'ll. as;;n':N .'d,^-.�`.•J�1;..r<-.•.JAM•�rF�;r.,„ MAGPILEdVb�JT1Ne TOW CODES''µ',°' /\� R W R CASE No:NIA NEW YORK�S� l TO°^� """ I'"� �' R�TAIN VT0RM WATER 1� � F:NOTONAFILEDSUBOIVI610NMAP IJV S IY AND " qpp'q� s of PURSUANT TO CHAPTER 3� '�agy,�popolI pp�,��rypp bl Ny{N~ "„q�ppyf'v'"-pp wm—woomoo-� Iq y�y��y,�„,yg+y,,,,ppp,,,www���p��y,gq pg�y'� OF THE TOWN CODE. MTITLE NO:TBO r AP FILED DATE:MIA 1111 COUNTY TAX ID:, 120000300014000 OW NI �dP'!�"�L. ry.', SITUATED AT:MATTITUCK,TOWN OF SOUTHOLD SOTHO 141N� q y^ ty'" h�3 SUMMON MAP LO'R$:NIA ,OLD s•P Ho HD Io E Lou, =•o ,�. E=µ ME.o E .E. E��s1w•=WMxo. =��&E Q. gW w 0 0 0 R J co N O C �+ z1~ I�DD 0, IL :zoo are gow .7 0 6#6 ��Ii Lane LLC � . INIOpow IF° 011.013 r r ��, JOB No:20-896 DATE:NOVEMBER 1212,2020