HomeMy WebLinkAbout51511-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#: 51511 Date: 01/02/2025
Permission is hereby granted to:
Kevin Mannix
5 Rodeo Dr
Syosset, NY 11791
To:
Construct a garage accessory to an existing single-family dwelling as applied for. Must maintain a
minimum side yard setback of 20 feet.
Premises Located at:
62945 CR 48, Greenport, NY 11944
SCTM#40.-1-12
Pursuant to application dated 11/01/2024 and approved by the Building Inspector.
To expire on 01/02/2027.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $413.00
CO Accessory $100.00
Total $513.00
I
Building Inspector
TOWN OF SOUTHOLD —BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
w Telephone (631) 765-1802 Fax (631) 765-9502 lC :/Jww . outla.oldtcwar. 0
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only M.
PERMIT N0.7sS� I Building Inspect All .r.., _ _, n) our 3 1
i 204
Applications and forms must be filled out in their entirety. Incomplete
nent
applications will not be accepted. Where the Applicant is not the owner,an i` w�:�� ^''
Owner's Authorization form(Page 2)shall be completed. i
Date:10/14/23
OWNER(S) OF PROPERTY:
Name:Kevin and Karen Mannix SCTM# 1000-40-01-12
Project Address:62945 County Road 48, Greenport NY
Phone#:631-727-6550 Email:kamannix@aol.com
MailingAddress:62945 County Road 48, Greenport NY 11944
CONTACT PERSON:
Name:Charles Thomas 6 No 5;�`¢ - Z q v5 1
MailingAddress:PO Box 877 Jamesport NY 11947
Phone#:516-702-3519 Email:cdthomas63@aol.com
DESIGN PROFESSIONAL INFORMATION:
Name:Charles Thomas
Mailing Address:PO Box 877 Jamesport NY 11947
Phone#:516-702-3519 FEmail:cdthomas63@aol.com
CONTRACTOR INFORMATION:
Name:TBD
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
*New Structure ❑Addition ❑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:Singie Famliy DWeiiing
Zone or use district in which remises
p is situated: Are
there any covenants and restrictions with respect to
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 210.45 of the New York State Penal Law.
Application ISubmitted By(print na e): hart S Thomas BAuthorized A ent ❑Owner
Signature of Applicant: Date: �` Z
STATE OF NEW YORK)
SS:
COUNTY OF
G being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the ....�...
... .... ..........
........ Contractor � �mITm( , 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
i
day of ... .�. 20
L
'6�t Pub
Erin''Murphy.Apicailc:
Notary Public
State of New York
County of Suffolk PROPERTY OWNER AUTHORIZATION
EG 41+11 MU609038
,Expo res April 14,20 (Where the applicant is not the owner)
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
n�1
Scott A. Russell 5OFFQ� ST 0►1KN[WATIER
SUPERVISOR MANAGEMENT
SOUTHOLDTOWNHALt-P.O.sox 1179 o Town of Southold
53095 Main Road-SOUTHOLD,NEW YORK 11971 ,
CHAPTER 236 - STORMWATER MANAGEMENT REFERRAL FORM
( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT
- - 1
t ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER
APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other)
NAME: � Date:
�73
Contact Inform t
ation:
-LAlad8ltitpinntNum�tl -
- r
Pro erg Address cation of Construction Site: 00
S.C.T.M, 1
District
section
A
TO BE
COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPART MINT
e �l
- Area of Disturbance is lens than t Acre, .
0 _ Project does Not�Di char a to +�tew�s of the Sta te. No SR I)L S
ELL
�ti
I .f� ..5, Pes.� it
e Yor � THE APPLICANT k-.5T»
Area of Disturbance is Greater' than G Acne Stoi°tl�t ate lBTA1 � -- .
to Waters of the State of N b
hulcl
DIRECTLY I"ton, N,Y,S. D,E.C.PrkW to Issuance Of a Build0y P e Mlk
ibarace is Greater 111311 1 Aci°e St0fr""�kater THE, Fo%%I� NTri� ctv)BTAIN
Area of Distu �..,,
To to"s S4 systems to Waters of the State of Ne+�� Yorl�
a S.P,D.MS.Permit throat h the outhold Town Enaineerin De at°trl�erst
Prior to Issuance of a Buildtn Permit..
Date:
Reviewed By: -
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