HomeMy WebLinkAbout51646-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#: 51646 Date: 02/14/2025
Permission is hereby granted to:
Peconic Land Trust Inc
PO BOX 1776
Southampton, NY 11968
To:
Construct an agricultural deer fence with 20'gate as applied for per Land Preservation approval.
Premises Located at:
Oregon Rd, Cutchogue, NY 11935
SCTM#95.-4-14.3
Pursuant to application dated 12/10/2024 and approved by the Building Inspector.
To expire on 02/14/2027.
Contractors:
Required Inspections:
Fees:
DEER FENCE $100M
Total S100.00
Building Inspector
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 h t s,,qut olt)lo1ynny.
Date Received
APPLICAI ION FOR BUILDING PERMIT
For Office Use Only N
PERMIT NO._,, J Building Inspector:
Applications and forms must be filled out in their entirety.Incomplete DEC 1 0 202241
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
e
Date:12/10/2024
OWNER(S) OF PROPERTY:
Name:Peconic Land Trust scTM#z000-_g5-04-14.3
Project Address:8640 Oregon Road, Cutchogue, NY 11935
Phone#:631-283-3195 Email:jwilson@peconiciandtrust.org
Mailing Address:296 Hampton Road, Southampton, NY 11968
CONTACT PERSON:
Name:Jacqueline Wilson
Mailing Address:296 Hampton Road, Southampton, NY 11968
Phone#:631-283-3195 Ext.' 143 Email:.iwilson@peconiclandtrust.org
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone M Email:
CONTRACTOR INFORMATION:
Name:LB Fencing, LLC
Mailing Address:305 Good Road, East Earl, PA 17519-9307
Phone#:717-445-4764 Email:marlin@Ibfencing.com
DESCRIPTION OF PROPOSED CONSTRUCTION
WNew Structure ❑Addition ❑Alteration ❑l pair ❑Demolition Estimated Cost of Project:
❑Other Agricultural Deer Fence I. $ n000
Will the lot be re-graded? ❑Yes WNo Will excess fill be removed from premises? ❑Yes No
1
PROPERTY INFORMATION
Existing use of property:Agrlculture Intended use of property:Agrlculture
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
Zone - AC this property? WYes []No IF YES, PROVIDE A COPY.
@ Oheck Box A'itenr 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,aRerations 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):Daniel Heston (Director of Ag. Programs) Authorized Agent iROwner
Signature of Applicant: Date: 12/10/2024
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Daniel Heston being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Peconic Land Trust Director of Agricultural Programs
(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
10 day of December Zo 24 Robin Harris
Notary Public
ROBIN L HARMS
Public•State of N %*
g.No 01HA6442 5
Qual ed In Suffolk County
. � PERTY OWNER�a ..._....�a�,.._... .,.�®��„�.....�_ ...�.�w.�...�
(Where the pplicant is not the owner)
1, 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