HomeMy WebLinkAbout51499-Z �NOFso�ly TOWN OF SOUTHOLD
BUILDING DEPARTMENT
I 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
uilding Inspector
FIELD INSPECTION REPORT I DATE COMMENTS
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INSULATION PER N.Y.
STATE ENERGY CODE -
FINAL —.—_
ADDITIONAL COMMENTS
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f0t'roo 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 hgps://www.southoldtowna.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only y��j L �!
;PERMIT NO. Building Inspector: M� y L)
,�
OCT 9 2024
Applications and forms rnust be filled out in their entirety:Incomplete
applications will not be accepted.'Where the Applicant.is not the owner,an ; -U� U- ��-"T
Owner's Authorization form,(Page 21 shall be completed— k�i" i . yam'rO�t)3'i a 7
Date:
'OWNER(S)_OF PROPERTY
Name Eugene Allen _ SCTM#1000-1200003000,1.4000 __..._�.� . ._...w.._
Project Address:4075 Aldrich Lane, Laurel, NY 11948
Phone#:631-903-.1886 I Email:euallen05@gmail.com
Mailing Address:4075 AldrichY Lane, Laurel, NY 11948
CONTACT PERSON:
Name:Eugene Allen
Mailing Address:4075 Aldrich Lane,m Laurel,.NY 11948
Phone#:631-903-1886___ _ _ ____.�___..,--- ---__�__. Email:euallen q@gmail.com_—__-__.--._-_._ .__..._.
DESIGN RROFESSIONAL'INFORMATION ,
Name:N/A
Mailing Address:
Phone
CONTRACTOR.INFORMATION:
Name:N/A
Mailing Address:
1.Ph 11 one#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair WDemolition Estimated Cost of Project:
❑Other $1700.00
Will the lot be re-graded? BYes ❑No Will excess fill be removed from premises? BYes ❑No
1
PROPERTY INFORMATION'_
Existing use of property Intended use of property:
orkshop Workshop
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect toro
property?this ? ❑Yes 8 No IF YES, PROVIDE A COPY.
.�_
8 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'Buildmg'Permit pursuant to the Building,Zone
Ordinance of the Town of Southold,Suffolk,County,Newyork and otherapplicable Laws;Ordinances or Regulations,for the construction of buildings,'
additions,alterations or for renioval,or;demolition as herein'described.The appiicant agrees to Coroplywith all applicable laws;ordinances,'building code,
housing.code and,regulations and to admit authorised re inspectors on premises and in,building(s)for necessary Inspections.False siaiements':Fnade'herein are:
punishable as a Class kmisdemeanor pursuant td;Section 210.45 ofthe New York State Penal Law:
Application Submitted By(pripf name):Eugene Allen ❑Authorized Agent BOWner
Signature of Applicant: Date: 10/29/2024
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk/,, e / )
-�/ 7/ /�w 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 y
2Jdayof Pe6Xe1_ .202
Nota 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
t�
ALDRICH LN.
, S
�� 129.50URVEY OF
S,19oo2,00 E. PROPERTY
Ed ad, ...an` MATTITUCK,TOWN OF SOUTHOLD
P.D. SUFFOLK COUNTY,NEW YORK
:- S.C.TAX No. 1000120000300014000
SCALE 1"=30'
NOVEMBER 12,2020
im AREA= 68.085 sq.ft.
US j N 1.56 ac.
f N I STORYHOUSE F..
40T6 APP O D S NOTEO
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.. OAin .6•'- ,
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fence Shed
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631-765-1802 SAM TC 4PM FOR
FOLLOWING INSPEIONS-
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b I. FOUNDATION- 0 REQUIRED
ad d FOR POURED CC NCRETE
2. ROUGH-FRAMING&PLUMBING
6S.6' 3. INSULATION
LL 6.1 4. FINAL-CONSTRL CTION MUST
F�pEBARN BE COMPLETE F
ALL CONSTRUCTION 31HALL MEET THE
Bti .``1 \` .428, REQUIREMENTS OF E COD�gT�BSN SURVEYING
YORK STATE. NOT RESPONSIBLE - BSNY
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RETAIN STORM WATER R DISTRICT.10. LOT:014.000 BLOCK:03.00 SECTION:120.00
PURSUANT To CHAPTER o:N/A WA
COMPLY WITH ALL CODES OF OF THE TOWN CODE,
NYORK STATE&TOW CODES MAP OF:NOT ON AFILED SUBDIVISION MAP
AS REQUIRED AND CON I IONS OFX�.„�."x`
SOUTHOLD T N Z A TRUE N0:TBD
COUNTY TAX ID:1001200003000,4000
SOUTHOOWN FANNING BOARD SITUATED AT:MATTITUCK TOWN OF SOUTHOLD
SUBDIVISION MAP LOTCS:WA
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N/O/F of 5645 AldricLane LLCIs 6
Tax Map Lot 011.o13 pgr- owneY
JOB No.:2"96
DATE:NOVEMBER 12,2020