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51877-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#: 51877 Date: 04/28/2025 Permission is hereby granted to: Peter Richardson 45 Harrison Dr Berkeley Heights, NJ 07922 To: construct additions and alterations and to legalize "as built"front porch to existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 925 Glenn Rd, Southold, NY 11971 SCTM# 78.-2-6 Pursuant to application dated 03/13/2025 and approved by the Building Inspector, To expire on 04/28/2027. Contractors: Required Inspections: Fees: Single Family Dwelling- Addition&Alteration $1,317.00 As Built Alteration $140.00 CO-RESIDENTIAL $100.00 Total S1,557.00 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 https://www.sotitholdtowmiy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only DEC EH E ` I� Building Inspector:____ �V u q ��25) PERMIT NO. g � Applications and forms,must be filled out in their entireY .fncompiete Building Department applications will not be accepted.'Where the Applicant is not the,owner,an Town of Southold r O'wnees Authorization form,(Page 2)shall be completed, Date:03/12/25 OINNER(S)OF,PROPERTY: Name:Lynne SCTM# 1000-78-02-06 Project Address:925 Glenn Rd Southold NY 11971 Phone#:646-247-1583 Email:Igrichardson@hotmail.com Mailing Address:45 Harrison Dr Berkeley Heights, NY 07922 CONTACT PERSON: Name:Brooke Epperson Mailing Address: PO Box 152, Mattituck, NY 11952 Phone#:631 603 9092 Email:bepperson@amparchitect.com DESIGN PROFESSIONAL INFORMATION: Name Anthony Portillo Mailing Address:PO Box 152, Mattituck, N.Y. 11952 Phone#:631 603 9092 Email:aportillo@amparchitect.com CONTRACTOR INFORMATION: Name Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION,, ❑New Structure BAddition RAlteration ❑Repair El Demolition Estimated Cost of Project: ❑Other 1 $1so,000 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? 5ilYes No L.!—i 1 PROPERTY INFORMATION Existing use of property;,:�;,n -P�, (LQp; Intended use of property: Si np -A,m. Cu i� Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to .el1 1� this property? 0Yes,,VNo IF YES, PROVIDE A COPY. N [] check O r;Read(ng: The ownerJcontrackor/design professional is responsible forall drainage and storm water Issues as prided by chapter 26`of the Towri'Code.APP}ICATIQN IS fiEl#EgY MACE to the,Bwldmg Department for the rssuance of a Bu(Iding Pennit pursuant tq the",Building Zone Ordinance of the Town of„Southold,Suffolk,County New York and othe"r applicable Laws;Ordinances or Regulatiorfs,far the constriction of bull"dings, additions,akerations gr for removal or tl'Rion as herein described.fie applicant agrees xo,rtoifipiy with all applicable laves,ordinances,buide code, B housing code and regulations and to admit authorized Inspectors on premises and m building(s)for necessa ry;inspections False statements made herein are punishable as a Class Pi misdemeanor pursuant`to Section 21,0A4 of the New York State Penal i aw,,:, >` Application Submitted By(print name): � i .�,�re, Authorized Agent El owner Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF ) c being duly sworn, deposes and says that(s)he is the applicant (Name o 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 1_day of 20 Z-S Public � lSs EJ�ANGE—F NOTARY S'UB iC,`STATE OF NEV4 YORK ER AUTHORIZATION reed�,r 3 icn �Jo.01AU001964 Cja'i;;ed ;n Suffolk County pg here the applicant is not the owner) r- •r' r xpires January 9 02 I, residing at Ielnn ��->'M01 do hereby authorize ' TQi to apply on my behalf to the Town of Southold Building Department for approval as described herein, 6 � 1. i Owner's Signature Date Print Owner's Name 2 SYMBOL LEGEND D MONUMENT END O MANHOLE $ TEST HOLE BEARINGS SHOWN HEREON ARE 0 LP / I.B. END Ej "A"-INLET TREE BASED ON LIBER 12740 PAGE 931 IP. / I.B. SET MM "B"-INLET © SHRUB w355 SPOT ELEVATIONS YARD INLET ® DOLLARD UTILITY POLE ® YARD INLET . WLTLAND FLAG ----- GUY WIRE Cl ELECTRIC METER CANT. CANTILEVER — UTILITY POLE W/LIGHT L07 GAS METER FE FENCE ( LIGHT POLE X WATER METER MAS MASONRY SIGN pQ GAS VALVE PLAT,PLATFORM —o-- PVC FENCE (PVC) WATER VALVE W-W- WINDOW WELL —�— STOCKADE FENCE (STK) B/W BAY WINDOW —X— CHAIN LINK FENCE (CLF)O/H OVERHANG C/E CELLAR ENTRANCE — WIRE FENCE R/O ROOF OVER Z�/ FIRE IIYDRANT D C. DEPRESSED CURB LJ A/C UNIT 0 CROSS CUT GO.L GENERALLY ON LINE STAKE O/L ON LINE R.D.W. RIGHT OF WAY 6W o- FAf LOT 47 TAX LOT 4 FND WRF + S60°04'30,._, y - 76.06' .S �,y Lo i, hFN' x 00•. 3' o E/ 8 SIOCKADE FEN. F to to F WF Q yJ ! gl €,_ T -1T FM LOT 49 WOOD i TAX LOT 6 �y . E-SCL t !J J WOOD84 b j t , DECK �u � �- I FEN 293 «, s.,t 5 .2` '+y FM LOTS0 S[ 7 TAX LOT 7 }_s 21esG / r-ONC 11- ftoCEs23. 29 Oat 0 - WOOD PLAT - 20'CIO al 1 a FND PIPE N66031'30"W i y 70.71' , GLENN ROAD (50' WIDE) GRAPHIC SCALE 30 0 15 30 LOT AREA 21,270.94 S.F. 0.49 AC. { IN FEET ) * ALL ELEVATIONS REFER TO NAVD88' DATUM 1 inch = 30 ft. SURVEY OF PROPERTY OF NEW 925 GLENN ROAD, SOUTHOLD, NEW YORK 11971 SCAL I- J. . LOT 49 land surveying MAP OF * * WEST CREEK ESTATES mjslandsurvey.Com P;631 —957-2400 FILE DATE: 08/19/1963 MAP NO. 3848 1 South Bay Avenue, Islip, NY 11751 SITUATE AND TOWN OF SOUTHOLD ° 050 LAND DR.:MC CREW.:JM SCALE. 1" = 30' SUFFOLK COUNTY, NEW YORK TAX MAP NO. DATE SURVEYED:12/17/2024 JOB No.S24-6550 1000—078.00—02.00—006.000 4 pus F,iv _€ '€E � SR.'•s h�i E i'di :. s4�a .€' Sb€ 4.t%?5_4 Yam. aa3 F'v�+i �' 4tG�S rl�x aaii'3�e€ee 4 # t ,vs. .€-+ - -- '. c. - t-i� �__.F++n`c`Y#��� ils3,:'�'.YAi .i.€fEf�� - '"�`«-K'. eu E-�+-hv aY,iiF �gN'i�f'�.I _ R:=S.�€i L�b`]ti.„.V.r3 P?a �l�"NAt� k�?`F Z''I`S .1� i#A u..�Y€'L l� `'�'�€�€ �T.�Y'z•=s'3 - -=,s ,L. N&�Ti Y«v -M a �c,5 L ut+ -.. k y-yt -r^ter.: c' [ - 3e X . €€aar e F �,s--:'. 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