HomeMy WebLinkAbout51971-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
UNTI L FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 51971 Date: 06/03/2025
Permission is hereby granted to:
Alexander L Sutton
25500 Route 25
Orient, NY 11957
To:
construct accessory outdoor shower as applied for.
Premises Located at:
25500 Route 25, Orient, NY 11957
SCTM# 18.-6-10
Pursuant to application dated 04/01/2025 and approved by the Building Inspector.
To expire on 06/03/2027.
Contractors:
Required Inspections:
Fees:
Accessory-New Structure $125.00
CO Accessory $100.00
Total S225.00
� ���Building Inspector
axe
t� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
�o.
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
„ Telephone (631) 765-1802 Fax (631) 765-95021itq)s; /www.southoLdtowliiiy.gov
Date Received
APPLICATION FOR BUILDING PERMIT d 14 G
For Office Use Only
r
PERMIT NO. s/fl Building Inspector:
I
Applications and'forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where,the Applicant is not the owner,an VVA
Owner's Authorization form(Page 2)shall be completed.
Date:
O'I NER(Sf Of ROP FRTY.
Name: Jku lSCTM#1000- —dp — O
Project Address:
Phone#: ` EmaiN J19 C,
Mailing Address: L
CONTACT PERSON:
Name:
Mailing Address:
Phone#: � �� Email; ac
RESIGN PROFESSIONAL,INFORMATION:
Name, j
Mailing Addr `
Phone#: Em
CONTRACTOR INFORMATION:
Name,
Mailing Address:
Phone#: I — Email:
-5"&
DESCRIPTION OF PROPOSED CONSTRUCTION
New Structure ❑Addition ❑Alteration ]Repair ❑De Iition Estim ed C st of Project:
❑Other
Will the lot be re-graded? ❑Yes o Will excess fill be removed from premises? ❑Yes
1
PROPERTY INFORMATION
Existing use of property:2s�I Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes o 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
gptta 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
t dlu 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 P944ar.
Application SLID nrlitted B (print earn OAult riled Agent El Owner
.01
Signature of A plica Date:
STATE OF NEW YORK)
COUNTY OF )
being duly sworn, deposes and says that(s)he is the applicant
(Name of 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 Imo' In
e �' V l 1t' L day of , 20 6?5
Notary Public
MADISON MESSINA
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01 ME6370536
Qualified in Suffolk County PROPERTY
OWN aR n AUTHORIZATION
carr�rnissiort.Expires February 5, ...� e
( pp t 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
OCCUPANCY OR
�P AS - _ N ��. RETAIN STORM ATE RUNOFF
PURSUANT TO CHAPTER 236
nAlrEgf.9737 B.P# �� �� I OF THE TON CODE
PCy
NOTIFY BUILDING DEPARTMENT AT
631 7W1802 8AM TO 4PM FOR THE 3�
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING 8 PLUMBING
3, INSULATION
4 FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE .'
REQUIREMENTS OF THE CODES OF NEW u
i
YORK STATE. NOT RESPONSIBLE FOR -
DESIGN OR CONSTRUCTON ERRORS
ALL CODES OF
NEIEWYORKK E&TOWNCODESAS .
. .IRED AND ND.TIONS OF
ND
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HPIC iv
SD
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_ . Nole: AIL SUBSURFACE STRUCTURES'; UNAUTHORIZED ALTEANON OR ADDITION
Area= WAFLR SUPPLY, SANITARY SYSTFMS, TO THIS SURVEY IS A VIOLAIION OF
J61 n JU SLC FIUN 7209 OF THE NEW YUIiK SI'AIE
/� �+ {} - - SIIOWNGARE FROM FIELD OBSERVATIONS EDUCATION LAW
-
40,314 sq.ft. ro "`° = AND OR DA FA OHIAINLU FROM UTI-IEI2S COPIES OF THIS SURVEY MAP NOI BEARING
THE LAND SURVEYOR'S INKED SLAL OR _ j
0.93 acres st HAU 25500 HE EXISTENCE OF RIGHTS OF WAY 10 BBE AOVALIDLTRUEL COPYT L No BE CONSIDERED
AND/OR EASEMENTS OF RECORD II
ANY, NOT SI TOWN ARE NOT GUARANTEED. CUARANIEES INDICATED HEREON SHALL RUN
ONLY TO IHE PERSON FOR WHOM THE SURVEY s
r 3 IS PRCPARED AND ON HIS BEHALF TO THE
P a,,�y,�,. k„a 'T"LE COMPANY, GOVEI2NMENFAL AGENCY AND j
25500 M air, Orient LENDING INSTITUIION LISTED HEREON, AND IE
// TO THE ASSIGNEES OF THE LENDING INSTI—
TUTION, CUARANIEES ARE NOT TRANShLRABLF. 3
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FpRMfR[Y OF
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Ccrhfiecl to:
Alexander I. Sutton
Tracy M. Sulton NE-.'
Fidelity National Title Insurance Services, UC
* Survey of Property
.. -_ situate at
Orient
Town of Soufhold
IN1JIr tItV[
Mintov'tlte@aol.com- Suffolk County, New York
SUBDIVISICNS Tax Map #1000-18-06-10
TITLE& MORTGAGE SURVEYS
IOPOGRAPiIC SURVEYS Scale 1"= 30' March 10, 2021
LAND PLANNERS
SITE PLAN GRAPHIC SCALE
JOHLN MINTO, L.S.
-�_. _. PHONE: (631) /24-4832 -
u(i 0 ND SURVFvnf �rt
FAX: (631) 724-5455
:19 Sh1J'l71'1'f1WN BOUL1VA121 SMITHTOWN, N.Y. 11787 ( IN PENT )
T inch = 30 fL.
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