HomeMy WebLinkAbout51936-Z ofsoUlyo� 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#: 51936 Date: 05/20/2025
Permission is hereby granted to:
Jonathan Zenir
25 Croydon Dr
Bellmore, NY 11710
To:
install deer fence as applied for.
Premises Located at:
1260 Bay Ave, Mattituck, NY 11952
SCTIVI# 143.-3-20
Pursuant to application dated 04/11/2025 and approved by the Building Inspector.
To expire on 05/20/2027.
Contractors:
Required Inspections:
Fees:
DEER FENCE $100.00
Total S100.00
w Building Inspector
FIELD INSYEC'TIUN REPORT DATE�
COMMENTS C h
._........
l,OUNDA'1'ION (IS"1') ---- --- �
--------------------
FOUNDATION (2ND) r_
'O
1
— —...—----- ._...... cf)
O
ROUGH F RAM LN G & . ....___._-.-_ __-. ------. _ - -
I'LUMBINC m
G
INSULATION PER N. Y. --- - - --- __....._... .._.------- - — - - -
STATE ENERGY CODE
FLNAL
ADDITIONAL COMMENTS S
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m
10
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=o�agUFFOIk�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�o• ��o� . Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtownpy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. v Building Inspector:
APR 1 1 2025
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an Building Department
Owner's Authorization form(Page 2)shall be completed. Towle of Southold ,
Date:
OWNER(S)OF PROPERTY:
Name: oN SCTM#1000-
Pro'ect Address:
_'------._____ l2._�._ .___. Y1._L Tu c 1 �_R 5 2...__.
Phone# ,I f0 35_._� 2 — --- -_.. —_ — Email:-,
Mailing Address:_ J`' 1a.1�1C)2 _
CONTACT PERSON:
Name:`^_.-_..®W N-W
Mailing Address:
Phone#: Email:
DESIGN PROFESSIONAL INFORMATION:
Name: C7 JsJ N (5;2,
Mailing Address:
Phone#: Email:
CONTRACTOR.INFORMATION:
Name: 0�N.N (.1�
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Cc�6her �1 C IC $ 6)
Will the lot be re-graded? ❑Yes E9116 Will excess fill be removed from premises? ❑Yes N fIS
PROPERTY INFORMATION
Existing use of property: 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 ❑No IF YES, PROVIDE A COPY.
❑ Check.Box After Reading: The.owner/contractor/design professional is responsible for alLdrainage 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 210AS of the.New York State Penal Law.
Application Submitted By(print name): a pN�}.4 (� ❑Authorized Agent Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
SS:
COUNTY OF )
UN Al-A A&4 sa-�(fL being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the C 01'l
(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
d�day of P 1 ,20 a
Notary Pub is
DEBORAH A. Zr:-N;�
PROPERTY OWNER AUTHORIZATAtary Public, `:trite Oi New York
No.5063569
(Where the applicant is not the oweer) Oualified In Nassau County
o mission Expires November 4, 2Uzh
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
APP 0VED AS NOTED
DATE•-5 B.P.#
Ad
FEE BY:
NOTIFY BUILDING DEPARTMENT AT
631 765.1802 6AM TO 4PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH-FRAMING&PLUMBING
3. INSULATION
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
COMPLY WITH ALL CODES OF
NEW YORK STATE &TOWN CODES
AS REQUIRED AND CONDITIONS OF
SOUTHOLD T WN ZBA
SOUTHOLD OWN PLANNING BOARD
SOUTHO TOWN TRUSTEES
NXS.D
SO LD HPC
SCH
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
SCALE. 1=40'
- _ p'NIF,dSFflN µ YELA1NCfR
WtEpLY a
OF ABR1'N ,"
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w triE N7100-00'E
AY
494,. s
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40.6 �t1 Q
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FRAMECOTTAGE
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S77,32'40 W ., 1
LAW Y ar aocxm 3,"T' -. oc saint a±uwE N nt
kfAO:OF DESCRIBED PROPERTY {
Tp• - CONS-NCE PILNAC£K, PLS j
MA TTITUCK, TOWN OF BOUTHOLO P o Box 53 _
SUFFOLK COUNTY NEW YORK.: _ Sr JA�IEs yr riieo
-- ' 862.-1117 �
L91 ODT "' N.Y.S. L1a va 50163
DAJE',8/9/23
:REF. 'NO 23=6166 '
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