Loading...
HomeMy WebLinkAbout52140-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#: 52140 Date: 08/01/2025 Permission is hereby granted to: Peter S Malloy PO BOX 476 Orient, NY 119S7 To: Construct a shed accessory to an existing single-family dwelling as applied for.Structure must maintain a minimum side yard setback of 25 feet. Premises Located at: 1670 King St, Orient, NY 11957 SCTM#26.-2-42.3 Pursuant to application dated 07/02/2025 and approved by the Building Inspector. To expire on 08/01/2027. Contractors: Required Inspections: Fees: Accessory-New Structure $251.00 CO Accessory Structure $100.00 Total $351.00 14 IL Building Inspector TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 r P ) ) Telephone 631 765-1802 Fax 631 765-9502 htl)s: ww"v '.SoLIt"Io a town.I1 aoY Date Received EC APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 1 �/ Building Inspector L 202 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 Owners Authorization form(Page 2)shall be completed. Town of Southold Date:July 2, 2025 OWNER(S)OF PROPERTY: Name:Mary Perica SCTM#1000-026.00-02.00-042.003 Project Address:1670 King Street Phone#:917-209-6633 =mafl:majorspondfarm @gmail.com MailingAddress:PO Box 476 Orient, NY 11957 CONTACT PERSON: Name:Mary Perica Mailing Address:PO Box 476 Orient, NY 11957 Phone#:g17-209-6633 Email:majorspondfarm@gmail.com DESIGN PROFESSIONAL INFORMATION: Name:NYShed Co. Mailing Address:885 Wickham Ave, Mattituck, NY 11952 Phone#: (631) 765-3090 Email:christianm.nyshedggmail.com CONTRACTOR INFORMATION: Name:No Contractor, shed being delivered Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION R'New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $25,000 Will the lot be re-graded? ❑Yes RNo Will excess fill be removed from premises? ❑Yes ®No 1 r PROPERTY INFORMATION Existing use of property:residential Intended use of property:residential Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to residential this property? ❑Yes MNo IF YES, PROVIDE A COPY. ❑ Clieck 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 Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffok 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 authorked Inspectors on premises and In building(s)for necessary Inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 2I0AS of the New York state Penal Law. Application Submitted By(print name):Mary Perica ❑Authorized Agent @Owner Signature of Applicant: Date: 'zs STATE OF NEW YORK) SS: COUNTY OF Suffolk ) ( � being duly sworn,deposes and says that(s)he is the applicant (Name of individual s fining contract)above named, (S)he is the Q W N L K (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 day of 20 0-5 F Notary Public JONMMIMUM l f f'''l mmf' OWNER f ry l.�......lll ll� ) �. NOTARY I i I , w,rc llc (Where the applicant is not the owner) 101MU6429053 0' CiIT,„ #, 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 S.C.T.M.# DISTRICT 1000 SECTION 26 BLOCK 2 LOT 42.3 "4D N/F OF BOSCN �U.P• EUGENE NANDEN 0� 0- t aN� N p 0 IANOOF/NE DOUGIAS 0 FAG ti . JAMES do SUZAN ��. �� pRM R=20.00' D aHxAo' A s s.T` Via• . ,_ � � z., Y A 4N GATE •., Wyk .r' BOUNDARY ,y STK- r g-Ta V � E o' Ca r ,ter r � r r r r r r rrrr , r r rTHE WAIM Y. WU �1AW r Lr T ± FROM P)aD OBSERVATIONS r r AND Orr DATA 06FA&"FRO OTHOM r r / AREA:271. 863 SQ.FT. OF 6.23 ACRES ELEVATION DATUM: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY / MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND LW HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCE$ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: PETER S. MALLOY, GRAPHIC SCALE MAP OF: MARY PERICA; s FILED: FIDELITY NATIONAL TITLE INSURANCE SERVICES, LLC; SITUATED AT:ORIENT TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC ( IN FEET ) SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design 1 inch = 50 fG.. -- -- P.O. Box In Aquebogue, New York 11931 FILE 0 16-164 SCALE:I°=50' DATE:OCT. 2, 2DI6 PHONE(63L)296-1666 FAX(631)296-1669 N.Y.S. LISC.NO. 050882 m.mwwni w.....a.a ft—J.H--!CaomW Y.W."huk