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Home My WebLink About52176-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#: 52176 Date: 08/12/2025 Permission is hereby granted to: George W Synan 645 Brigantine Dr Southold, NY 11971 To: Legalize an existing"as built" pergola accessory to an existing single-family dwelling as applied for. Additional certification may be required. Premises Located at: 645 Brigantine Dr, Southold, NY 11971 SCTM#79.-4-48 Pursuant to application dated 07/15/2025 and approved by the Building Inspector. To expire on 08/12/2027. Contractors: Required Inspections: Fees: As Built Accessory Structure $390.00 CO Accessory $100.00 Total $490.00 Building Inspector TOWN OF SOUTHOLD— BUILDING DEPARTMENT Town ll Annex �802 Fax (63 )375 Main 7650-9502 1�1�79 Southold, Nh�11 971 0959 Telephone (631) 765 Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. 5� I `7(p Building Inspector: �� JUL 120 Applications and forms must be filled out in their entirety. Incomplete applications will not be accepted. Where the Applicant is not the owner,an D Owner's Authorization form(Page 2)shall be completed. OfSoi mold Date: OWNERS O PROPERTY: SCTM # 1000- Name: Cco9 C>r CARL66l4 A/A If Project Address: (� � �(Z11�Ati1'FIoJ1„' t�Rl�� $otl�HDl:(J 1�4'7 Phone#: b 3 ' [ 6��I I I Email: S1 L VV'� SEAR FURPL Mailing Address: $fI HL� A S lof oTC' �u.- OI�LOOI�.COATI I CONTACT PERSON: Name: I)tipLS& Mailing Address: SA rS L i Phone#: SA Email: SUM DESIGN PROFESSIONAL INFORMATION: I Name: �17?J C1-\1K 6 %o j,S K I i 1^R e q L r'I Q.�s in11i W—6.�, C I " Mailing Address: i Phone#: Email: CONTRACTOR INFORMATION: Name: uhrk-How/J Mailing Address: Phone#: Email: ' DESCRIPTION OF PROPOSED CONSTRUCTION 1 ew Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other $ g00,oD Will the lot be re-graded? ❑Yes 'Xo Will excess fill be removed from premises? Dyes iNo i 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: 1i Are there any covenants and restrictions with respect to this property? E]Yes E]No IF YES, PROVIDE A COPY. El e- c, 01 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,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 210.45 of the New York State Penal Law, 010 Z, W Application Submitted By(print 61! 6 name): & \A/ SyaAC DAuthorized Agent n/owner t--/Signature of Applicant: f Date: 12 CONNIE D.BUNCH Notary Public,State of New York STATE OF NEW YORK) No. 0 1 BU6185050 SS. Qualified in Suffolk County Commission Expires April 14, 2"001-,v COUNTY OF SVFfJDJLk, %J — G t:0jtj;8 I/ being duly sworn, deposes and says that is the applicant � --' X1111 (Name of individual signing contract) above named, XIll Ac is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to per-form 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/4er 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--=�, Notary Public PROPER7Y OWN R AUTINOR'Z-ATION (Where the applicant is not the owner) APFLICld residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. 2-0 4 Owner's Signature Date 660teae- -W gmxw— Print Owner's Name 2 c�/ 34/35 Secure the assembled pavilion to the lawn with the stakes(PP), PP 8x k APPROVED AS NOTED -12 dD.:t B NOTIFY BUILDING DEPARTMENT AT COMPLY WITH ALL CODES OF 631-765-1802 8AM TO 4PM FOR THE NEW YQRK STATE &TOWN CODES � FOLLOWING INSPECTIONS: AS REQUIRED AND CONDITIONS OF FouNm -- O REWREP _ SOMOLD TOWN ZIA F} ORED CONCRETE I, "_ WNW TOWN PLANNING IUGI -FRAMING&PLUMBING TOWN TRUSTS INSULATION N.Y.S.DEG FINAL-CONSTRUCTION,MUST ` BE COMPLETE FOR C.O. SOLMMHK OON )~ SON S MST THE #REMENTSOF THE CODS OF NEW Additional 1 #T NO RESPONSIBLE FOR 1 I cation V, OR CONSTRUCTION ERRORS May Be Required.. a x y F a i 41 � � �y POP A 1, o, r t� Y SCDHS. Re% # RIO-99-0014 The locallons or wells and cesspools shown hereon are from field observations and or from data obtained from others. RICHMOND REALTY 443 Main-BOX 2100 a / ELEVA77LWS ARE REFERENCED (c. To AN A$$UWD DArLAJ —.� _... . Greenport M.Y.f 1944 / Lf��- �.: ..,, y, ¢P�3 � Teel Boring � ,. 130 1.own T Smidy ey. �0 Q I L ei Loam saw— DEC t i999 ucr �Q, COW"saw SW aw r 'E`.►wr ..�"``'Wr Br.$**Clay ...� ..,.._._,.�_.. . ► $ CL t am fw** with fire .STANDARDSAAVAROS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SNVGLE FAMK Y RE IDENCES and wN abide by the con(fillons set forth therein and on the 0 , permit to construct. C1W Said r AZ Gib, y.'r/• � r�✓ f �� O' o' p7 b,Q t,• e" �, of :.. .�... 6o /a y. �.,' SURVEY AT BAY VIEW PROPERTY TOWN OF SOUTHOLD. SUFFOLK COUNTY NY t SCALD Yr = 30' 110r a DEC. 31, 1998 -- V' JAN. 12, 1999 (B.a,H. ) 3 f9 0 Feb. 17, 1999 (additions) ;r MAR. 2 1999 (re vlslon) ¢Nr JULY 6, 1999 (addition r na 1 JUL Y 16, 1999 (f ndhllon loc. r cr� NOV. 15 1999(final 1 - ,j r y CERTIFIED TO, NOTE' LOT NUMBERS REFER TO MAP OF HARBOR L��^IiG,HTS ESTATES- SECTION 4NE" �cE NE'{y1p a GEORGE W. SYNAN FLED IN THE SUFFOLK COUNTY CLERKS •rnrr f ANY ALTCRATKW OR AAW70V TO TW StA VEY 15 A WMAT" CARLEEN E. SYNAN OFFICE ON JUNE 8, 1965 AS MAP NO. 4362 z rQ y "SrCTA$PER C THE hC1► YORK STATE CALL CZN LAW COMMONWEALTH LAND TITLE 41 T AS PER SECrA7N TP09-SLE1DrirFS(OrW Z.ALL CERrFtGArT10Ns /NSURANCE COMPANY .S. LIC. N0. 496/8 NEIPEON AMC VAL40 FOR 7IV MAP AAV COMES Th RCOF ONLY F C-A'&.ae'6 OR COPIES BEAR THE IA�@CSSED SEAL OF TNC StRVEYOR ' U�Eoow� ON I Y P.C. SISNATU4C APPEARS hLMCOM w`"lei( r + Q� �a ADOIT)ONALLY TO COLPLY WIrH SAID LAW 710C TERM'ALTERED BY' MUST BE USED BY AhV ALL "VEYORs UTk9P*A COPY 1 C` STREET Of ANOTh4M sLMPVEY A MAP. TERMS SUCH AS'4rrCTED'Am AREA = 2X 800 sq,fir. LJ so 119ri 11110USHT-ro DATE'ARE Nor IV CoMF°LLANCE M7rN THE LAW. 98 - 385 5 a 1 7 Lo - ss-c sso �zs 34/35 Fure the assembled pavilion to tie lawn with the stakes (PP). ' PP 8X s I ! z' sy; ��4 D t 3 3 • t a.