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HomeMy WebLinkAbout50585-Z TOWN OF SOUTHOLD ao�SufFec�-�oG BUILDING DEPARTMENT y y x TOWN CLERK'S OFFICE �y • 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 #: 50585 Date: 4/24/2024 Permission is hereby granted to: Healy, Janet 195 Mathews Ln Cutchogue, NY 11935 To: replace pool fence as applied for. At premises located at: 195 Mathews Ln, Cutchogue SCTM #473889 Sec/Block/Lot# 84.-1-15 Pursuant to application dated 311512024 and approved by the Building Inspector. To expire on 10/24/2025. Fees: ACCESSORY $125.00 CERTIFICATE OF OCCUPANCY $100.00 Total: $225.00 Building Inspector FIELD INSPECTION REPORT DATE COMMENTS Q. FOUNDATION (1ST) H I n � ---------------------------------- v �C FOUNDATION (2ND) z 0 � cn ROUGH FRAMING& "C� PLUMBING V' r INSULATION PER N.Y. H STATE ENERGY CODE FINAL ADDITIONAL COMMENTS ,S ob v� z x r� e b H TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hM2s://www.southoldtowmy.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. Building Inspector: MAR 5 2024 Applications and forms must be filled out in their entirety.Incomplete BsiIIfd,�i.ry pa ,m f applications will not be accepted. Where the Applicant is not the owner,an Toven�"Soulffik`?d Owner's Authorization form(Page 2)shall be completed. Date: OWNER(S)OF PROPERTY: Name: V tc_ SCTM #1000- Project Address: Address: Y_✓_� s`� Phone#: O —5`���5ZS — Email: Mailing Address: S _ CONTACT PERSON: Name: l ILe � Mailing Address: Phone#: 61 y D -SA 7- Email: �C �I�L � �3 ® ,c►�►c,l:co._,--__ DESIGN PROFESSIONAL]N FORMATION: Name: Mailing Address: Phone#: Email: CONTRACTOR INFORMATION Name: o"y Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Alteration ❑Re air ❑Demolition Estimated Cost of Project: ❑other PC)oL. rEI,3G� �L �1_14G ��Y1�i�-c�-� $ (,SDC9 Will the lot be re-graded? ❑Yes El No Will excess fill be removed from premises? ErY"e's LINO 1 I 1� PROPERTY INFORMATION Existing use of property: jAphr Intended use of property: }A De—c Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes 2< 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 Chapter 236 of the Town Code. APPUCATION 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 removal or demolition as herein described.The applicant agrees to comply with all applicable Jaws,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 210A5 of the New York State Penal Law.- Application Submitted By(print name): ❑Authorized Agent ❑Owner Signature of Applicant: Date:Date: 31 is J2-I C"ONNIB-D.9fJ VCR Notary Public,State of New York STATE OF NEW YORK) No.01BU6185050 SS: Qualified in Suffolk County COUNTY OF Commission Expires April 14,2� ) 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 ay ofC)2010=j�h 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant 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 O� APPROVED AS NOTED 0 A# FW 2J" B" NOTIFY BUILDING DEPARTMENT AT 631 765.1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REOUIQED FOR POURED CONCRET 2. ROUGH-FRAMING&PL,,-*v t TV,,'ca 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 8 SE POOL TO C 6-I ENCLOSE POOL TO:COD�`" .....UPON COMPLETION'°..- 'BEFORE"WATER" - '." COMPLY WITH ALL CODES OF REQUIRED YORK STATE &TOWN CODES ASS AND CONDITIONS OF SOUTHOLDT ZBA SOUTHO OWN PLANNNG BOARD SOUTH TOWNTRUSTEES i N,Y.S. 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