HomeMy WebLinkAbout52778-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
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#: 52778 Date: 03/24/2026
Permission is hereby granted to:
Berry C English
260 6th Ave
Greenport, NY 11944
To:
Relocate existing accessory shed as applied for.
Premises Located at:
350 Skunk Ln, Cutchogue, NY 11935
SCTM#97:3-7
Pursuant to application dated 12/26/2025 and approved by the Building Inspector.
7o expire on 03/23/2028.
Contractors:
Required Inspections:
Fees:
Accessory-Alteration $125.00
CO Accessory $100.00
Total S22S.00
Building Inspector
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$ TOWN OF SOUTHOLD--BUILDING DEPARTMENT
Town.Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959
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Telephone (631) 765-1802 Fax (631) 765-950211 � � fwx .soot o to T o
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Date Received
APPLICATION
FOR BUILDING PERMIT
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For Office Use Only �u
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Building Inspector:NO
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Applications and forms must be filled out in their entirety.incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization farm(Page 2)shall be completed.
Date:12/26/2025
OWNER(S)OF PROPERTY:
Name.John Troutman & Julie Miller SCTM#1000-97-3-7
Project Address: Skunk lane cutcho ue n 11935
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Phone#:347_276_6093 Email:clay@Isaac-rae.com
MailingAddress: Lane CUtChtogue NY 11935
360 kunk
CONTACT PERSON.
Name:ClayCoffey/ Isaac-Rae
MailingAddress: Main street Greenport NY` 11944
430
Email:clay@isaac-rae.com
Phone#.Y 47-276-6093 Y@Isaac
DESIGN PROFESSIONAL INFORMATION:
Name-.,Clay Coffey Isaac-Rae
MailingAddress: Main street Greenport NY 1 �1944
430
Phone#.347_2. 76_6093 Email:Clay@isaac-rae.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
P
hone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
atio ❑Re air d demolition Estimated Cost of Project:
❑New structure ❑Addition DAlter p,V- $2 5ok
❑Other � �
Will the lot be re-graded? ❑Yes ®No
Will excess fill be removed from premises? DYes ig No
I
PROPERTY INFORMATION
• intended use of property: i a l
FExistinguse of ro erty.Residential ►IC�E�r1t property:
Zone or use district In which ich premises is situated: Are there any covenants and restrictions with respect to
i
thisproperty? ❑Yes ❑No IF YES, PROVIDE A COPY.
R-80
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. APPLICATION IS HEREBY MADE to the wilding Department for the issuance of a Building Permit pursuant to the Building Zane
Ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,ordinances or Regulations,for the construction of buildings,
•• demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,
r removal or
additi
ons,alterat
ions[�
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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 Caw.
da, ff, ized A ent EOwner
Application Submitted By t aR Author g
Date: 12/26/2025
Signature of Applicant.
STATE OF NEW Y RK)
SS:
COUNTY OF
`" a being duly sworn deposes and says that(s)he is the applicant
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(Name of individual signing contract)above named,
(S)he is the
(Contractor,Agent,Corporate Officer, etc.)
of said owner or owners, y 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
at the work will be per-formed in the manner set forth in the application file therewith
that p
Sworn before me this
Clay o
2C °
rotary Public 0
T'AG EY L. D W Y E R
NOTARY PUBLRIZATION q MO.IC,STATE of NEW YORK
PROPERTY DW'03,069001-, UNTY
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t,L1F11FD,ING)l V-*F0,LK,C0
(''Where,the applicant i t s not,t , owner)
John Troutman .di
350 Skunk bane Cutchogue NY 11935
I� reslng at
I
do hereby authc�rize
day Coffey to ay p p on
my beh to thy. ' n of Southold Building Department for approval as described herein.
12/26/2025
Owner's Signature Date
John Troutman
Print owner's Name