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Home My WebLink About52740-Z �,OF Sooryo TOWN OF SOUTHOLD BUILDING DEPARTMENT N 1[ 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#: 52740 Date: 03/10/2026 Permission is hereby granted to: Richard G Ward PO BOX 388 Marlboro,VT 05344 To: Demolish an existing accessory barn as applied for. Premises Located at: 4006 Old North Rd, Southold, NY 11971 SCTM#55.-2-5.4 Pursuant to application dated 03/03/2026 and approved by the Building Inspector. To expire on 03/09/2028. Contractors: Required Inspections: Fees: DEMOLITION $305.00 Total $305.00 Building Inspector FIELD INSPECTION REPORT , DATE COMMENTS FOUNDATION (1ST) 1,10 --1 ---------- -------------------------------------- -- FOUNDATION (2ND) ........------- ----------- ROUGH FRAMING& PLUMBING ---------- ............. INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIO AL COMMENTS F F — ----------- cil ro -------------- ------ o��FFoc,r�oG TOWN OF SOUTHOLD—BUILDING DEPARTMENT y= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 oy • Telephone (631) 765-1802 Fax (631) 765-9502 littps://www.soutlioldtoMmu.go Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only G y„ PERMIT NO. "' Building Inspector: E MAR — 6 r 2026i..J, ---AD Applications and forms must be filled out'in their entirety. Incomplete' applications will not be accepted. Where the Applicant is not the owner,.an. L'?vpl' Owner's Authorization form(Page 2)shall be completed. Date:3/3/2026 OWNER(S),OF PROPERTY: , Name:Speonk Land Development LLC SCTM# 1000-055.00-02.00-005.004 Project Address:4006 Old North Road, Southold, NY 11971___ __� Phone#: Email: _ 631512-4522 _ _ _ - monu mental property@yahoocom Mailing Address:3080 Route 112 Suite B,�Medford,-NY 11763 CONTACT PERSON: Name:Christopher F. Dwyer, L.K. McLean Associates Engineering & Surveying, DPC Mailing Address:437 South Country_Road, Brookhaven, NY 11719 Phone#:631-286-8668 Email:cdwyer@Ikma.com ---- DESIGN PROFESSIONAL INFORMATION: Name:Robert A. Steele .E., L.K. McLean Associates Engineering & Surveying, D.P.C. ___ �_P�__ Mailing Address437 South Country Road, Brookhaven, NY 11719 Phone#:631-286-8668 Email:rsteele Ikma.com .CONTRACTOR•INFORMATION:' Name:Modern Age Homebuilders Mailing Address:3080 Route 112'Suite C, Medford,fVy 11763 Phone#:631-767-4807 Email: eter moderns ehomebuildin com 'DE$CRIPTION'OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ODemolition Estimated Cost of Project: ❑Other $ Will the lot be re-graded? ®Yes ONO Will excess fill be removed from premises? ®Yes ❑No r ' 1 PROPERTY INFORMATION Existing use of property:Vacant Intended use of property:Sln J le FamilY Residence. -_—. -- - ------_�._ e Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to AC �� _ a — _ this property? ®Yes El No IF YES, PROVIDE A COPY. ❑ Check Box After.Reading: The owner/contractor/design professional is,responsible forall 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,Newyork-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 toSection 230.45of the New York State Penal Law. Application Submitted By(print name):Christopher F. Dwyer BAuthorized Agent ❑Owner Signature of Applicant:_ Date: STATE OF NEW YORK) SS: COUNTY OF ) Christopher F. Dwyer being duly sworn,deposes and says that(s)he is the applicant `"(Name of individual signing contract) above named, (S)he is the Agent (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 N) f Ch 20 26 CHRIS •:OTARY PUBLIC, State of New Yorl: Notary Public No. 01 SE5087003 Qualified in Suffolk County ,orrlrrlission Exoires October 27,20Z_,..RROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I� Christopher F. Dwyer residing at 3080 Route 112 Suite B, Medford, NY 11763 do hereby authorize Christopher F. Dwyer (LKMA)to apply on my behalf to the Town of Southold Building Department for approval'as described herein. Owner's Signature Date AJJi I d I Print Own is Name 2 0 � cep SURVEY OF PROPERTY AT MBN _ 4006 OLD NORTH ROAD - ON THE - - _ DEVELOPMENT MAP OF RICHARD WARD LOT 2 OLD NORTH SITUATE AT EP ROAD SOUTHOLD `P 2--�, EDGE OF PgVEMENT TOWN OF SOUTHOLD NYT 39 EPEP 21•g f,P 2.67 34" S 85®13'40• P 21.73 X21.72 EP 21.70 SUFFOLK COUNTY,NEW YORK 85.13'40• E 112,13 (MAP) AREA OF PARCEL = 42,160t SQ.FT. OR 0.968f ACRE 21.79 E 112.14 '^. -0- NYr 40 7.2 0,46' x 21.53 I 4 x4' W VD. I > POST X 22.17 x22J3 x RI.73 x 2d51 I O C{`� J I W Iq Qhs m I V I Ne OD NOTES W I N w Lo 1. MEASUREMENTS ARE IN ACCORDANCE WITH U.S.STANDARDS. I 2. BEARINGS SHOWN ARE IN NEW YORK STATE PLANE COORDINATE Q XE221 I SYSTEM,NAD83(2011)LONG ISLAND ZONE. 26' x 2163 I 1 J. ELEVATIONS REFERENCE NAVD 1988. I 4. UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2,OF THE NEW YORK STATE EDUCATION LAW. of m I� W5. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN u J j ORIGINAL OF THE LAND SURVEYOR'S"EMBOSSED"OR"INKED"SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. V J x2ss2 I 6. CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS Z Iq• a 1 PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR 3 LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF 4 24.10 x 23.94 PROFESSIONAL LAND SURVEYORS. SAID CERTIFICATIONS SHALL RUN X 29.OB x 23.59 x 22 7s I ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND 36,3' EXISTING 4' LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE h FENCE TO BE W W I N LENDING INSTITUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO aTST ti + BARN O u I~ 3DLISlD 1 REMOVED I [U ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. O r 8,2•L_ X xza4o O 7• RIGHTS-OF-WAY NOT SHOWN ARE NOT CERTIFIED. ROOF 9'0 N 4� pVERHANG(Typ j I x v I B. THE SURVEY CLOSES MATHEMATICALLY. I4 Q W F 24.69 I I 3 9. TITLE REPORT NUMBER L581624-S PREPARED BY EXPRESS ABSTRACT x 2A73 ¢ LJ SERVICES INC.AND DATED MAY 1,2023 WAS PROVIDED FOR THE BENEFIT Q x24.35 I X23-57 x m I � c,^z, OF THIS SURVEY SETS FORTH IN ITEM 15 OF SCHEDULE B THAT: J nl , x2361 W I� I I o C-V ;t PARCEL IS SUBJECT TO THE FOLLOWING ENCUMBERANCES: N�Qz I q I N 1.DECLARATION OF COVENANTS 8 RESTRICTIONS(L.12508,P.689) Z"Z"Z lri x x° I o Z ^ 2.COMMON DRIVEWAY AGREEMENT(L.12497,P.838) Q � 2523 I I w 1 d- 3.50 FEET RIGHT OF WAY(L.8444,P.148 8 L.8444,P.151) 11j=O Op 4.EASEMENT(L.12497,P.839) 03 e o I x23.95 x }10, i 1 Q 2523 x2531 x24,B5 w l-"J COMPLY WITH ALL COD 8' x 23.51 � NEW YORK STATE &TOWP � > � � Q I x � I q Qo AS REQ RED AND CONDI-i = I x24.29 I I 3 SOUTHOLD TOWN ZBr VOW 25.54 x 24.13 V O I w 1 ZWN ' EDGE pF WGODS x o W o SOUTHOLD TOWN PU L X x 2S 93 X N I N 1 2594 4'POST X- X RAIL FENCE X .l-�- X EDGE OF W 1 o SOUTHOLD TOWN TRUE, lc1 WOODS 1 x2516 1 I Y N.Y.S.DEC 6.8' SOUTHOLD HPG X 2Z43 I� 11 SCHD X 26.79 N x 23.75 I a I X24.4 I LEGEND I� ally,.i�171•,�.;i..,�::;..' � I WOODED w I ti ., I APPROVED NOTED I °w I 1 O® ' ' ' ' WATER WELL w 1 x 23J6 ® ' ' ' WA TER METER . ' �- UTILITY POLE D 3 O . . REBAR is i; ... 1 x2517 I 7 . . . . . . . .MONUMENT �O'00 . . . . . . . .GATE POST Y BUn M DEPART 1T� I STBNE -DECIDUOUS TREE �WIIRiYG�I�� p6 DRIVE {] DECIDUOUS SHRUB :.5-1802 GAM TO 4PM FORTHE x26.50 180,655 EP . . . . . . .EDGE OF PAVEMENT X 26.15,'JING IN�P Z•32'100 d✓ I -�.JiNDATION•TWO REQUIRED �ouREDCONCREfE ,�tOF NEW aH-FRAM1NG&PLUMBING JOSEPHNIF MANNO INE NQ � �� L. Srj�� LaTiON i_-CONSTRUCflONMUST CATH 055,00 0200-005,001 OMPLETEFORCA SC TM# 1000- 'oTRUC M SHALL MEET THE OF CO' -0, 050528 .):-��ENTS OF THE DES NEW A 'TAF E. NOT RESPONSIBLE FOR DATE HY DESCRIPTION APPROV. BY N OR CON4TRtJCTION.ERRORS CERTIFIED TO: +�I A�f_VJ1L7/ REVISIONS 1. Speonk Land Development LLC; Town of Southold 2. Express Abstract Services Inc.; Suffolk County, New York 3. Commonwealth Land Title Insurance Company; 4006 Old North Road SOUTHOLD, NEW YORK I hereby certify that this map was made from an actual survey DEMOLITION SURVEY SUFFOLK COUNTY REAL PROPERTY TAX MAP completed by me on 0910812025 L.K. McLEAN ASSOCIATES DISTRICT 1000 / /� y ENGINEERING & SURVEYING, DPC SECTION 055.00 Lt��l C!\(ti `� ! C i i 437 SO. COUNTRY ROAD, 13ROOKHAVEN, NEW YORK BLOCK 02.00 S-yed By. JL/RR Scaie: I"= 30' Sheet Ne. LOT 005.004 TAMARA L.STILLMAN,P.L.S. nr,, sY, si(c Date: 03/04/0026 ll NYSPLS No.50528 P.\23097,000 4006 Did North Road, Southold, NY\Clvtl dwg\Survey Dept\Drawings\23097.000 Demolition Survey.dwg James Kowalski Approved ap TLS Re No. 23097.000 I< COMPANY RESOLUTION Feb 20, 2023 Speonk Land Development LLC a New York duly organized and existing company in the state of New York dos hereby certify that the following is a true copy of the resolution adopted by the Board of Directors of Feb 20, 2023 which resolution is in full force and effect and has not been modfied or otherwise amended: Resolved that Chris Dwyer of LKMA is hereby appointed assistant secretary and manager for the express and only purpose of effectuating municipal approvals, Board of Health approvals, Building permits, certificates of occupancy applications and approvals for both homes and pools, and for building lots in Suffolk county. Witness my official hand and signature below: L � Speonk Land development LLC L11AALETTER OF TRANSMITTAL L. K. McLEAN ASSOCIATES ENGINEERING&SURVEYING, DPC DATE: 03/05/26 1 PROD NO.: 23097.000 437 SOUTH COUNTRY ROAD ATTN: To Whom It May Concern BROOKHAVEN, NEW YORK 11719 RE: Demolition Permit Application TO: Town of Southold Building Department 4006 Old North Road,Southold,NY 11971 54375 rt 25 SCTM#:1000-055.00-02.00-005.004 Southold NY 11971 631-765-1802 We are sending you FX Attached 0 Under separate cover via the following items: Shop Drawings Prints X Plans Samples Specifications Copy of Letter Change Order X Other: Applications Copies Date No.Sheets Description 1 3/5/2026 4 Building Permit Application 1 3/5/2026 1 Speonk Land Development Company Resolution 1 3/5/2026 1 Demolition Survey These are transmitted as checked below: X For Approval Approved as Noted Resubmit l Copies for Approval X For Your Use Returned for Corrections Submit Copies for Distribution As Requested No Exception Taken Make Corrections as Noted For Review and Comment For Bids Due Prints Returned After Loan to Us REMARKS: z Copy To: LKMA File Signed: X LKAALETTER OF TRANSMITTAL L. K. McLEAN ASSOCIATES ENGINEERING&SURVEYING, DPC DATE: 03/05/26 1 PR01 NO.: 23097.000 437 SOUTH COUNTRY ROAD ATTN: To Whom It May Concern BROOKHAVEN, NEW YORK 11719 RE: Demolition Permit Application TO: Town of Southold Building Department 4006 Old North Road,Southold,NY 11971 54375 rt 25 SCTM#:1000-055.00-02.00-005.004 Southold NY 11971 631-765-1802 We are sending you FX Attached Under separate cover via the following items: Shop Drawings Prints X Plans Samples Specifications Copy of Letter Change Order X Other: Applications Copies Date No.Sheets Description 1 3/5/2026 4 Building Permit Application 1 3/5/2026 1 Speonk Land Development Company Resolution 1 3/5/2026 1 Demolition Survey These are transmitted as checked below: X For Approval Approved as Noted Resubmit Copies for Approval X For Your Use Returned for Corrections Submit Copies for Distribution As Requested No Exception Taken Make Corrections as Noted For Review and Comment For Bids Due Prints Returned After Loan to Us REMARKS: Copy To: LKMA File Signed: X