HomeMy WebLinkAbout52836-Z �aofSQ„lyo TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N iC
• 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#: 52836 Date: 04/06/2026
Permission is hereby granted to:
Leda C Brundage
1125 Mason Dr
Cutchogue, NY 11935
To:
install a deer fence as applied for.
Premises Located at:
1125 Mason Dr, Cutchogue, NY 11935
SCTM# 104.-5-35
Pursuant to_application dated 04/06/2026 and approved by the Building Inspector.
To expire on 04/05/2028.
Contractors:
Required Inspections:
Fees:
DEER FENCE $100.00
Total S100.00
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Building Inspector
COMMENTS
FIE LD INSPECTION REPORT D A TE
FOUNDATION (IST)
r) IF
------------------!-------------------- --------
FOUNDATION (2ND)
ROUGH FRAMING & ..........
PLUMBING ................
-15..........
....... ------ - ....................
.......... ------- ........
INSULATION PER N. Y.
STATE ENERGY CODE ------------ ---
..... ........
FINAL
.............
ADDITIONAL COMMENTS
0
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............. .........
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....... ..... ----------
\\j
09 2,
PROPERTY INFORMATION.
Existing use of property: �St� Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes kNo 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. 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 210AS of the New York State Penal Law.
Application Submitted By(print name): Lie- &-L)V4 cty- ❑Authorized Agent ®Owner
Signature of Applicant: AA-eL Date:
C NIE6:BU
Notary Public,State of New York
STATE OF NEW YORK) No.01 BU6185050
SS: Qualified in Suffolk County �(
COUNTY OF I h ) Commission Expires April 14,2oa (J
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
l/ ) day of rO CCA- U ) , 20 n^�
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
c
lot
J
pP VED AS NOTED
D N&N B.P# 5
PEE BY:
NOTIFY BUILDING DEPARTMENT AT
631765.1802 8AM TO 4PM FORTH E
FOLLOWING INSPECTIONS:
1. FOUNDATION-
FOR POUREt"l
2. ROUGH-FRA"�tiNL:, s. .
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
COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODES
AS REQUIRED AND " ONDITIONS OF
yj�.D
TOWN ZBA
—..,._.._,_.. TOWN PLANNING BOARD
TOWN TRUSTEES
HIPC
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE.
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