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HomeMy WebLinkAbout53050-Z �o�,�n�soU�•�,8�o TOWN OF SOUTHOLD o 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#: 53050 Date: 06/05/2026 Permission is hereby granted to: Cutchogue-New Suff Pk Dst PO BOX 311 Cutchogue, NY 119350311 To: install a shed as applied forperTrustees approvals. Shed must have a minimum secondary front yard setback of 25'. Premises Located at: 55 West Rd, Cutchogue, NY 11935 SCTM# 110.-7-13 Pursuant to application dated 05/28/2026 and approved by the Building Inspector. To expire on 06/04/2028. Contractors: Required Inspections: Fees: Accessory-New Structure $195.00 CO Accessory $100.00 Total $295.00 Building Inspector " T(� OF (JXJTHCJLD BUILDING; DEPARTMENT Main Road O. Box 1179 Southold N' 1 971-0959 // Town Hall Annex 543 75 , Telephone 631 765-1802 Fax 63 l 765-9502 lit : Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only , PERMIT No Building Inspector: ........... T A Y 20,26 Applications and farms 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. o M Date: .: OWNER S OF PROPERTY: SCTM # 000-, . .. i �,,,, t t o a 2�k-7 tName: � � 4 � Project Address: - �. -- ' r Phone#: Email,IO, Mailing Address. ° CONTACT PERSON: T . Name: Mailing Address:° 11140 � Email. Phone#: ,. ow" °- C. C041 DESIGN PROFESSIONAL INFORMATION: Names �', «m Mailing Address _ A Phone#: -~ Email: ............... Name: Mailing Address: Phone# M P Email, DESCRIPTION OF PROPOSED CONSTRUCTION e ❑Addition ❑Alteration ❑Re air ❑demolition Estimated Cost of Project: ❑New Structur p ZAOC.�O.- cl� R other, L12- Will the lot be re--graded? C� )�?No ^, �� le.Q Yes Will excess fill be removed from premises? ❑Yes �No . 1 PROPERTY INFORMATION Existing use of property: Intended use of property: Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑YesR'No IF YES, PROVIDE A COPY. El Check Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter r 236 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of ac Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and ether 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 cede 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. • d B (print name : r � � m thorized Agent ❑owner A lication Submitte y } . ' Application Signature of Applicant: Date: STATE OF NEW YORK) SS: COUNTY OF Net ssau } . being dui sworn, deposes and says that (s)he is the applicant �, c g Y p (Name of individual signing c ta:ctFab'ove­named, ( ) 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 27 jay of (A a 20 NotrNotary lic KRIST'INE M CARDILLO Public-State of New York No. 01 CA6436226 PROPER OWNER AUTHORIZATION Qualified in Nassau County ommission Expires Jul 1 1,2026 (where the applicant is not the owner) lrI 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 Town Hall Annex Glenn Goldsmith, President 54375 Route 25 Nicholas ee President P.O. Box 1179 Eric Sepenoski � Southold, e r 11971 Liz Gilleol Telephone 1 765-1892 Joseph i ora Fax (631.) 765-6641 VU NM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10898A Date of receipt of Application: December 11, 2025 Applicant: Cutchogue New Suffolk Park District SCTM##: 1000-110-7-13 Project Location: 55West Road, Cutchogue Date of Resolution/Issuance: January 14, 2025 Date of Expiration: January 14, 2029 Reviewed by: Board of Trustees Project Description: Install a 10' 14' shed. Findings: The project meets all the requirements for issuance of an 9 Adm inistrative Permit set forth in Chapter 275 of the Southold Town Code. The issuan ce of an Administrative Permit allows for the operations as indicated on the �t plan prepared ar by Xavier Fleming, received on December 11, 2025, and s stamped ap prov ed vn January 14, 2025. Special Conditions: No tree removal. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. 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