HomeMy WebLinkAbout53184-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#: 53184 Date: 08107/2026
Permission is hereby granted to:
Richard J McBride
10625 Oregon Rd
Cutchogue, NY 11935
To:
Legalize "as built"accessory shed (16'4"x107') as applied for per ZBA approval.Additional
certification may be required.
Premises Located at:
10725 Oregon Rd,Cutchogue, NY 11935
SCTM#83:2-16.1
Pursuant to application dated 06/23/2026 and approved by the Building Inspector.
To expire on 08/06/2028.
Contractors:
Required Inspections:
Fees:
As Built Accessory Structure $423.00
CO Accessory $100.00
Total $523.00
A4
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 hlW,:)/ ,L: -Quthol townn
i
Date Received
BUILDINGAPPLICATION FOR
For Office Use Only
Ali�PERMIT NO, Building Yinspectors 1iI \N 2 3 2,026�`�
Applications and forms must be filled out in their entirety. Incomplete n1jildin VnpIrtrrenf
applications will not be accepted. Where the Applicant is not the owner,an 'ovr� cbi'
Owner's Authorization form(Page 2)shall be completed.
Date:
OWNER(S)OF P OPERTY:
Name: taoqv A 4 SCTM# 1000- -- ,
Project A dress: C P .
Phone#: Email:
Mailing Address:
CONTACT PERSON:
Name: o
Mailing Add ess: . 0. ( 'ZZ 154 f"lQ - Cl a
Phone#: 2 s Email: Ficio le c r t
DESIGN PROFESSIONAL INFORMATION:
Name: e A J !� .
Mailing A dress: -t�a '-4)(
Phone#: Email: ) 9'fZeT, L"
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
7 wStructure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Other - $
Will the lot be re-graded? ❑Yes ErNo Will excess fill be removed from premises? []Yes o
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
.III. this property? ❑Yes ❑No 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): Author'2ed A nt C)Owner
I
Signature of Applicant: ���� Date: ` (p
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Public,State of New York
SS: No.01 BU6185060
COUNTY OF ) Civallfied In Suffolk County,
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 (y
da of � 20
Notary Public
PROPERTY10RIZATION
(Where the applicant is not the owner)
M4 p5ride residing at 6 rcL o uF 6Vv
Vork 11131 do hereby authorize rd b drAi fe-lfto apply on
my behalf to the Town of Southold Building Department for approval as described herein.
-J'u roe /y, �L o,;� �-
Owner's Signature Date
;chn,d T- (06 6r,dC
Print Owner's Name
2
SHEET 2 OF 2
5?iET�i� 1-1 OF -11-1RIll. F:13 rye F�SF,,d C
r r_
LTHOD
OtfM1 OF SOJTnG.Q
SUFFO_K CO NT. NEV'YOFK
s E x ,
1000-93 D< i6"
e6` i �0 83 a2 1b 2
E
s
�Z� \
/ \
FINAL tAP
i .po��a -, - REVIEWCD BY ZBA
IDECISr ua
c ocj- 7DIT D
LOT I
-25
Qa�
t sf a,
4
i l� is x t
o f
p4Ep� R0�D
G -
Nathan Taft Corwin III
Land Surveyor