HomeMy WebLinkAbout53185-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#: 53185 Date: 08/07/2026
Permission is hereby granted to:
Richard J McBride
10625 Oregon Rd
Cutchogue, NY 11935
To:
Legalize "as built"additions&alterations to an existing barn structure as applied for.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 Addition/Alteration $2,849.00
CO Accessory $100.00
Total ' 2,949.00
J-Zg".h
Building Inspector
F F�7F
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 t s//vvwv^.sorL� lttto���nn .qgy
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only �a.
.� 2 3 2025
PERMIT N0. Building Inspector, V
Applications and forms must be filled out in their entirety, Incompleteealding O,�partrn.ent
applications will not be accepted. Where the Applicant is not the owner,an ° of sr"V'giold
Owner's Authorization form(Page 2)shall be completed.
Date: Cot L LP
OWNERS)10!F P OPERTY:
Name: kr -D SCTM# 1000- _.
Project A dress: 10 � G ir"'1� f- I V�QS7
Phone#: Email:..
Mailing Address: 16 CUT—
CONTACT PERSON:
Name: Lf.
;
Mailing Add ess: v d, Ivy, 20 04 _ QlX , . JJ Q
Phone#: ��� 7i� ' Email:
DESIGN PROFESSIONAL INFORMATION::
Name: " AIL
� f
Mailing A1dress: �, ��
Phone#: &-�( ' % Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑NN w Structure ❑Addition ❑Alteration C Repair O Demolition Estimated Cost of Project:
I�fOther - $
Will the lot be re-graded? ❑Yes No Will excess fill be removed from premises? ❑Yes 2 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
this property? Dyes ❑No IF YES, PROVIDE A COPY.
II'
Chef BCDx After Reading. The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
ce of a Bullditt Permit ursuant to the Buildin Zane
ment for the lssuan 8
Cha ter 236 of the Town Cade. APPLICAT{ON IS HEREBY MADE to the Building Depart g P
p
n her a licable Laws Ordinances or Re ulatians,for the ronstructian of buildings,
o n New York a dot B
I f#o{k C u
o#Southo d Su Pp c of the Tawn tV I Ordinan e ,
additions,alterations ar for remoual 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 bullding(s)far necessary inspections.wise 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): IC, H r Author�dA nt Ir1Owner
Signature of Applicant: :�LDate: ' .
CONNIE D.BUNCH
STATE OF NEW YORK) Notary Pub ic„State of New York
SS: No>01 BU6185050
COUNTY OF ) Qualified 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
�da -
of� 20
Notary Public
PROPERTY N A R (ZA 1
(Where the applicant is not the owner)
I, �'� c {� residing at 0 0yt d �.C deluc
New -X 19 31 do hereby authorize RIAgrdm, ffi)+�tr-A i t e to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
-01 4- 6�1
Owner's Signature Date
,chn.j T. t' ( 6,rldc
Print Owner's Name
2
SHEET 2 OF 2
j SKETCH PLAIN OF WBRIDE FAMILY FARM
Sims T£
sOUTaOLD
TOWN OF SOUTHOLD
SUFFOLK COUNT", NEW YORK
/ S.C.TAX No. 1000-83-02-15
1000-83-02-18.1
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OECISION?
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!Nathan Taft Corwin III
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� Land Surveyor