HomeMy WebLinkAbout53186-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#: 53186 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 to include an incidental
accessary office space 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 $4,530.00
CO Accessory Structure $100.00
Total ' 4,630.00
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Building Inspector
11 e2 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 lttCs:� rvw.s� ,t1toa�� .w
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only
PERMIT NO. ` Buildinginspecton.Jgv_ JUG' 2 3 2026
Applications and forms must be filled out in their entirety. Incomplete p;11116ing V1117all"ent
applications will not be accepted. Where the Applicant is not the owner,an Tf1yV,n of Southold
Owner's Authorization form(Page 2)shall be completed.
Date: Cm � ,(,p
OWNERS)OF P 0PERTY:q,
Name: I� SCTM# 1000-
Project A dress: o7 '. 1 l Cri i
Phone#: Email:
Mailing Address: t� (OZ°� VT-
CONTACT PERSON:
Name: 14146w
Mailing Add ess: , 0, fox �02 64 . 114
Phone#: d j Email: fico e cov
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing A dress: y,d; f0X afi W 1 "4tvr ft`J,` - I q1 f
Phone#: (� 7j( ,- r °� '�� Email: A-) � 7fz-, 4"
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑NN w Structure ❑Addition ❑Alteration FlRepair ❑Demolition Estimated Cost of Project:
FrO)'ther 'r $
Will the lot be re-graded? E]Yes No Will excess fill be removed from premises? E]Yes 20
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? ❑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
i 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 210.45 of the New York State Penal Law.
Application Submitted By(print name): )� /Autho zed A nt ❑Owner
Signature of Applicant: Date: Ca
CO NIE D.BUNCH
STATE OF NEW YORK) Notary Public,ale of
Now
Yor
k
SS: No.01BU6185050
) oual`If'led in Suffolk County ,
COUNTY OF
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 r 20,�
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the Owner)
residing at
New do hereby authorize rdffi,dT6 arc.bJeet o 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
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1 SKETCH PLAN OF WBRIDE FAMILY FARM
SITUATE
SOti THOLD
TOWN OF SOUTNOLO
SUFFG K COUNTY, NEW YGRK
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