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Home My WebLink About43608-Z a�soeEet;r�oTOWN OF SOUTHOLD .� ry BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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#: 43608 Date: 4/3/2019 Permission is hereby granted to: Bowe, Scott 17 Smith St . Rockville Centre, NY 11570 To: erect a deer fence as applied for. At premises located at: 260 Oak Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-5-27 Pursuant to application dated 4/3/2019 and approved by the Building Inspector. To expire on 4/2/2020. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector 5f SOUIyO� I # TOWN OF SOUTHOLD BUILDING DEPT. courm, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] NSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) r [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 0 M A Z/ Gu Y-\&t izc,62. DATE 1 INSPECTOR Ij I `�py -c �-._Q UAI 275'50 . L� - I sly `� nrte. V I f/� c I � lS' t.� •�t. eq 1' Unautho—o alteretbn or addition to Ih.,S—r If a ndnbn of A $e;hcn 7209 of the Mew Ymk 80% Ed, of rr of Lair torn.a fn..funav Iillq�t Tf..rflq `- the;end surveyor a b*ad esti or .mhossod ad tshallM not tartfl7MW Iw to •a-lad true ue copy � J �• �'jy? I1I ' G..arenleoe Ind.cetod IMeolt MIM Iffy1_� �t/"A'~'% en'r to the D.$—f W whdn*0 fltrVVI — VV �—��/ rnanew ane on fif betleM to t!u L T 5 Go 1V 1 5 .i U f/ `� ,Q,f,.,�t/ • anv oaw rffwmf.0ene &nd I 6"P% RAIL FEW5 5DJ ti OF l.ltd[� w" n..nse2nution hfted IIfI'ecll•t1d I e u.'•,-�.cess of the 1tmEbq Inatf- . t�;•ontoes ere Inttratldfrfblf 1 � � ' nstnunonf or aob0puf11t I MAP DF LAr J titlQ\/r YAG FO'z ' f U TITLE Wo n-s-cm-a --- - - - -- - UAQANTEf.zv` To 7FiF owi-fE0-s,71J rlLST eT wr=rzir:4j4 TITL-- Mt5ULAl4CE COMPAUY WO LA 6T CUTL�0!aU� �`� �U JU,PgX99, To\vu OF 6ouruoLa, Q. Y. C 11F 1'IGL/ WI T PC. 0 In 120ti pips• u66u6Tfb LAW) 6UQvky0f46 o , MouuMt-u7 I0zr L-kJP0QT, kjr w Your r TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying9 TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �j� Survey Southoldtownny.gov PERMIT NO. Check Septic Form N Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form Stone-Water Assessment Form 3 Contact: Approved L70 Mail to: Disapproved a/c Phone: <7/4' Expiration _ _ DBuilding Inspec 1••• MAR 2 8 2019 APPLICATION FOR BUILDING PERMIT Date , 20 MOWN OF SOUWOLD INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, or 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 for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) J. If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section )U I 1§1661C "' S Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building_ Addition Alteration — Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dweling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mix d occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height N ber of Stories Dimensions of same structure wit alterations or additions: Front ` , Rear Depth Heig t Number of S116nes 8. Dimensions of entire new construction: ont Rear Depth Height Numb of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name\o Former Owner 11. Zone or use district in which premises are situate 12. Does proposed construction violate any zoning law ordinance or regulation?YES NO 13. Will lot be re-graded? YES NO Will excess ill be removed from premises? YES NO 14. Names of Owner of premises Add ss Phone No. Name of Architect Addre s Phone No Name'of Contractor Addres Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fresh ter wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMIT MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale, with accurate foundation plan and distanc s to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY O�) R�,^�``1 ,. _)C 6 Ry being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the �u')oc (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworntot�o before me this ,�Lb it' day of CA K, 201 _ Notary PublicTRACEY L. DWYER Signature of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2Q&9— T- IJ ff - ~ J. , i1 tC $0 S 6 tJc 6 _N ,r, w ej- 1 Sly o ° Q 00 i � o t}nruthor��e9 aitwetbn Or addition to tt+is suvey is a v+oiation of ! / ' l \� N ;' AIN. ��:Jl�G Cv Sardon 7249 of the NOWYofic 13tf1Ce } Educatfon Law Comps of thte survey nrIfP"b*Wifq 1 tt the i+tnd cu►reyar a inked Beef C1' Arl omtX`Cgcd seal shall not beCCneW*Vd 0 to txm a rand true COt'ry s t r,-mantees lndt sted hereon 0"fuf+ � � -- � � � Y_`D /ri►�'1 rwry to iha perSon tar whoa Ow attrvey 7 Cj r hip� cna,ed and an s baMtf to the t+t. r4wnDaAV QaftMA'Mr►tal000" fegd �'FAL- INEF 92AR. FEW-15t�fL t�/'COF UNG 1N rt. ,n- mutlon listed Nefe011 end t+ ii-R ionees of the tendltls Inti- 12 jyV,7 Y n r n;•amaes are not treat"" nsdtuttons or subggaKd I l M A P OF LAS �� ►Qty�:Y t a FOP- � II n TIS--S WO !L!-5--CMIa �T -- -- ---- - - UA Q A N TE-El� TO 1'f�- O1�tlhfEk"_'i, TOt"1�'y" MAr=21{:AN TiTLe INt5ULAl-iCE7 CQMPAQY WO TO KJQ2 � ' �� u fV- EWA it T��T COOM�Amy, TOW OF 6OUTLIOLO ) Y- 11L --�F - L AH T =121L V t rj 0' " r2. ; a......�`" i I I ' I