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Home My WebLink About43777-Z ��o�gUtcOTOWN OF SOUTHOLD y BUILDING DEPARTMENT TOWN CLERK'S OFFICE ?y • SOUTHOLD, NY poi � Sao 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#: 43777 Date: 5/21/2019 c Permission is hereby granted to: Pugh, David 345 E 81st St Unit 10L New York, NY 10028 To: construct a deer fence as applied for. At premises located at: 545 Ryder Farm Ln, Orient SCTM # 473889 Sec/Block/Lot# 15.4-9 Pursuant to application dated 5/14/2019 and approved by the Building Inspector. To expire on 5/20/2020. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST 'i BU"ING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey Southoldtownay.gov PERMIT NO. Dj� Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss identification Form Storm-Water Assessment Form 5hContact: Approved 20 Matt to: Disapproved a/c A 11 Phone: oL J / J V Expiration 20 i(" ��/] Bui ector DDC"' �'/ DD APPLICATION FOR BUILDING PERMIT V MAT 1 4 2019 Date 20-LI INSTRUCTIONS Thip lgicatign MUST be completely filled in by typewriter or in ink and submitted to the Building inspector with 4 -c- st�� ,ac t�-plot plan to scale.Fee according to schedule. TOWN sho . cation 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 wail 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 ap " ant or name,if a corporation) O Sox F#3d & eve (Mailing address of applicant) S State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber builder Name of owner of premises G`V (! U�" 0.+1 d L�0. cJ 1 VL'B'�M I (As on the tax roll or latest deed) 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. L..Qom, Gam.S t<34A e fir. 1. Location of land on which r %-!%d — -bill done `' (3��e�.�.• (1 ` House Number Street Hamlet County Tax Map No.1000 Section Block I Lot y 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 12 C 2 S d A M 51 8 V Nc e--. b. Intended use and occupancy Q c2..0 u oO 3. Nature of work(check which applicable):New Building Addition K Alteration boo d aR�es Repair Removal Demolition Other Work_0 tQ, -:FtA AlL11 (Description) 4. Estimated Cost � /'/ y -! � � Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units _Number of dwelling units on each floor If garage, number of cars / 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front 4 —Rear Depth Height Number of Stories [� /L Dimensions of same structure with alterations or additions:Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front Rear Depth b�0.1� 26/ v 2 10.Date of Purchase Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NOx 13.Will lot be re-graded?YES Noywill excess fill be removed from premises?YES NO / 14.Names of Owner ofC misesbeau Address3 �•yJ �`Phone No.PK Name of Architect SW.3ftw a Address'• Y •2S'Phone No G Name of Contractor. �s Jb7aC Address �B�Phone No. f,3Q 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NQ>� *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY B, E,REQUIItED. b.is this property within 300 feet of a tidal wetland?*YES NO INXI— *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances 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 NOX *IF YES,PROVIDE A COPY. STATE OF NEW YORK) 55: COUNTY O , i kZ17VZ.4 V\�✓ 0.S being duly sworn,deposes and says that(s)he is the applicant (Name of individutit signing contract)above named, (S)He is the :56 caO ,c 1 E Z. (C ntractor,Agent,Corporate Officer,etc.) D'NlgE A. NAVARRA of said owner or owners,and is duly authorized to perform or have performed the said work and to make and rlicafion- that all statements contained in this application are true to the best of his knowledge and belief;and that the Yb U B L I C-t TATE OF NEW YO R performed in the manner set forth in application filed therewith. No. 01 NA6191295 Qualified in Suffolk County Swomtobefore methiscr My Commission Expires// day of 20 CC Notary Public Signator f Applicant i RYDER FARM co co APP 0 ED AS NOTED am Lo DATE: B.P.# 3 �� d FEE: BY: Sl NOTIFY BUILDING AMAT . NG DEPARTMENT 765-1802 FOLLOWING INSPECTIONS:FOR THE I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST ALT ,�° BE COMPLETE FOR C.O. I ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR 44t5 227 � �. DESIGN OR CONSTRUCTION ERRORS. 2 STY om HSE I STY FR,, QAR. .o Iq . ' COMPLY WITH ALL CODES OF NEW YORK TATE & TOWN CODES OVID= C4 SIX AS REQUIRED AND CONDITIONS OF '4 WN ZBA G BOAR Zid Imo ��111�ITEIES� N.Y.S.DEC A�M(OWWR VER DEQ ® , RETAIN STORM (NATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. Lim eo -