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Home My WebLink About43927-Z �o TOWN OF SOUTHOLD ay- 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#: 43927 Date: 7/3/2019 Permission is hereby granted to: Wills, John 390 Wavecrest Ln Mattituck, NY 119523076 To: erect a deer fence as applied for. At premises located at: 390 Wavecrest Ln, Mattituck SCTM # 473889 Sec/Block/Lot# 100.-3-4 Pursuant to application dated 6/24/2019 and approved by the Building Inspector. To expire on 7/2/2020. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applymg9 TOWN HALL mrd of Health SOUTHOLD, NY 11971 4-sets of Building Plans TEL: (631) 765-1802 _ g Board approval FAX: (631) 765-9502 �2 � Survey Southoldtownny.gov PERMIT NO. ) Check Septic Form N YS,.D.E.C. --T1Ustees C n Application ooA.L it Examined 20 � U� separate rate Q CI E is UNLA GY ANU H �� Tr„s' Identification Form ATR 1-TH UT CERTIFI� r- 120 r Assessment Form Approved ,20 �� Qontact: ^IU�q�c1J �21�-GT Disapproved a/ v '! Exprrati _ 1C1,20� Q� j~ Building Inspector , JUN 2 4 2019 1-- APPLICATION FOR BUILDING PERMIT Date 6, 12--Y , 20� 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 tnspec ' A PP10VED AS NOTED �q (Signature of applicant name, if a corporation) DATE'. �� B P. � FE ' ra BY: T 390 IMU1ECI�<T L.�� PA Tr vc.(C I IT 1r NOTI y6UILDIi!G '.�R1 Mt NT AT (Mailing address of applicant) 765-1802 8 AM TO 4 PUl FOR THE Stat r� �Tapp ire r}tIi,�q�clwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Pnl NI 1W, QS REQUIRED FOR POURED CONCRETE CL( Nat�eFc�ldS�#therfcFf�r8�h�is�sPLU1� 11`�tq�A st ��kT1ll Cl/� 3. INSULATION (As on the tax roll or latest deed) If allplFrb^M is ��or rtil�r��;�si' a�tTure of duly authorized officer COMPLY WITH ALL CODES OF BE CONIPLE, _.,FOR C.O..; NEW YORK STATE &TO I ' d' it e " "� ` i i ` ONDITIONS OF Bui Fe F s 1-IV 0 T .1' ) AS REQUIRED__ _ MPAIA Plu R Sint. ! ; ?2Pd—„�F� SIrviv Effi Pse I`J 'rr irk—ERROR& Elec ricians icense No. $OUTH�LDTOYI�IPUINNI Other Trade's License No. 1. Location of land on which proposed work will b d House Number Street Hamlet County Tax Map No. 1000 Section Block Lot r Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use a d occupancy of proposed construction: �j a. Existing use and occupancy , b. Intended use and occupancy <:�Ot my 3. Nature of work(check which applicable): New Building n Iteration Repair Removal Demolition Other Work (Description) Estimated Cost Fee )__ (To be paid on filing this application) 5. I welling, number of dwelling units Number of dwelling units on each floor If ga e, number of cars 6. If business, mercial or mixed occupancy, specify nature and extent of each type se. 7. Dimensions of exists strictures, if any: Front Rear Depth Height _Number of Stories Dimensions of same structur ith alterations or ad ' ' ns: Front Rear Depth _He' ht Number of Stories 8. Dimensions of entire new construction: Fr Rear Depth Height Nu er of es 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or u istrict in which premises are situated 12, oes proposed construction violate any z ning law, ordinance or regulation? YES NO� 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES O 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetlan ? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAYP)t 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 distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on Vey' 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. i STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of•ir dividual'sign`ini,"cbhfract),'abcve named, CONNIE C.BUNCH . Notary Public,State of New York ` No.01BU6185050 (S)1xle,is tlidq;t '; i;;r i'r,,, ; ? l•v,QQualified in SI OF,11,03 19 (Contractor, Agent, Corporate Officer, etc.) Commission Exoires Aoril of Ovcsner;or,oruners, apd,is•duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this"appli'c�atiorr-are-true to the best of his knowledge and belief; and that the work will be performed m-the'manng'r, dilfottb ip-tLe a„p•plieation filed therewith. Sw�orn jol obefore me this -�°• day ofMA6,,e 20L9 Notary Pub is Signature , pplicant w - bl (IM CAH •_�' 70 'wAVEMEST .ANE �. L Dw o MAP -OP PROW21Y ' 41 __A1T IAtAur) �fatl5g) UO�rg_ • w .• •• -s -- ;. :_•- -- L.__.� � ____.7D1eZI`�'��'.9Oi.Q hLY. 'StJtFOhR COUFTY BFJLLi1!DfiYAA411f•1V: _ ~';. ni►xs SEP 141982. s.a.•xa`r- #-�% 0 _ e as*s8e diapoaei and aatei aUAla! _ -- * cIutas for this 2eeatian have baeu '•• spacted by this departaent and found _ _ � �� • .. • • �ba aatisfa 1'Y �• � a of General Ea � � :•�f�Fi±�.��s�.. ... .. _ . .:::ZUT e'er US Chief of wan.—-vg WFJW. g ery �r -AM£WOIl 'V MAY Z6,1982 0 F'fiR 7D`�+iAFC7 f12E SI' `FfL V F,ft�7A TF1EZtrLhouARNr12MCU.' LIC NSED'LANDSURVEYORS GRPXMRT KEW YORK