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Home My WebLink About44001-Z , SOFFncK TOWN OF SOUTHOLD ooh goo BUILDING DEPARTMENT s TOWN CLERK'S OFFICE °oy � tia 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#: 44001 Date: 7/22/2019 Permission is hereby granted to: Broder, Julia & Northey, Rebecca 3500 Cox Neck Rd Mattituck, NY 11952 To: construct deer fence as applied for. At premises located at: 16045 Route 25, Mattituck SCTM # 473889 Sec/Block/Lot# 115.-1-7 Pursuant to application dated 7/16/2019 and approved by the Building Inspector. To expire on 7/21/2020. Fees: DEER FENCE $75.00 Total: $75.00 Bui ing Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applymg7 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 Southoldtownny.gov PERMIT NO. Check Septic Form NYSDEC Trustees C O Application -71 d Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved 2017 Marl to ,/P.O. Bax S6 7 1+ Disapproved a/c 41;V11 -1 N-1 Phone: G31 5133—/1 dq Expiration �0 Build' ctor J U L 1 6 2019 PLICATION FOR BUILDING PERMIT Date -7 /3 ,20_PJ_ INSTRUCTIONS TOU", * " I,�i;�tlVOWEbe completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of p ans,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 Pemut 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. (Signkffe of applicarif or name,if a corporation) 0. 0, S"6 7 t A I/A/c% , N (Marling address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder o4 f eAP // Name of owner of premises /v A A e (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer AJ*A (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: IC04 f ftln 966e4 rllk►H Iyo. House Number Street Hamlet County Tax Map No. 1000 Section // Block / Lot 7 Subdivision Filed Map No. Lot 4 2. State existing use and occupancy of premises and intended usand occupancy of proposed construction: a. Existing use and occupancy Sin�\c Fh�v►.\� �we\1:n� b. Intended use and occupancy S k(%)% 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work &er FencL (Description) 4. Estimated Cost Fee fl (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 Rear Depth Height Number of Stories 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 _74.49 oe Rear 75' / Depth L/00. O 10.Date of Purchase 2 a/f Name of Former Owner Nd r', 11.Zone or use district in which premises are situated Q'yo 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO V/ 13.Will lot be re-graded?YES NO_Will excess fill be removed from premises?YES NO ✓ 14.Names of Owner of premises -1 -4 k%e 4 Address /JOYJ' (7f 4j- 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 wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS 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 distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical dataon survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO V/ *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS. COUNTY OFS�fio�tiL I Sice%,e- being duly swom,deposes and says that(s)he is the applicant (Name of mdrvidu ignmg contract)above named, (S)He is the A 4 en,1y (Contractor,Agent,Corporate Officer,etc.) THERESA C.DESCHAMPS of said owner or owners,and is duly authorized to perform or have performed the said work and to nWeg9u 1wftt®rof New York that all statements contained in this application are true to the best of his knowledge and belief,and that the wvWWVDE6155687 performed in the manner set forth in the application filed therewith Qualified in Suffolk County Swo to hefore me this ommi ion Expires November 13,20 aa- day WTOV 20 I q Notary Public lysignature of Applic t '1 S C T M NO DISTRICT 1000 SECTION 115 BLOCK 1 LOT(SM5O - el /// LANDDNIF WILLIAMP RULAND TOWN OF SOUTHOLD DEVELOPMENT RIGHTS) A, PLOWED /RETAIN STORM WATER RNOFF ,ESUANT TO CHAPTER 6HE TOWN CODE. cli APPROVED AS NOTED DATE*,6P7BY: B.P.# �d / 0 FEE: NOTI BUILDING DEPARTMENT AT - I 765-1 02 8 AM TO 4 PM FOR THE 02'WFOLL WING INSPECTIONS: GAFRRAGE_ 45� 1. FO NDATION - TWC REQUIRED FRM FO POURED CONCRETE D3W GARAGE- 2. R UGH - FRAMINC & PLUMBING N 3D 2'- 3. IN ULATIONASPHALT G R 4 7 4. FINAL - CONSTRUCTION MUST RNEWAY a BE COMPLETE FOR C.O. o WOOD ALL CONSTRUCTION SHALL MEET THE ENCLOSED OP73.6' PORCH REQUIREMENTS OF THE CODES ORINS Z �26 6 1 YORK STATE. NOT RESPONS*LEE& KIRMISH AND 102'2 STY FIRM �q VFNSTEWART DESI OR CONSTRUCTION ERRORS. DWELLING: #,6D45 240' 102 266'n COVERED PORCH C MPLY WITH ALL CODES 01- NEW YORK STATE & TOWN CODE AS REQUIRED AND CONDITIONS C c w.p1I��1_��LLTitL��F�F�F�Tf1T�7 o w v`.0ft "' MON 5 2'N L U, S69"55'00"W 25g ss -SUITES 74.49' UP IVT J EDGE OF PAVEMEN MAIN RO ADTHEAER SUPPLY ELLS, DRYWELLS (S-R. 25) LOCATIONS DATA TAOWN ARE FROM FIELD OTHOBSEROVATIONSOOL AND ORRS AREA: 29,874 54 SQ FT or 0.69 ACRES ELEVA77ON DATUM UNAUTHORIZED AL7ERAT7ON OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE 774EY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES ADD17IONAL STRUCTURES OR AND 0771ER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF DESCRIBED PROPERTY CERTIFIED TO:JULIA BRODER, REBECCA NORTHEY, MAP OF EQUITY SETTLEMENT SERVICES, INC; FILED CITIBANK, NA, SITUATED AT' MATTITUCK TOWN OP SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design �I P.O. Box 153 Aquebogue, New York 11931 FILE # 15-10 SCALE 1"=40' DATE JAN. 25, 2015 PHONE (631)298-1588 FAX (631) 298-1588 N YS LISC. NO. 050882 1 ,u tl g the mcords of Robert J.H—my x Kenneth M.Woychuk