HomeMy WebLinkAbout44206-Z gUFFn� TOWN OF SOUTHOLD
�a cpa� 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#: 44206 Date: 9/24/2019
Permission is hereby granted to:
Zoumas, loannis
2050 N Country Rd
Wading River, NY 11792
To: construct a deer fence as applied for.
At premises located at:
2800 Eugenes Rd, Cutchogue
SCTM #473889
Sec/Block/Lot# 97.-7-26.2
Pursuant to application dated 9/17/2019 and approved by the Building Inspector.
To expire on 3/23/2021.
Fees:
DEER-FENCE $75.00
Total: $75.00
Buildi ctor
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOL%NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)-765-9502 44,7?W SurveSoutholdtownny.gov PERMIT NO. Check
Septic Form
N Y.S.D E C
Trustees
C O.Application
q qLL Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved q1 20_L Mail to.
Disapproved a/c
Phone•
x irate ii eta 1 + 20'
L I t t 1
B ding nspector
SEP 1 7 2019
APPLICATION FOR BUILDING PERMIT
Date ,��2 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 per n t 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.
L
(SI.-natdc Vapplicant or name,if a corporation)
`n00 �.GifBvt,0,S � r9�e- 119 357�
ailing address of applicant)
St to whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner ofpremises �l rl` b✓�1i �S v,�(' /��(Lfi[a
(As on the tax roll o 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.
1. Location of land on which proposed work will be done:
House Number Stre6t Hamlet
County Tax Map No. 1000 Section �� y Block 01-00 Lot 0 .dy Z
Subdivision Li 4L(-Na--- PYbjP9✓ Z-z— Filed Map No. 6 64 Lot Z
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy '51'A06 6844 kEw-e�
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Ad ition Alteration
Repair - Removal Demolition Other k f lgy-r eft�-?� �' {a,�{
ription)
4. Estimated Cost FS!'. 'I- 41a,O oy aY k S5 Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor A11A
If garage, number of cars 2
6. If business,commercial or mixed occupancy,specify nature and extent of each type of use d441A
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 A6'* Rear 441A Depth AA-
Height q R. Number of Stories A16A
9. Size of lot:Front q/ Rear Depth
10.Date of Purchase c' Name of Former Owner .� OQwnts a�►t�4S
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation?YES_No
13.Will lot be re-graded?YES_NOZWill excess fill be removed from premises?YES_NO 7M- MIA-
c,r( 4%--(CY9
14.Names of Owner of premises ! Address 11 Phone No. 516—C`t+ 2013
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 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)
SS:
COUNTY OF
j�
A rli lra Ve S being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the (J L✓vl
(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. —
Sworn fin before me thisZY
�!
day of 20 REN M PAGE
Notary Public-State of New York
N0.01PA6362711
Nota Public ua i ed in Bronx County i ature of App icant
n My Commission Expires Aug 7,2021
S C T M NO DISTRICT 1000 SECTION 97 BLOCK 7 LOT(S) 26 2 y
—
EUGENES BROAD
MON N75"32'03"E a x .. 160.00'
YP 0IEE NOTED MON — —
46 14• B S WOOD
FWL U R
DATIE:
� 1000 GAL S T
(2)8*P.6 DEEP L P
FEE: Y; IL p
NOT FY BUILDING �xEP RTMENT AT W W
765-'802 8 AM TO� PM FOR THE L07 2 I 405;8' j?6'28 4
FOL OWING INSPECC�O S: LOT , £ z4 C3
i. FOUNDATION 1")l � EQUIRED ` 211' ZQ�X
21 5 0 21 0 u 9 6V' EGRESS J
FOR POURED CONCRETE ti GARAGE 2 Sr,FR" WIRXW
H GF IA 1 DKILINc
FFL 158 WELL W
2. ROUGH - FRAMING & PLUMBING 215 0 518' 0
3. IN ULATION a STOOP Do
4. FI AL - CONQT ;