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Home My WebLink About44736-Z o�gUFF044'� TOWN OF SOUTHOLD 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#: 44736 Date: 2/27/2020 Permission is hereby granted to: Brigham, Susan 215 Pierce Dr Cutchogue, NY 11935 To: construct deer fence as applied for. At premises located at: 215 Pierce Dr., Cutchogue SCTM # 473889 Sec/Block/Lot# 136.-1-11.1 Pursuant to application dated 2/19/2020 and approved by the Building Inspector. To expire on 8/26/2021. Fees: DEER FENCE $75.00 Total: $75.00 Buil g Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING 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 2 Survey South oldtownny.gov PERMIT NO. Check Septic Form N.Y.S.D.E C. Trustees C O.Application Flood Permit Examined 20 ' -aFEB 1 9 2020 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: f ' Approved r '20 ro "L 1 -�4aiLtn *�1.►.O qYI vrV�. Disapproved a/c Phone:-6'3 1-71-1q— 2.1bep Expiration '20 Building Inspector APPLICATION FOR BUILDING PERMIT Date , 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 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 Qh the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Build License o. Plumbers ce e No. Electricians r ease No. Other Tr e's Lic se No. 1. Location of land on which proposed work will be done: House Number Street 1 Hamqt County Tax Map No. 1000 Section Block 1 Lot �� i 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 ':�Q I l� 3. Nature of work(check which applicable): New Building Alteration Repair Removal Demolition tim ce (Description) `4. Estimated Cost Fee, _ (To be paid on fili g this application) 5. If dwel i number of dwelling units Number of dZeach or If garage, nu er of cars 6. If business, commercial o ixed occupancy, specify nature anse. 7. Dimensions of existing structures, i : Front Depth Height Number Stories Dimensions of samestructure with alterations dditions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: F t R Depth Height Nu er of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or usXiin hich premises are situated 12. Does p osed construction violate any zoning law, ordinance or regulation? YES NOA- 1 ill lot be re-graded? YES N07-- Will excess fill be removed from premises? YES NO__>�_ 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 wetland? *YES NO 2', * 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 OFSg ,' G being duly sworn,deposes and says that(s)he is the applicant (Name of individual signin ntract) above named, (S)He is the wrw g (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 to before me this �L day of Y ll CkV 20 Zo ` 0"m T� '-4'\W� -- �e Notary Public CEY L. DWYER Signature of Applicant NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2_Qa-V, -..•^` _ _-'afr��T['� �%':�+'tr}L x'. -V Is-::,,„d,•• V,1 1000- 1:36:00' '01-00, r 136:00 01.00 -fv N/F G.A. & P.L. Brown N/F E. & F. Acquisto APPROIi�®-AS'`NOT DATE: N 73021'10„ E LL 175.00' FEE: RY;` C �FOUND IRON O/� OC MO ' _+ coNc Mo ® NOTIFY BUILDING DEPARTMEN�T:=,`AT p PIPE v; • i°' 765-1802 8 AM TO '4 PM,.,FOFt .TNE,.'zM 57 a. 56 55 54 53 -- 51 50 49 FOLLOWING INSPECT .ibNS:;, 1. FOUNDATION - TWO 'REO�UIFiED, 60' �4 FOR POURED 2. ROUGH FRAMING V PLUMBING' ;,a s-- 539' , K 3. INSULATION ;ti :• ;:< ,. xs ;. 5� IW Lum 4. FINAL CONSTRUCTION;MUST,, .,,- C11 ' a �Z BE COMPLETE FOR C 0. CO PATIO ALL CONSTRUCTION', SHALL""MEET,TME 1a 25' w AWNING REQUIREIs�O�tS 47th ITlCIFjPil1�E t CELL,EN YORK Sl]9BLrr J V r aJ 5484' 0 59 111r 277' DESIGN G�I�i� RF°ff3�968,MAP::NOr856`' ' /�+ 1 STORY FRAME " DWELLING LLl TOWN OF''SOIUT`I-OL o SUFFOLK COUNTY;NE�N-�YORIC;;F o' 11r 00 11N. 30,FT`:.'APk1-,14;=1993_` 5` _. h..,_::• {:;, �t:.,, 60 M 154' c - � � �rq`�Yryx�� ^�j,F�;1�rT t3•'•i'��5`,. RESET I GUARANTEEb TO;",'r 13000' E. IRON PIPE Y SET NAIL IN BASE CONC MON S 73°21'10" W 175.00' OF BROKEN MON CHARLES D: BRIC;I4AM`-':1 SUSAN N0RTH.FOItK''BANK',. COMPLY WITH ALL CODES OF TICOR TITI;E.GiJA1tANfEE- � (50 112 IE 'WIDE PAVED DRI V1I YORK STATE & WN CODS y F �- AS REQUIRED AND CONDITIONS OFV. cay �`' =• ` BA ✓ ±! s� DAR® SI ��I {f ,rt,Y'.1:�^• tr. ''.i 8ebT10TLT07 N TRUSTEES . - �p,M cµ STORM WATER RUNOFF stVi.RETAIN CHAPTER236 PURSUANT TO OF THE PAUL T. CANALIZO HAMPTON_BAYS•c,NEW�-YORK':;