HomeMy WebLinkAbout44758-Z o�ga�Fna,r�r� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
s TOWN CLERK'S OFFICE
oy 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#: 44758 Date: 3/3/2020
Permission is hereby granted to:
Tsoupros, David & Rose
129 Locust St
Floral Park, NY 11001
To: construct deer fence as applied for.
At premises located at:
1860 N Bayview Road Ext. Southold
SCTM # 473889
Sec/Block/Lot# 79.-6-3.4
Pursuant to application dated 2/25/2020 and approved by the Building Inspector.
To expire on 3/3/2021.
Fees:
DEER FENCE $75.00
Total: $75.00
Bui ng for
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 Survey
Southoldtownny.gov PERMIT NO. Check
Septic Form
NYSD.EC.
Trustees
C.O.Application
Flood Permit
Examined 20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
2Contact:
Approved 3/3 20 0 l U Mail to: Teri
Disapproved a/c
Phone:
Expiration ,20
—4
Build n
APPLICATION FOR BUILDING PERMIT
IC
FEB 2 5 2020 Date VP—b 2 , 202-0
INSTRUCTIONS
a:^This applicatioh MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets 6f`pf4is; ac'cu'rate 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 �l,L� �L e0se—Tsi� C�
(As on thi tax roll or latest deed)
If appl'cant is a corporation,,signature.of duly authorized officer
(Name and title of corporate-o cer) „
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 Street Hamlet
County Tax Map No. 1000 Section 79 —Block Lot
� �
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
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work�,1��_ e_2�' 3
(Description) J
4. Estimated Cost 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 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 Rear Depth
10. Date of Purchase Name of Fortner Owner
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 NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Naive 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 )
LLS�WA 0 being duly sworn, deposes and says that(s)he is the applicant
(Name of indi idual signing contract) above named, CONNIE D.BUNCH
Notary Public,State of New York
(S)He is the No.01BU61 n
(Contractor, Agent, Corporate Officer, etc.) Qualified In Suffolk County
Commission Expires April 14,2C)�),O
of said owner or owners, and is duly authorized to perform or have performed the said work and to snake 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.
SU�w�orn o before me this
day of RA_(Vtil 20
Notary Public 11 Signa re of Applicant
S C T M.No. DISTRICT 1000 SECTION.79 BLOCK.6 LOT(S)34
COMPLY ITALL CODES OF NORTH BAYVIEW ROAD EXT.
NEW YORK S A E & TOWN CO �`°r�x°°�
AS REQUIRE A COf� eP� S 73"40'20" E 151.84'401
Fw s Noll
o ---� 1033 08'
v L �.2 h
D
USTEES
USE IS UNLAWFUL s
WITHOUT C ERTIFICAT`
OF OCCUPANCY
�` j jAPR VEDAS NOT D
[AND N/F
DFDATEDRF F. Y t C T ELY" , -4 B.P.PoACNCLflSE PO L TO CODE m °°^ FEE: �� BY:
; : . . , OF/F
NOTIFY BUILDING DEPARTMENT AT
,ON COMPLETION �
.._, ATER 765-1802 8 AM TO 4 P FOR THE
5�>
FOLLOWING INSPECTION3:
x„w
I. FOUNDATION - TWOEQU_IRED
anon oi�
FOR POURED CONCR TE-
2. ROUGH -' FRAMING & PLUMBING
CIQ 3. JNSULATION
ca4. FINAL - CONSTRUCT[ MUST
BE COMPLETE FOP C.D.
root ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE C ODES OF NEW
a YORK,STATE. NOT RLSF ONSIBLE FOR
DESIGN OR CON&TRUCT ON ERRORS.
( �L-ag -----,-p
N 73°40 2D -ONO N/F THE WATER SUPPLY, WELLS AND CESSPOOL
p or LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA 53,899 9 S.F. OR 1 47 ACRES ELEYA TION DATUM
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA DON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY
VAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT SE CONSIDERED 70 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 TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSRW77ON
'157ED HEREON,AND TO THE ASSIGNEES OF WE LENDING INSTITUTION,GUARANTEES ARE NOT TRANSFERABLE.
.HE OFFSETS OR O/M£NSTONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPEGFTC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUGYURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF DESCRIBED PROPERTY CERTIFIED TO- SHELDON J. GOODMAN,
MAP OF• AUDREY R. GOODMAN;
nLED FIDELITY NATIONAL TITLE INSURANCE COMPANY:
sITUATED AT SOTTHOLD WELLS FARGO HOME MORTGAGE
TOWN OF SOUTHOLD KENNETH M WOYCHUK LS.
SUFFOLK COUNTY, NEW YORK �/ e� Land Surveying and Design
P.O. Box 3, Mattituck, New York, 11952
PHONE(831)290-1555 FAX(831)298-1569
FILE#13-140 SCALE 1"=40' DATE AUG 9, 2013
N Y S UC NO 50227 malntalning the[ecoids of Robert J Hennuey