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HomeMy WebLinkAbout44911-Z frp TOWN OF SOUTHOLD �gUFFQ(,�c BUILDING DEPARTMENT 0 co G TOWN CLERK'S OFFICE SOUTHOLD, NY os 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#: 44911 Date: 6/24/2020 Permission is hereby granted to: Wassermann, Jonathan 1314 Prospect PI Brooklyn, NY 11213 To: construct deer fence as applied for. At premises located at: 385 Pine Tree Rd Ext.,Cutchogue SCTM # 473889 Sec/Block/Lot# 98.-1-7.19 Pursuant to application dated 6/23/2020 and approved by the Building Inspector. To expire on 12/24/2021. Fees: DEER FENCE $75.00 Total: $75.00 41-----, Bu i ing 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 I Planning Board approval FAX:(631)765-9502 I Survey Southoldtownny.gov PERMIT NO. l Check Septic Form NYSD.EC. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form �n 2 Contact: O�' Approved UC, 20 r/\b Mail to: Disapproved a/c $S ftn {fin_ Tl {Y�rcg✓e r 1�Y - Phone: Expiration 20 —41 B ' ng Inspector _ APPLICATION FOR BUILDING PERMIT a _ _ Date S/7 20 1(� ' INSTRUCTIONS 4 a application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 JUNsets 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 a>qs„arid3vaterways. c The,v§ork covered by this application may not be commenced before issuance of Building Permit �;' • _ :d:Upn a' z val 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 re tions,and to admit authorized inspectors on premises and in building for necessary inspections. (Si of applicant or name,if corporation) Fie,firms 51+ C�� �a5� , NY (Marling address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder pw her' Name of owner of premises 1XI” W 4.1 Se P M 0.d1^. t e�ti Y f�4. A VtJ�4 A (As on the tax roll or 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 landop which roposedwork will a done: House Number Street 14amlet County Tax Map No. 1000 Section 0 Block 0�. 0 0 Lot 064, 0 15' 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_ 1/ety- +r Fe o-c a aC r ooA-� e04 JID�--� ip r»p..r 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolitioner��Y" (Description) 4. Estimated Cost S, o0 o Fee S' (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 2,9 y``1 10.Date of Purchase •� Z ! Name of Former Owner H Or ) 11.Zone or use district in which premises are situated ?-R-S%a C"At.*-� 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NOS 13.Will lot be re-graded?YES NO�Will excess fill be removed from premises?YES NO fQ 14.Names of Owner of premises •Wast«�•�� Address 1314 ��Sp� Phone No. 9 (3-K44- fl" d o Name of Architect Address Phone No Name of Contractor FN ?IrJTb L,MOSCM ddress P—J�* 4oA Phone No. CAV-- cvwapoede jN +1935 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�r *IF YES,PROVIDE A COPY. STATE OF NEW YORK) • S : COUNT Y OF I V P J� CQ Ma-dA► being duly sworn,deposes and says that(s)he is the applicant (Name.of' ividual signing contract)above named, (S)He is the VN FINnD L-AN n,SCA P NCV (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. LILLIAN BOWMAN Sworn to fore me '`�/1 _Notary'Public, State of New York day Of 20 oC NO.01 804977472 /. Qualified,in kings County My Commission Expires Feb 4,2023 Notary Pub is Signature of Applicant %Ibi• • . q�� h APPR�O�E AS NOTED �d� 4� E: � �B.P.# EE: BY- NOTIFY BUILDING DEF ARTM NT AT ti 1 765-1802 -8 AM TO 4 PM 'FOR THE h h FOLLOWING INSPE .TIONS: 4 1. FOUNDATION C PEQUIRED Iff-V ti FOR POURED C .ti_:;ETE 2. ROUGH - FRAME;i : c? PLUMBING 3. INSULATION 4. FINAL CONSTP. CTION MUST BE COMPLETE F DR C.O. ALL CONSTRUCTIOf I SHALL MEET THE 3 LJ" a REQUIREMENTS OF THE CODES OF NEV, YORK STATE. NOT RESPONSIBLE F`F DESIGN OR CONSI RUCTION ERRORS COMPLY ITH ALL CODES OF -y$�•avra� 4ye,ea' XNEIN YORK 3TATE & TOWN CODES .� sc/rua6 .�� AS REQUIRED AND CONDITIONS OF G`N4CP�fldpe0 I N yb m.LEIr,�� �a� 2� b OUTHOLD t " ®/Nl- T5 TR0T70WVT-RING BOARD TSE � `a '� .su�r�rro •H,9cneo,e��/.s�� MMM-TOW - US-TEES 4'0&4VAY•�i�rcf,•osvr;f^ri9mred2 N• . �NCW y0� • 6'Gf�It39Wld�s'Oli��lXJl�f'1x1��NNwG�'BF•3t�,�E' r�•Y,gi'IrTL' fr{891.r'�'c'� A'!� ern�If'c�1%�dFW!!%//LE//IJ�J•. q�r�svovs�w�uerr�tae �, �N� S foa�raxv�.[/,Y, .bsYr•.�.l�..N.uv'��Jf4R7