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Home My WebLink About45065-Z ,y SUFFQ� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o , 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#: 45065 Date: 8/4/2020 Permission is hereby granted to: Harvey, Joy & Loren 8247 Taunton PI Springfield, VA 22152 To: install a deer fence as applied for. At premises located at: 3070 Bay Shore Rd, Greenport SCTM #473889 Sec/Block/Lot# 53.-6-40 Pursuant to application dated 7/24/2020 and approved by the Building Inspector. To expire on 8/4/2021. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector --t\ 00 TOWN OF SOUTHOLD BUI ING 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 151JLJ -Fer1Ce, locos; ,0q Survey South oldtownny.gov PERMIT NO. Septic Form N.Y.S.D.E.C. Trustees D C.O.Application Flood Permit MOLD Examined _,20 Single&Separate JUL 2 4 2020 Truss Identification Form Storm-Water Assessment Form BUDDING DEPT. Contact- Approved 20 Mail to: Disapproved a/c __ �� EL Phone: Expiration ,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date - , 20_Z_Q 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 5 .ne- r Name of owner of premisesTp!x i46LrVa (As dn the tax roll or lat st deed) ,.'If17.G.. If applicant is a corp,orat}o�nsignature"6f duly authorized officer (Name and iitl'e'rof 66f-p6fate'o'ffi"ddi) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposedMg, will be done: 3070 zz ll�qze- House Number Streit Hamlet County Tax Map No. 1000 Section S�� Block 6 Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended u and o cupancy of proposed construction: a. Existing use and occupancy S) V, I Le 14, 1Lba Q b. Intended use and occupancy � in, 3. Nature of work (check which applicable): New Building Addition Alteration , �h t Repair Removal _- Oth , Demolition �• ; , _ , er Work 3 i s--- v L,' - ;q. �y.,cer �( (Description) 4. Estimated Cost i i Fee + PWSS% bl� �� pVL° Ov- 5�`�eS (To be paid on filing this application) 5. If dwelling, number of dwelling units C' \ -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 Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO–k-- 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 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_X_ * 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 ) being duly sworn, deposes a d sa Q �1,I � e �I (Name of in ividual sign g contract) above named �Jotar�i�F�ii6flb;5�ate4f� c�r{cnt No.01BU6185050 Qualified in Suffolk County (S)He is the Commission Expires April 14,2m (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. Swor t before me this— a�' , day of J 20 c�b � � Notary Public Signature of AppllKant N a t ARSHAMOMA Q UE 1 TO WN OF SO UTHOLD SUFFOLK COUNTY, N. Y. ti 1000-53-06-40 — SCALE. s- 1 30s V► a� FEBRUARY 2t., 2018 JANUARY 14, 2019 (LOT 40). LOT 127 0o t!z O a exp NO Ods CERTIFIED TO: p \" o'— JOY HARVEY Lor LOREN HARVEY N66 Po• O CHICAGO TITLE INSURANCE SERVICES, LLC -�� k Nr 72- Fi i: fn KEYxs,, Lor O Q = REBAR C' �j� �'c,� � Cpl o ® WELL A = STAKE �r = TEST HOLE • = PIPE p ■ = MONUMENT G O = WETLAND FLAG �Q, = U71UTY POLE 3po5 b LOT NUMDEK5 Q REFER TO "M I NOR 5UDD I V 1510N PREPARED FOR O o0 O1=NE PAKAD 15E 15LE5" F I LED I N THE SUFFOLK COUNTY CLERK 5 OFF I GE 56 '01-0 ON JAN. 8, 2003, A5 MAP NO. 10861. �� s LOT 130 ��A � MEP , LOT NUMDEK5 # REFER TO "MAP OF PEGON IC, DAY ESTATES" FILED IN THEO5UFFOLK COUNTY CLEKK'5 OFFICE ON MAY 12, 1933, A5 MAP NO. 1124. V 7EVA77ONS REFERENCED TO NAVD 88 •496Aa LIC. Na 49618 INY AL7ERA770N OR ADD177ON TO 7HIS SURVEY IS A WOLA770N OF >EC770N 7209OF THE NEW YORK STA7E EDUCA770M LAW. EXCEPT AS PECO P.C. 2ER SEC77ON 7209-SUBDIVISION 2. ALL CER77RCA77ONS HEREON (631) 765=50 0 FAX (631) 765-1797 WE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP AREA 1000-53-06-40 = 12,500 SO. FT. P.O. BOX 909 7R COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE iIGNA7URE APPEARS HEREON. 1230 TRAVELER STREET �y SOUTHOLD, N.Y. 11971 1 l —133