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HomeMy WebLinkAbout45083-Z TOWN OF SOUTHOLD o�gUEF04i��;oyu BUILDING DEPARTMENT TOWN CLERK'S OFFICE �y • oma ,? SOUTHOLD, NY �n 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#: 45083 Date: 8/6/2020 Permission is hereby granted to: Russo, Biagio 129 Jefferson Ave Roslyn Heights, NY 11577 To: install a deer fence as applied for. At premises located at: 550 Oriole Dr., Southold SCTM # 473889 Sec/Block/Lot#55.-6-15.9 Pursuant to application dated 7/27/2020 and approved by the Building Inspector. To expire on 8/6/2021. Fees: DEER FENCE $75.00 Total: $75.00 C Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applymg9 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. / v Check Septic Form NYSDEC Trustees C O Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form 6 Contact: Approved 20 Mail to. I Disapproved a/c 5 I I ula11VY119X1 Phone Expiration ,20 nD Building Inspector APPLICATION FOR BUILDING PERMIT / JUL 2 2�2o Date it(V 20 07L-1 INSTRUCTIONS B 'DrNG�� plication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 TO '' set��o ate plot plan to scale Fee according to schedule b Plot plan showing location of lot and of buildmgs 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 Buildmg 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 Budding 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 interum,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 constriction 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 addr s of applicant) State wh er applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder U)I?er Name of owner of premises .Qui ►o � (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 land on i h propose ork will be done: 550 a f ll� c uMo ! House Number StreetHamlet // County Tax Map No. 1000 Section 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 L 3. Nature of work(check which applicable):New Building Addition ration Repair Removal Demolition Other Work Cie— (Description) y- 4. Estimated Cost Feez (To be paid on filing this application) $��-ne 5. If dwelling,number of dwelling units Number of dwelling units on each floor b6c& (,XfJ� If garage, number of cars 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear; Depth Height Number of Stories :ri f 8. Dimensions of entire new construction:Front Rear Depth 4 Height Number of Stories -~ 9. Size of lot:Front Rear Depth 10.Date of Purchase Name of Former Owner T 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES_NO 13.Will lot be re-graded?YES_NO Will excess fill be removed from premises?YES_NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS COUNTY OF N(��—llA$Ao) 1 )�a96 O I SS o being duly sworn,deposes and says that(s)he is the applicant (NaMe of individual signing contract)above named, (S)He is the loco (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 lus knowledge and belief,and that the work will be performed in the manner set forth in the application filed therewith Sworn to before me an .� \ o`oZ day f L�GNL NORICKEN PUBLIC,State of NpwYOtk ®1 HE6084938 W, flP Notary Public 1ua i h� It1 BSSaU�,O1Ht7t�7 Signature of Applicant .,,,r•,ss on Expites December 16.9-012A I PNr OR FG&VEW Mau ( OP OF MOE=PHOT ' �� rf p4dA1 YY OEQ(fD N{f 1 Be NOV.1019 1 DRAa&Zh"J.19-12SD I DSM k H88'57'30'E 126,99' _ ONAUTHDROW ALTERATION OR ADDITION 55_f SNS tA$ dakd?,Iame 0.33 cAaa LtJ�fermi To THIS SURVEY IS A ViOlAT7ON OF SECTION 7209 OF THE NEW YORK STATE cz d f�kpdy fpnCe lEDUCATION LAW. i co \ COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR w EA4605SED SEAL SHALL NOT BE CONSIDERED + To BE A VALID TRUE COPY. W `$� GUARANTEES INDICATED HEREON SHALL RUN CD �DONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TD THE qO I \ TITLECONPANY, GOVERNMENTAL AGENCY AND M l LENDING INSTITUTION LISTED HEREON,AND O TO THE ASSIONEES OF THE LENDING INSTI— TI)TION GUARANTEE ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR ELSEMENIS OF RECORD IF ANY,NOT SHOW ARE NOT +, C GUARANTEED. Premises Imown a$: #550 Oriole Drive, Sbuthold i ' Area= 43,842 9J. ,¢ ® Survey of Lot 6 Certified to: +� r" MAP OF HIGHPOINT MEADOWS SECTION TWO DIAGIO RUM AND TANIA RUSSO FILED MARCH 19, 199D AS FILE NO 8911 T IRMD AGENCY,INC. (TLNY10081M3) +�} '1 SIEIYART TITLE INSURANCE COMPANY `+� ��s ti4 1�: o,� Situate at CALIBER HOME LOAPLS INC., LS40A/ATIM14A Southold Town of Southold Michael W. Minto, L.S.P.C. ' ;+' Suffolk County, New York NEW YORK ED STATE LICENSE NUMBER 050871 TT6., District 1000 Section 55 Block 6 Lot 15.9 87 Waodview Lane » > Centereaah, N.Y. 11720 �'O3y o°�,; a Scale I"= 40 Surveyed November 6, '2019 PHONE/FAX: 16311 550-1202 ���'1g. ` '� GRAPHIC SCALE CELLULAR. (631) 766-9714 \�V 40 o w a eo 150 EMAIL: mikemintotspc®gmcil.com O ( IIT FEET Z L Inch m 40 ft