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Home My WebLink About45183-Z "gyp TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE �� • � �� SOUTHOLD, NY •Z"'�trr�'r� 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#: 45183 Date: 9/9/2020 Permission is hereby granted to: Maejima, Takashi 35-24 78th St Apt A68 Jackson Heights, NY 11372 To: construct a deer fence as applied for. At premises located at: 145 Meday Ave., Mattituck SCTM #473889 Sec/Block/Lot# 113.-8-10 Pursuant to application dated 8/26/2020 and approved by the Building Inspector. To expire on 3/9/2022. Fees: DEER FENCE $75.00 Total: $75.00 Bu' ' or 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 X Southoldtownny.gov, PERMIT NO: Check X Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved20 Mail to: Disapproved a/c Phone: Expin A// D =FOR tor AUG 2 6 2020 APPLICATDING PERMIT BUILDING DEPT. Date: August 20,2020 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) 145 Meday Avenue,Mattituck,NY 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owner Name of owner of premises D'vora Gopman&Takashi Maejima (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 which proposed work will be done: _145_ Meday Avenue Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 473889 Block 113.-8 Lot 10 ` 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:Residential/Deer Fence Application. See survey with highlighter indicating location of intended deer fence. b. Intended use and occupancy: Residential/Deer Fence Application. See survey with highlighter indicating location of intended deer fence. 3. Nature of work(check which applicable):New Building Addition_X Alteration Repair Removal Demolition Other X Work Deer Fence in backyard ) 4. Estimated Cost $4,000_ Fee $75 (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 Former Owner 11.Zone or use district in which premises are situated_Residential 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO X_ 13. Will lot be re-graded?YES NO_X Will excess fill be removed from premises?YES_X_NO 14.Names of Owner of premises:D'vora Gopman_Address_145 Meday Avenue Phone No.917-701-4992 Name of Architect_NIA Address: Phone:No Name of Contractor: North Fork Fence LLC Address:68658 NY-25, Mattituck, Phone No._(631)298-4777_ 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X *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_X_ * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS:COUNTY OF ) D'vora Gopman being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Owner of Premise (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 b re me this J ---- day of 20. / / A-t ublic BRI EN P r5' Notary Public—State of NewYork Signature of Applicant LMNO 01066261732 Qualified in Suffolk county y commission Expires May 14,2 D OVE D'vora Gopman D 145 Meday Aenue A U G 2 6 2020 Mattituck,NY 11952 BI7MDATG I'EPTa 1l:a4 August 24,2020 TTHoL,Dl' Town of Southold Building Department Town Hall Southold,NY 11971 RE: Application for Deer-Fence Permit To Whom It May Concern: Attached please find an application for a deer fence permit at 145 Meday Avenue in Mattituck. I've included a$75 check and 5 copies of our survey. I've outlined where we plan on adding the deer fence with yellow highlighter. Please do not hesitate to call me @ 917-701-4992 if you have any questions. 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INSULATION Fv �.AW 1).K FT CE x 'lw o 4. FINAL - CO STRUCTIrN MUST 04"! SHED s"`° ,t.6' BE COMPL E FOR C ALL CONSTRU TION SHALL MEET THE M1 I REQUIREMENT OF THE CODES OF NEW YORK STATE. OT RESPONSIBLE FOR g f DESIGN OR C NSTRUCTION ERRORS. K tn W (�r ;' ��.J?° , COMPLY ITH ALL CODES OF a n .5 NEW YORK TATE & TOWN CODES n ��" ` •'' AS REQUIRED AND CONDITI'I)NS OF a� N Iran I t� R 01 z1 1 fr• y BOAR W Ml FOVN NT FOSIND v � ��-CS 1 1 X 1 0.4% �yat p�eytl �Y 1m;SuRYEy �� RE IN STORM WATER RUNOFF NEW:SLRVEY neifx SUANT TO CHAPTER 236 The olledta or .j~..ionS sno..n from th•stmeturas to the ProP•rtY nes ore fGl a W Purpoac end y .n0 lnxefaltr +o to gins.m t,.erection A( 1•Raew retainlny wN1A Pea". Ptltwa. Plalrting o.es, addll.�t��M «.�o pa6.0 3�part of t-;# HE TOWN CODE fpKFtl�r MI ehe". d..amenl°.kiyh[s-Pf-May of R°cera.It onr.not show~ proo.ty ae.m Uhhulf It • 1< t .M2 Barrett, Bonacci & Vat Weele P.C. AuL>.,It k CIVIL ENGINEERSfSURVEYORSIPLANNCRS ;Ew yp � w • 175A CI><1lnwrtt(knr,IhtvElNuEa NY 11780 TEL 6411435-11 t t FA at114My1022 p wtvw.bbvpc,cwn MAp^pV TOilWOOD FII ESD' UARY 25. 182 NO. 175 CO.$U FOLK ;vT,l M0 . ° $IIUATED: 1v(AYYI7LiCK. 70 WN F 5QV_-1aL17_ k"'41` nnrxE TITLE NO.: 3G08-143728 61211,;5 - RED TO CERTIFIED T01 5rtwl.t N FIRST AMERICAN 77TLC INSURANCE 512 A 1111,1a Al .Utl7 COPi COMPANY OF NEW YORK J013 NO.; A060564 KIM AZXARELLI Ii1ATTIA SIL)ACI DATE: JUNE 20, 2006 pQ,A.V.R. CH. WJ.9. SCALE: 1" r 30' DIST.1000 SEC, 113 8UC 8 LOT 70 ' N:1�WiNYFOSb15ar+ONS•dfy,l'17ae1,&l3/2W49.OS:IJ.an.omrtl�flalKd OV�VMW JAYR