HomeMy WebLinkAbout47942-Z sof¢ocr sTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
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#: 47942 Date: 6/9/2022
Permission is hereby granted to:
Greenberg, Andrew
70 E 1 Oth St#417
New York, NY 10003
To: install deer fence as applied for.
At premises located at:
1245 Old Farm Rd., Orient
SCTM #473889
Sec/Block/Lot# 26.4-2
Pursuant to application dated 5/9/2022 and approved by the Building Inspector.
To expire on 12/9/2023.
Fees:
DEER FENCE $75.00
Total: $75.00
B spector
so s Fa[q�oGy� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax (631)765-9502 https://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only .1�
9 �
PERMIT NO. ` a� Building Inspector: + qf/
2022
bu Lblfy6 LDJ
Applications and forms must be filled out in their entirety. Incomplete 'ro W4J
OF SO QLD
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:04/25/2022
OWNER(S) OF PROPERTY:
Name:Andrew Greenberg_ scrM#1000-473889 26.-4-2
Project Address:1245 Old Farm Rd, Orient, NY 11957
Phone#:646-421-8997 1 Email:andrewmarkgreenberg@gmail.com
Mailing Address:70 E. 10th St, New York, NY 10003
CONTACT PERSON:
Name:Steven Schroeder
Mailing Address:5880 Main Bayview Rd, Southold, NY 11971
Phone#:516-429-3456 Email:stevsch@optonline.net
DESIGN PROFESSIONAL INFORMATION:
Name:North Fork Fence LI, Inc.
Mailing Address:PO BOX 1525, 6865B Main Rd, Mattituck, NY11952
Phone#:631-298-4777 Email:northforkfence@aol.com
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
EOtherDeer Fencing $18,000
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises? ❑Yes BNo
1
1
PROPERTY INFORMATION
Existing use of property:Residential . _ Intended use of property:Residential _
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ANo IF YES, PROVIDE A COPY.
❑ Check Box After Reading. The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by
Chapter 236 of the Town Code.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,forthe construction of buildings,
additions,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(s)for necessary inspections.False statements made herein are
punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(pri t name Steven Schroeder BAuthorized Agent []Owner
Signature of Applicant: Date: rj
STATE OF NEW YORK)
SS:
COUNTY OAAf
being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the
(Contracto(,Agen , Corporate Officer,etc.)
of said owner or owners,and is duly authorized to pe orm 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/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
n
9-day of Mad I . 20pla.. �!1 - ' 1bwuv
Notary Public
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY OWNER AUTH®RMATI®N NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
(Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,206
I� Andrew Greenberg residing at 70 E. 10th Street, NY, NY 10003
do hereby authorize Steven Schroeder to apply on
my b alf to th Town o Southold Building Department for approval as described herein.
04/25/2022
Owner'fSNnature Date
Andrew reenberg
Print Owner's Name
2
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*APPRD AS NOTED
DATB.P.#
FEE; BY:
NOTIFY -BUILDING DEPARTMENT AT
76521802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH 7 FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONS-RJ l"'ON MUST
BE COMPLETE c'^f: 0.
ALL CONSTRUCT; !v •,ALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
80ARD
S06#01nOWN TRU ES
RETAIN STORM WATER RUNOFF
PURSUANT TO CHAPTER 236
OF THE TOWN CODE,
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NORTH FORK FENCE LI, INC.
r P.O. BOX 1525 68658 • MAIN ROAD (ROUTE 25)
MATTITUCK. NEW YORK 11952
;6094* PHONE: 631-298-4777
�,_..���� FAX: 631 298-1544
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NAME DATE
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off,/2 non refundable deposit required before start. Balance due upon completion of job.
PL:rchaser is to properly mark or designate the correct fence lines by stakes or other means.
The Purchaser is responsible for any and all permits pertaining to the proper and legal installation of the fence All obstructions which miqht in any
manner interfere with the erecting of the fence or gates shall be removed by the Purchaser, prior to the commencing of the work.The price quoted
in this estimate is based upon normal erecting conditions. If,however,it is necessary to drill.'edge rock for setting posts,or to make special provisions
for setting fence in swampy or soft ground, or to perform any additional work not covered by this contract. a reasonable charge is to be made to
the Purchaser for such work or special construction as an extra. This company is not responsible for rain or wind damage to any fencing. Unless
otherwise provided. the fence is to follow the existing ground lines. It grading or filling of the ground is necessary to the proper installation of the
fence. this work is to be done by the Purchaser. We are not responsible for any underground damage of wire. pipes, etc unless properly staked
or marked by owner or contractor. In the event of a cancellation the Purchaser will forfeit their deposit to cover the costs of materials purchased. '
Unsigned contracts will only be valid for 15 days fro to it was drawn up
ACCEPTED
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