HomeMy WebLinkAbout48883-Z �o�suFFotp�o TOWN OF SOUTHOLD
oy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o� • ,� SOUTHOLD, NY
b'
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#: 48883 Date: 2/8/2023
Permission is hereby granted to:
Douglass, James
735 Majors Pond Path
Orient, NY 11957
To: install deer fence as applied for.
At premises located at:
735 Majors Pond Path, Orient
SCTM #473889
Sec/Block/Lot# 26.-2-39.14
Pursuant to application dated 1/2.4/2023 and-approved-by the Building Inspector.
To expire on 2/8/2024.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspector
o.4SUFFoct000 TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
oy�o• ��o�� Telephone (631) 765-1802 Fax (631) 765-9502 https://www.southoldtownu.gov
Date Received
APPLICATION FOR BUILDING PERMIT II IUI I�
For Office Use only PIAN 2 4 2023
PERMIT NO. Building Inspector: dUlWi NU DEPT
TowmOFS( oTmoLO
Applications and:for ms must be filled out�natieir entirety:Incomplete
applications'will,not 6e accepted. Where tlieApplicant-is nat the owner,an
Oviinees'Author{zatian.form(Pa&2)shalf be coimptetedr> ,.:::" -
Date:
E
O ,P OP RTY�
'OWNER 5 F R
•'1� SCTM#1000-
Name: _.. `lvV
Project Address: /N,+- ods. lwvi ---.2 J.- .-. On-,iK4._. /V T
Phone#: �� '9' d/_G t�/ 3� Email: l �,4
u C - -;F �.G/J .l
Mailing Address: �U�r . .3 .3 5, O ��,�•�•'� /TJ�....-./_ -
-CONTACT.PERSON:
Name: 5-4-ling -
MaiAd
._ ..._- - _ ,s. , _
G /
Phone#,.. %0. Email: UU C/0''(00
•-�
D ES1GN RROFESSIONAL"'INFORwhON
Name:
Mailing Address:
Phone#: Email;
CONTRALTO
RINFORMATION:
Name: c 1
Mailing Address:
Phone#: Email:
DESCRIPTION.OF.1?ROPO
SED'CONSTRCICTION,
❑New St r cture ❑Addition ❑Alteration ❑Repair ❑.Demolition Estimated Cost of Project:
Other
Will the lot be re-graded? ❑Yes ❑No Will excess fill be removed from premises? ❑Yes. ❑No
5)
C)
1
IV
PROPERTY INFORMATION
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ONO IF YES, PROVIDE A COPY.
0 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,for the 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 pursuarit'to Section 210.45•of the New York State Penal Law.
Application Submitted By(print nam 0C tic S. <j /r,-L ❑Authorized Agent knwner
Signature of Applicant: w Date: Zy /Z3
CONNIE D. UN/.
STATE OF NEW YORK) Notary Public,State of New York
No.01BU6185050
SS: Qualified in Suffolk County ``II
COUNTY OF ) Commission Expires April 14,2j
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)he is the
(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/her knowledge and belief; and
that the work will be performed in the manner set forth in the application file therewith.
Sworn
y before me this
day of 6,t>1tAgr 2
Notary Public
PROPERTY OWNER AUTHORIZATION
(Where the applicant is not the owner)
I, residing at
do hereby authorize to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Print Owner's Name
2
S.CJ.M. NO. DISTRICT: IOGO SECTION:26 BLOCK;2 LOT(S):J,9.14
PPR D AS NOTED zPp
DATE:- LOT 4
• LINDN/1
FEE: 207. 0
BOSCH
NOTIR -BUILDING DEPARTM -NI AT
765-:18(2 8A TO 4 Phi F R IE
FOLLOI VING,INSPECTION 3:
1. FOU DATION - TVVO REQ El
FOR POURED CONCRETE
LAND 14/r
2. RO H - FRAMING & PLU BIN 33
. ..... HOLZAPFEL
3. INK LAT[ON
4. FIN A CONSTRUCTION LIST
BE GOMPLETE FOR C Q.
0VN
ALL CcNSTRUCTION SHAL MEE THE .sr f7:15-,:
REQUIF EMENTS OF THE 'OID S 0-NEW NEW
YORK ;TATE. NOT RES 014 IBL E FORLP.WS
DESIGN OR CONSTRUC 10 ER IORS.
WrLL
ce
C. -LY WITH ALL CO ES OF
ORK STATE & TOWN CODES
a SAS REQUIRED AND CONDI--IONS
OF
LAND NIF
OF
z
SQLP�19!:q Tom NMNSBOAAD
'STEES
LAND NIF
OF
DOUGLASTHE WATER SUPPLY, VIELL5, DRYWEI.45 AND CESSPOOL
LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS:
AREA: 73.771.91 SOFT. or 1.81 ACRES ELEVANON DATUM: -----______________---
UNAUTHORIZED
---------------------
UNAUTHORIZED ALTERA770PI OR A001770H TO THIS SURVEY IS A VIOLA71ON OF SEC 77ON 7209 OF THE NEW YORK STATE EDUCA71ON LAW COPIES or THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT HE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INS77TU770N. GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARC
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EWDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 3 OF NeIv CERTIFIED T0:DOUGLAS GRAY: LESLIE KOCH,
MAP oF:WILLOW TERRACE FARMS, INC. A0 FIDELITY NATIONAL TITLE INSURANCE:
—
FILED:OCTOBER 4, 1994 No. 9572 tl c' ROCKET MORTGAGE;
SITUATED AT:ORIENT r,
TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK 0.5 852 JQa Professional Land Surveying and Design
P.O. Box 153 Aquebogue, New York 11931
FILE #222-142 SGALE:1"=4C)' DATE: NOV, 5, 2022PHONE (631)208-1508 FAX (631) 206-1500
N.Y.S. 11.13r. No. mnw maIntaInIna the mcorda of Robert J.Ilonnesmv&Nemn-1h M Vhuk