HomeMy WebLinkAbout49418-z TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
R 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 #: 49418 Date: 6/23/2023
Permission is hereby granted to:
Frawley, David
26 Soundview Cir
White Plains, NY 10606
To: Install deer fence at an existing single family dwelling as applied for.
At premises located at:
515 Maple Ln, Southold
SCTM # 473889
Sec/Block/Lot# 64.-1-26
Pursuant to application dated 5/22/2023 and approved by the Building Inspector.
To expire on 6/22/2024.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspector
��o�gUfFO(k�OG TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
�y�o• ��o� Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southoldtowmy.gov
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only L
PERMIT NO. 1 Building Inspector: MAt 2 2 2023
tjUILUApplications and,forms must be filled out in their entirety.,Incomplete' WN0,lg6mi T.
applications will not be accepted. Where the Applicant is not the owner;an T�WN�FSnI�T�nI n
Owner's Authorization form(Page 2)shall be completed:
Date: 00.23
OWNER(S)'OF PROPERTY:
Name: #1000-
Project Address: Cl&S ' pn
Phone#: 9 14
Email:
Mailing Address:
CONTACT.PERSON: -
Name: rf Z
Mailing Address:
Phone#: Email:
__ (._ _`f o._c�35 7.__.._...._____. _____ _ _____w_.._d� [____Nom-/ e& '�• C H.•-------
DESIGN PROFESSIONAL INFORMATION: :
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: Email:
DESCRIPTION OF PROPOSED CONSTRUCTION
❑New Structures ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
VOther 4` &Z.1' �cP—, CLS 9�itb�� o^ J-L-//W
Will the lot be re-graded? ❑Yes VNO Will excess fill be removed from premises? ❑Yes 09,No
1
T i QF
PROPERTY INFORMATION
Existing use of property: Intended use of property: y"Lsi A2A,L�
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes L4No 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,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 pursuant to Section 210.45 of the New York State Penal Law.
Application Submitted By(print name): �QIr)0. D rf(AL ❑Authorized Agent ❑Owner
Signature of Applicant: Date:
.as 3 .
STATE OF NEW YORK)
SS:
COUNTY OF Irr4I—e— )
m 4t la 6 F(w 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 n-o yidsgge and b lief
that the work will be performed in the manner set forth in the application file therewith CAROLINE M MACARTHUR
Notary Public-State of New York
No.01MA6384635
Sworn before me this Qualified in Suffolk County
My Commission Expires Dec 17,2026
2 :
day of l-l�7 ,2012__
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
o4plcc
APPROVED AS NOTED COMPLY WITH ALL CODES OF
DATE-"-3 a3 B.P.# qq S NEW YORK STATE & TOWN CODES
FE 5 b� BY AS REQUIRED AND CON013'ifM OF
NOTIFY BUILDING DEPARTMENT AT SOUTHOLO TOS
M FOR THE w,..,
765-1802 8 AM TO 4 P
FOLLOWING INSPECTIONS:
i � N� �M
1. FOUNDATION-TWO REQUIRED .rr.�.wrw.r.'SOUTHOLDTUrii'�'�tPl
FOR POURED CONCRETE
2. ROUGH-FRAMING,PLUMBING, SOUTHOLD TOM TRUSM
STRAPPING, ELECTRICAL&CAULKING
3. INSULATION N.Y.S.DEC a
4. FINAL-CONSTRUCTION&ELECTRICAL
MUST BE COMPLETE FOR C.O. i
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODESIOF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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MAP OF DESCRIBED PROPERTY
SITUATE AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY,NEW YORK
CERTIFIED TO:DAVID FRAWLEY
BERNADETTE FRAWLEY
FIDELITY NATIONAL TITLE INSURANCE COMPANY
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rWARD
FEILCF1OD SURVEY LONG ISLAND.COM Of"Es'r
BROOKS LAND SURVEYOR
11 OCEAN AVENUE .
BLUE POINT, NY. 11715
(631) 576-7794 (631)363-3179 '
WARDBROOKSO@GMAIL.COM
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