HomeMy WebLinkAbout49248-Z �SUFFo�,r�o TOWN OF SOUTHOLD
ao aye BUILDING DEPARTMENT
y 2 TOWN CLERK'S OFFICE
• g 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#: 49248 Date: 5/15/2023
Permission is hereby granted to:
Berman TB Trust
2 Northside Piers #7
Brooklyn, NY 11249
To: install deer fence as applied for.
At premises located at: ` '
3190 The Lon Wa , East Marion 3�S -a`-t V 0 pol I
SCTM #473889 Z- kr�
rl
Sec/Block/Lot# 30.-2-112
Pursuant to application dated 4/12/2023. and approved by the Building Inspector.
To expire on 11/1412024.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspector
4�oSUFFotk�oa TOWN OF SOUTHOLD—BUILDING DEPARTMENT
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Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
oy�o ao�� Telephone (631) 765-1802 Fax (631) 765-9502 hqps://www.southoldtownny.go
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Date Received
APPLICATION FOR BUILDING PERMIT
r Office Use OnlyDJ
PERMIT NO. Building Inspector: APR 1 2 2023
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Applications-and forms must be filled out in their entirety:Incomplete
.applications will not be accepted. Where the Applicant is not thd-owner;an ' T0tiUdv(�F5019�i0i D
Owner's Authorization form'(Page"2)•shall be completed.
Date:
OWNER(S)`"OF'PR PER
Name: SCTM # 1000- '
Project Address: I \� L —9
Phone#: '�? e7 _ (I Email: �p
Mailing Address:
:CONTACT�PERSON6: T. ., 0.
Name:
Mailing Address: J� `V vC
Phone#: Email:
-_DESIGN,PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name:
Mailing Address:
Phone#: TFM
DESCRIPTION.-OF PROPOSED,CONSTRUCTION,
❑ ew Struct e ❑AddiP'on ❑Alteration ❑Rep ' ❑Dem Rion Estimated Cost of Project:
ther f ! , $— l dto
Will the lot be re-graded? ❑Yes7o Will exce fill be removed from premises? ❑Yes
1
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 ❑No IF YES, PROVIDE A COPY.
❑ Check Box After-Read in'g: The ownei/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 buildings)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): � ❑Authorized Agent ❑Owner
Signature of Applicant: Date:
CONNIE D.BUNCH
Notary Public,State of New York
STATE OF NEW YORK) No.01BU6185050
SS: Qualified in Suffolk County `/
COUNTY OF ) Commission Expires April 14,2�7
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 before me this
,aLA day of rJ 20 1-) n`O
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
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NOTIFY. UILDING DEPARTMENT AT — ��°°° '' �v �h a "
765-1802 8 AM TO 4 PM FOR THE 4sN �e °
FOLLOW G INSPECTIONS: t'� DOd
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1. FOUN TION - TWO REQUIRED b
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2. ROUG - FRAMING & PLUMBING _
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ALL CONETRUCTION SHALL MEET THE s s a m
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DESIGN R CONSTRUCTION ERRORS. _ o N FRI,
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NEW YORK STATE & TOWN CODES _
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The Great American Title Agency Inc.
170 Hamilton Avenue,Suite 207 White Plains,NY 10601 914-761-1776 914-761-1770
orders@gamericantitle.com
Title Number: GA22S02S7
Page 1
SURVEY READING
Survey made by Scalice Land Surveying dated July 28,2022 shows the following exceptions from
coverage:
1) Gravel driveway with B.Block Curb extends onto The Long Way Lane an undetermined
distance.
2) Dilapidated 4'wire fence lies an undetermined distance west of the easterly premises line.
3) 8'wire fence varies with easterly premises line.
4) 4'wire/wood fence encroaches up to 4.9'onto premises adjacent to the north.
5) 4'wire/wood fence lies up to 2.7'north of a portion of the southerly premises line.
THE FOLLOWING IS FOR INFORMATION ONLY AND WILL NOT BE INCLUDED IN THE TITLE
POLICY OR POLICIES TO BE ISSUED:
The above referenced survey dated July 28, 2022 also shows a 2 story frame residence with garage
and wood deck,hot tub,three (3) sand with wood curbs,inground pool,wood curb with enclosed
bar