Loading...
HomeMy WebLinkAbout36311-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 36311 Date: 4/8/2011 Permission is hereby granted to: Dyla, William & Dyla, Kim 2565 Brigantine Dr Southold, NY 11971 To: Deer fence in other than front yard as applied for. See attached specs (Section 280-105) At premises located at: 2565 Brigantine Dr, Southold, NY 11971 SCTM # 473889 Sec/Block/Lot # 79.-4-65 Pursuant to application dated To expire on 4/7/2012. Fees: 3/31/2011 and approved by the Building Inspector. Deer Fence Total: $75.00 $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Exanfined Approved Disapproved a/c Expiration .20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the tbllowing, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail lo: ; applic~ Building Inspector ?ATION FOR BUILDING PERMIT Date INSTRUCTIONS 20\\ a. T filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, ac-T'-uurate 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 watetwvays. 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 fbr inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose xvbat 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 tbr an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department lbr the issuance ora Building Permit pursuant to tbe Building Zone Ordinance of the Town of Southold, Sufiblk County, New York, dud other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code. husing code, al~d ~,gulafmns. and to admit authorized inspectors on premises and in building lbr necessary inspections. (Sigimture o~applicant or na~m. if a coqx~ration) H State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises O '~,~ {. O,w, ~ ~7~: ~ ]"~t. ~kr;k (As on the tax roll c}r 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. Location of land on which proj~osed work will be done: House Number 'h ' Street Hamlet County Tax Map No. 1000 Section Subdivision ~*~r~.l ~-;~ o'qq Block O ~ Filed Map No. Lot 0 k5 Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy % .0,, 1~ / ~ ~/5 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories Rear .Depth 9. Size of lot: Front Real' _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO __Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. k/..~i 5~.'a. Is this property within 100 feet ora tidal wetland ora freshwater wetland? *YES NO k'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 fnundation 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 · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) COUNTY O F' .~:~.,~L~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, C, ONNIE D. BUNCH (S)He is the ~,et~-."',, P-~!~, ~ ~ .~;': Yc~ (Contractor, Agent, Corporate Officer, etc.) No. 01806185050 Qualified In Suffolk County of said owner or owners, and is duly authorized to perform or have performed the said wOo°r~o that ail 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 to Joefore me this '~©J~r'~ dayof ~'OK]X-&C,~ 20~1 Notary Public S LOT 65 72'58' 10"£ BLUESTONE DRIVEWAY W/BLOCK CURBING 49,4' N 7,3'05'20'W NORTH ~35.00' cO ~s~d e~'~° ~0® BAYVIEW ROAD LOT 64 -- .6' MAP SURVEY OF LOT 65 OFHARBOR LIGHTS ESTATES SECTION THREE SITUATE BAYVIEW, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: WILLIAM C. DYL_A KlM DYLA SURVEYED: 17 MARCH 2008 SCALE l"= 20' AREA = 22,968 S.F, OR 0,527 ACRES FM# 5147 DATE FILED AUGUST 7, 1968 TM# 1000-079-04-065 GUARANTEED TO: WILLIAM C. DYLA KlM DYLA LANDAMERICA COMMONWEALTH TITLE INS CO TITLE #RH08500350 WELLS FARGO BANI(, NA SURVEYED DY STANLEY d. ISAKSEN, JR. P.O. BOX 294 NEW SUFFOLK. N.Y. 11956 --,NYS Lic. 'No, '4927.3 08R1667