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HomeMy WebLinkAbout36453-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 #: 36453 Date: 6/712011 Permission is hereby granted to: Fitzgerald, William & Fitzgerald, Julie 26 Halsted PI Rye_, NY 1O58O To: construct a deer fence as applied for At premises located at: 290 Red Fawn Rd, Southold SCTM # 473889 Sec/Block/Lot # 79.-2-7.4 Pursuant to application dated To expire on 6/6/2012. Fees: 5/26/2011 and approved by the Building Inspector. ALTERATION OF ACCESSORY BUILDINGS 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 Examined Approved Disapproved afc 6/0,2o II BLDG. DEPI'. __ TOWR OF SOUTHOLD PERMIT NO. '3 ~ Y~ 5 Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, 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 Single & Separate Contact: Storm-Water Assessment Form Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date 26 INSTRUCTIONS ,20 I ! a. This application MUST be completely filled in by typewriter or in ink m~d submitted to the Building Inspector with 4 sets of plans, accurate 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 waterways. c. The work covered by this application may DOt 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 for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what 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 interi~n, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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, or 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 for necessary inspections. ~/t~ · ( ~Signature.~ap3P. lJ~a~_t ,o_z n am e, i f a corpo~mtion) 4o0 (Mailing address of applic~'~t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofownerofpremises onthe tax roll or l est de2d) I~f ap~lif~t is a co¢ora~n, ~mnature of duly authorized offi~r_;, ~e ~d title of co~orate officer~ Builders License No. Plumbers License No. Electrici~s License No. Other Trade's License N~ ~ ~ ~~~ Locatio~ ~'land on which Rroposed work kvill.be done: House Number Street Hamlet County Tax Map No. 1000 Section~_J_~ Subdivision Block~2, Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ I/~/'l~..~ b. Intended use and occupancy Nature of work (check which applicable): New Building_ Repair RemoVal Demolition 4. Estimated Cost Fee Number of dwelling units on each floor 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work~/ __~__~ (Description) (To be paid on filing this application) 7. Dimensions of existing structures, if any: Front N/~t~ Heigh[ Number of Stories If business, commercial or mixed occupancy, specify nature and extent of each type of use. Rear Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front,,.tlvt/~ Rear Height Number of Stories --9. Size of lot: Front Rear 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 13. Will lot be re-graded? YES 14. Names of Owner of premises Depth Rear Depth __ N£XWill excess fill be removed from premises? YES.__ Address Phone No. NO Name of Architect Address Phone No ~.jl~ddress Phon¢ Name of Contractor'l~~ llq No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * 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 scb. le, ~vith accurate foundation plan and distances to property lines. 17. If ~levation at any point 6n property is at 10 feet or below, must provide topographical data on survey. 18. Are tho re any covenants and restrictions with respect to this property? * YES__ N * IF YES, PROVIDE A COPY. STATE OF NEW YORK) (S)He is the being duly sworn, deposes and says that (s)he is the applicant contract) above named, (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 knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .~,~' .~,/day of y't (~Notary Public 20// , '"" ~~~~ /ignature of Applicant .N ~ANI'TAI~¥ IqE~hlb'Nl'~ -%. Twin Fork Landscape Contracting P.O. Box 460 Cutchogue NY, 11935 PH: {631} 734-6643 FX: {631} 734-8354 Email: twinforklc~optonline.net To: From: RE: TAX #: Date: Town of Southold Building Dept William J Fabb, Twin Fork Landscape Contracting Fitzgerald Residence 290 Red Fawn Rd, Southold 1000-79-02-7.4 5/26/11 Attached provides you with a Building Permit Application for the Fitzgerald Residence, located at 290 Red Fawn Rd, in Southold. This permit is a request for a deer fence. We would like to obtain a permit for approx 8501ft of fencing along the rear and sides of property as marked on survey. The fence utilized will be to code, the 8ft standard high-tensile woven deer fencing. It will be set in front of already existing fence at grade, not exceeding the required 8ft. Posts will be 1&5/8 black pipe and positioned 20ft apart, with,fabric taught between piping. - Should you have any additional questions, please do not hesitate to call ~J 631-734-6643. TOWN OF SOUTHOLD BUILDING DEPT Authorization Letter I, William Fitzgerald & Julie Fitzgerald residing at 290 RED FAWN RD, Southold, do hereby authorize William J. Fabb of Twin Fork Landscape Contractin.q, 8405 Cox Lane, PO BOX 460, Cutcho.que, NY 11935, to apply for permit(s) from the Town of $outhold Building Department on our behalf. SIGNATURE OF AUTHORIZATION: PH: PROPERTY TAX MAP ID#: 1000-79-02-7.4.