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.