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Home My WebLink About37798-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 #: 37798 Permission is hereby granted to: Pizzolla, Danny 33-35 161 St Flushing, NY 11358 To: DEER FENCE AS PER CODE Date: 2/11/2013 At premises located at: 4795 Vanston Rd, Cutchogue SCTM # 473889 Sec/Block/Lot # 111 .-14-5.4 Pursuant to application dated To expire on 8/13/2014. Fees: 2/8/2013 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) 76~9502 SoutholdTown.NorthFork. net PER ^pp,oved l_5 Disepproved Expiration ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying° Board of Health 4 sels of Building FEB - g APPLICATION FOR BUILDING PERMIT rote I/'5i .20 15 INSTRUCTIONS a This application MUST be completely filled in by type~witer or in ink and 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 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 perm 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 [ Every building permit shah expire if the work authorized has not commenced within 12 months after thc date of issuance or has not been completed within 18 months from such date If no zoning amendments or other regulations a ff'ecgng the property have been enacted in the inlerim, the Building Inspector may authorize, in writing, thc extension of thc permit for an addition six months Thereafter, a new permit shall be required APPLICATION IS llEREBY MADE to the Building Department t'or the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Su ft'olk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or tBr removal or demolition as herein described applicant agrees to comply with all applicable laws, ordinances, building code housing code, and re tions, and mit authorized inspectors on premises and tn building for necessary inspections ~l~lgnature of applicant or name, il' a corporationt State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician~ plumber or builder Name of owner of premises ba~,/~ ~/ (Ag on the tax roll or 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 Tradc's License No. I. I,ocation of land on whigh proposed/work will~ done: I louse Number Street County T~ Map No. 1000 Section / [ / Block Subdivision t¢ Eoi 0",¢ Hied Map No. I,ot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ O~ W .~Oi/)t'~l O b. Intended use and occupancy 3. Nature of work (check which applicable): New Buildink Repair Removal Demolition 4. Estimated Cost 5. I f dwelling, number of dwelling units If garage, number of cars 6. A ddition~Alter ation~a~ Other Work F~ Y~ ~i'l~l ~ ( Des~ptio~ ) 76 (To bc paid on filing this application) Number ol'd~velling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Height ~t2) ~ Numberof Stories ~ Dimensions of same structure with alterations or additions: Front Rear Depth Height__ Number of Stories ~Dimensions of entire new construction: Front Rear .Depth Height Number of Stodes 9. Size of lot: Front ~ ~ Rear _Depth IO. DateofPurchase ~/~]o~ NameofFom,erOwner 4OJ"~il &. ~')~'/"~'~1'~_. - / 1 I. 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 V/ W!II excess fill be removed ti'om premises? YES NO 14. Names ofO~vner ofpremises~C(Yl//t/ ~lL~) ~9,Address ¢7c~j [~>)g-?)ttY ~hone No.~-~ Name of Architect t Address Phone No Name rd'Contractor Address Phone No. 15 a. ls tiffs property within 100 lbet 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 scale, with accurate tbundation plan and distances to property lines. 7 f elevati m 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 NO · iF YES. PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF · ~PIV ~t Z 7~r:l//i being duly sworn, deposes and says that ts)he is the applicant (Name of individual s~gnmg cont~c~ above named, (S).e is the (Contractor. Agent, Corporate Officer, etc ) of said owner or owners, and is duly authorized to perlbrm or have perlbrmed 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 peffonnedswRm to beforein thememannertNs set forLh in the application, filed therewith,C~ ~~~~ 1 HOM~p~ t ~ ~ OU~O~ ' Signature of Applicant Notary Public, State of New No. 01AN6006759 Qualified in Queens County Commission Expires May 4, SURVEY OF PROPERTY SUFFOLK COUNTY TAX MAP DISTRICT 1000 SECTION 111 AT CUTCHOGUE TOWN OF SOUTHHOLD SUFFOLK CO. N.Y. 2 STORY VINYL RESIDENCE 4795 ~.75 GUAR TO:APS 123380 APPELLATE LAND SERVICE STEWART TITLE INSURANCE COMPANY WELLS FARGO BANK~NA,ISAOA, ATIMA DANNY PIZZOLLA SURVEYED JUNE 14, 2012 PETER J. BRENNAN JR. LAND ,SURVEYOR N.Y.LIC,50679 PO BOX 229 SELDEN N:Y.11784 (631)698 ~.~.29 ' SCTM 1000-111-14-5.4