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Home My WebLink About37894-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 #: 37894 Permission is hereby granted to: Nick, William & Nick, Tara 75 Lincoln St Garden City, NY 11530 Date: 3129/2013 To: construct a deer fence to code as applied for. At premises located at: 500 Maple Ln, Southold SCTM # 473889 Sec/Block/Lot # 64.-1-20 Pursuant to application dated To expire on 9/29/2014. Fees: 3/27/2013 and approved by the Building Inspector. DEER FENCE Total: $75.00 $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPART/MENT TOWN HALL ~ SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.nct Examined ~',,7 ,20/_.~ Approved Disapproved a/c .20/3 Expiration PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIS 1' Do 5ou 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. Frustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: '- ~ ',' ]:'-2'~ Inspector i7)2['i' i! }dARer ,-,,; 4 'FP;H0 2013¢ kPPLIC^TION FOl{ Bt ILDING PERMITiNsTRUCTiONS Date ,20 a. This applicatiou MUST be completely filled in by t5 pexwiter or in ink and submitted to tbe Building Inspector with 4 sets ofplaos, accurate plot plan to scale. Fee according to schcdulc. b. Plot plan showing Iocatiou of lot aud of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by tiffs applicatiou 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 oo the premises available for iuspection throughout the work. e. No building shall be occupied or used in whole or in part lbr any purpose what so ever until tbe Building Inspector issues a Cegificate of Occupau%. f. Every building permit shall expire if the work authorized has uot commenced within 12 months aaer the date of issuance or has not beeu completed within I 8 months from such date. If no zoning ameodments or other regulations affecting the prope~ have beeo euacted iu the interim, the Building Inspector may attthorize, in writing, the extension of the permit fbr an addition six montbs. Thereafter. a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department fbr the issuance ora Building Permit pursuaot to the Building Zone Ordinance of the Town of Southold, Suffolk Couuty~ New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additioos, or alterations or f~l or demolitioo as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildi~codm hous~a code, aod regul~ions, aod to admit authorized inspectors on premises aod io building For necessary inspe~ / } ~ ~ // (~gnature ot apphcant or name, ifa corporation) (Mailing address of applicant) --~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ! t~t. P/'I. ,t I~0 PA [ (As on the tax roll or latest deed) If applicant is a corporation, signature ol'duly authorized officer (Name and title of corporate officer) Builders License No, Plumbers License No. Electricians Liceuse No. Other Trade's License No. 1. Location of land on which proposed work will be done: do o ,rWx D House Number' ' J Street Hamlet / County Tax Map No. 1000 Section & q Block Lot ~0 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intengted use and occupancy' of proposed construction: a. Existing use and occupancy J?-. ~_/'d~__~-----' b. Intendeduseandocc~pan~y''~/~o_~,3C~¢'O~ d~_~(-' ?~/')O_~,-- 3. Nature of work (check which applicable): Ne,~ Building Addition Aheration~ Repair Removal Demolition Other Work .'~6i~D}rYCia)~--, r [,[~sci'ilStiolk)) 4. Estim. atedCost -,~ ~,.; 500`00 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units t,J/~. Number of dwelling units on eacb floor If garage, number of cars ~x}/& 6. If bnsiness, commercial or mixed occupancy, specit}' nature and extent of each type of use. /',)/("2 7. Dimensions of existing structures, if any: Front /0/FA, Rear .Depth Height. Number of stories Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. Dimensions of entire new construction: Front ~3/Zt. Height Number of St6ries Rear .Depth 9. Size of lot: Front t, Rezlr Depth ,vlo,o:Sc4 10. Date of Purchase ~0Ve_Pd~i'" ~00~ame of Former ()wner "~O'<o~------'- 11. Zone or use district in which premises are situated O · , X/ 12. Does proposed construction violate any zoning law. ordinance or legulauon. YES NO ,, 13. Will lot be re-graded? YES NO ~X/ Will excess till be removed fi'om premises? YES __ NO__ 14. Names of Owner of premises ~ )},,qoq* i-~ta ~?C~ddrcss Name of Architect Add tess Name of Contractor Address 15 a. Is this property within 100 feet cfa tidal wetland or a fi'eshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls this property within 300 feet cfa tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Phone No(,51~,) 3,52~5 -01 77:2.---- Phone No Phone No. NO / 16. Provide survey, to scale, with accurate foundation plata and distances to property lines. 17. If elevation at any point on property is at l 0 feet or belo,x, 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. S I'A I'E OF NEW YORK) SS: COUNTY OF ) being dub sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New York, (S)He is tile ~o n~m m~ (Contractor. Agent, Corporate Ct'ricer, etc.) Qualified in 8uf~ ¢~ Co~W ~ Com~issio~ ExF4~,~ ~,;:,~;~ [, '~ of said o~ner or owaers, and is duly authorized to pertbrm or haxe perlbrmed the said ~xork and ~o make and file this application; that all statements contained in this application are true to the b~st of his knowledge and beliel5 and that the ~ork will be perlbrmed in the manner set forth in the application filed there~ ith. Notary Public '/ Signature of Appli~nt < <'~. / c, ORWIN N/Oir · AREA = 31,486 sq. ft. SURVEY OF .PROPER TY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 64 - Ol - 20 Sca/e; I"= .30' - Jan. I~, 1995 LIC. NO.