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HomeMy WebLinkAbout37900-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 #: 37900 Date: 4/1/2013 Permission is hereby granted to: Fadno, Anthony & Farino, Christine 18 Ron Ct Commack, NY 11725 To: Construction of a deer fence as applied for. At premises located at: 515 Gin Ln~ Southold SCTM # 473889 Sec/Block/Lot # 88.-4-5 Pursuant to application dated 3/19/2013 To expire on 4/1/2014. Fees: and approved by the Building Inspector. DEER FENCE $75.00 $75.00 Building Inspector TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net PERMIT NO. Examined Approved BI IlI2)ING PERMIT APPLICATION C11ECKLIST Do you have or need the following, before appl}ing? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NY.S.D.E.C. [rustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Disapproved a/c ~[1[~ 1 ~ 'LICATION FOR BUILDING PERMIT ~¢'7~ , Date ~' INSTRUCTIONS · 2O a. This application MUST be completely filled in by typewriter or in ink and snbmitted to tile Building Inspector x~ith 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. Tile work covered by Ibis application may not be commenced befi~re issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issne a Bnilding Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughoul the xxork. e. No building shall be occupied or used in whole or in part Jbr any purpose xxhat 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 I $ months from such date. If no zoning amendments or other regulatious affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six montbs. Thereafter, a new' permit shall be required. APPLICATION IS HEREBY MADE to tile Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold. Suffolk Count), New York. and other applicable Laws. Ordiuances 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 laxxs, ordinances, bnilding code. housing code· and regulations, and to admit authorized inspectors oll premises and in building for necessary inspections. {Signature of applicant or name, ifa corporation) ( Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plutnber or builder /N/Nameofownerofpremises,//m~4OteV-~'~-~C;HA) -~ /!"/L//,~-q4t~%/d ,~/~,.~/~d_-fl / (As o~n thc tax roll i/r latest decd) If applicant is a corporation, signature of dub authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Loc~ion of land on which proposed ~,or~ will be done: House Number Street Hamlet County Tax Map No. 1000 Sectioo '- Block ' Lot 2> Subdivision Filed Map No. State existing use and occupancy of premises and inlended use and occupancy of proposed construction: a. Existing use and occupancy 9( b. Intended use and occupancy 3. Nature of ~vork (check which applicable): New' Building Repair Removal Demolition 4. Estimated Cost 5. if dwelling, number of dwelling units_ If garage, number of cars Addition Other Work Alterati.___on "- ( D e scriptio n'5-'""' (To be paid on filing this application) Ntmlbcr of dwelling anits on each floor 6. If business, commercial or mixed occupancy, specit5 nature and extent of each type of use. 7. Dimensions ofextstllq{Z,, structures, if any: Front Rear Height ,,, Number of Stories Dimensions of same strOxcture with alterations Depth ~' Height_ 8. Dimensions of entire new construction: Front Real' Height 10. 11. 12. or additions: Front Number of Stories Number of Stories .Depth Rear .Depth Size of lot: Front Rear Depth Date of Purchase Name of ~'ornler Owner Zone or use district in which premises ar~ situated 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. N ames of Owner of premises Name of Arcbitect Name of Contractor Address Phone No. Address Pbone No Addrcss Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fl'eshwater wetland'? * YES · 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. NO 16. Provide survey, to scale, with accurate foundation 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 NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being dui) sworn, deposes and sa2s that (s)be is the applicant (Name of individual signing contract) above uamed, CONNIE D. BUNCH NotaP~ Public, State of New Ycrk No. 01 BU6185050 (S)He is the ©,,,~;f!e~ in ~uff~lk ~mtv . , (Contractor. Agent, Corporate Ot'ticer, etc.) Oornmissio~ Expires Apil of said owner or owners, and is duly authorized to pertbrm 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 bis knowledge and belief; and that the work will be performed in the manner set forth in tile application filed therewith. Sx3,'Ol'[l to before me this l'~ 105.'~-'~ day of ¢'(Xx,~%Q~ 20 Notary Public