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Home My WebLink About38193-Z TOWN 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 38193 Date: 7/2312013 Permission is hereby granted to: Petrucci, Barbara & Klos, Robert 150 Gri~onis Path _ _ Southold, NY 11971 To: install a deer fence as applied for At premises located at: 150 Grigonis Path SCTM # 473889 Sec/Block/Lot # 63.-7-4 Pursuant to application dated 7/23/2013 and approved by the Building Inspector. To expire on 7/23/2014. Fees: DEER FENCE $75.00 Total $75.00 Building Inspector ' TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST Bl?ILIy1NG DEPARTMENT Do you have or need the following, before applying? TOWWN HALL Board of Health SOUTHOLD, NY 1197] 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey ~1 ~~(~c~_ SoutholdTown.NorthFork.net PERMIT NO. 3g7~ 3 Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Examined ~ 3' , 20~ Single & Separate Storm-Water Assessment Form Contact: Approved 7~~ ?J, 20 ~ Mail to: Disapproved a/c Phone: ~(o`~'~~D Expiration 201 !-r r, c~ C~ ~ ~Buildint~ ector II f ~ l~~ IC, ~ 'c~ LLL.JJJ ~ ~ APPLICATION FOR BUILDING PERMIT I' JtlL 12 2013 Date 7 - ~ ~ , 20 13 r„, i INSTRUCTIONS n~ ~ r~~~in ica ioit UST be completely filled in by typewriter 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 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 interim, 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 of a 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. ~~.G `,~,tt ~1 , (Signature of applicant or name, if a corporation) ~5c ~;r•iClcnts ~Q+~1,Seu~'hCl~l?d'~ (Mailing address of applicant) 1 I(~ 7 ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder CG~•.5 vl C:.1r Name of owner of premises ?-\c;'~pt_.r~' ~ IOS py~ 1~vlJCt~tl -1 ~t~, jps (As 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. ~t A Plumbers License No. n! R Electricians License No. 1V A Other Trade's License No. A 1. Location of land on which proposed work will be done: I50 ~~ri(tcv1~S ~ uGly~t~~3 IU~ tilti~~ House Number Street Hamlet County Tax Map No. 1000 Section ~ IU 3 Block j ~ Lot ~ Subdivision Gr ~ ~ S 1a Lh^ ~ 3+4.'~S Filed Map No. ICtY; Oi:3 . C; 7 Lot - + h'lo.p d 533 7 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~e~;;dr?~~cL b. Intended use and occupancy ~ee~ ~ev'l t_~ G~roJ.~d, Eck w•~C'~ I~vi r1Irrte.l/' 3. Nature of work (check which applicable): New Building Addition Alteration ReCpair Removal Demolition Other Work i,~~~rul1 per ~ d ee-~Y~C~ ~t~ S'c~'~ f f0 t ~,t f 1 ^nc~- ~i 5'tvtc?" • (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear ICS `,U 1t~~ct; Depth Height ~ ` Number of Stories Dimensions of same structure with alterations or additions: Front ReaT''~~ 1 l Depth Height's Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories . 9. Size of lot: Front ~ fib; l S Rear ~ ILy Depth ILLp 6 . ~-%`5 3 .~tc:r eS 10. Date of Purchase 5 • d`1 -U sS Name of Former Owner ~ i ~ r ec~ av,c~ o~a~ C~~~> YYr t ~ l 11. Zone or use district in which premises are situated 5 12. 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 ~ , . !SG ~ri L~~,S ~c ~1 1 14. Names of Owner of premises~z+~ts~~ ~n a Address ~u°..-ttnet~ N'f Phone No. Name of Architect Address it ~-Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO y * 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 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) J SS: COUNTY Oh~:~\~ ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CQNNIE D. BUNCH Notary Public, State of New York No.O16U6185050 (S)He is the (Contractor, Agent, Corporate Officer, etc.) Commission E'xpirss April 14, 2 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 a--{'h day of 20~ Ct~r~ -P ~ u~,~ ~ Notary Public S~gnatu e of Applicant HARPER ROAD Z ,Rnc rcNCE J1LOT 5 8 ~ I N ,6g?f4'p0 E 154.10' ~ o a. o ZI~ Iyi a~~{.T.1~7 ~ u J G cn , ~1 0 W ~ r BIUESTONE DRIVEWAY WI)}I y N F W[ u I j~' 6[oc, C' --U k c D b G ~ I ~ uR~NC F b ~1 t Z ~.~A D J ~E cV < r' ~ Z FENCC u z' {,I 1 C p ~ GARAGE O m O G ' A - Z cac WOW !n mvc nEPS U I~ ~ ~/1 S 73'06 40"Vy w ~r~ o 1.34Z" I~ i~ ~ ~ r I a Z o N Ig _ ~ ~ ~ N wuoo srfPs NI3yr~ ~I ll. W Rj r .y I I.e' F+y \ oI J Ise 3 z I 35.9' o x.a O ~ I'" .r ~ N O = V ~)6 O IA~ L ~J ~ mxc m"` 169'04 00 146.75 C(. ~GC tu.L~ LOT tl3 ~ (~1(/~.lC Ik. J SURVEY OF LOT 4 .N MAP OF HARVEST HOME ESTATES SECTION ONE SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. FMy 53x7 SURVEYED FOR: ROBERT T. KLOS DATE FILED JuLr 18, 1969 BARBARA J. PETRUCCI rraq l0oo-ohs-m-DOa GUARANTEED TO' SURVEYED: 2 APRIL 2D08 ROBERT T. K105 BARBARA J. PETRUCCI SCALE i"= 30' STEWART TITLE INSURANCE CO. TEACHERS FEDERAL CREDIT UNION AREA = p7,062 S. F. OR 0.483 ACRES CUARAN n'f5 /NMCAICO NEAE ON SNALL RUN cwLr ro mE pcesoN EeR xNOU mE stwKV SURVEYED BY IS PREpAREO, ANO CW IYS A~NALE IO ]hi nnE caNPANr, coKRN.veNrAL Amzee STANLEY J. ISAKSEN, JR. LENaNC wsnmzwµ r us2o NERCCW, ANo ro mE AsswEES cr mE LENOwc RzsnrunoN P.O. BOX 294 q/ARµR'ES ARf Npr IRµyEpABLC IO gomnoxAL lNSmm~oNS Lw wesEa:fNr oxNERS NEW SU FOLK. N. Y. 7 1956 631-7 -5835 UNAU mpHZEO ALRAA nd1 qP gpf'IIpI TU ml5 $URKY IS q NIXAT0.V p` $EC!/0.V 130? (Y mE NEW Ytlp.Y STA1E Ep/CAIIpV GW. , zrrE LAND suR.rr~uRS T YErS~At ~ ENSE D VEYOR Nor BE coNSmfREO ro 6E A vquo TRUE ~ wn.z. ~ Pou 08R 7 671 ccnY zs Ao. oe c YS Lic. No. 49273 I. it Ip M AmnW N.tl dlma~.ims.