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Home My WebLink About38899-Z fi TOWN OF SOUTHOLD A BUILDING DEPARTMENT 6TOWN CLERK'S OFFICE IVSOUTHOLD, 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#: 38899 Date: 5/21/2014 Permission is hereby granted to: Connolly, John 1496 Skunk Ln PO BOX 1021 Cutchogue, NY 11935 To: construct a deer fence per Town Code 280-105 Section C as applied for At premises located at: 1496 Skunk Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 97.-3-11.9 Pursuant to application dated 5/12/2014 and approved by the Building Inspector. To expire on 5/21/2015. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector f ,TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey C,c SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved S111,20 Mail to: Disapproved a/c _ a / Phone: Expiration ,20_Z�,_ 1 Building Inspector LICATION FOR BUILDING PERMIT d I� MAY 1 2 ?_014 i, Date ) -, 20 ``f INSTRUCTIONS a�This appljc46n MVST be corn 1 tely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of pl e p of 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,anew 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.Countx,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, andregulations, and to admit authorized inspectors on premises and in building for necessary`inspections. ` ..anL 04 C� '(`Signature of applic 't or name,if a corporation) (Mailing address o applicant) IV� Icwti�c. �� GvrcA(>rllvt.; /U /195`3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, eiectrician;plumber or builder lel e r1 Name of owner of premises (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land n which pro /posed work will be donec- : S n J . House Number Street Hamlet County Tax Map No. 1000 Section 1 % Block Lot Subdivision 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 b. Intended use and occupancy 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 3 8. Dimensions of entire new construction: Front Rear Depth 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 NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect r ._ Address Phone No Name of Contractor Address Phone No. 15 Is this'property within-100 feet of a tidal wetland ora freshwater wetland? *YES NO F YES, SOUTHOLD TOWN TRUSTEES&D:E.C. PERMITS MAY BE REQUIRED. b. Is this property within 3`00'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) SS: COUNTY OF ) being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONWE D.BUNCH Notary Public,State of New York (S)He is the No.01BU6185050 (Contractor,Agent, Corporate Officer, etc.) Commission Expires April 14, ?_ 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 20 Notary Public Sign ture of App ' ant W N S 85. 50' 14" E wy CRUSHED STONE DIVEWAY 25' RIGHT OF WAY (PER DESCRIPTION) n Z 25.23 N 85. 50' 14" yy 25' RIGHT OF WAY (PER FILED MAP) EXISTENCE UNKNOWN N ' LAND NOW OR FORN LOT 1 1 N _ e R: 25.00' L� 35.37' ?5.31: BOX 0.8' W. R1 ` BERM F v y c c; b �• - �..- _N 87 - N t` QIP , )) 10, , 63'93 (R.0 rte. 2.4' E. cru Ir 76.5' gli z CO \ I O � Z � GAG Q��. PI 0Py &S QPTQ I a W !w LANI z ' co LOT 2 � OJ I Iy tri n� c" f C', C11 Q J ` CHAIN C W ,J ih * / vJ Fr' ON LIME f "S DRIVEWAY F E. S gg° 07'20" W Qom/ ` „ W 222.76' 917.32' , ' 3 S 8 30 0 co area maintained ^3 c by othersMAP OF MAJOR SUBDIVISION r•, `' 2 PREPARED FOR FRANCIS GREENBERGER / 1993 MAP No.9350 x f� APRIL 30, FILED: "��, "' ,rv,•�`:>�