HomeMy WebLinkAbout39639-ZPermit #: 39639
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)
Permission is hereby granted to:
Stock, Jason & Buitron-Stock, Cristina
43 Irma Ave
Port Washington. NY 11050
To: Installation of a deer fence as applied for.
At premises located at:
602 Reydon Dr, Southold
SCTM # 473889
Sec/Block/Lot # 79.-5-14.6
Date: 4/2/2015
Pursuant to application dated 3/30/2015 and approved by the Building Inspector.
To expire on ' 4/1/2016.
Fees:
DEER FENCE $75.00
Total: $75.00
TOWN OF SOUTHOLD
{� [�
D�
BUILDING DEPARTMENT
TOWN HALL VAR 2 7 2015
SOUTHOLD, NY 11971
TEL: (631) 765-1802 ,
FAX: (631) 765-9502 SLDG. DEPT
P
Sou tholdTown.NorthFork.net
Examined, -,20
, 20
Z
Approved .20
765-1802
FOal-N
sets ofipr�`str
I3111LDNO,
8 AV, TO
�I PPF�TPJ,rN� A,
4 P�fi FOR TME
c.TJONS:
NG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
a7-
Planning Board approval
Suryey
Check ?S , 0(7
Septic Form
N.Y.S.D.E.C.
Trustees
C.O. Application_
Flood Permit
Single & Separate
Storm -Water Assessment Form
Mail to:
GL�S:�1b'FMmpletely filled in by typewriter or in ink and submitted to the Building Inspector with 4
�prtOFscale. Fee according to schedule.
loc4ti'dh°,oN9't and of buildings on premises, relationship to adjoining premises or public streets or
areas, a,ncnwaterway, ,%
3.c.wa& iiiNr Qvoq rAo-by ttis\fip ication may not be commenced before issuance of Building Permit.
14 •..J i
4d FU "tin a �avgl ;oJthis, application the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be k o li�� Lkn'6es. a ,ail'ablenfzirfin 0�tion throughout the work.
1N6� ► lirCc,-, ie`d0 � e m whole or in part for any purpose what so ever until the Building Inspector
issues a( i�#ZjRAq_ Occ pa ayPpNSIBLE FO
` ..Mfircy u d�v er s WLle
�� �� � �ytv, l� � ��eq��lie work authorized has not commenced within 12 months after the date of
issuance�`ai! �V�Wbeen 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.
ignature of applicant or name, if a corporation)
y3 rM Ave1v;- fod WullPY
(Mailing address of applicant) // 0 ,.r o
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
0 w rar .
Name of owner of premises ,5C) t\ S7o6 k
(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 on which I
6o a
House Number
County Tax Map No. 1000
sed work will be done:
Or.ve Sa
,eet i=i a s'e'v „ . y. 11-V ?„ Hamlet
Lot
Sectio`"
/ �/- C
Subdivision
Filed Map No.
Lot
2. State existing use and occupancy of premises and intendecI,'l-'pseand 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 eelz Re n [-c—
(Description)
4. Estimated Cost
Fee
(To be paid on filing this application)
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
Height Number of Stories.
Rear
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories.
Depth
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 9— qL I. / % a(, res
Rear
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 Address Phone No
Name of Contractor Address Phone No.
15 Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* F 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)
SS:
COUNTY OF 5 I
C".5v/1, S�° L X being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
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 I ,
rh day of Q l(Gr I 20�
TRACEY L. DWY
NOTARY PI►BLIc, ST�►T �+
otary Public NO. o1DW 690oSignature of Applicant
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30, 2¢
"MAP-. OF REYDON SNORES, BLOCK
FILED JULY Z. 1931 FILE NO. 631
LO` 44 LOT 45 LOT 46
S69*50'20"E 170.0' (DEED)
Z 2 S6978'11 "E 171.59' (ACTUAL)
FE
aj'N a4'N
9 Dai
�� Eo!lcc Cl
z Q ms's
aJlcl
des N "
..SURVEY OF PROPERTY.
AT . $A YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-79-05-14.6
SCAM 1'--40'
OCTOBER 1, 2007
NOV. 29, 2007WERTIFICATIONI
• —PIPE
ANY AL7LRA7T0JV -OR ATlDIII&V TO THIS SURVEY IS A WOLA770M
OF SEC77ON 7209OF THE AT YORK STATE EDUCATIdN LAIN
EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CE`R77RCA77ONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
AREA -51, IV6 -SO * f 1 . DOSE- SIG ATUJSAID MAP OR RI ES BEAR -774E APPEARS HEREON. IMPRESSED SAL OF THE- SURVEYOR
N/0/r FREDERICK do MELANIE FIEDLER
420s Nil -
416.69' ADC . Q
L) �� ��• ..
419.36' �DECEPDT �
-NORTH RAYVMW ROAD
N. -YS. LIC. NO. 49618
ECONIC FUkWYORS, P.C.
(631) 765=5020 FAX (631) 765-4797
P.O. BOX 909
-1230 TRAVELER STREET
SOUTHOLD,. N. Y. 11x71 07-198
3
N/0/F. GEORGE. OPAL AKSCIN
ill
U7'
N
i
NASPHALT
-
: AWNALT
i
'•
a
60 M
3
.b
MON.�+
asW
SR-,CKADE FENCE
--
N69'48 40 YIr w 170.00 sw
cQ
vs.r
N/0/F PHELAN
N/01)r JOAN AKSCIN
CERTD TO*
PAMELA J. DeFR/EST
Z*
w =MONUMENT
• —PIPE
ANY AL7LRA7T0JV -OR ATlDIII&V TO THIS SURVEY IS A WOLA770M
OF SEC77ON 7209OF THE AT YORK STATE EDUCATIdN LAIN
EXCEPT AS PER SECTION 7209 -SUBDIVISION 2. ALL CE`R77RCA77ONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
AREA -51, IV6 -SO * f 1 . DOSE- SIG ATUJSAID MAP OR RI ES BEAR -774E APPEARS HEREON. IMPRESSED SAL OF THE- SURVEYOR
N/0/r FREDERICK do MELANIE FIEDLER
420s Nil -
416.69' ADC . Q
L) �� ��• ..
419.36' �DECEPDT �
-NORTH RAYVMW ROAD
N. -YS. LIC. NO. 49618
ECONIC FUkWYORS, P.C.
(631) 765=5020 FAX (631) 765-4797
P.O. BOX 909
-1230 TRAVELER STREET
SOUTHOLD,. N. Y. 11x71 07-198