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Home My WebLink About39851-ZSUFFoc�co TOWN OF SOUTHOLD Gy BUILDING DEPARTMENT TOWN .CLERK'S OFFICE oy �g 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 #: 39851 Date: 6/8/2015 Permission is hereby granted to: Mott, Wayne & Mott, Mary 1490 Skunk Ln Cutchoque, NY 11935 To: Installation of deer fence as applied for. At premises located at: 1490 Skunk Ln, Cutchogue SCTM # 473889 Sec/Block/Lot # 97.-3-11.3 Pursuant to application dated To expire on Fees: 6/7/2016. 6/1/2015 and approved by the Building Inspector. DEER FENCE $75.00 Total: $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined 20 Approved 201,5 Disapproved a/c Expiration U , 20 JUN -1 2015 L - BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. 3 1 U J I Z_ B 'lding I ctor Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Suryey Check % , In b Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone: �� (, 1 _� 6�, �D ^7G CATION FOR BUILDING PERMIT INSTRUCTIONS Date 20 a. This application MUST 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. (Signature of applicant or name, if a 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 Iyi o-f'f /40-r y 0. M 0 (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. Location of land on which proposed work will be done: /y90 SZt4nlC LaAe C�a- o!,ue House Number StreetHamlet County Tax Map No. 1000 6}�>'•� i.', :�i°�i"� :3irt>�e^ 'ix>t.tr]t:: Section 0117 fl CB16ck °„r, OJT Lot '."_h:JliE?SFN ist //.3 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 0 Intended use and occupancy 3. Nature of work (check which applicable): New Buildi Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars on Fee Alteration- -e- fj C lteration_-enC L. (Description) (To be paid on filing this application) Number of dwelling units on each floor 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 Dimensions of same structure with alterations or additions Depth Height Rear Depth Front Rear Number of Stories 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_ 14 Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 015 . Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO 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. re there any covenants and restrictions with respect to this property? * YES NO ✓ 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, (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 day of20 11 &'V� r --4:4n, CONNIE D. BUNC �. Notary PublicPublic, State of Now York I Sign No. 01806185050 ure of Xpplicant Quail ied In Suffolk County Commiselon Expires April 14, 2 �� o �Fa CU' N/F MlRACL/A S 85'50'14'&: g h � ~ A' 85-541 "W ` 7R4v£4 ORI YEWA yam. -.,•t. Jr64. $18' - Fl om-lrO EASE56C�M U J7 ' � o ra o � N � I tu Z �c�r S 68'52,per awv uNK raao aura L) t f•��OE�� t r � COL NO ,Lf •'f 41 PL P W $2 n �'d �• CROVNO Q , NIP MIRACLIAPOOL �yb �`, la0-f 6 Sol CNlC�E7V� � • p� O tu b , y 2 ' � J 40 W 1p 1.2 zR4[c r�NcE 273.2T� iP os' � 2 k AFPR VED AS NOTED NAP HOOFER DATE: b.P. # S 7M +7000-097-03-/L3 FEE: �. b BY: 62 9L, SURYEYEO 20A0PR/L, 1996 s"LEAREA FOfwo to ON PIPE, luLP ""SDRVFr of L��'� ""v`Nfi6f9�T9'FY BUILDING DEPARTMENT AT. lOT,?63do SF, Yr 765-1802 8 AM TO 4 PM FOR THE DESCRIBED PROPERTY flo' E403 Awa FOLLOWING INSPECTIONS: CUTCHOGUE, TOWN roc' SOUTH0,C0 .pf1ARWAmeO ro. 1, FOUNDATION - TWO REQUIRED .SUFF04K COUNTY, N.Y. FiJ SHBYEYEO By, MARYJ MptT MARYFOR POURED CONCRETE STANLEY J. ISAKSM, JR a�NSC�tMOLO COMPLY W;TI-� /ALL CODES 2. ROUGH - FRAMING & PLUMBING OF p0• BOX 294 JMFWIme suPFOLK, N.Y., [19$6 WN C 3. INSULATION suRvErEo FoR, wArNE iNEW YORK STATELCONDITi DES 1sI6J73t-$B3$ MARY 0. T 4. FINAL - CONSTRUCTION MUST - .FREQUIRED ANDBE COMPLETE FOR C.O.6 CONSTRUCTION SHALL MEET THE " L1C Y�ALL ON= E7 JLLY O$ ADO' POOL HOUSE B PERGOLA nu, r will., 96 ' v^ IVY"L , 1. YORK STATE. NOT RESPONSIBLE FOR _ DESIGN OR CONSTRUCTION ERRORS.