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Home My WebLink About39907-Z,r� TOWN OF SOUTHOLD ��o�gvFFo BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . 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 #: 39907 Date: 6/29/2015 Permission is hereby granted to: Thayer, April 3130 Rocky Point Rd East Marion. NY 11939 To: Construct a deer fence as applied for. At premises located at: 3130 Rocky Point Rd, East Marion SCTM # 473889 Sec/Block/Lot # 21.4-12 Pursuant to application dated To expire on 12/28/2016. Fees: 6/19/2015 and approved by the Building Inspector. DEER FENCE $75.00 Total: $75.00 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 South oldTown.NorthFork.net Examined , 20 Approved , 20 Disapproved a/c Expiration , 20 D 20� 3�0G L�C-.P1. Tnlid j�, llf l(;�liij�� BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans_ Planning Board approval Survey PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application_ Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 00q q , 20 1� i s a 1 atton 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 61name, if a corporation) O2J /ANT) 1 / v d�-ap&l a=qfddress of applic ox I State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 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. Location of land o which opVsqd work ill be done: �r� l ® r r� House Number treet `Haiiilet- County Tax Map No. 1000 • Section 07-1, bo Block,,,,:, (��% �; ,;,• . _ ;- Lot 000" r. 2 Iv 4 Subdivision Filed Map No. Lot 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 Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work _ ( scription) Estimated Cost �� Fee (To be paid on filing this application) If dwelling, number of dwelling units VIA A 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. W-� 7. Dimensions of existing structures, if any: Front 1014 Rear Height Number of Stories Dimensions of same structure with alterations or additions: Depth Height 8. Dimensions of entire new construction: Front A)14 Height Number of Stories Depth Front /J /q Rear Number of Stories 9. Size of lot: Front /001 Rear /62V. Depth Z' to, 10. Date of Purchase 1611-2— ZZ Name of Former Owner _ ku &w t— 11. Zone or use district in which premises are situated n'� I,P,FS,�, 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V 13. Will lot be re -graded? YES NOIWill 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 a. 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. 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, (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. Sworil to before me this day of 20 LCONNIE D.BUNCH &d/0 Pu ota blic M te. al New York (4c' Notary Public No. 01OU6165050 Signature of icant oualMed In Suffolk County Commimlon Expires April 14, -;(D/ VA DESCR(SE® PRQRE(RTY EAST MARION, TOWN QE SOUTHoLD SUFRILK COUNTY, N.Y. SURVEYED FOR: U)CHAEL D'LEO AUDREY A10RRfSoN-Dido TM[ 1OA0—D21-14—o12 SURVEYEd: 31 OCTOBER 200? SOLE 1 "- 30• AREA. = 20,552 S.F. OR 0.481 -ACRES SURVEYED BY SJANLEY J. ISAKSEN, JR P.O. BOX 2P4 1VEW SU FOLK. N.Y. t 55 631-73 , 5835 �f �! NSED D EYOR 48 73 0791638 La UUAK WTEEO J0: m MICK4EL MCC M1LIREY f:ARR3SOK-0;LE0 Lp to COMMONWEALTH L4N0 7111E WS. CO CTJfMORTUACE. INC. OLo m Lo L0 Lo Lm B�.lEARp dp IAS 61RdVf 70 Df t' L v .i toxic,Qy�,�'tt four, ro lar ��snarrtri • n w+�was Nor c m Aou�aµat nacaiAp� Aq to S.Nr . m 0 N �. 4�Prf1AG �ftW ff M AtYXla7! b 116 C•�7• m 1� Ifw tm� SG1E misgia ea is D9 or N .y CO�T15 OC A►$ 3UMfY KN NOT 8F/RYdG IHC SLiPK1LQ5 Ff6tUgp SCM r-im m &, c Sa1AtL 8C lYA'yq�y TO H'A 14V8T T&fL N 1 v N m DESCR(SE® PRQRE(RTY EAST MARION, TOWN QE SOUTHoLD SUFRILK COUNTY, N.Y. SURVEYED FOR: U)CHAEL D'LEO AUDREY A10RRfSoN-Dido TM[ 1OA0—D21-14—o12 SURVEYEd: 31 OCTOBER 200? SOLE 1 "- 30• AREA. = 20,552 S.F. OR 0.481 -ACRES SURVEYED BY SJANLEY J. ISAKSEN, JR P.O. BOX 2P4 1VEW SU FOLK. N.Y. t 55 631-73 , 5835 �f �! NSED D EYOR 48 73 0791638