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HomeMy WebLinkAbout40239-Z ._��� - TOWN OF SOUTHOLD "3 Fot,reo. . l;oo �y BUILDING DEPARTMENT a , TOWN CLERK'S OFFICE 1 y 2 "o ,, SOUTHOLD, NY --446)i * ,�a0�,4 'ry 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#: 40239 Date: 11/5/2015 Permission is hereby granted to: Crawford, Magdalen 600 W End Ave Apt 8C New York, NY 10025 To: Install deer fence as applied for. At premises located at: 745 Haywaters Rd, Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-4-2.2 Pursuant to application dated 11/2/2015 and approved by the Building Inspector. To expire on 5/6/2017. Fees: DEER FENCE $75.00 Total: $75.00 OP / B ilding Inspe .r 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 AimiL' anning Board approval FAX: (631) 765-9502 A� � ey SoutholdTown.NorthFork.net ' PERMIT NO. (� Check k Septic Form N.Y.S.D.E.C. Trustees t JrNC.O.Application Flood Permit Examined 1 ,20 1.5Single&Separate NOV •� 2 2015 Storm-Water Assessment Form Contact: /� Approved ,5 ,2045 BLDG DEPT IVfail44� 6 1 C_AAVi Rlb Disapproved a/c TOWN OF SOUTHOLD !I /' f Phone: 6 4('p - L J rl — 3 4/ Expiration 5 (e ,20 l 7 Buildin tor ' APPLICATION FOR BUILDING PERMIT Date 14.6 ti. , 20 ) INSTRUCTIONS „ 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 forany 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. t— L___ 0,...... ( ignature of applicant or nam ,if a corporation) , (Mailing address of applicant) r , . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises MA('1)A L d Cg A-aro R is (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 proposed work will be done: iii (. : • i i c r •Ci - k 5 House Number ' Street 11-3Y'i MT J V: 3AA #"s" Haf let .. jliar'".,e'Uirmty.i'��'r'aa c 7f.3:J--'p ''rli:,t•.'i . - ` CountyTax MapNo. 1000 Section ( . .,P '�'"'"rv£`i'`''4t` } �, 1 :,. ��.�:'a�,�Blo�kA;.,�,_-+�.�=,;;r:t;�) Lot o2. , _..i,t :„!VUfr ri�tii,,.'�:von SiA,•C•.l 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 jj b. Intended use and occupancy l e S f'd Pei-f)_ A We__ 3. Nature of work(check which applicable): New Building Addit:on Alteration Repair .Removal Demolition Other Work s (Df7/C-i iption) 4. Estimated Cost Fee - (To be paid on filing this application) 5. If dwelling, number of dwelling units Iltplerofalelling 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 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 X 13. Will lot be re-graded? YES NO X 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 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * 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 X * 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 X * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF S\-Folk ) _ ..101 Q4,a a I-en Craw-Ford being duly sworn, deposes and says that(s)he is the applicant (Na'ine of individual signing contract) above named, (S)He is the OV fl .R. (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 2na day of NOVer kir . , 20 15 ; TRACEY L.DWYER p�) NOTARY PUBLIC,STATE OF NEW YORK N .OtDW6303St30 inatu of Applicant Notary Pc QUALIFIED IN SUFFOLK COUNTY g pp COMMISSION EXPIRES JUNE 30,20IP N -( T;(-• - . , y l • ji SURVEY OF APPRIVED AS NOTED o IOI�$ 0 LOT 310 DATE: 5 B.P.# 0 c4 3/ 2 11 • �� AMENDED MAP A OF FEE: 11_ BY: Li _ - Pg� .S oa NOTIFY BUILDING DEPA.RT1 L;1 AT 9 0�' NASSAU POINT 765-1802 i3 AM TO 4 Ph1 FOR THE \ 0 WNED BY FOLLOWING INSPECTIONS: /� 1. FOUNDATION - TWO RE:�UIRED �(�% e NASSAU POINT CLUB PROPERTIES, Inc. FGR POURED CONCRETEo FILE No. 156 FILED AUGUST 16, 1922 , , , r N �' Oci_6) A. 2. ROUGH - FPAMNG & PLUMBING 60 1j• Fojo`' S SITUATED AT 3. INSULATION 0, co .�, 4. FINAL - CONSTRUCTION MUST �1• `o V. �' NASSAU POINT BE COMPLETE Fn; C O. ',�- `I�. ,�, TOWN OF S O U T H O LD ALL CONSTRUCTION SHALL MEET THE O Ii OoeP�p� r'O: moa EYP o SUFFOLK COUNTY, NEW YORK REQUIREMENTS OFTI{�CODES OFP�EW �� 00 o`� o � -� -� YORK STATE. NOT RESPONSIBLE FOR 4° v Foo Qc 7� S.C. TAX No. 1000- 111 -04-2.2 DESIGN OR CONSTRUCTION ERRORS. ��,�� \�oae SCALE 1"=30' �`0� X69. ``' • APRIL 30, 1998 RETAIN STORM WATER RUNOFF 4, PURSUANT TO CHAPTER 236 0 OF THE TOWN CODE.: 4 ° g o AREA = 43,910.01 sq. ft. N 0�� 'oo 1 .008 cc. y �`�'O CliN 1° .o CA p�4 GPa \ o`' `ay�y • O \� o o O r" =s) COMPLY WITH ALL CODES OF 4 �.� Q+°y a q�a NEWYORK STATE TOWN CODES SOS �9 — �`O•�o c° � , AS REQUIRED AND CONDITIONS OF .�, hNh N O -I "TI 7 1,0 • O7"Z WHOLE)V TOII.M3TEES • oao t +-ijc,- iji Q I I v 4x ho -t.,7' —�-7- -i--__t, 1 i ` i I I; ttt� - 0 I1 S• 040 \s. 10 ,, %%17A' ,'',S�% �`" c.,.*,, a �I 1ti). 0� _ o 4-0,,%P, 4 lJ 1 � # e �' N' ,.o ?�Ew.WIRES, T rya ..-,IN°.per ��,�� %y`�C �J�' 041 •. T ,S 1 '$<eG' `•m_ do c9-I �� \' IOI<i '.T' 4� - .�co� ,s° �.� F kA 01:11-±1.'. 04 4 ILL V \) vs t:3 O v 6 O�,y1p1. / // co '1, o 14 / \. <k / moi/ / / CERTIFIED TO: UNATHORIZED ALTERATION OR ADDmON \ca\ks FyaHobok , �/ 4, TO THIS SURVEY IS A VIOLATION OF .`' ' 46 A / �z/ COMMONWEALTH LAND TITLE INSURANCE COMPANY SECTION 7209 OF THE NEW YORK STATE . T Q�/ EDUCATION LAW. \.o \ / �Q/ MAGDALEN CRAWFORD ��,, COPIES OF THIS SURVEY MAP NOT BEARING SEAL OR ` ": - •, • ,2(0•, \ //p�''9Q o./ EMBOSSED THE LAND SEAL SOHALL INOTDBE CONSIDERED • • 1v. 4-Q,z.N_£ / ` TO BE A VAUD TRUE COPY. �Y k \CU OHC / - V CERTIFICATIONS INDICATED HEREON SHALL RUN a �Y�FRtiFIiVF / �0 ONLY TO THE PERSON FOR WHOM THE SURVEY - .' -e _.�C f2a �O \ / IS PREPARED. AND ON HIS BEHALF TO THE • OTITLE COMPANY, GOVERNMENTAL AGENCY AND F o- ale \`"/R4 \ / �� ENDIN THE ASSGTUTS OF THE LENDI ON•G el kpii: pq i OS�Q 4 / 4 p� ` co INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. . .. 4,7) \• C rya ,- THE EXISTENCE OF RIGHTS OF WAY Jy� AND/OR EASEMENTS OF RECORD, IF `�� yah ANY, NOT SHOWN ARE NOT GUARANTEED. i' d • •'9 a .- \ ! PREPARED IN ACCORDANCE Wmi THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHEDBY THE n 4,i) ; •e FORD ADOPTED SUCHI USE BY THE NEWVYORK STATELAND Joseph A• I ■ e. n o •• TITLE ASSOCIATION. Land Surveyor „®LANo p -- __ �i�c�QNA.I/y; vO" + iZ'� Title Surveys — Subdivisions — Site Plans — Construction Layout t' :A * 07 ; * PHONE (516)727-2090 Fox (516)722-5093 iiik `, OFFICES LOCATED AT MAIUNG ADDRESS ` �9 tio 6?). N.Y.S. Lic. No. 49668 One Union Square P.O. Box 1931 Aquebogue, New York 11931 Riverhead, New York 11901 98-259