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HomeMy WebLinkAbout40578-Z -- TOWN OF SOUTHOLD /'oSU�Fo4�oa BUILDING DEPARTMENT VPrp_ 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) Permit#: 40578 Date: 3/29/2016 Permission is hereby granted to: Weaver Family Trust 2150 The Long Way East Marion, NY 11939 To: install a deer fence as applied for. At premises located at: 2150 The Long Way, East Marion SCTM # 473889 Sec/Block/Lot# 30.-2-125 Pursuant to application dated 3/25/2016 and approved by the Building Inspector. To expire on 3/29/2017. Fees: DEER FENCE - $75.00 ...1: $75.00 Building n :- o - 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) 765-9502Survey SoutholdTown.NorthFork.net PERMIT NO. 40 Check Septic Form N.Y.S.D.E.C. . Trustees C.O.Application Flood Permit Examined ,20 ! raczovg Single&Separate Storm-Water Assessment Form 2_, \� T VAR 2 5 2016 Contact: '� �y i ,. Approved ,20 Mail- / (c r/► �// l Disapproved a/c SIMUDINGIDEPIt f '0' it i:- i.i,,r 4;:4., Phone: G3 I f )-7 G(40 2— Expiration -" ,20 Building nspector APPROVED AS NOTED APPLICATION FOR BUILDIN G PERMIT DATEA2_', 1 ( . B.P.# UJ _ Date ab- , 20/‘:, FEE: , -_____ BY: INSTRUCTIONS NOTIFY BUILDING DEPARTMENT AT 765al.alliisPa0MicT2iofi 1N'll_IWP'FbR)&mpletely filled in by.typewriter or in ink and submitted to the Building Inspector with 4 sets g i gi,INgcd SeFl b 'barn to scale. Fee according to schedule. 1. FI 1! Ti shJ�ji'igFo@afiFo'nlbf lot and of buildings on premises, relationship to adjoining premises or public streets or areas a�gRwa&W I�.CONCHETE , . . TIle wo Iv�ere l b®y�m s application may not be commenced before issuance of Building Permit. 3. Ii��S %TQC p n pp�roval of this application,the Building Inspector will issue a Building Permit•to the applicant. Such a permit F ' qty ,TP l��iaokva�ii abs inspectiong shall rr� IC �� �rs a e for throughout the work. eBe OolawPa" iii iag�d pccgp'ec1 or used in whole or in part for any purpose what so ever until the Building Inspector issu ALLFF tJCSAMtc (HE E� kit,Ga„sore,„„xt l e `�e if the work authorized has not commenced within 12 months after the date ofYO Kle/ E�u I nl' d`�- '1 issuti�c-�l �! e n�t Ng elp e e y.�t rH 8 months from such date.'If no zoning amendments or other regulations affecting the property nye 'Veen enacted in 1"ie 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 inspecti s. l'i e ()EaL (Signature of applicant or name, if a corporation) r,2/5-6 76—LW dcz , /htqljjk(Mailingddress ofplian 1173? State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber j uilder (1) Name of owner of premises Pht I I ( 0,6 �d 1 + C • e VQ/ (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 i'' Electricia iaiceris'e';No. "'`' . Other„Trad&s'License,No.: , ' _ ,3-, ,.' ; _,'v :; . 1. Location of la.a on which pro•osed work will be done: f) /� Q' f J. LTi 1. • ._ L! , Lf 1 . • S l v o House Number ' treet Hamlet . County Tax Map No. 1000 Section 0 31 /1 � Block 0 �--- Lot I L/.—J Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended used occupancy of�proposed construction: a. Existing use and occupancy r�� 1 V�'�C e 0 (o �,� b. Intended use and occupancy • 7 3. Nature of work (check which applicable): New Building Addition V Alteration Repair Removal Demolition Other Work ----• (Description) 4. Estimated Cost ",, et!Pf �( 6 P�b paid on filing this application) 5. If dwelling, number of dwelling units � Number of dwelling tot on each floor If garage, number of cars 3.� 6. If business, commercial or mixed occupancy, specify at ems exte `ll 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 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 Ad'dress - ` 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 OF5'\ J -Darlene, - U1ka. ( being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the Ot Qn-P r (Contractor,Agent, Corporate Officer, etc.) TRACEY L. DWYER of said owner or owners, and is duly authorized to perform or have performed the said work andN® itrt3B r i. OPlalt cpK that all statements contained in this application are true to the best of his kn.. •• ;dge and belief; and that tlRliO' w1 performed in the manner set forth in the application filed therewith. QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2N Sworn to before me this . • 5-1-1 day of 5)(--,in 20 149 / - ,I / C Notary Public Signature of Applicant BUILDER'S JOB NO. TITLE NO. TOTAL PLOT AREA: 22,110 ± S.F. REV' DATE ITEM N0. 1. 12/28/05 HOUSE CHANGE • 2 03/16/06 HOUSE CHANGE 3 6/2/06 UNDER CONSTRUCTION 4. 7/24/06 FINAL SURVEY y LOT 50 i ' d7 I >-- ` f?- dao ... , - . .. .- Q ,5�'L , p� } } __- °, �`6 ,(hIEND A. 'VC PIPE N76°59'40"EWo /1 /1.----r -"'9 .� .--,AA .n ,.,e4 -..---1 eP _..r ,o°l 2,73.?2_✓`Tt ,� din • : - TELE BOX ���� 24'1RE: I. �.,-,,.+ '�' .M � � I - - 26-TREE f I .- �- 405' nCONG '-- p 22 2 :,41 18 T 2TTREE ' � I S I II DRIVE H GARAGE 1I c� m /// STEPS �'�®'" 0 �24'��i c, e LL e 1 LOT 49 I - �.J' i . - I ISTEPSr a 2 22 TREE .. -• i 3 M 1 4 I.21-=0 8 0' . , .,. I - N 1238' W II CHIM o __ M — - WATER SERVICE - 4A 9 W d�' ‘ ti1 t° _ .. S76°59'40"W 280.28' in I X I )1`( h D a i �y o W�d CN W ILOT48� Sck 000 I ` ® MONUMENT ��p�� C STAKE SUFFOLK COUNTY TAX MAP DIST:1000 SECT:030 BLK:02 LOT: 125 ,� _� � �'t'' \ %, -, , , . MAP NO: 6266 DATE: JUNE 1 1, 1975 1 SEI--ISE DT ``` + .. a LOT 49 t. t' -� {IIA SMITH �F.,x p MAP OF PEBBLE BEACH FARMS PC w. d i. ELEVATIONS SHOWN HEREON REFER TO N G V D \f'`''X O• I /A::-' LOCATION: EAST MARION ENGINEERS THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOYJ 'F]OiRGI ARAN•1t:E-0.../ s ' TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK ARCHITECTS THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR D SU[ MORS A OPTED BY THE NEW YORK STATE SURVEYORS ASSOCIATION OF PROFESSIONAL LAND SURVEYORS SURVEYED: MAY 7, 2005 244 EAST MAIN ST. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY • CERTIFIED TO: PHILLIP R. WEAVER & DARLENE CARLSON WEAVER MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY NO OFFICIAL OF S SHALL . AMERICAN HOME MORTGAGE ISAOA, ATItv1. • PATCHOGUE, N.Y. 1 1772 ACTHICEPT OR APPROVE ANY S STATE, OR OF ANY IPLANS OR SPECTY, COUNTY, IFICATIONSLTHAT ARE THEREIN,AGE CHARGED STAMPED 1�CERTH TIFICATIONS INDICATED HEREON E ENFORCEMENT OF LAWS, RSHALL CRUN ES OONLY R GTOATHE NPERSON SUNRISE ASTRACT, LLC. (631) 475-0349 FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON • SCALE: 1 " = 40' FILE NO: 05-288 • FAX 475-0361 AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS