Loading...
HomeMy WebLinkAbout40607-Z ;,.g�FFOL TOWN OF SOUTHOLD '`off BUILDING DEPARTMENT V) 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#: 40607 Date: 4/11/2016 Permission is hereby granted to: Barlow, Gail 3480 Orchard St Orient, NY 11957 To: install a deer fence as applied for. At premises located at: 3480 Orchard St, Orient SCTM # 473889 Sec/Block/Lot# 27.-3-3.3 Pursuant to application dated 4/8/2016 and approved by the Building Inspector. To expire on 4/11/2017. Fees: DEER FENCE $75.00 Tota : $75.00 Building Insp- - 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)765-9502 �[�� Survey SoutholdTown.NorthFork.net PERMIT NO. '�V Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application • Flood Permit Examined Single&Separate I1 /40 Storm-Water Assessment Form Contact: Approved 20 Mail to: Disapproved a/c Phone: ----'iti Expiration 20 munrR!fr sector MAPPLICATION FO' BUILDING PERMIT 9 ) ECE a Date 1 (d ,20 16 iS" INSTRUC : . APR a."TiSs a9l ation 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 B 'T'. TOWN Carby this application may not be commenced before issuance of Building Permit. 4pprov o 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. L)113 ft (Signature of applicant or name,if a corporation) 3 go ort io r/ &!-, On f, toy 11gC7 (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises 1 ibarlow 1-eS Sou .e.. (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: 3`t RD o I` "1 i) Orient V� 116157 T-TruiCP Niimhar QtrPPt K2 / T-Tamint Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and i tende use a d occupancy of proposed construction: a. Existing use and occupancy 10Si •ey1, 1 4 b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Al eration Repair Removal Demolition Other Work D e.e,r- , ©�/ escription) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units f 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 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 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 V. *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. Q 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. Gl cAN pt, 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) 1 / ti SS: t• v01`rW' 1 J �� COUNTY OF ) CONNIE D.BUNCH " 1 G(it; t Baf-101,0 being duly sworn,deposes and says that(s)hMtfii� to Of New York (Name of individual signing contract)above named, b.MU6185050 Qualified in Suffolk County (S)He is the 6�YV-eA'/ Commission Expires April 14,2O.C7 (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. Sw m to before me this Ni day of 20 ki0 �� u • }_Z:�,'L.;;).:' x />'`Zis:'rt ,u� •.r., y: - {•.y,:.}'S.-•,e-�iY}V'' a .y: .`x, •3 --. .- - +.2;'- - - - >. •t'7 ;IL`.i`-.,;4;i�d"L r} }%.. �q;..� , ,1•'• .fir: •:«. •<. .SZ1�' L 't0.H YIjiRH[3 P,TAPPROVAL c•, ,4 a F''--'• '.:-, - - . :,..-1Y='�+'1�'f'�y' 'e ..v.f =-t�;•��.1i •�1,^t•'+� ,qtr:i._. 'i ->,.r r `.:.. :�0.�� 'i.ry��:�. ,5.-� • .. ,. w: •k.-" -t-z..•f w�C',3•t ..r;.s-;•:fla.;)•ia_-:$'• •' '>< ---i�' ;..Y • - �.YS H:S: -NQ.'. �Q: 3 R; �� ,'AZ.,In•Mt�5z '.,„r, `ic;yr i':F,,,� .'3"-. 5.,;`'a�r,:.{d - - eviv ;ftt_ h,-' �} s"•- a Jr ri•e i_' �5:,.0�A �—Y'i f _ ��''y •'Y' •• l _ 1 i l, ,. "•FAM .,... e 1::-...,...., ,?i�, :2. •,:r' ., •,.?,-..,,,,,,,,.:,..--,,.....:,., •r't� '!• w..r , ;L�r`-r`--,yy5%f`. �j(/ �=.c••f-�•••� ,../•• , _ FY' , , .aik., - ,-.,,., r r .b✓'�,..' ''i..-i.'.:,•_ '4-J2VE-.T •>t^yvi�' `�>r 2.13E•. ..�'2i ..'1• ', '-,,-,-.-.4. '1[1 ,t •�r µ-`1�''. A.1.�', S-,,..' ;. ' r Y- ' `' i,•:,{,: x'i 'iy - b"4+ y s�, _ _• ' S. -71 1M,,lf. l. � ..: !', ,!1 > • 17P -may - -- ,. _ .'-'17 V ' -� -. r • -':z'A!.�+. •��_ ., t ,.� .. ..y1,.51&',,.yrr- 'Y•r .-;rti'' �� -\�'`+.,� "f:,,. • _ j._• ,''. 1•l1TEMEFIT OF INTENT • 1 v'' *4`'�""A' -;,r• s^-i ' THE*ATE*SUPPLY AND SEWAGE DISPOSAL• ;•. _ , -:.....iz ' l^• - •Irl \.` 1 65 /5",„ $` t SYSTEMS ,fQR THIS RESIDENCE WILL 'R• ;x, �V y- IEi �,- • `11'�lG�,' CONF ORMr TO THE STANDARDS OF THE {f, ,•2', rt 4FsoOru Tl� "i%'a �1'a K• i ....,..:,, $UFFOI.3C CO.DEPT.OF HEALTH SERVICES. Ye : �.�. . •7 (� APPLICANT �p 3 ' is4ar37Y.cF I�p /4)� • ki,UG� SUFFOLK COUNTY DEPT. OF HEALTH • 11114 , , �-.v yo-5. • 0:911. $ Cj' S7, SERVICES — FOR APPROVAL OF "---..e.-..,_ �_- -� CONSTRUCTION ONLY . i • DATE _ • / ' •3..� ti SUFFOLK COUNTY DEPARTSIENiOFREALIM H.S.REF NO..ffir 233_ . . • Y ^� +K SINGLE FAMILY mama ONLY APPROVED: - Poo;si' OAT�►AR 1 . rnRRH.S REF.NO. -S O. i The sewage disposal and water supply facilities for IJI + pv' location have ken i SUFFALK CQ.TAX MAP DESIGNATION: qi aspected by this Department Jt ' r- other DIST. SECT, BLOCK PCL. a r'7"r`�'` .4•T (A , �aaln 1 E. :1CIL7D:`'- .Q27 _IV 3.3 -+i`•-•;':`4.-. i '--•••.•.-', ;. r ` • • ' f WastewaterMa1L9gpINal 'OWNERS ADDRESSI: { ,` 4,,-.11'.,... • • --e •1* ) __.s o D2CHAf2O sr 9� . i _QRiENT,N`Y t 14,7 yr,..t • o —523:L2:185_ - } i ,i `✓�M J _ ,k DEED:l:.A1�A. lr_. • t �7 :t 15�a7 E�a• TEST HOLE STAMP 46 , - ..E.1.0— IC15.2EFE2TO+MAP OF BEAUJOLAIS' ACRES. �' ^v'°°'"V.,n• THE SUFE CO. LE lC'S OF ;ASm n•.Mrrro>"• As FILEL? IN p FILE AS mea,low } \' MAP NO_637 — ----.--. c,c a'rM .v„w, .4,••,' ♦ fo a fc • 2 G^•NTOUf25..IZEFEIZ R: MEAK4 5 l LEVEL. 1 : u tae e sl t'W tom °:^"< � ---------- 1 cl„ra 1r.,rw.:,.••r:.-;•...h-it-,l, 'i' . r II.-,'. Wv mrhe ii�i�•on:11fewn d,r v, ue i'.e nd a ar - �- 1•Nrp•rfni�t'M Liu:" 4ur.n .T4 % 1 w ; r Y ielr',Ji,.I M.JW.�iniG ,.4'•." • ' ;. ''Cr .!./ •�jJ MAf?1 NDEIx JUN rIg$ZI NQV?�,1cJAZ -- - ...•3 4 'r' + t•. < ~, �. •> '.. -SEAL --- •j'r'S•iCJ• „ ,,•,....,,,,,•••,::Y �i� l� � • ,” t~' c� r��r5K vq �p -1 yr ;, ••' dl'{.,2 '•• •,`• . ■ ,,.----_,'"'--,,,,,•'1/4"---.,-'---1,s42,- _ }, �.` ' . •y„..,,,,/,-;5----,,,,_ owQ --1r�,,, •i M• s: r .i r•i _ . y, as...� frs•.._ _ O g" , is s.,„-+' � 4%5 o tc•' ,.--- n_ �•e,4 c� .. _ P ,;,-::-.4;:-:r: r >i >]i� -ar 41<'ii�r r . . • .. ' ?.nn-•� 14I+ .f. "'' - li f-+.� YG r • i • y.i r �4,.'1y' -'''••••‘..2.,-...1,. ri -.:.;':.:..,:k'.:;.,1-t:,;:..,' MAR-•a ?' r'. , - ERICKVAS !..4FG._ _ F. %ri •t Li: r'2 A-42 -P ' z '�. .• l• ` ' • YY --�1';-=GTS ".1' .l I, LL L' • 0.,„V°. ,✓,'L 4. •j,,,'w'e any •''' _ • .. . r ` , �• /ri , • �'s`C,O�$.i, f:1 •t• ;y ,�ky;;3•'` -r.�.�.. ..i,,. ,„ . ,t� �%•,;.'� .., LICENSED AIVD*U*VEVORS' - `:�1.4 `. ;";',...,:;:b••.t °``' l) ;r,i •'..A.._A-;"_3.,•, ,h J.*WV S G OS is t. R •N Y 11;K 1- ' , _t«• r- d:.{�_ ''A`:••, .•P.•,.�--i•i l. AL," � .,r:"•'="e ,, HEAgTN 1MYl - GR�EPIPO T ,Q •t 1 r k.:.,k .'!, -, -':',:•`• nun„i r.e: • .�:.�•.r:. ,.I�-^:''+•�. ' ?P ^"0.:I`r_K".r. •.�u„�.:.-r.'�.'ct'e7.•[�;,�::.'�� ... `rz,•.•4•.�S'. .,r�ar. ._,� .... ,_.,ac• _. _ �...,'- •_.