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HomeMy WebLinkAbout40631-Z � sutFot,e-o TOWN OF SOUTHOLD Gy, BUILDING DEPARTMENT y ? TOWN CLERK'S OFFICE SOUTHOLD, NY 44411 * ����', 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#: 40631 Date: 4/19/2016 Permission is hereby granted to: Braunstein, Charles 6 Shady Tree Ln Colts Neck, NJ 07722 To: construct deer fence as applied for. At premises located at: 3630 Orchard St, Orient SCTM # 473889 Sec/Block/Lot#27.-3-3.4 Pursuant to application dated 4/11/2016 and approved by the Building Inspector. To expire on 10/19/2017. Fees: DEER FENCE $75.00 Total: $75.00 B ilding In eefor 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) 765-9502z Survey SoutholdTown.NorthFork.net PERMIT NO. U 6 ✓ 1 .- Check Septic Form N.Y.S.D.E.C. Trustees Examined li lC.O.Application Flood Permit l ,20 l Single&Separate Storm-Water Assessment Form � Contact: n Approved ,20 1 "C Mail to: Disapproved a/c l f ll ' Phone: %5` �J `� 1 i Expiration b / ,20 t! ; , ® CEDYE DI Builth - pector APR a 1 201 APPLICATION FOR BUILDING PERMIT BUILDING DEPT. Date Ari,p / Zf , 20 /4 TOWN OF SOUTHOLD 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. I 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 applicant or name, if a corporation) 3630 OKCAevert 55 a*,1J,it/y )) 1c7 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises L R l_ Akio tm`)i '` ,j (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. 35'9O -- H Plumbers License No. • Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 3 3 D Or-C-1-10,1 .-Ekrr. ..1.- House House Number Street „� ,..4_.: 4:... e,44/trige, i fliNs r P }Qi7 tty. County Tax Map No. 1000 Section 2 7 Blgekc�:• ur% -.4: 01 Lot .7 ,&&X1&51:2?iiq ;ni;•, •-,, •i„ Subdivision Filed Map No. Lot ' 3 2. 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 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 8) Thu 1 Dee, (Description) 4. Estimated Cost 32 0(00 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 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 �/ i c (1 1 :.til '� =.w f"; y°maF 'I a Dimensions of same structure with alterations or additions: Front 1 i 1 Read` Depth Height Number 'oif Stories - , tS - " 8. Dimensions of entire new construction: Front' Rear , Depth Height Number of Stories nt ,,, 1 1,. ,t1.1,,,.7 9. Size of lot: Front /576 1, Rear q Z Sc,S Depth 6-5 ,"a ,IAV mak`" -..4,, el 10. Date of Purchase Name of Former Owner C%ay ll o, 374(/h,1 /n 11. Zone or use district in which premises are situated A os ek97/ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 1/ 1, 13. Will lot be re-graded? YES NO i/ 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 ,5-nu dnld. /aHa -07e Address Phone No. 1r3 64/7/ 11 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 MAYBE 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 j/ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF\ ‘‘i15 ) JJ O 1•I ai.C\S 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 thi 3 ..♦ day of 20 / IAPTA I No nary 4r ublic NO.01V18247419 Signature of Applicant Qualified in Kings County My Commission Expires Aug 22.2018 S C T.M. NO DISTRICT: WOO SECTION*27 BLOCK: 3 LOT(S).3.4 111 Cl e V j �^ • ¢ LL➢ ~•ZOO CC c ‘C.4... ..... mC IL � (� O V ees FSu E3 L; C...) li . al -iC] mCL LU D. F— c� 7CP5 = � � = � �j�� 61� CU © cl_ o F--cc u- O 0 c)LL yt' LOT 3 500.18' `i •• �' Z CO 0 <C UD LIJ F-c) coZ u P tri s.! J <L OccLLZO � mH- 0 - cS �N jtsm 03 Z F- = 1 d C.) CL F_ u F- .BELG BLK LUR - _ .. O. �� "'� - , �-- m CV O oO 1 • 07 — ► X 9 2'5 o •.STONE DR. Y_O , 1.0 • F- LiF— ' � LL OODzLLCO JO r •u? .0 • _ s� 'PIPE ¢ BRICK F - - f L�1- CV C d LU } \ I22 PATIO BALCo\1D.a 361 r�R O 02 1,0 2i oo . . - GARAGC-.1 .f UP. \ IRM.- _ % o _. e f. OS r� SHED 02 tP�0 \ .-moi' WDDD DECK ^' 7 8' 20 0v \ !API LOT 4 I - LI- :����1 2 L'� �� \ x '.z a- O O 2. \ _ OF u ,, ��� \ oxo Co Off//// 5 110 \ t___ % x -•\ 14.3' • 28 3' • /. o WELL H �� O \ • \ o LI I: MON STK. eA ",• 56 .821 l MON S50"14140"W rA \ �� ,--3\ LB. ®® p N° ® co LOT 5 _______________._ -.11 THE WATER SUPPLY, WELLS, DRYWELLS AND aZ 1L— NOTE: SNOW COVERED GROUND AT TIME OF SURVEY LOCATIONS SHOWN ARE FROM FIELD OBSERVA AND OR DATA OBTAINED FROM OTHERS 0 ® 141-"IGS/ AREA.65,884.9 65,884.9 S.F. OR 1.51 ACRES ELEVATION DATUM. __ --- --- -a 0 UNAUTHORIZED AL TERA DON OR ADD/DON TO THIS SURVEY IS A VIOLA 770N OF SECTION 7209 OF THE NEW YORK STATE EDUCA DON LAW. COPIES OF THIS SINCEi I-I MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL i-... ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITUT] - _ ` LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTITU DON. GUARANTEES ARE NOT TRANSFERABLE. 'AV"Y THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM DIE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY';_ NOT INTENDED TO MONUMENT THE PROPERTY UNES OR TO GUIDE THE ERECTION OF FENCES.ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EA AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURV_EY , LU SURVEY OF: LOT 4 IX CERTIFIED TO ERIC HARRIS, ,--1' 14 JODI HARRIS; �' D G MAPi 6 OF BEAUJOLAISIL14, ACRES FILED.APRIL 14, 1976 AS ){6373 FIDELITY NATIONAL TITLE INSURANC� ' � tai.,. 4 SITUATED AT.ORIENT C� - CC TOWN OF.SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, 14 CD SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design , :_1.*'e4 ‘4_ // P.D. Box 153 Aquebogue, New York 11931 FILE #16-07 SCALE-1..=40' onrE:FEB. 15. 2016 PHONE (631)296-1568 FAX (831)298-1588 N YS LISC NO. 050882 maintaining the record.or Robert J Ronne.,&Kenneth M.Worehuk