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HomeMy WebLinkAbout40677-Z SUf of c TOWN OF SOUTHOLD �� BUILDING DEPARTMENT r TOWN CLERK'S OFFICE •Py \. 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#: 40677 Date: 5/9/2016 Permission is hereby granted to: Peragine, Kathleen 136W81stSt New York, NY 10024 To: construct deer fence as applied for. At premises located at: 13115 Main Bayview Rd., Southold SCTM # 473889 Sec/Block/Lot# 88.-2-14 Pursuant to application dated 5/2/2016 and approved by the Building Inspector. To expire on 11/9/2017. Fees: DEER FENCE $75.00 Total: $75.00 Buil.: g Inspector 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. I! T7 Check `cfr? Septic Form N.Y.S.D.E.C. Trustees G.' i © llVL it C.O.Application Flood Perm Examined , q ,20 1 Single& Separate MAYd 2016 Storm-Water Assessment Form Contact: ,--^ p �P� Approved 5 f ,20` BUILDING Dom' Mail to:/[ /�/9— lUp)(_ Disapproved a/c TOWN OF SOUTHOLD ASS Phone: 9/;7 -/3 2`�Z Ex iration I ,20 , , p l � � r I VrdiVg nspe, or APPLICATION FOR BUILDING PERMIT Date , 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 Permitto 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 or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 3//5— 4y)J , )Ar.-,-4- Rem -$$1.47 di,/ h/ //? ame of owner of premises ji Sf/.ci/t- Attb/Ft- (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 on which proposed;work wilLbe-done ... . House Number Street Hamlet County Tax Map No. 1000 Section Block Lot / 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Alteration Repair Removal D • raSther ork im' �' 1 (Description) 4. Estimated Cost , Fee =,1 ,�.� � , 'TbJbe paid on'filing this application) 5. If dwelling, number of dwelling units Nuri ibor of&Veiling units on each floor If garage, number of cars ;MAI rii11131'SMT. 6. If business, commercial or mixed occupancy, spsify'natizra ktiFe)6falirof each type of use. 7. Dimensions ofexisting 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' * 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 * IF YES, PROVIDE A COPY. STATE OF NEW YORK) • SS: COUNTY OF5 ) TO u 0. IV -C 1 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the O w f4 (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. TRACEY L. DWYER \.n-ARY PUBLIC,STATE OF NEW YORK Sworn to before me this. A `d day of Maj 20 l& NO.ON900 SUFFOLK IN SUFFOLK COUNTY 1' n :,EMISSION EXPIRES JUNE 30,20 1 V /` CtiCIAd- Notary Pu Signature of Ali. ant n...C94cc, S.C.T.M. NO. DISTRICT: 1000 SECTION: 88 BLOCK: 2 LOT(S): 14 MAP OF FI EO JOUNECRES SE 6TION 1 #2575 174.17' MON. S67°46'00"E 0.5'1 MON. - 0.5'W( WOOD RAIL FENCE X 0/L O 0.4'N 1.5's CV 11 U CO • VK ' V O \ O 2cD R APP}.®VED AS NOTED C \\v o ° DATE: .. tip.#t �ji COMPLY WITH ALL C e DES OF FEE: BY: _ _ _ . __ - 00NEW YORK STATE & 'r• N CODES NOTIFY BUILDING DEPART ' • AT AS REQUIRED AND CO DITIONS OF 765-1802 8 AM TO 4 PM FOR THE ' 'SOUTH= 1, , ,ZBA , x _ FOLLOWING INSPECTIONS: 9 c 1.8'E 1. FOUNDATION - TWO REQUIRED S ice'S I Q PLANNICOAltr ° FOR POURED CONCRETE - - 2. ROUGH - FRAMING & PLUMBING '' 3. INSULATION ` :, " 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. RETAIN STORM WATER R NOPE ALL CONSTRUCTION SHALL MEET THE PURSUANT TO CHAPTER, 36 L.6REQUIREMENTS OF THE CODES OF NEW OF THE TOWN CODE. x ° YORK STATE. NOT RESPONSIBLE FOR ROOF OVER Z V DESIGN OR CONSTRUCTION ERRORS. CONC. r N 1„,.,FRM, J `. o•SHED, 10.2' 50.9' 3 W C ti Z x 0: LTE 1-- 12.1',.;,, CONC, U CONC. PATIO Z •w ' 1v STOOP C Lu ° ;•.:;;17.7'?i,•>•' tl• ',,;,;,.,.,. : a • „+' � N ;;:b;•. ,,, ;�, 0 1 5 0 GARAGE 0 U 61.T '•; ++,v,''40.1'•.. : i'1' 46.2':,. ., a COVEREDi' _ \ Z _ STOOP C - ° U Z WW , g 7 0 0 3 , U.P. C W U 2 -. O1 N 01 w - O O ., O .O d' c On Q0 CL 0 a'• CO ln ZUCV A CV R 132.00' 0.4;E 2.0'N 1.4'N WOOD RAIL FENCE !n 1 D'n 0---15 1.0'N S S n _ tl MON, MON. ._ . N65°13'20"W W.M. 6868 U.P. U.P. AREA: 56,162.9 S.F. OR 1.29 ACRES MAIN BAYVIEW ROAD UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUc:TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: JOSHUA NADEL; MAP OF: JOANNE D'AGOSTINO; FILED: FIDELITY NATIONAL TITLE INSURANCE; SITUATED AT: SOUTHOLD - BETHPAGE FEDERAL CREDIT UNION; TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design ork,_,11041f Learesi P.O. Box 153 Aquebogue, New York 11931 FILE # 16—14 SCALE: 1 "=30' DATE: FEB. 21, 2016PHONE (831)298-1588 FAX (831) 298-1588 N.Y.S LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk