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HomeMy WebLinkAbout40761-Z ,, S�FFni, -.. TOWN OF SOUTHOLD ��- °mss BUILDING DEPARTMENT TOWN CLERK'S OFFICE Iii, . ,,; 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#: 40761 Date: 6/9/2016 Permission is hereby granted to: Murphy, Linda PO BOX 7408 Garden City, NY 11530 To: construct deer fence as applied for. • At premises located at: 890 Arrowhead Ln., Peconic SCTM # 473889 Sec/Block/Lot# 98.-2-6.1 Pursuant to application dated 5/27/2016 and approved by the Building Inspector. To expire on 12/9/2017. Fees: DEER FENCE $75.00 Total: $75.00 100'A Building Ins. = t 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 Planning Board approval FAX: (631) 765-9502Survey SoutholdTown.NorthFork.net PERMIT NO. ei UZ fe I Check Septic Form 'N.Y.S.D.E.C. ' - Trustees 1 ©tDYtC1:21-1.) C.O.Application ( te Examined ,20 —.01MAT 2 7 2016 Contact:Storm-Water Assessment Form Approved ee L ,20 lie )Q`l DI) (.(4, } e - Disapproved a/c WILDING DEPT. TOWN OF S• w :OLD p Phone: 1 9" r 1 3 Expiration f A 1 ,20 C7_ Buil•7 .. .ector APPLICATION FOR BUILDING PERMIT Date 09,c,, 01-1 , 20 /lo_ INSTRUCTIONS C) 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 mused in_whole or in part for_any purposewhat 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. , Signatur of plicant or name, 4, c• .•ration) 9a��� f h. %5 3 a (MailiMg(address of applicant) State whether applicant i caner, essee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises X /Np& -,i, hl(1 f3 eh (As on the tax roll or 1 test deed) . ' ' If applicant;s1a corporation„signature of duly authorized officer - (Name an'd ti't1e'bf'corporate officer) Builders T ceruse'No. Plumbers License No. Electricians License No. - , Other Trade's License No. - 1. Location of land on which proposedwork will be done: o House Number ' Street Hamlet County Tax Map No. 1000 Section 0 Block 0 . Lot 6 D / 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 Addition Alteration Repair Removal Demolition Other Work nee_O ��yve (Description) 4. Estimated Cost (7 :;l '��q -', .�,, ;�e�o_I 1 be paid on filing this application) 5. If dwelling, number of dwelling units `rtx 1 Number of dwelling J is on each floor If garage, number of cars ° ' T 3 ,,.. 6. If business, commercial or mixed occupancy, spec&iz4wpittsioVnt of each type of use. '�(� p i `�iii~INIUG d fiko MOT 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 * 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 OF,S Ol k ) L ()JCS lurphbeing duly sworn, deposes and says that(s)he is the applicant (Name of individual sign5ng 6ntract) above named, TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK (S)He is the 0\1\) rE NO.01DW6306900 (Contractor,Agent, Corporate Officer, etc.) QUALIFIED SUFFOLK U COUNTY COMMISSION EXPIRES JUNE 30,26)1 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 tq before me this a1 day of Mn , 20 )1p - .,. . , 11 jig Ii Notary Pur Sigttune of AP lic t • APP'l'IED AS NOTED DATE: 1 6.P.# / FEE: • OD BY: . NOTIFY BUILDING DEPART IT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FO9 C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SeuTete Teww : > SOLITRIDINIMSTEES RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. P-2:(B:71.1-11 MAP CSP.P CPE 2T�1' I _4. - • SUtZVE:YEU FO1Z _IL./ L'dAc'Ah1r ) & } ll TOWN OFFSOUTHOLD � J01-4 ` J. y 1 i, AI_C2ET M_ OY'..�`I'.. (� -�� - -� A-(- STATEMENT OF INTENT +` N, 22 C a() ' 4THE WATER SUPPLY AND SEWAGE DISPOSAL p "' ' a Z�{p PECQNIC SYSTEMS FOR THIS RESIDENCE WILL t'1 0 )OWN or t`10UT1-104a M CONFORM TO THE STANDARDS OF THE d ii SUFFOLK CO DEPT OF HEALTH SERVICCS rn Tri (5) APPLICANT r,I SUFFOLK COUNTY DEPT OF HEALTH el r QQ -� r ,l ! If� SERVICES - FOR APPROVAL OF • Z „s lis) J p CONSTRUCTION ONLY en ;SWELL. -DATE. 4 I. DEC 20 1988 H S.REF.NO oresO 213 0 APPROVED ,�' .,Sc 'Err OF us I I r•' A(_E_-so,FALTH SIi4VICES SUFFOLK CO TAX MAP DESIGNATION I IU i I� ILTostmeo, t I- �! P r2E A' :tC $O:nF DIST. SECT. BLOCK PCL EJ W 1 _� r JmtNb I 1 I O'IQG�1 PI4`f 1 1 C 8 •ft; !l k __qJ: +.k I t� 4d • INT-t:,/,-76.67, —. ''''. .- 3SjrQ1_ II T'r7.-E OWNERS ADDRESS 2 W I toric.. ../ `- 6 . y --. , N-_1...``L'_C:/t-� Q,. )_ ' �„�fA, i ' •C/ - - II I-)JJfritsa�T�.5f. l•A:,M`v,Ir74F•, 1 14 - i (TE_I_^L.7! - '2 ) . 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SUFFO&K COUNTY DEPARTMENT OF HEALTH •L)1:C•121^ . •.,a y,SJ } A, ILY WELL Olt.1 ' — _ Y U SEAL DATE6El, t ( KS REF NO aF D-bl$ —564:-- _ The sewage disposal and water supply)eCI for finds i '(} /,F"1e")\ button hays bt,rr Irsyerlyd.y tots 44;rhaeM end/M 1 tiiGALIANT I=-E Li TO 1:-•f Z '_KrA135Tjl� ti,,i�`"'40.T + other end to'd to sai:r- v c f. chief. 9ureea of Wastewater h4aegernent 1- x =ENsltD LAND)SURVVIVRS - t 1 tsRBENI 7 ' NEVI Yrj IK f' -•. -• • ... - — — . --. - ---