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HomeMy WebLinkAbout40787-Z + ,�guFFo %. TOWN OF SOUTHOLD foo ay' BUILDING DEPARTMENT i y TOWN CLERK'S OFFICE al •oy� oo� ,a SOUTHOLD, NY -ol * 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#: 40787 Date: 6/21/2016 Permission is hereby granted to: Hammerle, Frederick 1120 Harbor Ln Cutchogue, NY 11935 To: erect a deer fance as applied for. At premises located at: 1120 Harbor Ln, Cutchogue SCTM # 473889 Sec/Block/Lot# 103.-1-20.9 Pursuant to application dated 6/15/2016 and approved by the Building Inspector. To expire on 6/21/2017. Fees: DEER FENCE $75.00 Total: $75.00 d54 , . :uil ing 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) 765-9502Survey SoutholdTown.NorthFork.net PERMIT NO. 4(6r6 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form rntact: Approved ,20 - Mail to: - Disapproved a/c Phone: 3/- 73 ye 7o 3-, Expiration e ,20 /I©iIiJ , Buil.*ng Ins.,,ctor V�� JUN 1 A• - i r TION FOR BUIL 1 ING PERMIT 2016 Date c , 20[4 INSTRUCTIONS TT I1TG DEM a. This app'fi'�a i '` '' I etely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. - 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 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 mohths. 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 inuilding for necessary inspections. P6 liatEu APPROIE kfj-_8"n D (Signature of applicant or name,if a corporation) • FP '.' �'. � AR-NEN _ II ( r (3UILDN� Dr' POR T1lE ��& rkr C � f �c �g,,,�( �`1 <<?3� 1\1"1 .\( 8 AM TO P (Mailing address of applicanQ) 755-1'02 V 1NSPEC i IONS: State whetbia'a:: C Ids.o it � see,agent, architect, engineer, general contractor, electrician, plumber or builder •1. F. POURED CONCRET Owr1 O,JG,k! FRAMING & PLUr�fSWG L. 3. INSULATION ' TRL 01� UST , Name of ow} er.l�, ,pr�effges. c * c rcrt tioe.M pvcQJJ� BE *OM UCT-TION SHALL mat F NEW (As on the tax roll or latest deed) - - If applicant i �a,_c6 . o 6�t 'a@Ri 'c lyo thorized officer REQUI EM Sw-E, NOT RESPONSI CRRORS. - - " (Namey�i, wf ipbg ld icer) Builders Licereo. _ Plumbers License No. Electricians License No. . Other Trade's License'No. . - t.s,:.'f,V.•,. ,J 1. Location1'of land'Oh wliid 'proposed work (�will be done: cry r (VIZ v 7 if _ Ifr1. ��� °- \,J..C� v\/9,c,_e_ House Number Street - HamYet County Tax Map No. 1000 Section ' /0 3 Block 0( Lot ZO e 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 2c� (, , ..,-,...,,(4 j`, b. Intended use and occupancy '51.1(, (1 rYL er 7Cce, 3. Nature of work (check which applicable):New Building Addition Alteration — Repair Removal Demolition Other Work---1>_o_s– d\c'P (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor f 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; a 8. Dimensions of entire new construction: Front Rear, i I Depth Height Number of Stories .„:'-i \ .k. :: . ,,,,,,1.1 ., 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 OF5U ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0 w, f` -r (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 th AlAttcsit' vv R performed in the manner set forth in the application filed therewith. NOTARY PUBLIC,STATE OF NEW YORK NO.OlDW6306900 911Aitme�o IN SUFFOLK COUNTY Sworn to hefore me this AMI ONEXPRESJUNE30,21a J in-- day of 20110 J4 CV otary Public (J Signature of Applic SURVEY OF 10 9 MAP OF ry y�� `st\ .,./ „.� AS i iAf-ZBOR PARK HOMES s�'2��• `'� ��� �,� ,,'�` , __ No 9602 FILED NOVEMBER 22, 1994 in �1`I'l`A TED AT Vie:, 0 0 '\ . , \\ 0V / j C TCHOGUE J , �� TOWN OF SOUTHOLD 0 S i COUNTY, NEW YORK -.. I l FFO�K • ; S.0 TAX No. 1000-103-01 -20.9 \ \ \ SCALE 1"=40' �� \ �gyo - • MAY 12, 2004 -501 • LIt ; ,� •t3r2uAR'• .8. 2005 REVISED PROPOSED HOUSE �1� a iiiii:APRIL 26, 7005 FOUNDATION LOCATION I 'iF1 J � PTEMBER T0, 2005 FINAL SURVEY AREA = 80,000.63 sq. ft LO 1.837 ac, • ,� O, •. r \ 0. '1' .N i' G0.r�• D / I 1. \c, ) f \ ' i I p�-7 , 7 '50 I cI.5-;cc- i�� r , \ 6 • z,3 Nva I ' • cik \F`\\ ''Z - - 90/ I ,/ ',9 Arc�,. I `'\ •��'�` • \ /• • Z 9t 's $:e \ o �, TP '` \ 1� ���' /- t�!i a// / ,[ QRAVEL DRNEwAY- l 7• • , 19' % r.f., ,,... __ ,,, ___ • „.,,,.... e: Li . __, 1, ,....., c.:;•,, , . 1_,(3 • -CC ^% \c + / 1 \i,• - i \..,. / ' J: / / / i 0 ,A� \ J.� 0 4ti J , ' 6�0 ��� ,0 EA`h S L �E JO143O h to , \ --- , J \ \� LP,. & ' AN L Lr' o, --'7' �� � . � \ N - ,\ ° SUFFOLK C;':::�T!C`,..._, `t'' : r , `.""'T =R;=n.E \ L. Rt:ANIC WIT-, ',if MINIMUM ' r� O$ ,1 �. _ `• f S-ANZAR75 -y .E SJR,.LYS AS ESTABLISHED •o l� ( CID ` Es -..r n P \ f [r tt r�na S An A PROVED AND ADOPTED • -I t?R ,SE 8` E NFw "ORk STATF ..ANC �• / - -,_------- ',.`_-'�,. • L...'•;;- :2.1.-;'1L-ff. r \\ 9IN=a S 6 t \1 \ I L-••--.----••— - - - - -_• -•, f -• - _ T - NYS _LK._Nu 49668 UNATHORIZ ALTERATICN OR ADDITION Josep A. Ingegno EEUCION 720 OFS'HE VNEW TIO RKOF S'ATF Land Surveyor COPIES OF THIS SURVEY MAP NOT BEARING CERTIFIED Tt7 • THE LAND SURVEYOR'S INKED SEAL OR SUFFOLK COUNTY NATIONAL BANK - --- - -_ _ _- — —- EMBOSSED SEAL SHALL NOT BE CONSIDERED ro BE A VALID 'RUE COPY CHICAGO TITLE INSURANCE COMPANY CERTIFICATIONS INDICATED HEREON SHALL RUN JOSEPH PERI NO • -(e S.Jr+ey5 ;ubd•+ISrons. S•re Plans - Construction layout ONLY TO THE PERSON FOR WHOM THE SURVEY LETITIA C. NASTASI-PERINO IS PREPARED,-AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND PHONE (631)727-2090 Fry, (631)77.' 1 %27 LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CERTIFICATIONS ARE NOT TRANSFERABLE. '• "c -'f ATL ` NA'LIN(, ADOPESS 322 •-0010✓_ L/EN.1c °0 Boy 1931 THE EXISTENCE OF RIGHTS OF WAY P '- -= 'e" •• =+r+errrac, `lew +ort, 11901 0965 + AND/OR EASEMENTS OF RECORD, IF --—` -- If ANY, NOT SHOWN ARE NOT GUARANTEED. — `--- -- — -- u