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Home My WebLink About41285-Z q�guF€ot,r�oTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o . 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#: 41285 Date: 1/13/2017 Permission is hereby granted to: Harkin, Michael & Monika 6175 Sound Ave Mattituck, NY 11952 To: construct a deer fence as applied for. At premises located at: 6175 Sound Ave, Mattituck SCTM # 473889 Sec/Block/Lot# 121.-1-4.3 Pursuant to application dated 1/3/2017 and approved by the Building Inspector. To expire on 1/13/2018. ' Fees: DEER FENCE $75.00 Total: $75.00 C Build' ld' Inspi 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 Suryey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form r J Contact: Approved V ,20 Mail to: Disapproved a/c Phone: S"/¢ 2 8 6 Z 8 S a Expiration ,20 D �� ildin Inspector D PPLICATION FOR BUILDING PERMIT JAN 3 2011 Date 3 , 20 / EU MING DEET. INSTRUCTIONS Thi a9Xi �'Vbe 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 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 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 Name of owner of premises t c n tet— M 0 N I talk �rite 4 (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. Plurnbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: (PIq�_ SC")NJo '�y� SMft�t'j JCL House Number Street Hamlet County Tax Map No. 1000 Section /2,/ Block � Lot d i 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 D' �1 U- 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of d lling units Number of dwelling units on each floor If garage, number of car 6. If business, commercial or mi d occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structure if any: Front Rear Depth Height IN mber of Stories Dimensions of same structure wi alterations or additions: Front Depth Hei t Number of Stone'l 8. Dimensions of entire new construction: ront Rear '' 1 Depth Height Numb r of Stories 9. Size of lot: Front Rea Depth _ 77, i 10. Date of Purchase Name of Former Owner '" 11. Zone or use district in which premises are situ a ed 12. Does proposed construction violate any zoning 1 w, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will exce s fill be removed from premises? YES NO 14.Names of Owner of premises A dress Phone No. Name of Architect A ress Phone No Name of Contractor Ad ress Phone No. 15 a. Is this property within 100 feet of a tidal wetland ora eshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PE ITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YE NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and istances 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 ) 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. �Sw_or!Q to before me this day of-�--0"n U T/ r 20 1ACONNIE D. BIJ� Fi Notary Public Notary Public,State of New York Signature of Applicant No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2� ?''' i"'�><J;',i�, •,f.. ,t� =',t=Y,:++.�.•,.:.:...�... —•..•. , ^�N ay'er;`` ...��-��-.��..�...�...._.. r. , � U p+t^'`-'`E^ O� . - c p S , PPS 6� I E S Rao . , n, Trn" T FE n '`HEPAR f144EN�Z AT N TIFY BI ILL, rt 8 Ali ;U 4 PIv9 FOR THE Ri'1't 11G'� L • �•Qt`z i. 765-1802 e Sa..6 ;f`, 'I FOLLOWING, INWECTIONS: • :.. ;S 1. FOUNDATIOr}r- TVVO REQUIRED FOR POL•1R�DAIJ�I G & Y'LUMp ^n Q,= P)2op,kTY ROUGH 3. INSULATIV2. `MOSTTRUON s 4. FINAL - CONS IR�-0 QE GC�.PLETE FO ,E:SUQV•L�EY�EED' F�UdUL FA LI •-; . • ALL CQ STRUCTIO�""—T ' �•y":, I NEIN REGUI/EMENTS OF THE CODES OF AT 4 til `, i, ' YORK STATE. NOT RESPONSIBLE FOR �T�, CONSTRUCTION ERftO/ .a TT/T:./i/C,, Ge�'I£' GN OR 50//,0 4 t:odnty rax ParCef: 1000-rZl-1-�:!{p*:�i a' •` I:::'' O to MOtP1JMBMT C1,11 •I Si-•,,,,,'';,, ! q Q4• ['� ♦ r., . •i v�Yb I'�1.y7 "" ° 's'd e° 44' S�tpCox Ct,• •� Fa LAV, ' r1�@�•%r h°d//act -``'„'�..,I•�-...:.,._ : tv,•.•,.{,Mt.'MrJanv.a,tia+ M i arJ.1a.:•••ha41. :art"tow r6�..c. rsJap�ed. F�braar� .ZZ,.[.98$. , l;ud rcJrl taa d''tV'i' Vif .,9.b s ratf, JAC.� 1'® ' • .e• ' ` o»mWNrwvwYw-aa40or ChlC�90 Tt2�'jC 10jaragr.m a Co., orad to f•h6 r4rwt:rr.1 shelf"-ea,rW" r • 6r MiW"�mrtoc7• OdtJl:Errs a�3 aurya��d Fe F?. ({wpm,;^�•�t+,r-ah OMA ra- ,. • PIC=tC SIR KrM F wr„rn of 70h., • o.� r M- ir M„a•.e, .h M n, Srtrn n~`n,I T'rJy r'�.C. 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