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HomeMy WebLinkAbout41295-Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE Py,• o SOUTHOLD, NY Ql,44 -- 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#: 41295 Date: 1/18/2017 Permission is hereby granted to: Flynn, Michael 7800 Soundview Ave Southold, NY 11971 To: construct a deer fence as applied for. At premises located at: 7800 Soundview Ave, Southold SCTM #473889 Sec/Block/Lot# 59.-9-32 Pursuant to application dated 1/13/2017 and approved by the Building Inspector. To expire on 7/20/2018. Fees: DEER FENCE $75.00 Total: $75.00 B pector 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 South oldTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. ZQE0V2 Trustees D C.O.Application Flood Permit Examined s-"26 2 Single&Separate JAN 1 3 2017 Storm-Water Assessment Form BUILDING DEEPT Approved ,20Mail to: Disapproved a/c ® OF SOUTHOLD, Phone: 1-7.1 r`q,3 ;71 Expiration ,20 Bu nsp for 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. A 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 (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. r 1. Location of land on which oposed work will be done: / L l 7/ v G/ House Number Street c Hamlet County Tax Map No. 1000 Section ` Block Lot 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 occupancy17 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work_oegL- 2n (Description) 4. Estimated Cost ! Fee a t•:(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 `', ' •5 .._ a ;/ 6. If business, commercial or mixed occupancy,•,r,rspecify 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 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front /06 Rear /00 t Depth a1'?1 1 10. Date of Purchase DC'e.• 1976 Name of Former Owner . gI14i 11. Zone or use district in which premises are situated r. 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 0d J-ae� ddress ?Yo 6 5'du,,i ,�t-eyw Ir Phone No. - 76✓r�'3�� 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 O Abeing duly sworn, deposes and says that(s)he is the applicant (Name of individual signiny contract)above named, CONCH Notary Public,S®ate of New y® rk No.01 BU6185050 (S)He is the QuaiFfied in Suffolk Cal anbg (Contractor,Agent, Corporate Officer, etc.) ornmossion Expires April 14,2g,�o 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 this day of 1ONf\V7_ L•fq 20J Notary Public Signature of Applicant RUR VEY OF PROPERTY E78M00ichael Flynn �r thol Soun /� T 1�7 0 UTHOLD Southold,ryy�9wAve, rz 71-2711 TOWN OF SO UTHOLD SUFFOLK COUNTY, MY 1000-59-09-32 SCALE.- 1'=30' AUGUST 12, 2005 AUGUST 11, 2006 (REVISIONS) 1 IPA • OG,s VA 10 �s fig• `r�yz. �1 SOF +/ tO� �►�0 c�,q S�qA p. /sCA APPR VEDAS TED �, B.P.# DATE: FEE: v BY: NOT'FY BUILDING D` IT FOR THE a " y9�y 765-1802 8 AM TO <� FOLLOWING INSPEC70NIS: A_ p. 1. FOUNDATION -��,�; REQUIRED - �p�, FOR POURED CC',CRETE 00 FRAMING & 2. ROUGH - PLUMBING c,y/� 0 3. INSULATION 4. FINAL - CONSTRUCTION MUST 0 BE COMPLETE FC`' MEET THE / ALL CONSTRUCTION SHALL REQUIREMENTS OF THE CODES OF NEW ®MPLY WOTH ALL CODES YORK STATE. NOT PESPONSiBLE FOR NEW YORK STATE & Tc',A/N Cc^may DESIGN OR CONSTRUCTION ERRORS. AS REQUIRED AND C0N4DITI K:'-9• G��� \ !�� �G D o , EEc �0 c3 0 � The locollons of Hells and cesspools shown hereon are from field observalions �J and or from dola oblafned from ofhers. RETAIN STORM WATER RUQ' - G0� PURSUANT TO CHAPTER 2,,� OF NEW OF THE TOWN CODE. �61.swEr ro,� AREA=25,000 SCS. FT. ® =PIPE 0. 4 18 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION I#ECONIC SU, 1 tTRE OF SECTION 72090F THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 .� 97 EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRA VELER 5-195 WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y 11971