HomeMy WebLinkAbout41603-Z %" F
4� nc,rco TOWN OF SOUTHOLD
y BUILDING DEPARTMENT
11*
a TOWN CLERK'S OFFICE
Ek
oy • 4�g 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#: 41603 Date: 5/3/2017
Permission is hereby granted to:
Foley, Thomas & Karen
191 E Shore Dr
Massapequa, NY 11758
To: construct a deer fence as applied for.
At premises located at:
405 Longview Ln, Southold
SCTM # 473889
Sec/Block/Lot# 88.-5-5
Pursuant to application dated 4/28/2017 and approved by the Building Inspector.
To expire on 5/3/2018.
Fees:
DEER FENCE $75.00
To $75.00
Building Inspector
B
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 ( X Survey C
SoutholdTown.NorthFork.net PERMIT NO. l Check
Septic Form
N.Y.S.D.E.C.
Trustees
-C.O.Application
Flood Permit
Examined ,20 Single&Separate
Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone V 601
Expiration_ 20
�� 0-v Building Irispeor
D
APR 2 6 2017 APPLICATION FOR BUILDIN T
Date 120
BUILDING DIEM INSTRUCTIONS
TOWN OF SOUTHOLD
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 applicatlon,: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 Southpld,"Suffolk.County,New York, and other applicable Laws, Ordinances or
Regulations, for the construction of building's, additions,or alterations or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,'ordinanees,building code,housing code,and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
CG
A Fagg A NOTED
(Signature of applicant r name,iU corporation)
o,"e
-
e(Mailing address of applicant)
FE"F `E3
Y� m I�q ss -��SJ�� �`C 1� s`6,
NOINC� DEr�T T�rENT .
State whether applicant iso r„1 se „a e , a chite t pit �er general contractor, electrician, plumber or builder
�a-r bt AN, Inv �t'M �U, i`�, �
FOLLOWING INSPECTIONS:
I Fns nay!nom Yinirl_RPQ111RrQ
FOR POU gEl, kON CRETE --�-� �'a'�-
Name of owner of premises 2.j �L 1PA-
3. INSULATION (As on the tax roll or atesvdeed) .� CODES OF
If applicant is a corporation,41giiattlre dT_&f1yFa&ff&iiedL' facer NEW 01 K, STA-1-_Z Q TOWN CODES
i -, ei,r BE COMPLETE FOR C 0.
(Name dh'd title';gf ca °fir i`b` `i�er}TI01�1 SHALL MEET THE AS U6hr�
Builders License; io: ''�5j' OUIREMENTS OF THE CODES OF NEW __ � �0 �, •� �,
;;,,'µ
Plumbers Licerise'No.�'`' iv a R
5 C l v S. tea•. ! J:: i t ,^,i LA l 1 U _Q
Electricians License No. _ _ _.
Other Trade's License No. IU Ep
�•i,J lie s'!,� ✓JI�,C,J
1. Location of land on which proposed work will be done:
mos- Loh v(, j L0, SY o C,* ate y
House Number Street Hamlet
County Tax Map No. 1000 Section Soo, Block Lot 5
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
bntended use.and occupancy �. G
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal- , _Demolition Other Work BPS 6�--e17
� o
'(Description)
4. Estimated Cost Fee
(To be paid_on'filin"this application)
5. If dwelling, number;of dwelling units Number of dwelling units_on each floor:
If 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:jFront Rear "Depth'
NV
'Height Number;of Stories
s _s <" 5 Re rm m, �ti_i
Dimensions of same structure with alt0rations.or•additions: Front I F
Depth Height i Number of,. ries
flit
8. Dimensions of entire new construction: Front, hear Depth
StoriesHei ht Numb6r of
,9. Size of lot: Front Rear '' Depth
10. Date of Purchase Name of Former Owner' '
1'.. Zone or use district lin which premises are situated ,
12. Does proposed construction Violate-any,zoning;l�vcr, ordinance or regulation?;YES NO!'`
,.
U. Will lot be re-graded? YES 'NO WiII' tkce,ss f11 be removed from premises?YES NO'—
14. Names of Owner,ofilpremises �:` Address Phone,•No.,
Name of Architect Address- PhorieNo "
Name of Contractor Add'res's Phone 110.
1 Is this property within'100 feet df a tidal wetland'or a;freshwater'wetland? *YES 140'
IF YES, SOUTHOLD',TOWN`TRUSTEEILi'&'D.E.C.PER TS MAY BE� QUIRED.
b. Is this property wit in'300'feet of a.tidal•watj
' t
azid�? *`YES:' ,NO '
IF YES, D.E.C. PERMITS MAY BE REQUIRED: '
M. Provide survey, to scale, with accurate f&inddtion plan and distances to property lines.
17. If elevation at any point on property is at 110 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions lith respect to this property? * YES NO
IF YES, PROVIDE A COPY.
S ATE OF NEW YORK)
SS.
C UNTY'OF S J PC-)'
k/o' cc i—�"b (e Being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contr t)above;n d, CONNIE D.BUNCH
Notary Public,Mate of Now York
(S)He is the No.01BU6185050
(Contractor,Ageiit, Corporate Officer, etc.) ua n
! Commission Expires April 14,
owner or owners, and is duly authorized toy perform or have'performed the said work and to in
A6. filethis,applic.ation;
th t 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.
• i
Sworn to-before me thi
(o1 , day of rl 20_IZ_2
v�—P LX\
Notary Public Signature of Ap licanf
LOT AREA m 17.500 SQ- Fr.
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LOT NUMBER 47
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PLMM AV^A=n M TO NUM M OR Wn G M0 0MCSTRWrOft SURVEYED FOR THOMAS KAREN FOLEY
UKUM MO AL"MM M OR 08UMM TO TM6 UdWr 2"'FOI IM OF swm LOT NUMBER 48
720 Or M WW 1n1Off SWC COMA"LAW.
MAP OF PERRY WATERS
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a*"Is posma.NO ad tis mfrs m TME nu gran,oolesalua& SITUATED AT BAYVIEW
AOSLYAm LOOM gamin"tssE+tr Nvan.AND To TME 0samm or Tic TOWN OF SOUTHOLD
LOOM OMMUMK Q Wwrms AV MOT WANW Im TO MMMONM.MISIIRrno"s
OR*6904"anus
CUM arms SAYEY W f4T IM6 LW%WKYO"uKO 5DL OR SCALE 1" = 40' DATE 12-28-2016
DooPEMtD WL SVLL NOT OE WMStm to X A W40 mg COP'/
FILED MAP No. 2901 DATE 12-29-1958
CERTIFIED ONLY TO: TAX MAP No. 1000-80•-5-5 DISK 2016
THOMAS do KAREN FOLEY
HALLMARK ABSTRACT SERVICES LLC HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P 0 BOx 616
�� I 1666 WADING RIVER-MANOR RD. WADING RNER,
N:tir, RK, 11792
N.Y LIC NO Ji 9-4695
HA LD F TRANCHON'JR. PENN.LIC. NO !t,v w �--- T -
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