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Home My WebLink About41811-Z 1 " TOWN OF SOUTHOLD Foc,r�o BUILDING DEPARTMENT g TOWN CLERK'S OFFICE oy . SOUTHOLD, NY j 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#: 41811 Date: 7/13/2017 Permission is hereby granted to: Schneider, Kenneth & Cheryl 1005 Mason Dr Cutchogue, NY 11935 To: construct deer fence as applied for. At premises located at: 1005 Mason Dr, Cutchogue SCTM # 473889 Sec/Block/Lot# 104.-5-36 Pursuant to application dated 7/7/2017 and approved by the Building Inspector. To expire on 1/13/2019. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. _ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20A Single&Separate_ Storm-Water Assessment Form Contact: Approved ,204 Mail to: Disapproved a/c Phone: 73 G/ zl�( Expiration ,20 (� Bui Spector APPLICATION FOR BUILDING PERMIT JUL — 7 2017 Date 7 , 20 INSTRUCTIONS a. A-Iscale. e completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of p"VWAA$R n 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 shal l be kept on the premises available for inspection throughout the work. C.No building shall be occupied or used in whole or in part for any purpose what so ever until the B_uilding 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 181 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 re s, a4to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if ya corporation) (Mailing address f applicant) Gig State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder e Name of owner of premises /t e4i1 e l2Cf C,4r,11 Ja/o ,�r (As on theta 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. 1. Location of land on w ich proposed work will be done: /00-< so abr.- 0 ca eg Ile- House lems”House Number `.Street HardVt County Tax Map No. 1000 Section �(/ Block 5:5: 5►A Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended se d upancy of proposed construction: a. Existing use and occupancy fZ�911 G Q P ' J/ I b. Intended use and occupancy /VIS dl�e 3. Nature of work(check which applicable):New Building Addition Alteration --.k Repair Removal Demolition Other Work V@G, r /:::�e (Description) 4. Estimated Cost— ca (ye) 49 Fee I (Tb be paid on filing this application) 5. If dw ing, number of dwelling units Number of dwelling units on each floor If garag , number of cars i 6. If business, mmercial or mixed occupancy, specify nature and extent o I each type of use. 7. Dimensions 6f e is structures, if any: Front Rear Depth Height Number of Stories Dimensions of sam structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new onstruction: Front Rear ' Depth i 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 premis are situated 12. Does proposed construction violate any oning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ill 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 r 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. j i 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? * ES NOx * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF*-) L4<- ) K&1Mef h2,L(�� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Asa`^ w�c® cou&- I (Contractor,Agent, Cor orate 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 hand 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 20 VV ' 1 Notary ublAuAM C.ARANEO, Signature of Applic NOTARY POSUC,State Of N*Vft 1 No.4095251 I Owitied is Svffdt C%141 ll Con+ Expires No.30-40-1— A S.C.D.H.S. REF. NUMBER R10-00-0215 0100 ��+ G 3 `pYfNG O a� ,N�� AP ROVED AS NOTED nKG pt1 UKNo s 5 4600"E �''s49k�fE: B.P.i • d _ °� 2. Approx. 420 LF of D.F. 7-NOTIFY BUILDING DEPARTM 7 �w m -,--- T ti �- %2 in Green Line (P. v 0765-1802 8 AM TO 4 PM FOR THE Z Q,.w ®. ' "�Oi LLOWING INSPECTIONS: o FGatel rn x j�FOUNDATION - TWO REQUIRED �rtc T pFOR POURED CONCRETE *' �sTNG x 9 2PROUGH - FRAMING & PLUMBING ' os Gate � :g3-%SULATION qac q O �y X09' Js `p9 W 4ANAL - CON•STr i:CTION MUST Apra G N . Poo � � 5 SE COMPLETE FOR C.O XLbONSTRUTION SHALp MEE" THE co �3 o Fk%;REMENTS OF THE CODES OF NEll, YAIfi`15TATE. NOT RESPONSIBLE FO�- ,�_- o2*lDESIGN OR CONSTRUCTION ERROR;: C vs. 4 � m gad E Ken Schneider p �� c t 1005 Mason Dr. o Cutchogue C' 6317662545 �-e- 631 766 2545 RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 GO OF THE TOWN CODE Y� OMPLY LL C gtwP NEW STATS - WN CODES N " EQUI ED AND CONDITIONS OF fit V.D. 0 'S FOR APPROVAL �QyN� 50UiROCD'TOVI1I3i ES ACE SEWAGE -AMIL Y RESIDENCES set forth therein and on the ANY ALTFRAIION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAN. EXCEPT AS PIER SEC77GW 7209-SUBDIVISION 2. ALL CER77RCA77ONS and cesspools shown hereon are HEREON ARE VALID FOR THIS MAP AND COPIES 7HEREOF ONLY IF COPIESSAID MAP OR SSED SEAL OF THE SURVEYOR om data obtained from others. OSE SIGNATUREAPPEARS HEREON.