HomeMy WebLinkAbout42202-Z o�S�Fwt�-�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#: 42202 Date: 12/1/2017
Permission is hereby granted to:
Hoffmann, Christopher
53 Park PI Apt 8C
New York, NY 10007
To: construct a deer fence as applied for.
At premises located at:
400 Corey Creek Ln., Southold
SCTM # 473889
Sec/Block/Lot# 78.4-8
Pursuant to application dated 11/20/2017 and approved by the Building Inspector.
To expire on 12/1/2018.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspector
1 '
t ;
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
Southold townhy.gov PERMIT NO. �zl�f Check
Septic Form
N,Y.S.D.E,C.
Trustees
C.O.Application
D Flood Permit
Examined ,20 a s Single&Separate,
DD Truss Identification Form
NOV 2 0 2017 Storm-Water Assessment Form
Contact:
Approved ,20 —lvlairro
Disapproved a/c
QIng
UROLD
Phone: 6 l 7KS- V 2
Expiration20 pector I
i
APPLICATION FOR BUILDING PERMIT
Date . 20
INSTRUCTIONS
I
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 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 commence',d 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.
(Sign re ofrapp 'cant or name,if a corporation)
(Mailing address of applic nt)
State wheth appfl ant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Chns k�6a
(As on the tax roll or latest deed) ,
[f pplicant is a cor oration, signature of duly authorized officer
(Narne and title of corporate officer
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on whi proposed orkwill e Oone:&rtee, Ln
House Number Street 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 anA occupancy of proposed construction:
a. Existing use and occupancy 0f
b. Intended use and occupancy '-Ae� tic
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 dwelling units I - Number of dwelling units,on each floor
If garage, number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front r - 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
Size of lot: Front Rear Depth bl
Date of Purchase Name of Former Owner�.fl� �1S id l 0?7
�<Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES IO 3
13. Will lot be re-graded? YES 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
Add ss Phone No.
4/S It 13j
U5aIs this property within 100 feet of a tidal wetland or a freshwater wetland? *YESNO
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.
Provide survey, to scale, with accurate foundation plan and distances to property lines.
Xf 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_C0;_D
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF -
/ ffl, 4l'_ being duly sworn, deposes and says that(s)he is the applicant
(Name of individua signingcoonntract)`a�boovvJe�namdj�,
(S)He is the
V✓ / I ; t U
(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.
Sworn to before me this
C l day of Nova vY1(er 201'7
6[jM4 ;� �)tj TRACEY L. DWYER
Notary PublicOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,291.�j
S C T M NO DISTRICT*7000 SECTION 78 BLOCK:4 LOT(S):8 c
OF
DRAINAGE CALCULATIONS (,r/ !:F \1/ ' `� `-! (�;� `J
Rt7 j c _ 70\,N,N CODES
A)DWELLING rOO1PRINT-1,800 SOFT. I E
I,8DO r 0 166-29B 80<299.1 REQUIRED _
(2)B•OIA Y A•DEEP DRYWELL-3784 PROVIDED .• `��
B)DRWEWAY-680 SOFT. 4Wp _
680.0166-112 US c 113.! i� n
(1)B•ON K 3'DEEP ORYWELL- 126.1 PROVIDED ��YI�r,_ S�I �w w11�'V•`"
RO
I w/PUBLIC WATER
150' ..-.e—•.-
1
LOT 5
WK 503 vAcANr
Too,
S
N7 �• � x
EL 182 SM 13
W
ei ;
APPP WED�AS . TED 20'P/.e 20D,. 808.601 a;�
Dx r[u 1 MON 500 I
Bbu°•DED'j-�\ 3-BEDROOM , '•I
DATE/L ;;yy �� �\ SA.WTARY SYS— EL 18 0 LC �w
: (�• •N. EL(T&�i El(1�5 N 8`D�MO1 bEE�BOOL w 1 C z
rj�\ PROPOSED SOIL VEEP
�.
FEE: !7 STOCK PILE AREA ne I 1
3
MOTIF BUILDINC' I-• WFs§?RTI ENT AT R10MIN
ST. ;@ '
y EL 18.3 w
765-1802 8 AN TO �m�1 F R THE LOT b Ste. " o w
FOLLOVlI !G I�\SPi=CTtO1 S: °"°`"` 15 1 PU9UC W
O}•7 Sr O DWE
M/PUBLN:WATER
mRI D) ';u t7 1 ISO'
i. FOUL 1DATIC d - TWO SEC_ RED x -------�•� r�UP.
FOR POURE D CONCIRETf�Dr____-„ -.I7-""==-'o ', a
2. ROUGH - F Ai:1:NG & PL Iv BING vim; ` i
3. INSULATION 1 s) GUTTER 13 ,- 7 '
4. FINAL - CO!STRUCTION MU TL Ia6 'DT.3 - I wLLI 2
��)) ty \ / B w30CCT��i 1 BE COMPLETEI I FOL C.O. M0N 2 20'v/, ry 20 V. 1 u
ALL CONS T RU TION SHALL N11 jjET THE S88'06'00-fi 5 A 195.81 \ EL I MDN. 501 1
REQUIREMENT OF THE CODES OF NEW W/�WATER 1
YORK STATE. NOT RES. ONSISI�E FOR 111 CONCRETE WASPRO OUT AREA 1
1 P ■ IN BED OF PROPOSED DRIVEWAY.
DESIGN OR C NSTRUCTION ERRORS. 1 PROPOSEDSTAGINGTAR�ENTRANCE1
ELEV.18 3 LOT 7
BROWN TYPICAL ORiwEll CROSS SECTIONIYP✓••••+
OL NOY LOAM I.3• (MIC PRECAST COYPONE4TS) SC•ttr,ucm,
_ uoma[I.Kac
BROWN
OAUY SAND 2 1
SM •-.A+tP..n.•c •o-•v- •Pm o.w
c"o•'v m a^"'tu no uKr�� nu a+Iao.
neo o�nn• �+o•n/•
PALE
BROWN ®O
MEDIUM ( CD 0 0 - nm.c°•OVip
SP SAND 13 b• \\\
-I
J wI4 B•
NO WATER COLtIR BACK TILL I UIK 10 BE ZONED R-40
1 7• CLC/N S•ND ANO r vEL
07-25-IS
THE WATER SUPPLY• WELLS DRYWELLS AND CESSPOOL
K WOYCHUR LS LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS
AREA:22,929.24 SQ.FT. or 0.53 ACRES ELEvAnoN DATuM: rravoes -------------
UNAUTHORIZED ALTERATION OR A00177ON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LA-IV COPIES OF TH15 SURVEY
MAP Nor BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHAT L Nor BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIRE COMPANY. GOVERNMENTAL AGENCY AND LENDING/NSnn/nON
LISTED HEREON, AND TO 714E ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE SMUCTURE5 ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT 714E PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCT7IRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON INC PREMISES AT THE TIME OF SURVEY
SURVEY OF LOT 6 CERTIFIED TO. SLIGO CONSTRUCTION CORP.,
MAP OF COREY CREEK ESTATES
FILED AUGUST 15, 1967 No.4923
SITUATED AT SAYVIEW
TOYIN OF SOUTHOLD KENNETH M WDYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY. NEW YORK Professlonal Land Surveying and Design
M/ Ora
P.O. Box 153 Aquebogue• New York 11931
PHONE(631)208-1588 FAX (691) 208-1500
FILE k 1$-1 19 SCALE 1"=30' DATE-JULY 25, 2015 N YS LISC NO 050682 tno ro.ora•07 Roeort 3 aonoo•n x Konnotb v nor.nnt<