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Home My WebLink About42409-Z �a4�SUFFnt,r�vTOWN OF SOUTHOLD �y BUILDING DEPARTMENT y' =_ 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#: 42409 Date: 2/23/2018 Permission is hereby granted to: Mark, Martin & Jendresky, Linda 1638 Park Ave New Hyde Park, NY 11040 To: construct a deer fence as,applied for. At premises located at: 2940 The Long Way, East Marion SCTM #473889 Sec/Block/Lot# 30.-2-115 Pursuant to application dated 2/20/2018 and approved by the Building Inspector. To expire on 2/23/2019. 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 Southoldtownny.gov PERMIT NO. ® e Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved ,20 Mail to: $A� Disapproved a/c hone: Expiration ,20� 0Z Il n DBuilding Inspector FEB 2 0 2018 PPLICATION FOR BUILDING PERMIT J31<J11—D-J i r.;.DRE; T'' Date , 20 � �` INSTRUCTIONS TOWN OF SOIJ'THOLD 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 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) APPROVED AS NOTED DATE �k�B.P.9 � (Mailing address of applicant) FEE:,o B'{r Stfa ifevl�diLa�pplic'ant i &`�5rie�r,l'assee, agent, architect, engineer, general contractor, electrician,plumber or builder 765-1802 8 AM TO 4 PM FOR THE F-OLLOWING I SF EU i UNS: Na'fti F0' %TION f TWO sEQUIRMM°`�,1� UH6 G��u �I , Q (As on the tax roll or latest deed) 2. ROUGH FRAMING a PLUMBING If pp}�airgTiI&q corporation, signature of duly authorized officer _ s';; r��`tl 4. FINAL CONSTRUCTION MUST BE(NWrl%F d-title 6fxorporate officer) rd m� � r°` -'� ;; ` �U=OF BU!Raeglff fig6l c31 SHALL MEET THE Plu%&J§Ft'fe�n§eg1dHE CODES OF 6 _ �� ;,;;t,._.� li', ;7 .; Elp Tlei,Is" �? R (�'ulTIOerr II'"BOARD SIBLE For rra s icense o. ��_��_, Yw r.:._J �,, , , . , , •;L,r,� 1. Location of land on whichp oposed w,or}�will be done: — - em 1-i ke AJ House Number Street Hamlet ) County Tax Map No. 1000 Section 30 Block ,� Lot Subdivision Filed Map No. Lot 2. St7a. �xisting sting use and occupancy of premises and intended use and occupancy o proposed construction: use and occupancy C �t b. Intended use and occupancy 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 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: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear- Depth Height Number of Stories. -" s 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories ,' s 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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 Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 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 OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, CONNIE p BUNCH (S)He is the Notary Public,1BU61850550 York (Contractor,Agent, Corporate Officer, etc.) Qualified in Suff oun ty Commission Expires April 14,2CId U 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 Q,`01 day of 0 20 Notary Public §ignature of Applicant SURVEYED-FOR:- Za//.f" ,JUTE oco � - LOCATED AT LOT SS MAP OF �fi# 6Z�jef514, &1i1/Q7rSG✓�'OG/EO rte//T -`!9� 00 SCALE 1"- 5'e- W0 G le Ca . 7,,-4X 1V7.4.d .f/,O . /0 OO - 30 - 21 // S Z7,0- CD 7,CC ® < ; A10L 7-.S'V/44(e-, Al->'G�l m v s 7Z-z E ,Jo- �ZZS 78/4CD , a U �� 1- ^ SUMLK 00UNTY REAL F D '�lRTl ; ca "* CA (, Qt p! a n«► �[ The a$e di.spoaal and ��Er supply �j"S8 0 + Q: have been it CD = o, r t� n, 't �l f�9taiiiti � +' ( � 8 ►�v^ �► \ e = Q l�, , ` V 0 inspected by this department and found 'Q `D �• �9, s h� to be satisfasta �j E• � Q nt��-_' a cD �� 3 F o CD $ ObiservicaS ef off' G neral EngineeringCL cry �v �tb— 3 d --h'� V 4wrs rsr/yp- x :51777' � 172-5- 17- SUFFOLK _6 3o.Pl,JG - t4 ` ry T NiM�3 aT �F } HEALTH SERVICE s ` / APPROVAL OF CONSTRUCT100 ONLY � LOQXI wis 'REr No--------- �v�.�,Q•�r,��.� SURVEYED BY es WILLIAM R_ SPA 40NS III 1W WOODLAND ST. 1 EAST ISLIP, L. I., N. 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