The URL can be used to link to this page

Home My WebLink About42872-Z O�gvFFBI,��p TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERK'S OFFICE 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#: 42872 Date: 7/18/2018 Permission is hereby granted to: Quattrucci, David &Albanese, Gina 223 W 77th St Apt 15C New York, NY 100246875 To: construct additional deer fence as applied for. At premises located at: 1520 Bray Ave, Laurel SCTM # 473889 Sec/Block/Lot# 126.-7-27 Pursuant to application dated 7/10/2018 and approved by the Building Inspector. To expire on 1/18/2020. Fees: DEER FENCE $75.00 Total: $75.00 Bui i ector 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 Suryey Southoldtawnny.gov PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O Application Flood Permit Examined a 20 Single&Separate Truss Identification Form Storm-Water Assessment Form Contact: Approved � _,20 Mail to: Disapproved a/c Phone: Expiration_', 20 Ju . ctor APPLICATION FOR BUILDING PERMIT J U L 1 0 2018 Date 20J_&_ INSTRUCTIONS BUMD] a pplication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 ,r®WN O�s`�o ins acclrrate plot plan to scale.Fee according to schedule. bowing 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) l s a 0 Aye -)�k 4 P� (Mailing a dress of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises Nvi lMr R V(r( (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. 1. Location of land on which proposed work will be do9_%/TZ e �� ` v S o ra �r `' House Number Street Hamlet County Tax Map No. 1000 Section v1-� Block 77 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 occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work e T '�j5 t js 4. Estimated Cost Fee (Description) (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 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories g 9. Size of lot:Front S Rear S-0 Depth 10.Date of Purchase 0 7 Name of Former Owner N1( t il,J d-, 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��"YYlry%'Ct Address phone No. 337 a 06 2337 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) COUN V 1� Uh iLVCAA being duly sworn,deposes and says that(s)he is the applicant (Nam individual signing contract)above named, (S)He is the (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. S%mo fore me this day o 20 - LAIv 1p API K Signature ofApplican NOTARY PUBLIC OF NEW JERSEY My Commission Expires 911612019 08/18/2017 11:41AN FAIL 6317E7-1208 FIDELITY 9 0002/0002 05/28/2019 12:42 6917347702 D swm DclY Fm PME 02 �-w ta 9FFttpK OAtr:Of AtP�FN7t2tX��7tC.'WgtltOP YOPClUhO[La+p�}�• �ANV +lik1818A9MA?► .BCF sIT aTt:s LAUM . w u•t�yy 5 LIC CUUNTYY-NY s �UR�rt<C Qs-I G��ppi b ' �iK CaUN1YtA�� '' CoRmp D Tat XAM DICRJ q�► ammo Tw 7R�T9um "!.$om(ma.,LLC r{iU 811FiC:V.& ' t ra I ,rr w el' � I dA 6Le n�&I"n 611. 164— RETAIN STORM WATER IUNOFF PURSUANT TO CHAPTE 236 AP OVED AS NOTED OF THE TOWN CODE. r .DATE- 7119 hqB.P.i'—l' 2kl2, FEE:�' BY: NOTIFY• BUILDING DEPART AT r ti 765-1802 '.8 A 0 4 PM FOR'THE d Loxm „ RLNUMN - TWO REQUIRED JOHN C. EFiLEAS LwD.,6UgVEYOK �,►.o.vsxF POUR Q: CRETE a, ;PLY WITWAtt"M S OF CODES AS REQUIRED AND CONDITIONS`OF 4. FINAL;;- CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET,THE _ s01ITI Iftl n mih►�i aiinuwir aOARD REQUIREMENTS OF THE CODES OF NEW - i YORK STATE. NOT RESPONSIBLE FOR �ovuln@t6 WIT j DESIGN-M•'Z0d GTiON''�I bRS..,�� ..; ...:.