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HomeMy WebLinkAbout42903-Z S�FFotK TOWN 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#: 42903 Date: 7/30/2018 Permission is hereby granted to: Sharples, William 77 White St Apt 3 New York, NY 10013 To: construct deer fence as applied for. At premises located at: 31545 Old Main Rd., Orient SCTM # 473889 Sec/Block/Lot# 14.-2-3.4 Pursuant to application dated 7/23/2018 and approved by the Building Inspector. To expire on 1/30/2020. Fees: DEER FENCE $75.00 Total: $75.00 B ' in pector 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 Plate Board approval FAX: (631)765-9502J� Survey Southoldtownny.gov PERMIT NO. vz _2�_ Check Septic Form N.Y.S.D.E.C. Trustees C_0_Application LM DFlood Permit Examined 20 v Single&Separate DD Truss Identification Form J U L 2 3 2018 Storm-Water Assessment Form contact Approved CJU 20 $jJjg,DIN0 DEPT. Mail to: Y/�J} /AE Disapproved a/c Tcffr%W I-�� - 1 OLD Phone: Expiration ® 20 Inspector APPLICATION FOR BUILDING PERMIT Date �Ly oZ3 120/61/" INSTRUCTIONS 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 ys- 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 auffionzed 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) (Mailing address of applicant) 119V State whether applicant is owner,lessee, agent, architect,engineer, general contractor, electrician,plumber or builder Cif/ EG Name of owner of premises 4Z-I" 19,0 rew&w (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 he bone: D1-v l /�/ Rb 00/zf&,v`7_ House Number Street Hamlet County Tax Map No. 1000 Section Block OZ 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 �S/ GLS `A /L y �22F,S/�CIt� AG b. Intended use and occupancy /p C#AA14X' 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work DEER j!�1VCI11/G 4. Estimated Cost Fee 7131� (Description) (To be paid on filing this application) If dwelling,number of dwelling units 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. '9N\ 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 Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9� Size of lot:Front Rear Depth 1 .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 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 BF,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. there 18. Are ere any covenants and restrictions with respect to this property? * YES NO y * IF YES,PROVIDE A COPY, STATE OF NEW YORK) ,`Dc- LSS: COUNTY OFSAo-j ISI 1 d o— �—e C_" being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the (Contractk,Agen 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 day of 20j8_ ' �J TRACEY L. DWYER BLIC,STATE OF NE Notary Pub i NO.01DW630690o gignature of Applicant QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,200, LOT N1460S®Rim TO'YAP Cr PCTr,$EXHr FXM N In affuU:cowr aERx's amcr N °N JAM.M•1978 AS FNE Na 5979 SURVEY OF PROPERTY AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-14-02--9.4 SCALL'I'— 90' s8P7EY8ER 15 1014 (� P/b LOT qYRAAOKEW ESrAJE5'faa IN TW SWFOK CO Nfi"WT OFRrF I CW&W a 1982• AS Rt 6 Na 7ma \ IO Ngggp'00'E 85,00 EPA ¢�tnl�lc \.. HISS' � IAT 13 FFL FRAFSE f __ /� COTTAGE cc NOTE ISMO NGS 1N DMS PAW g4 ' FTE �— N �g / OTILPaiE ' o •R.Ogq Al a p,2 + a GAS PUMPS LpT 14 OTS �'Tf 01 �+ L Ir O CONG riaERS ' L 'rp t1"e . R OMPLY WIT F 'A ODES OF NEW YORK STAJf—_& T CODES AS REQUIRED AI ,§OND 4 S OF In i POL AR R NED AS NOTED `ra•'�Ji. POLE° DATE: FEE: - D BY: NOTIFY BUILDING DEPAR T AT 1"02 .8 AM TO 4 PM FOR THE �L'LOWING INSPECTIONS: 4--FOUNDATION -f�, OREQUIRED FOR POUREDtCRETE WMLLALCOREN SHARF ES d am\ q2. ROUGH -'FRAMING & PLUMBING STEWART TITLE 1N CE COMPANY , 3. INSULATION TRW REPUBLIC SAM 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. AREA= 99+966 SO. FT. AL CONSTRUCTION SHALL MEET THE cR P_295 ACRES n �D �aSs REQ EMENTS OF THE CODES OF NEW YORK S TE. W ANv ALTFRAacw Oe AOA'a0ll Ta Tws sar�r u A ma,uxN I r L 89618 SEOROV F1090P T1C NEW Tear srarE m°aaar uW �We! n DESIGN 0 M NOT C `CONST 797 12jo TRAVELER rsou7xoLa xr. 14-100 RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE.