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Home My WebLink About42904-Z 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#: 42904 Date: 7/30/2018 Permission is hereby granted to: Norman-King, Marylou 73 Primrose Ave Floral Park, NY 11001 To: construct deer fence as applied. At premises located at: 2265 Mill Rd.,Peconic SCTM # 473889 Sec/Block/Lot# 67.-7-5.1 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 AX '� u' 1 g 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. Check Septic Form NYSDEC Trustees C O Application Flood Permit Examined 2 Single&Separate Truss Identification Form y v� D Storm-Water Assessment Form JUL 2 3 2018 Contact: Approved 20 1� Mail toma �i Disapproved a/c (i N BUH,DIN(T�F. i Phone. -aa 4 Expiration 0 � C n ` j Building I c JUL, O oft ( APPLICATION FOR BUILDING PERMIT ) Date ,20 B G INSTRUCTIONS Be ST be completely filled in by typewriter or in mk and submitted to the Building Inspector with 4 �0 ets p aaccurate 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 pemut shall be kept on the prermses 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, d regulations,and to admit authorized inspectors on premises and m building for necessary rnspectio mm ov- )C/ (Signature of applicant or name,if a corporation) 75 /n rose A Ra-OP&rX NJ 11001 (Mailing address of applicant) Stake whet h rap licant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises to(1 / (As on the tax roll or latest deed)tj 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. Loc�ati of arld p1 yv ich�ropCo�sec�work will be done: House Number Street �Hamlet County Tax Map No. 1000 Sectiong73p q 099 Block (p I T / 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 Additionterat}''��i� Repair Removal Demolition Other Work�l (Description) 4. Estimated Cost �D 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 8. Dimensions of entire new construction:Front Rear Depth 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 premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO V 13.Will lot be re-graded?YES_NO Will excess fill be removed from premises?YES NO � 14.Names of Owner of premise Dov NoinP'4A Address Ptrinn rho Phone No S1 :521-22Y9 Name of Architect Address r-M, Phone No Name of Contractor b r dress C o._631 7 b 57::56 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO to *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 a/ *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� MCI C1 A bu K I Oct being duly swom,deposes and says that(s)he is the applicant (Name_ofjhdividual signing contr ct)above named, (S)He is the (Contractor,Agent,Corporate Officer,etc. UFANO Notary Public—State of New York NO.01TU6000052 of said owner or owners,and is duly authorized to perform or have performed the said workjanidthat d files u Cougty that all statements contained m this application are true to the best of his knowledge and belwork"w y e s10n�sJan 29.2022 performed m the manner set forth in the application filed therewith. Sworn t efore me this ay ofZTV 20� Notaryubli Zsi a reofApplicant cot s ° I ;5�' -i;; - J -AP VED AS NOTED , > DATE: "J' B.P.# L Q .0- - - - sa• - o FEE: Jam• / BY: NOTIFY BUIL NG DEPARTMENT AT .- N� T N J 765-1802 8 AM TO 4 PM FOR THE 9 '" ''"` -- FOLLOWING INSPECTIONS: zoo.o I. FOUNDATION TWO REQUIRED deer _ FOR POURED CONCRETE ��er�_ to�- -z �" 2. ROUGH - FRAMING & PLUMBING 3. IN r SULATION _. 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW �uRv� rF n cn�z YORK'STATE: NOT RESPONSIBLE FCR J E.�r ;, . DESIGN OR CONSTRUCT M I��c.-;��f,,�,3• ION ERRORS COMPLY WITH ALL CODES OF c,s- -,, NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF 'u Fn�,v,, � s t• pickst urtftj .ipYk� IgH)494ee�►114RD SOUTH moi, RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. C. Mohr Landscaping, Inc. CONTRACT PO Box 48 Cutchogue,NY 11935 Date CONTRACT# 6/28/2018 2404 Name/Address Phone# 631-765-4617 Larry King Fax# 631-765-9026 73 Primrose Ave Floral Park,NY 11001 E-mail chrismohrenterprise@yahoo.com Web Site �x,"tiv.chrismohrlandscaping-masonry.com Customer Phone 1-718-640-8149 „ Description ,., Qty Rate Tofal, Supply and install approx. 130'of 8'high deer fencing 1 2,750.00 2,750.00 Poles will be installed 3'deep Galvanized welded wire will be installed at 8' Final measurement will be confirmed off of survey ..... .�....-S._.....YL•.....�:5• h.a:3'�✓...,_,.....,.....r.:.-...»..- w_—........... ...r.w. Estimated clearing to run fence 1 750.00 750.00» All work to be done by hand *Project will:need'a p'ermit;:from.the town(cost.is r $75.004150.00) ` v :, ***Please give Chris:Mohi,siirvey. _.._..__- _____,_._.._ Deposit requiredE,$50000,` 7• ' '_. _; M - _ 'Mat )0000." $alance,due upon'completion Subtotal $3,500.00 Oceasionally'due to,storen-conditionsWtlierePwilla'e�a,need.to clean,the Sales Tax (8.625%) $o.00 ?lawns gff'of'debris.(brancl es;';sticks.etc. -before tt e;crew can catathe #Iavi,n.:This`will b "'bject to a,serviee cliarge pl'u`s.a';dump.- ee: . ,. r. ,r Total $ 3,500.00