HomeMy WebLinkAbout42934-Z �Szrav,' r� TOWN OF SOUTHOLD
MIL4&y BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
oy SOUTHOLD, NY
0
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#: 42934 Date: 8/13/2018
Permission is hereby granted to:
Sariyiannis, Dimitrios
PO BOX 763
Greenport, NY 11944
To: erect a deer fence as applied for.
At premises located at:
3385 Manhanset Ave, Greenport
SCTM # 473889
Sec/Block/Lot#43.-2-3
Pursuant to application dated 8/3/2018 and approved by the Building Inspector.
To expire on 8/13/2019.
Fees:
DEER FENCE $75.00
Total: $75.00
Building Inspector
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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 0� Survey
Southoldtownny.gov PERMIT NO. L�� Check
- Septic Form '
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Txuss•Identification Form
Stone-Water Assessment Form
Contact:
Approved 3 ,20 S
Mail•to:
Disapproved a/c
Phone:_ 1- 077 2-(M
Expiration 20
ID (] Bugildin' Insp ector
��[J��
PXICATION FOR'BUILDING PERMIT
AUG ® �
2013
B�DIING DEPT INSTRUCTIONS
TOW
gar I
a. This app licatiM-VWM ompletely 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 rcquired. .
APPLICATION IS HEREBY MADE to thc,BuiidingDepartment 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.
e or ame ' a corporation)
(Mailing address of applicant) Y
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises .��.'��/ J A" &J I a�A 1 j 9 (a g
(As on the tax poll,or latest deed)
If applicant is a corporation;,signature of duly authorized officer
(Name and title'of corporate officet),•
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. ,
1. Location of land on which proposed work will be done:
Z� fqC �ytA�kAAMW7 aN� e�V_� ?off'
House Number Street Hamlet
County Tax Map No. 1000 Section 49 J 2 t q Block Lot A -3
v uv uia..ay.� -- •-Y
i
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy i s a 11,3`i Aj3 e !ate
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work a ^r )a-dq, i 6Mc'1=
(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, c mercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of e ' ting structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of samXsucture with alterations or additions: Front Rear
Depth Height Number of Stories
of entire new cons ction: Front ' s rk.
8. DimensionsRear � �� ��1 17etl:n,i.
Height umber of Stories': t t 1 d
' ear Depth
9. Size of lot: Front __ '
10. Date of Purchase Nam of Former Owner
11. Zone or use district in which premises are situat
12. Does proposed construction violate any zoning law, dinance or regulation? YES NO
13. Will lot be re-graded? YES No ' Will excess fill e 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 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 arid says that(s)he is the applicant
(Name of individual signing contract)above named, CONNIE D. BUNCH
Notart,f Public,State of New York
(S)He is the No.01 BU6185050
Contractor Agent, Corporate Officer, etc. ua n County
( g p ) Commission Expires April 14,2j=V
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 thi
day of 20/
Notary Pub is a scant