HomeMy WebLinkAbout36453-Z T TOWN OF SOUTHOLD
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BUILDING DEPARTMENT
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oy . SOUTHOLD, NY
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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#: 36453 Date: 6/7/2011
Permission is hereby granted to:
Fitzgerald, William & Fitzgerald, Julie
26 Halsted PI
Rye, NY 10580
To: construct a deer fence as applied for
At premises located at:
290 Red Fawn Rd, Southold
SCTM # 473889
Sec/Block/Lot# 79.-2-7.4
Pursuant to application dated 5/26/2011 and approved by the Building Inspector.
To expire on 6/6/2012.
Fees:
ALTERATION OF ACCESSORY BUILDINGS $75.00
Total: $75.00
Building Inspector
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT r, tat�tla�?tKs -� laC21a+r O' 0 Do you have or need the following;before applying?
TOWN HALL ,1;t:1leWx W,
wo,01k!111 t S j16 Board of Health
SOUTHOLD, NY 11.971 At)(M-A`"Mc*,ZlIjtr,0,W;A�.�piF 4 sets of Building Plans
TEL: (631) 765-1802 61 �14h +f1?..'," Planning Board approval
FAX: (631) 765-9502 v Survey
SoutholdTown.NorthFork.net PERMIT NO 3 6S. 3 Check
Septic Fonn
N.Y.S.D.E.C.
,1 Trustees
r_�O b��r I Flood Permit
Examined ,20� i W i Single&Separate
P
�yt Storm-Water Assessment Form
Contact:
Approved: 20 Mail to:
Disapproved a/c
Phone:
t,
Building Inspector
MAY 2 6 2011
APPLICATION FOR BUILDING PERMIT /�,^,BLDG.DEPT. Date � �-(.�/ , 20
TOWN OF SOUTHOLD
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 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 1.8 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 pennit 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 ap ca t or name, if a cor oration)
p 0- X 4l�a. Cu-AGGLoe N(Mailing address address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
CONTZA
Name of owner of premises rb
(As on the tak'roll or la est deed)
If app i ant is a corporate n, signature of duly authorized offs r 'ch V07AkIr'ij� -LAf\q,d Pu
(Name and title of corporate officer
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. i �/j f26VF"FAIT
1. Location QjJf land on which proposed work will be done:.
House Number Street Hamlet
County Tax Map No. 1000 Section Block Lot 7-
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 CD/? '� �/ l:/ —L,
J. Nature of work (check which.,applicable): New Building Addition Alt;aweration
Repair Removal Demolition Other Work 0: M F-61 LC Ngh
(Description)
4. Estimated Cost Fee p
�—(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
AAA6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. i i
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 rVr A Rear. . . Depth
Height Number of Stories
9. Size of lot: Front Rear Depth a 1(/yZ��
..10. Date of Purchase Name of Former Owner
0
11. Zone or use district in which premises are situated � e�' 6' ',
v
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"fl'ni lKJ .FOOEk UNN 5WT ddress PC. w0� d. :Phone No.Ell r�?✓����;?
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; tq'sca1'e,with;accurate foundation plan and distances to property lines:
1 . If elevation at any
point on property is at 10 feet or below, must provide topographical data on survey.
1SUI
8 ,Are there any covenants and'restrictions with respect to this property? * YES NO
* IF,YES, PROVIDE A..COPY.
STATE OF.N-EW YORK)--,
S
COON
being duly sworn, deposes and says that(s)he is the applicant
(Na of individual signing contract)above named.,
(S)He is the �L9'N f
(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.
Sworn o before me this .
day of V- 20// T.FU
1 8�8 4 Y k
otary Public aZQ; 0 �Iignaturelof Applicant
Young & Young
N 400 Ostrander Avenue, Riverhead, New York 11901
0� �\0� 631-727-2303
r b
�4`6 &•�Py Thomda C.,Wotpart,Howard ff. Projeeaional En Land gineer R���
o11 OY'f` Lai •46= Robert C. Task Architect jai PP
�of0g�idC Douglas N. Adams, Professional Engineer III;
W E � 6
�9 T ATION BUFFER �`�` NOTES [� t
p.5 AREA - 65,442 90.FT. q�
'\ Q1�L_O� LeB25'�` a SUBDIVISION MAP-"FORESTBROOK AT BAYVIEW"PILED IN
i' �' THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE 15,
P lsu. ,\ 2004 A5 PILE NO.film. Ps
Lot 4
OR
10,
/ xg I
SURVEYOR'S CERTIFICATION
a WE HEREBY CERTIFY TO J 0 H N L. HL'IRTADO,JR.
THAT THIS SURVEY WAS PREPAREL')IN ACCORDANCE WITH THE E �'
/ a ue,q '• ,en wQ, 3' CODE OF PRACTICE FOR LAND SURVEY5 ADOPTED BY THE
q NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND
SURVEYORS.
e�� r1 slag SI "!°v +a �•'• '_'�""na`,' ° II
i Oi. S AD.
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' Sly HOWARD H.YOUNG,N.Y.S.L.S.NO.458,19 ni�� r
gale '>
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SURVEY FOR o a
6� e�o s'Fsy� LOT L. HURTADOt JR. fill
RESTBROOK AT BAYVIEW .ee At Bayvlew, Town of Southold ���@ ;'yt
`�__�- Suffolk County;New York ref
5ANITARY MEASUREMENTS !v!: j County Tax Map oh�iml 1000 s..tlm 79 ewd 02 La �.4
9
A 8 FINAL SURVEY
> � . •�•�' A
.LPI 24 55'
tP2 52' 45' Q - :f FINAL SURVEY .tAN.IS,2009
o l,;
Z d FOUNDATION LOCATION 'JAY O9,2000
0 ,..'v�'• ADDED DRAINAGE DESIGN .M.Y IT,2001 �? -
AMENDED PROPdSED HOUSE APR.24,:1
MAP PREPARED MAR.2,2OOH `
. . . ' \ p1 i
d•rowv+r ear■.. M*M roams�.s1Ne!a �•erica rou,o SCALE, I.0OC Pec
ti, ON No. 1-0145OOT• �5 I<
• +, ` , f� DW6.2001�0148_0004_2008_022B_fe 6 � nx�
4.
Twin Fork Landscape Contracting
P.O. Box 460
Cutchogue NY, 11935
PH: (631) 734-6643
FX: (631) 734-8354
Email: twinforklc@optonline.net
To: Town of Southold Building Dept
From: William J Fabb, Twin Fork Landscape Contracting
RE: Fitzgerald Residence 290 Red Fawn Rd, Southold
TAX #: 1000-79-02-7.4
Date: 5/26/11
Attached provides you with a Building Permit Application for the
Fitzgerald Residence, located at 290 Red Fawn Rd, in Southold.
This permit is a request for a deer fence. We would like to obtain a
permit for approx 8501ft of fencing along the rear and sides of property
as marked on survey.
The fence utilized will be to code, the 8ft standard high-tensile woven
deer fencing .
It will be set in front of already existing fence at grade, not exceeding
the required 8ft. Posts will be 1&5/8 black pipe and positioned 20ft
apart, with fabric taught between piping. 1
`�A' ;i1e� wo
y n additional questions, lease do not hesitate to call
Should you have any a q , p
631-734-6643.
TOWN OF SOUTHOLD BUILDING DEPT
Authorization Letter
1, William Fitzgerald & Julie Fitzgerald residing at 290 RED FAWN
RD, Southold, do hereby authorize William J. Fabb of Twin Fork .
Landscape Contractinn, 8405 Cox Lane, PO BOX 460, Cutchogue,
NY 11935, to apply for permit(s) from the Town of Southold Building
Department on our behalf.
SIGNATURE OF AUTHORIZATION:
Willis &-Jcft Fitzgerald
PH:
PROPERTY.TAX MAP ID#: 1000-79-02-7.4.