The URL can be used to link to this page

Home My WebLink About37279-Z �gvfFUL TOWN OF SOUTHOLD BUILDING DEPARTMENT a TOWN CLERKS OFFICE oy • a� 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#: 37279 Date: 6/6/2012 Permission is hereby granted to: Donovan, Tara & Crawford, Robert 107 S 4th St Brooklyn, NY 11211 To: erect a Deer Fence along the side and & rear yard as applied for per Town Code Section 280-105(c) At premises located at: 40755 Route 25, Orient SCTM # 473889 Sec/Block/Lot# 15.-9-7 Pursuant to application dated 5/29/2012 and approved by the Building Inspector. To expire on 12/6/2013. Fees: ALTERATION OF ACCESSORY BUILDINGS $75.00 Total: $75.00 zz Building 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 So utholdTown.NorthFork.ne't PERMIT NO. - 37ot-Z9 Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 120 �n Single& Separate. Dv Storm-Water Assessment Form ntact: Approved �,20 �! MAY 2 9 2012 Mail to: Disapproved a/c BLDG.DEPT. TOWN OF SOUTHOLD Phone: Expiration b,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date IVY pm 2:3 , 20 12 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 cormenced within 12 months after the date of issuance or has not been completed within. 18 months frOrn'such date. If no zoning ainendments 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 demolitioWas erein described. The applicant agrees to comply with all applicable laws, ordinances, building code,housing code andtions, and to admit authorized inspectors on premises and in building for necessary inspections. (Signar of applicant or name, if a corporation) LOT S' 4�" S-i�re�� 'Br�mst, �`1 I12goi (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder i�I°Pltcan+ is bW11Gr Name of owner of premises LR.&WTbP_Q (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 done.: L+o-1 S5 MAIM M• o eiF-NT POIWT -- House Number Street Hamlet County Tax Map No. 1000 Section lrj Block 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 SIN(At,� YAM%L*-t lbW:LLINCI b. Intended use and occupancy S lWh L c 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work DEIYR- FEt4-efl- (Description) 4. Estimated Cost i to Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units y Number of dwelling units on each floor N N` If garage, number of cars �N IA- S, 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of exi ting structures, if ariy:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations r additions: Front N Lk Rear Depth N/R Height Pr Number of 8tories A 8. Dimensions of e tire new construction: Front . Rear Depth Vo Height N Number of Stores {V 9. Size of lot: Front 1`11.79 Rear 1713.7q Depth 400 10. Date of Purchase I Ils 12011Name of Former Owner KAejCji6 1 2fl I!Pry 11. Zone or use district in which premises are situated Q--4D 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 premisesQ . CaAwW b2o AddresgV1 S.4'149.13Awbyn1 Phone No. qb zs(o -5116 Name of Architect Address Phone No ?`dame of Contractor Address Phone No. 15 a. Is this within 100 feet of a tidal wetland or a freshwater wetland? *YES NO -7 property * 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. 18. Are there any covenants and restrictions with-respect to this property? * YES NO J * IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY OF_&t t.�) I`Osep-T C"Vifo" being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the dw�f(✓(Lr (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. B GUMILA T. ROSEBURG NOTA PUBLIC-STATE OF NEW YORK r/ NO.01R05071459 / Sworn to before me this o UALIFIED IN,QUEENS COUNTY 23 day of �1'A 20 /� ,MISSION EXPIRES JANUARY 13, 20�5 N ary Public 'gnature of Applicant SURVEY OF PROPERTY SITUATE: `ORIENT POINT � 3 TOWN: SOUTHOLD SUEEOLK COUNTY, NY w /A � E SURVEYED: NOVEMBER 11, 2011 SUFFOLK COUNTY TAX # S 1000 - 15 - a - 7 CERTIDFIIII3IID TO: TARA IIDONOVAN ROBERT D.CRAWFOR D II�)ELrrY NATIONAL TITLE INSURANCE cCObTANY OF NEW YORK .. LOT Ib -r •�• T4AP e�NDS evu PILED pIP`Y 3r Iq t3 Pa - 179.74' r few-�> 7DNE X LOT 15 ODILAPIDATED 9 Ft U- 4Q LL� Q Uf1LITY O� POLe O c� g STORY' a g m 60.9' Y . _JL FLOOD TONE LINE N LITI � r n O w POLE a CIL 2 N e-+DLAfl 1�. PAr€LS W ZDNE SHADED X ( x I I OUTS1 I I i SHDY✓02 SHED y ____703'_ p _________ Iq la3' I I Z O _ ry I I �POLII 6R 3.T '� 6A'• I 9 I iJ a e 1--'7q w Z TONE AE(EL 9) t I I �{ C,DA(L ftNe,,r- o-o�FT o�o I I L40� 180� I I P°� 1009•14ROAD ------------- 1 oV- NEB, 'uwtn«lma orzerotmn«aamuon to o su,..ey niPP i 9 a licenses ima surve ys Y-k St.l. seal is a�!. /C,c'Q A .,mmemn or eectmn'Islo„a.or the ole EArcatlon ,�. (S 'One capes from the-g-I or this sway I m«k a nlln an�'.k «g'no'or Lhe load suvey5�:,1;�t1, Qfib �. elo�ee seal soon ne conswerea to t»vml��rue ' NOTES: ,y�,ti..,,' 1 •eerNncouoee uwmotee hereon,lyury thal ws I-M n occ«nonce p the e d n 1sIt Gone of Pratt f«Lme Surveys aeoptee ■ 0 by the Nen T«k$tale Pssaclalbn or Professkniol Lona 5ak1 cerlVlcolmm still run onl MONUMENT FOUNDto t a, e°mmee C 4 lal oyer�ey ord of lh�-Nsntotlon Itslee hereon,me C�J� to the osegnees of the lenaln9 knlilutlon.Gertilko- FEMA FLOOD ZONES AS SHOWN ON tm,«e �sre w'e oe A—1— eta-FIRM 36103G0088 H DATED a-25-2011 SURVEYOR AREA = 71,656 S.F.or 1.6445 Acres ®� a��,,"l�g g�� LAND'� � 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC, SCALE 1 11 50' RIVERHEAD,N.Y. 11901 369-8288 Fad+ s7ers\John\Dropbox\08\08\08-122 updated 11-10-201 Lpro n-ro-