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Home My WebLink About37798-Z L � TOWN OF SOUTHOLD �gOFfoiR BUILDING DEPARTMENT y 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#: 37798 Date: 2/11/2013 Permission is hereby granted to: Pizzolla, Danny 33-35 161 St Flushing, NY 11358 To: DEER FENCE AS PER CODE At premises located at: 4795 Vanston Rd,.Cutchogue SCTM # 473889 Sec/Block/Lot# 111.-14-5.4 Pursuant to application dated 2/8/2013 and approved by the Building Inspector. To expire on 8/13/2014. Fees: DEER FENCE $75.00 Total: $75.00 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 °3-7 79 Survey SoutholdTown.NorthFork.net PER R EC� E � IIE N.t°s° to ennit Examined .�Cl l�20� to Water Assessment Form FEB - GV lf�Con t: Approved 20_0 Mail t Disapproved a/c BLDG. DEPT. TOWN OF SOUTHOLD Phone Expiration 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date I 31 20 'J7 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 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 re tions,and dmit authorized inspectors on premises and in building for necessary inspections. I�Iignature of applicant or name,if a corporation) 33-3 5 161 s i7ze-t `luilUktj ivy. l�3sg (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder Name of owner of premises 6amy /Z Z (Ag 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. L �Location of land on whic propose ork willA� Nuu ne: � i o � J`(l�J 5- House mber Street //°°�` , Hamlet L'1.� County Tax Map No.1000 Section Blo Gck A7 Lot (,401,0 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended u e and occupancy of proposed construction: a. Existing use and occupancy DO_ti, _f U441 O b. Intended use and occupancy, 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work - _V)Z L q j (Des tio ) ` 4. Estimated Cost Fee ?5 t 00 (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. Dimensio of exis' g structures,if any:Front Rear � Depth ?Z�16 Height 10 Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories �y q, dimensions of entire new construction:Front Rear Depth Height Number of Stories 9. Size of lot:Front a gg RearDe/pth 10.Date of Purchase 0 o, 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 DdM I ddress W 9s V0 ON (Phone No. 57G U 3�a y j S 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 Y *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 swom,deposes and says that(s)he is the applicant (Name of ind' idual signiing cco,nt Nabboov'e named, " (S)He is the 6', , la' (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. Sw m tQbefore me this day f 20a OMAS J.AftftNapomos Signature of Applicant Notary Public,State of New Yo* No.01 AN6006759 Qualified in Queens County Commission Expires May 4,20 SURVEY OF PROPERTY SUFFOLK COUNTY TAX MAP DISTRICT 1000 SECTION 111 c� ®LOCK I T"LOT ii A Y Fn AT CUTCHOGUE 7 w TOWN OF SOUTHHOLD SUFFOLK CO. N.Y. l`C� O � �o ` o 2 STORY _.. VINYL \ RESIDENCE c_` 4795 o \ 33.45 o 1 gyp, � 7.75 28.3 35 BIO.CK 2�(1 \ FRAME V A ssED O a N° � o O • _t!r;"icy . .00 00 GUAR TO:APS 123380 APPELLATE LAND SERVICE STEWART TITLE INSURANCE COMPANY PETER J. BRENNAN JR. WELLS FARGO gANKyNA;tSAOA, ATIMA LAND�StJRVEYQR:N.Y LCC 50679 DANNY PIZZOLLA PO BOX 229 SE.LDEN€N Y,11784 �k (631)69'i 1 9. _ 4, SURVEYED JUNE 14, 2012 SCTM 1000-111-14-5.4