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Home My WebLink About37894-Z o�gUFFa��,co TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT 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#: 37894 Date: 3/29/2013 Permission is hereby granted to: Nick, William & Nick, Tara 75 Lincoln St Garden City, NY 11530 To: construct a deer fence to code as applied for. At premises located at: 500 Maple Ln, Southold SCTM #473889 Sec/Block/Lot# 64.-1-20 Pursuant to application dated 3/27/2013 and approved by the Building Inspector. To expire on 9/29/2014. Fees: DEER FENCE $75.00 Total: $75.00 Building Inspector TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPART,IENT 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 SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined Single& Separate Storm-Water Assessment Form / Contact: Approved "Q 2Q'O Mail to: Disapproved a/c 2 / APhon �� Expiration ,2Q�� i ^1 E C Building Inspector MAR 1 4 2013 PPLICATION FOR BUILDING PERMIT Date , 20 BLDG.DEPT. INSTRUCTIONS _ TOWN OF SOUTHOLD 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.fo • 1 or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildh code, house g code, and regul ions, and to admit authorized inspectors on premises and in building for necessary inspe tions. ignature of app icant or name, if a corporation) -75 Lsico)�j 6� a�q nj( o (2 4 A- (Mailing address of applicant) 11 �� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �\A) Vl� Name of owner of premises l� 0 "Q 0A (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 whic i proposed work will be done: J l 5o O House Number Street Hamlet County P Tax Ma No. 1000 Section Block Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and inten ed use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy f' �� C✓ L' . I ► 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work C•a) C 0 d scriptio 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 _1,1 A5( 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front j\) G 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 jJ /GL Rear Depth Height Number of Stories 9. Size of lot: Front Re r Depth �(rIO� pUrG 10. Date of Purchase NOUC'+^� r aOO�Name of Former Owner �� 11. Zone or use district in which premises are situated 5040 12. Does proposed construction violate any zoning law, ordinance or regulation? YES—NO 13. Will lot be re-graded? YES NOXWill excess till be removed from premises? YES NO 14. Names of Owner of premises Wt��t�� 1(JJ'A IVlC ,ddress 5�� M'gP1�W— Phone No L-) 3a-6`01 7� 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 x 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 NOX IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D.BUNCH (S)He is the Notary Public,State of Now York, . (Contractor, Agent, Corporate Officer, etc.) Qualified in Suffolk Courlj Commission F_xpira'April l-, "? 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 this �.,G� day of Ck -20j Notary Public Signature of Appli ant i 10/06/2006 00:27 FAX 'boo: FAX Q100 7 '` y Rp Ap •25 } Y.S. w � N to XX '� ,63.03' 0." CR RR S OH - 4 - SURVEY OF ot� wa P I W y a 73 PROPER T Y I A T SOUTHOL D t r �^ w h TOWN OF SOUTHOLD t 30,Qd• i ? } SUFFOLK COUNTY, N. Y. 72' t� a __-- a 1OOp-- 64 - 01-2p S��cale.. 1��= 3O` Jan 11,� 1995 � t.r A J I are o J e. 2 p h s 1 O � �� Pb 9°f_'� ILIA F 13 o, r 261.84' �� •t ` CERTOWD TOe i qgo) DOUGLAS ROSE, .!R _ AMY C. RDSE Ga�vy�N a4 p //► ` HOME SA YMS OF AMERICA '.a;s w•� U/ MOB ANrHONr 44 cdvcorTA rZ• CONGRESSIONAL ABSTRACT CO.11VC .t:gar ps D _ MrY AL 7FJPA 7W OW ADLrTlOAf TO law^sY14VEY t5 A VkILATTpNSEC •'•r. f • ` omzrT M Ads ?209q� THE AEw YO K STATE EDLr_A r4N LA W. # sE�+TIpK rZO-9 y-SU ►SON 2.AU CER77 ICAO "6 .-S. L1G NO- 49618 SAID O VALD FOR TM MAI'AND COPES r EMEW Qtk.Y#r 2 n �ssm SEAL LK »E sc+4vE1ouc ECO Oqs- P-c- AREA r 31,486 sq.ff. Aal'r""Uy To cOr ;u,�tr IMM SAD LAW 7W MW Byl r5l6� rs5 - 20 WST 06 USED By ANY AN0 ALL SMVFYVAS LIM W A COPr P O. BOX 909 OF AA07it"sy?wn -s w e. rEWS A,0i AS Aw mr MAN ROAD tgrr-ro-cu>v u �''nr N`�y�y y r�r SOOTHOLD, N.Y. 11971