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HomeMy WebLinkAbout37900-ZTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 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 #: 37900 Date: 4/1/2013 Permission is hereby granted to: Fadno, Anthony & Farino, Christine 18 Ron Ct Commack, NY 11725 To: Construction of a deer fence as applied for. At premises located at: 515 Gin Ln~ Southold SCTM # 473889 Sec/Block/Lot # 88.-4-5 Pursuant to application dated 3/19/2013 To expire on 4/1/2014. Fees: and approved by the Building Inspector. DEER FENCE $75.00 $75.00 Building Inspector TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net PERMIT NO. Examined Approved BI IlI2)ING PERMIT APPLICATION C11ECKLIST Do you have or need the following, before appl}ing? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form NY.S.D.E.C. [rustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Disapproved a/c ~[1[~ 1 ~ 'LICATION FOR BUILDING PERMIT ~¢'7~ , Date ~' INSTRUCTIONS · 2O a. This application MUST be completely filled in by typewriter or in ink and snbmitted to tile Building Inspector x~ith 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. Tile work covered by Ibis application may not be commenced befi~re issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issne a Bnilding Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughoul the xxork. e. No building shall be occupied or used in whole or in part Jbr any purpose xxhat 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 I $ months from such date. If no zoning amendments or other regulatious 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 montbs. Thereafter, a new' permit shall be required. APPLICATION IS HEREBY MADE to tile Building Department for the issuance ora Building Permit pursuant to the Building Zone Ordinance of the Town of Southold. Suffolk Count), New York. and other applicable Laws. Ordiuances 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 laxxs, ordinances, bnilding code. housing code· and regulations, and to admit authorized inspectors oll premises and in building for necessary inspections. {Signature of applicant or name, ifa corporation) ( Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plutnber or builder /N/Nameofownerofpremises,//m~4OteV-~'~-~C;HA) -~ /!"/L//,~-q4t~%/d ,~/~,.~/~d_-fl / (As o~n thc tax roll i/r latest decd) If applicant is a corporation, signature of dub authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Loc~ion of land on which proposed ~,or~ will be done: House Number Street Hamlet County Tax Map No. 1000 Sectioo '- Block ' Lot 2> Subdivision Filed Map No. State existing use and occupancy of premises and inlended use and occupancy of proposed construction: a. Existing use and occupancy 9( b. Intended use and occupancy 3. Nature of ~vork (check which applicable): New' Building Repair Removal Demolition 4. Estimated Cost 5. if dwelling, number of dwelling units_ If garage, number of cars Addition Other Work Alterati.___on "- ( D e scriptio n'5-'""' (To be paid on filing this application) Ntmlbcr of dwelling anits on each floor 6. If business, commercial or mixed occupancy, specit5 nature and extent of each type of use. 7. Dimensions ofextstllq{Z,, structures, if any: Front Rear Height ,,, Number of Stories Dimensions of same strOxcture with alterations Depth ~' Height_ 8. Dimensions of entire new construction: Front Real' Height 10. 11. 12. or additions: Front Number of Stories Number of Stories .Depth Rear .Depth Size of lot: Front Rear Depth Date of Purchase Name of ~'ornler Owner Zone or use district in which premises ar~ situated 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. N ames of Owner of premises Name of Arcbitect Name of Contractor Address Phone No. Address Pbone No Addrcss Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fl'eshwater wetland'? * YES · 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. NO 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 dui) sworn, deposes and sa2s that (s)be is the applicant (Name of individual signing contract) above uamed, CONNIE D. BUNCH NotaP~ Public, State of New Ycrk No. 01 BU6185050 (S)He is the ©,,,~;f!e~ in ~uff~lk ~mtv . , (Contractor. Agent, Corporate Ot'ticer, etc.) Oornmissio~ Expires Apil of said owner or owners, and is duly authorized to pertbrm 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 bis knowledge and belief; and that the work will be performed in the manner set forth in tile application filed therewith. Sx3,'Ol'[l to before me this l'~ 105.'~-'~ day of ¢'(Xx,~%Q~ 20 Notary Public �SUFFn��o TOWN OF SOUTHOLD BUILDING DEPARTMENT CMTOWN CLERK'S OFFICE oy . 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#: 37900 Date: 4/1/2013 Permission is hereby granted to: Farino, Anthony & Farino, Christine 18 Ron Ct Commack, NY 11725 To: Construction of a deer fence as applied for. At premises located at: 515 Gin Ln, Southold SCTM #473889 Sec/Block/Lot# 88.4-5 Pursuant to application dated 3/19/2013 and approved by the Building Inspector. To expire on 4/1/2014. Fees: DEER FENCE $75.00 07, $75.00 Building Inspector I TO',' OFSOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUI ING 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.NorthFo rk.net PERMIT NO. G Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 3 Single&Separate Storm-Water Assessment Form pp Contact: Approved I 20 Mail to: Disapproved a/c Phon -- S — Expiration D 2013 din InspectorButg MAR 19 A PLICATION FOR BUILDING PERMIT BLOG.UPI. Date , 20 To�n,�OF SOIIHGLD 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 4—eA ON V 66�� 6 (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: 4 7��D 1 House Number Street Hamlet County Tax Map No. 1000 Section � � 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 '0 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work j2p g,n (Descripti(5n) 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, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of exists structures, if any: Front Rear Depth Height Number of Stories Dimensions of same Strcture with alterations or additions.: Front Rear Depth Height Number of Stories,; 8. Dimensions of entire new cons ruction: Front Rear Depth Height \Number of Stories 9. Size of lot: Front 4` Rear Depth 10. Date of Purchase \ ame of Former Owner 11. Zone or use district in which premises a1r situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Wih 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 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 and says that(s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New York (S)He is the allo.01BU6185050 (Contractor, Agent, Corporate Officer, etc.) Cornmission Expires April 14,2_ 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 Gt. day of 20 �3 I kA Notary Public nature of Applicant !v 05/01/2012 yM 36 6319291426 H TRANCHON SURVEYOR PAGE 01 LOT AREA = AM SO. FT- MAIN BAyMEW ROAD 0 O LOT NUMBER 21 S 5705150"E 125.000 FC FC 0.1'E *'k° fanoe0.4T ospAoll Whw O C4 N � 30.4 eV gar m vnakr �v w4 W-ft �i w 8. 1 STY a4 xss e� Y z o : � anal .�.a. O 91 owm ma, dwck no C'J I 1oaaidagm o M ea z a. 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