Loading...
HomeMy WebLinkAboutChrist, Keri - 22715 Route 25 0I our Unig4ey Mariella Ostroski,Chairperson `�y�� �fQ Town Hall Annex Anne Surchin Vice Chair 2 nwnof 54375 Route 25 Joseph McCarthy LIM=NUUTHHOLD 0 PO Box 1179 i•:f1 Fabiola Santana x � �;n o Southold,NY 11971 Allan Wexler Io ` IND �, Telephone: (631)765-1802 Kim E.Fuentes,Coordinator 9%,A�Go�� email:kimf@southoldtownny.gov RFSERVATI�N southoldhpc@southoldtowmy..gov Town of Southold Historic Preservation Commission August 26,2021 RESOLUTION #08.26.21.1 Certificate of Appropriateness RE: 22715 NYS Route 25, Orient,NY, SCTM# 1000-18-2-21 Owner: Keri Christ RESOLUTION: WHEREAS, 22715 NYS Route 25, Orient,NY is on the Town of Southold Registry of Historic Landmarks, and WHEREAS, as set forth in Section 56-7(b)of the Town Law(Landmarks Preservation Code) of the Town of Southold, all proposals for material change/alteration must be reviewed and granted a Certificate of Appropriateness by the Southold Town Historic Preservation Commission prior to the issuance of a Building Permit, and, WHEREAS, the applicant submitted a proposal of alterations to the existing single-family dwelling. WHEREAS, the scope of work includes the installation of new windows, and, WHEREAS, public hearings were held on July 15,2021 and August 26,2021,where the applicant submitted final drawings of the scope of work and outlined the project for the commission,and NOW THEREFORE BE IT RESOLVED,that the Southold Town Historic Preservation Commission determines that the proposed work detailed in the above referenced application meets the criteria for approval under Section 170-8 (A)of the Southold Town Code and, BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of Appropriateness. r Page 2 Historic Preservation Commission Christ,Keri MOVER: Commissioner McCarthy SECONDER: Commissioner Surchin AYES: Ostroski, Surchin,McCarthy, Santana, and Wexler RESULT: Passed Please note that any deviation from the approved plans referenced above may require further review from the commission. Signed: Kim E.Fuentes,Application Coordinator for the Historic Preservation Commission Date: August 30,2021 TOWN OF SOUTHOLD HISTORIC PRESERVATION COMMISSION APPLICATION OWNERS NAME L It- C S DATE ! i ADDRESS 22 � Jr /-�'► /� ,6L► ADDRESS, t �� �Nto D ROPERTY r OWNERS REPR.ESENTATiVE_,_- /n _ PHONE'. L'l -l o b E-MAf LL� r i�-G4T t. � TAX MAP N01-0-1860,W026 t7E.ACQUIRED STATUS: _LOCAL LAND RK IN LANDMARK D)ST_R1CT NATIONAL HISTQRIC'REGISTER,, PROPERTY ZONE a EXISTING USE� �O., �I�' PROPOSED USE ��1 PRQPOSED.WORK:_ _ REPAIR�., ADDITION RENOVATION, NEW WINDOW NEW DOORS REPLACE SIDING REPLACE ROOFING NEW FENCE NEW SIGN': APPROVALS REQUIRE©: ZBA_ TOWN TRUSTEES PLANNING BOARD SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CONSTRUCTION SCHEDULE G(fd St �re tea , 1 understand-and agree that no work on this request shall commence until written approval U, has been given by,the Building Department if a Building Permit is required. C!- If no permit is required(such as replacing fagade materials or new fence), written approval aq must be received from the His ric Preservation Commission. 1� � 1 OWNERS SIGNATURE -1 i S Lz,A"—W-- I (-"o - -_-- _ _--- z - -- LULL Ll _-__-`-------- --- ------------ 7 L -J Coui4 "Lk AREAOFPROPOSED WEST ELEVATION RYALL PORTER SHER 45 WEST 21st STRE NEW YORK, NEV PORCH O-G HEIGHT P (212) 254-1175 1 JOB NUMBER 1416 DRAWN RZ b CHECKED WR PRINTED 020915 IPA SCALE AS NOTED (9 RRST F F E —-—---———---———————- 0. b S MEAN GROUND EEv EXTEF --—---—--------2' ARPAOFMC111111-1 1 0. ELEVATION G)-- rj--NS0UTH ELEVATION =�VO- A 31 DRAWING 1 N NAIr XANNE 8ETANCOURT SURVEY OF PROPERTY S87 Y20T AT ORIENT Mar TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. '�`RFClNG r SAM I*c 80F B AUCUSr 12,2014 � d oursHnn. . �rrr�%r/i%�% ,fir/ •��.;f °r`..� $ . kEi[rt4 /17,1/jf SrQ, U', ® 1A1617MA ,w?�r✓�/�J!+ �+�Ea, /�� F" LP. �NOCOVER YMCe Z SPRYFt IV SL Ow r y // iii^ ��r�•'Ct'' . 2 / ARE L m NR478Y0 1 o°eaw Lea 8318' N9 12A J'AIN ROAD SR - ■-YovwraNr ANr ALTERATuw OR ADaTRw ro Tras sueFEr a A waunaN Y.S.Lla Na 49618 OM'&VION 72OW 7NC New WORK STATE SWrA Aav LAW CONK S P.G EXO•EPr AS PW SENnON 7x9-9=sav 2 ALL MWWTVS ((6Jl)768-5020 fAX Aa 765-1797 HEREON/ARE VAUD FOR TMS YAP AND CORES WMW'ONLYW P.O.BOX 909 S41D YAP W CORES BEAR NE OWRMW SEAL OF NE SVRWOM WOW SWAIM APPEARS HEREON AM- 39,&0 8a FT, 12JO TRAVELER STREET SOUTNOLD,N.Y. 11971 14-084 ANDERSEN" OWS & DOORS SOLD BY: SOLD TO: QUOTE DATE Riverhead Budding Supply Co Calverton 4/13/2021 250 David Ct Calverton,NY 11933-3052 Fax 631-996-5109 Abbreviated Quote Report-Customer Pricing _ __ -_QUOTE NAME �__-__ PROJECT_NA_ME- _, ^QUOTENUMB_ER _- -CUSTOM_ERPO#-_- --J` TR_AD_EID_- Ken Christ Ken Christ 626229 J -.--- --- ---- -- -------- --- - .- - -- — -- -- - - - — - - - - � � - ORDER NOTES: - Quoted as Ande-rsen- factd- ry order-- --�----- - `Allow 8-t O weeks ' _ I Item Q yt Operation — - -- Location- Unit Price- Ext.Price 100 6 Left None Assigned $1,023.11 $6,138.66 i i fll RO Size=281/2"x 401/2" Unit Size=28"x 40" �•, J CPOAX2434,Unit,E-Serres Push Out Casement,2 7/8"Frame Depth,Rigid Vinyl w/Integral Vinyl Drip Cap,Forest Green 2604 Exterior Frame,Forest Green 2604 Exterior Sash/Panel,Pine w/White-Painted Interior Frame,Pine w/White-Painted Interior Sash/Panel,Left,Friction Hinge,Dual Pane Low-E4 Standard Argon Fill Contour Finelight Grilles-Between-the-Glass 2 Wide,2 High,Specified Equal Light Pattern,Forest Green,w/Forest Green,1"Grille Bar,Ovolo Glass Stop Antique Brass,2 Lever Lock, White-Painted,Swinging,Aluminum Unit# U-Factor SHGC Clear Opening/Unit# Width Height Area(Sq Ft) Comments: ---------------------------------------- --------------------------------------------------------------------------------- A1 031 026 Al 16.3750 352500 400850 Quote#:626229 Print Date: 6/14/2021 3 43 57 PM UTC Page 1 of 2 All Images Viewed from Exterior F- S>JTOTAL $6,13866 FREIGHTS,v $000 $0.00 $52946 TOTAL-.,�A,'r', $6,66812 CUSTOMER SIGNATURE DATE All graphics as viewed from the exterior `•Rough opening dimensions are minimums and may need to be increased to allow for use of budding wraps or flashings or sill panning or brackets or fasteners or other items Thank you for choosing Andersen Windows& Doors Quote#:626229 Print Date: 6/14/2021 3 43 57 PM UTC Page 2 of 2 All Images Viewed from Exterior FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE: July 15, 2021 TO: Keri Christ 22715 Main Road Orient,NY 11957 Please take notice that your application dated March 23, 2021: For permit: to install new windows on existing single-family dwelling at: Location of property: 22715 Route 25, Orient,NY County Tax Map No. 1000—Section 18 Block 2 Lot 21 Is returned herewith and disapproved on the following grounds: The construction is not permitted pursuant to Section 170 of the Southold Town Code and is subject to Historic Preservation Commission approval. Authorie Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file,Landmark f TOWN OF SOUTHOLD—BUILDING DEPARTMENT y x Town Hall Annex`54375 Main Road P.O.Box 1179 Southold,,NY 11971-0959 Telephone(631)7654802 Tax(631)765-9502 hgps•//www.southoldtownny.eov 11w ' R . w • �s� s f;; 'u,f< _ `-Date Received APPLICATION FOR BUILDING,PERMIT,,,,',,-,, i.Y' For,Office Usel&[Y,fr, � el 1?_-, 'c w ,, ' . "., ''L`,,,... „�.>a„ �� ;•��;z•: 'r','g .�;.2,y fi< „�,A �;'S. ,,d:sem. .. .>•. a ,.�,.�+ 't PERMIT X O._` ".� �z' . < ' ��Building lnspect4r: :;? :r,>' •. " ,,F ;;,,'=Ff'-�:. v ,: x : ' .4. ' `<; ` - _��,:,= .y c {`•T:f:''`' }'= ;_'�., JUL2 2021 -.N>4 i' �s fe� •Ifcaiigiis andfo s`mt�s`t�ie�;fili'edrou`t! ttieit;;er�ti,�etlr�.'Incbinple�e";. rrl: .,app �<,<•;� yr:f,<i";'�'f�'.�:.g:i�.gzat3�*1�'�:<^��8.«';?s�^.`ik,�„.,,g,-ix»t” {,,:p`^�`�'r�'3"*eZY°G�'.yds•'�`<,q':;�`.;`�+r`:�:F � , < II�o_, be aces ted: VlJtie�e the° licai =nbytfie.owner ari- <' _ -- _ --_ - --- - • K M� f �t•FS �5":h�„P�;; .�� ',sckS"•r t�',,^+!,Y£ii i�£ 4 t.A � &-',''•'&x,r fe�£S Re:,�r%�` S'.v „'• '> ', !`OurrieAuN}j,�aiizatio ifc2►►'Pa e2)shah>6e'co{n leted:r,=: :_ X,F i';k�<, _3 $ �DII (i:DE jr}j ��_,6,�< � S�',z1 � � �.i<> •5?,r '^xi'} OUD� �' - �L ,�< .,x�S. =x ',`k����✓1�l6 , .� � x Dates` 1, E'Z `; y „ •11 "a=" 't-`'z =^� g£"�"!",, `-?" 3•.i,:yD `Y4^"..5;�'r',.-, tiu%,"c ri^'^;d5 Ir.^,.-=, ;;'�ti %,a„' �P��` ,w•x,,=, '84 ',OWER(A < ,in�<, ew 6 J avid 5'F, .&' s+ lots<� >,�x Ia .,., �� �” •`�'ro =0WER S t0 PROptf :axe._•, . � ., s( : a lri _> ,,:: ,Y .;x:'._ •:. ":;sK, :,,; ;;. ;_ �`i:`ib"zas�y 1�,',-'.{.;z:.aK,r:F.;"a.1:. ;i-,•a•%s .ti ,.>A't�xazSS'<',a„• *7'Y.«.,� w.:. �: �53x„r..<:`�"'!;'iu. c•,>.:' �xF�a���w`cxs�'« u„', + - n :Name: ., = ,, ` �- -= -” `i nn-#4po-int rTM. a Rl,ProjectAddress �y � . �� �``' °. Q� �� h, <.�r��-��''�> ( .(.�,:• , ,: ' ,m,� u ,: ,. ;� ;<`mF �° tA .K3y.,J:m•:Fa ,;C�'.`,>.'la:z,.` " „z,<'�:,,>-!�"„.1'rl��•<.,<.R{%>�.<s Gs!r>;r a -... .a�.;-={-'-,l�q' �.,.... ....>•a-<.�...,,�+<=rs•,...,,r`.,....,.;_;:,+�:`n 1 & -^a >x$Faone - Email: -�"Pry > , Ma_ ": cz,1 V ..>"i3`���e }'`=1 Ya s ' .- �q £ ' 'f2,°`<�"},,^ ,•""Eb`„'a ma,,' scat, s>,. x .»�� k 3" tL4 f"' �V•` �- err ;, �`J s aw:+ � <r,=ut^,z�is '�,. ,+` t;,s� �;`v"' �+sa�. aT>�Jf �^""4.• �_ �,a�}t�'�s`�'F�C,aiL�:k'xs&�s�sf._, aS`sF� .� `�»`s>- s^'° a^. +.:m�.,«az.r,.,,,. •A-.'=.+,� '.sin - .�'l,'--_<v..k, :,tea-. "3< -;,t.arcmw.,2's ..c.<:<a,,,,n•<:..,,.,n,. ,,,�,.< «a �.^>„-<a.« sv✓e.»H. .;:»>sae">._ «•y�'.' N - ..,., •� � �wnx,� `">a;�� z" �.,'c..�i;�• -exp..+"s :-3r-� .�^�'�:.s.�a�c°r _ _'•'x'>;,���x�;ax'` ;._ _.� F- "•�' , :Ivl414ijg4ckJres "` i > s*.� x->,�=aa,` a'„ x w°^.'.a� •s;.s � '%nvv<„ •,� s.<a u.:,4' ��W ,M ";Email•` S'�N � ��,` .��. =27, vr,•nxz'e �F,�y,.rx">d[x:k-;R:'*"s�:t".»�f"�,s"`;^e "xs, "r v;�,"`t 1 s;•'.�:w ;l',a;4;:.,,�_„,.,.s=;,t w 4`r'>ly:,.�� 'a�;._=.0. F��`,n , s a� .x:M ':; Ktr�*x,. r �, �?,•xs�. `. '`. -_, .;Nin'`�, s r - 4>.== `” r `` :.bESIGN:P OFESS10111AL iNF,ORNIANON:�,�4� p rte, �•x,rt.,=.x�='S Zx<"P.�3r> al:F,,.,.o- ft•�'�= -a l.�,Y!>-•�IrLiiA'S•4 '3" •Y� �Fr'�'fr:%„ ':PaX:'�?ee>r*%�f•,:<k Ytv:�,a{x:_ ',S;c"..-`,szc,=r-=,„:�.�';>"::� -xl"�<.a,,.rox'"�_i=_ 4§n,l.x,va >:v{,., <�'Fr': .%` - '9� Y t >,�i;rs `• xX p�::r".�,.e F`� - - =<,��a;.,��, ... :4"� §` e "Mailing;Address ;' N 'Phone'#: S.p' a£ :-,r•'.; .`' ,Email: „ „ . .. .: . " tz rro +#sisi:-..,'a" ' tii s;.,a u'r,.."C'.m :p mj• ..'Ci`F..lq" 'e,j_ �.'.Y', :,Y. <x' :lt<r{av ,tsasa s.<yv5 M:�",' v,��t r4,tl, �,,"soi<S"'`.a,�w,�.t:„.,._)Y.l"�i-,+,;Q A'�`1.:4 a,s, a_P.ry i',,.�_ b�'<z ;�'��t �,s.:Y.. t"_.Ys�°: 'h i.K�.YP�a'.. w'►«��,.o >:;s` - ..,r',°z�t='.�;�• ��ri f�`"s'P���i,ar�,.f .e r - �34.- rc•fM x - - I �.L's,�' ,;,a?,'�3` 0 RACT ORIVIA•flOn •;,r>. >• "•'.L'<' hS�ttsE,"-Y?SnF <F`(y`�t`� c4'"�'J:�r ,>") _ ,.3,. ..:\';�.j.Y ai` FS ',^'Y [11TRA4?Oi NF ,!�e,; >rb d .i's,Y-,5{;. .a:,g<,Y,ey4k-.$'Pk,:.yYY.o'.et,•;>:`• c'3y', .`3" - ,.% -`-`, �;z.y'< Name: A MailingAddress: Phone#: Email: L;: "J� xl.G`,rb:Ss .,fir a•M z•tiTf;"ec<'3-; �.,�i t< �w , m ,,, �T.u;; . ra- , •'E�i t<, —_ bESCR[P_TION`OF'PROPCiSEU'CONSTRUCTION: E]New Structure ❑Addition DAlteration ❑Repair` ODemolition Estimated Cost of Pr je ❑Other S1AWODWI0 $ Will the lot be re-graded? ❑Yes❑No . ( Will excess fill be removed from premises? ❑Yes 0No - -f r � - � - -- - T out Unigj,,y er Mariella Ostroski,Chairperson ���� � Town Hall Annex Anne Surchin,Vice Chair 2 �Lff LI `0 54375 Route 25 Joseph McCarthy • Utz aM- • PO Box 1179 t.•r� Fabiola Santana N ` �$, Southold,NY 11971 Allan Wexler -� tc4o `, Telephone:(631)765-1802 Kim E.Fuentes,Coordinator ��, � � email:kimf@southoldtownny.gov ARFSERVACT ION southoldhpc@southoldtowm Town of Southold Historic Preservation Commission August 26,2021 RESOLUTION #08.26.21.1 Certificate of of Appropriateness -----------------------RE�---- -------2271 NYS-Roue-ZS—Orient;NY,�CTIVI#-1Y1U0�8=2=21----- -- ------ -------------------- Owner: Keri Christ RESOLUTION: WHEREAS, 22715 NYS Route 25, Orient,NY is on the Town of Southold Registry of Historic Landmarks,and WHEREAS, as set forth in Section 56-7(b)of the Town Law(Landmarks Preservation Code) of the Town of Southold, all proposals for material change/alteration must be reviewed and granted a Certificate of Appropriateness by the Southold Town Historic Preservation Commission prior to the issuance of a Building Permit, and, WHEREAS, the applicant submitted a proposal of alterations to the existing single-family dwelling. WHEREAS, the scope of work includes the installation of new windows, and, WHEREAS, public hearings were held on July 15,2021 and August 26,2021,where the applicant submitted final drawings of the scope of work and outlined the project for the commission,and NOW THEREFORE BE IT RESOLVED,that the Southold Town Historic Preservation Commission determines that the proposed work detailed in the above referenced application meets the criteria for approval under Section 170-8 (A)of the Southold Town Code and, BE IT FURTHER RESOLVED,that the Commission approves the request for a Certificate of Appropriateness. Page 2 Historic Preservation Commission Christ,Keri MOVER: Commissioner McCarthy SECONDER: Commissioner Surchin AYES: Ostroski, Surchin,McCarthy, Santana, and Wexler RESULT: Passed Please note that any deviation from the approved plans referenced above may require further review from the commission. Signed: Kim E.Fuentes,Application Coordinator for the Historic Preservation Commission Date: August 30,2021 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex'54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 � ,Telephone(61"1)765,-1$02 'Fax.(631)765-9502 httys://www.southoldtownny_,oy V f ..fii'w`', V KIM S Date Received APPLE` ATI N FOR BUILDING--PERMiT �p '� "'�_F' �'ee. .`d' "�K ., R .i •�FS%.��:'�x'"z">ti:=F' $<'."' Yz�4Yy „t,s<Ktiu • 'Zn il,1,ra L - 3a `` K^`rs^a^ '?d .''"'z ,^¢W�:�`"p i.'rix;; .�X "�i, i 'v - = m :� ��1 � z�. ^,`<� '�`.�=tom .r ,. ForOffice'Us =�„ P. � � � r .> -'s.,, ..,s.3"r`sv>`,:.xc .` : ',.#x1'`>Fs'k>^,,�s..� •Y✓>" -A •<a�' t 'PERMIT 1V0.`1 '; _ _ ^-,B lldin`lns fttOr:'"' ..<.P.,.„,,,.,g, ` 4h .,._ 4. J U L - 2 2021 g - a,.?w - 'x. . �< �. � e,,,' Y�<5s�>.a,zN k5'rSr-sq, ��„' �s =• ..q, ?applie:t itsns�Nil!< ott>eceeec � tie'efitie.%4plianti;ri£Tfis o�uner�a"mom , �i - _ , �� s ,> �.gi �� �:> �<� �uz„v�i`"'`�'�.s� � �'' ��z�;cY�;�`•�'�'.':e. s -� .>;RR., B�FT}�17vY1-E `�rr, >x� ,=� —"a� •- -- ;` ,�Oy�rner'�s�,71u orizatiA�Fti4�rn3=����>� <stj��lt=b�;completyed``x�`���,���1�=*sr�;°�a�z_, �t _T OF (+,T - px`: _ "'°:4_� LXi+�> x' TI 01 ,r • '`�'`' rJ4'1' 7.u> "tet: >h.'b ,:`A*^J x'#rg.'{��^gd%s,:c�^ae;t:z^w,fz4g.S"T;`^.•`.• Y,Y',Y. , p,.J,. a j > ^ 'gym, r�'''k� "&Vw s5A ti i,'XSts :�`' Msn,•iY< l4 •i„<a+.�-w`;x: +�v,g.r y,l'a• U OW ER S fOFr EtOP :� s �?-.' e�,"N�,'•.�'&:�����`b'-' .'=max>Rt��uz`rr�=sL� _�ct=1VI_x -1000 (J'^�'/}y��✓L%'r:rry- R(/�� u. ` -`,- _ '•x.e:'r.,,wy>.eL,,..>}^•»- a-.`ciS � � af'+N r< ro»ysobcr`a'+ �-N�e>+km«v'�rwe=.ecxr:i »ern�.•rn1s;�..aMc,.«w;>���,.a-.�,,,:y,„,,. ,y..v<��-,''.�K�.�>'.—��� - --r AdsY.q.� a-«.+.�:°`'^”'-4Y"v 3>..�•.r..`.<s�s^:^r:' ,��rs ..__ w. ,.,,r ,k-� - - v.�;' __i ,�c;-•r -�.,rezys.:,�r�� _ P�ojectdress �/`✓y�'(��r Ay1/, ��{j/_���J\ (}��./1�1�•r�,�{�■/ :' /Y� ; . `�,.'%;" '4�•r"a+..fixf,'9lst:.,r<^3 s ,�y�kA�"9'��#"&5.`,..�5 �{�fAx�Y�Xr��y}w'-A r/P�/a,.,Svy.>wyAq>res/+x Fb�t>„�►G�'��.p»�:>. ,v-M4t^'-��i�'N'\.��.^n£-..,>r^'.4�.,�"„'>e�9✓�F•,e Ata-+2"t.'o•�YNir?de� � Y3” ^! ries .z"y ''`-< �- ��",i,}.t"'•,a->,�v": R� "y'.4sw.•;;, 'z,->r+ k ':F:"�.`s". *-��,� c k <4'r{.':r'%s,• .�.. �•.nq�f: -.,.>K,a,.�. -�s �._. >="�-5-,,�'`,n b, -,�: �`. "� r V ,'.,eT•^:�� =.r�<�p+^ >.o=s�.. 1,«>=.-m ri• :i,M_y��> .» �; - - �.N'. ''D;"v�R;•a§u: x� r ,rY+.e ,> .�, y>�.<3T'... <.a,_. �by-a<. _�,.:�<, y,.t t'^c�, i• .�x-E �%>. ,-,'X Ss�?•• . •s•e* '-�r,Y;;�,;,�';tY; i �,'z,� £> _ >- fYJ� ��, � �••��� '�� 5.:..��34�rt'iny :.:,�+�n �$: to �„-.�� ,- ...ti. rtv Y��,A`>.q..�". Y>'�; ">>r�e.,s b., Hbt.i�n:X M<�' %�+- K>"R,x`:M3'<.'n ^4_ <<+r+�-,• �.a: .> '2, g OWN `';ati fir`. x, t�T�- �•# t Sid '� "4y.' >�i> °. S,y:`,'>• 2Y� ,� w-'' t.>„ �i .,u. �� °$�.,,, :�., ��.#�a& rF' 'i,•r- .q?,>'x+'t.+�FY ',>a'�.:t�'> - Za<.:� yz,.: ^<A'� �;.. - "r,'^_<� ,} Lw-�.,`s'���a^'c a', a'`r'°x' s'"St:s -v •sa-✓sry >�F '•�� _ .j�:." Naind. e ;Y w c �, +,:i�.r""3,. r,,.,.>ray. ".dr a�'rv>a .»- ,.i;;xx,a. s.>a«3••vv^.z,xm• =c.-<�...-..a.+s.e.,...s.,,rG«m^.,�si.:�rx«.a_>..:.:.,.n�-�%x�»-a H.w.. ,m�n,�n^>xwr�..'b«"a'.4�+'fit_ b`nro� '.-`.'c: k`a�<;8-s. ,>< v- .t.x " g^^ &r "� x s 4YNw,g._ �'s.:+ a-'z„sr,/, ,;ga.�;e.:n-mawsa r• _ _ N', s<-c',.: 'L-';.� � ,� �••< _ a ifion 1#w"_ 1,✓ �/•�('� '�' yy�,..J)�:' S'"xAs �' 'x.`"`R�E`mail�u �yf * �r` l��1 ' q7x :r« ..t. kfi>a� i �-`• °'e.l.r`rY` ,n„' w��'' 4'.t " v'j� '""-;'�,.. �T! ,��. .>�J�',��<t ...� "��� ,3 �: >"Y€3�±4:'�1 .��F:°,°",-rt-i��it<1S}w�;vY>s4>�td',C:`,#✓":- :"`x,�rc J3%i�?h,;�':�"t3`,"r x• ,%t,: '�" aJx �, � �"�ye: �>=A'x,`,r,s+ �� �� >�tms�.»` x�r,^a ,i'�� 'd ,t$, � 3 ,rte'>' � 1j R• :',,r"•;;�:�..<->, �r<. *.� <x' �.'•,1k+.w%nmaa:#':.;;•:>ksCr.`.Ft.m.:sEUi'�4SRSK?a"+h„x .G,L£.'>duc-�R'<iaxa.n ..."�s?'c€'r`c fw1'$�*v.`,a.,.<riR"%>„'.'#�`a. ��-'si»°+X�t'x.:�`f•s;isx`•>,z�.J,+"'T�'w r�r�`..�x e'et�ne:is^a.>,��';>.Srw.,":r• �' v,.�;i. >�nn��.K'�iQ � "�a'” ' � 1 ��arY'FE?:E� "�`�?Ypa�w>«�a'R �� xxK,���M1vy;,:.h,�.g,.t�fi.�,.;•zz x" a ,., >� .»:..,,�;�! - ,:. _ 'r •�h ° Hxas.�-`§+� xsy 4- ' UM scr 'Mailing Address.,; ,a`,.< -•r.�.:«„<s,<-.,.,- ._.._.+, „ ,.-=ya..a_.,,.-..�,:.-u,<>x,>m�n< .;<»>�.rr,;r.,a.. r..ua:�.r.r. m,�,.....,,�,,,,.,,..v<_,.<., .-.....,_,-.a.,...a....> >,.r.` r '.Phope-#_;, �' `lx°r:v:. :".'„`�.,�,,?- <,.- ,y ` z >•<; ,Emai �,._. =..TK -�..�_,_.,. «,... „ ;« -.�,�;,�n . ., � ,. .5• :nwb..�,.w0.r ..,.:,s,>„e-+>x.a,�-c.wri =- tv':.s`` xx aa s>3,+c'«wx .:'+'� ., !r,, ,? `*1 4'm".L '>"'- as , F ` - v +Nl^.° r'PrP<. '»�r..<�_a--...e. ...Jm—•»=r�,.v.�K Yik^mR r-. .,-..<A+n e<»a..-.�,...n-.r•-^e.,..�'- ^ewv.wv++�rr+,�e"n'.•� •S '` Y;t: •: Y-t rn4- r'. �z �•R'h' %u: '�,zY,` r>i;,,.•vo- p<.,�„rK,,•'+rz� ^&z•-,>yr;;Fi>,,;;.w��. ;:rxvc„ ' :'Yr�s,ss,,;�_ct�stf�,�.`s£", :vim. sv ,ir0[iITRACTOit1Nt'ORfCA Vis: >:,x FF %< "� t. �, � j� .::x ;a.a;.,;q,�:x;ti<: ' >:,�,,°.Y >;•:,' , ., �. '<<w '�C:.=7 :kx•".:u,t Cr:- .os;.>3<f,tx;: -aR�sa .3t<h,�:>z.'i,,,�• a�}"'g74'.>�,.^5`�.+.`Y=+r�,»•S�r'>Ysvc�Q-x�>.H��.�a.v....s.:.>t .t,cv.>`X,xS:ia`- _ <"•kz%` 'lir. }t,:.,•,.-a.i3a.�' C�*t `Narrie, Mailing Address: Phone#: Email: 'i' -';i•;: °'.:i?< '1,".,y.•,.`9 .``� + SF <iYrY<e.'J-r>:",air.¢,Yt"[i `�>< `!n -.a•`.• , '" - at, ->• _DESC IPTiON=OF'PBOP_OD CO.N Ry ZT ONew Structure OAddition OAlteration ❑Repan-ODemolitio-n Estimated Cost of Pr 'e OOther S 1 0 $ F ll the lot be re-graded? F-1 Yes El No . { Will excess fill be removed from premises? OYes []No s - - P.ROP,ERTY INFORMATION ,' ` ExistiKng use,of property; I ntended use-of prperty. y Zone or use district inzwhich premises is situated; Are-there,anycov'erippt4 and restrictions with re p ct t, AyJ; V this property?;C]Yes No 1F YES,PROV',IDEA ,,a77 % ,x ,�A � -heck BoxAfter,Readingr o. a,J, �_ , '. Th.owner coriti actor design Professional is res sThlef al)drainage nd stoim watei fssugs as pro-*dpy c , :=LhaPt�r36oftli w, ,Coil. - :n_,;,., :,,._ • :<-.. e To n e-'APptICp�TION IS,HEREBY.fM61i to U WlWilding`Departineot foLthe issuancg'of a 8u�7dingPer purwattY to the Building Zone. Ordinagce"oftie'T >x;; mwntsRfz5outiiold;Suffolk;,[ounfY,'NewYgrkanilcOe ap�liiatiTe4taws;`Ordlriaoceswi»'Regulatiaos..for,.the,cora#nictjorrofiiuildlr�gs ;+ ,y �,?ddr<1wu'ahetatIbhs`�lrfo�'remavatm''rJemoGtiorlaskerein'described:,The�applicaid;ag!ees''ta,cwnpftrywithallappl"�lsjelaws,�ordfiiar�s.�iu�dingoodgi;'' Code eg laton`sand-xoailmkautttorizedl� oison'�`'ei►jfsesa dtn• � �- " � Fiiousl!�, andr u !upect. pru it,��tiuftdtng(sjforneces3aty8spectito�>�`.Falsp 'Ystatkemfieiifismadeh�tefiri"are`. M �-,.ter,-.�r�s,<,�„�,< �s mi5demeaiiotpursuariLtoShctlon210A5Afthe,New�forlc5taleP�ena�l�in%;,�s,�`=y. .��a` ,� � ��z=�"«' `"' t ` .a -r):...n. >.ra_ x,tzx�..r^ sa'-zz=_-<.^.;..>.rx a.nx.a.•- ,a��#iew,...v�,..J,a,!`>.'z:7�.�Ffi<"'�vs �i7�2'`x.�'_�`•• x„r�a.-�•< _ �� �� � v ,,, s q, ,�,�� sc���xrrFx4 -"' 'n-� _ <a;, � •�, . '� rte' j 54, �, , Y, ,. -;: `- <.��,a^w .r - ..._ v°Fo..£s'xns„'' "Li °", •w :. r;: _.. - a WY A�iplication=Saibinittgjl p"r' ('name);' 1�`'< ' �, ;=`z - ;�7Airtlio'i ized Agent- owner- i..xa.xr ."• ':�..-�s:..: ws:...:,...;maN+r: v<r _ <',,, o r� g � � eant: . " Datesr , E . ,.+.:ra_s -�-`; "sa„i„:.c,:, .,�z;sKe x, ;ate++=K.,,wz- ,«bq kX ;"z;�*r�`• ��",c+,...,,z...<ms.nxig dz'ez 2 >eo,_ra'. .xy.�� , „'ra.a - .. .- - �`R,e pm° 7,;;' Y :k'� z ,V, r, ,`g. �°" � 't d�,e„ �. F�'•,��" ,-;tom S.." �STAT.ErOF NE,4ORK' �� ". ., 'a;•" `" ..'„e ,..t ^pu.. ^"' S' tea. ;..�'M''c,Y. .4" �jd, �'�°' �'K a,two `y,•. x r' sW real.;,, .;. •''F,.� ;'�?„, `'3z: ',�_ xr's: _�'_``.-�_ :;2'' - -- tw , x<a' $;"' ;, ;_x ,ix ' z` - a l being duljrsvi�rr► ctepos�s ar% sas;th�t`fis�he,Ss the applicant ` v .< :ate, aMd,Cif'➢ndiirld�[aI'SIgnIJIg;COfltTatt��a1JOV4"nq� �' ,g"`.,�5<, a , ,Al k:., - z"'.:?, ".a',�o., _,:,< �,.5'i e, u�� �_",',n- .,,, c;�•*�rzw;,..a `3"`?t - .v, �•$atesIS'th�� '�%CJ�%�._ `< N ,. =� y� <� .,.,- 3" � ent', r�"�rateO 'cen'etc.v° ,< 21, ":.' ;ICi011traGtOrsy s,� ._Y"` ;'!'�•- -:,..- ,/ ..t. w ;, x°, Vii:=%?�'', .z '�. „-�irar� :.:_. - r, .ax ,x . � ;„” :Fx of aid'iiwrier r oviiners�and'is�duljt authoriied to�pefrforira araiave perfo�ttiee 't ie laid;yy�fk an ,to,ma Cerand fle this- q, ._ < < ;�. , �.. > gym : �, .� y, -thof'all:4a'terhents,containetl in,�this a�pplication,ace`trueto'th best,o its/he C�ipwledge`ararl'liel a;: iid { ,S .oaf- - , Mogi, ry ,y a, x C'y tha'tFfhe-vlrorliquill be•peifor,'rried iri,tfie mannersetforth,in he`applit igi f kther'ev+rith. .�': i s-. .r" ., _ ,� W -°° ",ti v3�,- -„� °s t"�s •TY';,N." ,y_• Sr.y ,�,a„K� ,.�, -v:.:`x y ..y� §� ,• <%'T� JAI �c+vY” A,. ,,,re t, ' :"`x2r' "'^-S` '�w, '.i''.•^: - �`�' ' �' < .,i:§�,»`,='w' ;ts' r x"" (yar>Frs.-­41 ,<. �..v..SF - >SGor�lt before'rrieA is <.< ' M '!S y` '\'• _ �.'.T �t..i=��4�ci�}r�<i4` "���,.`Y�•< y,�, �.3< -N<..b'(�, y.. � ���iy v . RrDtf g.•� ,�^: day of,. 20 w w _ vrA Publi6 < , PROPERTY OWNER�AUTHORIZATION Ihfkeg! l�ublfa,st-61VI6 7677 k a .-Re9istratton No.dZVl62]677,6 (Where`the applicarit is,riot,the ovuner".)` Qualified in,,ufiulk Coon r n�... „ 'Commis"sion Expiie 21251 1- residing at do hereby authorize to apply on N my,behalf to the Town of Southold Building Department for-approval,as described herein. Owner's Signature Date i' Print Owner's Name I � I