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TO 'fILE ZONINg3 BOARD O~ APPE~J.~, ~OUTI-IOLD, N. Y.
Name S ~t~eet and Numbe~
...... ~..~g..,.~ ............................................................ ,2,:~: ..~L
Munic~ality ............ ~ ........... ~-'"'~ate ....................
hereby apply to THE ZONIN~ BOA~RD OF A~P~-~L8 for a ~PE~IAL EXCEPTION ~ ~d~ w~h the
FORM ZB2
NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTNOLD, N. Y.
Examined ........................................ , 19 ........
Approved ........................................ , 19 ........ Permit No .............................
Disapproved a/c ..............................................................................................
Application No .............................
(Building Inspector)
APPLICATION FOR ~ PERMrI'
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout of property must be drawn on the diagram which is pe:rt of this application.
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 permit
shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 $outhold, Suffolk County, New York, and other applicable Lows, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Th'~ applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and, regulations.
(Signature of applicant, or name, if a corporation)
.......
(Address of applicant) .................
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ~o.~, (
If applicant is a corpcy'ate, sigr~ptur~ of duly, authorized o~ffic,~e, r. ~
~ (Name and title of corporate officer)
Location of,land ber°n which proposedd~..~{,~L ~--~w°rk will be...~...~.~d°ne' Map No.:.~.~_Z/-~j~-~-~ ......................................... Lot No.: ........................
Street and mum ............... ; ....... .~.;..;.....; ............... ~ ..............................................................................................
Municipality
State existing use and occupancy of premises and intended use and eccupen.c,y of proposed construction:
a. Existing use and occupancy ............ ~~~....,.~..~...~...z'..~: ...........................................
b. Intended use and occupancy ..... ~ .............
Repair .................. Removal .................. DemOlition ...... i ....... ~... Other Work (Describe) ...~ ................
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 existing structures, if any: Front ............................ 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 .................................... Rear ............................ Depth ........................
Height .................... Number of Stories ......................................................................................................................
9. Size of lot: Front ............................ Rear ................................... Depth ................................
10. Date of Purchase ........................................................ KIc~ne of Former Owner ........................................................
11. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................
13. Name of Owner of premises ........................................ Address ............................................ Phone No .....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor .................................................... Address ............................................ Phone No .....................
property lines. Give street and block number
whether interior or corner lot.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
description according to deed, and show street names and indicate
STATE OF NEW r~)RJ~ n ~ ~e e ~
COUNTY OF ..~. ........ ~'~'
............ ~~.~~'~" ~'~ -~' ...... i .......... being duly swam, ~oses and
(Name~of individual signing ap~J6ation)
says that he is the applicant
above named.SHe is the ..................i ......... ~ .......................... i~.r~.~.r.j.~e~j.~.~]l:.~i~:.~,..~.-~ ...............
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 opplicatio~ filed therewith.
Swam to before me this _ 9 ~ - ~' '
...... ~ ..... day of .......... ~..~ ............. .~,, ...~.. ~,,~,~ ~ ~'~/.~.~ ~
.ota~ Pub,c,~ ' ,..~,~..i~,~ ~ou,~ ~---- ~;~~'~'" ............
LEGAL NOTICE
' ' Not~ce of Hearmgs
Pursuant to Section 267 of the,
Town Law and the provisions of the
amended Building Zone Ordinance
, of the Town of Southold, Suffolk
County, ~lew York, public hearing~
will be held by the ~oning Board
of ~ppeal~ of the Town of South-
old, at the Town Office, ~Iain Road,
Soul,hold, ~ew York, on July 17
1969 on the following appeals:
7:30 P.M. (E.D.S.T.), upon appli-
cation of ,Herbert W. & Isabel Zieg-
let, 53 Osprey kN-est Road, East Mar-
ion, New York, for a variance in
accordance with ~he Zoning Ordin-
ance, Article I, Section 100, S~bsec-i
tion g6, and ~rticle III, Section 300,
Subsection 6, for permission to lo-
cate ac~,essory building in sid~yard!
area. Location of property: LI~ No.
53, ,Cleaves ;Point, Section II, llorthl
east corner of Osprey ~est Ro~d and
Snug Hanbor. Road, E~st Marion,
New York, hounded north by Eric
Koch, eazt by Dawn ~state Builders
Corp., sodth by Os~prey Nest Road,
west by Snug Harbor Road.
7:40 P.M. (E.D.S.T.), upon appli-
cation of John W. Lee, 251-22 Hill-
side Avenue, Bellerose,-i~ew York,
for approval of access' t~ private
right-of-way in accordance with the
State of ,New York Town Lave, Sec-
tion 260A. Location of property:
private right-of-way off south side
Laurel Avenue through land now or
formerly of Jazombeck, Mattit~lck
New York, bounded north by pri-
vate right-of-way, east by land now
or formerly of Schimpf, south by
Laurel Lake, west by land now or
formerly of Jazom~eck. ~
8:00 P.M. (E.D.S.T.), upon appli-
cation of Walter Thrills, Inc., Mainl
Road, Souifnold New York,~ ~or a
special exception in accordance I
with the Zoning Ordinance, ArticleI
IV, Section 408, Subsection (a), for
permission to erect a second on pre-
raises ground sign. Location of
property: south side Main Road,
Southold, New York, north by Main
Road, east by Socony, Vacu~um, Pur-
cell, south by Chas. Turner, west hy
ri. A. Rothman.
:11~ "hO P.M. (E.b.S.T.), upon appli-
.on of Daniel Smith, 640 Mech- .~ .... '
~nic street, Southold, ~lew York, for
a special exception in accordahcei
with the Zoning .,O[,~dinance, Article
HI, ~ection 300, St~bsection 5-A, for ~, ]
permission to convert existing ~[, ~ ss:
d/tvelling into two (2) family dwell- J
lng. Location of property: west side
of ~lechanic Street, Southold, New. ~... beiu~ duly Sworn,
York, rbounded norlla by H.
liams, west by Mechanic Street ~rinter ~nd Publisher ot the SUFFOLK
South, south I~y L. B. Hill, west by
S~ffolk County Trust 'Co. heard ~spaper published ~t Greenport, in ~aid
Any person desiring to be
on the above applications ,should )tic~, of which the annexed is u printed
appear at the time and place above~
specified. !~ed in the said Suffolk Weekly Times
t)AT~I): JUNE 12, 1969, BY OR-
~ OF THE SOUTHOLD ........ .ff~., .7-~f. ............... weekl~
TOW~ BOARD OF APPEALS
l~yn ng on the ....~.~..~,.~.~.~. ........
Sworn to before me this . X/.'~/~.....
LEGAL NOTICES
NO~ICE OF HEARINGS
Pursuant to Section 267 of the
Town L~w and the provisions
the amended Building Zone
Ordinance'of the Town of South-
old,. Suffol~ County, New Yor]~
pubUc hearings will be held by
the Z~ln~ Board of ~Appeals of
the Town of Southold, at the
Town Office, Main Road, SOuth-
01d, New York, ~1 ~ 19,
on the following
9~ P. M. (~DST), upc~ al~
pUcatlon of Herbert W. & ~
Zlegler, 53 Ospx~y Nest
East Marion, New York, for a
vort~ce in a~cordance with the
tt~n 100, Subsection ~6, a~l
6, for permlsalon to l~cate ac-
c~ssm~ btfllding in side yard
N~st ~ and Sn~g
R~ad, East Marion, New York,
bounded north by ~ Koch,
Road, v~st by Snug Harbor Road.
9:40 P. M. (EDSTL Ul~m a~-
~llcatlon of John W. Lee,
York, for approval of access to
private right-of-way in acc~d-
au~e with t~e State of New York
Town Law, Section 2~0A. Loca-
tion of property: p~ivate ~ight-
of-way off south side Laurel
Avenu2 through land now or
formerly of Jazombeck,
tuck, New York, bounded north
by Wtvate right-of-way, east by
!~r~ new or formerly of Schiml~,
land now or formerly of Jazom-
8:00 P. M. (EDST), upon
pllcatlon of Water Thrills, Inc.,
Main Road, Southold, New york,
for a ~ exception in ac-
Sulx~ection (a), for perml~ton to
erect a second on pr~mt~
ground sign. L~c~tion of prop-
Southold, New York, north by
Vaonu~ Purcell, south by Cha.~.
8:10 P. ~,~. (EDST), ul~on ~p-
pllcation of D~ Smlth~ 640
~cllantc Street, ~0uthold, New
York, for a spe~ ~ception in
Su~eect/on Ii-A, f~ permis~on to
convert existing dwell/~ into
two (2) family dwellh~.
of property: west side of Mech-
antc Street, Sonthold, Z~ew
bounded north by H. Williams,
east by ~n~c Street ~onth,
~outh by L. B. I-nil, west by
~ffolk County Trust Co.
heard on the above ~ppllcatlons
should appear at the ~e ~
BY ORDI~ 0~' ~
COUNTY OF SUFFOLK
STATE OF NEW YORK
C. Whitney Booth, Jr., being duly sworn, soys
that he is the Editor, of THE LONG ISLAND
TRAVELER - MATTITUCK WATCHMAN, a public news-
paper printed.at Southold, in Suffolk County; and thai'
the notice of which the annexed is a printed copy, has been
published in said Long Island Troveler-Mattituck Watch-
man once each week for ....... .~.L ....... ~.¢..¢. ............... weeks
successively, commencing on the ....................... v ................
day of ........
Sworn to before me this ........................ day of
......... '
............. ......... .....