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HomeMy WebLinkAbout6139-z si ,,app ee& Town of Southold 11/19/2015 4'.,`-, P.O.Box 1179 53095 Main Rd y�l $bb Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37911 Date: 11/19/2015 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 135 Case Road, Cutchogue SCTM#: 473889 Sec/Block/Lot: 116 -2-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/22/1972 pursuant to which Building Permit No. 6139 dated 9/25/1972 - _ was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for which this certificate is issued is alterations and additions, mcludmg attached garage and terrace, to an existing one family dwelling as applied for The certificate is issued to Lynch, Bertha of the aforesaid building SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N 80087 3/26/1973 PLUMBERS CERTIFICATION DATED A t riz Si cure i� FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 6139 Z Date Sept 25 19 12. Permission is hereby granted to: KrToung.. .0...k. k ..ur. 8'®ns..tynch oou;nuId 14.7. taBi}•2&.•air isddtttor trn.•and•••> 2trr-a4k trtn"exiStIng..dwe2' ing at premises located at ...Nm..eS.Se..$t itd -($J"•Iror^tY: ron'•t1iut) .Cutchegua 11,Y, pursuant to application dated Sept 22 , 19.72.., and approved by the Building Inspector. Fee $.1tar BuiAdmg Int ctor Form No 6 11-; � �r� << TOWN OF SOUTHOLD BUILDING DEPARTMENTLI I TOWN HALL Al OCT 2 0 2015 765-1802 '3LDG DEPT APPLICATION FOR CERTIFICATE OF OCCU ANCY ' I f Pr ,(J� n r, This application must be filled in by typewriter or ink and submitted to the Building Department with the following A. For new building or new use: 1 Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or topographic features 2 Final Approval from Health Dept of water supply and sewerage-disposal (S-9 form) 3 Approval of electrical installation from Board of Fire Underwriters 4 Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead 5 Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building 6 Submit Planning Board Approval of completed site plan requirements B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing" land uses: 1 Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features 2 A properly completed application and consent to inspect signed by the applicant If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant C. Fees 1 Certificate of Occupancy-New dwelling$50 00,Additions to dwelling$50 00,Alterations to dwelling$50 00, Swimming pool$50 00,Accessory building$50 00,Additions to accessory building$50 00,Businesses$50 00 2 Certificate of Occupancy on Pre-existing Building- $100 00 3 Copy of Certificate of Occupancy-$25 4 Updated Certificate of Occupancy- $50 00 5 Temporary Certificate of Occupancy-Residential $15 00, Commercial$15 00 Date I©— 20 t�rj New Construction Old or Pre-existing Building (check one) Location of Property I 36 Cas-e.. C uri-choo. House No Street HaMidt Owner or Owners of Property L>nc h Suffolk County Tax Map No 1000, Section I I (p Block a_ Lot l 7 Subdivision Filed Map Lot Permit No CD 139 Date of Permit Applicant Health Dept Approval Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate eck one) Fee Submitted $ 50 OO pplican :nater- FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N Y TEMPORARY Certificate Of Occupancy No 2511,0 Date April 26 , 19 73 THIS CERTIFIES that the building located at Casgi Road. Street Map No XX Block No Lot No W Cutchogue conforms substantially to the Application for Building Permit heretofore filed in this office dated Sept 22 , 19 72 pursuant to which Building Permit No 6139Z dated Sept 22 , 19 72 , was issued, and conforms to all of the require- ments of the applicable provisions of the law The occupancy for which this certificate is issued is Private oKle Family dwelling The certificate is issued to Dr Seamus Lynch Own©r (owner, lessee or tenant) of the aforesaid building Suffolk County Department of Health Approval N eR UNDERWRITERS CERTIFICATE No N 80087 Mar 26 1973 HOUSE NUMBER 135 Street CaSeRoad Building Inspector k FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 1 t E- ep Al2 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspector with the following, for new buildings or new use 1. Final survey of property with accurate location of all buildings, property lines, streets, ono unusual natural or topographic features 2 Final approval of Health Dept of water supply and sewerage disposal—(S-9 form or equal) 3 Approval of electrical installation from Board of Fire Underwriters 4 Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building 5 Submit Planning Board approval of completed site plan requirements where applicable B For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses 1 Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features 2 Sworn statement of owner or previous owner as to use, occupancy and condrtion of buildings 3 Date of any housing code or safety inspection of buildings or premises, or other pertinent In- formation required to prepare a certificate C Fees 1 Certificate of occupancy $5 00 2 Certificate of occupancy on pre-existing dwelling or land use $5 00 3 Copy of certificate of occupancy $1 00 F t�.)3 Date .... .. .. . .... New Building . .. Old or Pre-existing Building . . . Vacant Land ..... .. . /��� � , Location Of Property �'�`-� ... � �' ��:�'"-U.. ...... .�� . .. .. . . Owner Or Owners Of Property .. . ... �:` "��' .. ... .... Subdivision .. . .. Lot No X- Block No K. . House No .115 Permit No 6 14 f Z-B'dte Of Permit Sell %.1 Applicant •'f''',57-45"---1 t Health Dept Approval kr . . Labor Dept Approval . . .... .. .. At Underwriters Approval .,- Planning Board Approval ..... �j� .... ... . . .. Request For Temporary Certificate .. . . Final Certificate .. . . Fee Submitted $ ... . ............. . . .. Construction on above described building and permit meets al .'plicable codes and regulations. Applicant IN j1'.; 1 , ‘‘C !.... .. '- � `f.. Sworn to before me this G . f4 � (lUZS/ ® dayof . . ... ... .. ..J. / • (stamp or seal) Notary Public . . . . County Oft-, t `73 s _ 41 t x. ti } - ' N..i'-,T" '�....<"• •-.:a,, T 1, vr' fi 1, f,c t«MrTj , Vit ` lFr: 7.,, .� 1 iY � t.- , ,, ,;. ' -r 3F , _ ,-t.-- , 4-14- -ENEW_ YORKBOARDF' A .. UNDERWRITERS.ri- f _ r {r'�' ' t5 4011€$ E$T. NEW YOM NEW AVORK 10038 ' ''1 _ .ice ' i r N n * ' r 7' /late March 26, 197' ' plication No.on file 641712 V87 iy :* ,, ._ ,, ^ ;5,,,ilitt°CE14T1FIES THAT J Tepfuci�F,i equdpraiet4t,Me described below and irFtraduced by& applicant named on the above applscat eas number in the premises of .7--�t. ‘1'-1 "3. Lynch, Case Rd., Cutohague, N.Y. Y ` r ,faitaaotng locanon; (L1I Basement © lst R. D 2nd FT• • -. J --- -a" - +► :R outside •�oFttDR Block Lot �, I ;"1cas eiraminedon r 1Mareh 22, 1973 and found to be in compliance with the requirements of this Board _ a lS �' V E I + > `; l�lXTI16 RECEPTACLES SWITCHES_ oiXTU 1tS �y RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ; L , rf 7,- LETS .T` 1NtAACtSCFNT itA SCENT Val AMY K.W AMT K.W AMT K W AMT K.W MAT H P •� .,fi iii. --21 21 26 17 6 1 F :4 �- MOTORS TORS FUTURE AFFIANCE FEEDERS SPS Mist TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Oft H P GAS H.P MAT NO. A.W 0 AMY AMP AMT AMPS TRANS H P SYSTEMS ..4 NO OF FEET AMT WATTS c y: �■� • 1 ® IIII �. SERVICE DISCONNECT NO Of S E- R V I C E . MIETER '+ - AMP t1TE EQUIP • °46.R. ,C ;, ,t NO QP HFi,Et; a HI LFC NO OF NEUTRALS OF NEUTRAL RAL 200 CB x 1 : 1 2/0 :';..i, OTHER APPARATUS '1 E]ec.room heaters: 2-2.0, & 1-1.5 kir ' rr �• • `71 J � Tony Al&perti . P , 81 Hallock Lanes. ' Rock 'Paint, N.Y. 11778 , 4 �~ Al. certificate Per .�It a ''-i. { cert cat must not be altered +n any manner; return to the office of the Board nett Inspectors may be identified y ig redenttals ;? .c�` #"d`�,,,4, .& .4 ,,,` J,'' -'41.o,..;le,...i,•yds.....• 4',..+`<.1. • .7,.': '.afijyi;.a,"7.;r sZ '7,-1.4" —r , dill i f +t� t "'"T `. ;-' -.�-... • i i a•.�F.a A, s • a{Y�'k•r:-.� Y� a..,.�,tiA� -sy • •11:.'IV'P7: s ` r ' • Y i"' N'''w r':- , ,, 0 r,'ng."1 1- c Tyr, r s.3 ".�, ;,z:, da"ti T_, - ,�.,.s_ � �-r'n. � ,�!j�5 �,V�.�.,;,..,s. �,�'.T�:;,3f:� `'f ,:�:5,�y t^� .� re o - //g -2 -�/7 TOWN OF SO : TH.OLD`x PROPERTY RECORD CARD A _ 6 J J n'A:n t°r OWNER STREET .485 - VfLLAGE DIST. SUB LOT � CvG' r l ��!] / e� o/.cam geA---g-A_ k v►rI) Cd_d-e /,a di /0/6/ c C$9 a /.2 /c�esa t-t �� r1`T FORMER OWNER // E ACR. 1r1G�J ". 4J14S / W TYPE` OF BUILDING ! 4ferfi"tir" � �.�-W� �d-zt'C. led a,d. I 411%tv 11i1a.V%rOreh 7 '7 RES /6 I SEAS VL FARM , I COMM CB MISC Mkt Value c LAND IMP TOTAL DATE REMARKS/0/2 4 4e,21.) i 5-• ,%47:41,4 ' v. 3 60 2 6 a �9 -Z/ . ; A.� 'v� e9/.2. /3e,t •fid 4� 44duJ F l� /a o yo 0 Y } li`r/�3c�r�G J/ a.S/7.2 / e6e it.k, w //�._7 97., 8v E- is do a.rat`ti,sA., Lc /C, 0 OGC) / , , s-y. a o G .- o v y ,677/gAo61 C /73 6 .L.,b 9,16 ° Od� V 8 z H ,1,;1,x; 1zY'-�._ ," .-----Ee.,, s? a 1 7n u� _rH�. vn ,too 4 b �' 0 d �. d ' /2--,/e4- - I zQ -4 Iib D7 �� I1 a ,--/ � b. / ( ,; 0 77 0 0 93' 0 b g rJ-6-1/73 5421IF° -.P *419 034 - C-cosi, het, mua_r, Fx,sI. Per.ILLo - # ID, v:04, AGE BUILDING CO `DITION54u-r2 / 6 u ? / O 0 ? 7 ., ' v' ziy : -.. 7. /a/aa/q.7-L�r -><. , h �-u v �y1�c�► -- ,�/ NEW/ ORMALL OW ijelOPV OU0 0 "900 /0 .500 /Vigil ' Tillable/A-00 -7700 9300 / W/14Tillable 2 Tillable 3 Noodland Swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD //5 Q + , e — .5-7 a /..,41--- r1�a l-L/3 1.3c? ski House Plot DEPTH 2,4 0 '' BULKHEAD Total e---- DOCK r-f „ yv, f 7-- i r •F /''^ ' 1 t IJ + 41 f. ; . - � e-"-----% =f • `^l` •�+ b �'i ` -.. `�I .,r; ,r1 I,v 4.v .._..._..-..._. . tiSt+� F -'i _ • C. t P'•./”' (4(� Y �.wa: l"^""3"-'..::L:r (1 7-�'.4 .Lr, d.;a•' ,+.`�'; �+ - �y..-' .'y�L. 1kLiI DLOR P5. TT, lY �^`•' " t +/ ,ti.. ..1� :;_ ..,.' i..r ;al -.mac,- Yy-4r.8 ." r'1yl I s // , Al ---4-11 lies.Pit • .1.-41' riR `f^-l" kw 1 K -Y._Z,Ur 1 A L1 .a4 •.."Jt•«- ..t. ,., 1.,",:,:+<� r, a,fir t �1-� ,mvaL" y ��:-:0;;.'5+.5.'i.,nYi" /7 ( 1 .�. .V a 4 .< Se<r,-.P..,4P"t• '—r-. pyx=crti; /�!\ t " �"i�.at+y fs r• .�iaR�'•�.-•-�, ctii a'' ; t ..r �.. t� a y 7'+ S' a x y } a� y, i1 &,'syr•-mi 4r _+.t. "rr . : 'CI 1 r , . �'11111-�:.: n f;'eA I f.*,2 1;tfrr}a� h�.h+ls3' 'F!"' ,..',V- y � i''�.,,l+.ly 4yJf + /j/ J ,jam J _ ''4 r'�i.: a��4iK !an C <. •S�+r�� am' w••Sa fs�grvTa$a,R•� >i+i�• ! l 4 •- - 11 i+�,7-.4"ri`L" 7Cc}`1-,�,`i��,Y`.!"�• r ''1 t.-•.° Q a2 ill / J. 1 v n.. .. .'q,_r'::--q rt. w ,-•.,•:-,....,„ .,6-, • 0.,, 1.� Y ..r 4 - r :,a . a'1' f,`. t A 2 + 1z . -y; k f. ti.�.y,�f3'� .0 v..- f t'cv ' 9g Ed.e-..,,, s .�� _ — .( • �R�i� � :., d7. -._' +act+47�f �n=tr �dt rc etcI L ' 1 -oz„. rr.,• ;}� '.�r'.ny f'.774djr1,,- J,ir_zj'Cjtti41.�+"t lfi ✓. 's"'y{ •..'' i�. I(f I.. --� yx''...." .. ,,-+r )V' i��Jr� C•��!'�ti --1, f, 't " , l,�+a7;N� ' SLa L�✓ 7Go7 -- ti4" 't-r•'FSV.y^0.:- �xsy.0 �? s:•ir iT" ��•f,�.r c \- 174:4;111 :Ss� • 4� 1' '1'h 4V•M.:A7tt1AU ,;-7:1-14... ...:".14.1. �S xY N y,�',,'1, '"•-...,..„A7%-, �e..1 y, ., �„y'l,lC. t ,.4,1. r ''{t �4 F � 7 '' •ffre. "�``' ArtiY� �rerw3's:2..r 5..-r-..�....--.ti. G '`S mi..,Pe''; .> .. nr.'` ,ti....t v'' "< rt',^P.<S« S:%Y4,aMPi•ArAt�ry-,+ I L 0 ,r .../ri �`1 .t.•'/3 - 116-. .2-17 3/08 --- i7 1 ----------------- sl D 4/" C.40,0 l Bldg Ir• 7 /n J ,�,0 r Foundation e Bath l j� ,— Dinette J l 3t K (tension s-X 3 3 = S /,l3S'- �• r(,g G��,�Ba'sement — FU Floors r - (tension /, 7 ; 5; g•$- t r Ext. Walls WI) f .41 Interior Finish r5'4 Pi `` <� --- " ",/ (tension r/ I 0 /,dv FirelPlace Heat �_ / c•Ls Viii iv 413 � 130aiL - 1N�}I I I../ rh q r7�� y0� /O O Type Roof 1 Rooms 1st Floor BR 9y r ''��l''�Z st', ;.(, 'f /_ / - /,c - /q.:5:-'). , , �3 i Recreation Room V Rooms 2nd Floor : �C L b 6 3 0..5 _ K14, Dormer Eck IKeet wuy / X 5J, a , U d Driveway 1 (-_ t_1 arag e �,kS 1.2 a`— 3C., 7— �;c)7 s--fu'> hfoAA3 ) ia#lo ter' �•Y'�, -C-v7--i���-c.... /�' �a`�• - -___Liur_tikliNI) - 77.1 3/' otal ' R r:: _i__. " NwCFtfs i -ci, I— 3-7 3 ?..4 a ,-✓1.e-,^r! 6't\ .Q 1)/ate.‘— .il a P _y %r f re C el" f i, lE �u ( e=` t ,it FORM NO 1770..v3 (c y- l,u-c YlLe,' 'T-15 L NC-t Gov-r i,,,..r./ - TOWN OF SOUTHOLD BUILDING DEPARTMENT-.2°` "d �-� TOWN CLERK'S OFFICE �-t( ---oke-n4 'meq ' �k SOUTHOLD, N. Y. C,-,,r /4veo,,0 1/"e"'"' , 7 ✓ Examined £ ° k . , 19 7 .. Application No. f. i ... V Akeree Approved 1` ` , 19 + 1 I . Perna No f go-7-3 7DL�G�r �2� ( 'Kidd-r" -D ,eei.\r!A, e,tr... +-1 Disapproved a/c CdletA �-ff 0.1-44.4-\ -491,i,-a c_ V \I A 7 C Orli 4 Ct(et (Building Inspector) APPLICATION FOR BUILDING PERMIT - ® �} Date �.. , 19.7 INSTRUCTIONS a This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, %t 3 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,an giving a detailed description of layout of property must be drawn on diagram which is part 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 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 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 buildings for necessary inspections X f / / /nature of applicant,or name,if a corpora on) 419 L1 & , gcat„.11 iciivirzilLed /U ? (Address of applicant) State whether i owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder J Name of owner of premises pr, � Je, 4 414 fL' 7-vizieu If applicant is a corporate, signature pp p g e of duly authorized officer (Name and title of corporate officer) 1. 1 Location of land on which proposed work will be done Map No ,v� J Lot No �� / . Street and Number lvida $1.0 . S case A-4i & uiLe4O /'ll) 'W�1 Pfl/ c o-OL Cl i,ari014 misfit. tG ` �` C - li /u �e � � �1C7n �y � �,i(.4v u �./ t 2 State existing use and occupancy of premises and intended use"and occupancy of proposed construction / a Existing use and occupancy £ /Le..4 .I teirIlace. . b Intended use and occupancy ..)Pia attit ( Lliel C., . . .. . . oo N v N �' 3 !'Nature of work (check which applicable) New Building Addition Alteration `� Repair Removal Demolition Other Work .. 4 Estimated Cost .3g',4 aro Fee ./S-16-0 . . (to be paid on filing this application) 5 If dwelling, number of dwelling units 01),e) Number of dwelling units on each floor C.b,. . . If garage, number of cars tbitp 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use . ---- 7 Dimensions of existing structures, if any Front 6.63f-OP Rear 426 f-.-0 Depth �g -6 Height ko C .17. -P natt. Number of Stories Oyu . Dimensions of same structure with alterations or additions Front 11 8 Rear 71 . Depth 7/11- 1/4 Height w �4 reni ale Number of Stories Q: , 8 Dimensions of entire new construction Front .'.-6 t' Rear 1..-- 6 14Depth 36-1-0. r t. r Height ' gtrab2 tic rd 6'`U if Number of Stories 9 Size of lot Front () ,,..q:,0 Rear ./2B 4 Depth 3O 4. 1 i Height L 6 it-ad4,A r Y4 ieNumber of Stories °I/1,R J_ . 10 Date of Purchase ( ( 4 -6S Name of Former Owner C"4 g5 cfee . 11 Zone or use district in which premises are situated txd Pi /2Es514c L.S.k.. /- 12 Does proposed construction violate any zoning law, ordinance or regulation h 0 . 13 Will lot be regraded WO Will excess fill be removed from premises [ I Yes [� No 14 Name of Owner of premises A r. s LyricAr Cay. ��t 4114E 73� St (Address)),, (P one No ) Name of Architect 1063.(6Q ( YalPoi c P'v Szn4ZAM 7/25 be 66 ( ddress)(Dd73 Swm1 (;Phone No ) Name of Contractores-id f l 1 ., Co ,s�1lvi.{ Gm pw A dress)t i- ,, A oneN q ��og i2- O R��' \:-.00s" c? �®911'6g-7. �ag),6,,lA� N PLOT DIAGRAM 5� Locate clearly and distinctly all buildings, wh- •- existing or proposed, and indicate all set-back dimensions from property lines Give street and block number-or`:escription according to deed, and show street names and indicate wheth- er interior or corner lot 22i t`1 ,Ol � I ADPITION- 5161't 161' IIDI- 46i I (1.-- ratinu 1 2,,,..) r ,,, _r_s_ro.,, , 2 c`i FRl1 6�loUs6 gA------- �O D -P TS IS N _ < flzT�QRP�E q i '� f�PRITIRt� ' O CL r 100 0 - 11 �fRAGr� "' r c1. (/3 143 - � 1,,#,ZC STATE OF EW YORK, ) SS COUNTY 0' S`Jklatt ) ��'/� 20oeo dam!V, __ . \-<4?.°21Kvt 'r\ 8 ' . 110i.mq being duly sworn, deposes and says that he is the applicant above named (Name of individual si,gntllg contract) C A 5E Rb f D He is the 'C\1 t...�°\e..C.4T (Contractor,agent, corporate officer, etc) of said owneror owners, aid is duly authorized to perform or have performed the said work and to make and file this application, that all statements cntained 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 thea application `sled therewith TERRI LEE LAK NOTARY PUBLIC, Ste 52 zoof New York day of e�`�a.r b .� 5 Q��disijo § MBTchCounty- 7 a C� - � velem Wit . Notary Public, `� C_?b->i2-. County L� (Signatur of applicant FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined 19 Application No. Approved , 19 Remit No. Disapproved a/c ._» (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 401.:....22 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on diagram which is part 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 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 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 buildings for necessary inspections. AtarlidA (Signature of applicant,o ame,ifs poration) .(QM. ... a.��.I,nt..,.<: ,1%t/..i(1r.y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.pl 4re iect Name of owner of premises Dr, Sea.rn.&tS If applicant is a corporate,signature of duly authorized officer. (Name and title of corporate officer) • # • • • • 1. Location of laid on which proposed work will be done. Map No • N QX1 Lot yN{o. .../::.,(Q..the /^� Street and NumberaYA.I�:(.h...S.�.4i7 P....Q�.C.GLS.E... .j...bQUnrsde .LQ1l74AY.'X}. + . ..Ma •. ����?:K.40.14k1. ..Mal-ark—ad, Ckb, nt east by ,Sway»p�, 11 n1 west by l7ePefr/s vt,ty ' > r , 4'4 aeop [2,11,0' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .04e. -P aMi.L(.i.... L hC b. Intended use and occupancy 121t€, .Y'Q,.sL,Gt.tr'.11c:e 3. Nature of work (check which applicable): New Building Addition V Alteration Repair Removal Demolition Other Work p /- (Description) 4. Estimated Cost 1,.�`i. Fee $ IS. 01 (to be paid on filing this application) 5. If dwelling, number of dwelling units ....Q .er.... Number of dwelling units on each floor ..Dile If garage, number of cars tetla 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use it 7. Dimensions of existing structures, if any: Front ...(oho -0 Rear ..4t —1-' Depth 2.g 0 a • �_p r Height ....j let...01'..F%dg, 'to ..(.�.�'t'...Y..t . Number of Stories 0.kie ppa 1711-1314 Dimensions of same structure with alterations or additions: FrontCJ 2.11— Q Rear Depth `/L�rN Height .�&0 Y... 1... T. 2d Number of Stories :Q.�li�l N N / 8. Dimensions of Rear t i1new con�lstruction: Front .. O,. Rear .....2 ^...4o� Depth 3G.!_ k fly Height ..1.19.41r ak.16.)Zli1- . A42. Number of Stories ..... fhb. /1 9. Size of lot: Front 2- S:O Rear 128, 14' Depth /r..?.J.�..(¢0 Height ...f$..1�.FmI. ..dfl7) .124.. Number of Stories MQ. 10. Date of Purchase .....I04 - kr Name of Former Ownerhd I ,}2....6.9/71.44eJ_ 11. Zone or use district in which premises are situated ft gge.5..4G[.t...3).(.$1�!.l.C./ 12. Does proposed construction violate any zoning law, ordinanceFor regulation: h0 13. Will lot be regraded be Will excess fill be/removed from premises:1 /[ I Yes ["1 No 14. Name of Owner of premises ..kr.....ka.1ry,.V 5.... • •14r4,..( i$.t.�..a1,41111110.e.Ph f 4:ai4'' Name of Architect 4 Ae4Th.&& 1....Yaai .. �>,-t l4 � 3.8(a6 (Addr ) l Ph ne o.l A A /�� bi 73 Stimrese /f�t/c/ p Name of Contractor ..d.t.t.M. ..Qi .$1.4 e1.... � &1 bat j itaiL•It•• •i•-•Ar 01E2 ( ddress) 1 r ( h ne No.) X00- co 014-19. t. NOP•'(PLOT DIAGa ' M 0. Locate clearly and distinctly all buildings,whe . - ing or prop•sed, and in. cate all set-back dimensions from property lines. Give street and block numb- • • . ription according to djed,and sho street names and indicate wheth- er interior or corner lot. 22 _.0 12� Roor•fre° e, „ 4' //r, ,� ,e \`‘O. , A to t sro� a cct -FRAMs House . 1 4 .3 1 PETR.iS �:; ' WWI N"'' Q of o a 100.D st papA6E oa 1 ) i\--- -a yl, los LYNcN STATE OF NEW YORKyy'' I SS - PLOT PLAN COUNTY OF . itsert9We ) I w / 200 .O I20s6'J 26: SCAI,,t1 �/ ‘,otyr itti."1m8.*h. IeW \\ being duly sworn, deposes and says that he is the applicant above named. (Name of individualivisiting contract) CA 5 E R.0 A p He is the `\�CioN ,1.7�CSA. (Contractor,agent,corporate officer,etc.) t of said owner or owners, a d is duly authorized to perform or have performed the said work and to make and file this application; that all statements co stained in this pplication are true to the best of his Tnowltgpjd belief; and that the work will be performed in the manner set forth in the application led therewith. NOTARY PUBLIC. State of New York 2.2111)- -- 1 �1 r - `_— 526168295 �C,..rrw.e' day of +.!0-9•4k�eN. e01 .if+. 1§u? Suffolk County CN Commis iilN pitpires March0, 1'i / "INotary Public, �w9.A ._ County l (Signature of applican I •- . , /2`-0" EAVE 43 a -- - a �--- -z_ i---7 --I _IkNJN 2 STEPS / H p N 41 , ms mtvrcxfl�G 945fr d L_ u � ' 1.1-uT�D SHEA7HfNG oN 4 (¢ PbyT--‘� !- a t —f I :[ - "- _ �. 'URIut r-DGLr• r� ` ,SL.A%' ' - 5/4C14$8:.:11:,111111 x�`f_vES� li i I �, a Hca a 1 i LEi}DEL„--- ReLoc,�a flB- HmK sr�:e1' d i el (.- P _ til ) 1- ! 1 "C CRS;{- .__..�..... ' s oFt d... h s� Lt.) „ ExTrID Eftg S' I . . 11 a a_ 3 I a ____.� EXTEND = I i o t. w - G-U7Taaiz. *-- 1. LEPD�R —#-- � -.'� I '. �1�!' ROOM K ;d i S cc W. �‘Ai i Zi �� F�VES . ; / til U. � ILEA.1D 6R) 1 Q fi 01, � Re.tocH;gpSAgH < �_ __ �- k!ETRIla MO W�i.pxTvJ a _ L - -- � Pi –_�____. __. �G1 RDER I -- / bli !jiJ:' '--Remo:GfEKT izL4 ! xl_ �' i 2 1 �>[ 07 �' e4 w. lu L,(0 .yt ”. s �l KITChEN 4 ' �� DINING ROOM i_ FA ' I K00M - t C k I I Ii II I v i ..�_.wu....�i.•:•'4'xu'-/iL —...Jts9dc'N`PT"ti.£.��� � _: kr �I1,4 - r Q 0 N1As?ER � � Df�OOM n R1'vwoygE Bow Weflll• /'_- - -- ' � 1 �L7L�� j..f �, l °� FOR ,�t<Eoan,cyr.;, 1iu\ 5. _ / .)5 L-tivJCII e; S L -- ,� , ‘4 O T E--S\0,-,' 1 "4,....a L - ` iY, . ' ' ` - (. LEJtOER. 6 i Lehr.DER-- . . n .. .A �_- _._ ...___—__ .—.—.n,..-.�_ L -�z - 1I7- � 1& 11/4 1 I — gay _ I -,/ ;; I i (0 -0 11 8 a -. -- , ToP of SIL/NGJo+syS_-- ' O I n s r•" • + M _�� qq I. 1 I 'w I I'u s N s '�,1 ° Lai! h 1 �'" C�� __;�._-_, 1 ir t. -.T I f __ - ___,_.._._ -. _1• -'_J___ ._ - ._--.. NW W, i 7 A V I AI APD t{ORK. . e ', ' I I . _ _ -- - _ ' �`1r� ¢ 1 -1�� FSR El sLgVPTrorl =�' i .. 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