Loading...
HomeMy WebLinkAbout9645-zSOI, rllfOLD, 14. Y. IUILDM~ IqIMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION 'OF THE VCORK AUTHORIZED) 1~? 9645 Z Permission is hereby gKtnted to: ....x/~.~ ~.t.. ...... ~ s ~', ~ ...................... ....................................................................... , ........ , .......... L.,,r......h'.! ........ : ..................... pursuant to aPPlication dated ....................................................... , ?Y ,...,., _._approved by the Building Fee" 25' PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Lathara, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 BLDG, DEPT. TOWN OF SOUTHOLD PLANNING BOARD OFFICE TOWN OF SOUTHOLD TO: From: Date: Thomas Fisher, Building Inspector Bennett Orlowski Jr. , Chairman ~g November 7, 1990 RE: Request for waiver of site plan Drossos Motel Ltd. SCTM~ 1000-45-1-13 Indian Museum SCTM~ 1000-70-7-18 Jefferson Temple Church SCTM~ 1000-101-1-10 ..HARRIS Supe~isor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1 t971 Fax (5;6) 765-1823 The following is in response to your request for the Planning Board's comments on a waiver of site plan requirements for the above referenced properties: Drossos Motel-The Board would like the applicant to submit a more detailed drawing showing the relationship between the parking for the restaurant and that for the motel. The sketch should also show the locations of the motel building, and the miniature golf course, relative to the restaurant. Jefferson Temple Church-The Board will waive the site plan requirements for this accessory tool shed provide~ the required set backs are met for this zone. Indian Museum-The Board will waive the site plan requirements for this accessory tool shed provided the required set backs are met for this zone. k ' ' ,! .~N FO~M NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................................ ~proved ................... .~4.~....~.~' 19~.. Permit No ...... ~..~X.~... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewrjter aC in i0k 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 o~ areas, and giving a detailed description of layout ofproperty must be drawn on the 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 o 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, bui!ding code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~Signature of applicant, or name, if a corporation) (Address of applicant)-- tte APPROVED~.~AS:~ ~r-~,__~ ~ , . N OTE..D~ Sa whether applicant is owner, lessee, agent, architect, engineer, general c~t~,tLtor, electrician, plum~,~,e__~__jm~lder. L',';Z ......................................................................................... ............. ~-~¢ ] t J~ ;" ~ ,-~ ~ C r¢oTIFY BUILDINg DEPARTMEhtT AT Name of owner of premises .............. ;,...'Z ............... .~..J~.~..~.~.....~ ............. ~[~II~D~..gr~,/~C..t.~.4~%~..C.'O.~..RJ~M.J~.: .... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No..Li~. ...... .~.~.:~,.~.~:.)..~,../ ........ Electrician's License No..,~,....~,....r...l~..,..-,.. ......... {~'O'Z'~ ED JNSPECTK~NS: 1. BEFOR~ BACKF[LL]HG FOUNDA- TiON OR ST,¢J~,T FX./,M~HG 3. BEFORE COVE~;i,:G F:FZS OF ANY KINE 4. FINAL WH[;N JO3 CO?~PLETED NOT ~ESPONSI~;LE FOR DESIGN OR CONSTRUC flON 5. ALL CONST~L~CTION MUST R~QUiR~MD~:?" g~ q.Y. STAT~ COD~ Alq3 TOWH HO~i;~3 COD~ & ZONING Other Trade's License No ............................................... 1. ~o~.o~ o~ ~ o~ ~ ~o~o~od ~o~ ~.z ~ ao~. ~ No.: ................. ~L...%~:.~.~ ~ot ~.'.~.~ ......... ~ ~ ' " / L/ Street and Number ..... ~..~.l.~....~.~i ........... ~'~'~"~'~'4'~: ............ :...v .................................. ~ / Municipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ .~.9..~..,~.~.~.~.~ ......................................................................................... b. Intended use and occupancy ............. ~ ~= ' ~ .~:(3 .... 3. Nature of work (check which applicable): New Building'. ................. Addition ....... Alteration ,4~k~.. ....... Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ (Description) © Otb 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 .... .~¢~1....~..~.~. ......... 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 ....... ,~..%...,c?. ........... Rear ...... ~..~%..~..~. ........... Depth ...?. ....~ ...... Height .................... Number of Stories ....................................................................................................... : ............ 9. Size of lot: Front ....... ¢r~..~:.._~l'....~-.~. ............................ ~e(,r. ......................................... Depth ..... ................. 10. Date of Purchase ........................................................ Name_,~Former Owner ........................................................ 11. Zone or use district in which premises are situated ............... ./-.~',~ ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~..c~ .......................................... 13. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ....~...~../~,...J..~.'....~).~,~.¢.~. ..... Address .~.~r~..'.~..~?~.~hono No. Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ...~.~.~..~.~ ....... ~../-~..~....~ Address ....~.~.~...~..~...~... Phone NoT~.'.~....~...~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Iol, STATE OF NEW YORI<, ~ c c COUNTY OF ................................ f .......... .%f...~..>......'. ........... ~.L%..%....~....'m¢....~.,.,,-~,. .......................... be.nG duiv sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............................. .0....(~....,,~..~.~ ............................................................................................................................. (CohCxroctor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make end file this application; that afl statements contained in this application are true to ~he 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 :'": ..... ........................... ,,f/ ~ / ,' / (Signature of applicant) Teim I~xpir~ Ntar¢ 20, 1~_.~