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HomeMy WebLinkAbout10545-z FORM NO.4 TOWN OF SOUTHOI..D BUILDING DEPARTM'ENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10618 August 5 81 No................. . Date. . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . ., 19 . . . THIS CERTIFIES that the building .. , . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property ..... 7?(I.5. . . . :'3.k;~~~. .~~r:~. . . . . . . . .<:1:1 ~.c.~,?\,~.e.,. . ~~.~ . ~?:.k. . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section .. .1.Q4. . . . . .Block .... .1:14. . . . . . . .Lot . . . . .4~. . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. ....... .Lot No. ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated December 5 19 '79 .. . . 10545 Z . . . . . . . . . . . . . . . . . . . . . , . . . pursuant to which Buildmg Penmt No. ..................... January 16 I 80 . . dated .................,.....,.... 9..., 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 . . . . . . . . . Accessory Garage . ,.... ,..... ........... ..,..........,. ........... ....., ........ .... " ... ........ The certificate is issued to ...... ~ ?~.~~ . ~~.~~~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, :It......"..J;1I11!/ant!x of the aforesaid building. Suffolk County Department af Health Approval .....II! ~~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N/R UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C. /;( .-,," (. ~ ~ <,,' - ..- ..... .-1'~, .''1'1:.... ).?':.7.4-:h.... Building Inspector Rev.I/S1 I ,I ,j, k~, Ln_, ,ti " FORIII NO. 2 TOWN OF SOUTH OLD 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 AUTrlORIZED) N9 10545 Z Date ...7,(l,&V/J.I['f......I.(............, 1~.. Permission is hereby granted to: &,<: e :578'/72:,;.., 1.;(./ Ktt"f-f ~.....J62UE..::.?...,,?EAj.~., ",.....' .........V-k<I&"'DJi..?-:.TIJ. .1. ...". . ..................................... "............ ........... .to C:{)M.5;;/aU...~dE.:5Sary.....hj.,.:;~<r-E....t'/'). .".;;;-I./AE.....'1tOa..~.,.,(}/"<::lfi.N, " I.j/l'....;{}tf,{i;Jv,{)L--#..?:.'.6.:~..,..,..t/r.lfo. .. -:-:. .N'.u....{..f.fL(~.~..rf.{;,/~.~....... , at premises located aF#..1.f.:.<!.$:......~~~...t,4J)...~.'j. ...(.~..,.c1fIIO'7"'1i7"..6.~y' ...... ................................................................ ....... ... ..' ..........,............................................................ ,...................................................................... ........ . .......... . ......... ................................................,.. -- ~ pursuant to application dated ...t..:€~~.., ;;;....,.., 1~..., and approved by the Building Inspector. Fee $I.Q...?:......... I 1 ~ -' ~ . "I. 'L~ . fORM NO.6 7.3'1-.534# ~, 7L5'0-3"1(J~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This applicatian must be filled in typewriter OR ink, and submitted in duplicate ta the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate locatian of all buildings, property lines, streets, and unusual natu ral or topograph ic featu res. 2. Final approval of Health Dept. af water supply and sewerage dispasal-(S-9 farm or equal). 3. Approval af electrical installation from Board of Fire Underwriters. 4. Cammercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 peoperty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 2. Sworn statement of owner or previous owner as to use, accupancy and condition of buildings. 3. Date of any housing code or safety inspectian of buildings or premises, or other pertinent informa- tion required ta 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 g'--3-JI Date.. . .'.. . .:.. .., ... .... . . .. . New Building. . f::~. . . . . . . . Old or Pre.existing Building ............ Vacant Land ............. Location of Property .1r?.r.J.~. . . . . . . .. .~.;f ':':<1.<' . . .. .L:4(1(1J:., . . . .. . . .. . .. .. .. . C ii. T'? !(c; (;€ '; rE- House No. Street Hamlet Owner or Owners of Property . , ,::!4.ff1 f? . . . . . . ?S.p-;!J. ~-.~~ . . . . . . . . .. . . . . . . . ., . . . . . . . . . . . . County Tax Map Na. 1000 Section .. .1.9.1........ Block... R.y........ Lot. . {-;>(.--:. ........ Subdivision. . N A.~...YJ,J.. . . .F.4J?.ff~:S. . . . . . . . . . .Filed Map No. ......... .Lot No. ............. Permit No.' .q"? .'(,r.? Date of Permit /: 1f>.'f'.'9. .Applicant . . . . . . . . . . . . . . . . . . .. . . . . . . . . .\}. . . . f' , \ ~ Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Labar Dept. Approval ................ 'rt\ . . . . l Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . .Planning Baard Approval ........ . . . 'f( \ . \~ \. . ~ \ II ", R",,," "n.m""::;~rtlfi,"M. .. . .. . . . . .. . . . . . . . ..FI", C'rt"''''' . .-C . . . . . .\1.. ,,\~ lY. . Fee Submitted $ 1....1 . ... . . . . . . . . . . . . . . . . . . . . . . . ~ / (, Construction on above described bU,ildin9 and p~ :eets all applicable :a~es and regu lations. Applicant. '(:/ / t t-t-R...,j .;(J~. . . . . . . . . . . . . . . . . . . . . . . . . . . / Rev. 10-10-78 - / , , ,,,.-1. j1; 1;"t 1l^}.;:- 1., , FIELD -I.WSPEG'i'ION . DATE COMMENTS . . - - . !-- , '0 1.. ~ ~ W.I.,L ~..;t ~ ~J2, HI ----- I-:J ~ .. / , FOUNDATION (1st) ~ ........... --------- - . N . I,!>>'~ FOUNDATION (2nd) ~ 2. 11;'1 ~ ROUGH FRAME & ~ . PLUMBING \ ~ 3. ~~ '1' - CD c CDl'c INSULATION PER N.Y. ctt STATE ENERGY t iI1 CODE " . ., "'~ 4, i\> ") - ~ - # r/41 _ ::h.__L ~ ,/ CD rl- / v, V ~ FINAL , A ~- ./ /A?I ~c} IV - /' 7 ~'l .., -- ~~ ADDITIONAL COMMENTS: ~ - " "1 -~---_.-...._-~------ . - . I~~ co I }-'. " 'i . i\> ~ rl' \ }-'. - . .~ g~ , f - '" . ~t t:I CD TJ , ct . ! \.Jt !3I>.. "*' j , . ~ " " ',1 < . . . . . " '" - . orc.u\}~,w:~&Y OR iIJ · Ij D'~ If Ul r~~"~~ r~ U~ql~'~f .', ,~~' ,.j <;~ "~ \ " " h' \' .' 'i6'~ U. , j C.l " IE U\'J> f..'" ~<. ~ "';I." t'" ~J>a~ ilt APPi';ISD AS NOTED "^"'1~~,:r,t;'l"'J \~"""~~,' . \HHiu(J' Cli\HfiCA '. DATE:lt6 _B,P.!:ff 10'5<1:5-..:z ijf OCCUPANC~ FEE!"6'lo ~ BY: ~ NOTIFY BUILDING DEPA MENT AT 765.1 ~;12 9 AM TO 4 PM FOR THE FO~J :""\Vii'{:J; JNS;J[CTIONS: 1. Fr:,!\r'A110~~ . 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' .< " " ,,' .4(,' '3<1' .. .... ."..' .. .. .>::'..~ ' r 5.'7?' ,,:>:';(:, /' -;': '"," ''',;: ',srA1JS :40';f' !, _,,~' ':)"....r~, ?",. ..I, -~p.;.-. ~ "'" _', \" "~p,< : ", \",.,- . -' ! /\' , , ' . \J S .. G (j;?' . .-: :,,' ......'.. .,.,. '.' '. o. ", "." ' ~. ON PIP!';. . . ' " .....:;,p..\J. ~~.l. '.... ...;"--7' < ,..e,"'CONC. &lONUMSt~I-;.. , ':{ . ;...- , '~ ' , ,> ' ..-" " ( .-. " '>,' '(; p.:. . " ~-".., , " <t' ' > ...--v_"', , ~ ~ . ...... ., \ " ,......-.:...--.... I ..' \ . ' ..- . ..r-"" ,) I , _~,';._r""- ,-- _ ' ' Gl.1CtYcii"\Tc~tEd t,:J "Tl-'.-e- "T,' r {~=? t 'I '/..........- , ' , ,', .GilciYQ.H ~,";i~ "':",'h'p"!.,",,! oo!' -t'Q .\ > .. , 4l:fe~ 5C'...\j+~r':J\d 'S'(v'''.J\'"'tC:~'.l( b<;\).,k . 'NQI~'; .~5'$V('t:;'";'9d A\.-10~l...f.IS,t':;'1i-,. j :~_ ~'-" ~"..:::,"" _'I .~lt)(.1?,w'I;~~t? V'Ah "rWY'-, r)~c..' ! LOT NUM e.~I<...$. SHoWt'o{,'esF~z TO . ., '\2.. V r;-" q I "MAP, OF NA55AtJfA!ZM$" Ffk.EO ..,:..._:.::.._\__..~__~"'::'::':'_(.:-N-:!".., -.....,--~ j ; I .!H TH~ :'5!JFFDt...!f. ,CCt.,.lN."ryc!-.i<:~t<::'5 U~fi':NSii;.O' LAND SUZV;;::yo12S I i I OFF!~;~:" .~-? M:"f:.:::~,:;-!t;7,~.,;;">: ~~,~.'''../.. -' ,},~~~~c;-t~fR.T ',NfOW Yoev.. . ( ~_."~"~"'..~._u.__~<i_'''_."~~...._..._~, . " _t,;i;.-_~':"~lr'_~, J:L~~i~f.:tL,.....'_:t,,,:-c ',:"t' '. J ,,,, ~.,,' ,. ,.-.,.., .. d.'_ ~.'CW~ -"'--'> v.........-"-..,."",-.>i""~'X~..~,~.~~" -'.- ,,",' ~,,"'__"""_"'r~~~"~""-"'."" ,-.._.",,,,~, '."""," '.,,~w.." ~'~"_"~_b..,.,_; .:.., o.",w""'--~~c~'''''''''- .rJ';';.0':itc~ 1 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. NOTICE Of DISAPPROVAL File No. ................................................................ Dote ~~..t5..--::....., 197..'1 To f6:.-=~u,"'.:\!"'v.t:'f:- ;t J,(itus ~ ....4.(Q...A.c;,tzi:a:y.J:b.IMt2...UIMC 7 ?<ls- s;,UAJ/k:.. ~/VC ......5Q.()TN.QL.(2.::~-;:.I:I..,:f..:................ CVIG;K7t?<JC - IV :; _ PLEASE TAKE NOTICE that your application dated ~.c ....:>.::............................... 197..... t . far permit to construct A::.C'7....l:.t...tP.5.. ...~t the premises located at-=tf.:..7cf:.y?.-:........... ..:5./.:.<..</.v.I.;"...fr.<r?(,G.fi.......................... 5,,~Jf C",;::c:p./-z:> ~v2 ---- JV /' . M<;;' ~.;qqQ./.r..9..~.. Block .........Q..~....., ................. Lot .........Q..?::.;;c:........................ is .....,..- returned herew~ disapproved on the following grounds .::sz;q,~.1?t...fP.?!:?...!.!.~.f......... ~ -oJ =- .. ..~~l......6."..cc.;:;;>.:~p..~....57~.Cf.~.../.4I......;;?(e~..7e~..~ .~~.~...........Zd.:~~~..Qt.?Q..,...Cr.r&Ji?..l99...~....uaz~.............. .. ... .... ... ..;;;z:.-......I.Q.C1... ............. ...... ...... ...... ..... ... .......... ........... ... .......... ....... ...... .................... ....... j .> -",,,.J; '=l.c!:1.Jt~. it -"'A'-.' , ,,' 1.'>>.' ,. ._~___:_u ._~__ UUu, ...'__:___ :_cu_..<.~--~-_::~'":_:;<_::.._~~:u:~_;i_~~.~':~ _. .::: ~::~.,,"~'i~~~_ TOWN OF SOUTHOLD, NEW YORK DATE ~f.~/.8..~..... ACTION OF '.rIlE ZONING BOARD O~' APPEALS Appeal No. 2653, Dated 12/5/79 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. James Reale (Peter Stoutenburgh as agent) Appellant 310 Ackerly Pond Lane Greenport, NY 11944 Southold, NY 11971 at a meeting of the Zoning Board of /l.ppeals on December 27, 1979, the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance (X) Request for a variance to the Zoning Ordinance Art, III, Section 100-32 ( ) 1. @K~. By resolution of the BoaId it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article .... ............... Section .................... Subsection .... ...... ... .... paragraph ._ ................ of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) bE> confirmed because 8: 25 P .M, Application of JAMES REALE (by Peter Stouten- burgh), Skunk Lane, Cutchogue, New York, for a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct accessory building in side yard, Location of property: 7845 Skunk Lane, cutchogue, New York; bounded north by Frieman and Cordes, east by Kaller, south by Skunk Lane, west by Petrucci. (SEE REVERSE) 2. VARIANCE. By resolution of the Board it was determined that (a) strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because (SEE REVERSE) (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district beca.use (SEE REVERSE) (c) The variance (does) (does not) observe the spint of the Ordinance and (would) (would not) change the character of the dh..trict because (SEE REVERSE) and therefore, it was further dctermined that the req uested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. ZONING BOARP OF APPEALS FORM ZB4 __.____ .~_ .'_"__ _.__" ___ "_~__ n.~,_.'<"__'^____'~___,_",~..<_<....._~__ " i 1. -, ". ' i J t- " ~ , ,'-_,.,~ 3~ .,.. ~~, "Le,' c t. '" <,_ \ -"-- -- >~. ........ - ~.~. -~ . -" -"..'~ ,.. . - ~, l After investigation and inspection, the Board Ifinds that the applicant is requesting permission to construct an ;accessory building in the sideyard area due to the steep slope of the :rearyard and loca- tion of cesspools. The applicant indicates that Hie building will not be constructed closer than the front line of the dwelling house. The Board agrees with the reasoning of the applicant for the project if implemented as applied for. The Board finds that the circumstances presen~ in this case are unique, and that strict application of the ordinanqe would produce practical difficulties and/or unnecessary hardship, The Board be- lieves that the grant of a variance in this case will not change the character of the neighborhood and will observe thelspirit of the zoning ordinance. i On motion made by Mr. Grigonis, seconded by M:r:, Doyen, it was RESOLVED, that JAMES REALE, 7845 Skunk Lane, Cutchogue, New York, by Peter Stoutenburgh as agent, BE GRANTED p$rmission to con- struct accessory building in the westerly sideyardiarea and in accordance with the requirements of the Southold Town Building Code, and provided further that the same not be us~d for living quarters. Location of property: 7845 Skunk Lane, Cutchogue, New York: bounded north by Frieman and Cordes, east by Kaller, south by Skunk Lane, west by Petrucci. County Tax Map Item No, lQOO-l04-4-25. Vote of the Board: Ayes: Messrs. Douglass, Grigonis and Doyen. Absent: Messr. Tuthill . * * * . " .. . ' ~:\;,~,~:. ~ " ' \" , t - ''111i!I'<~''''''''!ff;<r~1fl''''''~"'''''''~'~~~'-'''''''''!';JI"''''''''''''''--'''''~'"'~r.~-''''m~"'W!!i-"""""'~"'-"''''''''~~~'''''''''''''''''''''~<J-''''''<'-'~._._''''" ;.,:~:~ ~f,!!~tf;1, ':'. ..~.~ .;{I."':'i;~~-;J/~,",,-ii:":'oM :;t~~;,;'~' it.... ,,,.' '.if."~;,< ,:,..;~' M", ,~~ "J~......t'j"'"'' i;'.~ ';<;'1:;:." ''<; ~~"""" .1",,',," :';'jj'( h',,''I,i"t<'~';;,', , ,,;' )'"".... ;--1,;:" ,:;;.n,'" -- ,C" .',";, '-. _,' ,J, :.,!;~:%~~ti~J1~"i\~;~;f~;41~~i};:li~~~,,~r~~;~~{..~,:~~~ "'.~~r~~1~~\~;t'f4~:;~:~5;it~~~:~,~~~~~;~;~1;.;;;'~'?~;'!;"~~!:,~:~k i' ,!:~iiJ-~~(;\:f..~;(i'~;;f{~;~~:',:" ~':" '-:,~~^ - "i,;:-~;'" ,~'~:, '.:. ::.;;: <~, -', <~1~\~j~.;~;?~:?;tti1f~A:,:;r,",~J~~,~~t:/:~~;'>r~;;~~~'f,;~~ff~)i~'1~:l~1l1yjf%t;~'i;-~~~1,~tt;lstVft~~~~rli.f'~fJJ!tgi~11!tft'f~':k1.jZ;ytflj(..~";p.'i; -' ~~~f~\tIV;"'~~~{(14}~r~~kb;t~%\~~9:'J~ii~irf~M~ ,~~:(., ,y,} ", ._,:t,~,I'~.,~, ;;,t ',tf':J(f.q'\~,iJ(~::5,,1~t\1A02':i~{:S;,l;)kk~~(~';:{\:t~><~i_:iJ&h~+;;;,;Y:;k~>~W:~~);i~~%}@pti9,~'4~@~fr~~~1~~i\~'~~~I~~;~~~t~}Z:ti;'i;~.i~~~)~mi~:;1':'i3~i~'!{fJj~~{:::~~'~~~~~1~(f~~t~;~;~'~;~:;~.~~{:,~i)~;:~" f~':'.:~,;_~_k. ' ",' ,<' . '0 " FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined:22~<:. . d~. . . .., 197.1' Application No. /o:::r:i:;i.; . . . . . . Approved JOv..I{......, IJP. Pennit No. ,1c)~~:Z Disapproveda/c 4(~r'~ /1.). ~/.~~I.CO.:,. p.(A. '1f'~~l/4L.. .26::-... .I.I~ .:..R:>. ...... ,45 Aff(/F'O 'PO)':... - /JOt I" ......... ~ ~ /..' (Building Inspector) "" '?Gc> T-f;Jf<. t'WtV6'j' CjJ'~ APPLICATION FOR BUILDING PERMIT C//te'la Date~,.:r:........, 197.'1 /' 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 descnption of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before 'issuance of Building Pennit. d. Upon approval of this applicatIOn, the Building Inspector will issue a Building Penn it to the applicant. Such pennit 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 Pennit 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 . g code, housing code, and regulations, and to , admit authorized inspectors on premises and in buildings for necessa7/1tlspeC iOfs. if> CZt-:f'... t' t , (. -:i ~ . I - . ;. (Si~~;ture'~f ~~~1~: ;: ;:~~':~i ~r;~;at;~~)' . . , . "). lA { . P i ~ . k.1/0 ./. f1i~~i~i ~dd;e:~:~~~~li~~~t)"'-"" . , . . , . . --------.. State whether applicant is owner, lessee, agent, architect, engineer., ~J..contra~!.~,..electrician, plumber or builder. - ------ "J X./V., '''' A Cj~.;c... .c. o . . . . . . . . . . . . . . . . . . . . . . ,~_ _. .. . . -.+. . .--,> ~- .' . . . . . . . . . ..' .. ,'0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises .'~,>--/;>:"",. ~~. . . . . to "':0'/2,,,,.. . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . , , . . , . " (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .. ... ..... ............ ,....................... (Name and title of corporate officer) B 'Id ' L' N ',')...1 t.( U1 er S lcense o. ".....,.,..,.".,....... .,.... Plumber's License No. .. .J,;<?M~. .; . . . ., . . . . EI t" , L' N-:;; I.SE. ~~O- ec ncmn s lCense o. ..... .,. ' . . , . . . , . , Other Trade's License No. ..,......,........... I. Location of land on which proposed work will be done. ..,.............,.................. ............' St:' t . -Ii'. , 7O:~, , .. .. . . . . .. . . ';, . . ..'~.:':\ .1(, .. (,",.,.-; ~;-. . . . .. . . . . . .. .C,.~ ..cA.".' I )"" ,., . . . . . .. , . House Number Street Hamlet '. County Tax Map No. 1000 Section ... ./.0. .V . . . . .. Block. .,' . P .'1. . , . . , . .. Lot...,~ ~. . . . . . . . , Subdivision. . (\;! J. . """'. . '". . ~. .-' ,'.'. y-, n. . . . . . Filed Map No. , . , . . , . .. . .. .. Lot.. . . . . . . .. .. . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 'd . . )" ~ ~,., ,- a. EXlstmg use and occupancy ..... ... . ~"~ u.. \'0-. C.". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy .... J \-;...-~~;:::-:.,;;;, . .~ ~:.. . ~:('> '. ''('f..v. . . . . . . . . . . I ' 1 '" ~ ".,d," f ';.L~jf ">&,.Jilt:JL.;i.d;',, "~. )1' -' '. 3. Nature of work (check which a~plicable): New Building. . .'t~ . Addition. . . . . . . . .. Alteration .......... Repair .............. Rembval . . . . . . . . . . . . .. Demolition .............. Other Wark . . . . . . . . . . . . . . . , . c:;?~- i , qf5 ~ (Description) 4. bstllTIated Cost. . . . . . .(\. P. Cj). C::J. . . . . . . . . . . . . . . . . . . . . . Fee . . leY.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling: units . . . . . . . . . . . . . .. Number of dwelling units on eaeh floor. . . . . . . . . . . . . . . . . a.,. If garage, number of cars .... ,i . . . Cc;:y~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed oceupancy, speeify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . I ' 7. Dimensions of existing structures, if any: Front. . . . . 'lu' . . . . . Rear .............. Depth............... Height.............. . Number of Stories .......... .q.v:-:-:':'-:...................................... Dimensions of same structure with alterations or additions: Front .... ~ 9. . . . . . . .. Rear . . . . '.~ ~. . . . . . . . . Depth . .. . .. . ;;;?-. y . .. . .. . ! . . Height . . . . /5. . . .. .. . .. .. . .. Number of Stories .. . .. . I. . .. . .. . .. .. .. . 8. Dimensions of entire new construction: Front. . . . . .s;.. . . . . .. Rear . . . . . . . . . . . . . . . Depth .. . . . . . . . . . . . . . . '. Ov""- ~ Height .............. .~Number of Stones. . . . . . . . . . . . . . . . . . . "~' . . . . . . . . . . . . . . . . . . . . . /' . . . . . . . . . . . . ' 1-0-9- c , S- 9. Size of lot: Front.. . . . .. .0.. s:.. . . .. . .. ... Rear.............. .kG.. ... Depth '" ,9,..'.. . .'.. .. . ... .. . 10. Date ofPurehase .......... '. . . . . . . . . . . . . . . . . . . Name of,F~rmer Owner ............................. 11. Zone or use district in which premises are situated. . . ~.~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. D~es proposed construetion vi61ate any zoning Jaw, ordina~ce or regu.lation: . ~~ . . . . '.' . . . . . . . . . . . . . . . . . 13. Wllllot be regraded ~;.............. ',' . . . . Will excess fill be rem d from premises: Yes <SP 14. Name of Owner ofp isesJ~".,-. . .f;'.<; :-v!':'L. Address . .i~.\(J'f:':. ;J~:(.,!-. . . . Phone Na. .. . . . . . . . . . . . . . Name' of Architect ......... ................. Address . . . . . . . . . . . . . . . . . . . Phone No. ..... . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . PLOT DIAG RAM Locate clearly and distinctly aI buildings, whether existing or proposed, and, indicate all set-baek dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interiar or corner lot. ; , , , , \ ) " ~ \ \ , I"~ , " " \. I \ . ' 1;', >- <;\.1..-,," ~~ , s~" , ,. , , rt \ Q-.""" ~ , i \ . ! STATE OF N~~ j;.,' S.S COUNTY OF . .. . .o.!t... . . . . . . .;?~ .e 1'. . . . . . . . ~ J)I<:f-A. ..hL.<.-'(j'A. . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ' He is the ............. ~.O.,,wr.t+..~Or.......................................................... " "i' (Contractor, ngent, corporat~ officer;ietc.) , , of said owner or owners, and is dJly 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 wark will be performed in the manner set forth in the application filed therewith. Sworn to before me this I ' ........ ....s:%....... .day qf.. .))e.<i"< fY\.v.~.., 19 ':21 ' . ,1; ~ Notal)' Public, ........ ..... " . .. . . . :li:Ilf)l): O;>unty, . '~ I?: "2 c=~ i. I- i ELIZABETH ANN NEVILL!!' . . v. .--"'. .. . . .. .'.. . . . CSt . at~; ~i ~;;Ii~~t) ~OTARY PUBLIC. St.te 01 New '~o No 52.8125850, Suffolk Coun Y I r...,m F'(flin'~ Mflrch 30. 19.9t:'