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HomeMy WebLinkAbout10553-z FORM NO.4 TOWN OF SOUTHOlD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . .. ~.~~?7. .. .. .. , Date. . . .. .. . .1!-p;r.:I,~. ?~. . .. . .. . . . . . . ., 19 !3.0. THIS CERTIFIES that the bUIlding , . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . 1445 Pike Street, Mattituok Location of Property . #....OJ,. Lova. Lane,. .Matt,i..t1iQ~........,...........,........... House d. , treet Hamlet County Tax Map No. 1000 Section .. ~.~~. . . . . .Block ~~2. . . . . . , . . . . .Lot . . 9~.~ . . . . . . . . . . . Subdivision. . , . . . . . . . . , . . . . . , . . , . . . . . . . . . :FiIed Map No. ....... .Lot No. ............. conforms substantially to the Application for Building Pern:l1t heretofore filed in this office dated ~~~~:;r: .~~!. . ., ,. . , , 19~~. pursuant to which Building Permit No. .. .1:Q~~~.3.. . .. ... .. .. dated. . . .J:<i-~,u~:r;y. ~,3. , . , . , . . , . . ..19 .eQ, 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 ... . ., .. . two ret4il~st.ores (addition to enistin9 buildin9) ... .......... ,.......,.. ..,..................................... ,.......... ,.... The certificate is issued to .~:!.9h~J,ihff!.':~~;;:~~.x:..................,..................... (owner, lessee Dr tenant) of the aforesaid building. Suffolk County Department of Health Approval .. .1\t/R . . . i . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . N474678 UNDERWRITERS CERTIFICATE NO. . , . . , . . . . . . , . . . . .. . . . . . . . , . , . . . . . . . . . . . . . . , . . . . . . 'C\1rd.'W"~~" 4f'~.. , UI chng nspector Rev 4/79 i J i 41.."'-,.", , ;"J" ~,~j"~ " . L. FORM NO. 2 TOWN OF SOU THOLl) 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'? 10553 Z Date ...J.N>.J. U Al?.y.....2 .3...., ..., 19.f.O, Permission IS hereby granted to:o/'E'olttfE' 41ft-IrK.S ;5.c. VA::" /NC- ~ -e ,. ~..h(/.Cr./.Zi;.//iii':,... ?i.e:.<::.-<:GiJ<:-, , , 2.:5(::;)....C({,).x...LA.{.'-tE... .... .C"":T.:C.r./..Q.o/1..C.dZ..,.... .u,. ,y., to ...Ca.U:5T'-Ct:,;.c,/........6JJRt? /.7.:I..,J.A.J..," C (.2~U.r4/-N./.~/......PMCJ.,../?;;;...~tt........ ..;:J14./.T:Z.:::?. .... :7.:d.. ....E~..I;;;. 'C1.1v7.... . Cd.A-(,J....I;;:;x.,.(j 1./oJ.r...... ,.J;5"",.,,~..p./J...i'1"'" ot premises located at f.'.-{r."5.i/,k;:;..::sz.r;I...7I~o. ~/.-;;,. ~Ad0..A/.o.m7i",c.t."..M 7 . ilA.....~if.~..iiij~;..........;~t..;;;.:7..'...........,'/Z;;:iR:::jf;;~~~::::::::;:;~;2~::::::::::::: pursuant to application dated .J;t;.j../~.47./~..,z:.I...... ,....... " 1~.., and approved by the Building Inspector. .t/ ?r Fee $........l..'f.f:..... , .. ~f..~,.....~!..~;44:~............ Building Inspector , ,,1ot,__Jl_oJ fORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application 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 natural or tapagraphic features. 2. Final approval of Health Dept. of water supply and sewerage dispasal-(S-9 farm or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tians, a certificate af Code compliance from the Architect or Engineer responsible far the building. 5. Submit Planning Board approval af completed site plan requirements where applicable. B. Far existing buildings (prior to April 1957). Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peaperty shawing all property lines, streets, buildings and unusual natural or tapograph ic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and canditian of buildings. 3. Date of any housing code or safety inspection of bu ildings or premises, or ather pertinent informa- tian requ ired ta prepare a certificate. C. Fees: 1. Certificate af accupancy $5.00 2. Certificate of occupancy an pre.existing dwelling or land use $5.00 3. Capy of certificate of accupancy $1.00 April 17, 1980 Date... ... ..... ..... . ...... ... New Building. .. . .. . . . . . . . Old or Pre-existing Building ..:)C......... Vacant Land ............. Location of Praperty . .1}!+!4,Q. P;i.k:P:. ;3:t.r:P:E?.t. . . . . . . . }(!l?-t:t.i.1;V9K,. .r:J~)'~ .'(9.)\:. . . . . . . . . . . . . . . House No. Street Hamlet Owner or Owners af Property .. !1J.:i,QJ:1\"J-lP: . P~.c.l}E?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Caunty Tax Map No. 1000 Section ............... Block............... Lat................ Subdivision. . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot Na. ............. Permit No.1.Q5:J3;2. . .. Date af Permit J-:-:43:-I3.Q .Applicant . .QP:Q.g,E; ..{\.P.),E;:r:? j3.1.iUIi.e.r:.. ;I:nq, Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Labar Dept. Approval ........................ . PenrUng . Underwriters Approval. .... .. ... ... ... ...... . .Plannlng Board Appraval .. ~2'-G-?g.. . ... ...... Request for Temporary Certificate.. .. .. . .. . .. ... . .. .. .Final Certificate . .~... .. . .. . .. . .... .. .. Fee Submitted $.5...00... .. .. . ... . .. .. .. .. . . . Constructian an abave described building and permit meets all applicable codes and reg~ IZ/l; Applicant .G~P.r:gE? A.l1J..E?f.S. .l?v;iJ-.cJgr.. .J;T}9...... ...... a b<LI Rev. 10-10-78 1d;, ~ , ~ . ~". " . Jt..r4 ,4."~i,11jL.u~,." ,,~~~._H~..,~ -. --- -- ..._-~- ~ - --" - ~ - .- ~- . THE NEW YORK BOARD OF FIIRE UNDERWRITERS BUREAU OF ELECTRlqIT'\'I [ar 85 JOHN STREET. NEW '\'IORK, NEW X;ORK 10038 Date April 15, 1980 .4pplica'ion No. on file 064~47 N 474678 THIS CERTIFIES THAT only the electrical ef:uip:Tnt as des:ribed brow andLntrod~ecf by ttf apPli&a"kli~difl thriO'Ye "rtfliittif number in the premises of MJ.(~lel e BeC('H::, Dve a., iKe t. ... at 1:;UC , . , in the following location; o Basement Ells' n. D 2nd PI, Section Block Lo' was examined on April. 10, 19dO andfound to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES I FIXTURES RANGES (:OOJ(:ING DECKS OVENS DISH WASHERS EXHAUST FANS OUTlETS SWITCHES INCANDESCENT FLUORESCENT MER URY AMT KW AM.! KW AM' KW AM' KW AMT H P VAPOR LJ a 12 J.;,; I) l. Jf DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC!PT TIME a~OCKS BEll UNIT HEATERS MULTI-OUTlET DIMMERS AMT KW OIL H P GAS H P TRANS. SYSTEMS AMT NO AWG AMT AMP AMT AMPS AMT H P NO. OF fEET AMT WATTS 2 2 12 2 20 2 40 SERVICE DISCONNECT NO. OF S E R V I C E METER NO OF CC COND A W G, NO OF HI-LEG; AWG AWG AMT AMP TYPE EQUIP 1.H2W 1$3W 3,Z3W 3,Z4W PERK OF CC COND, OF HI-LEG NO OF NEUTRALS OF NEUTRAL I. 125 P :H; 1 210 1 12/0 OTHER APPARATUS? Elec.. roomheaters,2~4.0kw,2-215kw,2-1,Okw - , , , ~~~ GUl;ltav liarl-' L27 J!.. tin ak W!l.t/:!;r iid, Matt1.tuuk,N.Y, H9:iL GENeRAL MANAGER l-ic.1529 11 Pc< This certificate m~st not be altered in any ~anner; return to the offICe of the Board If Jhcor~ect. Inspector,s may b~ identified by their cr~detltjall. , CQP~aOR B~IL~INQ DEP~!l"E~T.T"'US :co~t '<>lE~!F'S~I\IQ,~,~'.1"'t~~&9l:IN AN'f MANNER. FIELD INSPEeTION_ DATE COMMENTS", ~, - "' - -- ~o 1. I 3o-~o /? /.~ Ht~ ~-",,"A'''____ - -~_._._~- o-ali\J FOUNDATION (1st) z --.......'---- 0 . N -- I Q~ FOUNDATION (2nd) ~~~ rot I 2. .... I ROUGH FRAME & ~~ ~ o ~ , PLUMBING i'-~ ~ _? ~, ~ I tel t"l CIlII ' 3. IT IJ >i - * \ INSULATION PER N.Y. IT STATE ENERGY ~ CO:pE ~ ~ ~\ 4. s - ~/O -f-' ill IT , FINAL ~ -.- ~ .~. r:-;~ <D ,) ADDITIONAL COMMENTS: 0-;('\ ", 1. ~~>~:--5~~",.;,,(}:!L II, L5 '~ C~~ ~~ .4~h.or~~ . (J '44 [, 7 -- \(~ !-'oN 0-; P>(A) IT, 1-" - ------g~ :; -~-- . ::r: CD ) , iY f-J IT '" . t:1 CD U <i" . ~ '*' ,., <.> ; ti "' " . TEL. 765.1802 TOWN OF SOUTHOL:P OFFICE OF BUILDING INSPECTOR . TOWN HALL SOUTHOLD, N. Y. 11971 Planning Board Town of Southold Southold, New York Re: Site, Plan #M 4596 - 11/79 Proposed Addition - N/E Corner Pike St. and Love Lane Mattituck, New York Gentlemen: At the request of Muriel Tolman for a s'ite plan review, I submit herewith the following comments: The premises is located in a B-1 Zoned District and is re- gulated under Art. VII of Chapter 100, Zoning Code, Town of Southold, N.Y. Under Sec. 100-71, bulk schedule of this article, total lot area required is 30,000 sq. ft. Property. data on plan gives lot area of 11,716 sq. ft or, only 3~~ of todays lot,requirements. Bulk schedule provides for lot width of 150.0' along front yard. Site plan shows 100.0' on Pike Street and 102.30 on Love Lane. Schedule also provides for a front yard set back of 35.0', with a total for side yards of 50.0'. i.e.: 25~0' and 25.0'. Rear yard requirements are 35.0'; this being a corner lot leaves very little rear yard. Before reviewing proposed addition, ! would like to point out the following non conforming conditions existing: 1 . Insufficient lot area 2. Insufficient front yard width 3. Existing building with insufficient side yard set back The proposed addition is for the purpose of creating two additional retail stores. Under this article, retail stores are a permitted use. Sec. 100-70 A (1), (C), and (d). , It would appear this addition will create a building with E com- bination of retail stores as stated in 8eo.100-62 and would be I j rt ",1 ;",.,-.. ~, - 2 - Site Plan #M 4596 - 11/79 . subject to requirements set forth therein, "Retail Shopping Centers" . Accordingly, the following comments are being made under this section. A, Reference to Art. XIII Site Plan approval 100-131 ' "J objectives: a. Proposed traffic access 1 . Pike Street scaled 40.0' to corner - (50.0' required) 2. Love Lane, next to railroad crossing blocked BY proposed building. This reduces visability. b. Parking hot adequate. Total 22 spaces required; only 19 provided c. Not adjacent to residential property B, Lot area required shall be one acre with lot not less than 150.0' (A.JIPTI-I C. Required landscaping, 25% of lot reduces obtainable parking area to 19 spaces D. Required set back is 35.0'. Where an average has been established, it may be used, 1. e., Love Lane. However, this is not consistent with the intent of this Code. With reference to Sec.100-33, front yard set back, this Section permits using average within same block. This premises is not on same block, i.e.! ''..., '. ..' , " buildings south of Pike Street not same block. E. Required side yards of 25 feet are not being met F. Parking, as mentioned, not complied with G. Rainfall, storm water, storm drains not provided. Refer back to Art. III, Sec.100-134 D Proposed developement plan does not include: ~~~ Outdoor lighting Location of outdoor signs (6) Proposed grading and landscaping (7) Location of water and sewage lines i 1 ~ :>; - '" ;i....c..b'. ,fi , .y - ? - - . . , Site Plan #M 1-1596 - 11/79 It would be my recommendation not to approve this site plan for the following reasons: 1 . The presence of three non conforming conditions with the existing structure. 2. The creation of additional non conforming conditions should the Board do otherwise. Also, 'approval of this site plan would be in conflict with Art. I, Sect. 110-10 purposes: A. The facilitations of the efficient and adequate provision of public facilities and services. B. The assurance of adequate sites for residence, industry and commerce. D. The prevention and reduction of traffic congestion so as to promote efficient and safe circulation of vehicles and pedestrians. F. The gradual elimination of nonconforming uses. G. The enhancement of the appearance of the Town of Southold as a whole, I would like to recommend, however, that the following be con- sidered. Redesign the addition so as to hold to permitted front and side yard set backs. This would include established non con- forming 14.9' on easterly line. There is a buildable area within permitted set backs totaling approximately 3007.12 sq. ft. Addition proposed with existing structure totals 2651 sq. ft. The existing building is presently within this 3000.0' sq. ft. area. In doing so, sufficient parking can be obtained (22 spaces). This, in my opinion, would eliminate a dangerous condition, i.e. : the:fi'ront yard reduction on Love Lane recently approved by Board of Appeals #2643 dated November 14, 1979. ~ectfullY su mitted, Uil- ;~/!/.<<rM.uz-- EDWARD F. 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"', .~,~. :~ : c ()' ,r , ~ ~'~,~~t&: \II Q ~ ,<,. ~'" , ,j~~';;. .~.!.. 0 .. ~ ~ ',,,,, '~ , " """I,I'~{' .1'>':\ 'Ii ',.", ~ < J j' I ~ " ; ,) , i''':'' '<- ~L~ "'1,'" "-" ~ ~-I>.{t;1~.'~\tr;" ""I'i# '~'';''t ,_ ~~~~< r"". ,.,;9, ',w t., ":1: "" t. ~ ,: '> it _~'.J~ - ~ ~ ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ' ~ '-C',-,." J Z5 <;;:}, I ,-r':? Examined ...:MI......................,........., 19.A.~.. Application No. Q..::.:I......>?............... Approved Tr.?9...Z;b.................., 19.~.. Permit No. ..1.Q.~;;:;;....z........ ~ D,sapprov\,p- a/c....... ....... ........ .... ..., .,......... ........ .... .... ...........'..,... ........... .... ... .........................................................................r.~............r................................ r 1 ..........I.......~.d~~...2i/..~..................... I.r (Building Inspector) APPLICATION FOR BUIL1)ING PERMIT ' 1 Date ........J.anlJaX'.:v....21,...19S.Q., 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. IOGation'oUot {Jr1d of buildings on premises,' relat,onsh'I:)'to.Mjoining premises or publiG streets or areas" and giving a detailed descriptiqlJ ~f liyout afproperty must be drawn I'n the diagra'!1:\"hich is part of this application. c. The work covered by this ap~lication may not be commenced before issuance of Building Permit. d' Upon approval of. this qpplic'<!ltiotl/the Building Inspector win Issue a BiJiiding Pef'mlt 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 thc Building Zone Ordinance of the Town of Sauthold, Suffolk County, New York, and other applicable Laws, Ordinances or r Regulations, for the construction of buildings, additions ar alterations, or for removal ar 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. George Ahlers Builder, Inc. ......, 'iSi'g'~~t~~~' ~f' ';-pp'I'i~~~t:' .;~. .~~~~:.. if"~' ~;;;;;;~ti~~j'''''''' ,......... .2.50... C.QX-. .LR.n~.,... .Q.1J. !;:9.hg2:U.t? A.. .N...'I.................... (Address of applicant) State whether applicant IS owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor ,.............................................................................................. .................................................................................................... Name of owner of premises ...............!:'!~.'?~.~.~::!-.~...~~.<?~.~.!.'................................................ .,.............................................. J f applicant is a corporate, signature of duly authorized off icer. .. ,.............. (N~~~" ~~d" t;t'I~" ~f" ~~';p~';~'t~' ~ffi~'~';j""'"'' Builder's License No. ...31........................................... Plumber's License No. ..?.~......................................... Electrician's License No, J:??$1!?............................... Other Trade's License No. .............................................. ], Location of land on which proposed work will be done. Map No. .................. ................... . lot No. ........................ Street and Number ..... 4~1<l6- ..P.ike...S.tr.e.et.,...l'IIa:tti.tuck~...N.aw. ,yoX'k.......... ......................... -=tI 'fa" Lei!"':;, LA~ Municipality 2 State existing use and occupancy of premises ond intended use and occupancy of proposed construction: o Exisiting use and occupancy ....b.ea;ut;y...p.ar~or........,..,..........,...................... ................................................ b Intended use and occupancy .......~~.'?:~:\:y....:P.~.:(1,9E..;P.~!:1:~..:!:iY.J:~..,:r;:~~~~.~...~.~!?~~.:;;................................... 1 ",,-, 1, ~ ~ ,j J.1. u ,t '''' ~ ~ .... , , 3. Nature of work (check which! applicable): New Building' .................. Additian ...XX,......... Alteration ............,. , Repair .................. Removal I .................. Demolition.................... Other Work ................................................ .., I ;J ~ (Description) 4. Esti mated Cost .....~ '?.?..~ .<?~g ~.~.<?.............................. .Fee ..... .1:.7....... ."r...................................................................., stores stdres (to be paid on filing this application) 5. If~, number of ~ units .............2...............Number of dwelling units on each floor ...2........................, I If garage, number of cors .....1..................................,................................................................................................, " 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use r.E?'!:;~.:!J....!'it.Rr.'i'S , 7. Dimensions of existing structu:res, if any: Front ...40.r.3.!'.............. Rear ..~Q.!.3!!.................. Depth jQ.~............. Height ....+.~.!.............. Number of Stories ..................... one ................................................................................... D' . f' t t ! . hi' dd't' F 7S!' 9" R 79'9" ImenSlons 0 same s ruc ur~ Wit a teratlons or a I Ions: ront....... .......................... ear .............,.............. , Depth ..4.:;s.t...................... hleight ....14.!............,....Number of Stories ....one..................... 8 Dimensions of entire new co~structian: Front ...39.~.6.!'.....,................ Rear ....39.!.!"i.'.'............. Depth ........43..~......... Height ....+.1t.~.......... Numbe~ of Stories .........~P.-.?.... .....................,........................................................................... 9. Size of lot: Front ........lCO.!........................................ Rear .......10.1,..93..................... Depth ....;J..3.~.,.9.9.............. 16, Date' of P~rc'h~se ......4/7.3..:.................................,.....Nome of Former Owner .,$.tJID1~y...Sl~!ij~.a~.iJ(hear.n , . :b . 11. Zone or use district in which ,premises are situated ... kU'i;J.P,~.$.~.......................................................................,',...., 12, Does proposed construction v(alate any zoning low, ordlnonce or regulation: ....:o.Q............................................... I 13. Will lot be regraded .....p.g....I............. Will excess fill be removed from premises: ( ) Yes (x) No 14, Name of Owner of premises .M:i.QheUe...B~.Qker............... Address ..J)lJ.at:l:.i:t.ucl\..N..YPhane Na. Z.9.S::,.~!;3.~5.... Name of Architect .S.ac.c...!.and...ll.hler.<i..,..,................ Address ..S...utJ::\glQ....N..X~ Phane Na. 7.9.5::,.5.~5.5.... Name of Contractor ..Q~.Qrt~...Ab1~;r.~...E].J,ilQ,~;r......:J;rmJress ..Q),rj;!(hRg1+.~...W.,.yPhane Na. 7.2~:;,.?Q1Q.... , , PLOT DIAGRAM I Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and bl<!>ck number or description according to deed, and show street names and indicate whether interior or corner lot. I Q :::Jet=. ?1-/J1J5 c1 :;;O/C,LlE::( .JIll::' CVzLU =NCrcZw f'iI~ ' r ' . r,. . ' (' ,. , 'N ~(JFl"f C:/12~ r=~dJvT YAJ/C.P :fer f5;. c. f<- /Jffrwup.p ~( rslf,l. "# 2'</.3, J);(72t:> /1/.-'4171 . . ~ (~'), I ~i ::s I Tc i-:;) 4 00 )(} A~ f (( tfV,.o L j /1/ ~ c;~ :-, 0 I :.) - r " r I I r , I , ' . "ATe OF NEW~~at.s COUNTY .oF.. .((.C. ..:1>. .......I, ,......................................... .......... .:l......';~.(r'....b~ing dulV sworn, depose~:pnd says that he is the applicanl (Name of individual ignir'ig contrac' , abo~e named. : a~ He IS the ....................................... i..........:....................................... ........ ............. ..... .................. ........ ........ ..... ......,.......,...,.., , (Contractor, agent, cprporate officer, ,etc.) of sClid owner or owners, anp is puly .autharizD,d to perform I or have. performed the said work and to make and file this application; that all '5tatemen~scontaih'ed in this application are true to the best of his knowledge and belief; and that the work will be performed in t,he manner set forth in the application filed therewith. SWorn to before me this ~ I. .....~.L.~Y...... day of ............~~""'.Y.~}f..' 19~().. ~ Q~ NC'r~.a= ~ ............................ .isi~i~.~. .r~.~f.~ppii~~~;:j ......................'....' !LI~ABnll ANN NEVI~U! . NOTARY PUBLIC, SI.le of New York No. 52.812585V, Sutlolk ICO~p 'form Fxoirp,\ Mlltt11i 30'119 .. . BOARD OF APPEALS. TOWN OF SOUTHOLD : In the I\:!atter of the Pe~ition of : I r r : NOTICE ; . I r , to the Board of Appeals of the Town of Southold : ,. TO: '..own 01' L>outnolli ~ou~nold, N.Y.11971 % uuliding uep't YOU ARE HEREBY GIVEN NOTICE: 1. That ijj he intention of the undersigned to petition the Board of Appeals of the Town of Southold to request a ( ariance (Special Exception) (Special Permit) (the following relief: t:n AJ~""APt. A hl1-t~..,. ne 58 to and west of exis~ing building. ). 2. That the property which is the subject of the Petition is located adjacent ta your property and is des- cribedasfollows: .,,",,.n';',' of' T.nvA T.AnA And Pike Stree1:o. bound ed on 1:one NOI't;h by thA !.'me T.., And hAil'l'oad and tne bast ov Gild ersleve. 3. That the property which is the subject of such Petition is located in the following zoning district: M- 1 zone 4. That by such Petition, the undersigned will request the following relief: ren once f"Tonnr. YAT.(j 5. That the provisions of the South old Town Zoning Code applicable to the relief sought by the under- signed are: 1lYJt:., 7 100-71 6. That within five days from the date hereof, a written Petition requesting the relief specified above will be filed in the South old Town Clerk's Office at Main Road, Southold, New York and you may then and there examine the same during regular office hours. 7. That before the relief sought may be granted, a public hearing must be held on the matter by the Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the Town of South old and designated far the publication of such notices; that you or your representative have the right to appear and be heard at such hearing. , Dated: Oct. }.:;o, HJ'l9 Micnelle Meeker Petitioner Post Office Address i...F.D. 1 tlox Ibl, We stvi ew JJr1 VA Matt1tuck. New York. 1190:< ~ l' ~ ~tr b4J ;j., f' JI'" ~ Y\ ",t:x.; /Vi r. .. _,,'1<<._ .... _~"_L "- ~,4,4 __ "'-<'~ .i,J ! : I, ..J i i ~ '. . I PROOF OF MAILING OF NOTICE i I i NAME ADDRESS James and P~in dildersleeve, Pike ~treet, Mattituok, N.Y.119b2 , Long Island Haiiroaa , Jamaica /)t8tion, Jamaica, N.Y. l,oom 611 'i'own oft! I)OUt.hold, '::;OU~hold, N.Y. 119'71, Build, ,ing JJep't , r j ( ,(\ f ' " 0 , ", " j J', ' I" 0 r - "j , I ,- . ' i , STATE OF NEW YORK) SS.: COUNTY OF SUFFOLK) I . re$iding at I . being duly sworn, depose$ and says that on the day of , ,19 , deponent mailed a true copy of the Notice set forth on the reo I verse side hereof, directed to ea~h of the above.named persons at the addre$ses $et opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons'as shown on the current aS$essment roll of t~~ Town of Southold; that said Notices were mailed at the United States Post Of. fice at l , ' ; that said Notices were mailed to each of said person$ by (certified) (registered) mail. , I I I i . i I ( v I ., I Sworn to b'efore me th i$ day of ,1"1 - , Notary Public ! i "