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York. for a variance in accordance with \hRVlng reduced. fronta.ge on East Road.
the Zoning ordinance, Article III, Location of property: east side Betts
Section 3rt" and Article X, Section street, north side E -q,oad, and west
IOOOA, foi" .1ission to establish a lot side .Fleetwood RaaL,t Jutchogue, Newl
with reduCed area, leaving a. lot with York. bounded north by C. Burbem,
Pursuant to Section 267 of the Town reduced area. Location of property: east by Fleetwood Road, south by East
Law and the provisions of the Amend- south side Flint Street, Greenport, New Road, and west by Betts street.
ed BulJdlng Zone Ordinance of the York, map of Greenport Driving Park, Any person desiring to be heard on
Town of SOuthold, Suffolk County, bounded north by Flint Street. east by the above applications should appear
I New York, public hearings will be held, O. Shedrick, south by Testa and Mack, at the time and place above specified.
,by the Zoning Board of Appeals of I and west by O. Smith. DATED: SEPTEMBER 27, 1962, By
\ the Town of Southald, at the Town \ 8:30 P. M. (E. D, S. T.), upon applica- Order of the Southold TOWill Board
Office, Main Road, Southold, New tion of Timberland Assoc" Inc., Matt of Appeals.
York, on October 11, 1962, on the fOl-1 Road, Box 275, Coram. New York, for .
lowing appeals: recognition of access in accordance I. ,"....'-1 uvV"', Jr., Delng duly sworn, soys
7:30 P. M: (ED.S.T.l, upon appllca- I with The State of New York Town IS the Editor, of THE LONG ISLAND
tion of Edna A. Brown, Main Road, I' Law., Section 280A. Location of prop- MA TIlT
East Marion, New York, alc Hildegard erty: north side private right-of-way - UCK WATCHMAN, 0 public news-
Hawltins, 2807 Spangler Lane, Bowie.' (Maple Lane), off of the east s,doted at South old i S If Ik C .
Maryland, for a variance in accord- \ Orand Avenue, Mattituck, New York ' n U 0 ounty, and that
ance with the Zoning ordinance, Art- Property bounded north by privateof which the annexed is 0 printed cop has been
,ele m. section 303 and Article X. Sec. right.of-way, east by F. Edelman Es- . y,
tlon 1000A, for permission to divide tate, south by Maple Lane and west byn SOld Long Island Traveler-Mattituck Watch.
property into two parcelS with redUCed. A. suter. 'I"" "
frontage and Insufficient area. Loca- 8:45 P. M. (E. D. S. T.l, upon appllca-30ch week for (, /' (.( / /j/ k
t10n of property: south side Main Road. tion of Frances and Ralph Mims, ....... "....A.~.. ... ..~"... .,. wee 5
East Marion, New York, bounded north \ Third Street, Greenport, New York, for c' ,f t~f'
by Main Road. east by A. L1mouze a variance in accordance with the Zon- I omn;enclng o~ the ...............#.......':,f........
Estate, south by Bay, and west by A. ' mg ordinance, ArtIcle TII, Section 303, ('- (' ,~- -t." -. /... -..,
Steinhart. \section 306 and Section 308. for per- .... .....,..,...t.-.n...u.. ....., 19.~.r.:i;
7:45 P. M. (E. D. S. T.), upon appUca- mission to reduce area, front yard set- t ("f
tion of R. Dalder & Sons, 111 Beach I back and rear yard setback. Location " L - Ji. Il)
Road, Westhampton Beach, New, York of property: sonth side Flint Street, l { '" Ie
alc Mary Milligan, 76 Denhoff Ave- east side seventh Street, Greenport, ........................ . .....L.....l .~J:.X:. ....~ '........
nue, Freeport, New York, for a. var- Driving Park, Greenport, New York, \
iance in accordance with the Zoning bounded north by Flint street, east I
Ordinance, Article m, Section 300, by P. Zelack, south by P. Zelack and /
Subdivision 7, for permission to erect west by Seventh Street. ( L i
a private detached garage in the front 9:00 P. M. (E. D. S. T.l, upon appllca- ~. .
yard a~ea. Location of property: south tlon of James P. Heath, 27-89 Schley om to before me this .....,...,/........... day of
si~e private right-of-:way, off of Camp Avenue, Bronx 69, New York, for a var- /'/~.."
Mmeola Road, Mattltuck, New York. iance in accordance with the Zoning \-.--'~ (I. 19 ~:"' c;i
Property bounded north by right-of- Ordinance, Article III, Section 304, for ,...... .......... .,....., .. ......
way, east by J. Peters, south by Pec- permission to build addition on the
onic Bay, and w.est by W. Tufano. front of existing dwelling reducing the
, 8:00 P. M. (E. D. S. T.), upon applica- front yard setback. Location of pro-
tion of Elizabeth Olsen, Jackson and perty: east side Sigsbee Road, Matt- -', / /'
First Streets, New Suffolk, New York, Huck. New York, Lot No. 82 on map of /," / I ,~. /.- /'/ /' -,' . ,-
for a variance in accordance with the Mattituck Park Properties. bounded .....,..L.\..,.i.....Li.....L.t..,... .,.t.!...t;.lJ..L.(.....
zoning Ordinance, Article ro, Section north by J. Burden. east. by now or Notary Public / '-
303, for permission to erect cottage on formerly Haggerty Estate. south by f
lot WIth reduced frontage. Location of T. W. Abrams. and wf'st. by Sigsbee
property: south side Jackson Street, Road.
west side First Street, New, Suffolk, 9:30 P. M. (E. D. S. TJ, upon applica-
New York, bounded north by Jackson tion of August F. Rucks, and Matilda
Street, east by First street, south by Rucks, East and Fleetwood Roads, cut~
Peconic Bay. and west by second chogue, New York. for a. variance in
street. accordance with the Zoning Ordin-
8:15 P. M. (E. D. S. T.) upon applica- ance. Article III, Section 303 and Art.
tion of Manuel D. Gloria. and Dorothy icle X, Section 1000A, for permission
Gloria, Ninth street, Greenport, New to divide property into two lots each
NOTICE OF HEARING
ADELf tJ~,\iNfl
.i''lIJtHry r'u/)!lr' S' '. "j e
Rest,:l. . '. . _""" "f N,,',A;
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LBlIAL lIO'1' leE
Notic. of ae&rinq
Purauant to section 267 of the Town Law ana the prlWiaiona
of the AIlIeftded Building zone Or41nanee of the Town of southold.
,I SUffolk county, __ York. public: heuin9a wlll be held by the
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I ZoninCjJ Board of Appeala of t;he Town of Southold. at t;he '1'OWII.
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II Offke, Main R.oad.. southold. H_ York. on october 11. 1962. on
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7.30 '.M. (E.D.S.'1'.), upon applicat10n of Edna A. Brown.
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:1 Main Road. Eaa' Mar1on. N_ York. ale HilMprd Hawlt1na. 2107
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spangler Lane. Bowie. lla%yland. for a variance in accordance
II w1t;h the ZOI'I1ng orcUnance, Art1ele III. Seet10n 303 and Artlele
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II X, Section lOOOA. for pez:m1aa1on to cUvlde property 1nto ~
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! of property. aouth alde ....1n RoIld. I:aat Marion. Ill_ York.
bounded north by Main Road. ...t. by A. L1mou.e Satate, aout;h
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by Bay, and weat by A. steinhart..
7,45 P.M. (E.D.S.'1'.), upon application of a. Dalder" SOna.
111 Beach aoed. Wea~on Beach. New York. ale Mary Mlllipn.
76 DeMoff Avenue. Frfltport, Ill_ York. for a variance 1n accord-
ance w1th t;he zonin9 ord1nance. Artkle 111. Section 300. SUb-
d1v1810n 7, for pel'lll18aion t.o exect private detached. 9arage 1n
t;he front yard area. LOcation of property. aouth ai_ private
right-of-way, off of CIIIllP Mineola Road. Matt1tuc::lc. N_ York.
property bounded north by ri9ht-of-way. e..t by J. Petera, aout;h
by Peecmic: Bay. and _at by W. TUfano.
61001;>.11.. (E.O.S.T.). upon application of llizabeth Olaen,
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Jaclcaon and Firat st.reeta, N_ Suffolk. New York. for a variance
in accordance with the zon1n9 ordinance. Art.iele 111. Sect.1on
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303. for pltrm1aa1on to erect eot;tage on lot wU:h reduced fl'Olltage.
I.ooC!at.ion of property: south aide Jackson SU_t. west. ai_ F11'at.
;: S1:reet, New Suffolk. >>ew York. bounded north lJy Jackaon street..
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II east by Firat street, aouth by pecon1c say. and west by second'
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I! and DOrOthy G10r1&. !Unth str_t. Greenport. Ilew yorJt. for a
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8: 15 P.M. (B.D. S. T. ). upon appU.cation of Manuel D. 0101'1&
estUUah a lot with reduced
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south a1e1e Flint str_t. Greenport.. I
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var1&nee in accor4anee with the zoninIJ orcU.nance, Article III.
Section 303 and Article X. Seetion 1000A, for ~18aion to
area. leaving. lot with reduced
area.
Location of property,
New York. _p of GreenpGll't. Driving Parle. :bounded north lJy Flint
street. eaat lJy O. Shedrick. south by Teata an4 MaCk. and weat
by O. smJ.th.
8:30 P.M. (E.D.S.T.). upon applicat.ion of T~rland
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ASSOC., Inc.. Mot.t Road. BOtIC 275. cor_. liew yorJt. for
recognition of acce.a in aceordanee with stata of New YorJt '1'<lWII
Law. seetion 280A.
Location of propenYl
north dele private
J:1ght-of-way. (Maple lAne). off of the eut .iele Grand Aveaue.
Mattituc:k. New Yom.
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pJ:opsrty bounCle4 north lJy private ript_f- I
way. .ast by 1'. ECle~ Estate. aouth lJy Maple Lane. an4 weat
by A. Suter.
8:45 P.M. (B.D.S.T.), upon applicaU.on of I'ranc:e. and hlph
M.1ma. '1'bird street. Greenport, New Yorle. for a var1ance .in
accordance with the zoning ordinaJl<:e, Al't.t.cle III, Sec:t.1on 303,
sect.ion 306 and Section 308. for permJ.aaion to reduce area,
front yard aetback and rear yar4 ..tl:lac:lc.
Loc:aticn of property:
south aide Flint. SUeet.. eut. aide Seventh SUeet. Greenport
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II page 3 - Ul9&1 NoUce
Ii DriviftIJ Park. Greenpor't. New York. lMAmded nor~ ~ 1'11l\'t SUeet..
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!i .aet. by P. Ze1aek, ..ou~ by P. Zelaelt. and ",ellt: by S_n~ JiU..t.
9100 P.M. (E.D.S.T.). upon appllcation of Jamee P. Heath,
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II 27-89 Schley Avenue. .rou 69, New York. for a variance 11\ aecorci-
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ance ",i~ the zonlllg Or41llance. '\rt.Lcle 111. Sect.1on 304, for
pel'\ll1a81on to build a441t.1on on ~e front. of ex1aUnq clwelU.n9
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II re4ue1n\J the front yard e.1:lNlc:k. LOc:aticm of propenYl .ut.
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II eide 8igeMe Road. Mat.tit:\lck. New York, Lot. NO. 82 on IMP of
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I Mat.t,Lt.uck Park propert.iee. lMNnde. no~ by J. Burden. ..et, by
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now or formerly Hanerty Eetate. ..~ by T. W. Abr.... and _et
by Sigebee Road.
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and Mat.ilda aucke. Baet. and rl..'tWoOd aoacla. cut.chogue. 11I_ York. I
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9,30 P.M. (B.D.S.T.). upon applicat.1on of AU9'let. r. aucke,
for a var1a.ne. in accor4a.nee with ~e ZOft1n\J OrdiJuulc., ArtLc:le
111. sect.1on 303 and ArtiCle X, 8~ion 10001\ for perm1a.1on t.o
divide property into two lat.. .ach having re4ur:ed fJ:Ofttap Oft
Eaet. Road.
LoCation of pl'Operty.
aut. eid. Bette Sueet.. north
.ide EUt. sueet.. and west: eide Fl..t.w004 aoad. Cut.chogu.. New
York. bounded nor~ by C. Burberry. eut. by J'l..t.w004 aoad.
south by Eaet Road. and west. by Bet.te 8Ueet..
Any pereon aeiring t.o be heard Oft the abcWe applLc:at.1on.
ehoule! appear at. the t,1BIe and place aboVe epec:1fied.
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DAUD, septelllber 27. 1962. By Order of the
Southold Town Board of Appeals.
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il 1'&94' 4 - Legal Notice
pLEASJi; PU'8LUa ONCE. OC'1'OBlI1l. 4. 1962. .QI1) J'oawDD lIDlE (9)
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I! AFPlDAVU'S 01' P\JlILICA'flON TO THE BOAJU> 01" APPBALS. MIUN aOP.D.
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II SOU'fHQU). RW YOJIK.
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cop1e. _1184 t:o the follOlW1ng on Se~1' 28. 1962.
'l'he Long Island n_..le~tUtudt wat<'h-"I
sdna A. arown. ale Hlldegal'4 HaWk1nll
Jl.. DIll":r: " SOld. _Ie: Muy Milligan
B11Hlleth Olsen
Q.o&'9tl MCIHaM. alc Manuel D. " DOl'othy G1oX'ia
'f1.a.rlaad AaIlOC.. Inc.
R1veX'.1de _s. lac. ale aalpb MlIu
W111u. W1clcham and J.... P. HNth
W1111alll W1cJchaa. ale: AU9\In r. Itudta and MaUlda Ituck.s
~. $,IJOULD APPIWl AT '1'JIB R'R!l.ItDlG
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TOWN OF SOUTHOLD, NEW YORK
APPEAL FROM DECISION OF BUILDING INSPECTOR
APPEAL NO. 6~ I
DATE ...Ji?;!g..-.
TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y.
I, (We) .. .t..l.~ .i!7.L!?". Lf.. .t:'!. ().... .A.?~9......1 ~.~ :of ...... 0:\. .0. .t..:\:... .K~.(l f>........... j~..y'. x.. n,1..r..
Name of Appellant Street and Number
....................\:~..~.1t..~....................................... ............ ....!J!.f~:./!.d~..HEREBY APPEAL TO
Municipality State
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT NO. ....\.1~.o..~...\5.c~...\....... DATED ....';?S..f.::t.:.....:~.J.j"i..1..~..:?::-...
WHEREBY THE BUILDING INSPECTOR DENIED TO
af
...................$A.M.€:....................................................
Name af Applicant for permit
(~
( )
( )
Street and Number
PERMIT TO USE .I /3'-' (\... I::>
PERMIT FOR OCCUPANCY
Municipality
State
1. LOCATION OF THE PROPERTY .....M.t.s..f...~.~...~/Jt'!..~......'::.f...f......G..~.!'bU?.....d..~...~:..../J;l-f/, ~ <-I<:.,
Street Use District on Zoning Map
"............O'.~..'?~..f?....\.b.~.f.J..................................
Map No. Lot No.
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub.
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
":l..1o A t.-..J rJ LA V\/
3. TYPE OF APPEAL Appeal is made herewith for
( ) A VARIANCE to the Zoning Ordinance or Zoning Map
('/.J A VARIANCE due to lack of access (State of New York Town law Chap. 62 Cons. Laws
Art. 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal (has) (has not) been made with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for a spedal permit
( ) request for a variance
and was made in Appeal No. ................................ Dated
REASON FOR APPEAL
I'/J A Variance to Section 280A Subsection 3
( ) A Variance to the Zoning Ordinance
( )
is requested for the reason. that
Form ZBl
(Continue on other side)
REASON FOR APPEAL
Continued.
1. STRICT APPLICATION OF THE ORDINANCE would produce procticol difficulties or unneces-
sary HARDSHIP because
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2, The hardship created is UNIQUE and is not shared by all properties alike in the immediate
vicinity of this property and in this use district because
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3, The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE
CHARACTER OF THE DISTRICT because
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STATE OF NEW YORK )
COUNTY O~(I,i'lL l 5S
,:~,-'!!f"Si)~~~,~""~"':'
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Sworn to this .....................;;::~.t~:::............ day of.............):'f.,~.a:;/.(;d".u.............. 1 <1-..2..)
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.........;._..........;4-L...........(......~.n....:............rt'...............~ ...........
Notary Public
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FORM i'lO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD. N. Y.
NOTICE OF DISAPPROVAL
File No. Z1900.&:.Z1901....... ..... Date ...........September.. .27..... 1!62..
To Franklin.Born AlC. T.1mber.lanQ...\uociates Ine
...Mott..Road..
....Coram,.. . L..I.w.
PLEASE TAKE NOTICE that your application dated . ......~e.l'~E!lUbe.r....?7... 1~.?...
for permit to construct two..dwellings.. . . at the premises located at JflS.... Ma1l1e...Av.e
O.ff.E/S..Grand. . Av.e. . .............. Street Matti tuck
Map .~....
... . .Block .....XXXX...
... . Lot .. ....XXX
... ..' ."'" is
'i'!,".".~r ~~1!.~:l
disapproved on the followirw ground- . ..Lack.of.. appr.o:llsd.acces8
..s.ection.280a. ..Town ....aw.
f~ '., C Gjv. .....\
"' ......:.........- ................... .... ... ............,..................
Building Inspe tor
FORM NO.1
Examined
(. J,;}--l G'i...--
...~................"..,19""....
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Application No. ..I.'1..9.".!.............
Approved ......"....."..."......"...."......, 19........Permil t'ola.2I.!...f!../.........
Disapproved a/c ...~.~(..(1...~.~~.c:-~:>":..~...'...~.:?:.....
v
................,............................... .............................. ...............................
.................I.(~~i5~~~i.........................
APPLICATION FOR BUILDING PERMIT
Date ..S;...p..i...)..7......................, 19.1L
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 part of thi,. applica-
tion.
c. The work covered by this application m(]y not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue (] Building Permit to the applicant. Such
permit sholl 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 po rt 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 South old, Suffolk County, t'lew York, and other applicable Lows, Ordinances or
Regulations for the construction (;;: Duildings, additions, alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable lows, ordinances and regulations.
.....~....~.:..h..'....................
(Signature of applicant, or name, if a corporation)
.....~....((.~.....~...~.:~......k:J..:.
(Address of applicant)
Stcte whether applicant is owner, lessee, agent, arc~.it'e::::-, engineer, general contractor, electrician, plumber or buildei'.
..... .... ......... .... ...C..u.;..I:Y...L.f.I-...... .~. .......C.\\ ..~oo.t .(1,. fl. .>;,. +.9...~..........................................................................
l'lame of owner of premises .......~.....\..""'......U).r..t?-...L;"\../':1...o.........A.::l.).Q..:.........J..0:...S....:...............................
t IS a corporate, signature of duly authOrized officer
oo...'~....oo . .oo.. ......:...... 1tle ~f~~~~.....'Jh.b .
1. Location of land on which proposed work will be done. Mop No.: .O..'i.oo.S..'::..i..1.6,:;..o.... Lot No.: .....oo...............
Street and Number ....n It. f.. L.'i..... ..t... J.J d...~.....9. f.t'.. .&g./J.. rY.. 12.. .;1.U./;.... ../!J.It.. :ff" i. ft. .S..Ic.......... ......
Municipality
2. State existing use and occupancy of premises end intended use and occupancy of proposed construction.
Q. Existing use and occupancy............................. .. ................................................................................................
b. Intended use and occupancy ........."....it.j;..:s..i..O'."L..!:Y...+.I..d..!..-.............oo...............................................
3.
Nature of work (check wh,_., applicable): New Building .....i..;...::;:... Addition .................. Alteration ..................
Repair .................. Removal.................. Demolition .................. Other Work (Describe) ..................
,,-
Estimated Cost ..... .I"')"I..,~.A... ........... ...... .... ..... ......... ... Fee ..... ...... ........ ....... .... ........ ............... .................... ...............
(to be paid on filing this application)
If dwelling, number of dwelling units ......0.""'..~............. Number of dwelling units on each floor ............................
If garage, number of cars ..............J:<l...,;....k............... ................................................................................................
If business, commercial or mixed occupancy, specify nature ond extent of each type of use ....................................
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 ................................
Dimensions of entire new construction: Front ...............':\.~.f.J. ,Rear .......~.~..f-..L..... Depth ......,l..'-.f..t.......
Height ......:~.~...f..:\-.,.... Number of Stories ....O.r..(:1....<<...I:-I.^.lf
Size of lot: Front ............i..H'...t.:t. Rear ..... ....I..$':..\:.:\:....:'r.... Depth .....~..iO.~..t...t..;:l
Date of Purchase .....;;."..I......i............I.'.Lk...J.,................. Name of Former Owner ..L....I':1.,.~..!j..Ii.Lu...k:.".............
\
Zone or use district in which premises are situated. .... ........./,\........(.l.l...~.I..,:I..L-....1:..u.j..."'-:.:...........................
Does proposed construction violateony zoninq law, ordinance or regulation? ............:.................................................
Name of Owner of premises :t:.,t:'\.&./tLt\"'d..,IJ~).9..... Address ....v.':1.~.i..t...("...<l.t).r"I!Jj.<tJ. Phone No.5.~..1..;..~...>.~-
Name of Architect .................................................... Address ................................................ Phone No. ..................
Name of Contractor ..............:J4..f.~...l...................... Address .............':;./.-j..~h...L................ Phone No. ..,.,.ij'~?'<.:"
4.
5.
6.
7
8.
9.
10.
11.
12.
13.
Locate clearly and distinctly all
property I ines. Give street and block
whether interior or corner lot.
PLOT DIAGRAM
buildings, whether existing or proposed, and indicate all set-back dimensions from
numbers or description occording to deed, and show street names and indicate
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.:.4....f.:~7..~.....................being duly sworn, deposes and says that he is the applicant
above na~~:m~e oiS ;~:iV.i....~l..Si~~i~~..~O'~...~...-f;,g ic~~i:~;;p~;~i~..~.ifi~~.;~..~t~:i.............................
of said owner Or owners, ond is duly authorized to perform or hove 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 application filed therewith.
Sworn to before me this .. .~)
.. /J;;" 17 /', d
............;,{./,>... day of ........V;..~:.j;r.,.../....".........., 19',;.."... .' ----,<" / 1..;; 1" /"-"> .
; No.& t~~~J301\l~ .........; ..............?.~........ ............:.............::::.".................
Notary Public .po'.{.'.~l.5~..~,;I.~1ti~.............,.. County .ig;g.~~tur of applicant)
... c'.' .', ,.:).)3. ~uf::)J!; CCl,mly "/1',.-.
omll'; '1'J0j. ,11... ,'t.( /<:-
FORM NO.1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ....~..?::J..........., 19.b..~.
Approved ........................................, 19........Permit ~'a. .7:.L?p..?.......
~i:~~~.:~~.~~..~~~...~~~....I.....~..~90-~~~'::~:~::.:::::::::
Application No. ..11..9...9............
If
. . . . . . . . . . . .. . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
APPLICATION FOR BUILDING PERMIT
Date ...s.L.6i.t.:"..f....:~.::).................., 19..G..l,.
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 an p remises, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout of property must be drown on the diagram which is part of thi, applica-
tion.
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 0 Building Permit to the applicant. Such
permit sholl be kept on the premises available for inspection throughout the progress of the work.
e. No building sholl be occupied Or used in whole or in po rt 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 Southald, Suffolk County, New York, and other applicable Lows, Ordinances or
Regulations for the construction cf buildings, additions, alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
....-.~I....c~...:....b....,.......................
(Signature of applicant, or name, if a corporation)
......~......K.~t......G~....J:~:...))..:.'1..:..
(Address of applicant)
State whether applicant is owner, lessee, agent, archi~ect, engineer, general contractor, electrician: plumber or b:Jilder.
...................C .W. .M.... r... .I).,.............?:..... .6. .\-1. .1.. .I...-..O..~.. r?-.. .................................................................................. ..............
Name of owner of premises .........+...\.~...I~.(..~..L..-9.."" 0... ...A..?.,).Q..,......i.../'V...~....!...._...........................................
If applicant is a corporate, signature of duly authorized officer.
.......f. ....~~~~~jtiiTe..~f.~~~~;~?e.~....j"".~ '
1. L.ocation of land on which proposed work will be done. Map No.: ..~/t.';>..C(f,..l.(,~..LQ........ Lot No.: ......................
Street and Number ....... M. HfL.. ~....... t...I:l.. t.':, L... .... i:'..I::'. E.......G... i?.. 1'7..-,.1..0.. A. l!L <. .../J I/. .i.iI.:I..~.s..l(
Municipality
2. State existing Lise Gnd occupancy of premises and intended use and occupancy of proposed construction.
a. Existing use and occupancy......... .... ..... .... .......... . ..... .... ........ ..............................................................................
b. Intended use and occupancy .............(.~..[..~.J..,).t::./:v...1.L8..."-=...............................................................
8.
Nature of work (check we.., applicable): New Building ...'Y.'".>.... . Additian .................. Alteratian ..................
Repair .................. Removal.................. Demolition .................. Other Work (Describe) ..................
Estimated Cost ...........\.')./. ~.~.9..... ................ .... ........ ... Fee .. ....... ..... .... ........ .... ................ ........ ................ ... ......... ......
(to be paid on filing this application)
If dwelling, number of dwelling units .........~..~..\.:.......... Number of dwelling units on each floor ...........................
If garage, number of cars ........... ..b...~. .~~........... ...... .. .... ........ .... .................... .... ................................................. .....
If business, commercial or mixed occupancy, speci~ noture und extent of each type of use ....................................
Dimensions of existing structures, if any: Front ........ :l.~~.~...... Reor .......i%tl.~.... Depth .....~.)tJ.!.:......
Height ............................ Number of Stories ................ ................................................................................................
Dimensions of same structure with alterations or additions: Front ................................ Rear ................................
Depth ................................ Height ................................ NU,\ber of Stories ................................
Dimensions of entire new construction: Front .........b?..Ci::......'... Rear .........6..7:?..~.-:t.:. Depth .......}j..fJ:..,.....
Height .........L:\...E.\.~.... Number of Stories ........9../Y..i-..........
Size of lot: Front ..........l..~..~...f:.\.'. Rear ..... .:l.$..l(:\.:..~.. Depth ...::>..~..s:..t.\:...:.
Date of Purchase .......).."'.\......i...,....\.:t..~..~................. Name of Former Owner J......:\.'..~.I:t.[\..L..L~..K.9..............
Z d. t . t' h' h . 't t d A 1;(. " '>. (J t ~, t, it l
one or use IS FIe In W Ie premIses are Sf ua e . .... ........ .. .........1)..................................:-.......................................
Does proposed construction viol-ate any zoning law, ordinance or regulation? ..............i~..Q....................................... oF/"
Name of Owner of premises :t.,.~.f,!.L,?.L.J.~.1..A~.~.~ Address ..'.':!..d:.:t...!!-..'!.1..o...G.0:.~.~.':?.. Phone No. ?..[.:?.:..~.~.? )
Name af Architect .................................................... Address ................................................ Phone No. ..................
Name of Contractor ................~)I:j..~:L'k................ Address .............S!'J..::~...~................. Phane Na. .<:':':!.:'.~...":-:...
3.
4.
5.
6.
7.
9.
10.
11.
12.
13.
PLOT DIAGRAM
Locate clearly and distinctly ali
property lines. Give street and block
whether interior or corner lot.
buildings, whether existing or proposed, and indicate all set-back dimensions from
numbers or description according to deed, and show street names and indicate
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.......~.PJ .......\,..:J..2C..................................being duly sworn, deposes and says that he is the applicant
, (Narr::.~tindivi.;i~al signing application) . .
above named. He is the .....................~~....i~k~.~;::.~~;p~;~t~..~.ifi~~.;:..~t~:)............................
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 application filed therewith.
Sworn t~.~.~~me this '-~~ I ,~. I' '-' . . / ' )
........................ day of .................:....=....1..,.....,....... 19........ 'L_ j?/~ ~ /1 if' ~ .
""'<<- . ,I , ...../-:-:.................. ......... .....~...2....................(..................
Natary Public .......................................,,'~............~ Slgnat e of applicant)
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