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Home My WebLink About28423-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29544 Date: 06/25/03 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property: 62615 CR 48 GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 2002 pursuant to which Building Permit No. 28423-Z dated MAY 28, 2002 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 2ND STORY NON-HABITABLE ADDITION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR & AS TO CONDITIONS OF ZBA #5091. The certificate is issued to ROBERT E. & DOROTHY A. YOUNG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1062064 05/23/03 PLUMBERS CERTIFICATION DATED N/A Authorized Si 01ture Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28423 Z Date MAY 28 , 2002 Permission is hereby granted to: ROBERT E & WF YOUNG PO BOX 658 GREENPORT,NY 11944 for CONSTRUCTION OF AN ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR PER ZBA CONDITIONS at premises located at 62615 CR 48 GREENPORT County Tax Map No. 473889 Section 040 Block 0001 Lot No. 008 pursuant to application dated MAY 28 , 2002 and approved by the Building Inspector to expire on NOVEMBER 28 , 2003 . Fee $ 220 . 20 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 ;. TOWN OF SOUTHOLD `r •2 - 23200'3 BUILDING DEPARTMENT TOWN HALL ! 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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$25.00, Additions to dwelling$25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building $25.00, 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, Connnercial $15.00 Date. New Construction: /vll_� Old or Pre-existing Building: (check one) Location of Property: 6 6i� Alse,% 6&CW House No. rry �/ Street Hamlet Owner or Owners of Property: L—�i2i 4 t� y", Suffolk County Tax Map No 1000, Section O(EQ-c7o Block b J „ O o Lot Uo S,-C7C;,0 Subdivision Filed Map. Lot: Permit No. �2,3 Date of Permit. 6�DZ Applicant: �7 e YeYr�ate Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) ll� Fee Submitted: $ /Jwk r Applicant Signature J �-ec G yl co 2: 095 y FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: February 4, 2002 TO: Robert and Dorothy Young 62615 North Road Greenport, NY 11944 Please take notice that your application dated October 25, 2001 For permit to make additions and alterations to an existing accessory garage at Location of property: 62615 North Road, Greenport,NY County Tax Map No. 1000 - Section 40 Block 1 Lot 8 Is returned herewith and disapproved on the following grounds: The proposed construction is not permitted pursuant to Article In Section 100-33 which states; "On lots containing in excess of thirty-nine thousand nine hundred and ninety-nine (39,999) square feet up to seventy-nine thousand nine hundred and ninety_-nine(79,999) square feet, such buildings shall be set back no less than ten feet from any lot line." The existing accessory garage is located 3.4 feet from the side yard line and, following the additions and alteration, the new garage will be 1.8 feet from the side vard line. Total lot coverage, following the proposed construction would be sev e e ------------------ Authorized Signature CC: ZBA, File APPEALS BOARD MEMBERS = S�FFQj fo oGy� Southold Town Hall Gerard P. Goehringer, Chairman o 53095 Main Road Lydia A. Tortora CO2 P.O. Box 1179 George Horning 1� • �� Southold,New York 11971-0959 Ruth D. Oliva 'JlOj �.a� ZBA Fax(631) 765-9064 Vincent Orlando Telephone (631)765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD REPLY MEMO TO: Building Depa f Attn: Damon Rallis, Permit Examiner FROM: ZBA Office DATE: December 24,`" 2 SUBJECT: Your Inquiry—40-1-8 (Robert Young Building Permit #28423) One of the reasons for the applicant's request was for storage of Mr. Young's law books and his private library. Therefore, the grant of conditioned (heated and air conditioned) area upstairs should be handled as any climate-controlled storage space in an accessory storage building, and not for human habitation or sleeping quarters. We hope this will assist in your review of the applicant's proposal as noted in your letter dated December 19, 2002. APPEALS BOARD MEMBERS %OFF0j f � Southold Town Hall Gerard P. Goehringer, Chairman . 53095 Main Road Lydia A. Tortora y P.O. Box 1179 George Horning ' ,F Southold, New York 11971-0959 Ruth D. Oliva ZBA Fax(631)765-9064 Vincent Orlando � �� Telephone (631)765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD May 2, 2002 Mr. and Mrs. Robert Young P.O. Box 658 Greenport, NY 11944 Re: April 18, 2002 Variance Decision Dear Mr. and Mrs. Young: Enclosed please find a copy of the Appeals Board's determination rendered at the April 18, 2002 Meeting. Please be sure to follow-up with the Building Department for the next step in this building-permit application process. When returning to the Building Department, please bring an extra copy of this determination (and, if applicable, the amendment to the maps to show conformity with the Board's decision and/or conditions). Thank you. Very truly yours, Gerard P. Goehringer C/ Chairman Enclosure Copy of Decision to: Building Department ATJFEALS BOARD MEMBERS SpFFO(,� �. Cd�� Southold53095 Main R Road Gerard P. Goehringer, Chairman = � Lydia A. Tortora y P.O. Box 1179 George Horning ^x+ Southold,New York 11971-0959 Ruth D. Olivay 0�� ZBA Fax (631)765-9064 Vincent Orlando l �a Telephone (631)765-1809 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MAY _. 20 MEETING OF APRIL 18, 2002 1 Appl. No. 5091 - Robert and Dorothy Young Parcel: 40.-1-8 Street and Location: 62615 North Road ,Greenport BASIS OF APPEAL: The Building Department's Notice of Disapproval dated February 4, 2002 denying a permit to construct an accessory garage with only a 1.8 ft. setback is not allowed according to Article III, Section 100-33. On lots in excess of 39,999 square feet up to 79,999 square feet, such buildings shall be set back no less than 10 feet. AREA VARIANCE REQUESTED: Applicant wishes to locate new garage construction including a second story, with a size of 20'x20'x22', and a mean height of 18 feet, as more particularly shown on the plan dated 8-15-01 prepared by Penny Lumber for the applicant. The proposed setback would be 1.8 feet. Findings The Zoning Board of Appeals held a public hearing on this application on April 18, 2002, at which time written and oral evidence was presented. Based upon all testimony, documentation, personal inspection of the property and the area, and other evidence, the Zoning Board finds the following facts to be true and relevant. PROPERTY FACTS: The subject property is a wooded lot comprised of 1.09 acres as shown on the November 10, 1959 survey prepared by Otto Van Tuyl. The property is improved with a one- family dwelling and two-car garage. The property is fronts along the Long Island Sound. The existing two-car garage has a 2.7 foot nonconforming setback on the West side of the property. REASONS FOR THE BOARD ACTION: Based on the testimony and personal inspection, the Board makes the following findings: 1. Grant of the variance will not produce an undesirable character in the neighborhood or a detriment to nearby properties. The variance involves the construction of a two-story garage within the same footprint of the existing garage. Although the applicant has a large piece of property, it would be very costly to move the garage to another location. It would be consistent with other buildings and properties in the area. 2. Benefits sought by the applicant cannot be achieved by some feasible methods for the applicant to pursue other than an area variance. The garage is pre-existing and it would be very costly to move it. 3. The variance is not substantial because the lot is large and the garage would be built on the same footprint with the addition above it. 4. The difficulty was self-created because the nonconformities were already existing with the garage in its present location, close to the west property line. Page 2 - April 18, 2002 ZBA Appl. No. 5091 — R. and D. Young Parcel 40.-1-8 at Greenport 5. The variance granted will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district. The applicant has received authorization from the State Department of Environmental Conservation. The structures on the property are consistent with other buildings and properties in the area. 6. Grant of the requested variance is denied with alternate relief granted. The garage shall be set back three (3) feet from the West property line. BOARD RESOLUTION ACTION OF THE BOARD: In considering all of the above factors, and applying the balancing test under New York Town Law, motion was offered by Member Oliva, seconded by Member Orlando, and duly carried, to DENY the setback variance requested, and to alternatively GRANT an accessory garage building, up to a maximum of 18 ft. in height, at a minimum of three feet from the west property line at its closest point, with the Condition that upper floor area be used for storage purposes only. This action does not authorize or condone any current or future use, setback or other feature of the subject property that violates the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Goehringer (Chairman), Tortora, Horning, Oliva, and Orlando. This Resolution was duly adopted (5-0). GG:RO /�erard P. Goehringer, hairma ,/.j,_L,i o��gUFFOI,(-cOG o� y� y Z Town Halt,53095 Main Road .� Fax(631)765-9502 P.O. Box 1179 A a0t` Telephone(631)765-1802 Southold, New York 11971-0959 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD MEMORANDUM TO: The Southold Town Zoning Board of Appeals FROM: Damon Rallis, Permit Examiner, Building Department DATE: December 19, 2002 ADDITIONAL INFORMATION REQUESTED Project: Robert Young, Appeal #5091 Location: 62615 North Road, Greenport SCTM# 100— Section 40 - Block I—Lot 8 Upon inspection of the project, referenced in the above referenced appeal, it was determined that a heat and an air conditioning system has been installed. In its decision, the Southold Town Zoning Board of Appeals put a condition on the project that the upper floor be used for storage purposes only. Although the applicants say that they testified that the room would be temperature controlled, the Zoning Board of Appeals makes no mention of conditioned space. Please advise as to whether or not conditioned space is permitted as part of this variance. Your prompt attention to this matter would be appreciated, as all work has been stopped on this project until further notice. Thank you for your time and consideration. I am enclosing plans for insulation, heating and air condition, which would convert the upstairs area of the garage to what we consider to be "conditioned space." Although the work has been stopped, the enclosed plans are a proposed amendment to the existing permit #28423, which was issued for an "unheated, non-habitable" garage. However, after an inspection of the job, the building inspector noted that heating, air conditioning and insulation was being installed. l7 rJcnr�rJcnrJ�rJ�rJrr3rJrl�ncnrJ�rJ�nrJrJrJcnrJ�rJ�cncnrJrJ�rJ�rfarncPrJ�nrJ�rJ@nrJ�rJrJcnrJrJrnrJ�rJiii JI-r.rc c. c 1rJ��PLPL.'rJLffl@PLrL3P o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 r5j 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 DOROSKI ELEC. INC ROBERT& DOROTHY YOUNG P.O. BOX 781 300 NORTH ROAD 5 5 CUTCHOGUE, N.Y. 11935, GREENPORT, VILL, NY 11944 5 fS Located at 300 NORTH ROAD GREENPORT, VILL, NY 11944 5 Application Number: 1062064 Certificate Number: 1062064 5 5 5 Section: Block: Lot: Building Permit: BDC: NS37 rrrCS Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: C5 5 Basement,First Floor, Second Floor,Detached Garage, 5U 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 23rd Day of May, 2003. e5 5 Name QTY Rate Racine Circuit Type 5 SAppliances and Accessories 5 Air Conditioner 1 0 18.000 BTU 5 5 Panels 1 100 6 5 Wiring and Devices 5 Receptacle 8 0 General Purpose L5'J Switch 7 0 General Purpose 5 5 Fixture 7 0 Incandescent 5 5 Paddle Fan 1 0 5 5 Receptacle 3 0 GFCI 5 5 Service r 1 Phase 3W Service Rating 400 Amperes 5 Service Disconnect: 2 200 cb Meters: 1 C 5 seal 5 5 5 I of I 5 5 This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. 5 5 5 O cn�l�I�Id1r�rnrJ�cncnrJ�r�cncP�n�lcn�n�lrJ�r n�lrJ��l�nrJ�l�IrJ��l�IurJ�rJ@IrJ �I�P�IrJ�rJo�lrJ��n�lrJ�rJcnrJ�rJ��PrJ��IcP rJ�rJ�nrJ�nr00 o New York State Department of Environmental Conservation AM of Environmental Permits, Region One Building 40 -SUNY, Stony Brook, New York 11790-2356 v Phone: (631) 444-0365 • FAX: (631) 444-0360 1`11114WWebsite: www.dec.state.ny.us Erin M.Crotty Commissioner LETTER OF NON JURISDICTION-TIDAL WETLANDS Mr. and Mrs. Robert E. Young December 27, 2001 P.O. Box 658 Greenport, NY 11944 Re: Application #1-4738-02968/00001 Young Property, 62615 North Road, Greenport, NY Dear Mr. and Mrs. Young: Based on the information you have submitted, this Department has determined that: The property landward of the topographic crest of the bluff as shown on the survey prepared by John T. Metzger dated November 27, 2001, is beyond jurisdiction of Article 25. Therefore, in accordance with the current Tidal Wetlands Regulations (6NYCRR Part 661) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hale bay berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, OLa— Permit Administrator cc: BMHP file O�1;�gOFF0J,tco o� Gyp Ca : Town Hall,53095 Main Road Q Fax(631)765-9502 lSouthold,New York l 971-0959 ��0,� ,y .�� Telcphoce(631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD MEMORANDUM TO: The Southold Town Zoning Board of Appeals FROM: Damon Rallis, Permit Examiner, Building Department DATE: December 18, 2002 ADDITIONAL INFORMATION REQUESTED Project: Robert Young, Appeal #5091 Location: 62615 North Road, Greenport SCTM# 100— Section 40 - Block 1—Lot 8 Upon inspection of the project, referenced in the above referenced appeal, it was determined that a heat and an air conditioning system has been installed. In its decision, the Southold Town Zoning Board of Appeals put a condition on the project that the upper floor be used for storage purposes only. Although the applicants say that they testified that the room would be temperature controlled, the Zoning Board of Appeals makes no mention of conditioned space. Please advise as to whether or not conditioned space is permitted as part of this variance. Your prompt attention to this matter would be appreciated, as all work has been stopped on this project until further notice. Thank you for your time and consideration. Dam6n Rallis O�QgpFF0J.t o� Gym Co Z Town Hall,53095 Main Road Q .��, Fax(631)765-9502 P.O. Box 1179 Telephone (631)765-1802 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD MEMORANDUM TO: The Southold Town Zoning Board of Appeals FROM: Damon Rallis, Permit Examiner, Building Department DATE: December 18, 2002 ADDITIONAL INFORMATION REQUESTED Project: Robert Young, Appeal #5091 Location: 62615 North Road, Greenport SCTM# 100 — Section 40 - Block 1—Lot 8 Upon inspection of the project, referenced in the above referenced appeal, it was determined that a heat and an air conditioning system has been installed. In its decision, the Southold Town Zoning Board of Appeals put a condition on the project that the upper floor be used for storage purposes only. Although the applicants say that they testified that the room would be temperature controlled, the Zoning Board of Appeals makes no mention of conditioned space. Please advise as to whether or not conditioned space is permitted as part of this variance. Your prompt attention to this matter would be appreciated, as all work has been stopped on this project until further notice. Thank you for your time and consideration. n Rallis BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: /02 DATE REVIEWED: ? 4P8/02 APPLICANT:�oeEec ��eesrw, DAT9-SUBMITTED: x/,/02 --T SCTM#DISTRICT: 1 000, SECTION: A, BLOCK: I , LOT: —QL STREET ADDRESS: 42615 a,,M Rp, CITY: SUBDIVISION: _AfA wI 7-BA Co. >ITnO�' PROJECT DESCRIPTION: esEsx�ati o. ESTIMATED PROJECT COST ARCHITECT GINE _ FAST TRACK? 1V : I *rTM�u Vim— SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF-100-24.Lot recognition(CREATEDbefore June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/8. ZONING DISTRICT: ?Jq _ CONFORMING? y� REQ. LOT SIZE: �O,mo ACT. LOT SIZE:* SBI REQ. LOT COV. A, ACT. LOT COV. REQ. FRONT lo' PROP. FRONT REQ SIDE I al1pl ACT. SIDE 31y' REQ. REAR------LoPROP. REAR WATER FRONT? Ytz DESCRIPTION: G/ SdVNt7 PANEL #: FLOOD ZONE: , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DIE:—/—/— PERMIT#:R10- TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: PRE-DEC 9/1/75&or NO /J-1 e_ SOUTHOLD TOWN TRUSTEES: YES QC TOWN ZONING BOARD APPROVAIE or NO TOWN PLAN. BOARD APPROVAL: YES 00M TOWN HISTORICAL PRE (SPLIA): YES orM) NYS ENERGY: YES OR 44AEGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) w A LIGHT(SQ. FT. x 8%)BUILDING PERMITS OPEN/ED: BP -Z/C/0 HAVE PRE CO'S(n>R N l tIN02LL BP -Z/C/o Z- NOTES: � - /3 82 S FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: N'/U SF SECOND FLOOR: 1011 SF OTHER: SF INIT OTHER TOTAL TOTAL: y$f SF FEE FEE FEE 1. ( 9O SF)- 0W SF)= �y SF X$ „$a =$ /4�Y-2o +$ 75--+$—= $ ZZ0• ZCD 2. ( SF)- ( SF)= SF X$—=$—+$—+$—= $ O S ovNO LONA 6 - . MAP OF PROPERT 0 3� w! SUR✓E✓EO FOR � h k, AT � - ��f .� ARS NAMO MOq UE TOWN OF SovT p/V,le, u /n M•rss I. O 0 I h i Sca/c -foo \. h e e/nonuinc/r� T774 No 5-309.5.- v 3 , it 1hVI k 6rsrrn�cce/+/o�.fC L.d�+c T��c Guo/cnfJ 1 Cunb•�ny o5 s...eycs Nor /O, ' I' I Ohto /9' l�On Tuy/l Sorr o,p �R/G /ro Fr L/Lawd lirvcyar5 . Gl-cc rr�o. Ale w Nom ,,.... ..: . ... .. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN ION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY MARKS: DATE ?/ INSPECTOR � Lp- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] 06UGH PLBG. [ ] FOUNDATION 2ND ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHI NEY REMA KS: lfc2otl- i DATE INSPECTO _ � n 2? q)3p-- 765-1802 3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: � 1 gA - DATE INSPECTO 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT [ ] FRAMING 41.0 [ AL [ ] FIREPLACE A CHIMN Y REMARKS: .A� 107 DATE d .1-aNSPECTO FIELD INSPECTION REPORT DATE CONEWEM FOUNDATION(IST) pJ a -------------------------------- FOUNDATION (23ND) �7 tee^ 2 r O I ' y ROUGH FRAMING& y PLUMBING I S t� INSULATION PER N.X. STATE ENERGY CODE G oo � FINAL 40 oc O N � S z z b W o z x — I m c b y TOWN.OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �"� Survey PERMIT NO. V Check Septic Form N.Y.S.D.E.C. I �L Examined ( VI 120 1 Contact:Trustees Approved� 20_�_ Mad to: Qo)� 65 � Disapproved a/c12 G p Phone: 63/ 4:R /7:�Z_._.... Expiration_::$ ,20� wilding Inspector D MAY '29 APPLICATION FOR BUILDING PERMIT 8!_DG. DEPT. F S UTMnl n Date 200 INSTRUCTIONS a. This application MUST.be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, aceurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises or public streets or areas, and waterways. 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit spall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance_of aBuilding 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 building for necessary inspections. ignature of-applicant or name,if rorpor 'on) � (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ok)n/:x"a Name of owner of premises ROC3Lt?1 F• o-c00R,0r--HY f). IOL41V& (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer A11A (Name and title of corporate officer) Builders License No. 2b Plumbers License No. N/ Electricians License Noo. Other Trade's License No. --ro 8E Z7f:>F T'Gg h!t✓j5�) 1. Location of land on which proposed work will be done: �a2 6l5 NOt2 i H Pcr-Qt RQU7 - /�c S GREnwRoR i House Number Street Hamlet County Tax Map No, 1000 Section O�40. 00 Block 0/. 00 Lot c/08. OOO Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy OAl�1ky MotC .+Np, ticcGste eyGAR�c.E b. Intended use and occupancy,St9(YC=ONC'/FO7jcY-4. r7 f CGS YGR�9GE d�'rb.eAc 3. Nature of work(check which applicable): New Building Addition ✓ Alteration Repair Removal Demolition Other Work 31F SiHY n/ lry�<<Srr•+/Gfoo�/aKr✓7 o~ jARRGv (Description)GRRpGG 4. Estimated Cost 30 00 o�e+� 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 Two CH,2 G,gQ9cE 6. If business, commercial.or.mixed occupancy, specify nature and extent of each type of use. �N/h 7. Dimensions of existing structures, if any: Front Rear .20 Depth '19 2 Height " it � Number of Stories / Dimensions of same structure with alterations or additions: Front 20 Rear 2d' Depth 22- Height 18` Number of Stories 2 8. Dimensions of entire new construction: Front 20 Rear `I,_O Depth 2 `�- Height le , Number of Stories 2 y 9. Size of lot: Front go Rear qS 9 Depth NE546 Y516,10..09ac'es 10. Date of Purchase 9 S Name of Former Owner 1-4)1 .R91NE 11. Zone or use district in which premises are situated R S10 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ ✓ 13. Will lot be re-graded? YES_ I0O V14Will excess fill be removed from premises? YES_ �?ou sel�oRoTnY Xu 62.(. Rlo2��R"4i> �c }-9��`� 14. Names of Owner of erm es Address G96yW me, Phone No. Name of Architect Aww),„ �A,lt�'/ e u>7NaAddress 1225/nur4,v,Gk6 Phone No 47 - 165 Name of Contractorgic#LA�'n FCCL y Address t�hgx.1,7/9-ccoun*u,7 Phone No. 631 -765 "99- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES • O * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REgUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. i l STATE OF NEW YORK) SS: COUNTY OF ) :Z1)oRo i-,-'y 'p, 'Wo '6er2 C /o u n/G being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the 4.9WA/1;'-k S (Contractor,Agent, Corporate Officer, etc.) 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 to before me this P _�20 0 �ry Public SignaturApplicant oftJOYCE K WILKINS No.48b224e sM of Nei„y� Term Explros June 12,��oe -x F'- ' ....-' .-.. - - - - - _,. ,., .-� _. , - r ,. 1 J - f 1..� _, " ' a`i . .. �� _ _, , _,' — - - �' .� - �' . (� _ C/ a� / � c� <,`, _ ' , �> '7`� , !U�9 c , ,. f . - ., , . . . . �. � ,-, �. _ . . , , -- .. .. SLS' m cv � - �- r , t. _ m , AtICY OR — OCCUP - ' Z r r r k USES ! LANFUL - �,� w b � . - n- '. 3 -WITHI U , . . f T'CR fitFIC�T1 ' AROMAS NO'!"ED -OF OCCUPANCY _ `� Zq z 28 2' a► r' , - Zo . �': �P�- UNDERWRITERS CERTIFICATE - NOTIFY,BUILDING D PAR,TMENT AT : REQUIRED - - 765-18Q2 9 AM TO 4 PM ,fOA THE : FOLLOWINQi.INSPECTIONS:'R : 1.'FOUNDATION - TWO REtiUiR"D FORPouREDcoNCRETE. D`0 NOT PROCEED WITH 2 ROUGH'- FRAMING &.•PLUMS NO FRAMING UNTIL SURVEY 3. INSULATION - a F.IN�►L , coNSTRucT1oN ;Must 01 FOUNDATipN LOCATION - 'BE COMPLETE FOR C.Q.; MA$ BEEN APPROVED. - �- ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ' ' I - ' STATE CONSTRUCTION � ENERGY . CODES. 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