The URL can be used to link to this page

Home My WebLink About15772-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24827 Date JANUARY 9, 1997 THIS CERTIFIES that the building. ACCESSORY Location of Property 1200 WEST LANE BOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 6 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1987 ~ursuant to which Building Permit No. 15772-Z dated Pk%RCH 17, 1987 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 STORAGE SHED "AS BUILT" & AB PER ZBA #4434. The certificate is issued to ROBERT J. TURNER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Building Inspect/ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24828 Date JANUARY 9, 1997 THIS CERTIFIES that the buildin~ Location of Property 1200 WEST LANE House No. County Tax Map No. 1000 Section 88 Subdivision ADDITION SOUTHOLD, N.Y. Street Hamlet Block 6 Lot 17 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1987 pursuant to which Building Permit No. 15772-Z dated MARCH 17, 1987 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 ADDITION & DECK EXTENSION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4434. The certificate is issued to ROHERT J. TURNER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-008725 - APRIL 5, 1988 DEC. 19, 1996-PECONIC PLUMBING & HEATING Rev. 1/81 Building Ins~tor l~OB~ NO. ! TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER. IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15772 Z Coun~ Tax Map No. 1000 Section ....................... Block ...... ~ ........ Lot No ................... pursuant to application dated ...... ..~..~.~,.~..~.~ .............. , 19..~...-L and approved by the / Building Inspector. Fee ......... : ............ Rev. 6/30/80 FORM NO, g TOWN OF SOUTHOLD . Building Department ;~ r r Town Hail Southoldo N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' Instructions A. This application must be filled in typewriter OR ink. and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural ar topographic features. 2.Final approval of H. ealth Dept. of water supply and sewerage dispasal-(S-9 form ar equall. 3.Approval of electrmal installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buildings, Multiple Residences and similar buildings and Installa- lions, 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 existin9 buildings (prior to April,lg57~0 Non-confarming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~:operty showing all pYoperty lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner' as to use, occupancy and condition of buildings. :3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: i. Certificate of occupancy $.25;'00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 ,. 00 3. Copy of certificate of occupancy $'5.'00, over 5 'yea~:s $10.00 4.Vacant Land C.O. $ '20.00 5.Updated C.O. $"50.00 Date 12/26/96 - /Addition and de.ck NewCons tructiou : Old or Pre-existing Building Vacant Land Location of Property 1200 West Lane, Southold, .N,e? .Y~?.~ Hou~ No. Street Hamlet Owner or Owners of Property Robert O. Turner CountyTax Map No. 1000Section .8.8. ............ Block 6 Lot Subdivision .......................... ....... Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ...................... .'.. ;~. ....... Health Dept. Approval ........................ Labor, Dept. Approval ............. ........... Underwriters Approval ...................... ~ .Planning Board Approval ...................... Request for Temporary Certificate ......... ~ ..., ........ Final Co, fiXate ...................... Fee Submitted $..~.5...0.0.... ...... ,"" ........permit' '"' Construction on above described building and meet/////////des and renu Rev. 1O-10.?a P.O. BOX 706 / · CUTCHOGUE, NY 11935 FORM NO, 6 TOWN OF SOUTHOLD . Building Department ,' Town Hall Southold. N.Y, 11971 765 - 1802 APPLICATtON FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submittedI ~-- ---- to the Building' ' Inspec- tor with the following: for new buildings 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 of Health Dept. of water supply ,'ind sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installe- 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 building~ and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3, Date of any housing code ar sefew inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupency $.25:00 -- bUS[NESS ~50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 .. 00 3. Copy of certificate of occupancy $ 5;'00, over 5 years $10.00 4.Vacant Land C.O. $ '20.00 5.ODd&ted C.O. $"50.00 Date ..... ].2./.2.6,/?.6 ............. New C on e t r u c b t on ...... Old or Pre-existing Building ,S,H,E? ........ Vacant Land .., .......... 1200 West Lane Southol,d; NY Location of Property , ~ ................... ' ............ ? ............................... House No. Srre~,t Hamlet Robert J. Turner Owner or Owners of Property County Tax Map No. 1000 Section . 88 6 17 .............. Block ............... Lot ............... . Subdivision ........... , ..................... Filed Map No ........... Lot No .............. Permit No Date of Permit Applicant ~' Health Dept, Approval ........................ Labor. Dept, Approval ........................ Underwriters Approval ....................... Planning Board A~proval ................ . ..... Request for Temporarv Certifmate ..................... Finex/'l'/~ermicate ...................... ' . / Constructmn on above described building and permit me~ ~,l)de codes and regulations, Applicant...' ....... _ ^: .., ..... , ...................... n,,.lO4O.78 P 0 BOX 706 ~ CUTCHOGUE, NY 11935 APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen James Dinizio, Jr. Robert A. Villa Lydia A. Tortora BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1809 November 29, 1996 Gary Flanner Olsen, Esq. P.O. Box 706 Cutchague, NY 11935 Re: Appl. No. 4434 - Robert Turner Deaf. On: Please find enclosed a copy of the Board's determination rendered at our November 19, 1S96 Meeting. At the present time, the variance file is under review by the Suffolk County Planning Commission in aceordanee with the requirements of the Suffolk County Administrative Code for projects located within 500 feet of a waterway. or state or county property. It is expected that the County will leave this project for iocal (ZBA) determination, without further steps by the applicant or tile Town. A copy of the enclosed determination was also transmitted to the Building Department as an update and follow-up regarding the permit application. You may need to contact their office directly to determine what else may need to be submitted by you to obtain the permit(s). The Building Inspector's Office may be reached at 765-1802. Very truly yours, Enclosure - Copy of Decision Copy also distributed to: Building Inspector*s Office Suffolk County Planning Commission APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen James Dinizio, Jr. Robert A. Villa Lydia A. Tortora Southold Town Hall 53095 Main Road RO. Box 1179 Southold, New York 11971 Fax (5t6) 765-1823 Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD Appl. #4434 Applicant: FINDINGS OF FACTANDDE~b~T~ON November 19, 1996 ROBERT J. TURNER Findings of Fact Parcel ID: 1000-88-6-17 Parcel Location: 1200 West Lane, Peconic Size of Parcel: 21,000+- sf./Nonconforming/R-40 Zone Applicable Code Provisions: Art. XXIII, Sec. 100-239.4B Article III, Section 100-33C. and Request Herein Variance based upon October 10, 1996 Action of Disapproval of the Building Inspector. Applicant wishes to proceed in obtaining a new building permit for deck addition within 75 feet of existing bulkhead, and for accessory shed location with an insufficient front yard setback (as located/built),at 7+- feet from the side line at its closest point and 4+- feet from the northerly front property line. BOARD ACTION: Motion by Member Dinizio, seconded by Member Soehringer, it was RESOLVED, to CONDITIONALL~ GRA~T the relief requested at this t/me based upon the circumstances existing at this time, subject to the following condition: Should the accessory storage shed be proposed to be enlarged or reconstructed, it must be relocated and moved to a conforming yard location under either today's code requirement (40 ft. from the front property line) or the code in effect at the time it may need reconstruction. (Note: The zoning code allows painting, and by permit minor repairs of portions of a building. Minor repairs may not include any portion of reconstruction.) REASONS: When building permit #15772 was issued in March 1987, it appeared that the setback approved was measured from the highwater mark at the rear iine, rather than the bulkhead line. There are lots with similar setbacks in the ~mmediate neighbor (ref: 1000-90- 1-25, and others). Also see full testimony received and discussed at the hearing held on 11/14/96 for this application. VOTE OF THE BOARD: Ayes: Members Dinizio, Villa,~-~ort~a and Goehringer. (Member Doyen of Fishers I~l/a~V~as abs~ntJa~r~ed, due to, distance of travel Md e enses v v . was duly adopted, 4-0. .//~~/ ZBA:lk //Wording appr6~ed for filin/ Albert J. IQupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel Town Hall 53095 Makt Roact P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOU FHOLD December 20, 1996 Gary Flanner Olsen, Esq. P.O. Box 706 Cutchogue, NY 11935 RE: Robert Turner sCTM #88-6-17 Dear Mr. Olsen: The following action was taken by the Southold Town Board of Trustees on Wednesday, December 18, 1996: RESOLVED that the Southold Town Board of Trustees grants a Waiver for a deck that was built in 1987 as per map dated August 31, 1988. This approval does not constitute any approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J. President, Board of Trustees AJK:jmd OUNDATION {1st) OUNDATION (2nd) OUGH FR'A~ PLUMBING ~? iNSULATION PER N. Y. STATE ENERGY CODE FILIAL , ADDITIONAL 765-1802 BUILDING DEPT. INSPECTION GARY FLANNER OLSEN COUNSELLOR AT LA~/ RO. BOX 706 MAIN ROAD · CUTCHOGUE, LONG ISLAND, NE~,V YORK I 1935 PHONE 516-734-7666 FAX 516-734-7712 December 26, 1996 Re: Turner to Leverich Our File # 6116 Dear Georgia: Pursuant to our phone conversation I am enclosing herewith the following: 2. 3. 4. 5. Application for CO for shed. ~plication for CO for addition and shed. Fee in the sum of $35.00 for Building P>~r~it for shed. Check in the sum of $25.00 for CO for~hed~ Check in the sum of $25.00 for CO fo~ addition and deck· / ,' / Very t]~ly you,ss, G~ ~: NNER 0LSEN GFO: link Enclosures Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 '[own Hark 53095 Ivloin Rood P. O. Box 1179 Soulhold, New Yolk ! 1971 Fox (516) 745-1823 '[elephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTFIOLD C ERT[ F I CAT I ON Building Permit No. /j'-'~2--~ {please print) Plumber: P~Oiq(please (~-print)'~L('~'~t'' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this day'o Notary ,'ublic, ~] _~ )~' _ Cou~lty Not~.ry P'~i~, ,~e cJ New Ymk No, O!i$T,4~44752 OualitJ~l t~ ~uffolk County Ccmmission Expires Sept. 30, 19~, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS/ULATION [ [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [/~FINAL [ ] FIREPLACE & CHIMNEY INSPECTO~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. £ ] FOUNDATION ZNO [ ] INSULATION [p~FRAMING [ ] FINAL REMARKS: ~~'~ ~//~', , INSPECTOR 76.~-Z802 BUILDING DEPT. INSPECTION [,~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL INSPECTOR 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~/]~NDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL R[MARKS; ~~~~~_~, DATE Subdivision ................. Filed M,'lp hlo ............... Lot Nc, ................. ..~.~ ~ - ....... NOTICE OF PlSAITROVAI. -,_..,',. · · , ~OMPLET ON'.OF..THE-WOI-~K AU , · ' . -. .., ,~,., -% ...;;::..... : ' . .' ~,~',' -. , ', ' " ' ,. ,L' · - ' '"~' ' ' ~O ~)~ lfg. ~ · ., D e .......... JJlL~,,...~J~ ............ 19,~, Pe~mi'.,.;ion i?. J~e~eL:y grordml to' ':' "-'....'.' , ' .... ~'..~ .-., ~.. .......... , ... ....... .~. ·., .: ,,~,~ , ~,.~ .. ~,~ ~ ~?~.l.~,~j~.jM,~.,.t~.,,~,l.,t,.,~,..~..,..~.J.,..m..:~l ................... - , · . , .-- ~.-~ ' ..... .'..., .... ~".',~" ,~,. '.~' . ~,~.'~,~.. ,C~:". ........ -- . .. ', ~'.~,~ ~:~'...~':.,~-.~*.~.~,~,~i't:' ' ' ' ~. ' · ' - '..'. '-'.' ~"~" .,~ ...... ~".'~-~' .','~ 5-.~" :,'r~.~.. ' · ~.~ . ,. ,,,- '.:....,. ;~. .,'. ,.,,..,~.. ,,.'. -;',:~..~...~ ;~;~,,'..~.~,~.~=tf~.~.;. ;':,'.. . .:.~ '. ~. ~.~ -,...?,...?. ......................... :..,'.....~/~ r.'~.~..~e~...~.~..~? '~O~OAa't' '~"A'~"~;';:F:"~:":'. ................... · · '. · '~..~ ..... r:~.'' ~'~ ~'.."~ . ~.~'~..'~" :.,'?'~:,~:'~'.? '.'~ R.~;Idi,,~ inspech~r~ .~O~l"J .." a}p~tea~ton ./ I~) ETA I I-.. o ~o FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 1197'1 TEL.: 765-1802 Approved .)rl~.ql~../. 2.., 19~[.'). Permit No../.~.~..~..~. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERI~IT Received ........... ,19... Date ~ ~2~ 19a~7 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, 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 description 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 Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~all 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 MA~E to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply .with all applicable laws, ordinances, building,c, qde, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect~a~ / /~f- ~ ........ ............ (SignatUre o,f a~c~ant, or n, amc, ifa corporation) ......... .~...~...//~...~.. &.~.. ................. ... Mtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phimber or builder. Name of owner of premises .... ~..&t..~..~./,.-.~. ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~4~ .~...~..]. ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... [ &O O 1. Location ofland on which propose~work will be don, e .... .~......~...~/~...~...a~:%.....~. ................... ............ ..... ...... .......................... County Tax Map No. 1000Section .....(~.....~.. ...... Block .~...~. .......... Lot.~?../~.. ....... Subdivision ....... ........ (iq'a~) ................ Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~.~.~./~..~.~..~. · ~ ~ ....... ~)r 'i ::¥'-'' ',~q- "~ ................. b. Intended use and occupancy ....... 0..~x.'.5./..~{.~..~...~.../.. ~.W?....~.... ................ 3. Nature of work icheck which applicable): New Building ..... ~ .... Addition ...~ ..... Alteration .......... Repair .... .. u. ........ Removal .............. Demolition .., ............ Other Work ............... . 4. Estimated Cost ............ i .......................... Fee ..................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... umber of dwelling units on each floor ................ If garage, number of cars .... i ...................................................... ./ ..... - ....... 6. If business, commercial or mixed occupancy, specify natu,e and extent of each type of use . ~.74~g~4~A ..... 7. D~ensionsgf existing structures, if any: Front ..... ~..~... Rear ...~.~ ..... Depth...~o~ ......... Height ...~ ....... Number of Stories ......... (~...~ ....................................... D~ensions o[s)me structure With ~terations or additions: Front ...... ~P.~ ....... Rear ~/. ~ ~ ......... Depth ..... ~ ........... i... HeiSt ...... ~ ~ ........... Number of Stories... [~ .~,/. ......... 8. D~mensmns of entire new cons~mctmn: Front .... ~ ~ ...... Rear .... ~ ........ Depth . ~ ............ Height .... /~ ... Number of Stories . .~. ( ................ ' ....... 9. Size of lot: Front ..... , ~* ............ Rear..... Zq~ ............ Depths..~ ................ 10. Date of Purchase .... /~ ~ ~ ................. Name of Fo~er Owner ..... ~?.~ .............. ,.. 11. Zone or use district in which p~emises are situated .......................... x ........................... 12. Does proposed construction ~i~ate any zoning law, ordinanceor~re~lation: ...~¢ ....................... 13. Wflllotberegraded ...... ~.~ ........... Willexce~fillberemove~frompremises:~, Yes 14. N~e of Owner of premises ~'. ~' /~(~. Address / ~ ~. '~ ~hone No J ~ ~¢A 3~ Nme of Architect ........ ~ .................. Address ................... Phone No ................ Nme of Contractor .......................... Address ................... Phone No... ~r ........... 15. Is this property locate~ within 1~00 feet of a tidal wetland? * Yes ..... No .~.. · If yes, Southold To~ T~ustees Permit may be required. ~ PLOT DIAG~M Locate cle~ly ~d distinctly fll bu~d~gs, whether existing or proposed, ~d, indicate fll set-back d~ensions t'rom property ~nes. Give street ~d block number or description according to deed, ~d show street nines and indicate whether interior or corner lot. COUNTySTATE OF NEW YORK,oF ' SS. i . ...........being duly swornl deposes and says that he is the applicant (Name of individual si~ning contract) above named. I He is the .................... i .... " ............................................................... ~ (Contractor, agent, corporate officer, etc.) of s~tid 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 trqe to the best of his knowledge and belief; and that the work will b~ performed in the manner set forth in the application filed therewith. Sworn to before me this : ............. ./.0 ......... day 6r...~. ~g.~ ...... , 19 Notary Public, . ..... HELEN K. DEVOE NOTARY PUBLIC, S~t8 o! New York No, 4707878. Suffolk Ceuf~tYo Term Ex,res Milch 30, , .~,~....~..,&.~/.4~-~.... County ~ _ /0 , (Signature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN PALL SOUTHOLD, N,Y. 11971 TEL.: 765-180:2 E d " 19 Approved BOARD OF ttEALTII SURVEY SEPTIC F 0 lt,q ............. CALL HAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 0ctob.er 9, 19 96 INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and sub)nitted 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 sti'eets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tltis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a C~.rtificate of Occupancy shall bare been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees !o comply with all applicable laws, ordinances, b.,u~ding code, housing code, and regulations, and to admit authorize.d inspectors on prmmses and iu building for necessary j, rfsc/3ction~ -- : ~ ~ . ,4"~igngtu~,,~f applicant, or name, if a corporation) ~ob~t~ a. &Orne~ :, & ..... (Ivlailing address of applicant) State whetheF'aI)'~i1¢ant~ s-own6t'; Idssee,-agent, architect, engineer, general contractor, electrician, plumber or builder. ............... 0 oer ............................................................................ N~me of owner of premises ..... .Rp.b.er.t..3:. T.u.r0 .e.r ..................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· (Name and title of corporate officer) Bu Ider s License No .......................... Plumber's License No ......................... ' Electric a ~ s License No ....................... Other Trade's License No ...................... 1. Location ofhmd on which proposed work will be done .................................................. 1200 West Lane, Southold llouse Number Street Hamlet Cotmty Tax Map No. 1000 Section 88 Block 6 ' Lot 17 Subdivision ...... ' Filed Map No ............... Lot ............... (Name) / State existing use and occupancy of premises and intende~' use 'and occupancy of proposed construction: a. Existing use and occupancy Shed as built Shed a's built b. Intended use and occupancy '('Ndl:i'¢~ 'o'f '[Yfs'a'p'p¥'dv'&']' 'e'x'p'e'cl;'e09 ..... ' ............................... Pli ~X.sh.e.d as built 3. Nature 0fwork (check which ap cable): New Buildin ....... Addition .......... Alteratibn ..., ....... F, epair .............. Removal .............. Demolition .............. Other Work ..... . .......... $50,0 00 ' (Defcription) 4 Estimated Cost ' . be paid on filing this application) 5. If dwelling, number of dwdling u~its ............... Number or dweNi(ntg°units on each floor · If garage, nmnber of cars ..... ' ................ 6 If business commercial nrixed ................................................................. · , or occupancy, specify nature and extent of each type of nsc 7 D'mens'ons el ex~stmg structures i if any' Front Rear ..................... · 1 leight Nnln~brofSiories ............................. Depth ............... Dimensions of shine structure with alterations or additions: Front Rear Depth lleight ................................... · ' Number of Stories · Dimensions of entire new construction: Front Rear ~ .............................. Depth ............... Heigh t ............... Num bet o£ Stories ................ Size of lot: 1 rent ' Rear ......................... · ' ........ ~ .................................. Depth ...................... 10 Date of Purchase Name of Former Owner 11 Zo e d' ' hi I r~i it d · neorus ~stnctmw c~prm sesares uate ....................... 12 Do i d ti vi I ( ny ii gl ordi ' I Ii .............................. · es pro Dose construe on ceca zm n aw, nanceorregua on: ............................... 13. Will lot be regraded ....... '. · ..i ................. Will excess filI be removed from premises: Yes No 14. Name of Owner of premises .................... Address ........... ........ Phone No ........... Name of Architect Address ' ' ' .............................................. Phone No ............... Name of Contractor .......... ~ ............... Address ................... Phone No ............ ' .... 15.' Is this property wi. thin 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clc'arly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ' See survey of Van.Tuyl and Son dated 7/26/65 ;TATE OF NEW YORK, :OUNT¥ oF....suffo]l ..... Robert O. Turner' · . , · ....... ' ......... being duly sworn, deposes and says that hc is thc applicant (Name of individual slgnmglcontract) bovc ~amed. [e is tim ~ .... Owner " , (Contnmtor, agent, corporate officer, etc.) ........... f snid owner or owners, and is duly a{Ithorizcd to perform or have performed the said work and lo make and file this )plication; that nil stntcments containdd in this application are true to thc best of his knowledge and belief; and that the ork will be performed m the manner sclt forth in thc application filed therewith. ,yom ~o beford me this .......... f ........ '.. ·tiny atary Public .... fitlY.fO] k. 'l ob6F d.' 'fL/f/(2'6f ............................. // U' (S gnature of applicant) ,I , L~ ETA ~ L.,