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HomeMy WebLinkAbout26890-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27440 Date: 12/01/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2867 RUTH RD EXT MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 1 Lot 1.11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 28, 2000 pursuant to which
Building Permit No. 26890-Z dated OCTOBER 31, 2000
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 "AS BUILT" ACCESSORY TENNIS COURT AS APPLIED FOR & AS PER ZBA ##4199.
The certificate is issued to PETER & ELAINE PSYLLOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
i
//
t rized Signature
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. 26890 Z Date OCTOBER 31, 2000
Permission is hereby granted to:
PETER & ELAINE PSYLLOS
2867 RUTH ROAD
MATTITUCK,NY 11952
for .
"AS BUILT" ACCESSORY TENNIS COURT WITH ZBA #4199 DATED 12/8/93 .
at premises located at 2867 RUTH RD EXT MATTITUCK
County Tax Map No. 473889 Section 106 Block 0001 Lot No. 001 . 011
pursuant to application dated SEPTEMBER 28, 2000 and approved by the
Building Inspector.
Fee $ 35 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
Porm No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT _ 11
TOWN HALL ' I
fi 765-1802
APPLICATION FOR-CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and Lbmitted to the b
lul Ing
inspector with the following: 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 oFire 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 a 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 - .2%p
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15..000, Commercial $15.00
Date . . . . . .
�/,l. /?. . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . .,V. .
Location of Property. . . . . .. . . . . .M 7 e -/f , &. . . . . . . j TT/T/�C�. . . . . lV./. . ��9��. . . . . . . .
House No. Street Hamlet
-OF: Z-1�. . L /1✓C 5` Z L©S
Onwer or Owners of Property. . . . . . . ... . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Subdivision. .//. . .. . . . . .7. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
�RPermit No. . o 9 d..`. . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certi e. . . . . . . . . . .
0�5 0(�
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . .
r�S�j?/ APPLI , ..'
i Go �sa� Pub
r
��O��S�FFO(k�oGti
Town Hall,53095 Main Roadcm Fax 516( )
765-1823
P.O. Box 1179 COD Telephone(516)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 9, 2000
Peter & Elaine Psyllos
2867 Ruth Rd.
Mattituck, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file . (Enclosed)
No Underwriters Certificate on file .
XX The check is (not on file . ) $25 . 00
No Health Department Approval on file .
No final inspection has been made .
No Plumber Solder Certificate on file .
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 26890-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
� A
_SLD INSPECTION REPORT DATE COMMENTS cl�D
II ti
II II
)UNDATION OST)
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)UNDATION OND) rr__ __ _ lli_ U
_______________________ - ---- ---------------
O
� II
UGA FRAME h
PLUMBING
It
II II
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II II H
iSULATION PER N. Y.
STATE ENERGY II ii C
CODE +
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--------------------------------
II ii
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FINAL
-------------------------------- - -- � vii
ADDITIONAL COMMENTS- ._
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H
ICE
APPEALS BOARD MEMBERS J ; SCOTT L.HARRIS
�?
Supervisor
Gerard P. Goehringer, Chairman t
Serge Doyen,Jr. Town Hall, 53095 Main Road
James Dinizio,Jr ��� P.O. Box 1179
Robert A.Villa t ;s. Southold, New York 11971
Richard C.Wilton J� � Fax (516) 765-1823
Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516) 765-1800
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
Appl. No. 4199:
Matter of the Application of PETER PSYLLOS. Variance to
the Zoning Ordinance, Article III, Section 100-33 and Article
XXIII, Section 100-231 for permission to locate proposed tennis
court structure enclosed with ten-foot high fencing in the front
yard area. Location of Property: 2867 Ruth Road, Mattituck,
NY; County Tax Map Parcel No. 1000-106-1-1.11.
WHEREAS, after due notice, public hearings were held on
November 8, 1993 and December 8, 1993 , and which time all those
who desired to be heard were heard and their testimony recorded;
and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, Board Members have personally viewed and are
familiar with the premises in question, its present zoning, and
the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. This application is a request for a variance from
Article III , Section 100-31, and Article XXIII, Section 100-231
which requires that ar. accessory terric court structure be
located in the rear yard area. The application for a building
permit upon which this appeal is based shows that the accessory
tennis court (fence enclosure) structure is proposed to be
situated in the southerly yard area. The southerly yard area is
technically one of two front yards due to the fact that this
parcel is a corner lot fronting along two access roads
(rights-of-way) .
2. The premises in question is located in the Residential
Zone District and contains a total area of approximately 60,300
sq. ft. which received town approvals prior to 1983 . Existing
on the property is a. single-family having a living-floor area of
approximately 3 ,000 sq. ft. The dwelling is shown to be
situated 54. 5 feet from the easterly front property line along a
private right-of-way, 84. 6 feet from the northerly property
lire, 57 . 5 feet from the westerly property line, and 217 .8 feet
Page 2 - Appl. No. 4199
Matter of PETER PSYLLOS
Decision Rendered December 8, 1993
from the southerly ( front) property line along a private
right-of-way. It is noted that a small shed is located in the
center of this southerly right-of-way (ref. survey dated
October 27, 1987 prepared by Young & Young) .
3 . For corner lots of this nature, Section 100-232
provides that the rear yard may be defined as "one yard other
than the front yard shall be deemed to be a rear yard, and the
other or other side yards. . . . " It is the position of the Board
that the layout of the land as a corner lot that lends to the
difficulties in locating a permitted tennis court while at the
same time meeting the yard and setback regulations.
4. for record purposes, it is noted that this building is
proposed for accessory use incidental and used by the residents
and occupants of this dwelling, and may not be used for
profitable or gainful purposes. This use of this structure may
not be enlarged, re-located, or otherwise altered.
5. The proposed structure will be in conformance with the
height requirements pertinent to accessory structures.
6. The hearing record is extensive and confirms opposition
from owners (Brady) of the adjacent (adjoining) parcel on the
west side of the applicant' s property, and other concerns - some
related to this project and some unrelated. Full consideration
has been made of the entire hearing record by Board Members, and
additional screening has been made a condition of this
variance. There is a fence presently located between the two
parcels. The neighboring (Brady) residence is more than 250
feet distant from the applicant' s proposed tennis-court
location. The neighboring (Brady) accessory building, also
situated in the front yard, was the subject of a variance
request in 1386 to be located 100 feet- from the front
(southerly) property line. This accessory building was limited
to storage purposes incidental to the residency of the owners of
the property (ref: Appeal No. 3469, Condition No. 1) .
7. Also noted for record purposes is Appeal No,. 3532
(A. Burns) rendered by the Board of Appeals on September 11,
1986 authorizing the location of an accessory tennis court in
the front yard area. Under today' s zoning regulations, this
particular accessory structure, which is located two lots west
of the applicant herein, would not require a variance. Section
100-33C (added by Local Law #33-1992) permits accessory
buildings/structures to be located in the front yard, provided
that such buildings and structures meet the front-yard setback
requirements. With the exception of the applicant' s lot and
nne other non-waterfront lct (all, however, with water views of
the L.I. Soung) in this immediate neighborhood, accessory
Page 3 - Appl. No. 4199
Matter of PETER PSYLL•OS
Decision Rendered December 8, 1993
buildings and structures would be. permitted to be located in the
front yard area.
8 . It is the position of the Board in considering this
application that:
(a) the circumstances are uniquely related to the
property and there is no method feasible for appellant to pursue
other than a variance - particularly since the property does
technically have two "front yards."
(b) the relief is not substantial in relation to the
requirements and will be distant from neighboring buildings;
the setbacks for the tennis court of 45 feet from the westerly
property line, approximately 45 feet from the easterly (front)
property line, and not closer than 34 feet from the southerly
(front) property line is feasible under the circumstances;
(c) the variance requested does not involve an
increase of dwelling unit or use density;
(d) the relief requested will not cause a substantial
effect on available governmental facilities since the structure
is a permitted use under Section 100-31C( 4 ) , and will be used
only incidentally to the residents and occupants of the
dwelling;
(e) the relief requested is not unreasonable due to
the uniqueness of the property and the immediate area;
(f) there is no alternative for the applicant to
pursue other than a variance;
(g) the variance will not in turn be adverse to the
safety, health, welfare, comfort, convenience, or order of the
town, or be adverse to the neighboring properties because night
use is not proposed and lighting is not permitted <ref: Section
100-31C( 4-b) of the Zoning Code> .
Accordingly, on motion by Member Villa, seconded by Member
Wilton,. it was
RESOLVED, to GRANT permission to locate a proposed tennis
court structure, not to exceed 60 feet by 120 feet, in the
southerly front yard area, SUBJECT TO THE FOLLOWING CONDITIONS:
1. Evergreens or similar trees or bushes (such as
rhododendrons, etc. ) shall be planted along (within) the
applicant' s southerly property line at a minimum height of three
Page 4 - Appl. No. 4199
Matter of PETER PSYLLOS
Decision Rendered December 8, 1993
( 3 ) feet, and six ( 6) feet apart, for the full length {150
feet) ; and
2. The fence height of the tennis court shall not exceed
10 feet above ground, as proposed; and
3 . There shall be no lighting for after-dark use as
regulated by subsection 4-b of Section 100-31 of the Zoning
Code; and
4. The setbacks of this accessory structure shall be not
closer than 45 feet to the westerly property line, 34 feet to
the southerly property line, and approximately 45 feet to the
easterly front property line; and
5. As much as possible of the natural wooded, or heavy
brush areas to the west and to the south of the proposed tennis
court shall remain.
Vote of the Board: Ayes: Messrs. Dinizio, Villa,
Wilton, Doyen, and Goehringer. This resolution was duly adopted.
* * x
lk
GERARD P. GOEHRINGER, CHAIRMAN
449"
PROFESSIONAL ENGINEER
HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631—765-2954 FAX 631—614-3516
Date: September 28, 2000
Reference: Psyllos—Tennis Court
Town of Southold
Building Department
Main Road
Southold,NY 11971
Dear Sir,
Please find my building permit application for Peter Psyllos for as tennis court located at
2867 Ruth Road in Mattituck(106-1-1.11) The Psyllos' have constructed the court prior to
obtaining a permit. I am enclosing a survey showing the tennis court, as built. (Note: the fence
for the court was built 10 foot high but was not noted on the survey) The ZBA approved the
construction of the court December in 1993. A copy of the action is enclosed.
If you have any questions regarding this matter please call.
te
ly yours,
Fischetti, PE
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ANALTERAT;ON OR AD01' 0N TO THIS SiRVEY IS A VIOLATION
OF SEI-T'7N 72^ W'9 OF THE ^:Et'ORK STATE EDUCATION LAW s0
E�tCEPT AS PER SECTION 7209-SUBuiVISION 2 ALL CERTIFICATIONS �'O
-IEPEON ARE VAL.:C' FOR TtiIS MAP AND COPES THEREOF ONLY IF Qa'
i. �P,ES EEAP THE ;MPPESSEE SE4L GF THE SljPVEYOR /
Wh-„7f. ,fi>IJAT,,KF APP;-.IPS 'IFRECN ''�
SURVEY OF PROPERTY
AT MATTITUCK
T 0 WN OF S 0 UTHOLD
SUFFOLK COUNTY, N. Y.
1000- 106-01- 1. 11
SCALE: 1 "=50
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1230 TRA LER STREET [99-2,98
SOUTHOLD. N. r 971
PROFESSIONAL ENGINEER
r HOBART ROAD/PO Box 616 SOUTHOLD, NEW YORK 11971 PHONE 631—765-2954 FAX 631—614-3516
Date: September 28, 2000
Reference: Psyllos—Tennis Court
Town of Southold
Building Department
Main Road
Southold,NY 11971
Dear Sir,
Please find my building permit application for Peter Psyllos for as tennis court located at
2867 Ruth Road in Mattituck(106-1-1.11) The Psyllos' have constructed the court prior to
obtaining a permit. I am enclosing a survey showing the tennis court, as built. (Note: the fence
for the court was built 10 foot high but was not noted on the survey) The ZBA approved the
construction of the court December in 1993. A copy of the action is enclosed.
If you have any questions regarding this matter please call.
te
ly yours,
Fischetti, PE
APPEALS BOARD MEMBERS �' `.t � SCOTT L.HARRIS
Supervisor
Gerard P. Goehringer, Chairmantry
'`
Serge Doyen,Jr. h Town Hall, 53095 Main Road
James Dinizio,Jr. '�, ` ��' P.O. Box 1179
Robert A.Villa Southold, New York 11971
Richard C.Wilton Fax (516)765-1823
Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516)765-1800
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
Appl. No. 4199:
Matter of the Application of PETER PSYLLOS. Variance to
the Zoning Ordinance, Article III, Section 100-33 and Article
XXIII, Section 100-231 for permission to locate proposed tennis
court structure enclosed with ten-foot high fencing in the front
yard area. Location of Property: 2867 Ruth Road, Mattituck,
NY; County Tax Map Parcel No. 1000-106-1-1.11.
WHEREAS, after due notice, public hearings were held on
November 8, 1993 and December 8, 1993, and which time all those
who desired to be heard were heard and their testimony recorded;
and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, Board Members have personally viewed and are
familiar with the premises in question, its present zoning, and
the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. This application is a request for a variance from
Article III, Section 100-31, and Article XXIII, Section 100-231
which requirCs that an accessory ternic court structure be
located in the rear yard area. The app7,ication for a building
permit upon which this appeal is based shbws that the accessory
tennis court (fence enclosure) structure is proposed to be
situated in the southerly yard area. The southerly yard area is
technically one of two front yards due to the fact that this
parcel is a corner lot fronting along two access roads
(rights-of-way) .
2. The premises in question is located in the Residential
Zone District and contains a total area of approximately 60,300
sq. ft. which received town approvals prior to 1983 . Existing
on the property is ak single-family having a living-floor area of
approximately 3,000 sq. ft. The dwelling is shown to be
situated 54. 5 feet from the easterly front property line along a
private right-of-way, 84.6 feet from the northerly property
line, 57. 5 feet from the westerly property lire, and 217 .8 feet
I
f
Page 2 - Appl. No. 4199
Matter of PETER PSYLLOS
Decision Rendered December 8 , 1993
from the southerly (front) property line along a private
right-of-way. It is noted that a small shed is located in the
center of this southerly right-of-way (ref. survey dated
October 27, 1987 prepared by Young & Young) .
3 . For corner lots of this nature, Section 100-232
provides that the rear yard may be defined as "one yard other
than the front yard shall be deemed to be a rear yard, and the
other or other side yards. . . ." It is the position of the Board
that the layout of the land as a corner lot that lends to the
difficulties in locating a permitted tennis court while at the
same time meeting the yard and setback regulations.
4. for record purposes, it is noted that this building is
proposed for accessory use incidental and used by the residents
and occupants of this dwelling, and may not be used for
profitable or gainful purposes. This use of this structure may
not be enlarged, re-located, or otherwise altered.
5. The proposed structure will be in conformance with the
height requirements pertinent to accessory structures.
6. The hearing record is extensive and confirms opposition
from owners (Brady) of the adjacent (adjoining) parcel on the
west side of the applicant' s property, and other concerns - some
related to this project and some unrelated. Full consideration
has been made of the entire hearing record by Board Members, and
additional screening has been made a condition of this
variance. There is a fence presently located between the two
parcels. The neighboring (Brady) residence is more than 250
feet distant from the applicant' s proposed tennis-court
location. The neighboring (Brady) accessory building, also
situated in the front yard, was the subject of a variance
request in 1:86 to be located 100 fes;: from the front
(southerly) property line. This accessory building was limited
to storage purposes incidental to the residency of the owners of
the property (ref: Appeal No. 3469, Condition No. 1) .
7. Also noted for record purposes is Appeal No.. 3532
(A. Burns) rendered by the Board of Appeals on September 11,
1986 authorizing the location of an accessory tennis court in
the front yard area. Under today' s zoning regulations, this
particular accessory structure, which is located two lots west
of the applicant herein, would not require a variance. Section
100-33C (added by Local Law #33-1992) permits accessory
buildings/structures to be located in the front yard, provided
that such buildings and structures meet the front-yard setback
requirements. With the exception of the applicant' s lot and
nne other non-waterfront lot (all, however, with water views of
the L.I. Soung) in this immediate neighborhood, accessory
i
Page 3 - Appl. No. 4199
Matter of PETER PSYLL•OS
Decision Rendered December 8, 1993
buildings and structures would be. permitted to be located in the
front yard area.
8. It is the position of the Board in considering this
application that:
(a) the circumstances are uniquely related to the
property and there is no method feasible for appellant to pursue
other than a variance - particularly since the property does
technically have two "front yards. "
(b) the relief is not substantial in relation to the
requirements and will be distant from neighboring buildings;
the setbacks for the tennis court of 45 feet from the westerly
property line, approximately 45 feet from the easterly (front)
property line, and not closer than 34 feet from the southerly
(front) property line is feasible under the circumstances;
(c) the variance requested does not involve an
increase of dwelling unit or use density;
(d) the relief requested will not cause a substantial
effect on available governmental facilities since the structure
is a permitted use under Section 100-31C( 4 ) , and will be used
only incidentally to the residents and occupants of the
dwelling;
(e) the relief requested is not unreasonable due to
the uniqueness of the property and the immediate area;
(f) there is no alternative for the applicant to
pursue other than a variance;
(g) the variance will not in turn be adverse to the
safety, health, welfare, comfort, convenience, or order of the
town, or be adverse to the neighboring properties because night
use is not proposed and lighting is not permitted <ref : Section
100-31C(4-b) of the Zoning Code> .
Accordingly, on motion by Member Villa, seconded by Member
Wilton,. it was
RESOLVED, to GRANT permission to locate a proposed tennis
court structure, not to exceed 60 feet by 120 feet, in the
southerly front yard area, SUBJECT TO THE FOLLOWING CONDITIONS:
1. Evergreens or similar trees or bushes (such as
rhododendrons, etc. ) shall be planted along (within) the
applicant' s southerly property line at a minimum height of three
I
Page 4 - Appl. No. 4199
Matter of PETER PSYLLOS
Decision Rendered December 8, 1993
( 3 ) feet, and six ( 6) feet apart, for the full length {150
feet) ; and
2. The fence height of the tennis court shall not exceed
10 feet above ground, as proposed; and
3 . There shall be no lighting for after-dark use as
regulated by subsection 4-b of Section 100-31 of the Zoning
Code; and
4. The setbacks of this accessory structure shall be not
closer than 45 feet to the westerly property line, 34 feet to
the southerly property line, and approximately 45 feet to the
easterly front property line; and
5. As much as possible of the natural wooded, or heavy
brush areas to the west and to the south of the proposed tennis
court shall remain.
Vote of the Board: Ayes: Messrs. Dinizio, Villa,
Wilton, Doyen, and Goehringer. This resolution was duly adopted.
lk S' "s:'s.L.s 'pJf r' n .L✓:''9.a's'
GERARD P. GOEHRINGER, CHAIRMAN
BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . ... . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
765-1802 NOTIFY:
CALL ,/. .
Examined..../ y......., 20.00 \, MAIL TO: . . . . . . . . . . . . . . . . . . . .
�Y. V
Approved....9.1 I........ 2W4a Permit No. .� �..I. ...................................
Disapproveda/c .................................. ...................................
•.•.••
(Building Inspector)
APPLICATION FOR BUILDING PERMIT.
Date. . �/?�/ . . . . . 20.P.0
INSTRUCTIONS
a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
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 application.
c. nie 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
permit shall be kept on the premises available for inspection throt4mt the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Ct cupancy shall have been granted by the Building Inspector.
APPLICATICN IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the
bpilding 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 alterati for removal or demlition, as herein
described. The applicant agrees to comply with all applicable laws, o i s, i ng code, housing code, and
regulations, and to admit authorized inspectors on premises and in buil i for s i i ^ /�
/yJ(fir
......
• • -
(Siur ofapplapplicant, or name, if
a corporation)
17ZSfn/ Lvd C -V. S'Uv7dC
..... , ..
(Mailing address of applicant)
State whether applicant is owner, lesseg, agent, architect, engineer, general contractor, electrician, pluaber or builder
Ps C4
Nameof owner of premises .........�N.......V* '* s...............................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
PlumbersLicense No. .........................
Electricians License No. .....................
Other Trade's License lb. ....................
l. Location of land on which proposed work will be done.................. ................................
2.8 6 7...I. ...(�C? ......................................... ..... �...............................
House Number Street / Hamlet
County Tax Map No. 1000 Section J.V 6....... Block .....L/.......... Lot .../:/./.......
Subdivision ...................................... Filed Map No. ............... lvt ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .......... f......!"5........................................................
b. Intended use and occupancy ...............l� l�'1 .......................................................
a;
'1
r
1. Nature of work (check which applicable New Bu .......... Addition ..
): hiding on Alteration
Repair ............ Removal ............. Demolition ............ Other Work .. i9K/S 4VP4� ..........
(Description)
Estimated Cost ....�./.D0 v.......... fee ..............................................
(to be paid on filing this application)
If dwelling, n miuer of dwelling units ............ Number of dwelling units on each floor ................
Ifgarage, cumber of cars ......................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use......................
Dimensions of existing structures, if any: Front................ Rear ...............
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 ................ Rear ............... Depth ..............
Height ......................... Nuhrber of Stories .....................
Size of lot: Front .................... Rear .................... Depth ....................
0. Date of Purchase ..................... Name of Former Owner ....................................... .
I. Zone or use district in which premises are situated ..............................................................
2. Does proposed construction violate any zoning law, ordinance or regulation: ........................
3. Will lot be regraded .................... Will excess fill be removed from premises: YES NO
4. Names of Owner of premises ............ Address ..........L...... ,Q Picone No. .............
Name of he VWt .105..0�/FjSGIt,Q 7.............. Address .12 z S/ � �!� ....... Phone No. 765-21r.............
Name of Contractor .. Address ...............................Phone No. .............
5. Is this property within 300 feet of a tidal wetland? * YES .......... ND ...........
*IF YES, SWMD 111A MMMS PERMIT MAY BE 1iE'i41IMM.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
ram property lines. Give street and block amber or description according to deed, and show street names and indicate
hether interior or corner lot.
bV1 4 :5(;t1V4'_j
FNIE or MW Yow
INC;(F ..
..... /•.../•/S.... Z •.................bei (Jul. sworn deposes and saes Lhat he i s -} a 1 ' n
TiMizr �
... � Y � [p , the �,.h ca t
Name of signing contract-)
xove named,
istlhe ....................... .........................................................................
(Contractor, agen , corporate officer, etc.)
F said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
ppl.icatimi; that a.11 statements contained in this application are true to the best of his knowledge and belief; and
chat the work will be performed in the manner set forth in the application filed therewith.
worn to be, Egre me this
QW 0
a Q..........day o .. . . . ..
. ...Q.C...
Notary Public .� .. ... ...................
IYNDA M. BOHN .. .... .. .. Z
NOTARY PUBLIC,State of New York *ir Applicant)
No.01 B06020932
Qualified in Suffolk Coun
Term Expires March 8,20 C)
IJ %.J A to IF Aa 1 V1 A AV Ns l/ A Y A A
AT MA TTITUCK
OS , a=
TO AVN OF SOUTHOLD
N SUFFOLK CO UNTY
,q N. Y.
,p1•� �'� 1000- 106-01- 1. 11 E
SCALE: 1 "=60 ►
Oma' O. ti s
ry AuG. 25. 1999 t
1
5 0 ' L\O(\
0), oto;• i k :. S; d
lie; soo
• Oro
cl ICU
-tc\ OSphOlt with
c)
bbf9stone curbing
\ S�dr °\\ \ \.
APPRO ED AS NO ED
DATE: ��' cc B.P.# & I - \o � 7 LA�
FEE: ?5� BY
0 A
765 p
NOTIFY BUILDING DEPARTMENT AT
-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: �
1 FOUNDATION - TWO REQUIRED �O
N
�-? ..
FOR POURED CONCRETE NQ,
2. ROUGH - FRAMIkG & PLUMBING '
3. INSULATION31
�.
's, �A .
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. �
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
11A
CODES. NOT RESPONSIBLE FOR
[1F i; Pi (1!t l^.7cge� F$Cj{ter, OO \ 3
0
p5 / QF NEW k
AREA = 1.3846 ac \ �`�• G' T / cz,�P �1%Z.MET��O�P,f•
■-monument \ '(L '
W O a�, t::: Ro
UNDERWRITERS CERTIFICATE 1 Z Fwe
REQUIRED 1 a 61� 2Q' xi /O� n r' ;
�rbo_r__)
S. L�% NO. 49618
ANY ALTERATION OR AUDITION TO THIS SURVEY IS A VIOLATION 72
5S t� J'�O 4 6 P C
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS �•O P
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF ��' '230 TRA _LER STREET
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR SOUTHOLD, N. Y 11971 9AR
v —28
WHOSE SIGNATURE APPEAPS HEREON.