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HomeMy WebLinkAbout26184-zFORM 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. 26184 Z Date NOVEMBER 29~ 1999 Permission is hereby granted to: RICHARD $IRIANO 2105 63RD ST BROOKLYN~NY 11204 for : CONSTRUCT AN ACCESSORY GARAGE IN THE FRONT YARD AS APPLIED FOR. ZBA#4490. THIS PERMIT REPLACES BP#25259-Z. at premises located at 600 County Tax Map No. 473889 Section 097 pursuant to application dated NOVEMBER Building Inspector. BEEBE DR CUTCHOGUE Block 0007 Lot No. 005 29 1999 and approved by the Fee $ 59.80 '~A ~or~gnature Rev. 2/19/98 ORIGINAL FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27533 Date: 01/25/01 T~IS CERTIFIES that the building ACCESSORY Location of Property: 600 BEEBE DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 7 Lot 5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 29, 1999 pursuant to which' Building permit No. 26184-Z dated NOVEMBER 29f 1999 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 GARAGE IN THE FRONT yARD AS APPLIED FOR & AS PER ZBA ~4490. The certificate is issued to RICHARD & THERESA SIRIANO (OWNER) of the aforesaid building. SUFFOLK COIYNTY DEPARTMEI~T OF HEALT~ APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-070070 12/05/00 PLUMBERS CERTIFICATION DATED N/A ~/t~i~gnature Rev. 1/81 APPLICATION FOR CERTIFICATE OF OCCUPANCY Form No. 6 TOWN OF~HOLD BUILD ING~DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the soldez used in system contains less than 2/10 of i% 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. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ...25~D 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ..~.. Date .... ~/'~' ' ' i i ........................... New Construction ....... Old Or Pre-existing Building ............... Location of Property · House No.' Street Hamlet Onwer or Owners of Property ............................................................. County Tax Map No 1000, Section ..... ~.~ ..... Block ................ Lot .................. Subdivision..~..~. . .... ~ ~OO~ ..................... . :Filed Xap.~.~.~ ..... Lot ....... . .............. Permit No~!~. ...... Date Of Permit..I.II~)~ .Applicant.~d~A~7~$~ Health Dept Approval .... Underwriters Approval ............... Planning Board Approval......... ........... . Request for: Temporary Certificate ......... Fee Submitted: $ ........................... eo 3'3 · Final Certicate ........... APPLICANT Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1523 Telephone (516) 765-1802 August 31, 2000 Mr. & Mrs. Richard Siriano 2105 63rd St. Brooklyn, NY 11204 RE: 600 Beebe Dr., Cutchogue. To Whom This May Concern: We are unable to complete your Certificate of Occupancy beca/se of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) ~N~ XX 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 # 26284-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 8082261 BUREAU OF ELECTRICITY [~ 40 FUI.TON STREET, NEW YORK, NY 10038 Date DECh'I~ER 05,2000 Application No. on file 11420800/00 H 070{377 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RICHARD SIRIANO, 600 B~EBE DRIVE, CUTCHOGUE, NY in the following location; [] Basement [] 1st FI. [] 2nd Fl. OU'l' Section Block was examined on NOVEI~BER 29,2000 and found to be in compliance with the National Electrical Code. (~UT~LUE~[ RECEPTACLES SWITCHES NCANDESCl qT F~Xo~EU~Rc~N~T OTHER , ,MT~ANGKE, Sw. 2 12 5 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. AML ~(.W. OIL H,P. GAS H.P. AMT. NO. A.W.e. AMT. AMP. IOTHER APPARATUS: R NO. OF CC COND. ELgC. RO0~{ HP,%TgRS~I-I.O K~IW. C A. W.G. NO. OF HI-LEG OF CC. COND. EXHAUST FANS AMT. H.P. MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET AMT. WAHS E A. W.G. NO. OF NEUTRALS A.W.O. OF HI-LEG OF NEUTRAL RICHARD SlRIANO 6~O BEF~BE DRIVE GENERAL MANAGER CUTCHOGU~, N-Y, 11935 1t // ,,,,' Per ' .,,~ ~ . ~" This certificate must not be altered In any manner; return to the office of the Board ii Incorrect. Inspectors may be identified bylholr credentials. COPY FOR BUILDrNG DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 8~,.~ · BUREAU OF ELECTRICITY ~'-- 40 FULTON STREET, NEW YORK, NY 10038 Date DEC~F. IR 05,2~ npplicatlon No. on fle 10633~/'~ , H 070070 THIS CERTIFIES THAT , , onty the eloctrtcat equipment as described below and introduced by the applicant named o~i t~he aboFe apFlicatlon number is in the premises of RICHARD SIRIANO, 600 BEEBE DRIVE, CUTCHOGUE, NY , , in the following location; ~ Basement [] 1st Fl. [] 2nd Fl. GAR/OU~' Section Block Lot was examined on NOV~,~ER 29,2000 and found to be in compliance with the National Electrical Code.. RECEPTACLES SWITCHES i.C.4~DE~Cl;Nll;~oX~EUsRc~ST] OTHER DRYERS FURNACE MOTORS I R,I~RE APPLIANCE FEEDERS AMT, J~.W. OIL H,P. GAS H.P. AMT. NO. A.w.e. ~THER APPARATUS: RANGES ,MT. K.W. SPECIAL BEC'PT AMT, AMP, R TIME CLOCKS BELL UNIT HEATERS MULTIoOUTLE! V I C E EXHAUSTFANS AMT. H,P. DIMMERS PANELBOARDS: 1"11 CIR. 100 G.F,C.I:-5 RICHARD SIRIANO 6~ BEEBE DRIVE CUTCHOGUE, NY, 11935 Per [~.GENERAL MANAGER ./ This cefllflcote mUBt not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT· THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS~IJI. ATION [ ~]'~INAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE INSPECTOR :'OUNDATION ( ~ s t ) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING' I~SULATION PER N. STATE ENERGY CODE 'FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ F~~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /-U-~..~-,.~-4- ~'/~L DATE ~/, /Q ~72 /~ INSPECTOR~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25259 Z Date OCTOBER 27~ 1998 Permission is hereby granted to: RICHARD SIRIANO 600 BEEBE DR CUTCHOGUE,NY 11935 for : CONSTRUCT AN ACCESSORY GARAGE IN THE FRONT YARD AS APPLIED FOR ZBA APPL.%4490 at premises located at 600 BEEBE DR CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0007 Lot No. 005 pursuant to application dated SEPTEMBER 11 1998 and approved by the Building Inspector. Fee $ 59.80 in~ Inspector ORIGINAL Rev. 2/19/98 APPEALS BOARD MF~IBERS BOA R D OF APPEALS TOWN OF SOUTtlOLD Southold 'l'{n~n Hall 53095 Main Road P.O. Box i 179 Southold. New Ym'k 11971 Fax {516} 765- IR23 Telephone (516 ~ 765-1809 July 16, 1907 Pntriein C. Mtmre, ~L'~q. 315 Westplulllu Ro~ld P.O. Box 483 Mattituek, NY 11952 Re: Appl. No. 4490 - Richard Siriuno (Varianco Request) Dour ~~: Enckmed ph:ase find a copy of the Bottrd's determination rendered at tho Board's July 10, 1997 meeting. A copy has today be~n forwarded to the Building Inspector's Office for their files and update. You rm~y wish to contact tho Building Department directly {765-1802) to reactivate the building permit application for the garage. Very truly yours, 'Linda Kowulski Enelo:;ur~ Copy of Decision to: Building Department Suffolk Couaty Planning Commission (within 500 feet of a waterway) APPEALS BOARD ,MF~MBERS R Gochfinget. Char'man Serge James Dinizio. Jr. Lycfia A. To,ora Maureen C. Ostermann BOARD OF APPEALS TOWN OF SOUTHOLD Southold Town Hall 53095 Main Road P.O. Box 1179 S~uthold. Nov Y0¢k 11971 Fax (516) 76~-1823 T¢tcpfione ($ I (~ 1765-1809 FINDINGS, DELIBERATIONS AND DETERMINATION ADOPTED AT REGULAR MEETrlNG OF JULY 10, 1997 Appl. No..1.190 - RICIIARD SIRIANO PARCEL 1000-97-7-5 STREET ~ LOCALITY: 600 Beebe Drive, Cutcbogue DATE OF PUBLIC IIEARING: July 10, 1997. FINDINGS OF FACT PROPERTY DESCRIPTION: This property is located in un R-40 Low-Density Residential Zone [)istriel, being situate akJng Beebe Drive and fronting along a ea~l of ~st Creek. This lot cot;Mats oCa total area of app~ximately 22,200 sq. Ct., lot width (frontage) alon~ B{mbe Drive of 100 f~t and ave~t~e lot depth of 220 feet. This lot is immured with a single-family, 1-1/2 story dwellin~ with fnm~e deck and walk as shown on tile survey last dated April 17, 1997. BASIS OF APPEAL: Building Inspector's Action of Disapproval dated April 29, 1997, which states that ill the case of a waterfront parcel, accessory boilding'~ nod stroctures may be located in the front yard, provided that such buildings and structures meet a minimum front yard setback 40 feet. Thc side yard setback is shown to be the minimum requirement nt five feet (as per 100-244B for lots having 22,200 sf in size). ARFd~. VARIANCE REI,IEF REQUESTED BY APPLICANT: To locate an accessory garnge on a water£ront lot at 28 feet (closest setback) and 32 ft. front yard at the opposite front yard setback. Arti('lo Section 100-33 requires a minimum of 40 feet from tile front property line. REASONS FOR BOARD ACTION, DESCRIBED BELOW: (1) The granting of tile area variance will not produce an undesirdble change in character or neighborhood or a detriment to nearby properties because two houses to the northeast visually appear ill harmony with tile adjacent house to tile northeast. (2) The benefit sought by tilt, applicaut caanot be achieved by some method, feasible For apl)llcttttt to pursue, other tltall all area variance. (3) The requestt~l area variance is not substantial representiZlg; approximately 30 percent variation for the front yard setback. Page 2 - July 10, 1997 Appi. 1.1400 - 1000-97-?-5 (Strlmlo) Sotlthuld Town Board of Appeals ~,1) Thu pr~)l>U.~cd variancu will ual have mi adverse effect or impact on the physical or ellvi~nmeltta[ condition~ ill the nei~hborh~d or district bo~tme it will lmpreve n H~dinc co~dition as docamented by applicnltt'5 attortH~y. (5) The situation has not been self-created. (6) This ~Jction is tile minimum that tile Board deems necessary and adeqoate a~d at the a~ame time preserves slid protects the character of tile neighborllood, and tile health, safety, welfare of the community. R ESOLUT ION / ACT ION: Member Tartars, it was On motion by Member Di~fizio, seco,Jded by RESOLVED, to (;RANT the reliuf as applied with electric utility only. VOTE OF Tile BO,\RD: Tortoral, alld O,,-i[~rm~tllll, vote (5-0). Actions. Al1/97-7-5 AYES: Members Doyen, Goehringer, Dinizio, This resolution was adopts~l-.4~' tlllallimotls ~GERARD P. GOEII~G CII~IRMA~ ~ Resolution Adopted 7/10/97 / New Ymk State Department of Environmental Consewat~n Bulling 40 - SUNY, Stony Brook, New Yo~k 11790-2356 Telephone (516) ~ 9365 F~mile (516) ~ 9360 January 9, 1998 Mr. Richard Siriano 600 Beebe Drive Cutcho~ue, NY 11935 RE: 1-4738-01541/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Charles T. Hamilton Permit Administrator CTH/ls File N~ Y~JC ~T4~ DfPAIITNI~T OF E~YIIWmt'~TJ~ COIISE~&TtON IPE IT Urge'the Co~atio~ EFFECTWE OATE J&nu~r,f $~ 1998 m D ArticLe 1~i, TitLe 27: gLId, Scenic end Recreetl~l Rivers · Ce~t I f tcitten Article 17, Tiller ?, 8: S~OES Article 19: Air potLutlm Control Article 23, Title 27: Miffed L~ · Article ~: TI.'~,,L ~aetl~ds P~lmlt ISSUED TO NA~E AND ADDRESS OF PROJECT/FACILITY $1riMlo propertyt 600 Deebe Driver Cutchoguet NY 11935 LOCATION OF PROJECT/FACILITY TELEPHONE Nt~MBER 11952 (516) 298-5629 SCT# 1000-97-7-5 COUNTY TO,aN gATERCOURSE NYTN COORDINATES DESCRIPTION OF AUTHORIZED ACTIVITY ADDRESS Building 40, St;NY, Rocm 121, StOny Brook, NY ~ I DATE JarpJSry 9, 1~ 117~0-2356 I Page 1 of 5 GENIERAI. CONDITIONS Inspections 1. The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permlttee is ccmplylng with this permit and the ECL. Such represen- tative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). A copy of thls permit. Including all referenced maps. drawings and special conditions, must be available for inspection by the Department at all times at the project s~te. Failure to produce a ccpy of the permit upon request by a Departrr~nt representative 1s a violatlcn of this permit. Permit Changes and Renewals 2. The Department reserves the right to mcd~fy, suspend or revoke this permit when: a) the scope of the permitted act~vlty is exceeded or a v~olation of any condltlcn of the permit or provisions of the ECL and pertinent regula- tions is found: b) the permit was obtained by misrepresentation or failure to disclose relevant facts: c) new material information is d~scovered: or d) environmental conditions, relevant technology, or applicable law or regulation have mater~ally changed s~nce the permit was Issued. The permlttee must submit a separate written application to the Department for renewal, m~dlflcat~on or transfer of th~s permit. Such application must include any forms, fees or suppl~ntal ~nformatlon the Department requires. Any renewal, m~d~flcatlon or transfer granted by the Department must be tn writing. The permlttee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES). Hazardous Waste Management Facilities (HWMF), major Air Pollution Ccntrol (APC) and Solid Waste Management Facilities (S~MF): and b) 30 days ~efore expiration of ail ot~er permit types. Unless expressly provided for by the De5artment. issuance of this permit does not mco~fy, supersede or rescind any order or determination perv~ously issued by the Department or any of the terms, csnd~t~cns or requirements contained in such order or determination. Other 6. Legal Obligations of Permittee The permlttee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described in this permit and has agreed to indemnify ano save harmless the State from suits. actions, damages and costs of every name and description resulting from this project, This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian r~ghts of others in order to perform the permitted work nor does vt authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands. easements and rights-of-way that may be required for this project. Page 2 of s AOOiTIONAL GIHEILAL CONDITIONS FOIt AIITICLES 15 (Title ~,, ,14, SS. ]4 ~ b NYCIIll P~'t ~ { '~[~'~' h'~TZ.~h~$ SPECIALCONDITIONS ~. During construction, concrete or leac~ate s~all not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. Ail areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.). temporarily stabilized with straw or hay mulch or jute matting or other similar natural fiber matting within 1 week of final grading. Temporary stabilization shall be maintained until a mature vegetative cover is established. 1-4738-0154]/00001 Page 3 of 5 SPECIAL CONDITIONS For ^,,cie 25 {. TIDAL WETLANDS 5. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (l) week shall be contained by a continuous line of staked hay bales/silt curtain (or other NYSDEC approved method) placed on the seaward side between the fill and wetland or protected buffer area. Tarps. are authorized to supplement these approved methods. 7. If seeding is impracticable due ~o the time of year, a temporary mulch must be applied and final seeding performed at the earliest opportunity when weather conditions favor germination and growth, but not more than six months after project completion. 8. Ail fill shall consist of "clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 9. Necessary erosion control measures i.e., hayba!es, silt fencing, etc. are to be placed on the downslope edge of any .disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good condition until thick vegetative cover is established. Supplementary Special Conditions (A) through (F) attached. 1-4738-0154 1/0000 I FACILITY ID NUMBER 4 of 5 BUPPLBNNNTARY BP~C1~L COND~ZT~ZON~ Ths folloving conditions apply to all Tidal Wetlands; l~ashvater ~stlands; Coastal P. rosion~ana~ment; and eild, Scenic, and Recreational Rivers Penits: A copy of this permit, including all conditions and approved plans, shall be available at the project sits whenever authorizsd work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at tbs work site until all authorized work has been completed. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. De At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. Ee For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC Permit No. 1-4738-01541/00001 Pag~ 5 of 5 New York State Department of Environmental Conservation NOTIC The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional' Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Permit Number Expiration Date Regional Permit Administrator JOHN W. PAVACIC NOTE: This notice is NOT a permit FORM NO. 3 TOWN OF S0o'I'nOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL To ~yicia C. Moore /Richard & Theresa Siriano .%IAF~)A%iA~A-. ?9.~Pm~9~. .......... PLEASE TAKE NOTICE that your application dated . .~B~i~.[~ ......... 19.~..~ for permit ~o co~.c~.~ ~qr~ .g~K~g~.~q.~q.~qq~.X~ .................... at ~ocatio~ of ~roperty ..~°~.~ek~.~ ........................ q~.~ ............. House No. Street Hamlet County'Tax Map No. 1000 - Section .~Z ........ BLOCK Q~ ......... LOT ..~ Subdivision ............................... Filed Map No .......... Lot No ........ is returned herewith and disapproved on the following grounds !9.~9.~9.~$~[~ ............ ...~.~h~.qq~.q~.~.~q~.~q~,.~gr~.~g~.~9~.~gI~9~P.~Y ............... ...9~.~9qg~.~9.~.~gq~.Y95~ provided that such buildings and structures ...~.~ .~re~.~.~.~?.m.~.~.~L~e~.PL~.~?~:..!9.~ ............... ...~.~.~o~: ..................................... ~ .................................. RV 1/80 BOARD OF HEALTH ..~.... 3 SETS O~/'PLANS ....... ~ FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .........., BUILDING DEPARTMENT SEPTIC ~'0RM ..............' TOWN HALL 8OUTHOLD, N.Y. 11971 · ~ .~ TEL.: 765-1802 NOTIFY MAIL TO: Examined .... .~. ..... , 19 g/ ,~(¢[ c~'c] ~--- Approved .. ~ ~.. .... 1 e~it No.. Disapproved a[c ....................... 'SEP ' Date .................. , 19... ~ ' ~i~'~" ,0~2 ~ 0 ~~ INSTRUCTIONS a. T~s application must be completely ~lled ~ by typewriter or in ink and submitted to th~ BulldOg Inspe6tor, with 3 sets of plans, accurate plot plan to scale. Fee aooording to schedule. b. Plot plan show~g location of lot and of bulldogs on premises, relationship to adjo~ing premises or public streets or areas, and giv~g a det~led description of layout of property must be drawn on the diagram which is pa~ of t~s appli- cation. c. The work covered by tMs application may not be commenced before issu~ee of Bulldog Permit. d. Upon approval of this application, the Building Inspector will issued a BulldOg Pe~it to the applicant. Such pe~it shall bo kept on the premises available for ~spection throu¢out th~ work. e. No bulldog shall be occupied or used in whole or in p~ for any purpos~ whatover until ¢ Certi~cat~ of O¢6up~cy shall have been granted by the Building Inspector. ¢ ~PLICATION IS HEREBY MADE to th~ Building Dep~tment for the .iSsuance of a B~lding Pe~it pursuant to the Building Zone Ordinance of the Town of Sduthold, Suffolk County, ~New York, and other applicable Laws, Ord~ces or Regulations, for the construction of buHd~gs, additions or alterations, or for remov~ or de~olition,'as here~ described. T~ applicant agrees to comply with all applicable laws, ordinances, bulldog cede, hous~g code, and regulafions, and to admit authorized ~spectom on premises and ~ bulldog for necessaw inspections. '. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...l~tc~.~.~.~...~1.../.~f~.t.~.SC& ~l 'l,"l'clt~O (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , ALL CONTRACTOR'S MUST BE S//FFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on whict~ proposed work will be done'. ................................................. ¢oo .¢ &. . .o. .et ' .......... ltouse Number Street 1 County Tax Map No. 1000 Section . ~.7. ............ Block .... ~....7 ...... Lot..~. .... 5 ......... ' /~/(4,~ ~[ /[~N'ame).,, Filed Map No ' ~..~.~O Lot Subdivision .......... ~ .... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~J.Z~ ................... ~.,v ,~~~ ............. b, Intended use and occupancy · · .[~J4 ~¢~ ............................. ;, .,: ~...v. ~. .......... 3. Nature of work (check which applicable): New Building ........ Addition .......... Alteration .......... Repair ............. RemoVal .............. Demolition .............. Other Work ............... ,, (Description) · (to be paid on filing this application) 5. If dweLimg, number of dweLiu~ ug~ts ............... Number of dwelling units on each floor ................ If a~,number of cars ...~--*.! ............................................................. 6. If business, commercial or mixed pccupancy, specify nature and extent of each type of use ..................... 7 ...... Front Rear Depth · Dimensions of existing structures,, If any: ............................................ 17: ~ Numbler of Stories Height .................................................................... ensions'of same structure era OhS or a OhS: Front ............... ear ............... Depth .g.~. ' [ Height I "2,". ~. Number of Stories 8 Dimensions of entire new construction Front ' Rear Depth Height Number of Stories 9 Si fl R r pth 10 ofPu ' N fF · Date rchase ............ , ............. amc o onner Owner ............ i. .... :.:...,.~.-, ..... 11. Zone or use district in which prenlises are situated ...................................... ~ .............. 12. Does proposed construction violatle any zoning law, ordinance or regulation: .. ~e~,~..-:....~-~e_i~.~'~,~fq-p..~..~..~.,~ .r,d.t-- 13. Will lot be regraded .......... ! ................. Will excess fill be removed f/om pr~ ~' Yes, No 14 Name of Owner of premises Address ; Phone No Nalne of Architect Address ~ Plane No ' ' ' Name of Contractor .......... ~ · . Address .... : · ,~ne No ..... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. I PLOT DIAGRAM Locate clearly and distinctly all bl~ildmgs, whether existing or proposed, and. indicate all set-back dimensions from or description according to deed, and show street names and indicate whether property Lines. Give street and block nu'mber interior or corner lot. STATE OF NEW,,aYO. R/Kt, S S COUNTY ....... · ........ . . : . .?. . (Name of individual signing ~ above named· ................ being duly sworn, deposes and says that he is the applicant :ontract) (Signature of applicant) He is the ................................................................................... (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly au}horlzed to perform or have performed the said work and to make and file this ipplication; that all statements containedi in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set ~forth in the application filed therewith. ~worn to before me this i /90. z[9618 LOt -~0 ANTLER LANE I0' CONTOUR REFERENCED TO N.G. SURVEY OF* LOT 29 "MAP OF MooSE COVE FILED AUG. 30~ 196,0 -FILE N0.~250 AT' EAST CUTCHO6UE TOwN 'OF SOUTHOLD suFFOLK couNTy, N. Y . 097 - 07 '05 SC.ALE I" = 40' I~far. 26,1997 April 17) 1997 YIO' COnlour) ~000 . CERTIFIED TO FIRST AMERICAN TITLE INSURANCE cOIvlPAMY OF NEll/ YORK TITLE NO. 605 S 5268 RICHARD SIRIANO THERESA SIRIANO SA/D A, AZiP OfT COP/frS BEAR ~ WHO~' S/SN~ TURE APPEARS ADDITIOI~4LL Y' TO COMPLY ~STH MA~ST ~i U..~D BY ANY AI~ ALL ,~./RI/L~fORS UTILIZIN~ A COPY ~ROU6HT. TO-OATE~ ;4RE NOT IN COMPLIAN(~ ~11~ ~ L~ . 86 664.1 AREA = 21~542 sq,It. 1o lie line 1250 TR~t~TR...~T SOUTHOLD, NO. 49618 LO?` LO?- LO?- $0 ANTLER LANE I0' CONTOUR REFERENCED TO N.G.V.D. OF LOT 29 "MAP OF MOOSE COVE " FILED AUG. 30, 1960 FILE N0.$230 AT' EAST CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, N. ¥. I000 - 097 07 - 05 SCALE I" = 40' Mar. 2671997 April /?~ 1997' '(/0' ¢onlour) 'Ma~ 12~ 2000 (foundalion) CERTIFIED TO : FIRST AMERICAN TITLE INSURANCE COM?AMY OF NEY/ YORK TITLE NO. 605 S 5268 R/CHARD $/RIANO THERESA SlRIANO ANY AL TERA TION OR ADDITION TO THIS SURVEY I$ A VIOLA TION OF SECTION 7809 OF THE N~IF YORK STATE EDUCATION LAW, EXCEPT AS ~ SECTION 7~O9".$UBDIVI~ION ~ ALL CER77F'ICA T/ONE HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF' SAID MAt= OR COPIES BEAR THE IMPRES$£D SEAL OF THE SURVEYOR WHOSE StGNA TUR~ APPEARS HEREON. ADDITIONALLY' TO COMPLY ~ITH SAID L.4W THE TERM 'ALTERED MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COP~' ~ ANOTHER ~URV~'~ MA~. T~ SUCH AS~'I~EC~' ~U~HT-TO-DA T~ ARE NOT IN CO~LJANCE ~ITR THE 86 - 664;