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HomeMy WebLinkAbout26232-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26871 Date: 01/05/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 405 PRIVATE RD. #15 ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 3.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 29, 1999 pursuant to which Building Permit No. 26232-Z dated DECEMBER 29, 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 TENNIS COURT WITH 10 FOOT CHAIN LINK FENCE AS APPLIED FOR. Z.B.A. #4769. The certificate is issued to DOUGLAS MORRIS & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized 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. 26232 Z Date DECEMBER 29 , 1999 Permission is hereby granted to: DOUGLAS MORRIS & WF. 1488 LAUREL HOLLOW RD LAUREL HOLLOW,NY 11791 for CONSTRUCT ACCESSORY TENNIS COURT WITH A 10 FOOT BLACK CHAIN LINK FENCE PER ZBA #4769 . THIS PERMIT REPLACES BP#14691-Z . at premises located at 405 PRIVATE RD. #15 ORIENT County Tax Map No. 473889 Section 015 Block 0009 Lot No. 003 . 004 pursuant to application dated DECEMBER 29 1999 and approved by the Building Inspector. Fee $ 35 . 00 Au Tried Signature ORIGINAL Rev. 2/19/98 Form No. 6 t TOWN, OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 sig rJ b te�?ap - If a Certificate of Occupancy is denied, the Building Inspect r-,ShalT''stat , reasons therefor in writing to the applicant. i C. Fees -__i + 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwellng $;25:00.,,, j Alterations to dwelling $25.00, Swimming pool $25.00, Access y bnaldvg;; , �00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential +$+ 15((.00, Commercial $15.00 Date . . . 0Ut�lrl�. . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Oldf 1Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . C.`Sf. . rP Jo le U-1�. [ . . . . . . . . . . . . . . . . OC . . . . . . . . . . House No. Street VIA `H/amml�et Onwer or Owners of Property.. ��..!!k. . . . . .�1. ...�i ... . . :�: 1�1 ' :. • ��•S • • • • • County Tax Map No 1000, Section. . . . . . .Block. . . . . . . . . .Lot. . G U. 3:�� Subdivision. . . . . . . . . . . . . . . . . . .. . .... . . . . . . .. . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Z . `"1 . Permit No. . . . . .. . . . .Date Of Permit. . . . .Applicant . . . � � ... . . � Health Dept. Approval. . . .. . . . . . . .... .. . . . . . . . . .Underwriters Approval. . . . . . . . . .. . . . . . . . . . . . . . . Planning Board Approval. . . . . . ... .... . . .. .. . . .. . Request for: Temporary Certificate. .. . . . . . . . . Final Certic W)l 4\ 10 Fee ,Submitted: $.. . . . . . . . . . . . . . . .. . . . . .. . . y S (_ /1 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE S CHIMNEY s REMARK : ��O� C� DATE tel/ INSPECTO F1ELD1st) , INSPECTION DATE COMMENTS � 1 . 3 p . FOUNDATION ( I FOUNDATION ( 2nd ) —2 . J 0 c ROUGH FRAME & {� PLUMBING Nr _ H 3 . m H INSULATION PER N . Y. STATE ENERGY CODE x a r 4 . Zi FINAL z ADDITIONAL COMMENTS : jl x ro H 1 a ' s H O z _ •• x ca b H _ x � v ro ro H FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; October 21, 1999 TO Kevi McLaughlin A/C Morris PO Box 1210 Southold NY Please take notice that your application dated October 8 1999 For permit for as built tennis court and fence enclosure at Location of property 405 Private Rd # 15 Orient NY County Tax Map No. 1000 - Section 15 Block 9 Lot 3.4 Subdivision Filed Map # Lot# Is returned herewith and disapproved on the following grounds fence enclosure around tennis court is+ 10 feet tall this not permitted pursuant to Article XXIII Section 100-231 which states... Fences walls or berms may be erected and maintained subject to the following height limitations: A When located in the front yard of residential zones the same shall not exceed four(4) feet in height When located in the front yard of nonresidential zones the same shall not exceed six(6) feet in height. B When located in or alongside and rear yards the same shall not exceed six and one-half (6 1/2) feet in height. - - - - - -- Authorize 'gnature FORM NO. a 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) N° 14691 Z Date ...... .r Vii....a 1.................... 191 Permission is hereby granted to: . ............ 9j .WL .... H:I... .5.�:.�r. ..r. �. Px...!Y!41........... .......................... ra ...2AAM�S.IQ`�......a �.....a �.S!c? 4 � . ...v A�n.!1 9...... � ... 1..........Q� 3........... . ...............................................1......................................,............I............................ at premises located at . 11 ...�.5 ..............ol. .................................................................. ................................................................................ ................................................................................ ......�rl 1. ....................................... County Tax Map No. 1000 Section .......4?1.. .......... Block ......Q.a....... Lot No. ........ ..iD pursuant to application dated ...... S1rS Gyn..�� .�.................... 19ifW., and approved by the Building Inspector. Fee $. `./... Building Inspector Rev. 6/30/80 / FORM No.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date To /t cctil4l�. .!!O!� cl,lvG!k � . . . . . . . . . . . . . . . . . . ��c `Jua��.05 l7oK�tS PLEASE TAKE NOTICE that your application dated . . . . . 4!. . . . . . ?. . . . . . .. 19 o.P�5. for permit to Q,o�vs•TiC< c�7. / c'ty!3. .(,?.y/Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . at Location of Property , (�S• • • •! �T. •?p. �a. . . . . . . . .Qiz/F.i`��, - N•�/ Mouse No. Street Hamlet County Tax Map No. 1000 Section . . . ���� . . . . . Block . . Q.',/. . . . . . . . Lot . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . .QAD:5. . . . . . . . is returned herewith and disapproved on the following grounds . . .L41'/Vf ,. Gt.iZ 4 5 • •f�� F!5Z7 . . .�rlctt �� . . . . . G. . rQ?G - .30. . GD. : . . . . 1//✓ .t�C . .i7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . \ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector RV 1/80 1 APPEALS BOARD MEMBERS ..-- O 0 gOFFO(� Southold Town Hall 53095 Main Road Gerard P. Goehringer, Chai E James Dinizio Jr. t o P.O. Box 1179 Lydia A.Tortora E DEC 2 I � � Southold, New York 11971 Lora S. Collins y �� ZBA Fax(516) 765-9064 George Horning a. „ 1 � Telephone(516) 765-1809 :ToVyN G, _SO_011C v, BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF DECEMBER 14, 1999 Appl. No. 4769 - Douglas Morris Street & Location: Private Right-of-Way (#15), extending from S.R. 25 (Main Road), Orient; 1000-15-9-3.4. DATE OF PUBLIC HEARING: December 14, 1999 FINDINGS OF FACT PROPERTY FACTS: Applicant's property is a 2-acre parcel on a private road off Route 25 in Orient. It is improved with a house, cottage, garage and 50 x 100-foot tennis court in the rear yard surrounded by a 10-foot black chain link fence. BASIS OF APPEAL: Building Inspector's Notice of Disapproval dated October 21, 1999 denying approval for the tennis court fence because Code section 100-231(8) limits the fence height to no more than 6.5 feet. AREA VARIANCE RELIEF REQUESTED: Applicant requests authorization for the fence as built, in order that he may obtain a Certificate of Occupancy that includes the fence. REASONS FOR BOARD ACTION DESCRIBED BELOW: On the basis of testimony presented, materials submitted and personal inspection, the Board makes the following findings: (1) Applicant obtained Building Permit #14691Z, dated March 21, 1986, for construction of the tennis court. The Permit does not mention the fence. The tennis court and fence were built but no Certificate of Occupancy was issued. (2) The fence is of the sort customarily found at tennis courts. A fence of only 6.5 feet would be inadequate for a tennis court, and applicant therefore needs a variance if he is to have a workable tennis court. (3) The tennis court and fence have been in place for 13 years. The fence is made of black chainlink and is relatively inconspicuous. The tennis court is at a rear corner of the property and does not intrude on neighbors. For these reasons, grant of the requested variance will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties. (4) There is no evidence that grant of the requested variance will have an adverse effect or impact on physical or environmental conditions. Page 2- December 14, 1999 ZBA Appl. No. 4769 - Douglas Morris Parcel 1000-15-9-3.4 at Orient II!i (5) Grant of the requested variance is the minimum necessary and adequate to enable applicant to enjoy the benefit of a tennis court while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION/ACTION: On motion by Member Collins, seconded by Member Horning, it was RESOLVED, to (GRANT the variance as applied for. Vote of the Board: Ayes: Goehringer, Dinizio, Horning, Collins. This Resolution was duly ADOPTED by unanimous (4-0) vote. (Member Tortora was absent.) GERARD P. GOEHRINGE /CHAIRMAN 12/21/99 Approved for Fill g 11 I CONSENT TO ane INSPECTION SGS r IJV"�h► cJ�6 ° �Of ( � S Owners) Name(s) the undersigned, do(es) hereby state; That the undersigned (is) (are) the owner(s) of the premises in the Town of Southold located at �C>_j � � �-� which is shown and designated on the Suffolk County tax map as District l000, Section . , , Block (Y:( , Lot 3, That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following; W-A (—C) �� cru` SSor That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of he awn thold. Dated: 1 �Q ` <T signature) i11 p (print name) (signature) (print name) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE - OF OCCUPANCY It des. SU4:VFYELi .�._f3.�7 N.4f'46 20'E. /'''' a X 5", z DouPr ��1/)��aS. I �oRRI�! j ra waY DR 4d' APPROVED AS NOTED DQTE: 3�aJj _. $ " 149/ �cc SFE? o�J �"_ By. NO7lr?' $U!t aiiYC ¢pN ARTIVENT AT ( - v 785-2802 9 AM T3 4 NO POR THE FOR poia �'s °i n:_(.e N flSTATEj eo,-o - �-".. ery hi- 290.T4 1. Il4'�'0=.,(�}ii_`h� _�� _ __ � � .__. - — ST zY .�..£: '=:• <.t. +->�` .. � ,�ua.+..:�•m"O• EuorOrrlt�if!to iRe !_/:'f.tA.N EStArc , ALL a.rduf/-nwe Mrol�d�v� C�.'r-T> -t.:��: ryr � wa wre evsrm sua as sw'.vyed-wr.17,1478. C®CE kSi: ,r'sc: '-lr-. ; you...:m.n:torr. �alcr[V4"Myj-- P?c. rl_c "d;..:, : ^Jif 'yyyxmi enc.na,mar�avu ax VG,.—�� CONd •"•__ �f .:o Tx My CL's: rtaF:o•r. w�ao i.•.»vnnn.m«eson LiCenSed W 'OJOr Sech0/5,an:t 9.Fbrr o,FGof3. Myo.o�....ms.*.,�'.�� /Yew Yo.•Y OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ---- OF OCCUPANCY '✓v're.�e�=71v a des. .^✓,fAP r.:F= F�fc'01�E � _ 313.6D SUG:VEYF_U F N 61'-76"20"E. 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Mu meu. . •• FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . .�-!c. <0 e:! /G . . . . . . . To c Xv 5 PLEASE TAKE NOTICE that your application dated . . . . . �z. . . . . . .. 19 S. for permit tovs4< . . . . . . . . . .�.. .. . . . . . . . . . . . . . . . at Location of Property () S. . . .! .�!T. ! !�r�p. . `i�. / . . . . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section . . . G��� . . . . . Block . . Q(?. . . . . . . Lot . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . is returned herewith and disapproved on the following grounds . . .��! a!!5.,. . s Cce. �. . . . . . CiS� Ar�LS NGT rS ism fi4 ,c�C�.I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL..: 765-1802 Examined . . . . . . . . . . . . . . . .. 19 . . . Received . . . . . . . . . . 119 . . . Approved . . . . . . . . . . . . . . . .. 19 . . . Permit No. . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date a? . . . . . . . . . .. 19 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 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 Certificate of Occupancy- shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspes�ons/ . . . . . . . . .. . . . .fid. .f. . .ie . ...he . . . . . . . . . . . (Signature of applicant, or name, if a corporation) 7 1r Sf 0yeevI �� � r i ✓. . . .� . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. H .e:.: �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .1l �' /a ` ° v i s . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation sign ture of duly authorized officer. . .L � . . . . . . . . . . . . . . . (Name and title of corporate officer) j Builder's License Nos.O. . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. .J. . . . . . . . . . . . . . . . . . . /� y� 1. Location of land on which proposed work will be done. . lZe F.?.! e . !. .�.?_74" S vt e—14 ® . . . . . . . ,. may. . . . . . . . . . . . . . House Number Street Hamlet St County Tax Map No. 1000 Section . . SP4 t.-,. Block Block . . . . . . .�. . . . . . . . . . Lot . . . . .13. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . 42.S!. . .a . . . . . . . . . . . . . . . . . . . .... .7. . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . ,y�'.5.i e. ?1 . a.Gr : . ,]lj Toy!y!>. . .� agril. . . . . . . . . . . . . . . . . . Repair . . work (check . . ch applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . 3. RepairNature of work (check which applicable): . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work Anxr,3 . . . /� (Description) 4. Estimated Cost . . . . . . . .11,. . . . . . . C. . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . g � g Ifarage, number of cars . . . .!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . ... . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . , . . Depth . . . . . . . . . . . . . . . . . . . '. . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new const) action: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . Nu�Per of Stories . t� 9. Size of lot: Front . . . .•2R.A ('IX . . . . . . . . . . Rear . . . . . . . . . . . . Depth . . �?41157i. .1g. . . . . . . . . . 10. Date of Purchase . . Name of Former Owner . . . . . . . . . . . . ... . . . . . . . . . . . . . . . 12. Does proposed construction violate . . . . . . . . . . . . . .� ./ pp 11. Zoner use district in which premises are situated . . . . .any zoning law, ordinance or regulation: . .N.�. . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . $ . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No p 14. Name of Owner of remises A, ✓. 1&1% 9oro ri 5 Address . . . . . . . . . . . . . . . . . . . Phone No; . . . . . . . . . . . . . . . Name of Architect Address Phone No: . Name of Contractor pzc ; I !t .fg.✓, ��1:P ?. . . PAddress . ,�. ./��. . . . . . . Phone No: . PLOT DIAGRAM Locate clearly and distinctly allbuildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. / ffaV)75 711ai/ h2u2 beevl yeWoUP_ STATEOF N Y RK, COUNTY 0 • • • • • • " • • . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual sr ni, g contract) above named. Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contrac r, agent, corporate officer, etc.) of said owner or owners, and is duly)) a horized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tI•(t�hiis�� . . . . . . . . . . . . . t.4. _• . .day of.II,. ,r�T .... ::, 19 Notaryblicr . . . . . . . . . 1 tom. . . .IL . . . . . . . County ELIZABETH ANN NEVILLE Er�,. � . . . . . . . . . . NOTARY PUBLIC,State of New York (Signature of applicant) No.52.8125550,Suffolk Term Expires March 3q ICogptV FORM NO. 1 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 p TEL.: 765-1802 Examined . . , 19& ,/ I Received . . . . . . . . . . . , 19 . . . Approved . .!!G Q L I. ., 191(0. Permit No. 1.'C b. Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i.<< . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . .March 21; 1986. 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 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 Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of 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, buildin code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ns. � . . . . . . . . . . (Si ture of applicant, or name, if a corporation) Abigai A. Wickham, Esq. , as Attorney Q. ,sox .1424% .Mattituck, New.YQrk..11952. . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Attorney.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .Douglas .& .Monique .Morris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. .38 Southold Town SRichter Home Improvement Co.) Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . .?rivate Road IF15 , , , , , , , , , , , , , , , , , , . . . . 405 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Orient.. New York . . . . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . . .1-5 . . . . . . . . . . Block . . . . .9 . . . . . . . . . . . . Lot . . .3. . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . ... . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: �y a. Existing use and occupancy residential, , , , , , , , , , , , , , , , , , , b. Intended use and occupancy . . . . ,reidential with tennis court. ag' 8 ,ia:h?gC•riG� 3. Nature of work (check which i!applicable): New Building . . . . ... . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition Other Work Tennis ,Court (Description) 4. Estimated Cost . $20,000.0.4. . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage,number of cars . . .I. . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . .',. . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . .2$4.7.4 . . . . . . . . . . . . . . Rear . .343:6Q . . . . . . . . . . . . . . Depth . .265,45. . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . ',. . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . proposed premises are situated . ,residential , , , , , , , , , , , , , , , , , , , , 12. Does 11. Zone or use district in which g folate any zoning law, ordinance or regulation: .No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot beore raded construction violate Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . 'JM149144 ,Morris . . . . Address 14 ,3a[fmill ,Rd; • , , • • Phone No. 367-3619. . . . . . . Name of ArchitectNY � . . . . . . . . . . . . . . . Address Huntington, . . . . . , , ,Phone No. . . . . . . . . . . . . . . . Name of Contractor Richter 'Home Improvement COYddress Greenport, N;Ye Phone No. 47770998 PLOT DIAGRAM Locate clearly 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. Barns marked "X" have been xiemoved. Plot plan attached. STATE OF NEW YORK, S.S COUNTY OF . SUFFGLK . . . . . . . . ABIGAIL A. WIC g 1 ing KHAM (Name of individual si m • •contract)• . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant above named. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ie is the . attorney , , , . . . . • • (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the mannas set forth in the application filed therewith. Sworn to before me this . 21st. day of. .Ma h. . . . . . . . . . . . . .. 1986. Notary PublicG� .�f ..(� lkCountyL` /// JULIE 6AUERNff NO�6t" � % r �����.•��,.�.�•� . . . . . . . . . . . . . . Notary Public,State o . . . , No.4796275,Suffolk 061101 (Signature of applicant) CO@I Miro Expires March COUNTY G)�-- (5 A/, 34-4, 34�51 8 /V/. kA M' A?I' N. G a 0,4 0 B LT ------ /n e 90. rA '40 r tA awo 4e2 Asn' MAP OF TO S E A C(L U /Z E B Y ME LK dx Pj IF 'OUNTY `-*- `71 ;E`T0LK 151� 91, Z &o. ! liwe "OV 0 Uhl 7 R. L - 4.JE,5 SIX. S3 Lj v 12 VD All -v 464 fez eel ;vc(3WT' L- A-7TI-i'AMY ORIENT [---'C)IN7- op, y.J 0UT1-40LLD, N. Y PRojEcr No. 7088. 1 Nowo too, 74 "A 360, 410 SQ. FT. ) apt. WAR! 71) PUIa�, Ic Rj�-44?I N U, CALLED F'0 Q 41 1'✓Illp CJL "u !N rrO�" RESCLUMN 0,P: THE CONN 't V` LE({;JSI-ATUIZE ON/ Q. MA, ApplqC FOR I couiv-rY LIF(li&4ATU96 0 i:;kA 7k5 cLL-'Rz- couN,ry L,9615LATUALPE R, DEPr. PUBLIC ORK , THAT TY-11/15 AMP K 4')A0/c" 6 t 0 k] ACTUAL SUAVr- V6 JAN, Z 1, 197.5 V AN 7L.�)Y�, P. C. R, 0 V E P,/C R: k; ® LtC,5tv'-',FZ) LAND 5 LIP VEYDId,5 - 6RE45NPOA7 14- Y.' (9 LImE Z5,626 , ------------------- --------