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Home My WebLink About26039-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27005 Date: 03/29/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 2735 SOUNDVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 94 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14~ 1999 pursuant to which Building Permit No. 26039-Z dated OCTOBER 19~ 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 INGROUND SWIMMING POOL AS APPLIED FOR & AS PER ZBA #4741. The certificate is issued to CHRISTOPHER EMERY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 33327 12/02/99 N/A ' ' /I ythorized 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. 26039 Z Date OCTOBER 19~ 1999 Permission is hereby granted to: CHRISTOPHER LOUIS EMERY MATTITUCK~NY 11952 for : CONSTRUCTION OF kN ACCESSORY INGROUND SWIMMING POOL AS PER ZBA #4741. at premises located at County Tax Map No. 473889 Section 094 pursuant to application dated JULY Building Inspector. 2735 SOUNDVIEW AVE MATTITUCK Block 0001 Lot No. 013 14 1999 and approved by the Fee $ 150.00 ORIGINAL Rev. 2/19/98 A. Thi:~ application must be filled in by typewriter UP, ink and submitted to thc bui]di~ inspecto~ with the following: for m~w buildiog o~ new use: t. Final survey of property with ar'curate location of all buildings, p~opo~ty Iinet streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage di~;po~;;~](5-9 term) 3. Approval of electrical installation from Board of Firc Undcuw~-itcrs. less than 2/10 of 1% lead. [~' U y' ~' ~ ~'~ ~, b. Conm~ercial building, industrial building, multiple ~bD~dpncc~ ~nc~ responsible for the bui]ding. ~ [ B. For ex~at~ng b~ld~ngs (prSor Co AprS1 9, 1957) non-co~form~ng uses, or ?~ld~ngs 1. Accurate survey of property show~ng all property 1SheS, streets, buiZd~ng and 2. A properly completed applScat~on and a consent to inspect signed by the appl~ca~ If a Certificate o~ Occupancy ~s den~ed, the BuSld~ng Inspector shall state reasons therefor 5n ~rSr~ng ¢o 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 buil~ding $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~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential.S15.00, Commercial $15.00 Date New Construction ......... ~. Old Or Pre-existing Building ................. House No. Street Hamlet Onwer or Owners of ~roperuy... ;% ............................................... County Tax Map No 1000, Section .......... Block..__..'._ ........ .......... Subdivision .................................... Filed Map ............ Lot ? Permit N .. :~ .......... T.Date Of Pe~it. Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... . Fee Submitted: $.. : .................... L .!. ................... CoZ 0o5 DA 2F,; 12.2 9 9 z T£t~a [;'.. Matti tuck TO: Chri 5 E,wo' Southold 2mi Hot Tub Pool x MOTORS [ BELL outside residence 1- I L'2hp motocfi~r pool ~ecz 94 blk. O! [o! !$ SERITC~DISCONNECT PRL~IDh2YT OR/GIN,AL YELLOW COPY PINK COPY OFFICE Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone(516)765-1802 March 17, 2000 Swim King Pools 471 Route 25A Rocky Point, NY 11778 RE: Emery, 2735 Sound View Ave., Mattituck. 1000-94-1-13. 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 # 26039-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FRAME. & PLUMBING iULATION PER N. Y. STATE ENERGY CODE FINAL Ai~>EALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora I_ora S. Collins George ttorning BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF SEPTEMBER 30, 1999 Southold Town Hall 53095 Main Road P.O. Box 1179 S0uthold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 Appl. No. 4741 - CHRISTOPHER EMERY 1000-94-1-13 STREET & LOCATION: 2735 Sound View Avenue, Mattituck DATE OF PUBLIC HEARING: September 30, 1999 FINDINGS OF FACT PROPERTY FACT/DESCRIPTION: The applicant's property is located at the north side of Sound View Avenue in Mattituck with an area of approximately 46,000 sq. ft. and road frontage (lot width) of 100 feet. The October 9, 1992 Young & Young survey shows an existing dwelling at 100 feet from the top of the bluff. The dwelling is approximately three years old. BASIS OF APPEAL: Notice of Disapproval dated August 13, 1999 regarding a proposed 16 ft. deep by 32 ft. wide in-ground accessory swimming pool structure disapproved for the reason that it is being proposed at fifty (50) feet instead of 100 feet from the top of the Sound bluff. Article XXIII, Section 100-239.4A. 1 of the Zoning Code states that a minimum 100 ft. setback from the top of the bluff is required. RELIEF REQUESTED: Applicant requests a variance to locate an accessory 16 ft. by 32 ft. in-ground pool 50 feet from the top of the bluff at an angle, as shown on applicant's sketch (from the survey map). The easterly side yard for the pool is shown to meet the current code minimum-setback requirement (10 feet). ADDITIONAL INFORMATION: Applicant has submitted a letter dated September 13, 1999 from George B. Michos, Consulting Engineer, with information regarding applicant's site. Mr. Michos indicates that the construction of the pool in the proposed location will not disturb the top of the bluff or increase pressure on the soils in the vicinity of the bluff. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented and personal inspection, the Board makes the following findings: Page 2 - Appl. No. 4741 1000-94-1-13 (Emery) Southold Town Board of Appeals (1) Grant of the requested variance will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties because accessory structures are permitted in the rear yard and applicant accepts recommendations made by the Suffolk County Soil and Water Conservation District in a September 16, 1999 letter to the Board of Appeals, and the applicant's Consulting Engineer, George B. Michos, P.E. in a September 13, 1999 written opinion to the Board of Appeals. (2) The benefit sought cannot be achieved without a variance for the reasons stated by applicant at the September 30, 1999 hearing. (3) The requested area variance is substantial at a fifty (50%) percent reduction from 100 feet to 50 feet from the top of the Sound bluff. (4) In considering this application, the Board deems this action to be the minimum necessary and adequate to preserve and protect the character of the neighborhood, and the health, safety, welfare of the community. (5) The grant of relief is subject to the conditions set forth below, and is the minimum action necessary and adequate to enable applicant to enjoy an accessory use of an in-ground pool while preserving and protecting the character of the neighborhood and the health, safety, and welfare of the community. (6) The difficulties are not self-created. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was RESOLVED, to GRANT the relief requested SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the pool always remain detached from the principal building and not be connected with a deck or other structure. 2. The pool and surrounding structures shall not be closer than 50 feet to the top of the bluff as proposed. Page 3 - Appl. No. 4741 1000-94-1-13 (Emery) Southold Town Board of Appeals 3. The pool structure shall not be enclosed. 4. All water drainage from the pool shall be confined to the landward area of the dwelling, and a drainage basin shall be constructed to retain water runoff. 5. Applicant agrees not to drain any pool water in the direction of the bluff and shall take all steps necessary to prevent runoff in that (northerly) direction. 6. No excavation or heavy equipment within 50 feet of the top of the bluff. THE 8OARD: AYES: MEMBERS GOEH~.I~I~GER, BINIZIO, VOTE OF COLLINS, HORNING. This Resolution w~8~u~y~o_..Ced~.,.~/ TORTORA, TO Christopher Emery_ 2735 Soundview Ave. Mattituck N.Y. 11952 FORM NO. 3 TOWN OF SOUTHOLD BUILDiNG DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; August I3, 1999 Please take notice that your application dated May 5, 1999 For permit to Construct an accessory in-~ound pool Location of property 2735 Soundview Ave Matt/tuck County Tax Map No. 1000 - Section 9~4 Block 1 Lot 1~3 Subdivision Filed Map # Lot # at Is returned herewith and disapproved on the following grounds Proposed Accessory in-ground pool is located in the rear yard fifty (50) feet from the top of the bluff, this does not comply with ArtieleXXIII Section 100-239.4A. 1 which states... All buildings located on lots adiacent to sounds and upon which there exists a bluffor bank landward of the shore or beach shall be set back not fewer than one hundred (100) feet from the top of such bluff or bank. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; August 13, 1999 TO Christopher Emery 2735 Soundview Ave. Mattituck N.Y. 11952 Please take notice that your application dated May 5, 1999 For permit to Construct an accessory_ in-ground pool Location of property 2735 Soundview Ave Mattituck County Tax Map No. 1000 - Section 9_~_4 Block 1__ Lot 13 Subdivision Filed Map # Lot # at Is returned herewith and disapproved on the following grounds Proposed Accessory_ in-ground pool is located in the mar yard fifty (50) feet from the top of the bluff, this does not comply with ArticleXXIII Section 100-239.4A. 1 which states... All buildings located on lots adjacent to sounds and upon which there exists a bluff or bank landward of the shore or beach shall be set back not fewer than one hundred (100) feet from the top of such bluff or bank. '~p'EA~LS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Horning BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF SEPTEMBER 30, 1999 Southold Town Hall 53095 Main Road P.O. Box 1179 S0uthold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 Appl. No. 4741 - CHRISTOPHER EMERY 1000-94-1-13 STREET & LOCATION: 2735 Sound View Avenue, Mattituck DATE OF PUBLIC HEARING: September 30, 1999 FINDINGS OF FACT PROPERTY FACT/DESCRIPTION: The applicant's property is located at the north side of Sound View Avenue in Mattituck with an area of approximately 46,000 sq. ft. and road frontage (lot width) of 100 feet. The October 9, 1992 Young 8, Young survey shows an existing dwelling at 100 feet from the top of the bluff. The dwelling is approximately three years old. BASIS OF APPEAL: Notice of Disapproval dated August 13, 1999 regarding a proposed 16 ft. deep by 32 ft. wide in-ground accessory swimming pool structure disapproved for the reason that it is being proposed at fifty (50) feet instead of 100 feet from the top of the Sound bluff. Article XXIII, Section 100-239.4A. 1 of the Zoning Code states that a minimum 100 ft. setback from the top of the bluff is required. RELIEF REQUESTED: Applicant requests a variance to locate an accessory 16 ft. by 32 ft. in-ground pool 50 feet from the top of the bluff at an angle, as shown on applicant's sketch (from the survey map). The easterly side yard for the pool is shown to meet the current code minimum-setback requirement (10 feet). ADDITIONAL INFORMATION: Applicant has submitted a letter dated September 13, 1999 from George B. Michos, Consulting Engineer, with information regarding applicant's site. Mr. Michos indicates that the construction of the pool in the proposed location will not disturb the top of the bluff or increase pressure on the soils in the vicinity of the bluff. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented and personal inspection, the Board makes the following findings: Page 2 - Appl. No. 4741 1000-94-1-13 (Emery) Southold Town Board of Appeals (1) Grant of the requested variance will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties because accessory structures are permitted in the rear yard and applicant accepts recommendations made by the Suffolk County Soil and Water Conservation District in a September 16, 1999 ~etter to the Board of Appeals, and the applicant's Consulting Engineer, George B. Michos, P.E. in a September 13, 1999 written opinion to the Board of Appeals. (2) The benefit sought cannot be achieved without a variance for the reasons stated by applicant at the September 30, 1999 hearing. (3) The requested area variance is substantial at a fifty (50%) percent reduction from 100 feet to 50 feet from the top of the Sound bluff. (4) In considering this application, the Board deems this action to be the minimum necessary and adequate to preserve and protect the character of the neighborhood, and the healtl~, safety, welfare of the community. (5) The grant of relief is subject to the conditions set forth below, and is the minimum action necessary and adequate to enable applicant to enjoy an accessory use of an in-ground pool while preserving and protecting the character of the neighborhood and the health, safety, and welfare of the community. (6) The difficulties are not self-created. RESOLUTION/ACTION: On motion by Member Dinizio, seconded by Chairman Goehringer, it was RESOLVED, to GRANT the relief requested SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the pool always remain detached from the principal building and not be connected with a deck or other structure. 2. The pool and surrounding structures shall not be closer than 50 feet to the top of the bluff as proposed. Page 3 ~ Appl. No. 4741 1000-94-1-1:3 (Emery) Southold Town Board of Appeals 3. The pool structure shall not be enclosed. 4. All water drainage from the pool shall be confined to the landward area of the dwelling, and a drainage basin shall be constructed to retain water runoff. 5. Applicant agrees not to drain any pool water in the direction of the bluff and shall take all steps necessary to prevent runoff in that (northerly) direction. 6. No excavation or heavy equipment within 50 feet of the top of the bluff. VOTE OF THE BOARD: AYES: MEMBERS GOEH.~J~GER, DINIZIO, TORTORA, COLLINS, HORNING. This Resol~uly/~do/B/ed~/.~~ ,~GERARD P. G~EHRCNGER To Swim'King 471 Route,25A Rocky Point, New York 11778 {,16, 744-8100 ~.~/~ FAX [$16} 744-8292 LETTER Subject SIGNED [] Please reply [] No reply necessary FORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Tow~ Hall Southo%d, N.Y. C~RTIFICATE OF ~CUpANCY No Z-24955 · Date MARCH 26, 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 2735 SOUNDVIEW AVE. MATTITUCK~ N.Y. 'House No. Street Hamlet County Tax Map No. 1000 Section 94 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 1996 .pursuant to which Building Permit No. 23229-z dated JANUARy 29~ 1996 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 ONE FAMILY DWELLING WITH ATTACHED GA~AGE~ SCREENED PORCH AND NON-F~%BITABLE TOWER AS APPLIED FOR. The certificate is issued to CLARA COHEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0128-MARCH 17~ 1997 UNDERWRITERS CERTIFICATE NO. N-405676 - DECEMBER 12~ 1996 PLUMBERS CERTIFICATION DATED NOV. 13~ 1996-H.SMITH PLUMBING & HEATING Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24955 · Date MARCH 26, 1997 THIS CERTIFIES that the building. NEW DWELLING Location of Property 2735 SOUNDVIEW AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 94 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11~ 1996 pursuant to which Building Permit No. 23229-Z dated JA/~3ARY 29, 1996 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE, SCREENED PORCH ~ NON-~/~ITABLE TOHER AS APPLIED FOR. The certificate is issued to CLARA COHEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-9S-O128-MARCH 17, 1997 UNDERWRITERS CERTIFICATE NO. N-405676 - DECEMBER 12, 1996 PLUMBERS CERTIFICATION DATED NOV. 13, 1996-H.SMITH PLUMBING & HEATING ~/I~ Inspector Rev. 1/81 82/28/1994 81:32 !9 N~RYH SZA RD, .Il'HAMPTON N,Y. LONG 5iB7448292 ISLAND.._S 0 U~N,,._~.D~ SNIM KING POOLS PAGE OREGON 02 02/20/19S4 81:32 DAT~ 51674482S2 SWIM KING POQ[-S SWII~ KING 471 ROUT~ 2~A ROCKY POINT , NY (5~6) 744-~00 PHONE (S16) 744 8292 FAX TRV~E: PAGE 1778 81 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATiON I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INSULATION DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ ] [ ] [ ] [ ] FOUNDATION 1ST FOUNDATION 2ND FRAMING RO~G/H PLBG. ] ~I~ULATION FINAL FIREPLACE & CHIMNEY REMARK~ ~: DATE ELDG, DEP]~ TOWN ~F SQUTHOLD ' FORM NO. I TONN OF SOUTHOLD BUILDING DBPARTMgNT TOV~] HALL SOUTHOLD, N.Y. 1197 I TEL: 765- 1802 ~=-al ned ................. , 19 .... Approved ................. , 19 .... Permit No ................. Disap~ a/c .............................. .... (Building Inflictor) APPLICATION FOR BUILDING PBRHIT INSTRUCTIONS BOARD OF HgALTH ............... 3 SETS OF PLANS ......... ...... SURVEY ........................ CHECK ......................... SEPTIC FORI. i ................... NOTIFY: .. , c~L .,?....~.:~/o.a LTO: .... ' ......~_ ........ ...q.-TJ..k~~: ..... a. This application -,mt be caupletely filled in by typewriter or in ink and submitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan ~ locatioa of lot and of buildiugs an premises, relationship to adjoining premises or public streets or areas, ar~ giving a detailed descrlptio~ of lal~ut of property mast be drs~u tm the diagr~ which is part oi "this application. c. The ~rk covered by this application may not be c~m~,~'ed before issuance of Building Permit. d. Upam approval of thia application, the Building Inspector will issue a Building Permit to the applicant. Suck pe~nit shall be kept on the premisea available for inspection throughout the work. e. No building shall be occupied or used in ~aole or in part for any purpose ~hatever tmtil a Certificate of Occupancy shall have been granted by the l~ilding Iaspector. API~I~ IS ~Y ~ to the Building Deparr~nt for the isseasce of a Building Perafit pursuant to the Building Zone Ordlr~ace of tt~ To~n of Southold, Suffolk Cotmt'y, ~ York, and other applicable La~s, OrdinancesOr Reg~ations~ for the c~nstruction of buildings, addi~icfls or alteretiorm~ or for removal or d~lition, as berein described. The applicator agrees to comply with all applicable l~s, ordinances, build__ing code~ housing code, and re. latium, andto ~it auth~rised imspactors on premises and in buil/~i~/~-~,~ inspections. , .(Signature of applicant} or m, if a corporation) (l.t~iling arlrlres~ of applicant) State ~i~ethe_r applicator is on.er, lessee, a&ent, ard~it~ct, engineer.' geceral contractor, electrician, pl~ber or buih Nsme of o~a~er of premises ....................................................... (as on the tax roll or latest de~) If applics~£ is a corporatiom, signature of ~uly anthorlzed officer. (Name and title of oxpomte officer) Other Trade ~s ,. ,,~t,on o~ i,~,~ ~~,, ~ ~...l~.~.~~...p~.l ............. ...~. ~ .... ~:. ~ .~.~... ~2~ .............. '.. .................... ~ ~ ~ ~. ,~ ~i~ ........ ~ ...............~ ~.~ .......... alviaim ...................................... ~ilM ~ ~ ................ ~t ............... [ L 2i ...... . .......... ............... ....................... l~epair ............ l~ral ............. Bemlition .!. ....... Other Work ............................ : ..... .(Description) 4. '~timted Cost ..'J-/.~.~ f ~ fee (to be paid on filing this application) If garage, ntsnber of cars ~./~.. ............................. 7. Dirr~nsions off existing structures, if any: Front .... ~ ........... Rear ............... Depth ................. tleight ......................... lx~a~ber of Stories ...................... Dimensions of sam structure vlth alterations or additions: Front ............... Rear ............... Bepth .................... Iteight .................... limber o~ Stories ............... ~. ~,~ o~ ~ti~ ~ ~,,=,i~: ~, .tw.¥._2;a...p~i'-- ............. ~ .............. tteight ......................... li~nber of Stories ..... Z .... ,o. ~,~ .................... o~ o~ ........ ~,~.., ....................... Il. ~ or u*e district in ~,~hich pr~i~s ~re~ituated ................................... ~/~ ~'.~" ..........................--~ t.~ 1.5. Is thi~ property within ~00 feet of a tidal wetland? * ~:8 .......... NO .......... · IF YIn, SilIII~B ~ T~sl~S H~ffr ~ BE ~LOT l~cate clearly and distinctly all buildings, ~aether existing or proposed, and indicate all set-back dimensions f'mm property lines. Give stmeet and block r~ber or description according to deed, and show street nmos and indicate whether interior or comer lot. ~ ~_,A~/ ~I'ARE CF bl~Td YO~K, COJ~FY OF ....................... named, (Contractor, ~nt, ~ate of[leer, etc.) of ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfom or ha ~rfo~ ~ ~id ~ ~ to ~ ~ file this ................... day of ................. 19 ........ ~ ~ s~rn, deposes and says that be is the applicant (Signature of Applicant) FORM TIES . POU~ED %..j ~.1. ' . .... ~ECTION · ' . ~ECTION _TYPICAL WALL_ S ECTIOH. A-A "',, F~t,.T~R o~d PG~P~ ,,, PI, P_ING ARRANGE MEN.2 · OPTIONAL STEP L TYPE~ ~'PTIONAL ~T.E P ' TYPE 2. CONTRA~'I'O~ aA~DY ~. ~OOEC~E~, ~IE KING pQQL-~, 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................. 19... Disapproved a/c ..................................... -" (Buildin:, I~lbector) APPLICATION FOR BUILDING PERMIT , ~ ' , INSTRUCTIONS BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOT I~,-) CAL~-- -~- · 'l' ' ~'~'*-~'~" ..... MAIL TO: Da ................ , 1~. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w 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 st or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this t 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 p~ 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 Occur- shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departme~],~flil~~f a Building Permit pursuant t Building Zone Ordinance of the Town of Southold, Suffolk Coufi~v~t~vi~bir~la~.~her applicable Laws, Ordinan, Regulations, for the construction of buildings, additions or alter&~t*f6~ ]~J~.~,CjJ:'oz,demolition, as herein desct The applicant agrees to comply with all applicable laws, ordil~jt~.~l~l~Jl~}~cril~g~;~hg code, and regulations, aa admit authorized inspectors on premises and in building for nec~ff ' ' (Signature of applicant, or name, if a corporation} ~dd~e~l~t) State whether applicant is owner, lessee, agent, architect, enCneer, general contractor, electrician, plumber or bu! ..... ..... ' :,4 T", ...... ,::-' ...... ..................... Name of owner of premises .~.[(~'"/~... '~' r']t' '~'' '~'('a;-- 'o'n'. ~ ~-- ~,~.~, *'h~ ~!~'~'~'Jl~tfJ~~/~;;1'1~' ..................... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~.~r~.~ ....... Plumber's License No ....... ~ ............... ' Other Trade's License No ....... ..~. ........... 1. Location of land on which proposed work will be done2 House Number Street Hamlet County Tax Map No. '000 Section .... .~..4 ......... 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: b I Intended use and occupancy... .paY1,.. Examined ................. 19... ^pproved.. t.o.l.'.~ ........ 19 .e.? pe~it No..~..0.$~.~ Disapproved a/c ..................................... BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY ......... TOWN OF SOUTHOLD CHECK .... ? ..... BUILDING DEPARTMENT SEPTIC FORN ...~ ......... TOWN HALL - ' $OUTHOLD, N.Y. 11971 NOTI~--)~-- TEL.: 765-1802 CAE'L~ -;- ~ -I- - ~-~-~ ..... MAIL TO: ~ 03uildin= I ~qpector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, w 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 st or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this a 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 pe · 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 ~ Certificate of Occup shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departm~tll~t.~of a Building Permit pursuant tc Building Zone Ordinance of the Town of Southold, Suffolk Coul(t~-i .~.{w,.~¥.o[r~ia~O. Cgher applicable Laws, Ordinanc, Regulations for the construction of buildings additions or alte~o~l~.'-~!~r ~.{{'~.~[tdemolition, as herein descri The apphcant agrees to comply xwth all apphcable laws ord~ll~..~,~i[J~c~6asmg code and regulatmns, an admit authorized inspectors on premises and m building for necessa~]~ (Signature of applicant, or name, if a corporation) ~'~*~l~(~lailing add ress ° f aPP%i~nt)11'/7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buiI ..... ..... ...... 4 ...................... Name of owner of premises -1,.~.~, ~t t ~t.....~.:: .w:. ~ ....... tffiO~il~ ',101~}~ ...................... (as on the If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CON, TRACTOR'S MUST_ BE SUFFOLK COUNTY LICENSED ~ilder s License No .... ~.1 .q'l 2./4.:17- ....... Plumber's License No ....... ~ ............... "' Electrician's License No....~...~..?..~...~. ...... Other Trade's License No ....... ~ ........... Location of land on which proposed work will be done~ .............................................. 9. ...... ct.v. ie . . ......... i.,tu ...... .......... ttouse NmnberStreet Hamlet County Tax Map No. 1000 Section .... .~/..4 ......... Block ..] ............... Lot.~3. Subdivision ..................................... Filed Map No. ' Lot ............. (Nmne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E~isting use and occupancy...8[ '.~.[~..'~J ~...~.. f~.t~t~.... ....... : .........: ....... b. Intended Use and occupancy .. ~ ~ p.0~.l~...pwl... ~01..~e, ....... I ~ / ,, ~ -, ~ z I m~,~ /co~.G ,, , , ~ ~l ~.~;::l ,, Z/l / I t I h l ~ : [1~:" I I l~Id ~~t r~ I ~1t I ?;l ~ -/1 I- ..... ~"~ ~ : ~ .... i " lu~w~ ~N~U : ....... , ,. , , ' ~; [ z ~1-~ 2-;:.::L : I T ~ "' / - . . :~:'~'..,~.~) ~,-~ ~' II ....... ~ ...... ~' / II-/ ~ :~ ~c~,o. ' ' -. I '";11 .... i/ ' - CT,O. . STEP "' ' - '"" ' -I ~ / / ~ ~ r :_.: ' ,' ~*~ ~::~ ...... ' ~ ' · r'~~~'~ '~'~1 ~ . .t ~ ~ ..L · %.8-0 l&JG) II~ [ PLAN %%1 t ~ '~TYPICAL WAhL b'PT[ONAL ST.EP TYPE, 2. CONT~A~'TOR :* ~o.~.~ i, _PiPiNG ARRANGEME! - PLAN i!.l - :.oo,~ .._.j ..~_ . ' SECTION B-B :~~ ~ =~'~'"*"' . OPTIONAL STEP --~-~,;, ~....~ _ ~:~ t : .TY PICA L WA LL r--~--~/ ] 4'0' : i ' ' ~)'PTIONAL ST.E:P _PIPING AF{F{iAiN G E MEI · OPTIONAL STEP TYPE I. .. . . ~ T~ ./ ~UFFOLK COUNTY DEPARTMENT OF HEALTH SlZ-~V~ FOR APPROVAL OF CONSTRUCTION ONLY DATE ,,.HS REF. NO. NOTE: I: MONUMENT ~= STAKE ELEVATIONS SHOWN HEREON ARE REFERENCED TO N.G.V,D, (MSL 1929) o SURVEY FOR DATE. OOT. 9,1992 SCALE I"= 50' NO 92-O849 CHRISTOPHER EMERY AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK YOUNG s YOUNG ALDEN W YOUNG, PROFESSIONAL ENGINEER AND LAN0 SURVEYOR N ~S UCENSE NO 12845 HOWAR0 W YOUNG, LAND SURVEYOR N YS LICENSE NO 45893 II 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK SU~Y FOR ~u~OLZ COU~ D~P~ O~ ~A~ SE~V~ CHRISTOPHER EMERY AT MATTITUCK D~E OCT. 9, ~992 FOE APPROVAL OF CONS~UC~ION ONL~ ~N ~ SOUTHOLD SCALE I"= 5O' SUFFOLK COUNTY, NEW ~RK NO 92-0849 DA~E HS ~EF. ~0. YOUNG YOUNG NOTE: ~= MONUMENT ~= STAKE ~ ALDEN W YOUNG, PROFESSIONAL ENGINEER EEEVATIONS SHOWN HEREON ARE REFERENCED ~NO kAND SURVEYOR N Y.S ~CENS~ NO TO N.G.V.D. (MSL 1929) HOWARD W YOUNG~ LAND SURVEYOR BRANDJS & SONS