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HomeMy WebLinkAbout25853-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26758 Date: 10/27/99 THIS CERTIFIES that the building ADDITION Location of Property: 610 JOCKEY CREEK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 5 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 1999 pursuant to which Building Permit No. 25853-Z dated JULY 8, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA $4680 AS APPLIED FOR. The certificate is issued to BARBARA C TERRY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Ins ctor 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. 25853 Z Date JULY 8, 1999 Permission is hereby granted to: BARBARA C TERRY PO BOX 983 SOUTHOLD NY 11971 for CONSTRUCTION OF A DECK ADDITION AS PER ZBA #4680 FOR AN EXISTING SINGLE FAMILY AS APPLIED FOR. at premises located at 610 JOCKEY CREEK DR SOUTHOLD County Tax Map No. 473889 Section 070 Block 0005 Lot No. 011 pursuant to application dated MAY 14 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE F O_C'CUPANCY � �•9gQ '';` A. This application must be filled in by typewriter OR`irilpdtsulnttedito the building inspector with the following: for new building or new use:` . 1. Final survey of .property with accurate location of all buildings,p operty 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 signed by the applicant. I£ 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25V, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15./00, Commercial $15.00 Date . . . 71W I'l. . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing B Building. . i/ . . . . . . Location of Property. . .��D. . . . . C�l�,{�,!/e/4¢i . . . . . . . .uS . . . . . . . . . . . House No. 61 StreetHamlet U(t�((ter or Owners of Property. . �4��. � . VAI O. . e!� y . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . .Block.A.. . . . . . . . . . . .Lot. /. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. Aqj&$*� ::.. .Date Of Permit. . .. . . . . . . . . . . . .Applicant 64gh3w�k . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . Om Fee Submitted: $. . .o�,A' r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ot 0 - so 74 APPLICANT ELD 7aSPPEJTlON REPORT DATE N COMMENTS( - � eT�_=a���a�aiy���a�=_« , -a-- AMATION ==s df H �n�1I l ( 1ST) N w b )UNDATION----(2--)------ —N -------_--------------------------------------- If � N It u �_ 0 ONGH FRAM h nuu ii PLUMBING I� I o II 61SULATION PER N. Y. STATE ENERGY CODE n q N H If N N FINAL ` 1 X ADDITIONAL COMMEl t� 6 H � z o��SpFFO(,f-�O Town Hall,53095 Main Road o Fax(516)765-1823 P.O. Box 1179 * Telephone(516)765-1802 Southold,New York 11971-0959 ;0 dol � goo BUILDING DEPARTMENT TOWN OF SOUTHOLD September 7, 1999 Fariweather-Brown Design Assoc. P.O. Box 521 Greenport, Ny 11944 RE: Terry, 610 Jockey Creek Dr. , Southold. 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 # 25853-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. MAY 06 '99 14:17 SOUTHOLD TOWN ACCOUNTING P.1/2 .i I APPEALS BOARD MEMBER,,I gOFPtI[,� Southold Town; all 53095 Main ad Gerard P.Goehringer,Chairman 4f P0.Box 1.17 James Dinizio,Jr. y Lydia A.Tortora d Southold,New)Yor.16 909 1 ZBA Fax(516)76 -90 Lora S.Collins 'y?j ,1,0� Telephone(516.)7( 5-1809 George Homing aster "� BOARD OF APPEALS TOWN OF SOTJTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF MAY 5, 1999 Appl. No. 4680- RAI;{y_IOND AND BARBAS TERRY STREET& LOCALITY: 610 Jockey Creek Drive, Southold 1o00.70.5-11 DATE OF PUBLIC HEI RING: April 22, 1899 and May 5, 1999 FINDINGS OF EACT PROP TY FACTSIDI::SCRIPTION: The applicants' property is a waterfront parcel consisting ' f approximately 18,150 ;,iq. ft. total lot area, with 110 feet along Jockey Creek Drive and avers le depth of 165+- feet. Aaplicants have submitted a survey dated August 23, 1972 showing that 0 is lot is improved with a s;ogle-family dwelling with attached garage and porch located approximat 'ly 43 feet from the front property line and 18+- feet at its shortest side yard (east side) and at 7 - feet from the bulkhead. BASIS OF APPLIC �: Building Inspectors February 23, 1999 Notice of Disapproval ciii 19 Article XXIII, Section 1'JO-239.48 for the reason that construction shall be set back 75 feet froa bulkhead. 6RCA-VARIANCE REl„IEF RE ESTED: The applicants are proposing to construct a wood d having dimensions at '!8 wide by 20 feet, plus a 10' by 6' side extension, all located at 62+- f et from the bulkhead. REASONS FOR BOARD ACTION DESCRIBED BELOW: The Zoning Board of Appeals helc a public hearing on this matter on April 22, 1999, at which time written and oral testimony v as presented. Based on the testimony, documentation and other evidence, the Zoning Bo rd determined the following findings of fact to be true and relevant: 1. Grant of a setback variance to allow for construction of a 20 ft. by 36 ft. deck addition, to be located 62 feet at Its )losest point from the bulkhead, will not produce an undesirable changit in character of neighbort ood or a detriment to nearby properties. The deck addition is similar in ize and location to other decks enjoyed by nearby residents, and only encroaches 13 feet within he 75-foot buffer zone. 2. The benefit sought by the applicant cannot be achieved by some method, feasible for appli ant to pursue, otter than an area variance because the property is small and narrow (approxima ly 166 ft. by 110 ft.)and there is no other practical location on the property to build a deck. 3, The requested area variance is not substantial and represents a 13-foot decrease in the a de required 75 ft. setback. 4. The difficulty has not been self-created and is due to the small size and narrow shape of the ot. i! r i +1 IIII --MRY 06 '99 14:12 SOUTHOLD TOWN ACCOUNTING P.2i2 Page 2-'M 1 05, 1999 ZSA Re: R,Ta ry( 000.70-5.11) l The proposed variance will not have an adverse effect ct b cause the deck addition will be s It the physical 5, or environmental condi,,ions in the neighborhood or back 62 feet from the bulkhead to provide ample protection of the wetland area. In considering this application, the Board deems this action to be, the minimum necessary a d adequate to enable the applicants to enjoy the benefit of a new deck while preserving and protecting the character of the no and the health, ,safe welfare of the community. RE$re of th comm nit: On motion by Member Tortora, seconded by Chairman Goehringer, it s as applied for SUBJECT TO THE FOl LOIG RESOLVED to GRr,NT the variance, CONDITIONS: 1. The deck shall remain unroofed and"open to the sky." 2, There shall be no urther extension of the structure toward the bulkhead. Member Coll ns. Nay: VOTE OF THE BOA 2D: Ayes: Goehringer, DinbJO, Tom p � zs � This Resolution was duly ADOPTED (3.1). Q�enbel Yicanlr9 GERARD P. GOEHRIN ER CHA AN For Filing on 51GJ99 I l I FORM NO. 3 j0 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE, February 23, 1999 . .. .. . . .. . ..... . . . . . . . . . ... . To Fairweather Brown Design Assoc., Inc. (Barbara Terry) . ... ... . . . .. .. .. . . ... . ... . . . . . . . .. .. . P.O.. Box 521 . .. . . . . .. .. . . . . . . . . . . . . . . . . rIPK .XRT% ..1 1944t . . . .. . .. .. . .. PLEASE TARE NOTICE that your application datedFebruary. . 5 _ ._ . 1999. .__ . .. . . .. ... . . . for permit toconstruct a deck addition at . . . . . . . . .. .. .. .. ..... .. . . . . . .. ... .. . . . .. .. ... . . . Location of Property . 610 Jockey. . . .. Dr. Southold House No. Street Hamlet 11 county-Tax Map No. 1000 - Section . 70 . ..... . BLOCK .. 5.. .. . . . . LOT .. .. .... . . .. . Subdivision .. . ... .... . ... .. .. . . . . . . . . . .. . . Filed Map No. . . . . . ... .Lot No. . . . . . . . is returned herewith and disapproved on the following grounds ..... . . .... .. .. . . .. .. .... .. .. . that the proposed construction is within 75' of an existing bulkhead. Under Article XXIII, ... .... .. . . .. ... . .. . . . . . . .. . . .. .. .. ... .. . . . . ... .. ............ Section 100.239.4B,, where there ,;exists , a bulkheads all construction shall, be setback no less than 75' from bulkhead. . .. . . .. . .. ... ... . . ... . . . . . . . . . .. .. .. .. .. ... .. . .. . . . . . . . . . . . . .. . . .. . . .. .. . .. ( 19X +/- lot coverage) .. ........ . .. ... . . . .. . . . . .. .. .. .. ..... . .. .. .. . . . ... . . . . .... ... . .......... . .. ... . .. .... .. .. .. .. ....... . .. .. .. . . . . .. .. .. ..... .. . . . .. .. .. .. .. .. .. .. ........ . . . ........... ............ ...... .......... ...... . . . ....... ....... ... ... ... .... . . . . ........ . .. . . ........... ..... . . . . . .. .. ... ... . . ... ... .. .... .. . ... .... .... ...... ...... .... .. .. .. .. .. .. . . .. . .. . ............ .. .. .. .. . . ... . ... ...... . .. ... . .. . . . . .. .. ....... . . . . . .. . . ... . .. . ... ... . .. . . .. . .. ..... . . .. . . .. ... . . . . . . . . .. .... . . . .. . .. .. . .. . .. . . . . . . .. . .. .. . . . ... . . .. . .. . . .. .. .. ....... . . . . . . . . .. . ... . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . .. ... . .. . . .. .. .. .. . . .. . . BUILDING LECTOR RV 1/80 ( JOCKEY 0ZEER Y,-,�� MAP OF PFJ. -tp HAIN r gLaYjJ��S/��UG.VEY�i� F'GR r'1AfN RQ. . �� S T S t� � � . t . s '!1 ONS T� �C' ,� J� - ` �- i'1 M . ii� AT `�. 4i I '/ ' SO(ITHOLD . 1LD N.Y l LST Onzwkwm ucrA! FnoCFi , i - .i:iv. - .. .•wig �•?� ; l N ui i — KT925W. .. It005'� — 99MVrUIEEDrONEll.S. ��.T1TtL1 r L - 11:UR/,N..E COL11W i) ANO n. 0 oorn+r4Y .. xr6N R THF ,lta HA7 Fr� .^ '-�€1•ir+.`i fU�'vtt e .�. 1w+�oMaeEVED n / h y �/ a ' FLGQ7tNG-CQCK' m INS sem s A rwwpN a V A �:I�i f .+ t s, 3: Sam 7Maaesaw mssun . . /�/ MtAMM YW. - �yf „Y °v JOCKEY-- L WL.� ., c0�6 a am Rimy Ke M W Kuru • /// 9 11!MTr xxv, 1Y NCiC Yu Ot —�.L(�.. - MQQa:w as nuc:'r`°M UCENSr f Afsili SL'RV � TI �: K Mesar � T,NY. M ' In 4t! a�rMI rR t 9 . awl► Ai�Of atrr�rr , FFQtlre ' Town Hall Albert J. Krupski, President �.t� Ql/y 53095 Main Road James King,Vice-President a P.O. Box 1179 o Henry Smith ti Southold, New York 11971 2 Artie Foster w Telephone(516) 765-1812 Fax(516) 765-1823 Ai, a9 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D April 22 , 1999 Robert Brown 413 Main Street P .O. Box 521 Greenport NY 11944 RE : BARBARA & RAYMOND TERRY SCTM #70-5-11 Dear Mr. Brown, The following action was taken by a poll of all the Southold Town Board of Trustees on April 21, 1999 : RESOLVED, that the Southold Town Board of Trustees grant the request for a Waiver to construct a deck addition to their residence on the water side of the home, approx. 62 ' from the existing bulkhead. Located: 610 Jockey Creek Drive, Southold. However, this determination is not a determination from any other agency. If you have any questions, please call our office at 765-1892 . Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc . Bldg. Dept. New York State Department of Environmental Conservation Building 40 - SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 Facsimile (516) 444-0360 _ John P.Cahill Conuni"ioner LETTER OF NONJURISDICTION -TIDAL WETLANDS Date: April 28, 1999 Barbara&Raymond Terry RE: 1-4738-02217/00001 610 Jockey Creek Road Terry Property Southold, New York 11971 610 Jockey Creek Road, Southold SCTM 1000-70-5-11 Dear Sir/Madam: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the property landward of the bulkhead, greater than 100 ft. in length and constructed prior to 9/20/77 as shown on the survey prepared by Van Tuyl & Son, dated 8/28172, and evidenced on Tidal Wetlands Map No. 714-546, is beyond Article 25 jurisdiction. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Permit Administrator cc: Robert I. Brown, A.I.A., Fairweather-Brown Design Assoc. Inc., P.O. Box 521, 413 Main Street, Greenport, New York 11944 Bureau of Marine Habitat Protection, NYSDEC File DMG f i"i 7-11 765-1802 BUILDING DEPT. NSPECTION V /FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIRE LACE A HIMNE REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG LBG. [ ] FOUNDATION 2ND [ ) INS ATION [ ] FRAMING [ INAL [ ] FIREPLACE A CHIMNEY REMARude— DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING FINAL [ ] FIREPLA & CHIMNEY REMARKS. 6 DATE INSPECTOR gOFFO(,yco' Town Hall Albert J.Krupski, President h� Gy 53095 Main Road James King,Vice-President Q P.O,Box 1179 Henry Smith y = Southold,New York 11971 Artie Foster py Telephone(516) 765-18 12 f '� `�Q� ��® Fax(516) 765-1823 Sp:Y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 22 , 1999 Robert Brown 413 Main Street P .O. Box 521 Greenport NY 11944 RE : BARBARA & RAYMOND TERRY SCTM #70-5-11 Dear Mr. Brown, The following action was taken by a poll of all the Southold Town Board of Trustees on April 21, 1999 : RESOLVED, that the Southold Town Board of Trustees grant the request for a Waiver to construct a deck addition to their residence on the water side of the home, approx. 62 ' from the existing bulkhead. Located: 610 Jockey Creek Drive, Southold. However, this determination is not a determination from any other agency. If you have any questions, please call our office at 765-1892 . Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. Bldg. Dept. A JOCKEY. ,CQEE4t Y•"_DWVE - � MAP OF. �JD� 613.3910 RT.Y r SUGVEY�U FGR ►"r+UN RCL „ r"`1 � MIN AT SOU cHOL6 . �m OF H LD c�Y _4 IcyQ I Lstoszy `•�_W Z tTd4s 7F N0 I O ter Z erx+a+ew .. I ill 17 rLc I r � \ GUA ?A3vTEED TO THEU.S.!?f INSURANCE COM W.Y AND 'Auto. hrrot•c� i�F £mss tiAkFsa�. A'dlAiC�S Eh�it- -PS ES:S.:'EY£L " r i�Irmlomenoa a : FICRnr+G.coar 3., ♦e wa naive e•rnwpN w .V/-\- -i i f _L* Z)N� sow1,rsor a 7 saw TW Erna L _ -_ � - a' a11Ca10M YW. _ .1OiKEY. CC,EEK .. aois a ras M""MW wr,ur+ m M u,s aWr,ors :�xK Nc » vow. co'r`°r4r'r • LICE Srp LANF SLAgj CTI �•• «wum mom aw.r G EAiVO T NY. ' - e,a♦♦o xa,c3m roc w.aa,,..,MM. _ - �. � aa�unaoaw„Yu,Iw•� � . . � ,, To TA EN FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: „ February 23. 1999 To Fairweather Brown Design Assoc. , Inc. (Barbara Terry) ........ . ...... .... ... . .. .. . P.O. Box 521 . .. .. . .... . . ... . ... . ... . ... .QKggqR4KC>.1jgX X4rk ..1194 4 ........ ..... PLEASE TARE NOTICE that your application dated . . . , February 5.. .... 1999. . . _ for permit toconstruct. a deck addition. . ........ . . . at . .... .. . . .. ... ... . . .... ...... .. .. .... ...... .... .. .. Location of Property 610 Socket' Creek Dr..._. . ,,,. , Southold„ . . ..... . . ..... House No. Street Hamlet 70 County Tax Map No. 1000 - Section .. ...... . BLOCK 5 11 LOT .. . ..... . ... . Subdivision . ... . .. .. ... .... .. . ... . ... . .... Filed Map No. . .... ... .Lot No. .... . . . is returned herewith and disapproved on the following grounds . .... . . . . .. .. .... .... ......... that the proposed construction is within 75' of an existing bulkhead. Under Article %%III. ...... ...... . . ...... . .... .. .. . ...... .. ... ... . . . . . . .. . .. .... .. .... ..... ... .. .. .. .. .. .... . Section 100-239.4B,. where there exists a bulkhead , all, construction, shall, be, setback,no, , , less than 75' from bulkhead. .. . ... ...... ...... . ..... . ..... . ... . .... ... . .. .. .. . . ...... .. .. .. ...... .. . ... . . .. .. .. .. . . .. . . . ( 19% +/- lot coverage) ........... .. ... .. . ... .. .... .. . . .. . ........ .. .. .. .. .. . .. ... ... . ...... ........ .. .... . ...................... . ...... ... . ... . ... . ..... ..... ... . ..,.. .. .... ... .. ... . .. .... . . .. . . .. .. . . ... .... ............... ... .......... . ... . ... .. .. .. .... . ..... . .. .. ...... ........ . . .. . . . . . ... . .... ...... . .... ... . . . ..... .... . ........ ... . .. .. . . . . . . .. ... . . . ... . ...... .. .... . . .. . . .. .. .... . ... .... .... ... . ... . . . ... .... .. .... .... . ... . .. .. .. .. .. . . ............ .. . . .. .... . . ...... .. .... . . ... ...... ... . . ... . . . ... . ... . . .... ........ . ... . .. . . .. . .. . . . ... . ... . . . .. . ... . . .... ........ .. . .... . . .. .... . ... . . .... . . .... . ... . ... . ... . .. . . . . . . . . . . . . ... . . . . ... ... . . . .. .... .. .. .. . . .. . . . . . /SPECTOR .� . BUILDING RV 1/80 �e Town of Southold 360813 �© L X 9�F ZONE X ZONE X Pve QNE LIGE rI JOCKEY e ,,. CREEK DR ZONE X cN\SjoPNEP P ACKERLY POND Ems. LA f� ZONE X LOWER o ZONE X 9 ZONE X $ LI P P � CRIT�ENS sT O25 PI v ` NE NECK CORWIN .ST Z m SZ c + 2 ZONE X LUSTER AVE N yo w A ' Y CLEARVIEW c Cl EARVIEW AVE W �i €i Es.y AVE i SLEEPY HOLLOW LA fJy 9 Y NOP PO Gym Town Hall, 53095 Main RoadFax(516)765-1823 P. O. Box 1179 - • Telephone(51.6)765-1802 Southold, New York 11971 ip OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD NOTICE TO APPLICANT A decision rendered by the Building Department may be appealed to the Zoning Board of Appeals. Should you require information on how to apply, please contact the ZBA via telephone at 765-1809 or you may go to the ZBA office at Town Hall during normal working hours. ;� 44 BOARD OF HEALTH f . . . . . . . .. . . . . . . . . . : . . . . . FORM N0. 1 3 SETS OF PLANS . hilt Jli r: TOWN OF SOUTUOLD SURVEY . . . . . . . . . . .. . BUILDING DEPARTMENT CHEC .�D�.g. . . . .. . . . . . . . . . . . . . ' TOWN HALL SEPTIC FORM Bt_Df.,. fit.i,i # �.? SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.................. 19. . n p MAIL TO: . . . . . . . . . . . . . . . . . . . . ? Approved..... R....., 19.T? J•1qPermit No. ................ .................................... Disapproveda/c .................................. .................................... ........................................ ... ....... . A5 PBA ZQA balfRAWPIT)ON oA� AL . • .. IvPO (Building Inspector) FF 199 APPLICATION FOR BUILDING PERMIT �n9 'Date. �.. . . . . . . . . . , 19•/•� BLDG. DEPT. INSTRUCTIONS TOWN GF S�L1Tkot a. 'this application mast be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 mist be drawn on the diagran which is part of this application. c. Time work covered by this application may not be Comenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection 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 buil ' for necessary inspections. ............................. (Si tore of applicant or nape 'f a corporation) (Mailing addreY��e��126 f applicant) State whether applicant is aver, lessee t, archit engineer, general contractor, electrician, plumber or builder ................................................... . ................................................... morUD � ..' .......J... Nameof owner of premises ..... x ...........:le?-g. . '.td K:................................................. "in the tax roll or latat deed) l If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. .......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. (0/0 .,1Ock;e_x 0&,c e& �i(' .............SO,7h`0'� tL.laulet........................... House Number Street ��77 // Canty Tax Map No. 1000 Section .......74 ....' Block ... ......... lvt .t ............ Subdivision .................................... Filed Map No. ............... LOC ............... (Name) 2. State existing use and occupancy of prremisesf and intendeduseuse and occupancy of proposed construction: a. Existing use and occupancy ...... / . e. da HfLi1:1 .................. �c'1', AR , �fi90 S6S'u'.,"7,l,kElli�i`Br1AY(.1� b. Intended use and occupancy ......... .�/e. iI7Zl�y, ,,,: i:.0 __ll,, Etim,c{x'� J. Repair of work ltlieck Much aPP licable): New Ikiilding .......... Addition ..�..... Altera 'on ..., ... Removal ......... demolition ............. .......... (Description) 4. Estimated Cost .................,........ fee .............................................. (to be paid on filing this application) 5, if dwelling, nnmimr of dwelling units .....I...... iknber of dwelling units on each floor ................ If garage, nxnber of cars 6. If business, commercial or mixed, occupancy, specify nature and extent of each type of use...................... I / 7. Dimensions of existing structure's, if any: Front...��.......... Rear ..� ......... Depth ..:............. 11ei Dimensions of a structure with alterations of stories additions: ...... t ....A / � ' � 't�r alterations or additions: Front ...��........ Rear ..rJ�........., ............� �Nunber of Stories`L•• "'" Depth . 77 / Depthions f entire pew const tion: .Front ' 6 m . Rear r � 8. Dimensions ° ,. ......... ............. Ilei t ............... . �O 00 Nmrmber of Stories .................. 9. .t .... ......�. , Size of lot: Front ....' !..... Rear ...'.���...'Su Depth � 6.,.n1�... .....,,•....w,_,. '...,�..,. 10. Date of Purchase .... Nae of Former Owner .........p...... .... ................. 11. Zone or use district in which rremises are situated •' 12. Does sed construction violate any zoning law, ordinance or regulation: .................. 13. Will lot be regraded ... .........1 Will as fill be removed from premises: YES � �t 14. Nacres of Owner of premises �• m0p + �s Rres /DSO idd-�' a�-• No, ............. O��Yf �YOu9 ?? ....... Address Phone No. Name of Ar7�7ArchitectR...... 1 Nameof Contractor ............:...................... Address ...............................Phone No. ............. 15. is this property within 300 feet of a tidal wetland? * YES ...Z... NO .......... *IF YES, SOII11M TOWN 713<IS1M PELm HW RE Rg(MMM. I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fon property lines. Give street and'Iblock amber or description according to deed, and slow street names and indicate whether interior or corner lot. 1 � SI'KIE Or Mu yoiR, e- SSII OJONI'Y Or .:...... I )l ........ ...........being duly sworn, deposes and says that fie is the applicant (Name ofindividualsg contracl' above owed, Ileis the ......74 n:15rt :.. ....................................................................... (Contractor, agent, corporate officer, etc.) of: said owner or owners, and is duly }wthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tnie to the beat of his knowledge and belief.; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to_be ore me this _ (p ...........day of �� h 1�19L W- &� .. Notary Publi4�1f Y. !. ( 'gnature of Applicant) ELIZABMASTA" NOTARY PUBLIC,State 01NOWY01% N0.01ST6008173,SuftOlkCqu y Term ExpiresJune 8,M5" I f I O ..lOGiGEY Ct2��'� Z��is/E MAP of Pd2C�P�',2?"Y 3 j.-ts'-.L- � ezrcrc� `t 11 v� Q m f iY3 it } e { N10 z ''` a = rsrinrctn��t7- k o = PI PE 020. ---NtGM vva-rE2.— MARK a-r TrM$ER $tK,rNC—cic3 j ' Fc.OAR'teYG ooc� j O C IC E Y G f2 H E K S(JFFOt tG CQ. TAX MAP DE5IS 'A'ftprtc OtS-r 1000, SECT O'70, SLID_ 5, j':CL. t t- I t <�c ateraaon or addition T- � est,y ''t W00c) POQcP C-OCA-reo OcT. I :o m,s survey is a violation of t PS g i j Seclwn 7208 of the Naw York Stam V - EducaaonLaw. •yt• LEW,9yO Copies of tNs survey cop rat 6tatditp 0 the land summ you kdmd Mal ff { embossed se "not be cofmidared al to be a valid bw copy. jcuaranmeaianranranMrnn 1 SC1QVEti' f) Af�lu'iL !,_ 1939 only to dw pnratxt bwhom dm WA%W is Wepwed.and an bm behW 0#0 4 aae mnpwp..oownarmnmi aOafwYand a A�17HCrNY �!�/. Lt;.414YDOt�lSKl ` iendinp knthuuon Ysmd Mraoft and 7t � �: "°'"b" �'oP pF►�- L1C NSEO LF3MO fU2VEY012 7 m additional kis mons a auhrpt mnNBW Y . _ , 1 P_ O. Bc�X 448 i issues/revisions, �/(��; Lrees n VT n n APPROVED AS NOTED DATE��`g9 D.P..Y FEE: `1J1T+le° ft. 1.I�icufBiz UJI Z NOTIFY BUILDING DEPARTMENT AT 0 795-ISM 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: d I FOUNDATION - TWO REQUIRED W FOR POURED CONCRETE J 2. ROUGH - FRAMING i FL4R111003 W 3. INSULATION H 4. FINAL - CONSTRUCTION MUST -�'Yyr, t?:2luc- BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET pApo THE REQUIREMENTS OF THE N.Y. m STATE CONSTRUCTION & ENERGY rWell y CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS tiXl4�4 nUCt ROL)5 ri � (2�arc127— � 3 - - OCCUPANCY OR i z USE IS UNLAWFUL WITHOUT CERTIFICATE o OF OCCUPANCY W W C Gi I -- --- Zy,l2n ccne(t� To PixlenNU ���JcIUa� (2)2><I2 W � `'fFio'JOL'J(ro TD ��l< G�4 Cr Lm C9 5 1-IONr.�.IL — W x J 12"d�COUG(`2NoNB6) (+U�trL', nl In u) � U /HIN '3' Z'ELaL�ARJ+O� 5 i F.r- - N /aN UNI716(uPJ?FA�u(1'�Pr Z 'Lnl2 CCA - i 212"ter,"o.c.IiAir, ' I /rIN-Iotzc.IL. �, — I � N rV4 -L1 • dlenl/owner _ Il! 4,<a P65 "Dc >W P, 2A`r Te;P Y vravt m x. Iq_ A6ya,� m JocY�YCCtf�twVF N4 In LLI '4urzelc�e'u,llo H y2"1'AW`(1J1,�L Gz- LMLd MII ) p l.iiitle. \V2 I.ATtt P,f'. ��� I lY�{r'fj'-�' �i �JIO On Z �• drawing tale. Pgal Q W � s data m ' ( � R IINFORAM/IONOFTHE /�%�0�54,RI O. 5? : . JJN Z3 1999UNIESSACTIN3 UNDER THE W drawing no DIRECTION OF A LICENSED c-,�' . ARCHITECT,TOALTERANY ITEM ONRil3 DRAWING IN ANY WAY. iJ!YAUTHOHIZED \ „� - .i W �1 ALTERATIC I.,U,T LE NOTED,tocol-D."."D �p DESDHL-ruLa�ADANCE . 6341_/O - WITHTHEWW. p°OF Q at.no W NASSAU SUFFOLK R W EPPINTING T° -Jody G2.6MI� 1714VfG I �— MAW Rv. �_ 477°4G15DI�6 I' ' Ilo,ov I N s I i -'Ft-b1B No• F�o� 7,�� w ,lll _ 1iNypeAIL � o � a tv N 7 �ISTI�l4 Pat)LKI#CAO Vel -IA -WO 24;I4J 1I0h--'r IS A vinLTOI'CF THE LAW Fog A; JOIN -_ - _- UNLE-1 ,- ']P^"gin THE YLOhTINa I7ck DIRECTION 9. ..LICLASED ARCHITECT,I.I L7 pAHY ITE,!CI-„ P .N813 IN AN 1 1 "' I.. „W, sAZED J ali✓�Y G � AL16'l. -A. - NCIL DESCV ,QANCE [ WITH 1nE LAW. � - tom,trt� to l<r? avy 'r ll�{r��4�JY JP—, (�I�OPOG�� 1� � SERED /IRO - q0I -j, 199q r I f/a,�`P�RT I cR�� �c s i t 1G3A1 �gy'jI