The URL can be used to link to this page

Home My WebLink About25829-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27486 Date: 12/21/00 THIS CERTIFIES that the building ADDITION Location of Property: 63429 CR 48 GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 1 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 1999 pursuant to which Building Permit No. 25829-Z dated JUNE 28, 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 ADDITICN TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LEWIS P. JONES, III (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-064689 OG/18/99 PLUMBERS CERTIFICATION DATED N/A (j Authorized Sig ture 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. 25829 Z Date JUNE 28, 1999 Permission is hereby granted to: BERT CRYSTAL 45 SUTTON PLACE SOUTH NEW YORK,NY 10022 for DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING. THIS BUILDING PERMIT REPLACES BP#10122-Z ISSUED 3-9-79 . at premises located at 63429 CR 48 GREENPORT County Tax Map No. 473889 Section 040 Block 0001 Lot No. 019 pursuant to application dated JUNE 28 1999 and approved by the Building Inspector. Fee $ 75 . 00 c Authorized Signat0&e ORIGINAL Rev. 2/19/98 Form No. 6 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 buildin: 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 an, `.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant- If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - _ .25un 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date , November I4., 2000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . 63429 Route 48 Greenport, N.Y. House No. Street Hamlet Onwer or Owners of Property.. LEXIS P. JONES, III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . .Block. . . . .I. . . . . . . . . . .Lot. 19. . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . 25829-Z iune 28' 1999 Ber[ Crystal Permit No. . . . . . . . . . . . . . . .Date Of Permit. . ... . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . .. . .. . . .. .. . .. . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . 25.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cbarles.$. .Cuddy, .AttX. . . . . . . . . . . . . . . . . . . . . . APPLICANT Com a?yS-G THE NEW YORK BOARD OF FIRE UNDERWRITERS F GE 1 $%9 .160-113 BUREAU OF ELECTRICITY i F 40 FULTON STREET, NEW YORK, NY 10038 Pate JJNE 1'.+--99 Application No. on file - Tc_,1]r,Sgg/oo H 064684 19-- THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of BERT CRYSTAL. 6342`_' SOUND AVENUE, GREENPCRT, NY r in the following location; F1 Basement ❑ Ist Fl. ❑ 2ad FL OUT Section Block Lot I was examined on JUNE 74 r 1a4o and found to be in compliance with the National Electrical Code. r C FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS R OUTLETS INCANC�FSCEN FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMi, K.W. AMT. K.W. AMT. H.P. r C D C F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC-PT.1 TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS E BELL SYSTEMS R AMT. K.W, OIL N.P. GAS H.P. AMT. NO. A.W.G. AMi. AMP. AMT. AMPS. TRANS. AMT, H.P. NO.OF FEET AMT. WATTS P u n U D SERVICE DISCONNECT NO.OF S E R V I C E P METER AMi. AMP, TYPE EQUIP. I 0 RW Ile 3W 3 0 3W 3 0 4W NO,OF CC COND. A.W.G. NO.OF WAEG A W.G NO.O4 NEUTRALS A W.G. P PER 0 OF CC.COND. OF HILEG OF NEOtRAI D V OTHER APPARATUS: pP U `*10 VISUAL DEFECTS: "?.n electrical survey has been made of the exposed I electrical equipment in the I premises indicated. " "No obvious B unsatisfactory condition was found. I I _ � I BERT CRYSTAL LdK " LN �L B 4E SUTTEN PLACE B NEW YORE, NY, 10022 GENERAL MANAGER I 11 9 EPer B "cafe must not be offered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. I AOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, CIIARLES R.CUDDY ATTORNrY AT LAT 445GRIFFINGAATWE RIVERHEAD,NEW YORK iviailingAddresa; TEL: (631)360-M) PO.Bux 15.47 FAX: (631)369AX-M River6ad,NY 11901 E-mail: crcuddvl?'eartlihnLnet November 13, 2000 Southold Town Building Department 54300 Main Road Southold, New York 11971 Attention: Geo%% Re: Jones-Campbell ,SCTM#1000-40-01-19 Dear Georgia: Pursuant to your request concerning the above matter enclosed please find our check in the amount of$25.00 Should you require any additional information, please feel free to contact me. Very truly yours, yours, 6ru� w- , a / Charles R. Cuddy CRC:ms Enc. TOWN OF SOUTHOLD " BUILDING DEPARTMENT > 1 sJ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildi inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property line: streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form 3Approval 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 12 lead. 5. Commercial building, industrial building, multiple residences and similar build 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 "pre-existing land uses: 1. Accurate surveyof 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 applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . �V fl e 115., A 'ii fz .7. . . . . . . . New Construction. .. . . . . . . .. Old Or Pre-existing Building. .! I Location of Property. . 3�Io1.S . . Qc} . !- . ...... . . . . . . . . . . . . . . . . .. [e��o�.T House No. �+ ` Street Hamlet Onwer or Owners of Property.. ��' , l/ (,�S.r�.l . . . . . . .. . . . . . . . . . . . County Tax Map No 1000, Section. .. �0, , , , ,.Block. . . . .I . . . . . . . . . .Lot. . . � 9 . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . .. Filed Map. . . '--,, ,Lot. .�...{. . . . . . . . .` . . Permit No. , f� � 3 , , , ,Date Of Permit.��. . . . . . . .Aplicant44?1(.4. �eNArOPI A A the,F}son Health Dept. Approval. . . . . . . .. .. . . . . . . . . . . . .. . .Underwriters Approval. . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate.� . . . . Fee Submitted: $. . . . :?? ,S'. . . . . . , , APPLICANT 765-1802 BUILDING DEPT. a INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) IN LATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY R MARKS: DATE f INSPECTOR` a 9 CHARLES R.CUDDY AT ORNM' AT LAW 41E GRI FPI Nig AV G N U B RIV'FRIIr-AD,NNIX' YORK Mailing Address: TFL: (631)369-8200 P.O. Box 1547 FAX: (631)369-9080 Riverhead, NY 11901 E-mail: crcuddy(tearth)itik.net November 3, 2000 Edward Forrester Southold Town Building Department Main Road PO Box 1179 Southold,NY 11971 Re: Jona - Campbell SCTM#1000-40-01-19 Dear Mr. Forrester: Enclosed are three copies of the survey showing side yards for this parcel as 10.5 on the West and 15.0 on the East. This side yard distance was achieved by removing some of the existing deck, pursuant to our several discussions. Would you please inspect the site and confirm that a Certificate of Occupancy will now be issued. Very truly yours, Charles R. Cuddy Enclosures cc: (w/survey)Deborah Doty Mr. Lewis Jones CRC:cg oc��Ef 0(KCO VICTOR LESSARD �S EXECUTIVE ADMINISTRATOR Lrl Town Hall, 53095 Main Road (5 16)765-1802 y0 �Cy�' P.O. Box 1 179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 9 , 1987 Mr . Burt Crystal 114 East 72nd Street New York , New York 10021 Re : Building Permit # 10122 Z Burt & Marilyn Crystal Dear Mr . Crystal : In reviewing our files , we find that a Certificate of Occupancy was never issued for the deck addition that you added to your house under the above building permit . The fee was paid , but a Certificate of Occupancy was never issued because an Underwriters Certificate was never received . Kindly submit the Underwriters Certificate and we will issue the Certificate of Occupancy . Occupancy or use is unlawful without a Certificate of YOccupancy . Please clear up this matter as soon as possible so that legal action does not have to be taken . Thank You . SOUTHOLD TOWN BUILDING DEPT . zt' � Executive Administrator V L : g a r ' FORM NO.6 n TOWN OF SOUTHOLD Building Department II Town Hall -- --- Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Nonconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date . . . . . . . . . . New Building . - - . .✓. . . . - . .!/Old or Pre-existing Building . . . . - - - . - . . . Vacant Land . - - . . . . . - . - - Location of Property . . . ( .2 . . . . . .Cc,>c?,J J00. . . . . . . . . . . . . 4^•K!;;ru"-?1~,�.t�-. . . House No. Street Hamlet Owner or Owners of Property ` 1. . . .yn fat?!�fj. . .. - /A�. . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section . . . . `y. q . . . . . Block . . . . . . I. . . . . . . . Lot . . . .! .. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No... . . . . . . . . . . . . t Permit No. f.01 EX, . f--Date of Permit :31.1 inI. .App Iicant izc,�;11� ok j • � tq?c:. . Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . •. . . . . . . . . . . . . . . . . . . . � 0 Construction on above described building an prom��bets japplicable codes and regulations. Applicant . . . . . . . . . . . A+ 41a+y -l! 4.t .r . .pp. .. . . , .I.A.,.. Rev.10-10-78 FORhr NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date , ............. Ig.90_. ..........14ARCH............23...................... Mr. Bert Crystal TO .......................................................................... (owner or authorized agent of owner) 167 East 61st Street New York, N.Y. 10021 ................................................................................. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ... CH 100 ............................... Other Applicable Laws, Ordinances-or Regulations ............................................ at premises hereinafter described in that .......Building Peroit. . . ..#10122—Z. .. .. has expired and ...... ...................... ... . . ...... ......... ...... ...................... (state character of violation) a Certificate of Occupancy has not been issued. It is unlawful to use the deck .................................................................................................................................................................. addition. .................................................................................................................................................................. in violation of ARTICLE XXVIII CHAP. 28t and CHAP. 284 (State section or paragraph of applicable law, ordinonce or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the low and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 63429 County Rd. #48, North Rd. Greenport ............................................................_...................County of Suffolk, New York. _SUFFOLK COUNTY TAX MAP # 1000-40-01-19 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute on offense punishable by fine or imprisonment or both. � ... . ...�. . ......... ORDINANCE INSPECTOR VINCENT R. WIECZOREK _ TEL. 765-1802 o�g�F�6tk�oG TOWN OF SOUTHOLD ►� OFFICE OF BUILDING INSPECTOR TOWN HALL LP SOUTHOLD, N. Y. 11971 August 1 , 1980 Frank Cichanowic2 Route 25A° Peconic, New York Dear Sir: This is to notify you that Building Permit No. 10122Z issued _ March 9. 1979 to _ B. Crystal will expire on SeptemDer"t}, 1986 If more time is required to complete the job and obtain a Certificate of Occupancy, you may apply, by letter, for a six (6) month extension. If the work is not completed and the Certificate of Occupancy not issued after the six (6) month extension period, you are than required to apply for a new building permit. Very truly yours, GEORGE H. FISHER Sr. Building Inspector FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date .......14AHCH..23.................................. 19.90.. TO Mr Bert.. .............. Crystal ......:........ .. ......................................... (owner or authorized agent of owner) 167 East 51st Street New York, N.Y. 10021 ................................................................................. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: CH 100 ZoningOrdinance ............................................ Other Applicable Laws, Ordinances-'or Regulations ............................................ at premises hereinafter described in that Build.ing..Perm.it. ..#10122-Z.. .. .. has expired and ...... ......... ..... ........ . . ...... ........ ...... ...................... (state character of violation) a Certificate of Occupancy has not been issued. It is unlawful to use the deck .................................................................................................................................................................. addition. .................................................................................................................................................................. in violation of ARTICLE XXVIII CHAP. 281 and CHAP. 284 ..tate..se'c .........................................Iicable"I'a'w,...........................uIction)...................... (State section or parograph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at 634.29. ..County. ..Rd.. ...N48. . . ... , North. . . ... . Rd. _. . Greenport. . . . . . County of Suffolk, New York. ... . .. ......... .. ... . . . . . . . . ... . . . . . . ..... . . .. _SUFFOLK COUNTY TAX MAP B 1000-40-01-19 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of low may constitute an offense punishable by fine or imprisonment or both. �. .. c , `.... .................. ORDINANCE INSPECTOR VINCENT R. WIECZOREK _ FUU(C�/' VICTOR LESSARD 0 �Y` Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR P.O. Box 1 179 (516)765-1802 cn Southold, New York 11971 FAX(516)765-1823 7�1 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 1, 1989 Mr. Frank Cichanowicz c/o Briarcliff Landscaping Main Road Peconic, New York 11958 Re: Building Permit #10122-Z Tax Map #1000-40-1-19 BERT & MARILYN CRYSTAL Dear Mr. Cichanowicz: During a review of our files, it was noted that the above building permit has expired and a Certificate of Occupancy has not been issued. According to the Code of the Town of Southold Article XIV, 100-141 and 100-144 a building permit is needed for construction of a deck addition to an existing dwelling. It is unlawful to occupy a dwelling until a Certificate of Occupancy has been issued. The final inspection has been made and application and payment for the Certificate of Occupancy was received 9/9/80. Please submit the Underwriters Certificate so that we may issued said Certificate. This is your third notification. In order to avoid any legal action you must correct this violation immediately. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BLDG. DEPT. Vincent R. Wieczorek Ordinance Inspector FOUNDATION ( IST) II n I--- u FOUNDATION (2ND) II u n --------�------ ----- -------- ------------- u u n n r-- " --------- — II II II O ROUGH FRAME S II II PLUMBING II II II II it----�� — II II If ---------------------------- it It H INSULATION PER N. Y. m --~i Vl A-- u y STATE ENERGY II ii CODE u — I� n , H II , FINAL 1' N ____________________________ O ADDITIONAL COMMENTS: ---------------- clj ��'� C Ch c -- is s e• FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 — yy� C C Examined . . . . . . /./.Jj'�.'1 . .1, 19 �� Application No.. �.``.'.? z . . Approved . . . . . . . lf� �. 19 .'. . Permit N2 O./.?.Z Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( uilding Inspector) APPLICATION FOR BUILDING PERMIT DateMarG.h r . . . . . . . . 9. . . . . . . 19,1.`. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildin. 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 street 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 issue a Building Permit to the applicant. Such permi 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 Occupanc, 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 o 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 housin de, and regulations, and V admit authorized inspectors on premises and in buildings for necessary ' pec o . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant,or na if a corporation) Rt . 25, Peconic, N. Y. 1195' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elcctricia plumber or builder geneDal contractor �.ai1p Name of owner of premises . . .1i ert .and. Marilyn.Crystal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. Southo. . 1 155. . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which prnosed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Road l.� �`V ! Greenport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . .40. . . . . . . . . Block . . . . . . . . . . . . . . . . . . Lot . . .19 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 occupancyresidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy residence WPq .CQtrk. ACQAAfAV front and side 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . .deck. . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . S✓/ (Description) $9, o0o.00 ( 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . .1.5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . Pne . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . If garage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . .39 . . . . . . . . . Rear . . . . 30. . . . . . . . Depth . . . 42 : . Height . . . . . . . . . . . . . . . Number of Stories . . . . , •two Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . I QN.. . . . . . . . . Rear . . . . . . �.0.'. . . . . . Depth . .52.V . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . .Jul;r 197$ • . • • . • , • • , , • . Name of Former Owner . Wald.en. . . . . . . . . . . . . . . . . . . . . . Green ort 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . • � • • ' NU . • • • • • • . • • . . • . . . • . • • 12. Does proposed constructionNv�olate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes NI 14. Name of Owner of premises t�ert. .Crys.tal. . . . . Address Greenport . . . . . . . .Phone No.477-3000. . . . . Name of Architect Tr.4?k. . .iQNAA 9wip.Z . . . . . . Address $t25, . )'•e.QQPi .4 . . . Phone No.734-.6366. . . . . Name of ContractorFrank. 04chanowic,z , • • , • . Address 13t2,5 t • Pe•ooniA • , ,Phone No.7.34-6366, . • • PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andindicate all set-back dimensions frog property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . . . . . Frank Cichanowicz III . . . . . . . icha owi • • , , , being duly sworn, deposes and says that he is the applica; (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . . . . . . . . . contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 th application; that all statements contained in this application are true to the best of his knowledge and belief;and that th work will be performed in the manner set forth in the application filed therewith. Sworn to before me this y of 119 19 . . . t Notary Public, . . . . . . . . . . . . . . . : County TV- . PAMELA J. SCHINELLIR NOTARY PUBLIC.Sale of New Yark . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . Na.4666300 ' o'erH.d in Sulfolk Covnliti, (Signature of applican c.,�.�, 3 ' SUR VE Y OF PPER TY NEAR GREN TO WN OF SOUTHOLD SUFFOLK COUNTY No Yo ? AUG. 18, 1999 AUG. 2, 2000 (certifications added) a� AUG. 17, 2000 (tie distance) SEPT. 25, 2000 (update decks & ret. walls) f' Nov. 21 2040 (decks) PQ PQM O P j • E 4 �c4 AA i 0% O p Q C � Q n c� 6' O N 1 •� A • ! o � P o�o 0 OqE \ 1 \ CERTIFIED T(-)' COMMONWEALTH LAND TITLE INSURANCE COMPANY DAVID CAMPBELi.. 32 s DONNA CAMPBELL_ s a •k1 AREA = 41,176 sq. ft. to tie line \ ��F NEW y�9 COASTAL EROSION HAZARD LINE FROM �� fit,MET�4 f:OASTAL EROSION HAZARD MAP PHOTO NO. 53-595- 83 O� Y.S. 8 ANY ALTERATION OR ADDITION TO THIS SURVEY 11 A VIOLATION CONIC SOR 4960 Q OF SECTION 7209 OF THE NEW YORK SIATE EDUCATION LAW (631) 765 - 5020 S' 0 1797 EXCEPT AS PER SECTION 7209-SUBDIVSION 2 ALL CERTIFICATIONS F. 0. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 99—2�& WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 (S I�-{tIY ; � c.,,, _ _.�_.._...... �L .a:�«• ......� , ..,_. .. -................�n-�-..w;r.w.•-+.-,-._�.-...__....:....+..,_,..-.ti•^-......,.-r...»�.•...�.......w.._._.._.+.H.._.-�..'�+..m.+..+.-+r�..._..�..... .. -,.+�..-.-..�...�.M-.w�...e-... � ,... ..""'^4.,_!+""p",m+,+-.�.+.+-.-,..ten..-.-».,,--.n--e 1�rv�q, . �, ,�p � .I, ! .. T � - _ ; ."• - 'SMF`, . r_,,.,_.:-... A!'L t IF L ' 3 ,. ,fit, ♦ ' i" .t ,y40 1 If IF a �Y i;� tri � r ji fi n n',- :. 1 " . . . d.' •fii :. .. : 1 Y. � E., x „• r -. ,moi ;R' n n .a ...- . . ., �. I 44 � Vv � .. ° µ� .�s, . �.. ! .3 .,, .. ' . .41 .. .,. Dr., ._ . . e. ,. . . _ ., :. . ... •:, 'n." .. -,;'ii .a. �^'"� Igyr. f tx. ,.,.I. : ''. . '• ,� .�a. a} ' • : ' . . � :+ •. ., .,,.ate ' , s.:. .niF, ,I �w� ., � , �ih. 4Zr* ,-IDN xl �r"p-„ ...� . ' , . a„L,.•,... ,+_ �..�t.,� ,s a . 5” .. „, ', y, . . `In - x",., I. 1 _ _�,".r ,., .L.. i3 . •, r-. 1 -, ,z; _ .v: ,. Y” '�S�a_rA_.� �.., ,., _ . . __ � .«, c � La v.. . . � .,, ._, - � �:,b"�'3 rK. r •r,c. 'r nV ; , N'olll�ke. - ... ...,... r o. .,+. r o ♦ t„ "'u5. , �. n •. l i :u L ,r Jr 5{ �j9f y. IL -. .•; �, r '', pK,o. �.�. s .. � .. ." , I §'�W:r.�" Vo-i rf'''91w'^„�+-:,�?u«.A• r,`. ,�, a , r,` Y'SPKi.:ey i d3'y��, i -'P'filF h. ° . .I �4ir 1 y f � r --.- 6 IN t(r ito: •'• 4 .�♦4 �7 n Tr ,,.r '•T±^G - } IF Ir ♦ .u`.. _ 7/W oY+CGt<ao� ._ .DC�t IF 41 �, . ' _ � .l '� � � �,” � 6'.b �__� d .a .:ice �!u ,� , � �; i � 4, hcG' T•` � r s �'i F"� e7rd�Yi . __ i, f"ta IF Ip wn ., GU C- . ✓.r^- eta 'u 4F _. -. If TO - _ A ,• _ : ' :. _, � ., r ." r �A .� � tr�ik';r i _ i r+ J ti�3�M w,, 1�t pY x-;y._.i• A '. "•' ":�' i '• I" it t .14 i � f � 1 77 vp acf. .f ��a�lq'i.� .�r,�+.z._ Ace- - 1 islr�� .•' b r.�6Rinow IV ! � �• 1 . ___ _..— ... - - '' ,� � �'I �� _...�.T.�.�..._z:-._._._,�._._.._. _. Wt�plr .^.7Ci JN��►+E't' { .k3.� �, �, . � _ - � � " ,I _ FTq _ F ._. 7T' ,, - ., .. /L�� TIJrP6�� /�y{� o /� �.•rye-�.._'J. '»`,�..—. /" /,r.��w�� / � y/J .. _ �c-✓u'.'t-LTJ,.. 7Vgr.� /� ,Y! R I' ✓$A V ;� r �!' �� C.1 a� L/ sL� Cr�1� .�.,/'�'.v,`i1L✓�+.'/ *'r�' . . . _. d .. �r� ` . � 9 Fw � I i 6c r a i. " I T, Y it I rr Aii "k '77 1 TI- 3 t j Z4� II C" a4 v—, 1A 14 It tc III j rl J, Y Ar ----------- kol