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Home My WebLink About25389-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26410 Date: 04/28/99 THIS CERTIFIES that the building ADDITION Location of Property: 500 SOUTH LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 6 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 1998 pursuant to which Building Permit No. 25389-Z dated DECEMBER 8, 1998 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 CONDITIONS OF ZBA #4600. The certificate is issued to ELLEN D ZIMMERMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building In ector 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. 25389 Z Date DECEMBER 8, 1998 Permission is hereby granted to: ELLEN D ZIMMERMAN 110 WEST 87TH STREET NEW YORK,NY 10024 for CONSTRUCTION OF AN ATTACHED ACCESSORY DECK FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 500 SOUTH LA EAST MARION County Tax Map No. 473889 Section 038 Block 0006 Lot No. 011 pursuant to application dated OCTOBER 9 1998 and approved by the Building Inspector. Fee $ 75 .00 r Bui ding Inspector i ORIGINAL Rev. 2/19/98 Form No. 6 �-- 4N OF SOUTHOLD DING DEPARTMENT APP, 2 6 1999 ..E 1 TOWN HALL 765-1802 BLDG.DEPT. TOW0pgD- CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin, 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 buildi and installations, a certificate of Code Compliance from architect or engineer r 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 a- '-'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 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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residenti 1 $ 5.00, Commercial $15.00 ..l Date . . . " . . . . . . . . .. . . . . New Construction. .. . . . . Old Or Pr -existi g Building. . .. ww.��. ) ,`,J� Location of Property. . . ..v. ... .c� .. /��.. . . ... . . . f!!'7f. �JS�E4PrY. . . . . . . . . House No. Street Hamlet ^et //�� O a r or Owners of Property.. I/. .. !J.. � 1 .. . .l�:.rn.�,N. . . . . . . . . . . . . . .. . . . County Tax Map No 1000, Section. ...31( . . . ..Block. .. . . . . . . . . . . . . .Lot. . . . 0 . . . . . . . . . . . Subdivisionll 60-1A.Jl.. . ... . . .. . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No.2-..i�34?7 .J:.Zr.Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . .. . . .. .. . . . . .. . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . .. . . .. . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. .�. . . . . Fee Submitted: $. .fes. .. .. . . . . . . .. .. .. . . . . . . . .. A.PPLICANT \• . . . . . ( 0 0 O Town Hall,53095 Main Road coo Fax(516)765-1823 P.O. Box 1179 Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD April 19, 1999 Ellen Zimmerman 110 W. 87th St. New York, NY 10024 To Whom This May Concern: We are unable to complete your Certificate of Occupancy beca a 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 # 25389-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. APPEALS BOARD MEMBERS OSUFFU(�COG Southold Town Hall y� Gerard P. Goehringer,Chairman 53095 Main Zoadc James Dinizio,Jr. y z P.O. Box 1179 ^� Lydia A.Tortora Southold,New York 11971 G • `� Lora S.Collins y�ljC a0� ZBA Fax(516)765-9064 George Horning l Telephone(516)765-1809 BOARD OF APPEALS TOWN OF SOL THOLD FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF SEPTEMBER 30, 1998 Appl. No. 4600 — ELLEN ZIMMERMAN PARCEL 1000-38-6-11 STREET & LOCALITY: 500 South Lane, East Marion DATE OF PUBLIC HEARING: September 24, 1998 FINDINGSOFFACT PROPERTY FACTS/DESCRIPTION: The subject property is 67.34 feet wide (along South Lane) and 178.94 feet deep, for a total area of approximately consists of 12,050 sq. ft. The July 28, 1995 survey prepared by Peconic Surveyors, P.C. shows that the subject premises is improved with a two-story, single-family dwelling and garage. Also shown on the survey along the easterly property line are: (a) a 10' wide right-of-way to the beach, and (b) beyond the southerly property line of the applicant's property are wood bulkheads extending to the high water mark of Gardiners Bay. BASIS OF APPEAL: Building Inspectors July 16, 1998 Notice of Disapproval under Section 100-244B and Section 100-239.48 with respect to the proposed setbacks of the deck addition to dwelling. AREA VARIANCE RELIEF REQUESTED BY P • Applicant is requesting a variance to locate a propo 2' by ide unroofed deck addition with a setback at approximately 28 feet from a rty line, Instead of the code required 35 feet, and at approximately 40 feet from the bulkhead, instead of the code required 75 feet. (Note: The bulkhead is shown to be beyond the rear property line towards Gardiners Bay). REASONS/FINDINGS FOR ACTION DESCRIBED BELOW: 1. Grant of the two area variances will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties because the deck addition is modest in size and similar in location in proximity to the rear yard property lines, bulkhead and beach as other decks in the neighborhood. 2. The benefit sought by the applicant cannot be achieved by som a methold, feasible for applicant to pursue, other than an area variance. The lot is narrow and if the deck were located in a side yard, it would be nonconforming with respect to setback f + Page 2—Appl. No. 4600 Re: 1000-38-6-11 (Zimerman) September 30, 1998 ZBA Decision r to the right-of-way and/or side yard setback requirements. 3. The rear yard variance is not substantial and represents a decrease of seven feet from the code required 35 ft. setback. The variance from the bulkhead is substantial. However, the applicant's residence is currently setback 52 feet from the bulkhead, and the variance would decrease the setback by 12 feet, leaving a distance of 40 feet to the bulkhead and approximately 90 feet to the mean high water mark. 4. The proposed variances will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because the deck is located at a sufficient distance from the rear yard property line and bulkhead to protect the integrity of the bay and adjacent beach area. In considering this application, the Board finds that the relief requested is the minimum necessary and adequate and at the same time will preserve and protect the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION/ACTION: On motion by Member Tortora, seconded by Member Homing, it was RESOLVED, to GRANT the variance as applied for, SUBJECT TO THE CONDITION that the deck remain open and unroofed. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, TORTORA, COLLINS, HORNING. This Resolution was duly ad 5-0). GERAR F GOEHRINGER, CHAIRMKN Approved for Filing ***************************** 1000-38-6-11 RECEIVED AND I'ji:;� THE SOUTIiGLD DATE i Town C_ler!c, Town ass-isot i BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I 1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 62L41��A'�� DATE IN8PECT0 70-1802 BUILDING uEr+r. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ FOU N 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY R RISS: �Z, DATE INSPECTO ��y 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: //n 4 2 4d=� (VI"%— i4v;7 Ca (L,) l DATE INSPECT RO P- , r APP ilk � FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. y NOTICE OF DISAPPROVAL July 161998 DATE: ... .. . . ..... ... .. .. . ... To George Rock (Agent.-). Ellen_ Zimmermap., , Mt. Beulah Ave. ... . .. .......... ... ........ . . .. .. . . .... . Southold.,, New. York. ll97l,,,, ,,,, ,-„ -,. PLEASE TARE NOTICE that your application dated ....-„June•4.. .._._ 19.98 . .. for permit to construct... ...... ..add.. ........ ...on on the rear.gf-�yq��,�gg_... ... .. .. _. .. . at cons.. ... . ...a deck . Location of Property ....500...... ...South.Lane ..... ...... .... .........�rVSt. 4;iQ4...... . . . House No. Street Hamlet County-Tag Map No. 1000 - Section ..38....... BLOCK ...6...... . LOT ..>>.. .... .. . Subdivision ........... ................ .... Filed Map No. . .... ....Lot No. ... . ... is returned herewith and disapproved on the following grounds ......... .... ... ....... ... - Under.Article. .. ..XXISection. 100=244=B?.for,ngn-cgnLq�p}r�g,�QtS,.tbe.deck.addition at... UnderArtic . .. .. Sect... . 28 feet +/-, does not conform to the minim=-rear yard setback of 35 feet. .............. ... .... ........ .. .. .. . ........ .... ......... ........ ..... ... . .... . .... . .... Under.Article,%%III,.Section,�QQ_� �,4�,-t�►e,deCk.addition.at.40.feet.t/.:.froom a....... bulkhead does not conform to the minimum set back of 75 feet. ............... ........ ............................ ............0.0..... .. .. ...... .... ... ---••----•--- ••-----...---•...... ..................... .................... . ....... ....... ........................ ......... ............................................ ...... ..... ................ ... .... . ........ ....... ... .......... ... .... ............ .... .. . ..... ..... ....................... ...... .. ...... .. ............ ... ... . ....... ..... ..... .... ..... . . .. . ......... . ....... ... .... .. . . . ........... ......... ... . .. ............... .. •---. ... .. ..... .. . ... ........... . .... . .. .. .. ..... .... . .. . .. ... . . .. ... ... . ...... . ..... . .. .. .. .. .. .. . . ... ?BUILDING INSPECTOR RV 1/80 rrlmHd TOWN OF So(.1*1*11O(.!) TO%VN CLE11 K'S OFF-ICI; SO11TIMI..1). N.Y. NOTICE OF DISAPPROVAL l Dale . . _ . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . /. . '�. . . . . ', . . . PLF-,ASC'i' KI? NOTICE that your ahlrlic:Tlinn cla(ecl . . :. . .� , . . . _ . for hermi( to �. . . Location of Property . ..01�. .. . . . . . . .,,�j . . . . . 1-10fySe NO. SlrnFt ~ f/:r�rrlet Comity Tax hill) No. I000 Section . . . . . . . . . Block . . . . . . . Lal //. . . . . . . . . . . Sirl)clivisiorT . . . . . . . . . . . . . . . . . Filed Mal, Nei. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . is rc rrncd hercwi(h and disnpprcrvc'cl mn Ilrc following grvumds . �. . . . . . . . . . . . . . . . je/,ate�-- 7` . . . . . .Gni . . . . - s"r . ,...�.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . y�- Building .ins c(.0r_ Iiv l /hn o-.-ICEo.T- BOARD OFAPPEALS v CCT _ 8 1=0'8 (516) 765-1809 ZBA tel. S uth 76.5-9074 Fax 095"lN HOLD Southold, NY 11971 October 5, 1998 Mrs. Ellen Zimmerman 110 West 87t" Street New York, NY 1009.4 Re: Variance for Deck Addition— Appl. No. 4600 Dear Mrs. Zimmerman: Enclosed please find a copy of the Appeals Board's determination rendered at our September 30, 1998 Meeting. A copy has been furnished to the Building Inspector's Office as an update to their open permit application file(s). Please remember to follow-up on your pending building permit application with the Building Department for issuance of the permit before commencing construction activities. Very truly yours, Linda Kowalski cc w/ encl: Building Department APPEALS BOARD MEMBERS O`OSVFfO��COG Southold Town Hall y� Gerard P.Goehringer,Chairman 53095 Main Zoadc James Dinizio,Jr. ti = P.O. Box 1179 Southold,New York 11971 Lydia A.Tortora • Lora S. Collinsy O� ZBA Fax(516)765-9064 George Horning X01 �a Telephone(516)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF SEPTEMBER 30, 1998 Appl. No. 4600 — ELLEN ZIMMERMAN PARCEL 1000-38-6-11 STREET & LOCALITY: 500 South Lane, East Marion DATE OF PUBLIC HEARING: September 24, 1998 FINOING5OFFACT PROPERTY FACTS/DESCRIPTION: The subject property is 67.34 feet wide (along South Lane) and 178.94 feet deep, for a total area of approximately consists of 12,050 sq. ft. The July 28, 1995 survey prepared by Peconic Surveyors, P.C. shows that the subject premises is improved with a two-story, single-family dwelling and garage. Also shown on the survey along the easterly property line are: (a) a 10' wide right-of-way to the beach, and (b) beyond the southerly property line of the applicant's property are wood bulkheads extending to the high water mark of Gardiners Bay. BASIS OF APPEAL: Building Inspector's July 16, 1998 Notice of Disapproval under Section 100-244B and Section 100-239.413 with respect to the proposed setbacks of the deck addition to dwelling. AREA VARIANCE RELIEF REQUESTED BY APPLICANT: Applicant is requesting a variance to locate a proposed 12' by 22' wide unroofed deck addition with a setback at approximately 28 feet from the rear property line, instead of the code required 35 feet, and at approximately 40 feet from the bulkhead, instead of the code required 75 feet. (Note: The bulkhead is shown to be beyond the rear property line towards Gardiners Bay). REASONS/FINDINGS FOR ACTION DESCRIBED BELOW: 1. Grant of the two area variances will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties because the deck addition is modest in size and similar in location in proximity to the rear yard property lines, bulkhead and beach as other decks in the neighborhood. 2. The benefit sought by the applicant cannot be achieved by som a methold, feasible for applicant to pursue, other than an area variance. The lot is narrow and if the deck were located In a side yard, it would be nonconforming with respect to setback Page 2—Appl. No. 4600 Re: 1000-38-6-11 (Zimerman) September 30, 1998 ZBA Decision to the right-of-way and/or side yard setback requirements. 3. The rear yard variance is not substantial and represents a decrease of seven feet from the code required 35 ft. setback. The variance from the bulkhead is substantial. However, the applicant's residence is currently setback 52 feet from the bulkhead, and the variance would decrease the setback by 12 feet, leaving a distance of 40 feet to the bulkhead and approximately 90 feet to the mean high water mark. 4. The proposed variances will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because the deck is located at a sufficient distance from the rear yard property line and bulkhead to protect the integrity of the bay and adjacent beach area. In considering this application, the Board finds that the relief requested is the minimum necessary and adequate and at the same time will preserve and protect the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION/ACTION: On motion by Member Tortora, seconded by Member Homing, it was RESOLVED, to GRANT the variance as applied for, SUBJECT TO THE CONDITION that the deck remain open and unroofed. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, TORTORA, COLLINS, HORNING. This Resolution was duly ad 5-0). GERAR P. GOEHRINGER, CHAIR N Approved for Filing ***************************** 1000-38-6-11 RECEIVED AND I-'j t:E; TrIE SOUTIiGLL DATE ��7�� T(:771-8.3of�i�. Town Clerk, Town c` Town Hall Albert J.Krupski, President y� Gy 53095 Main Road James King,Vice-President o= t P.O.Box 1179 Henry Smith y Z Southold,New York 11971 Artie Foster Ken Poliwoda Telephone(516)765-18$2 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 28, 1998 George Koch Mt. Beulah Ave. Southold. NY 11971 RE: ELLEN D. ZIMMERMAN SCTM #38-6-11 Dear Mr. Koch, The Southold Town Board of Trustees reviewed the survey dated and received in our office on May 22, 1998 and determined that your proposal to construct a 12 ' X IA�' onto an existing house is out of the Trustee wetlan jurisdiction. However, any activity within 75 ' of the Wetland line ruires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. K=aps ki, Jr. President, Board of Trustees cc. Bldg. Dept. U ROARS OF liiKAbffll . . . . . . . . . . . . . . . FORM NO. 1 /3 SETS OF PLANS . . . . . . . . . . . . . . . 19% TOWN OF SOUT11OLD SURVEY . .. . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . .. . .. . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .�(j11T1�P�, • N F$ TH SpUT'11Oi,D, N.Y. 1197i �-- TEi.: 765-1802 NOTIFY: �. � � (� 2k 5'� KkExElflined. � . . 7 ....... 19.1$ MAIL '1O . . . . . . . . . . . . . . . . . A1,4woveki..1 K......... , 19�.*- t No. ::r.1::.L .. ......................... Disapproved a/c �,�1�I D.. .................................. .....................................?PLICATION ..... ..... . •1lmrildinl{•lnsl►c:ctor) FOR Bl1iLnTNG PRitMTT Date. .�rl. , 1999 . i NS'1'1111CTTONS a. 11►is application mist be completely filled in by`typewriter or in hdc mxl sulmitted to tl►e Bmrilding Tnsl►ect.nr ► 3 Kers of plans, accurate plot plan to scale. Fee according to sdredul.e. 1►. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or ixmblic: streets or areas, and giving a detailed description of layout of property must be drawn on the diagram whici► is pert of tl►is nppl icat'ioo. C. 'llme work covered by this application ray 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. 'A'w m permit shall be•kept on the premises available for inspection throu0iout the work. e. No building almll be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy sl►all have been granted by Um Building Inspector. APPi.TCai0N IS i1CRM HM to the iluilding Department for the issuance of a iiuilding Permit pursunnt to the wilding Zone Ordinance of the Town of Southold, Suffolk Canty, 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 coWly with all applicable laws, ordinances, building code, housing code, and regulations,,and to admit authorized inspectors on premises and in buil for n seary inspections. .. ......... .(Signature o. applicant,•or•nsme, if a corporatirnu) g7 5 ....A.`Mh��- rVo�ppQ can t`0.z('........ State whether applicant is owner, lessee, agent, ardi tett, engincer,'gec-eral contractor, electrician, plumber or lxrilm ......O.W... )ell............................ ................................ Name of owner of premises .... .................................. ,,,.�.I.I.�.1!l... 1.0 ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autl►orized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Otlmer Trade's License No. .................... 1. location of :and on whid► proposed work will be done...................... ....... � ............ .... L) ............... Q :�h......... 09 NV. .................:Cil r.... ........ lbuse Number Streeet2t / HamletCounty Tax Map No. 1000 Section ....7..�...... Block ....66....... iot .....d........ Q L✓ G. Q Y� ,...... Filed Ma No. ........:...... 1, t ............... Subdivision ... .... ... ...... p (Name) 2. State existing use and occupancy of premiagg and intended use aril occupancy of proposed construction: a. Existing use and occupancy ............�....?.!.Q.�`NW............................................. IC1'�,S I D N Ce b. intended use and occupancy ........... l.. ............................................. JhoY K �epr?1'R�A04 rtnuoo 1►roltuc� 'ail�uq e80cSCl►0 01''-`tilt ue poll - --�.te V's t61lq,.3 I. Nruture of work (check which applicable): New building ........... Ack]i t ion terat ion Ite,wir ............ Removal ............. lleonolitIon . ........... Other Work :., �(� .(, ,RDQ�tJS DescrAP0,0 - /f NP T�BD/2 4. Est hinted Cost ... .......... fee ...............................�.,........d 0, pa�� r (to be paid on filing this application) 5. if t6elling, ►x,d►er of dwelling ►units ............ thnl►er of. d6elling units on each floor .......... Ifgarage, uu►ber of care ...................................... G. If busli►ess, ccxnnercial or miumfoccui►ency, specify nature ^a►xl extent of each type of use......., 7. Dinenalahs of existing stricLurea, If any: Front. .. ..... Rear Depth ..`ZA.'►.il / ik:ight .W.................... N■d►er of Stories .b5... .. , �.n/...... / ........ Dietensi�_of anus structure with alterations or additions: Front l..��t..., Rear Depth Lf ............. Ileight ....!� to!......... Umber of Stories ....f�.: r:..... .....�..?'..... 8. Diuienaiox►s of entire new eonstn:ction: lhlront [tear .��...,,.. p)epch .,,12�, Ilei ►t .. I#0 46we growhd. /� ' 13i ............ Hider of Stories...........0........ .. . QV9. Size of lot': lumnt ... �............ Rear .... ....... nept-b .4 M. 14h1:e of Hhrcnase .. NAS ........ Name of Forcuer 0,x►er ..C!:a p';-4-5.... j4sa t? If. Zone or use district in which premises are situated ... .l,p.>✓',,t�7'�,/�,�, .......................... . 12. Does proposed ocxhstruetion violate any zoning lacy, ordinance or regulation: ....fl°1r 40 ' • .1 13. will lot ]he regraded ... .......... . Ni11 excess fill be remvecl hophGspr�i : yLuS Iii. Dues of (kucner of prhaaisea CR MWOO �*klreas ....fV.e°FIS/�� 7')y ,�,... t?Ihahe No.ZIl�en 0 1,4nie of ArtA►Itec_' .................................... Address .............................. 1'f►ooe tib. .............. Nome of. Contractor ................................... Address ...............................phone No. ..... 15. Is this property within 300 feet.of a tidal wetland? *0 *IF YES, Scanlan MM 7UNIM PIRMT MY BE 111 VIRM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimension!: frau property lines. Give street and block nudxr or description according to deed, and slow street nacres six] indicate wlketlx:r interior or corner lot. IS M113 M N1J YUM SS (X)l1NIY (Nil va....... ....G (�•• ./�p ...........................l eh% (fitly sx)rn, cle,x)ses a►xl says that lie is the s licallL y Im (N:nx: c,f iex!tv:eh;i:!. si ins coijtrsc::i Ile in Lite ... . .... (Ccxhtracto , agent,corporate officer, etc.) of said ownx:r or owrners, nod Is duly authorized to perform or have peri°ormd the said chock ahxl .to make ahxl file this alifAicat'icx►; that all statdcents cohhhtalml in this alipt.icatioxh are tape to the hest of his kcxhwledge aux] bcizlief; chirl that Life work will be performed in the hnarner set forth in Line appl.icatioxh filed therewith. . x►rn to before hue this ....... .'......clay of .. .. ... .. 9. .... Notary Public .... VV JP10M4uu0,0Wbb ................ . . : . MA� •(Sig►khture,of..Al>thlicanC) .......... tistta 1 31.-f+'�"� i OCCUPA,��,-' QR USE IS UNLAWFUL nAs�ED WITHOUT CERTIFICATE Dm- `2 � B.R# OF OCCUPANCY NOTIFY BUILDING DEPARTMENT AT Sco s E 1f' i 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ------ 1• FOUNDATION - TWO REGI.W= o _ I FOR POURED CONCRETE 2 ROUGH FRAMNO • FLUMI MQ ' CONSTRUCTION MUST �� •u'� —' -- W COMPLETE FOR C.O. ALL CONGTRUCTWN.SHALL MEET A THE REO1M*EMENTS OF THE N.Y. Ix STATE ODNSTRUCTION • ENEROY CODEL NOT RESPONSHU FOR .%, R DOM CM CID 8CiION lIIRORf N p ,,t4 IDA a A ` 22 zx�,�lz �c" o.c. Josrs Pay G — - - ;�. 3i: c�,►� ao"s !V OT,� '//"!Li STtt.G7LC�AL MATF_.Z/AL� p w � o C cR / 02. L To /fix L 04C po$ 4. . LLCM .G/K1�F_ ego ,'Z, JreaaT. /JcCIC --+�� RTo �wOCIL 1060 - 38 -OG - /l 7�o 6ZAb4: - rJPpLb SCALL, f/='t_ ' \S� AREA = 11,532 SO. FT. e ro o h a J .NO � wo - - N Co -10 57, �•ti '�Z = 'acp CERTIFIED TO f ELLEN D. Z/MMERMAN T lo COMMONWEAL TH LAND TITLE. INSURANCE COMPANY Cn� Z ¢ � THE LONG ISLAND SA VINGS BANK G�, SURVEY FOR ELLEN D. ZIMMERMAN , d) AT EAST MARION TO WN OF SOU THOLD SUFFOLK COUNTY, N. Y. 1000 - 38 - 06 - 11 Scale : 1" - 30' July 28, 1995 Q AMM A am. .�.�..�a►r 1 Narahr �.o�Na a Ida-MIN 0 AM TO FM KIN "N FOLLrOiWMI 1• FOUNDATION • TWO NKWMD �• - i OCCUPANCY OR 3. 4. EINU;AIL CONSTRUCTION MUST USE IS UNLAWFUL ALL CO STE CO PRUCTIONFOR CSHALL MEET WITHOUT CERTIFICATE THE QUIREMENTS OF THE N.Y. OF OCCUPANCY STAT CONSTRUCTION ENERGY l� IV 1 OR CO S. NOT RESPONSIBLE FOR D IGN OR CONSTRUCTION ERRORS ANY AL TERA TION OR AMMON TO THIS SURVEY IS A VIOLATION 'Vo 4 9 6A T ON 7209 OF 776E 0TCAEXE PER SECTION 9-SUOUVOON 2. AL CEW YORK STATE RF) TIONS � HEREON'ARE VALO FOR MS MAP AND COPIES THEREOF ONL Y lF / N.Y.S. LIC. NO. 49618 SAO MAP OR COPES BEAR THE LWRESSED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. PECONIC 'SUMVEYORS, P.C. ADDITIONALLY TO COWL WITH SAID LAW THE TERM 'ALTERED BY' '(5/6) 765 - 5020 MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY P. 0. BOX 909 OF ANOTHER SURVEYORS MAP. TERMS SUCH AS 'INSPECTED' AND 1230 TRA VEL ER S TREE T BROUGHT-TO-DATE'ARE NOT#Y COMPLIANCE WITH THE LAW. SOUTHOLD, N.Y. 11971 95-214 BUILDING PERMIT REVIEW CHECK LIST Application Name: _ M m E, Je*J Q$- Dt53p4PPfOJAL Architect/Engineer: Date Submitted: 1;3,62 - `h15Su� SCTM#: District: 1.000 Section: �J$ Block: & Lot: i Subdivision Name: AO (f)ECdA99 SO) SDA L6irvP. Req. '7�Of Req. Zoning District: [Lot size: Actual: / ] [Lot coverage Proposed: l Req. Q Req. / ? � Req Zp ' [Front Yard ✓ Proposed:_] [Side Yard df! Proposed. WOW [Reaz Yard�_ Proposed: 1 Project Description: Ago F &MO AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes