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24611-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25959 Date: 09/09/98 THIS CERTIFIES that the building ADDITION Location of Property: 3000 SOUNDVIEW AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 94 Block 2 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 1997 pursuant to which Building Permit No. 24611-Z dated JANUARY 22, 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 SECOND STORY ADDITION WITH STAIRS, DECK & RAILING ON AN EXISTING NON-HABITABLE ACCESSORY BUILDING AS APPLIED FOR & AS PER ZBA #4554. The certificate is issued to DEMETRIO & MADELINE LAVEGLIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-456079 06/11/98 PLUMBERS CERTIFICATION DATED N/A Bu i/11ing Inspector 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. 24611 Z Date JANUARY 22, 1998 Permission is hereby granted to: ROBERT BOHN CONTRACTING (LAVCE P.O.BOX 55 PECONIC,NY 11958 for CONSTRUCT A SECOND STORY ON AN EXISTING ACCESSORY BUILDING AS APPLIED FOR AS A NON-HABITABLE BUILDING EXCLUDING STAIRS,DECK AND RAILING at premises located at 3000 SOUNDVIEW AVE MATTITUCK County Tax Map No. 473889 Section 094 Block 0002 Lot No. 003 pursuant to application dated DECEMBER 10 1997 and approved by the Building Inspector. AMENDED per ZPA #4554 to include stairs, deck & railing. Fee $ 50 .20 Building Inspecl,6r ORIGINAL Rev. 2/19/98 Form No. 6 in '/ v a� � TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 n APPLICATION FOR CERTIFICATE OF OCCUPANCY A. •, This application must be filled in by typewriter OR ink and submitted to the Eui]ding _ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect 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 Buildina - $100.00 3. Copy of Certificate of Occupancy - .251�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $$1((5.00, Commercial $15.00 Date . . . . . . ! 1. , t.((j1. . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . Location of Property. . zl;�CSO. . .. . . . .. .. 5Qwt%av�: m.&I. . . . . . . . .. .! :.}off, ,.l �� . . . . House No. T Street l Hamlet Onwer or Owners of Property.�. la�e i.n(e�.L�f� . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. .. . . . 1 .`.. . . . .Block. . :�. . . . . . . . .J.Lot. . .3. . . . . . . . . . . . . . . . . Subdivision.. .'.. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. .FileedryMap. . . . . . . . . . . .Lpot. . . . . . . . . . . . . . . . . . . . . . Permit N� !.`!'. l � . . . . .Date Of Permit. . .r/ ��/l.b . .Applicant RtDQ{'7 t&o �dy.j 'a) Health Dept. Approval. . . .. . . . . . . . . . . . . .. . . . . . . .Underwriters Approval. . Planning Board Approval. . . . . . . . . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate.... . . . . . . . . Fee Submitted: $. . . . . . . . .. . . . . . . . . . . . / / . . . . . . . . . . . . . . .CCC..... .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICAi. CO��Sg5� 1q— c2--3 W 11 -X THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 11,1998 Application No. on file 15792298/98 N 456079 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of D & M LAVELGLIA, 3000 SOUNDVIEW AVENUE, MATTITUCK, NY in the following location; ❑ Basement ❑ 1st Fl. ® 2nd Fl. GAR/OUT Section Block Lot was examined on JUNE 04,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT I OTHER I AMT. I K.W. I AMT. K.W. AMT. K.W. AMT. K.W. 9 10 1 8 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTT.1 TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A.W.G. A W G A.W.G. AMT. AMP. IVPE EQUIP. F 0 2W 1 0 3W 3 0 SW 3 0 4W PER 0 OF CC COND NO OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G.F.C.I:-2 PAUL R. BURNS LIC.#3897- L L PO BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •,.. - .n,.�x.��weuA�.xrm•MrrJxxm�M.„dm`+u nex'M*w, hill Illj 1'1111'1'„•. ._Ill�llt._•.. . IIIIIIIIAT 11111 1 111❑ :11 I'II A I I I; A '---`-- i'1,111111 1111 �< I I1;I IIL A'1'II II 1'PJl II, Y .P ....,,�...._.._ pI jsC$o —_ ......_.._._._.._,. V 111 A fl'. NIIII IIIIY 1:11 Il • 1llnl. ....... ,......._.._....__.._....__._..._____ _.. ..__...._._.. .�............ ... �•-.. -.,. _ � nnnl'rl nlnl• Cunw!Ilrlll r. _ _ c _ APPEALS BOARD MEMBERS OS�FFO(� �� J,f;i' 1 7 199$ hold Town Hall Gerard P. Goehringer, Chairman 53 95 Main Road ' c James Dinizio,Jr. y BLDG. DEPNOF T O. Box 1179 Lydia A.Tortora O d, New York 11971 Lora S. Collinsy O� ZBA Fax(516)765-9064 George Horning Telephone(516)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF MAY 19, 1998 Appl. No. 4554 - D. LAVEGLIA PARCEL 1000-94-2-3 STREET & LOCALITY: 3000 Sound View Road, Mattituck, DATE OF PUBLIC HEARING: April 16, 1998 FINDINGS OF FACT PROPERTY FACTS/DESCRIPTION: The above-identified property is located on the southerly side of Sound View Avenue, Mattituck,, and contains a total area of approximately one acre. The July 6, 1992 survey submitted under this application shows that the subject premises is improved with a 1-1/2 story, single-family residence, in-ground pool, and the subject accessory garage building under construction (B.P. #22657). BASIS OF APPEAL: Building Inspector's February 24, 1998 and March 6, 1998 Notices of of Disapproval which state that the accessory building will exceed maximum allowable height of 18 feet under Article III, Section 100-33A, and that under section 100-33B.3 accessory building on lots containing between 39,999 and 79,999 sq. ft. require such building be set back no less than 10 feet from any lot line, and the staircase of 3 ft. ' +- will now be a minimum of 9 ft. from the rear lot line. AREA VARIANCE RELIEF REQUESTED BY APPLICANT: Applicant is requesting a variance, based upon his amended application for a building permit, to add unroofed decks around the top of the accessory building, and placement of railing, which requires a height variance of 30 inches at the top. The setbacks of the existing two-car garage, with the 3-ft. wide stairway, are proposed at nine (9) feet from the southerly rear property line and at 14 feet from the westerly side property line. Applicant offered as a condition of this variance planting and maintenance of six (6) Arborvitae or Cedar trees, four-foot apart, at a minimum height of six feet along the southerly rear property line. Page 2 of 3 - May 19, 1998 Appl. #4554: 1000-94-2-3 (Laveglia) Southold Town Board of Appeals REASONS FOR BOARD ACTION, DESCRIBED BELOW: Applicant has recently added a second floor to his existing garage and designed the addition with a flat roof intended for use as a deck. However, the roof is 18 feet above the ground, the maximum allowed under the Zoning Code, and applicant has therefore applied for a variance to permit addition of a 3-ft. high open railing around the deck. Applicant has also requested a property line setback variance to allow the stairs to the second floor, only 9 feet from the southerly property line. On the basis of testimony presented and personal inspection, the Board makes the following findings: 1) The proposed building height of 21 feet, including the railing, will not have a visual effect that is detrimental to the neighborhood provided that the rooftop deck is adequately screened from view. 2) Taken as a whole, the requested height and setback variances are substantial. 3) Because the flat-roofed second floor has already been constructed, there is no feasible way for applicant to obtain the benefit of a rooftop deck other than through construction of the proposed 3-foot railing. 4) The propopsed work will not have an adverse effect or impact on physical or environmental conditions. The Board concludes that the following actions are the minimum necessary and adequate to enable applicant to have a roof deck while also preserving and protecting the character of the neighborhood, and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Collins, seconded by Chairman Goehringer, it was RESOLVED, to GRANT the requested variances allowing a one ft. reduction in the rear yard setback (to a 9 ft. minimum setback) and allowing construction of an open railing 3 feet high on the garage roof, subject to the following CONDITIONS: 1) The building shall at all times be used only for purposes accessory and incidental to the use of applicant's dwelling. The building shall under no circumstances be used for habitation. 2) Applicant shall plant a screening line of trees along the southerly property line, beginning no more than four (4) feet from the westerly property line and extending at least 60 feet eastward. Such trees shall Page 3 of 3 - May 19, 1998 Appl. #4554: 1000-94-2-3 (Laveglia) Southold Town Board of Appeals be cedars or arborvitae, at least 8 feet tall, planted 4 feet apart, and shall be continuously maintained - including replacement if necessary. VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, TORTORA, and COLLINS. This RESOLUTION was duly ADOPTE - a RARD P. NG-ER, C IRMAN Approved for Filing AS400/ACTIONS.ALL/94-2-3 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) Date.....JANWARY........2.2..x........................ 19..9.8,... ,J 24611 Z Permission Is hereby granted to; .......ROBERT•••BONN.•CONT.RACT•I•NC...(.1.,A VCE........ .......P. Q'SON..55..................................................I....... .......P•ECON S C Y NY....1.1.9.56........................................... to.....CONSTRWCT•••A•••SECOND...8.TOPY...ON...AN..E.X.I.ST•LNG...ACCESGOR•Y...B bL.D•I•NG..6r• .........AP.PL„LE•D...F.OR.-AS...A...NQN.-HAB.I.T.AS4,E...SWS.L,D.LNC...E-X.CL,6Ja"A6... .T.().1-RS; y.D.v,(-1K, AND RAI ................................................................................................................................................................. ........................................................................................................................... ...................11...................................,................................................,.................................................... at premises located at................300.Q.....SOUNDV IEW...AV.E.................................N AT.T:Z:t:Wr.:.K......... I.................• .,. ........................................................................................................................................ CpuntyTax Map No. ....4. ZEIEO..... Section ...ORA............. Block .....Oas.i2......... Lot No. nn.,.............. pursuant to application dated ...QE.Off"itsE.R.,...T,!2...........:............ 19......`.??..... and approved by the Building Inspector. Fee$.......... �..... .......... . , �.�...I................I...... B Iding Inspector Rev. 6/30/80 ARC HITECNOLOGIES iAN�2 DESIGN PLANNING & CONSTRUCTION SER'VICES', ' I TOWN OPSOW'HQLID @ Town of Southold. " ' 53095 Main Road P.O. Box 1179 Southold, New York 1147,1 Att: Building department Re, Building ApplIioat-ion- ; ,for" an Alteration of Existindl ; Accessory, Building, Mr. and Mrs. ,Laveglla, To Whom it May Concern: " We are writing to youIn, response to the rejection of our 'oli'ent's building, appllcatlon.'.We repognize the maximum-restriction for' an accessory building is eighteen feet'. , Now It is our understanding that a, railrig of any-nature is"included In this height' restriction. We were informed that 'the 'hailing height is, the reason for the rejection of the application. , After a discussion with,our c"lient,a's, to the poss,ibi1-11tIes, It was deoided that the .raIIIng, and set of stairs IeadIng 'up to the-upper',deck wouId`'be,aIImInated : . The flat roof would' be the same, with Just"the subtraction ofthe deck and. rallingL above. We hope this `letter. cl yarifies any- problems,swith 'the bu(.Iding applioation. 1f " there, are any questions please feel- free to contact our-1office. 'Thank"you- for your time. - Your"s"tru,iy, Frank Notaro RA 6 Ff Y y y+ > t 0, B'I . Vav4E�Gn✓IA� Me- nab 100 MAIDEN LANE,N.Y.,N.Y. 10038 212-747-9112 FORM NO. 3 ADDED & AMENDED TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE. 3/6/98 To . . . . . . . . . . . P 0 Box 55 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Peconic NY 11958 . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . PLEASE TARE NOTICE that your application dated - February 11, 1998 for permit to deck and-railing and staircase- on- an accessory building . .. . . . . . . . . at Location of Property .. .3000. . . . . . . Soundview Rd. Mattituck. . . . . . . . . . . House No. Street Hamlet County Tax Map No. lOOO - Section . . . 94. . . . . . BLOCK 2 LOT 3 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . .Lot No. . . . . . . . is returned herewith and disapproved on the following grounds Under Article III Section . . „ . . 100-33B:3,accessory.building-on- lot s. containing between 39.,999. ¢„79.,.999 .sq.- .£t-. .zegaixe . . . such building be set back no less than 10 ft. from any lot line. Staircase of 3 ft.+or - . will now be within 9 ft. +or - of the rear lot line. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . Action required by the Zoning Board of Appeals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . ... .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . .. .. . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . .. . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . .. . . . .. . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . ... . . . . . . .. . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. . . . . . . . . . . . . . . . . . . . . i . . . . . . . .. . . . . . . . BUILDING INSPECTO RV 1/80 i i� FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATEe2/24/98. . . . . . . . . . . . . . . . . . . . . . To „Robert,Bohn, A/C, D., Laveglia , , , , , , , , , , P 0 Boa 55 . . . . . . . . . . . . .. . . . . . . .. .. . .. . . . . . . . . . . . . . Peconic, NY 11958 . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . PLEASE TARE NOTICE that your application dated . .. -February ll, 1998 for permit to deck and railing ,on,an.accessory_building. . . . . . . . . . . . . .. . . . . .. . at Location of Property . . 3000 Soundview Rd, Mattituck House No. Street Hamlet County'Tax Map No. 1000 - Section . . .94.. . . . . BLOCK 2. . . . . . . . . . LOT . . 3. . . . . .. . . . Subdivision . . . . . . .. . . . . . .. . . . . . . . . . . .. . . .. Filed Map No. . . . . . .. . .Lot No. . . . . . . . is returned herewith and disapproved on the following grounds . pPl1€F. ArticleTTT . . . . . . . . . . . . „gGGt4oq ,100-33A, accessory building will exceed maximum allowable height of 18 feet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . Action required by the Zoning Board of Appeals. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . .. .. . . . . . . . . . . . .... . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . .. . . . . . . . . .. .. . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . ... . . . .. . . .. .. . . ... . .. . . . . . ... .. . ... . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . .. . . .. . . . ... . . .. . . . . . . .. . . . . .... .. . . . .. . . . . . . . . ... . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . ... . . . ... . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . i . . . . . . . . .. . . . . . . BUILDING INSPECTOR RV 1/80 c2 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG LEG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL j- REMARKS - _ - ` - v a DATE 2 INSPECT 7Z2- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ l FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: DATE B �� 1�8 INSPECTOR • 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ) INSUL [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE F U INSPECTOR i 765-1802 BUILDING DEPT. INSPECTION [ XFRAMING ATION IST ( ] ROUGH PLBG. [ ATION 2ND [ ] INSU ON [ FINAL '"/ [ ] FIREPLACE A CHIMNEY `yf REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P G. j ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREP & HIMNEY REMA S (� DATE INSPECTO BOARD OF HEALTH - Ii FORM NO. 1 3 SETS OVPLANS .C. . . . . . .'. . . . . . TOWN OF SOUTHOLD SURVEY '.. . . . . . . �� '��jy,tg� IIID 4YYY BUILDING DEPARTMENT CHECK-# .4d J. . . . . . .. . . . . . . . . . . �Y1 TOWN HALL SEPTIC FORM . . . . . .. . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 -' r W itr TEL: 765-1802 NOTIFY: CALLW. Examined.......... �.�...., 19. - MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved......- .�. �G194rta Permit No. .:..,..-.. .w_ .................................... Disapproveda/c ... iZ�<. ........I.... .................................... ........................!........................... x (Build' in tor) APkLICATION R BUILDING PERMIT ' Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Bmuilding Inspector with 3 sets of plans, accurate plot plan to scale. Fee according, to schedule. b. Plot plan showing location of lot and ofbuildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 BERM, MAW to the Building Department for tine issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Soutbold, 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 comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises am] in for neces� spections. �..�. ........ (Signature of applicant, or name, a cotlxbrati (Filing address applicant) State wlneetlber awl i"ptis owner, lessee, gentTarch..igtect, engineer, general contractor, electrician, plumber or builder. ................-'In...................... tI................................................ ................................ time of owner of premises .... ............ (as on the tax roll or latest deed) I£ applicant is�..ee anon, ai tore o£ duly authorized officer. �C ....... ............. Wme and title of mnr(Frate officer) VVVV Builders License No. Pl.udbers License No. ...."A............... Electricians License No. ..................... . Other Trade's License ND. .................... 1. Location of land on which proposed work will be done............................................................... House Number Stree7ett./ Hamlet County Tax Fp No. 1000 Section .../..!.......... Block ....2.......... lot ......3 Suixlivision ...................................... Filed Fp No. ............. Lot ............... KIM) 2. State existing use and occupancy of.-7premises and intended use and occupancy of prpposejl con~tl�^ a. Existing use and occupancy .... 72 b. Intenxled use and xcKupancy ., j /y ,Q�,.. :.......... ....... ,� k TR .. rfL�Y K1t�Jli�'D.c gtr•e ,�bl4yerr,?mei t�dirfgmll 1 3. Kitore of taut ((9(ec:k wld(li split � �}ictthle): New Ikrildint; .......... Addition ....'. k .I, t 'o .... Raltair ............ Itettoval ... ......... Daunt It ion ............ Other Work .... +.......�. �i .I p]; ... j[ >Nacf� t3on):,,.�. 4. L'stinatecl Cna,. v .... .i, l Flt ./.v........ Midaer(of. dwelling units each f A,. 5. If (iaelling, ixnlier of okae113ty;I�tunife G g lour .. q......... Ifgarage, onber of cars .....L......z ........................ �1 6. If Ixainess, commercial or art 11 occupancy, specify torture and extent of each type of use.,/� /.:............. I n Ikaens ex es, 1f any: Pront...� ...�...._ Rear :'.3 .... Depth r!l.�........ ...,. g Mrdrer of Storles .... � 7. ons Dimensions of suite stnicLure with ..•.•..,. •'., I -itiikt ... o' existing etnu.htrlat is or nkliCions: Front :r c?:�:'.:.:..... hear ... Ilepth ��nr� (_........... Ileig�nt ....�( � ., Mn(mr of Stories ...7 .......... 0. Ohttensiam of entire new construction; Front .2 T....3!...., Itear .^Zy:.3/!... Dept It y. �..... ......... Z--- Ileip;ttt .....:......... Hither of Stories ..................... 9. Size of lot: FronL ... ....... Itear ,lSq;.j!3...... Depth .�J...r 10. ILrle of Rn'chase ..............I....... Mine of Footer (leaner ................... .................... . It. 'lace or use district In width premises are situated .............................................................. 12. floes proposed construction viollate any zoning law, ordinance or regulation: ...,r.`✓..�............... 13. Will lot be regraded A/A)......... Will,excess fill be removed Cron pretnises: YES OU) Noma of Owner of i.Al' L. �U:���� ..`... tukiresa ...�G:rT i:`4�1/ ` ,.��� L�. Phare No.�c ,.77% 2 p—Yyn Nente of Arcldtect ....... .. �y U Mklreaa P:l-f:"-:^�!�........... I'Iwne No. Nome of ConLractor .. %j tY Q:............I1none Nn. 15. Is this property within 300 feet of a tidal wetland? * YFS ....., .. NO . ........ *IF YES, S(llfUND IMN I#11aug FL'llhii'1' MAY 19d m(XTIRED. PLOT DIAGRAM Icx ate clearly and distinctly rill buildings, whether existing or proposed, and indicate all "t-Irack dimensions fmn property lines. Give street antj block nnher or description according to (ked, and alnow street nares and inlical'e wlteliter interior or corner lot, Od i5f jp-� Ili (i l'A'll, Ole WW-Y""" ... ....... . ............ .....................laini; duly sworn, de.pxnses slid says (lint be is the applicanl (N;NIK! of inlividnotl signing cool.racly alxive anted, . ft, Ilein the ....... ...........................................':• ......... ((bel recon , al;ent'jeorporate officer, ere.) of said owner or cwmrs, mxl is dulylsulhorized to perform or Nerve perfoumd the said work and to nuke and file this application; dial. all staletent-a coo�aind in this appii(:aLion are Into to the Treat of his knowledge and tellef; and that lite work will Ire perfonned in Ilte manner set forth in the application filed lherewifh. Tkaoro to belo a me (his ........ ; .day { i` 1 /7 ....Naary Bit .. , (Si nature ofrivijeallL) No1MY Yojlt �' . cot 1>,e d HEALTH BOARD OF IFLANS •. ./-. .• . • .. . D 15 is FORM NO. I 3 SETS 0�'/PLANS .a.'. .. .. . . . . . . . . TOWN OF SOUTHOLD SURVEY.. . . . . . IF low BUILDING DEPARTMENT CHECR4.-=J. . .. . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . .. . . . . . . .. .. . . . . a,e EPT SOUTHOLD, N.Y. 11971 ' 8LO6TEL: 765-1802 NOTIFY: CALL .7s-. 11l.�. . . . . Examined..........%r � ., 19. 77f� / MAIL TO: . . . . . . . . . . . . . . .. . . . . Approvcd......f• //. �� , 19 .4? Permit No. 1.�. .................................... Disapproveda/c .................................. .................................... ...................................................... _ .. ... . ...'�f�...... (Build' In tor) APPLICATION R BUILDING PERMIT 'Date. . . . . . . . .. . . . . . . . 19. .. . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and milmitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property most be drawn on the diagram which is part of this application. c. The work covered by this application may not be commnced 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 HE M MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 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 comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in g for necess spections. .... .... .......... .. ..........qa .,...., (Signature of applicant, or name, corporation lel . (Mailing address applicant) State whether appli is owner, lessee nt architect, engineer, general contractor, electrician, plumber or builder. ... .......................................... ...... .................... ...... .. ..... Name of owner of premise �.. a...dllLl� .... ......... .................. (as on the tax roll or latest deed) If applicantis ation, si ture of duly authorized officer. . .".. . . .. ...� . .................. title of corporate officer) Builders License No. 2s— ./•� ^ //•• /•• ...... Plumbers License No. ....STA............... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. ........................... `. ... ! ..................... ..................................... House Number Street Hamlet County Tax Map No. 1000 Section ...9. ......... Block ....Z......... Int ..... ........ Subdivision ...................................... Filed Map No. :%............. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of can ti a. Existing use and occupancy ..... ��:.. ..... ....... .... ..... b. Intended use and occupancy -.....`.�o�..�.......... ................ .. Aj G (tea V v � k'rs1' ?ii g5maR:..�b2Pu0 al ' p� 3. Nallure of work (clieck wduidi applicable): New Building .......... Addition ....Eli!+ . � .r...rt..-.1 Repair ............ Removal ..�.......... Ilermlition Otber Work ' . .. .. . . ... acription) 4. Estimated Cost ;7. ......... fee ........ 1Iit1.r7QJ . , (to be paid on filing i s applYc'atl 5. If dwelling, umber of dwelling units .16' ..... Nurber of dwelling units on each floor .."A"a..... Ifgarage, nu ber of cars ....J.......2 ........................ G. If business mmmercial or mi occupancy, specify nature and extent of each type of use..A�./'A............. 7. Height ....fex �s, if any: Front...11-. .3..... Rear v�^.:3...... Depth .�........ ' i Nniner of Scoriae ,.... Dimensions of same structure with Dmnebdnarms o existing stnichm,ltli alterations or esadditions:....... Front ....... Rear ... Depth ........... Ileialit ....1 f........,/..... Umber of Stories ..."�........ R. Dimensions of entire new construction: Front .i;7.:..3 if le Itear . 'Z� .3,.r... Depth �5�-.O..... 1 leigilt ......................i. Naber of Stories .......�:.... ... 9. Size of lot: Front ...7/.e.'U.Ji'�........ Rear ..Aa !!3 !/ 10. Nice of Purchase ............. ....... Nrn of Former Owner ........................................ 11. Zone or use district in whidu premises are situated .............................................................. 12. Does proposed construction v��,iollyyyate any zoning law, ordinance or regulation: ...,��............... 13. Will lot be regraded ......ry fir......... Will excess fill be removed from premises: YFS • 14. Nanus of Owner of ise�_ ./�/ 'q4l�..... Address ...��� " .�6�!� n -9g -1712- . ..... Phone No. ............. N:me of Architect M.....: Address .��........... Piione No. Plane of (omtraccor ?-; .... .. Address ... .............. I9rone No. .... .. 15. To chis property witbin 300 fee's of a tidal wetland? * YRS ........ ........ *IF Y13.9, SOIIII[)IA M4N 1=11RS PLRMIT MAY IYd W- piR19). PLOT DIAGRAM locate clearly and distinctly All buildings, whether existing or proposed, and indicate all set-back dimensions from property linea. Give street and block Timber or description according to Gleed, and shwa street names and indicate rdmetmer interior or corner lot. N -2'Qiyn�Atr•'<— Gi2Ky'� rKdQ li •.,� Od `�� ....... ......................... ••••�•• .........being duly sworn, deposes and says that be is Elie applicant (Nape of inlivickml signing ccxicracC),I above need, Ikin the ....... ...... .................................................................................. (('outracUn , agent, {•orporacw officer, etc.) of: said owner or owners, and is dulyithori,zecl to perform or have perfoured the said work and to make and file this application; that all statements ecnt�idned in this application are true to Elie twat of his knowledge and Ixil.ief; and that Elie work will be performed in the manner set Porti in Clue application filed therewith. Sworn to bet/\a eC.)re this ��✓ C .........�.�. /ATJd"ay 9� C...19.:��. ry Pus lic Nota v J,-.. .. ::.. ..... ... ... L ( h ,nature of Appiicaut) No1MY & 11Ytlrj [/Ij/ .s- zze-¢z'od'cc aoa. 00 �-� sue v�y o� .o.Qo�E.ery �x,• ,�' /KOC✓' W000 FENGc le E.�/. DN GiN� MON. ���� covvTy Ti4X MAP v ; GiST.2icT/000 SEGrio�/ 94 , C3Go G K Z TA�t LcT 3 l TO�.t/�/ O� Sot�TiS/OG G v!il TQX ' � m p V Gc/RR. To: 35-34- az73/ v tV p O �' � �.eEs�„,�• � U � � 3 ��QSr AmE.eic.4� TiTcE i�vB�,eR,vc pQS,/ 50- s�m3000 vQ co.�-,PA.vy of �/Eu✓ yo2c f tR oa = 19�—_ -_ -- .— I 2E5//�gn/T/AL inpRrGAGC $FFN.lin/G nuc .. �y , wooD 09 P /, N i 7 f/�2E SA PE ✓A SK o UZ4LRh;DBEu SPN.aLT ca�..cwgy AS ___ -_ P_ ��-- `• Ny�. `F.- Fy y (r1 LOUIS �q` 4Y_ ' N , JR- Lo �V o " oo/ LAN ` X 229 R N� � SELDEN. N.Y. 11784 N.Y-S- LIC. 7225 (516) 698-4 429 SLPVEYED %l"L'' /99 z DIST. SEC . -04- BK . z LT. 3 s 2z`-¢z'oo' zo F�o Sc%2VEY 47,=- PRoRE�2Ty s�,- fND MON. � ( �O(✓� WOop FCNCLt to!c N, pN GiN� S(���O�IC CO(�NT7 T�X �A� t' D/STie/CT/OOp SEGT/0/�/ 941 C 0 A7-M.QTT/TG./c. •< TAx �-ow�ly o.� soc�T.�,�✓oma a a y t CeNG- ����r sbr L 5', o I- C G�/4R. Ta: 3 4 o Q O / f FRFs N - V 2U q u /jG AC KSTO-VE A.C35 T/2f�CY CO.eP QES 0. O S / scr "`� 2 ��Qsr AmEe,cry�✓ Tirc6 i�vsrrRRNc � � Gpy,PANy of �✓Bw j/o�K 0 'r di 3z.9 3k A ' k � .PE"S,OEN7iAG �p?rGAGC BfiN�iNG iuc. wa00 Oa ��J'/ 1 I ? T,�•.�E2E SA PE.✓A SK O vi G 1111 f - _ j �.. -ASPNRCT O.Q..iE wHY _-• _ (__-•�`-_-_---SpNHG-1- '1 -- - --- --- --------- -- 112, p c��� : moo f FNO• LOUIS .�,' 2 o AN, JR- LA OR PEI X 229 SELDEN, N_Y. 11784 ' S161 698- 429 S. PVEYED '14le->' e-�, /2" z DIST. SEC . 94- BK . z LT. 3 G�N�l2AL NOTES; CON5112UCIQN LI�CENP : POOR i t �LE�CVICAL L C4�-W I. Sf W+•DEgrgl ifA4t'�N (a w1M Au Srnn T. M cONtkncrAz syLL Ar,,u.nMEs KEEr Its nCnYSEs A•EMl MID VAIM,D FAI 1/z' u1Tar+l= rte c� s M' EwSrwu E'1r11 w.leck`Prr/•a.E Ok m1W'1 eac fo LUMCI -� WW CVl_M\wru. MaNiw JjMCrION vac. W��N+' MMI<1�p�jp'k;�v N•n LNII2ryNJGCs vE as5wON5DI.0 Tae�M(N)'L of II.L ICD.vIFI r ru fwvxs ..•-r NEwN'erkpxiE�d4k� wNrnTION -2" x a^ sous.v Z" cmt rLYwmaD. I DCK,Ik- I -a'O! i•� L� Ij`.cOPFser IP+F/+IOk/�'J-v rnscoNNEc+EG wim!!w"umtON„ I�CePr. .D ek5r N 9'f75 �y�.L qt O pomlY1'+Es-cF3REk rm.ffl lk q..,� �T �� �`4Ii1s D.,OyI'�CONS791CfION MRKMES. rRQM'M1s JOvsHE W,E%NJORsk N�MIC�MCNf 15 AAtL'D IPON MTK k-19 FOL r/CE HA1 1y NEW GEEING\WHA- Ma.NfED JINCTION va(EXf.LICl1f W\tWl-SPOTS. 2• rWliS A4L _-" L r4zn4S1 SIDINGI WOW IC WAR sWOfC 5!)IM1Ir 6 E> , . I E / O C1AR�'. 9ALP5 NRw WN.L mr"y ELEC1k-&IQrfIGLE("LUIRON DECGRA") vl? WITH s CeRfIFIr4 5 AM 8. MN"CXTRA$" FOR CFWJGEs GR LCGMAMTC UJ' COFnNIONs X 4' Clvlo 7pI,IL 6" CLF7/�PMCFiOIQ'Ek•DS..N•L ro vE • 2 I s N kdl lAlE1p �COIYL. ak,4'PkOvt•D E L DOQNKN2D WITH TFs COST Fa¢N'FIMJV WDEWNRRi " 5i p� NCW GEEING MaNIED Jl.ILiION DOA FOk FNJ\LIA1T.FkOvN7C IU- (" 5Hµ & TFs OWFsk OR ppR� 5 UDOf' NN WM11YW P"OH M'I-CD N:CESiJK'/CONRd06 SMfOiING FOR "FAlJRR" FMI UJFf. GT[NS&ENP MWR TO 5TARTM tFE APPftI K V410W M RDINSfN-LMnON, AD"w,,WiF10=.OPP^ #� NEW wM.L MOIN,Ed DU'tEx ELEC'fRK1t- K4E(CROUD rMlr INT.) Ml 5, M pt W,&L CE OVONWZ rac ALL DI NSICNS MID O woDV RN5>Fb PAM-1200Rv, dl' MtOVL2 WMERR?OLT Loa:NK1G wHCN ON ExRRIOR WKL• CONlT1 1 C>1J M JCAAPu M ARORRCf OR u�MNJKlR 9. IFE CONIIrAcf 5 est f�IOr WTI�S FOR KL SrECW.K MUST IJoTTCD Or MN VMOAfIONs►RC1&M DI S'IONM• (Mµ EfLJ TOR 5 &vEFORe ...P New INTERIOR pNMRaJ -21' x 1" WOODS I/2 GWSUM DOARD NEW WN-L MaNTED SCrARAM CW W R"Y,ELECTRICAL W47-Fr LLE. I.EW fd°CE55ED DO.M Y-ICi'If. IOPN..<LI6Yf0.ER OR MPPDvID EOUy.). QLp ON'TE 7�T N. WORK 15 NARMP. vORT SRS<SLlRW NTL..) f�y1g15 S I/2" C=L NM70p DAME 51 M %i" TOO WLLk L•FW L MNERINS (O.EAR r1W OR MP.EOLVL).SME PLUS OW FINISH COATS. 4UfRaJ DECORA" OR N'1'IdMD EOUN-). NJ? Ncga' IN'M DE U•Le% 10. DOIDLE ENDER ILL PARTMONS PNtN.LEL i0 FRAMING AM NEW SMOKE DETECTOR, CELRJG MOUJfED MD HNTDIMRED. VOCREG,AMP N-L VV" or OOW OlW-m. p�(rR7E'D�yLE.FV=JOISTS nr A" ore"W5.om ro TW ©cN19Ef-INsrNLLCD eV CW,"O" S/+" LA.F.WVOW SLUR. WINnOW Np : M.' NEW WALL %WCH("WMOIJ DECORA" OR APPROVFV EaW-). � PA LIS AM W FOR rmwv d ONE WAR FROM CON5IRIJCTM DOCUMEM5 FOR$75. II. RAhw FEEL g1f5 AT A" MININ M.W}EW Ja5f5 AM NOrcrED TO "2. 7. OR 1" INDKATES 7W0 WAY.TFId!E WAV.AM�WAV /^\ S. M TOR 9yiL EE RE�ONSEI.0 FOR MEQW7ELY SFA `r AJ'D W 5O n5 iO RL`D110E REAM DEPTH, USE PRIMO IRONS OR CLAD WOW NyI1701M'( t{ WrOV"OIMIRMA9E NDRD) .w• MW WN.L w foi(-www MCORA" OR NTP.A'ED eouk) ID'�Y AU.WCM DV4 CON*MUC'fION AGVNSr GAMALL. W1.VVANIM Wf&COWZCf0R5. �j/ 1 55 w1AGaN 9NOM INDICATES"LUTWN%Ve DIMMER" PsfORf"AMMIS&ILa"WACCORI7MIG FN� CAY NOTS5: 'A1,DCI[5CN". E' OENoTCS To sPrLx:MLe" - 12. ALL �NG LUEMER TO a DOUCLA5 FIR NLWV"TWO CJR9'T�(CONSfRLIC'RON CRAVE Q� FEW WALL MOWfCD TEL.CPFI01•s RELErfALLE. 1•/�-�I 6, M 5144LL PAY FOR&L I°�'RMH5.ppEEEC5,AW COSTS U!I.ATED i, AM l Tp OF TH6 CONiRAOf % ANOhER ARR* AWW 15 19. hE O�f.Ek SWLL PkONEI NJ-LKMfING FIx711s5 W,E%ORsfM15E K`W Cx1CRICK W�&LS-2 I,6" WOW 5f1 V R-Is'rol.PA HGH GtN51fY O AWNXJC - L�JIMM M CLENf\ NtJOO(�ED ALL OfFL'R ELECTRICN-EQLNNENf MU MATefON-5 f0 DC INSILATILM ov"CwRINrncci7" OR IFPROVID CONI.. \J SU'rLED DY TH:ELECTRIC&CONMALfOR.NL CLEC'll G WORK STALL NEW ROM -R-50 HL21 DCWAIY KWf PAMR SV"COMAH P' OR AM,M. O „M MMN" FM-1RAMf W NPMC SP VJFJ vE EJ ALW0WANo wTIH Tts mus N•D��J,AT06 OF M N.YDI•U, M©A N.YDF•U.CERTIFICATE 15 i0 Be P05VNMP TO M OVO•ZR AT COMM-Efm or SFE JOS. NEW YM42CN6-LOW"E" 17.A56 INSULATED. —I © U4'MSNf-1 -CW 15¢ I— Ex1511NG 9XIMOR I A"TIONS- NO IN51-A1I014. 1111111111W FIXIL O � z I I � NNW I I II I r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � Q ■x� I oI�iFwrf C7abf.Ctl1.IhIG� V I .. W-m — AIVW �fDOCIORS. I � - 511 I'�AN rae 1y1 MR.a MR . A wwY MMO11ON: ML�VAWN 5C.&C,I" -40, S.C,TJA,RST.loos SCC.v+ ELK.2 CFL�Wy+'DU,SQ..ru. cwm r0515 SL.OYIILf rm , 7 "LNLN'24.(MJ ' f0p. NC Wf. r — — � r — I Y 111—II- -I - - - - - - - - -I—fI I �L�'a�swne�.x..a��e�ae „r.:.. — L _J INE m OC(K 2"xla'rJ 2-r'xla'CLA)—_ I I H O1 I,OCAnON(7 rt* x — � OCCUPANCY 09 ' IylEq'ydJILN- LF?(¢12E sc ra,n.> .o�Paoe1vw.r�naLeLe 5 USE IS UNLAWFUL VVITFIOUT CERTIFICATE ' V � wm1'r�.YWOap• �; ._ � i �\ r / OF OCCUPANCY Newsrrnz: { I / O . � � AK p55rN55 a OAK M. mom 1 1 r � X � LH u _ J 1 _ _ UPIDERWRITERS CERTIFICATE 'tl7 {-I} REQUIRED - � 2 FMS 010! y rroY.FewnJdtaaae b.2,.x la'CONT.WM 2+oil V.1,1 , 1 \ 7a{-1� �� • � , `� a"z w"u�le"oc. 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