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Home My WebLink About23361-zFOI~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24314 Date APRIL 29, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 55 BAY AD. & 1625 SANDY BEACH RD. House NO. Street County Tax Map No. 1000 Section 43 Block 4 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1996 pursuant to which GREENPORT, N.Y. Hamlet Building Permit No. 23361-Z dated APRIL 10, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ROOF DECK ADDITION TO EXISTING DWELLING AS APPLIED FOR & AS PER ZBA ~3465 The certificate is issued to ROBERT J. & ALICE M. SMITH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Building Inspect~ FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT NO~ (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Oote .............. ~ ....... ~ .............. ~9..~.. 23361 'Z ~ursuont to application do~ed ........................ 19....~...~..... end opproved by Building Inspector. Rev, 6/30/80 TOWN QF SQUTHQI.D BUILDING DEPARTNIENT TOWN HAIL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gronted to: , .,~.~~..~~ ...................... ...~..~~....~.:..~.,...u..t.~.../. ,o...~.....~.....~~~ ........ ~......~ ................... at premises located ot .Lk ..~...~...:.~.~..~..~ ....... .~..~...~.~.....~...; ....... ~~ .... '~::~'"';1'";"": ......... ~;,' .......... ',~"~'~'":';'~,'~ ............................................................................. Z~.....Y.~.~.....Y...N...~ .................... ..t:.......,3:. ............................................................................. County Tax Map No. 1000 Section ...0...~...~ ......... Block .....(~...~. ......... Lot No ..... LJ...~...'~.. .......... pursuor, t to opplication dated ....~.~....~...~.~"~ ~ '"" '' ............. , 19.~A~.,~/ Building Inspector. Fee $....~....:.~ and approved by the Building Inspector Rev. 6/30/80 ln~pucco~ wi~l~ ~h~ folLo .. 2. Filial Approva~ frol~t II,nlrb Dupe. o~ water ~upply and ~werage-diaposal(S-9 ~ chaa 2/~0 of ~Z lead. re~ponaibl~ for ~he beildinz. ,.. bu~lding~ (pr~oc CO April 9. 1957) a unusual natural or ~opographic features. 2. A properly COll~pl~Ced apl)licaciou a~*d a co~sen~ 1. Cercifica~ of Occupaacy . New dwellin Al~uracion~ ~o dw~llin~ ~9~ an ~...~ g $25.90 Addicto'us Co dwelling 25.00. -. burc::ic~c~ og Occu~a ........ ~'~ ' .'-T' ..u~nu~aeu $50.00. ~-~u. u~ uc~upancy - Resxdenct~Z $15.00. Commc~cia~ $15.00 County Tax Hal) Ne 1000, Seccien..O.~.~.%..L]Q .... ~lock..i .~ubd~vzsion ..... . ........ ........ ...... ........Fi~ed Map. *length Del)C. Approval..,., ..................... Underwri · '~anning Board Approval........................ {,~quu~c fo~: Temporary Certificate.... ....... Flna% Curt ~ple residences and similar buildin~ :y lines, screecs, building and Co inspecc signed by the appiicanc. ~dl~g.~nspeccor slxa~ acace the ?d)PLIQ FI~ELD ~NS[JECTION 1. FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. sTATE ENERGY CODE FINAL ADDITIONAL COMMENTS: .~. JOEL DALY Home Improvement 52 Wilmartll Ave. Greenp0rt, N.Y. 11944 (516) 477-0529 Proposal Submifled To Doposal Proposal No. Sheet No. ~ Work To Be Performed At ..~ ~ ~mlo 5~,,'~ M~ .[ Architect ~ ~% %~ Telephone Number~'" ...... " ~ We hereby propose Io furnish all the materials and perform all Ihe labor necessa~ for the completion of All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a subs~ant~l workmanlike manner for the sum of with payments to be made as follows: S ~" ..... t. ....... ig,-nt;nns jnvo vina extra costs, will be execurea o y p Any alteration or oevlalloo tram ~uuv,a ~,~,- ......... become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our conlroL Owner to carry flre~ tornado and olher necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Respectfully submitted Per Note ~This proposal may be withdrawn by us ~f not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ~ _Signature Accepted ,Signature Date $2 W1LMARTH AVE o GREENPORT. NY 11944 · ($16) &77-0.~..9 INSlJRED ~OEL DAL¥ m h'IAP · ' SUP. VE-YE D - AT' TOWN CF .;~':J, t-.~.~_. ,~,"' ~., I7,X::)r,I PIPE. ' . JOEL ,DAL¥ BUILDER ..... ~"~ RENOVATION TRIM WORK L~I,~.~ ADDITIONS ROOFING NEW CONSTRUCTION DECKING ETO insured Lic. #13068HI 477-052. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date , ,, ~ ................ , , To .~. /-. ./: .- ' ..//~.~zow. c ......... for permit to C~'O~'. ,'~'/~.~.'~..,~,4~/O./.~./.O/~Z.. ................................ at County Tax Map No. 1000 Section .. ~ ~ ..... Block .. O.~' .. ~t .~ ....... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds..~..~..~.4:'-./£Z&'~.O../~..../~.~ .... · .~m.~.. ,~.~. ~.77.,~.~.... ~.F-r.,~...c. .... ,,~../~:~..~:,..o.o~...~ .... . ~'~ .~.....'77,~,z .... ~..,.~. ~....~-~z~o...~ ,~/~,~-~..~t.. ......... ...~.~ t,,-~<¢,.~ .... o.~,=~.../-~Z~.~a..~..~..,Z.~.~.-7. ......... ..F~-~,,~.. ~.~,~..,~.~~.... ~.¢. ............... .. ~,v.~ .~'~77~...'-'T.~....rf'/~,~:.. ~,x~.~. Building Inspector RV l/SO FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL · .~.~.. ~..,.~I ..... ~.t.~I.. PLEASE TAKE NOTICE that your application dated . .~. ~:~....t~....~..~ ........ , 19 ~..~.~. for permit to ,~'~. · · · ~...~. g~.~, .~..~.~ g-~....~ .................. at Location of Property . ].~.~'. ~.~. ~_ u.~ ~ ~ ~ ~ ~ ~ , ~o~ ~o. ~ ' ~/o;i ' " q .....t' County Tax Map No. 1000 Section .... ~.~ .... Block ... ~.q ....... ~t ....~ h~ ...... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on ~he follow~g grounds ~.~ .~..~.~ .... .................................. .................. RV 1/80 January 13, 1986 Mr. Victor Lessard, Building Inspector Southold Town Building Dept. Town Hall Main Road Southold, New York 11971 Re: Vrankovic, Velimir and Heda 1000 - 43 4 45 Greenport, New York Dear Mr. Lessard: Enclosed please find building permit application made on behalf of Velimir and Heda Vrankovic, owners of the subject property. Mr. and Mrs. Vrankovic purchased this property in 1972. Enclosed is a copy of the certificate of occupancy which was issued in 1967. After purchasing this property, Mr. and Mrs. Vrankovic had a deck constructed on the roof of the cottage across the front of the property. The builder assured them that he would obtain all of the necessary permits, but he failed to do so. It appears that the deck was constructed without obtaining the necessary permits and further, that the deck which extends across the front of the house violates the front yard setback requirement. Page 2 Enclosed is a copy of the 1972 survey of the property showing the existing dwelling. I have sketched in the appropriate location of the elevated deck. An updated survey has been ordered from Roderick Van Tuyl and will be provided for your file and for the Zoning Board of Appeals, with our application for a front yard setback variance for the deck. Please forward the expected denial of this application at your earliest convenience so that we may appear before the Zoning Board of Appeals as soon as possible. Thank you for your cooperation. Very truly yours, ~±ll±am D. ~oore WDM/cas Encs. cc: Mr. and Mrs. Vrankovic Mr. and Mrs. Smith TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. r. ERTIFIP. ATE E]F E]P.E:UPANP. Y No. Z. 2~.~.~, ...... Date ............. 0eto~e~. '19..., 19.67. THIS CERTIFIES that the building located at .l~each. & .Inle.t .Road ..... Street Map No,-~, ......... Block No...:~:~ ...... Lot No. ~ .... (~p.~lT1;e. ~, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY.. 28, 19..6~ pursuant to which Building Permit No.. 2~2~. ~ .............. ~c~m o~' Sou~;hold dated ........... ,~u~y ....~8.., 19.6.~, was issued, and conforms to ~ require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . P,r:l.va.~e. om~ .£¢~i'l.y. d,l¢e'~ ~4~ ...................................... The certificate is issued to . ~r_~.g. qr~..F.i.q'q~.~.l.l.~, ....... . ~0k~.q~ ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval l~lblic..~ta~/I~o .othel~. a~I)l~al Building Inspector 52 Wilma~ Ave. Gre~p0~'N.Y. 119~ (5~ 6) 4~5A9 Work To Be Pe~ormed At ;~;~o;al SubmiHed To Telephone Number 7~ /~' We hereby propose to furnish all the materials and perform all the labor necessaw for the completion of All material is guaranteed to be as specified, ~nd the above work to be performed in accordance with the drawings and completed in a subs~nt~l workmanlike manner for the sum of with payments to be made as follows~ · ~ , ~~rders, and will Any alteration or dewat on from above spec~ficat ns m g become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our conlrol. Owner lo carry fire, tornado and other necessary insurance upon above worh. Workmen's Compensation and Public Liabitiiy insurance on above work to he taken out by Respectfully submilted Per ~ Note ~ This proposal may be withdrawn by us if not accepted within days ACCE~ANC~ OF PROPOSAL ~e above prices, specificalions and condilions are satisfactory and are hereby accepted. You are authorized ia do the work as specified. Payment wlil be made as outlined above. _ Signature .. Signature~ Date ' ,"~':i i~ 2 - Appeal No. 3465 '~ter of VELIMIR AND HEDA VRANKOVIC ..,actsion R'endered April 16, 1986 4. It is the opinion of the board that the /and character of the parcel !n question lends ~practical difficulties in th~s case, and the the reasoning of the appellants. unusual shape itself to the board agrees with In considering.this appeal, the board finds that determines: l~l that the relief requested is minimal under the circumstances; that the character of this residential neighborhood would not be adversely affected by this granting of this variance; (c) that there is no other method for appellant to pursue other than a variance; (d) that the granting of the variance will not have an impact on available governmental facilities; (e) that the public health, welfare, safety, comfort, convenience and order of the town will be served by allowing relief; (f) by the granting of relief as. condit(onally noted below, the spirit of the zoning ordinance and interests, of justice will be served be served. Accordingly, on motion by Mr. Grigonis, seconded by 'Mr. Goehringer, it was RESOLVED, that relief be granted as noted below concerning the Matter of the Application of'VELIMIR AND HEDA VRANKOVIC under Appeal No, ~65: .. 1. That the second-story deck be located no closer than 18 feet to the southwesterly corner (nearest point), without removal or affecting the location of the spiral staircase as exists; 2. That all~ necessary building permits be obtained. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen and Douglass. (Member Sawicki was absent.) This resolu- tion was duly adopted. lk May 13, 1986. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [] FOUNDATION 2ND [~]FRAMING [].FIREPLACE & CHIMNEY REMARKS: [ ] INS/ULATION [/~NAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. Sol,hold Town Board o£ Appeals ~vlAIN ROAD- !~TATE ROAD ~5 ~$OUTH{3LD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3465 Application Dated February 13, 1986 (Public Hearing TO: William D. Moore, Esq. P.O. Box 973 Cutch0gue, NY ]]935 3/]3/86) [Appellant(s)] as Attorney for MR. AND MRS. VELIMIR VRANKOVIC At a Meeting of the Zoning Board of Appeals held on ~pri] ]6.~ 1986 the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Lawr Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section Request for Variance to the Zoning Ordinance Article III , Section ]00-3], Bulk Schedule [ '] Request for Application of VELIMIR AND HEDA VRANKOVIC for a Variance to the Zoning Ordinance, Articl~--fI~-~-6-6%iTb-6~k Schedule, for approval of the construction of second-story deck addition with an insufficient frontyard setback. Locatio? of Property:.~152§ Sandy. Beach Road (a/k/a 55 Bay Road), Greenport; NY, County.Ta~.'Map Parc.el,,No.~lO'09-43-04-45. WHEREAS, a public he-aring was in the Matter of the Application of Appeal No. 3465; and held a'~d concluded on March 13, 1986, VELIMIR AND HEDA VRANKOVIC under WHEREAS, the board has considered all testimony and documentation entered into the record concerning this application; and it is noted for the record that no public opposition has been received; and WHEREAS, the board members have personally viewed and are familiar with the premises in question, as well as the surrounding area in this Residential and Agricultural Zoning District; and WHEREAS., the board made the following findings of fact: 1. The property in question is a five-sided parcel and a corner lot as defined bY Article I~ Section 100-13 of the Zoning Code with frontages along the west side of Bay Road of 100 feet, the north and east sides of Sandy Beach Road of 122± feet and 34 feet, respectively, and is identified on the Suffolk County Tax Maps as District lO00, Section 43, Block 4, Lot 45. 2. The premises contains an area of approximately 5,000 sq. ft. and is improved with a one-story, 952 sq. ft. framed cottage set back 27 feet from the westerly front property line, 20 feet from the south front property line, and 37± feet from th~ easterly front property line. 3. By this application, appellant requests approval of the construction of an 8' by 20'. second-story deck with spiral staircase which has an insufficient frontyard setback from the southerly property line at 14± feet as shown on survey map amended January 23, 1986, prepared by Van Tuyl & Son, L.S. .(CONTINUED ON PAGE TWO) DATED: May 13, 1986. Form ZB4 (rev. 12/81) CHAIP~N, SOUTHOLD TOWN ZONING BOARD OF APPEALS Pag~ 2 Appeal No. 3465 Matter of VELIMIR AND HEDA VRANKOVIC Decision Rendered April 16, 1986 4. It is the opinion of the board that the unusual shape and character of the parcel in question lends itself to the practical difficulties in this case, and the board agrees with the reasoning of the appellants. In considering this appeal, the board finds that determines: (a) that the relief requested is minimal under the circumstances; (b) that the character of this residential neighborhood would not be adversely affected by this §ranting of this variance; (c) that~there is no other method for appellant to pursue other than a variance; (d) that the granting of the variance will not have an impact on available governmental facilities; (e) that the public health, welfare, safety, comfort, convenience and order of the town will be served by allowing relief; (f) by the granting of relief ~$ conditionally n~ted below, the spirit of the zoning ordinance and interests of justice will be served be served. Accordingly, on motion by Mr. Grigonis, seconded by Mr. Goehringer, it was RESOLVED~ that relief be the Matter of the Application Appeal No~ 3.465: granted as noted below concerning of VELIMIR AND HEDA VRANKOVIC under I. That the second-story deck be located no closer than 18 feet to the southwesterly corner (nearest point), without removal or affecting the location of the spiral staircase as exists; 2. That all~ necessary building permits be obtained. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen and Douglass. (Member Sawicki was absent° This resolu- tion was duly adopted. lk May 13, 1986. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~ ~i~ ~ .., 19~.~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUI'HOLD l~ece±ved .......... ,19... INSTRUCTIONS a. This arp..~tio~ff~t~l~t~illed in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, acd~gt~ lfl~,~ ttYa~.$1C~g~ccording to schedule. b. Plot plangs~,t~i~l~l~c~n 8~at~l~fl~on premises, relationship to adjoining premises or public streets or areas, and gi~t~ ~ct~~f~perty must be drawn on the diagram which is part of this appli- cation. c. The worl~d~t~ tl~!~'~t be commenced before issuance of Building Permit. d. Upon ap~>ffi~l~f~l~l~ a~l~5~l~iolll,*ffa~%fl~ling Inspector will issue~d a Building Permit to the applicant. Such permit shall be kept on ~l~l~[l~8~l]~!~fo~[l~ction throughout the work. e. No buil~ I~t~r~in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, orfgr removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build)6g code, housing code,~and regulations, and to admit authorized inspectors on premises and in building for necessary ~ffPj~c~j~s. ~ ',~ . ...YF.~'~I//.n//I-'--~ .~-.I/-..~.~!~ ............. (Signature of applicant, or name, if a corporation) .3. 7.o...r.(xe.X .z..~.r.....s.v.v. ~..o.~., U)/.. ..... (Mailing address of appliqant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ·//f..77~.~.U~/....~, .~...v.~.v.~?.~. ................................................................... Name of owner of premises ~ .~.1~..~.l?.O..~.1 .&.. 4.- .q..~. L. ! .~1. t..F<...4..~. ?. ...................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber s License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... ~.~..~. ~. ~../~..~?.~. (7r. . ./~.O?. ~...<.~...~.~...F~.O./~..L? ..... Itouse Number Street Hamlet County Tax Map No. 1000 Section .... . .~.~. .......... Block .... ¢ ............ Lot...~..'~.. ....... '..'... Subdivision ..................................... Filed Map No. . ............. Lot ............... (Name) S'tate existing use and occupancy of premises ahd intended use and occupancy of prgp6sed construction: use and occupancy-...../~.~ :...~...'~...~.~. ~..x ~..~r~ .' ............. : ................ a. Existing b. Intended use and occupancy ~.~..~..~....~/~.......~.....X~....~ .~..C~...~ ...~.~.(~.. .......... ~ . i 'q:~vao,~otl~ po/g uo!~?![dd~ oq~ ~q~ pu~ ',Jo~Ioq pu~ o~poi~o~ s~qjo ~soq oq~ o~ onal o~ ho~oqdd~ s~q~ m poum~uoo s~uou~ol~s ii~ ~q~ ~uoq~oqdd~ s~ql olg puu o~ o~ puu M~o~ p~ej oql po~oj~od 'pomuu oAoq~ Oo~luoo ~u[u~[s I~np[A[pu[ Jo omeN) A'N ~H~ ~0 S/N~n~alno~a 1~ 9~HS NOII~O~SNOD ~sn~ NOi~B~S~O~ 'IVNId '~ NOIJ Vg~SNI :SNOIJ.OgdSNII DN,~O990~ 1V 1N~IBVd~O ONIQgINO Ad.ON J '~oI zouzoo zo zoFo~u~ aoy~oqM o,eo[pu~ pu~ someu ,oa~s ~oys pue 'poop o~ ' moq suo~suo~p ~oeq4os l~ o~eo~u~ 'pu~ 'poso~ogd so ~u[~s~xo soqg9y~ 's~p~nq I~ ~[~o~gs~p pue XF~913 o~oo~ ~DVI~ ................ oN ouoq~ · · · T ............... ssosppV .......................... .......... ~' ' '~N ouoq~ · · · T ............... sso~PPV ........................... ~ soX :sos[mo:a'mo~3 p~omo~ oq Ilg ssooxo II~ ................... ~' ' '6~' pop~So~ oq ;oI [B~ '~[ .................................................... po;~n;ts ' ................................ ....... q:aoa ..... ......... ...................... s°P°;S 3° :°qtunN ...................... · IX~ qoeo jo ~uo$xo pue ozm~oods 'Xouednooo pox~ xo Ie~Ozommoo 'ssoursnq 3I '9 ........................... ~ ............................ soou qoe~ uo s~tun ~uqio~p jo ~oq~nN .... (uo~g~or[dde. . s~ql. ~ulIg~ . .uo p~e~ oq 0~). (uoqdUesba) i - , ~!O~V~)A ~, f'~;f'!C' J~ ,~4~ aFOR~~ NO. 1 (., , :Lt~ .... T~ OF SOUTHOLD ~UILDINQ DEPArTmENT TOWN HALL SOUTHOLD, N.Y. 11971 Disapproved a/c .............................. . (Building Inspector) ~/ ICATION FOR BUILDING' PERMIT B~ARD'OF HEALTlt ......... 3 SE~S OF PLANS ......... SURVEY .................. CIIEcK ................... SEPTIC FORH ............. CALL .................. HAIL TO: Date . r~ ............... , 19 INSTRUCTIONS a. This apl~lication must be completely filled in by typewriter or in ink and submitted 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 premises, relationship to adjoining premises or public sti'eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram Which is part of this appli- cation. e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate' of Occupancy shall have been granted bY the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the. issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town .of Southbld, Suffolk County, New York, and other appUca, ble-Laws; O. rdinanc,e.s or Regulations, for the construction of buildings, additions'or alteratmns, .o.r.for~'emov. at~r~de~oliti°J~i'~'heie.m, described. The applicant agrees to comply with all applicable laws, ordinances bui~.~ng/Co.~Ve/hol~nj~"~ ~egulMtons and to admit authorized inspectors on premises and in building for ne~~.. ' · · ' · · ~- '.,~'C;~· '~' ' ''~' · '':~'~' · .... . ~ . f ~t, ~r na~he, if a corporation? State whether applicant is owner, lessee~firchitect, engineer, generai 'contractor, electrician, plumber or builder. NJme of owner df premises . . ,~o.~,)~. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No ............... . .......... Electrician's License No ................ . ....... Other Trade's License No ...................... Location of land on which proposed work will be done..., ............................................ ltouse Number Street Hamlet County Tax Map No. 1000 Section ...~.~.~. p..O~. .... Subd~vlsmn . (Name) Block .. .9.C?...:... Lot. Ot4~"t:~ Filed Map No ............... Lot ............... Statd existing use and occupancy of premises and intended use and occupancy of proposed construction: a. x nguse an occupancy ........... . ...................................................... b. Intended use 'nd occupancy k( wh ppli ) "g ' Additi ' ,3. Nature of wot check ich a cable: New 'ildi .......... oh .......... Alteration ,.; . . Repair Removal Demolition ' Other Work 4 Estimated Cost .. Fee . (to,be paid on fihng thru apphcatwn) 5. If dwelling, number of dwelling Chits . . . ~. ...... Number of dwelling ~nits on each floor... 6. If business, commercial or mi.xed occupancy, specify nature and extent of.each] type of use . .~J ~ ............ 7 ..... if any: Froni ~,.~.~ Rear ~ Depth . Dlmenslons of existing structures, ........... ................... Height Number of Stories ' ' ' i Dimensions of shme structure wi ' ' ' ' th alterahons or add,hens: Front ......... ; ....... Rear ................ Depth Hei~ Numbe~ of Stones ' 8 D' ' fentire new construction: Front Rear i Depth Height ............... Number of Stones . . ...... 2 . ' 9. Size of lot Front ~g .~ ~ R-ar ..... ' .................. 10. DateofPurcmse . . NameofFo~r~..~.~ 12. Does proposed construction violate any zoning law, ordinance or regulation: . 2~...~ .......................... 13. Will lot be regraded ...... ~ .................. Will excess fill be removed from premises: ~ Yes No Nm~ of Architsct . ' Address ......... Phon~ ~ 15.' Is this property within 30b feet of a tidal wetland? *Yes ' ~,~ ~ . ~If yes, Southold ~own Trustees Permit may~be required.I ' '~'~ . Locate clearly and distinctly El build~gs, Whethbr ~xtsttn$ or proposed, ~d.[tndicate dl sot-back d~nslons from propo~y Hues. Give street and block number or description accord~g to deed, and how street nines and indicate whether interior or corner lot. ' 4. FINAL "' CONSTRUcTiON MUST 'SE CO ~PLETE FOR C.C. ALL CO~ ~STRUCTtON SHALL THE REC '/REME~s OF ~E STA~ECODEs. Cl ~STRU~IoN & ENERGy ~ RESPONsIB~ OESIGN t ~U~ON ...... · ~.: ..... ' ...... being duly sworn, de~ose~ and says that he is the applicant (Name of individual sign~contract)" above named. (Contractor, agent, corporate officer, etc~.) of said owner or owners, ~d is duly authorized to perfom or have perfomed the isaid work and to m~e and file this application; that all statements contained ~ t~is'application are irue to thc best oftfis knowledge and belief; and that the work w~l be perfomed in the m~set forth in the application filed therewith. ' ' Sworn to before me this / ~