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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26587 Date: 07/23/99 THIS CERTIFIES that the building ADDITION Location of Property: 725 ISLAND VIEW LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 57 Block 2 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1996 pursuant to which Building Permit No. 23436-Z dated MAY 13, 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 GARAGE ADDITION WITH ATTACHED UTILITY ROOM AS APPLIED FOR. The certificate is issued to SUSAN HORN MULHOLLAND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N400197 10/17/96 PLUMBERS CERTIFICATION DATED N/A (1�� 7k - Building Insp or 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) C� N2 23436 Z Permission Is hereby granted to: � .. �,a-.. . ........... to ... . ..... ...... ................ ...... /�/? � . ......... .......s45r4......................................... .....i3......�..... ....i fs/ f ........................................................................... .......................................................................................................................................................... ................................................... ' .... ................................................ at premises located at.......... 1Z6 .6" �✓e/..................................................................... County Tax Map No. 1000 Section .. ............ Block.....lL ;........... Lot No. ...... ....... S,. pursuant to application dated .....�-5........ ........................ 19.. ....W.., and approved by the Building Inspector. Fee$. . .. . ...... ,.. ................................... / Building Inspector Rev. 6/30/80 ���, FORM NO.6 — 4 E" J TOWN OF SOUTHOLD 1 Building Department BLDG,DEPT. ! Town Hall TOWN 0, F OUTHQ Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted sW�to the Building Inspec- tor with the following;for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use,occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises or other pertinent informa- tion required to prepare a certificate. C Fels: ., " 1. Certificate ofoccupancy $25. 00 -- ,BUSINESS;,; $50;00 ACCE; SORT $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy ,$'5 . 00 , over 5 years $ 10 .00 4 .Vacant Land C.O. $ -20 . 00 / o 5.Uodated C.O. $ 50 . 00 Date . . . ✓x-1,3 YI. . . . . . . . . . . , NewConstruction ,^,�, , , , Old orPre-existing —Building . . . . . . . . . . . . Vacant Land Location of Property . ./ , . . . . . . . . . .:}-�. ,l P , h i�?�! ;, , , , , House No. Street Hamlet Owner or Owners of Property . .S.Oyc). . , fNuul,h© ./{9 W,(�D, , . , , - . . , - Coumy Tax Map No. 1000 Section . . .�. j . . . . . . Block . . .Q . . . . . . Lot . . .9 7, . . . . . , . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . -Filed-Filed-Map-No -.-.r. . -..i gnio. . ... . . . . .—. — - Permit NO. Date of Permit . .134(4,ApplicantE.):J,IJ1"1Ukoffk:"_ . . . . . . .[:. . .. . . . . . . . . . . . . . . . . ron- 0, �� Health Dept. Approval . . . . . .V.�ti�. . . . . . . . . . . . .Labor Dept. Approval . . ,P. . . . . . . . . . . . . . . . . Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . .,,.//. . . . . , . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . f!. . . . . . . . . : . . . . . . . . . Fee Submitted $ . . . Construction on above described buil ing and p r i e s al ap a e o es a regulations. App icant .----- . . . , . . . , : Rev.10-10.78 ' �p �4, �. f� 5�5g3 :eV e Environment East, Inc. 2885 Indian Neck Lane P.O. Box 190 _ - Peconic,New York 11958-0190 516-734-7474 Fax: 516-734-5812 Mulholland Residence 725 Island View Lane Greenport (57-02-24) Permit#23436 Issued 5,13.96 July 19, 1999 Attn; John Boufos, Please find enclosed three copies of the plans for the garage and attached room for the Mullholland Residence. As you requested I have revised the drawings to show the attached room as habitable space. Thank-you, Oban Wilson l� - THE NEW YORK BOARD OF FIRE UNDERWRITERS pAGE 1, , , �117G1.1O93 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 nate OC:'1'0HRR 1.711.996 Application No.on file 1234 7796/96 N 400197 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant nomad on the above application number in the premises of JOHN MULLHOLLAND, "725 ISLAND VTFM ,LANE, GREENPORT, N.Y. in thefollowing location; ❑ Basement L y; Ise F7. ❑ 2nd Ft. (,AR .Section Block Lot was examined an ()C'VOBFTZ 1 G 1,1 996 and found to be in compliance with the National Electrical Code. FlXTURF FIXTURES RANGES COOKIN-DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTAClES SWITCHES INCANDESCENT NVORESCENT OTHER AAAI. K,W. AMT. K.W, p0AT. K.W. "T. K.W AMT. H.P. 3 9 5 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RACPTJ TIME CLOCKS BELL UNIT HEATERS MULTI.OUTIlT DIMMERS AMT. K,W. at H.P, GAS H.P. AMT. NO. A.W.G. AMT AMP. MAL AMPS TRANS.I AMT I H.P. 1;:SYSTEMS AME. WAITS OP FEET SERVICE DISCONNECT NO.OF S E R V I C AMT. AMP. Tgpt METER I A 3W I,e 3W 3 b'3W 3X AW NO.Of CC.COND. A.W.O. NO.OF HI.LEG A.W.G• NO,OF NEUIRAl3 A.W.G. EQUIP. PE@Rm OF CQ GOND. OF HIAEG OF NEUTRAL OTHER APPARATUS:' - PADDLP FAN-1 MOTORS: I--F H.P. G.F.C.T: -2 1 DOROSM, EfJ..IC. INC. LIC. #2941 475 MONAELL LANE CUTCIHOGIIE, NY, 119.35 GENERAL MANAGER -„ Yv Per — This certificate must not be altered in any manner; return to the office of the 800rd if incorrect. Inspectors may be identified y their credentials.' i !r,!,u Itlsiv�cr'�;l uu ur.runl un li 1 PIIIUIUnI lull ( I;. r•ouuunrnnl ------------------------ Ill)Illfll PIIAIII'. R 'I.III111 11111 � -,.•.,,.•.,oe,...,,.,....e a..,,.,,.,.tea,.�,,,,.,..,,. ts. III!illl.n 111111 •ilAll[ ISIIIS IIISY '-'- l7 r I:uul! .. .... __... . _.. r I� -------------------- 7 G ^•��••R,,,,,,,,,,,,,,o,,,,,,,,,,m„,,.,,,,.tea.�,...,,, AIIU 1'1 IUIIAI. CU111IIS 111',`i : z m �r +r ------ -------------------- Y;� ACOG IN Environment East, Inc. 2885 Indian Neck Lane r� 7q P.O.Box 190 Peconic,New York 11958-0190 516-734-7474 Fax:516-734-5812 July 9, 1999 Southold Town Building Department P. O. Box 1179 Southold,NY 11971 Re: Permit# 23436Z, Mulholland Residence Attn: John Boufos Dear John, Enclosed is a copy of the Underwriters Certificate for the work we rendered under the above-mentioned permit to be included with this file. Our records indicate that the application for the Certificate of Oecupar_cy has-already been-filed so if any additional information is needed please let us ow. Sincerely, Peter R. Stoutenburg President Environment East, Inc. PRS:jm moo© 41T,a- �3 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING [ FINAL [ ] FIREPLACE S CHIMNEY REMARKSOW �� i DATE INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY 7 REMARKS: I DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ L-�FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE © INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: �- DATE INSPECTO THE NEW YORK HOARD OF I I, II ' II til 001,093 BUREAU OF ELECTRICITY ' 'I +� y� i! d 85 JOHN STREET, NEW YORK, NY 10038I"` Date OCTOBER 17,7.996 Application No.on file 12347796/96 N 400197 THIS CERTIFIES THAT a ,ndy the electrical equipment"described below and introduced by the applicant named on the above application number In the premises w i I t JOHN MULLHOLLAND, 725 ISLAND nnVIEW LANE, GREENPORT, N.Y. in thefollowinE location; ❑ Basement L,M� Int FL ❑ 2nd Fl. GAR Section Bork ,. Itit1't tree exomined un OCTOBER 10,7 996 and found to be in compliance with the National Electrical Code; FIXTURE FIXTURES RANGES COOKINGDECKS OVENS DISHWASHERS EXHAUST FANS [C!►fACIEf fW1TCHE5 OUT To INCANDESCENT FLUORESCENT OTHER MMT. X.W. AMT. R.W. AMT K.W. AM$ K.W. AMT H P- 3 9 5 3I, DRYERS FURNACE MOTORS FUTURE APPLIANCE FENDERS SPECIALRECPt TIMECLOCKS 'REEL MULOUT OIMMERSji�`�' SYSTlMS AML K.W. dl H.P. GAS H.P. AMT. NO. A.W.G AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OP FEEL AA1L, WATTS I SERVICE DISCONNECT NO.Of S E R V 1 C ^' E. METER NO.OF CGGOND. A.W O. NO. HIAEG A'W'G M OF NEUTRALS Oi'NWo- AMI. 'AMI TYPE ED 1P. I�e'7W tAJW S6SW S/AW PRO OF CC.COND. aP HIAEO It .'tl: �It r hd OTHER APPARATUSI - i iI9 P PADDLE FAN-1 � „ IItit MOTORS: 1—F H.P. i ' m III G,F.C.I:-2 ? „ J i. i 4 , DOROSKI ELEC. INC. LSC.#2941 E 425 MONSELL LANE 1i OENERAN�MANAGlR nit'. CUTCHOGUE, NY, 11935 it 1- it a6 This certificate must not be altered in any manner; return to the office of the Board if laic rrecY Inspectors may Identified y thelrlcredentlolsii a i P g%IFFOLKCGG APPEALS BOARD MEMBERS Southold Town Hall Gerard P. Goehringer, Chairman ria T 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 James Robe t A.Villar y�01 c ��0� Southold, New Fax 516) 765- 71 1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD November 15, 1994 A i Environment East, Inc. IJh q NOV 1 5 1994 3075 Indian Neck Lane Peconic, NY 11958-0190 BLDG. DEPT" N OK 5(�Ul`FtUt.L Re: Appl. No. 4280 - John Mulholland (Variance for Garage) Dear Pete: Please find enclosed a copy of the determination rendered by the Board of Appeals at our November 2, 1994 Regular Meeting and filed today with the Town Clerk's Office concerning your variance application. A copy of this determination has also been furnished to the Southold Town Building Department pertaining to your pending building permit application request. However, it will be necessary for you (or 'the owner) to contact the Building Department (765- 1802) to be sure your application request is returned to their re-activation rack. Also, due to the proximity of this project within 500 feet of a waterway, State or County Road, we have transmitted copies of the variance file to the Suffolk County Department of Planning for their determination as required under the County's Administrative Code. Once that agency has finalized its review and forwarded its comments to our office, we will transmit a copy of the same to you. If you have any questions, please feel free to call. Very truly yours, k Linda Kowalski lk Enclosure Copies of Decision to: —7 Building Department Suffolk County Department of Planning Mr. John H. Mulholland w �OSpfFOLA'e APPEALS BOARD MEMBERS Southold Town Hall Gerard P. Goehringer, Chairman ca T 53095 Main Road Serge Doyen, Jr. p P.O. Box 1179 James Dinizio, Jr. y O� Southold, New York 11971 Robert A. Villa �Ol [ �a Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS DATE OF ACTION: November 2, 1994 APPL. #4280. APPLICANT: John H. Mulholland LOCATION OF PROPERTY: 725 Island View Lane, Greenport. COUNTY TAX MAP DISTRICT 1000, SECTION 57, BLOCK 2, LOT 24. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated 10/5/94. GROUNDS OF DISAPPROVAL BY BUILDING INSPECTOR: "Proposed Construction will have insufficient side yard setback." PROVISIONS APPEALED FROM: Article III, Section 100-30A.3 RELIEF REQUESTED: Garage addition at the north/northeast end of existing dwelling which will reduce the setback from the required 10 feet to 8 feet. The front yard setback from the front property line must conform to the requirements of the zoning code at 35 feet +. MOTION MADE BY: James Dinizio, Jr_, Member - SECONDED BY: Serge J. Doyen, Jr., Member ACTION/RESOLUTION ADOPTED: Granted side yard setback for proposed garage addition which extends into the front yard and partly into the side yard, provided the setback be not less than eight (8) feet from the easterly side property line, as shown on sketch submitted with variance and addition conforms to all other setback requirements. REASONS/FINDINGS: Unusual character and shape of the land, location and angle of dwelling, as has existed for more than 35 years, lends to difficulties in conforming with the side yard setback provision of the zoning code. Former approval was issued under Appl. No. 518 by the Southold Town Board of Trustees. Lot is noted as approved for zoning purposes with a lot width of 75 feet under Appeal No. 329, as amended December 1, 1960. Lot size of 17,011 sf conformed to zoning in 1957 (which required 12,500 sq. ft.) . VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr., Member Richard A. Wilton, Member Gerard P. Goehringer, chairman-Member Absent: Robert A. Villa (out-of-state). This resolution was duly adopted (4-0) ., /��� GERARD P. GOEHRINGER, CHAI APPEALS BOARD MEMBERS Southold Town Hall Gerard P. Qoehringer, Chairman $ c'n 53095 Main Road .V Serge Doyen, Jr. �� ". C ,` �H P.O. Box 1179 James Dinizio, Jr. mar ��- �R�S Southold, New York 11971 Robert A. Villa A a_ Fax (516) 765-1823 Richard C. Wilton' Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD f � ACTION OF THE BOARD OF APPEALS ' DATE OF ACTION: November 2, 1994 APPL. #4280. APPLICANT: John H. Mulholland OpS OFp /� LOCATION OF PROPERTY: 725 Island View Lane, Greenport. COUNTY TAX MAP DISTRICT 1000, SECTION 57, BLOCK 2, LOT 24. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated 10/5/94. GROUNDS OF DISAPPROVAL BY BUILDING INSPECTOR: "Proposed Construction will have insufficient side yard setback." PROVISIONS APPEALED FROM: Article III, Section 100-30A.3 RELIEF REQUESTED: Garage addition at the north/northeast end of existing dwelling which will reduce the setback from the required 10 feet to 8 feet. The front yard setback from the front property line must conform to the requirements of the zoning code at 35 feet +. MOTION MADE BY: James Dinizio, Jr., Member SECONDED BY: Serge J. Doyen, Jr., Member ACTION/RESOLUTION ADOPTED: Granted side yard setback for proposed garage addition which extends into the front yard and partly into the side yard, provided the setback be not less than eight (8) feet from the easterly side ,property line, as shown on sketch submitted with variance and addition conforms to all other setback requirements. REASONS/FINDINGS: Unusual character and shape of the land, location and angle of dwelling, as has existed for more than 35 years, lends to difficulties in conforming with the side yard setback provision of the zoning code. Former approval was issued under Appl. No. 518 by the Southold Town Board of Trustees. Lot is noted as approved for zoning purposes with a lot width of 75 feet under Appeal No. 329, as amended December 1, 1960. Lot size of 17,011 sf conformed to zoning in 1957 (which required 12,500 sq. ft.). VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr., Member Richard A. Wilton, Member Gerard P. Goehringer, Chairman-Member Absent: Robert A. Villa (out-of-state). This resolution was duly adopted (4-0) . GERARD 0. GOEHRTNGER, CHAIRMAN Environment East, Inc. 3075 Indian Neck Lane P.O. Box 190 11 Peconic, New York 11958-0190 516-734-7474 i PL a, -e � 6 C 7� ls� Ui fuJ � � �r �+'-� �O 5-7-0 2 -24) FORM NO.a TOWN OF SOtI'[TIOLD DEPARTMENTBUILDING TOWN CLERK'S OFFICE �� >> SOUTHOLD,N.Y. p�S KEW Y NOTICE OF DISAPPROVAL Date . /oXr. . . . . . . . . . . 0#3t4 117/1 PLEASE TAKE NOTICE that your application dated . r j.�. . . . . . . . . . . . . . . . . .. 19 � for permit to „5' r � . G?F? <B�✓ c�� !/� Location of Property . . . . . . . . . . . . . . . . . . . . . . . . _. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Streer �fHamlet County Tax Map No. 1000 Section . . . . . 7. . . . Block . . . . , . . . . . . Lot . . ....5.r Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . .A144,- . Al .//. . . . Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds U1� . . l , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ldinspector RV 1/80 � ..:.' .wr. ."�.,.I`� FORMNO. 1 3BOARD \N PLS . . . . . . . . . . L5 l t TOWN OF SOUTHOLD SURVEY . . . . . _ _ . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . ' . . . . . . . . . TOWN HALL SEPTIC FOR:t . . . . . . . . . . . . . . BLDC3.DEP7. SOUTHOLD, N.Y. 11971 0 0 OLD ' TEL.: 765.1802 NOTIFYI JfA 6— CALL Examineq . . 19 / n : . . . . . . . . . . . . . . . . Approved ..0,1 . . J���?. . . ., 1� 0;imit N •2j 3i(! D . �9�. . . . . . . . Disapproved a/c i� .�9� . . � . . . . . . . . . . . . . . MAY — . . . n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J . . . . . . . G EPT. it g Inspector) ;l� OCT _ 41994 ° APPLICATIO FOR BUILDING PERMIT /� pp,�{{,, Date 0C .-T 19 4 BLDG. DEPT. fowNOF%3 UTHOLD_ y„J INSTRUCTIONS a. This application must be completely filled in by typewriter Orin 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shtall be kept on the premises available for inspection throughout the wo,rk. ii 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 pursilaw to the Building Zone Ordinance of the Town iof Southold, Suffolk County, New York, and other applicable Laws,Orance�r Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with 4'U applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. N?(Stzt?N t . .�� . �INc: . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) T"O, g0?C l 2,D lycjots Lc; . . . .40 . . .119.E 5: . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. I Name of owner of premises . . . . . . . . {l`I l�\U uL,.tjo�'�(1>. . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If ap 'c n =s a rp r n Ye Py authorized officer. i Builder's License No. . . . . ..,5. :5 . .. . . . . . . .� . . . . Plumber's License No. . . . . . . . . '. . . . . . . . . . . . . . . . Electrician's License No. . . . Other Trade's License No. . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215 . . . . . . . . . . . .I SLAM P. . . . .v l e\Q LANE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R 1 {'Z? . House Number Street Hamlet County Tax Map No. 1000 Scction . . . .0 rJ . l . . . . . . . Block . . . . .Q /r . . . . . . . . Lot . . . (L . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . S 11 1 C{ ��, . . , . , CYtA*4_ ,.(�j�. 1I2� l .t!l. . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . 6,1'(1 . . .-.Cam y 1 . . ! r,(��e,I l C C�. .gaee. . ... . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . .". . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition �' (Description) Other Work . . . . . . . . . . . . . . . i 4. Estimated Cost . . /4//?J.��� 1... . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . If garage, number of cars . . 6. If business, commercial orj,iglidd�$c6�p�tc�y specify natureand extent of each type f use . . . .IJ/ • . . • • . . . • . 7. Dimensions of exilsting strdctuie's,,lY any: Front .. �..`.�. • , . . • Rear 49(-4-4• • . , • Depth . , . 5"It ;U. l Height . . . .Zg . . . . . . . . Number of..Stories . . . . . 2 . . . . . . . . . . . . . • • • • • Dimensions of same structure nth alteiations or additions: Front , •�.�..... . . . . . . . . Rear. . . . . . . . . Height . . . . f emir new do stru tiot St rant �� . Number of Stories . . . 1v .�.•. . . �+ 8. Dimensions of entire new construction: 7;;ont . . . . . .: . l � • Depth . . . . .. . :. e ? ? _ ,.. 2 5 2 2 5 1 . . .t. . . . . . C . . . . . . Rear . . . . . . r. . . . . . . . Depth 2 2. . . . . . . . . . . unv .ones . . . . . . . �. . . . . i . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . ..I Q Rear . . . . . .Ct. Ts 4 . . , , , , . . Depth . . . . .R . 10. Date of Purchase • • • • • • • • • • . • . . . . . . . . . . . . . . . . . Nameof Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Zone or use district in which premises are situated . . . . . . . F-V,-S�mGN.�!y!�`lt--, • , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation: R � _�.g ?PYA;�� sggc 13. Will lot be regraded N,(2, , , , , , , • • , • • • • , , Will excess fill be removed from premises: W/AYes No . . . . . . 14. Name of Owner of premises :T'. Mi11-t logit hs`t p Address*11 Q..L,2 ?D&P, <?D• . Phone No.2Qa-.�5.' ',k Q Name of Architect ` . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor -010 1"Mgt,Yr (:— "T. 1Nc. Address :`� :�6. . t!la , , , , , , •Phone No. . . . . . . .'. 15. Is this property within 300 feet of a tidal wetland? Yes. . . . . . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether- interior or corner lot. t T STATE OF NEW YORK, S.S COUNOF . . . . . • • • • I•�// e✓ • e•"• Y• , • y4. . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing cont ct) ibove named. i Jeisthe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, nt, corporate officer, etc.) if said owner or owners, and is duly authoriz to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the �,vork will be performed in the manner set forth in the application filed therewith. �iiworn to before ,me this dotary Public.: . . . . y of�. .\�. . �^, : �oW(� �X` , + R09ERT L SCOTT,JN . . . . . . . . . . NOTARY PUB1;C,State of N _'' �'No,4725M,Sullolt Cou (Signature of applicant) Term Expires May 31,19 f r[• a!'h,�iti'}p$P��hYiytYDY d7�u�'i•" ;e' 'ti,� a ,n. I '1 >< Y .• tr . l .O �lbnl +•g y rt f{.Ir1s Rt°xS . i � k ,* ' r f o d,I A . r9<r � '}��y�y •. �C, ;fic +�'Yddi�w,`. '1iY ,i .i,r + � • .� ��~� '`" ..� t I ' � ° i �+� ���F��'.S ,'t�i, LA.�1 a V t 1 l L 1 J uyntl J� xi y I IaRIVATE 'ROAD }1"1'� 1 ` tar 4 .r 5r� r y,c 7.77 �' 'lyt ri t• 'a'➢tT +;• •, �•g 1 ( PUGLIC WATER IN STNaNT J s y ' ' ty�yr}�4?�14' exn k '�ti3gii r� 1� - - "+ rn� 5r �1• 1nS 'yV.,�' Y'' iii ok ° ��• ..rla �ibrM1 }•€ t �Asl ` a\r r}v<� ( 'L `z•-• FSI6NT OP .WAY yy¢ t ♦ i r e t.s. qq gg -moo 1 �{y .i"= ` <i5 3 "'�' s.�M d'�a'•Vo"F ..�IDii1C , , , ] ra , S1w u !Y f yE§ ' { ¢ seil , tK t t .Y + sl '}.' ' '*Y{ G1 � " fy+!{ r - +,. "a! 4rx 4 s en r �/• :( Ay��t/^CF�wk ' A17. � !• 1• + � '}� t 4 ,.l i,'yr.yl..'r�•..f.�:\ � { 4 j.. Jy'. ! 1�h CI'Y f { �� 41y ����;� � k�wM�+la � Tk I U . ifyry +i.(:� . 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ANr� rI�} _ €+ 6 -T E�••.. ;•Tkr� ,i. u*� �Ropartad 1P atcordaggd +'' L '1} }' ; o R4A .r. J - aful)durda for liNe {g aey; ,Q;,@cteL f tiq`ar{ 'ia tt .y..- t� } . 1 For : l S. phd �PPrQYAd 0,9d�Qdo ,"ti;A� 1 . The Dc A e+— uch uae p T r�" t' aS9 u `! '� /a " Tire b4 If9R Ye7k aSlRt>r lend `d , �. �DSOCIO�IOf1� r� r< L.J . G r ' ' h Gp LAND I y a k' ,I{ - r r .b /4lie 9{ A. /N����tn ✓'`, o i' 1j y r,,1 i } t' r -� � � - �• K 4 I4 21 t ,' '�` �+'� `3 k •� J N� } ,k, ..;. , 4°. z14r Cdr?'i 4 do 49060 p S' . LIC WD &�.66�3;. :r: �6 � • r p! t + } + MAIN ROAD "I• ^ 88 (PnOP.A0DI TION d PPOP: DECK SOU I HOL�� j� N• �. F�-�F 1 nl�I MINWi�e .. ... ....,.....,r�. ,....... ..............«,......w...._............,.......-._......-.... .,..............-...,.....s...w...n........i ran.a,ww,..•.ww�+a.mnMa.r++�w r ,Iy va , f . , .. ." y m,- -. y+k+, '�` . .m�:�' w '>._k '. -,.,,�rv..i,..a..{.:. n "'�-'r �.,cn;r-� _a4.h- � _ �„ .�. .r -S µ�'�+��� _ J • -- 71 7 ' , i. ., i � �'�:...�'.':...y..r. If...yTl�{�r"y'y�F.y .�,—'.,a �" �`!It,. -. �,:�1 v�d'M•,._ �ftITF 4� - ' ..A_: - 7��754' Fa, +« N,m�r r-.-'�-,• .F-. � _ ."'-' _ _ � I�- '�' 'n� � .[ =;•- _ .k,t: ,,,. �. .. _ . , ''� I' ^-i` �I I I '! �',.,. .dr+;..,-:,.n +vy": ;t,+'r-=n.d mm+•w., I -�r,�•,,:w T .. ' - .': i, ]I „I�='f: - � - _..:..; .T w`,,cyi+` - -'- ) -r __• .- - - '- - 1, ¢ r I -- . T , IT I t-VIT4; FLy _ r ZVI � I T K r. + eh , oK. rt�lvs �fi [ 1. �4r�D, 0r'6LlNC. '.MaU �� APPROVED AS NOTED u� B.P•NS -. - E. T E A _ .- - F 1p�T��— '} NOTIFY BUILDING DEPARTMEN - To 4 PM FOR THE 05 - ' 78 02 9 AM ni 7 1 •., .� PECTITWO REQUIRED FOLLOWING IN$. _ �. FOUNDATION - TWO '411 dfr{-, +� v"�' K r ,, •''��' V - FOR POURED CONCRETE rL:. Fk' -TM`., TC+,, tr� ^iii'''-: - - - '( '� 2, ROUGH - FRAMING & PLUMBING t k mA, `moo Of.. - 3. INSULATION 4. FINAL - CONSTRUCTION MUST ' _(� \ _ t t BE COMPLETE FOR C O 'f r "SLJTg '� - ALL CONSTRUCTION OF T MEET _ THE RF CONSTRUCTION OF THE N.Y, U} cT� tpi CODES. NOT RESPONSIR EE EFO Y DESIGN OR CONSTRUCTION ERROR Atf - { - . _ 4"•,f`1' 1� PLxs's.taL.r~ U'('I-Crl Y-il=w U,I;IL.1I RM , JS' RG6fC>,YI'wT 1„ c. PROVIDE %HR.`FIRE �/"''"��'`��. I RATED iEPARATION'TO r OPCUPANCY OR {•" PART. 717.3 (f).(1) OF USE IS UNLAWFUL N.Y. STATE;BUILDING CODE.: a-2d(2 w e:LY i©. ,v -. 2• Zx 7 r, vLY wo k ,. ! , WITHOUT CERTIFICATE �= OF OCCUPANCY I ; Y ) 'rLi p ( b ?4t If copper tubing is used CERTIFICATION t �\ for water distributingON LEAD A • CONTENT BEFORE system; piping shall be C_RT/F/CATEOFOCCUPANC ___r.—' c - of types K or E only SOLDER USED/N WA MR UNDERWREQU RERS D...... .E SUPPLY SYSTEM CANNOT EXCEEP 2/10 of 1% LEAD. G11 D f •( aU.2,fi 0.160.16 � . APS url� rZy nr FSccTwNfih6 � !CAL RR F Ptis k{Pa err awl sL opS Yis�[E ra Rnv EhRrYEomt� t? r ha eHr �. E.L,�,Y �" hit"I'!+©7`}r�'�.3'r"I" �+`��'i �NC�-. ;�+.ti•- f 17 _ , ",,"; Y .Y.. - - r� .- , , � . r AA„ � . - 1 , , . , ':f �" : -.l ,r. 't s x , a. - / �:. `. , , t ,.,, ne , t'I Y . 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