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FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT J U N 3 2 017
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL •- '� �""' Board
__j
DATE: June 29, 2017
AMENDED: June 30, 2017
TO: Racanelli
870 Love Lane
Mattituck, NY 11952
Please take notice that your request dated May 30, 2017
For permit to convert a single fainfly dwellin to a professional office with apartment abovc3 to
include convert an open.,Porch to conditioned space, at
Location of property 70 Love 1,aije,_Matt tul k., N,Y
County Tax Map No. 1000— Section 140 Block-2 Lot.1..7
Is returned herewith and disapproved on the following grounds:
The proposed construction (porch enclosure is not permitted Rursuant to Residential Office
RO District is not,permitted pursuant to Article VIII Section 2110-39 which states;
"No building or,premises shall be used and no building or part thereof"shall be erected or
altered in the Residential Office (RO) District unless the same conforms to the Bulk
Schedule and Parking and Loading Schedules incorporated into this chapter,witli the
same force and effect as if such regulations were set forth herein in full."
Bulk schedule re uires a front yard setback of 50 feet. The proposed construction will maintain
the existing 29.5 foot setback.
Thprgpc> qc iagrtragrat ria p c lµe. c t p3arcl l lr0 m theSouthold Town 7A)11iq�.:13�agtc1wrat
p+lrnc mtljc_pr 11a (Iffigq_rgrluir _sit &g ppr �r�l iq Southold.�.I owwn Pkipr�,it _B fat
Ths°Notice o DL�s a a roval iva,; amended on„u e 30, 20A7 to addre v s c &
Authorize Sign ure
Cc: File, planning, ZBA
r
FORM NO. 3
w,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y. 1r.)il � fl � f,l1l
NOTICE OF DISAPPROVAL
DATE: June 29, 2017
TO: Racanelli
870 Love Lane
Mattituck,NY 11952
Please take notice that your request dated May 30, 2017
For permit to construct a prp,fe jonalWoffice with p�rtMeAt above at
Location of property: 870 Love...Lane„ awit�.iMtrr k,.NY
County Tax Map No. 1000—Section 140 Block 2 Lot 17
Is returned herewith and disapproved on the following grounds:
C t pc_opo od f l trr►e at.rt lu r , Sr aal eeptl n a
-pparara.1..ft9m the Southoldl wl f,wn Zoni :E3rd f pe als
apc kae ro ra N,office r q rl ,µ i1e pla r pprcrval tre the S ;... _ d I owrl... laa_gLi
Board
Lzc�dS�ig;nat�u�re
Cc: File,planning,ZBA
FOR INTERNAL USE Q-�NL . . 1 .. _ � r.,.,.
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A �
INATIO
SIT E P L
MAY 3:1 2017 ...:
lniitiai �� erminatiot� a � a ��12.1-1.. .1.1.,
et '
T
uthdd Fown Date ent:
� ilI Board�M _M.
Date-_. .. . . - "_ .. .,
Name
'Project- �.�.: ...._.
Project Address: -- � . ..... .
Suffolk County Tax Map-No.:1.000-
a =AL Zoning Distric(:�_ - .
Reil
�. ._.. Pert_..�
supporting
d_ t tation-a�to
.�-���_. ..� , lication and Supp
(Note. Copy of f�.Ltildttg rttt App
proposed use or uses should tie sutrltted.} ()S n�At( TT�� ._a_ _.._
Initial Deterrriination as to�nrhetllers �� �
lan is reclt fired: »
lnitial-Determination as to wether site p
Inspector
Signature
of Building
' (P.D.) Referral:_�,._.�:�:. �.�---- �- ���
Planning Department d17
..
Date of Comment: . -
p.D. Date Received:
Comrrient s:M
eV.ewer
ature of F'lannir f Staff R
Sign pr,
Final petermI1191 n
Decision. _.
c: ,r,�fi irP ,r t r�tlrixr' In-nectnrry
"JJ
FOR INTERNAL USE uNL ► "�1'
NAS`10
SITE PLAN
tial Determination Ma in Boar(l
_--�
Southold�own
T —
» jjjapn�n�Board Date f nt:_
O
Date._, ....,...-..._ _—- .....�.
project Name: �
Project Address:
Ro
Zoning District:CQ
- - - .
k County Tax Map t�O--000=�
Suffol _
Request
*� � C.)=
(Note: Copy of Building
Pern�►it Application and supporting docuwention a o
Ose- n�Atc �
proposed use oruses should lie sulrnitted. :.
Initial Determination as to whether use is permitted: �--
A-,P
-
er site p lan is equ,,ired.— ..-
Initial-Determination as to wheth
- � of Building IMODor
Signature
Planning Department (P-D.) ReferrcA---'
Date of Comment:—_IL —r
p.D.-Date Received: _—
- r °C
Comments:,
Sig nature of Planning 0- Staff Reviewer
Final Detern l aflon
Date: f
Decision: "
.rP.,.�{iinildino
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX: (631)765-9502 Survey
South oldTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
y PCIROV� Floo Application
VD Flood Permit
Examined 20_ Single&Separate
MAY 2 3 2017 Storm-Water Assessment Form
Contacts
Approvea 20� NUDING DEPT. Mail to:DQI4P,t
Disapproved a:'c TOWN OFSOUMOLD
Phone: 2-1$— 545-5
Expiration ,20
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date #'yc ,20 11
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans,accurate plot plan to scale.Fee according to schedule;
b.Piot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas,and waterways,
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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 or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and re ulations,and to admit
autl or'zed inspectors on premises and in building for necessary inspections.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
Name of owner of premises 51T--V£N ��C C t-t Q A-Hs Nr-- FN/,c 'N E;_�t-1
(As ori the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. ipeL 00 I_J
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
`7 0 F_— lata l✓
House Number Street
County Tax Map No. 1000 Section Block1 of ��
Subdivision Filed Map No. t ^t
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy til 1,1 L, I t—,e P1^ L_1 tg
b. Intended use and occupancy
3. Nature of work(check which applicable):New Building Addition Alteration X
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost t =a{VFie 7_
(`p,bp paid on filing;this application)
15. If dwelling,number of dwelling units umber of d A,,gVing u-ti on each floor I
If garage, number of cars — _ YAM
6. If business,commercial or mixed occupancy,speeif at r and: tet of each type of use,_ 15 qL�
17. Dimensions of existing structures,if any:Front 9r Rear '-6 Depth 5Z'
Height t Number of Stories 2
a
Dimensions of same structure with alterations or additions: Front � 1= Rear
Depth Height Number of Stories
�8. Dimensions of entire new construction:Front L Rear Depth
Height Number of Stories
4. Size of lot:Front L Rear 5 Depths t5 5
10.Date of Purchase 5 Z:20) 1�, Name of Former Owner CH IZ 15 To
'11.Zone or use district in which premises are situated ✓�I C� ��A� 0FF(C
12.Does proposed construction violate any,zoning law;ordinance or regulation?YES X NO
:13. Will lot be re-graded?YES_NO )( Will.excess fill be removed from premises?YES_NO X
=14.Names of Owner of premises `NtNWAA� It*<PMAAddress 4CC-t'P; Phone No. 5 IG--31 b- 4326
Name of Architect 1 NIP-� 61.Ml k_� Address TVAtj 9119 I7A12hone No 29 a
Name of Contractor 101 u! Address Phone Noi.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO X
*IF YES,SOUTHOLD TOWN TRUS`T'EES&D.E.C.PERMITS MAY BE REQUIRED.
b.Is this property within 300 feet of a tidal wetland?*YES' NO X
*IF YES,D.E.G.PERMITS MAY BE REQUIRED.
16.Provide survey,to scale,with accurate foundation plan and distances to property lines.
,17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18.Are there any'covenants and restrictions with respect to this property?*YES NO_
* IF YES,PROVIDE A COPY.
;STATE OF NEW YORK)
SS:
'COUNTY OF- d
being duly sworn,deposes and says that(s)he isr'the applicant
(Name of individual signing contract)above named,
(S)He is thec
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners,and is duly authorized to perform or have.performed the said work and to make and file this application;
;that all statements contained in this application are true to the best of his knowledge and belief;and that the work wi ll be
performed in the manner set forth in the application filed therewith.
.Sworn to before me this
day ofHCLi4 2011
L
Notary P is ;LSignatL.DWYERure of Applicant
NOTARY PUBLIC,STATE OF NEW Y RK
NO.OIDW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2 IQ
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX: (631)765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
K C.O.Application
R ���� Flood Permit
Examined 20_ Single&Separate
MAY z 3 2017 Storm-Water Assessment Form
Contact:
Approved 20� jJ j Sj E'P. Mail to: pt-iF+t. ? 51 Lj�;F,
Disapproved a/c TOWN
Phone: 2cl$— 5453
Expiration ,20-
B ' nspector
APPLICATION FOR BUILDING PERMIT
Date M, 20 t
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of pians,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 waterways.
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 a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not commenced within 12 months after the dace of
issuance or'has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new permit shall be required.
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 or for removal or demolition as herein described.The
applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and re ulations,and to admit
authorized inspectors on premises and in building for necessary inspections.
' Od -
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
?"G I T CH
Name of owner of premises S_1T--y-1:Q14 � t J ANt
(As on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. 1P 30ttJ
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done: y
f3 7 a 1-6 V F r -VAm 1Yl �T� l T� Cf-
House Number Street llamlet
Lot 1�
County Tax Map No. 1000 Section
Subdivision Filed Map No. -Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1rI ca� 1-Ani I I-y 11.1
b. Intended use and occupancy 0MIC-f—= -s.
,3. Nature of work(check which applicable):New Building Addition Alteration X
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost
rbpaid on filing this application)
6. If dwelling,number of dwelling units 1 Number ofd �e ng
1i
�AW on each floor I
If garage, number of cars
�6. If business,commercial or mixed occupancy,specif tin 0
Sq of each type of use.J!L�r F��t
Q-tola lao WMOT '2"o FLcop- kon�0*1'r-
7. Dimensions of existing structures,if any:Front - Rear SLC Depth. 5.21'
Height 2-6 1 Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth —Height Number of Stories
,8. Dimensions of entire new construction:Front 1j'k- Rear Depth
Height Number of Stories
9. Size of lot:Fronts Rear 185 Depth)(5 5
!10.Date of Purchase I� Name of Former Owner—CH 1Z 15 060
11.Zone or use district in which premises are situated N o51 r tAt, 0EF(Ci;::
12.Does proposed constructiori'violate any.,zoning lawj ordinance or.regulation?YES NOi
43.Will lot be re-graded?YES_NO.Y Will,excess fill'be removed from premises?YES NO X
:14.Names of Owner ofpremises KP�C�00iddress_2!E� C-Li%j Phone No. 5 IG--614 4 224
Name of Architect QDNP-UV 91-MI-L�- AddressMAtil?o OM-MILMhone No Z26-154-Sl,
Name of Contractor F�01 a3cj Address Phone Nd