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HomeMy WebLinkAbout22851-z A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24495 Date JULY 11, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1555 FLEETWOOD RD. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 4 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 1995 pursuant to which Building Permit No. 22851-Z dated JUNE 23, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4304. The certificate is issued to WILLIAM & JANET WALSH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -j"" ~ , 4/ i] ing 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) Date 192 N2 22851 Z Permission Is hereby grante ex to ...........a-....• .•6.A ZZA .............r~"..;,......... 1..... .....1.. ~Q?! at premises located at......... County Tax Map No. 1000 Section f.....~. Block ............./.......Q®.... Lot ......C~ pursuant to application dated ~/1$ ...f • 19...5pi.... and approved by the Building Inspector. Fee $ \J Building Inspect Rev. 6/30/80 -rMYN, 07 SOUTHOLD BUILDING DEPARMENT F0 TOWN ;iALL 765-1802 a?PL-MMON FOR CERTIFICATE OF OCCUPANC`f A. This application must be lad in pv C9pewricer OF, inti and slbmiCted CO the bllildi(g inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail buildings, oroDerty Lines, streets, and unusual natural or tcpographic features. 2. Final Approval from Uealth Dept. of water supply and sewerage-disposal(S-9 fora), 3. Approval of elacczfcal i-istallation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that tae solder used in system contains less than 2/10 of 1; Lead. 5. Commercial building, industrial building, auitipl>_ residences and similar buildings • no' and installations, a certificate OS Code Comp'i -ianCo CrOm architect or an,,~eer responsible for the building. o. Submit Planning Board Aopraval of completed site Dlan requirements. 3. For asisting buildings (prior to April 9, 1957) non-conforming uses, 'or bu_'_diags and "pre-e_<ciscing" Land uses: 1. Accurate survey or property snowing 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. Lf a Certificate of Occupancy is denied, the Suilding Lnspector Shall State the reasons therefor in writing to the applicant. C. Fees 1. Cartificaca of Occupancy - New dwelling 525.00, Add4- C40US to dwell'-- $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buiidiag $25.00, Additions to accessory building 525.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Buildine - 3100.00 3. Copy of Certificate of Occupancy - .25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate// off /Occupancy - Residential SL5.000, Commercial 515.00 Date 'New Cons rruction...~.... Old Or Pre-existing Build ~n.v.~..._.... LJC3CiOn of Property..!~... GVf~, ..t! °.......CZC.Z.!.......r,_... House No. (Street ~jaamlet Onwer or Owners of Property......... ~((1~6. County Tau Asa Na 1000, Sect-on .i (~~~ll~/~~2 • vi!4/•-.......... _ _ /L 1......Blocc...... .......Lot . . e Subdivision N!1...... Fei lad ?ap............ Lot......... 'Permit No o~O I-Z Date Of Permit applicancA-?<~/!Y PM. / `Health Deoc. Approval........~A ..............Underaritars Approval....... /~/.-r............. 'fanning Board Approval......... M4........... ?equest for: Temporary CC~arti:icata........... 7inal Carticate...!:...... o o I" s u bmi C t ad : 5 O'0 7 ` A2DL1CANT_ CO Y L5 k 0 ti 2 Town Hall, 53095 Main Road d ® Fax (516) 765-1823 Telephone (516) 765-7802 P. 0. Box New York 9 11971 Southold,, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 15, 1996 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 Re: William & Janet Walsh - SCTM#1000-137-4-34 Prem: 1555 Fleetwood Road, Cutchogue To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: xx, An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. ;25:06 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # ,2,2851-Z,, , Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. o~~gOfFat/( O o~ CA Z Town Hall, 53095 Main Road p • Fax (516) 765-1823 P. 0. Box 91971 Telephone (516) 765-1802 Southold, New York 1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 15, 1996 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 Re: William & Janet Walsh - SCTM#1000-137-4-34 Prem: 1555 Fleetwood Road, Cutchogue To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22851-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT DATE - COMMENTS FOUNDATION O ST) ~i - -~i- - it n - I ~I--- b FOUNDATION (2ND) l II O ROUGH II ROUGH FRAME b n-------~I--_-_-- ` 'j PLUMBING ii ii y 11 INSULATION PER N. Y. 1IIf y STATE ENERGY l CODE e I{~ FINAL _ I II ADDITIONAL COMMENTS: H W Ilk a yo APPEALS BOARD MEMBERS %0014, Gy Southold Tbwn Hall Gerard P. Goehringer, Chairman c s 53095 Main Road Serge Doyen, Jr. ze P.O. Box 1179 James Dinizio, Jr. O Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Lydia A. Tortora Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS DATE OF ACTION: April 11, 1995 APPL. #4304. ' APPLICANT: WILLIAM F. WALSH LOCATION OF PROPERTY: 1555 Fleetwood Road, Cutchogue NY COUNTY TAX MAP DISTRICT 1000, SECTION 137, BLOCK 4, LOT 34 BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated March 2, 1995, "Proposed decking ...shall be set back not less than 75' from bulkhead, and insufficient setback in side yard area. Action required by the Zoning Board of Appeals." PROVISIONS APPEALED FROM: Article III, Section 100-32. RELIEF REQUESTED: To construct 20' ground level deck which is to be 14'8" past existing upper deck's established line - for a new bulkhead setback at 37 feet at its closest point. (Note: Side yard protrusion appears to have been modified to show only step areas subject to code provisions pertaining to steps or entries.) OTION MADE BY: Gerard P. Goehringer, Chairman SECONDED BY: Lydia A. Tortora, Member A ACTIO RESOLUTION ADOPTED: Denied variance request for 20 ft. e wi 37 ft. bulkhead setback. Alternative relief was granted for 16-ft. sed o en deck extending from outside wall of house for a setback a 41+- ft. from outside edge of bulkhead. (No request for d variance was filed by applicant at this time and may be filed separately as an owner's option.) REASONS/ FINDINGS: Single-family dwelling with second-level deck as exists is nonconforming with a 51.6+- ft. setback from bulkhead at its closest point. The deck is shown to be in line with neighboring dwelling structures, and the deck construction is not out of character with the neighborhood. Concerns raised by southerly adjoining owner have been fully considered. Generally speaking, it is prefered to have a raised, open deck structure rather than alternatively physically disturbing land area for placement of a level patio (patios at grade level do not require setback variances, ref: 100-12 Patio "definition. An open deck will not, in the board's opinion, contribute to erosion (also ref: Town Trustee considerations) if' constructed as conveyed during the hearing/application process. Relief as originally requested for a 20 ft. deck is substantial in relation to the requirements and is (Continued on page 2) TRUSTEES O~V$UFFO(,~eOG SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President o Henry P. Smith a Town J ohn B. Tuthill 53095 MainaRoad William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Aug. 6, 1992 Janet Walsh P.O. Box 569 Floral Park, NY 11002 Re: SCTM# 137-4-34 Dear Ms. Walsh: The following action was taken by the Board of Trustees at their regular meeting of July 30, 1992: RESOLVED that the Southold Town Board of Trustees approve the request for a waiver to build a deck onto existing house as applied for. . If you have any questions, please give us a call. ry truly yours,- John M. Bredemeyer,III President, Board of Trustees JMB/imt cc. Building Dept. New York State Department of Environmental Conservation Building 40-SUNY, Stony Brook, New York 11790-2356 /-1739 - o0 35-6 10 0 0ol -o Date: (p//1/!z-oboe Re: (n/i 1 4411 F k1a/ 3/j Thomas C. Jorling Dear /tf!, 16Y-I- 'F/cc/wood ,try Commissioner Cufch0j Ae AI-Y, //93.f A review has been made of your Piv1Oa6a4 /o Cvrn s4-"C f U deck ai Pe4' >1'I, c, ow-VI y p.epa~ e of by eod~ick Vim„ -ruyi MoL y ~K?_ U Based on the information you have submitted the New York State Department of Environmental Conservation has determined that the parcel, KA&_project is: Greater than 300' from inventoried tidal wetlands. _ Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9/20/77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. XXC landward of the Lupographic crest of a bluff, cliff or dune which is greater than l0' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administrator 'X~ TRUSTEES ~~$UFFO(,~O John M. Bredemeyer, III, President OG~ SUPERVISOR SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President o Henry P. Smith Town Hall John B. Tuthill Q 53095 Main Road William G. Albertson t)( P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1323 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Aug. 6, 1992 Janet Walsh P.O. Box 569 -Floral Park, NY 11002 Re: SCTM# 137-4-34 Dear Ms. Walsh: The following action was taken by the Board of Trustees at their regular meeting of July 30, 1992: RESOLVED that the Southold Town Board of Trustees approve the request for a waiver to build a deck onto exisl-ing house as applied for. If you have any questions, please give us a call. )Jery truly yours, John M. Bredemeyer, III President, Board of Trustees JMB/jmt cc. Building Dept. ~E S APPEALS BOARD MEMBERS ~~gUFFO(kC oGy3 Southold Town Hall Gerard R Goehringer, Chairman c < 53095 Main Road Serge Doyen, Jr. y x P.O. Box 1179 James Dinizio, Jr. O + Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Lydia A. Tortora Ol ~a Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD April 24, 1995. 'l T j. . tf ri ~ a°I~I Mr. William F. Walsh P.O. Box 569 Floral Park, NY 11002 Re: Appl. No. 4304 - Variance for Open Deck Addition Dear Mr. Walsh: Please find enclosed a copy of the determination rendered by the Board of Appeals and filed today with the Town Clerk's Office concerning the above 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. You should be aware that it will be necessary for you to send the final drawings, as modified to conform with the variance, to the Building Department before your building permit application will be further processed by their office. Also, due to the proximity of your property 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 either our office or that of the Building Inspector at 765-1802. Very truly yours, GL dlaKow&6L a Enclosure Copies of Decision to: ( py Building Department Suffolk County Department of Planning XN 1 3 ~~95 F p APPEALS BOARD MEMBERS SUFFOL Southold Town Hall Gerard P. Goehringer, Chairman o y< 53095 Main Road Serge Doyen, Jr. w x P.O. Box 1179 James Dinizio, Jr. O Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Lydia A. Tortora Ol ~a Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS DATE OF ACTION: April 11, 1995 APPL. 04304. ' APPLICANT: WILLIAM F. WALSH LOCATION OF PROPERTY: 1555 Fleetwood Road, Cutchogue, NY COUNTY TAX MAP DISTRICT 1000, SECTION 137, BLOCK 4, LOT 34 BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated March 2, 1995, "Proposed decking ...shall be set back not less than 75' from bulkhead, and insufficient setback in side yard area. Action required by the Zoning Board of Appeals." PROVISIONS APPEALED FROM: Article III, Section 100-32. RELIEF. REQUESTED: To construct 20' ground level deck which is to be 14'8" past existing upper deck's established line - for a new bulkhead setback at 37 feet at its closest point. (Note: Side yard protrusion appears to have been modified to show only step areas subject to code provisions pertaining to steps or entries.) MOTION MADE BY: Gerard P. Goehringer, Chairman SECONDED BY: Lydia A. Tortora, Member ACTION/RESOLUTION ADOPTED: Denied variance request for 20 ft. deck with a 37 ft. bulkhead setback. Alternative relief was granted for a 16-ft. raised, open deck extending from outside wall of house for a setback at 41+- ft. from outside edge of bulkhead. (No request for side yard variance was filed by applicant at this time and may be filed separately as an owner's option.) REASONS /FINDINGS: Single-family dwelling with second-level deck as exists is nonconforming with a 51.6+- ft. setback from bulkhead at its closest point. The deck is shown to be in line with neighboring dwelling structures, and the deck construction is not out of character with the neighborhood. Concerns raised by southerly adjoining owner have been fully considered. Generally speaking, it is prefered to have a raised, open deck structure rather than alternatively physically disturbing land area for placement of 'a level patio (patios at grade level do not require setback variances, ref: 100-12 Patio definition. An open deck will not, in the board's opinion, contribute to erosion (also ref: Town Trustee considerations) if' constructed as conveyed during the hearing/ application process. Relief as originally requested for a 20 ft. deck is substantial in relation to the requirements and is (Continued on page 2) 1, . Page 2 - Appeal No. 4304 Application of WILLIAM F. WALSH Decision Rendered April 11, 1995 not the minimum necessary or reasonable under the circumstances. VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr., Member Lydia A. Tortora, Member Gerard P. Goehringer, Chairman-Member Against: Robert A. Villa, Member (preferred 15' from ' house rather than 16 ft.) This resolution was duly adopted (4-1). GERARD P. GOEHRINGER, CHAIRMAN w ' FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. UPDATED NOTICE OF DISAPPROVAL DATE: ....MARCH 2, 1995 To WILLIAM & JANET WALSH P.O. BOX 569 FLORAL PARK, NY 11002 PLEASE TAKE NOTICE that your application dated - A I?.AA.......... 19.94__. for permit to CONSTRUCT DECKING TO A ONE FAMILY DWELLING at Location of Property 1555 FLEETWOOD ROAD CUTCHOGUE....... NY House No. Street Hamlet County Tax Map No. 1000 - Section .....137... BLOCK 4..... LOT 34 Subdivision Filed Map No. .........Lot No. is returned herewith and disapproved on the following grounds ARTICLE XXIII SECTION 100-239.4B ALL BUILDINGS OR STRUCTURES TO BE SET BACK NOT LESS THAN 75' FROM A BULKHEAD. ARTICLE III SECTION 100-32 BULK AREA AND PARKING. INSUFFICIENT SET BACK IN SIDE YARD AREA. ACTION REQUIRED BY THE ZONING BOARD OF APPEALS. .iS~4! BU~ G INSPECTOR I RV 1/80 v FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE : ...M.ay. 4e..19 94 William S Janet Walsh To ...P.0.'$oV .56§ Floral Park, New York 11002 PLEASE TAKE NOTICE that your application dated „ APRIL 13, 19 94 for permit to CONSTRUCT DECKING TO ONE FAMILY DWELLING at Location of Property 1555. FLEETWOOD ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 - Section 137.... BLOCK ....4...... LOT 34,...... Subdivision Filed Map No. .........Lot No. is returned herewith and disapproved on the following grounds ARTICLE %RIII SECTION 100-239.4B ALL BUILDINGS OR STRUCTURES TO BE SET BACK NOT LESS THAN 75' FROM A BULKHEAD. ARTICLE III SECTION 100-32 BULK AREA AND PARKING. INSUFFICIENT SET BACK IN SIDE YARD AREA. ACTION REQUIRED BY THE ZONING BOARD OF APPEALS. i BUI DING INSPECTOR GARY J. FISH RV 1/80 w FORM NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date f. s~ 199.1 To Lo. .b1 PLEASE TAKE NOTICE that your application dated IA~,... for permit to 4cr, , . -C4. ..Dy4k .1r ,D QQ.~ at Location of Property SS,S~,ltsea ,f C~4,. Q4 House No. Sheet Hamlet County Tax Map No. 1000 Section , . , , , , Block Q 4 , , , , Lot . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds a~l f~L; , o.~, 1 G1;,;lu"':~ J 1~SLg-•~,u, GQG . A^ . • •1 . Building Inspector RV 1/80 • • FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE: . . To William 6 Janet Walsh F.O. $ox .56.x Floral Park, New York 11002 PLEASE TARE NOTICE that your application dated APRIL 19..94 for permit to CONSTRUCT DECKING TO ONE FAMILY DWELLING at Location of Property 1555 FLEETWOOD ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 - Section 137.... BLOCK ....4...... LOT 34....... Subdivision Filed Map No. .........Lot No. is returned herewith and disapproved on the following grounds ARTICLE XXIII SECTION 100-239.4B ALL BUILDINGS OR STRUCTURES TO BE SET BACK . K NOT LESS THAN 75' FROM A BULKHEAD. ARTICLE III SECTION 100-32 BULK AREA AND PARKING. INSUFFICIENT SET BACK IN SIDE YARD AREA. ACTION REQUIRED BY THE ZONING BOARD OF APPEALS. CLG . BUILDING INSPECTOR GARY J. FISH RV 1/80 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR -~7L~ TRUSTEES ®~~SUFFOj,~~o SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARP IS Albert J. Krupski, Jr., Vice President o Henry P. Smith w a JTown Hall ohn B. Tuthill r',r, 53095 Man Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-IS23 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Aug. 6, 1992 Janet Walsh P.O. Box 569 .Floral Park, NY 11002 Re: SCTM# 137-4-34 Dear Ms. Walsh: The following action was taken by the Board of Trustees at their regular meeting of July 30, 1992: RESOLVED that the Southold Town Board of Trustees approve the request for a waiver to build a deck onto existing house as applied for. If you have any questions, please give us a call. )Jary truly yours, ~ John M. Bredemeyer, III President, Board of Trustees JMB/jmt cc. Building Dept. Janet A. Walsh 1555 Fleetwood Road Cutchogue, NY Mailing address: P-0-Box 569 Floral Park, NY 11002 July 6, 1992 Board of Trustees Town of Southold Southold, New York 11971 Gentlemen: I hereby request a waiver so I might be able to submit an Application for Building Permit. I would like to build a deck on my property at 1555 Fleetwood Road, County Tax Map No. 1000 Section 137, Block 4, Lot 34. To this end, I am enclosing a copy of a letter dated 6/11/92 from the New York State Department of Environmental Conservation and a copy of a proposed survey which shows the incorporation of the decking on the existing property. (We obtained this survey at the request of the DEC). Anything you can do to facilitate this matter would be greatly appreciated. Sincerely,/ Al~~ Janet A. Walsh I Z11.1 `X3.3 -A JDNY fist ~'f: 1i-(L•.n21 P,~yyr*Y1a',~V Y~y :.:-.1.U. ;j: •g'{J iyf S}..~i3iY _ : ri:.. ~ ,.i G.•v x..,.14} J.m• 1~:. 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(Building Inspector) qq APP I ATION FOR BUILDING PERMIT Date ..............19 J.~ le /3 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the building Inspector, with 3 ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli= :ration. 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 hall 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 CertiGcate'of Occupancy' hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances of 'tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. -he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspecins (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. 1/. all ~~c{/1.Y lame of owner of premises (as on the tax roll or latest deed) f 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. ^ Location of land on which proposed work will be done . . . ~.vS.... ........./G.?.t..2,a House Number Street Hamlet County Tax Map No. 1000 Section Block Lot. .."I./.......... , Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ® "':;;`zht.+I ( ppl 3. Nature of work check which a ~icable); New Building , . , Addition Alteration , , , Repair Removal . , . , . , Demolition Other Work , . . /?.~Ci' %~,Kj~C .fT .`~Jc(? •4rJj~ 4. Estimated Cost (Description) ~..zr ~?©D' oo Fee , . 5. If dwelling, number of dwelling un (to be paid on filing this application) its . Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed pccupancy, specify nature and extent of each type of use . . . . 7 Dimensions of existing structures,,if any:, Front,.... , :'v..'`/..~T. Rear. ? 7F~; • . Depth Height' . Number of Stories . . Dimensions of same structure with alterations or additions: Front 7. I Rear . , , , , Height .?y!~7 Number of Stories 8. Dimensions of entire new cnstruction: Front ..t9w`,va Rear . MZ#6 ~i Depth Q.. Height . . . . . , Numbref Stories . , , 9. Size of lot: Front . ...f'~ f7 Rear . F7 Depth ?ij. , . 10. Date of Purchase , , • • • • , • , Name of Former Owner . 11. Zone or use district in which premises are situated , .rte 5~ O 12. Does proposed construction violate any zoning law, ordinance or regulation: , . , , , . , . , . 13. Will lot be regraded . , . • • • • , , , . , Will excess fill be removed from premises: Yes No 14, Name of Owner of premises 112 ,~1~~.!c9/f(FSJ , . Address e'14ROc- 9'.... Phone No.. `rF 7 ?z o, Name of Architect 5' ..4000.E b7rFEuuyje>. , , • Address :4-5.?'ter !Phone No. i~e?~9 . Name of Contractor . , , Address . , , Phone No. . 15. Is this property within 300 feet of a tidal 'wetland? *Yes. k.~- 7„ 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. STATE OF NEW YORK SS COUNTY OF (Nam individual t IA signing S "q4 S... , being duly sworn, deposes and says that he is the applicant contract) above named. le is the . .~Y4!.... _ (Contractor, agent, corporate officer, etc.) >f 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 York will be performed in the manner set forth in the application filed therewith. ;wom to before me this -a ~ ay of. .ate. 199 c- Jotary.Pablac, {4:? . . County Gf/ LWA FORCSICN , Notary Publlo, Stale of Now York No, 4995959, Suffolk Count (Signature of applicant) Term Ekes Sept. 3,19 BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD_ SURVEY BUILDING DEPARTMENT CIICCx . TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY: CALL 7 GL~S Examined 19... MAIL TO: Approved 19 Permit No............ . Disapproved a/c `A ----o~'~ JUN 1 (Building Inspector) -3 1995 r v APPLICATION FOR BUILDING PERMIT APR 131994 t Date 19 DEPT. 1 TSOUTHOLD INSTRUCTIONS L S 209 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate pot plan to scale. Fee according to schedule. b. Plot plan show' g location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a d ailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c.: The work covered y this applica ' e commenced before issuance of Building Permit. d; Upon approval of is applic 'on, the Building In ctor will issued a Building Permit to the applicant. Such permit shall be kept on the premis ava' le for inspection through t the work. e. No building shall be oc pied or used in whole or in p t for any purpose whatever until a Certificate of Occupancy shall have been granted by th Building Inspector. APPLICATION IS HE E Y ADE to the Bui mg artm nt for the issuance of a Building Permit pursuant to the Building Zone Ordinanc of t own of Southol , Suffol Coun y, New York, and other applicable Laws, Ordinances or Regulations, for the co structi n f buildings, itions or tera 'ons, or for removal or demolition, as herein described. Fhe applicant agrees t compl w th all applicabl laws, orda anc s, building code, housing code, and regulations, and to admit authorized inspe tors on p es and' buil g for ne essa inspec ion . (Signature of app cant, or name, if a corporation) ailing address of applicant) , State whether applica t is ow er, les e ag t, architect, gineer, gen al contractor, electrician, plumber or builder. O WNJc7r Name of owner of premises . J .4 A, , , , , NAT , , , , .V,4 S s~/ (as on t e t4 roll or latest deed) If applicant is a corporation, sign re o d ly a o zed office (Name and title of corporate officer) Builder's License No. N, ,C-. Z , , . , , , , Plumber's License No . Electrician's License No . Other Trade's License No . t. Location of land on which proposed wor will be done. ~..r..''........~~ t ~orq P ..................1".Lg4g T!?ooA 1~'oAl?............CuTCN,a 4e............ House Number Street Hamlet County Tax Map No. 1000 Section 3.-7 Block ......4".......... Lot. . Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...R E S N4E ............~y.~,...i!t:.a .ia4c' .49, .::,,1t, N oyI*~~M 1!!, .re,; r€ lra,IM"'I b. Intended use and occupancy . . ljivv'3 ,y°°.' . vll 3. Nature of work (check which applicable): New Building Addition Alteration . Repair RsAR yRe m iv., • Demolition Other Work . NEw I p, NCca06V $WErbw)).escription. 4. Estimated Cost . Z o00 . : Fee (to be paid on filing this application) dwelling 5. If units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or r mixed! . 7. Dimensions of nes number xed! occupancy, specify nature and extent of each type of use ixi iany: Front Height Number of Stories , . . . . . . . . . . . • . • . • Dimensions of same structure struc urwith alterations or additions: Front Rear Depth Numb. Height Number of Stories . . ptht . . . . . . . . . . . a construction: Front Rear Depth Depth Height Dimensions of of entire new ;er of Stories , . . • . 9. Size of lot: Front . . . 5."o"7 c . . Rear . .Sa ' " Depth t . ...o .?r.? 10. Date of Purchase . 9.g .....'I Name of Former Owner 11. Zone p proposed P mises are situated 12. Does const u tion violate any zoning law, ordinance or regulation: " 013. Will 14. Nameot be regraded Owner of . . ' ' Will excess fill.be removed from prem;sgsb„ Yes No Name of Architect Premises lt~A. A 0Address 4eX6,0X g'4 N Phone 7:' ? 9.°... jw4AN . Address Phone No............... . Name of Contractor . , R)! %OYC.A* • • • Address Phone No............... . 15. Is this property within 390 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. I~ II STATE OF NEW YORK, S.S -OUNTY OF ~ ~L6(Name . . .individual.signing! ' • ' ' • • being duly sworn, deposes and says that he is the applicant contract) above named. Ie is the O G'tP (Contractor, agent, corporate officer, etc.) >f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this [pplication; 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. ;worn to before me this . ..day of 19 ~ / dotary Public, , , F^- . County Note publb, State of Now York • • ' Cou (S'tgnature of a T No. 9,622a0,Ju Suffolk • • • • • • . 12, 1 a 3c" 4ty c.~ N - / Z- Ids _ V .J '`-TC3 K .9 rZ Z / flu 1 C l~A~!v yw c~ra V `o ro ~ N ~ O yy izc JAM WA459 isSs FG €45r !loon RoAv CV-reWOCZ vE - d 3c" yfy c.q I cis J 1 J z•to`s 2r~ Id -=i~- - ,~_TC3 !y 6 i) SC' K IZZ / ~ ~ 3c A~ NoT : 1 -Le r L+~ ~ o `4aV 0 W iLc SAM F WALf;J/ i~ss F"4 Fi57- kloov RoAP CvTcf(oct VE ` - Ilk ' ~,L - Z F f(~~a b 3c" y~y ciq - ~ q n x _ z Lrigo', Sj4Fb Q-•!~ - z-ZK toS VV`* rT~ - / ~x.j ~ n~l~ tia ifL 6iJ i y1', FTy ILL K .9 Z -Tor r yx4 ccn `o I, W iLc /AM F WAG 5/J ~s`sr F'4e~:F !loon Roav CaTe:A(ea vE ~ ~ u: Yl C vv. ~ ( CS, '6 a !2 a(m aj v` t V I_ ? i lr1 Q oil ra' ( I{f L ~~ii ! t µ M p ,h I s~ 411 'tfi ti~:~ra Ju! \ i { a I j .fi C r. I +t VI J I LAJ I . Ch lu <C~ U) a Mv""q f,. • t. [r 1ti r,,v I. k y5 ~ { v" - ....•......+nr'-,.w..-v+..yn~.+-.r+r.~, M+..n...iS.~~-n d.' ,..i-w.'r-~w--...+......., ,..L.w.4--..`...~ *+yc..e~w44+.e...'..y . ~ y,,. ^l;r'/t.,..M'T ~+.~W1y±~ni•1~ k .......v-YanM~.•n... CIIE-r °vrcF-~I oNS _sIr I IIjI' I - z - = LJJ LLF OCCUPANCY OR r - _ L.ItiE OFVi'Lc-oN^( AL%v*~6 y - X ~Zx USE IS UNLAWFUL~T o~ ? LLI U GOM'`iO P'. - O 7 i~~lTHOUT CERTIFICATE{ LJL GG?AFt ='~~iGI~J 4I_ ~9 O V 2 G~aYTS ~ 0 OCCUPANCY ±-2ci F1:6, 1-I SEi-T Wf IL &r4APE Ccw^F PE OCCUI' ~RO~IVE 2 covTs ® UNDEmne, CER myl _ S E E E.'TA L . 6TL~ IJ F .I E~ H REWIRED - - - - W 0 M! Lu J~ APP pV D AS NOTED GATE: IjO AS N - - - - - - aW FEE: 31'oI J a~W U. NOTIFY BUILbING D4 765-1802 B AM TO ENT 2 N FOLLOWING INSPECTIONS: THE N N I. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE I~ 2. ROUGH - FRAMING & PLUMBING r L A 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O./4" = • O i' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Il:b'~Ice" 16~ I~ q - 4 Z 2~ 12 L ICO GLA c~IT ~Ji-OCING Ek.S K'ti,1NR'.V ~^~r I / - - --2° W GcN Grt K-rF J < InITO LEf>lTFk Fick=K.1 I ~~CjVr+I~{C/~ f _ A•T' IMP US.~., cGUN17ATIOrJ lu'L'LoW ~~GE, pevv~ve ~ ~ v I PLAGg wz;- . C?6T- N- CALM' STL. - L -I-- _ y F~MIn. GI ANCHORS. TP SECUFZ.E G~ GERM. _ a-~~' ti ~ r 74x~ GE GF+R ~&GK~ oN GA 16," GGr4 HOIZ17A NTAL F2~.r'lINlsl ' ~1/4K4 GGA poe~~., Ta 1'FZUViDE /.LL FRAMINC+I c:4'ti aN GENTG2 ?~avE GYzADE c ~~r . s4gr. t^~ b~cK _ o a ra/4 ~c Co' liF,7AR pEGVKIh-GI . ON ZK(s L° !n" GGp. Qo15Ts 2K8 Gu> SK112T FiO,aR?~. ~ - - I N u r 0 y~J J L I I ~ Q ~ II I' L=K~srwrn FcY~T~IG i LTj--= Pro ect No: ,2-~2~r~I O GCrL Gq 12178~j12 vND p~~~-. c~Na-r SG ir1 En?LV G-7-L F-RAM~!INCsj FxcA.,*•re To ./pTE Drawn By: TS To /+NGHdK GAS? IN PAGE - b UNV~rt~iv~ of "KE. 14 of ul = 3i~FC'vCK_S ,aal V .KS ?~1V O Checked By: I- ~ ~ i2~C'Tt>ii.l GFCs1DE ,d: 4t~'~L-iIIZEDN ~ •iN GKADE L.'IIZED-._~ T- Date: ~2-'I c¢ "~oNGTUY3~'~ Gdti1GtL~."TE P I~~ FoUw DATTvN Tv 31-v" Scale: f~ NoTcV Sheet Title: ~y. LL, 6 O [ 2 Gi ~G'T I Q f~j AT ENfV OP JO S-rf: - f Sheet No: ~~GT1~N f LAN ~~~pW ~,~.p~ JUN l 3 /9q5