HomeMy WebLinkAbout21946-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23102 Date JULY 18, 1994
THIS CERTIFIES that the building ADDITION
Location of Property 420 BAYER ROAD MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 139 Block 3 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 8, 1994 pursuant to which
Building Permit No. 21946-Z dated MARCH 16, 1994
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR &
AS PER ZBA #4215.
The certificate is issued to PATRICIA CLANCY & ANO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - 7/7/94
PLUMBERS CERTIFICATION DATED JUNE 29, 1994 - T. HOGAN
r
1, X1-
ildi g 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 AUTHORIZE/D/)/ 9
N° 21946 Z Date 19....g
J
Permission Is hereby granted to:
J? . /?X%t,.~......../.~VL.;7.
,1
to..... !.s?r tGr-.......... ? i~ .(....4 1......../ .
~ ~ ~
Z~'t.......~4.'".........ids'
......4.4444 5 5..,................................
~..........~a
at premises located at
0 00~ ...........111`fy
..1.. ~l Block /........1... Lot No.....~
County Tax Map No. 1000 Section .
pursuant to application dated .........40 :.........e 19..... and approved by the
Building Inspector.
Fees 7 ~ T........
Ing Inspector
Rev. 6/30/80
1
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1195099 BUREAU OF ELECTRICITY
7 85 JOHN STREET. NEW YORK. NEW YORK 10038
Date JULY 0( ,1994 Application No. on file 06093094/94 N 39.9548
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the abase application number in the premises of
GEORGE KRISS, 420 BAYER ROAD, MATTITUCK, N.Y.
in thefollowing locatiTiNE8Bralse~r~V 0 Ist Ff. ? 2nd Fl, OUT Section Block Lot
was examined an LLL 1 79 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS y INCANDESCENT FLUORESCENT OTHER AMT. K W. AMi K W AMT. K.W AMT K. W. AMT ~R P.
1 8 9 1 r 8 4'
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K. W Oll N P. GAS H. P. AMi. NO. A. W. G. AMT. AMP AMT AMPS 7RAN5. AMi. N. P. SYSTEMS AMT WATTS
NO. OF FEET
SERVICE DISCONNECT NO.OF S E R V I C E
AMi. AMP. ryPE METER 1,. 2W 1.0 3W 39 RW 3,e AW NO- OF CC COND A. W G NO.OF HPLEG A. W C' NO. OF NEUTRALS A. W. G
EQUIP. PER A' OF CC. COND OF HIdEG OF NEUTRAL
OTHER APPARATUS:
MOTORS:I.-E H,P.
i JIM SAGE ELEC. INC. LI:C.#'3635-E
350 MARINE PI,ACF
GENERAL MANAGER
GREFNPORT, NY, 11944 11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
T014N HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17 lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
•Y 6. Submit Planning Board Approval of completed site plan requirements.
,B.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
pre-existing land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinc - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date tY/'_~ - I,,......................
New Construction...Y...... Old Or Pre-existing B ding... /yJ
Location of Property ..............~~,,G~
House No. Str et Hamlet
Onwer or Owners of Property
cy ~ ~
County Tax Map No 1000, Section J..... Block ....b. .......Lot.....
Subdivision .....................................Filed Nap............ Lot......................
Permit No.... 2J.7.'(k.G Date Of Permit.... /1(0....... Applicant
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted:
APPLICANT
~0~~310.2
,X%13f (k'OGy
o ~
Town Hall, 53095 Main Road °y x Fax (516) 765-1823
P. O. Box 1179 Telephone (516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 12, 1994
George & Patricia Kriss
420 Bayer Road
Mattituck, N.Y. 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
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 # 21946-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
C E R T I F I C A T I O N
Date
aq--9
Building /Permit No.~C Z,
Owner_ /ngk.4.7)7
(Please -Prir~t)
'Plumber6/ r~j/(1
(Please Print)
I certify that the solder used in the water supply system contains
less than 2/10 of ,1% lead.
lum er's signature)
L~ ~;u
Sworn to before me this
day of
19917 .
Notary Public, County
Notar ublic
LINDA JACOBSON
"NOTARY PUBLIC, State of HWM
No 4867628, Suffolk ON*
-,m Fxpves: LINDA JACOBSON
NOTARY PUBLIC, State of New York
No. 4867628, Suffolk goty
Commission Fxpkes: of
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I H. GEIDEMAN
&MARION L,Z'
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loyj6l T"/& State Lic. Land Surveyor.
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Svlf"glk Cep, w; le)t")o-l; 84n-1 Date d ~~~94
6 ~lr
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING INAL
REMARKS: L~= f L
DATE I/ L INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:s
DATE l INSPECTOR,
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ "FMING [ ] FINAL
REMARKS:
DATE
)3)'
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[FOUNDATION 2ND [ ) INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE `t INSPECTOR
765-1802
BUILDING DEPT.
SPECTION
[a/FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ) INSULATION
[ ] FRAMING [ ) FINAL
REMARKS: ~
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FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date 195 . .
i .
119
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PLEASE TAKE NNO~T,IICCEE~ that your application dated . , 7 - • , 19 P7•". .
for permit to %CXi........ at
•Location of Property . . . , .
atreer t
. <
'County Tax Map No. 1000 Section .....Block ......3 . . . Lot . .
Subdivision Filed Map No. Lot No.
is returned herewith and disapproved on the following grounds .
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FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date _12/..................... 199. .
To 44
PLEASE TAKE NOTICE that your application dated o 0................... 19 Jn7. .
for permit to ~~it " ° at
Location of Property .....5;e .
House No. Sheet amlet
County Tax Map No. 1000 Section Block Lot
Subdivision Filed Map No. Lot No.
is returned herewith and disapproved on the following grounds .
.
>3~ui ing pectow
RV 1/80
i
APPEALS BOARD MEMBERS ~r G'd
Gerard P. Goehringer, Chairman <
Serge Doyen, Jr. w
Town Hall, 53095 Main Road
James Dinizio, Jr. di~~ eye P.O. Box 1179
Robert A. Villa Southold, New York 11971
Richard C. Wilton Fax (516) 765-1823
Telephone (516) 765-1809 Telephone (516) 765-1800
BOARD OF APPEALS
TOWN OF SOUTHOLD
March 7, 1994ga___..
MAR
Mr. and Mrs. George Kriss
420 Bayer Road 701rU(~ 0° SUS ~i ~i
Mattituck, NY 11952
Re: Appl. No. 4215 - Addition with Reduction in Total Sideyards
Dear Mr. and Mrs. Kriss:.
Attached is a copy of the Board's recent findings and
determination rendered at our March 2, 1994 Regular Meeting
concerning the above application.
Please be sure to return to the Building Inspector
concerning your building permit application, certificate of
occupancy and any other review applicable to this project.
Copies of this determination have been forwarded to the Building
Department for their update and permanent records.
For your information, a copy of your file has been
transmitted to the Suffolk County Department of Planning for
their review as required by the County Administrative Code
concerning variance projects located within 500 feet of
waterways. After they have returned their comments to our
office, we will in turn forward a copy to you for your file.
Very truly yours,
Linda Kowalski
Enclosures
Copies of Decision to:
Southold Town Building Department
Suffolk County Department of Planning
,
APPEALS BOARD MEMBERS FFOIA,
o
Gerard P. Goehringer, Chairman
Serge Doyen, Jr. " Town Hall 53095 Main Road
James Dinizio, Jr. P.O. Box 1179
Robert A. Villa Southold, New York 11971
Richard C. Wilton Fax (516) 765-1823
Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516) 765-1800
TOWN OF SOUTHOLD
FINDINGS AND DETERMINATION
Appeal No. 4215:
Application for GEORGE KRISS. A variance is requested
from Article XXIV, Section 100-244B of the Southold Town Zoning
ordinance for permission to construct addition with reduced
(southwesterly) sideyard setback, and reduced total sideyards at
less than the required 25 ft. Location of Property: 420 Bayer
Road, Mattituck, NY; County Tax Map Parcel No. 1000-139-3-21.
The subject premises is a substandard lot containing less than
20,000 sq. ft. in area.
WHEREAS, a public hearing was held on March 2, 1994, at
which time those who desired to be heard were heard and their
testimony recorded (no opposition was received); and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, Board Members have personally viewed and are
familiar with the premises in question, the present use and
building(s), and the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. The premises in question:
(a) is a parcel of land shown on the Map of Mattituck
Heights combined as a single lot to be part of the westerly 40
ft. of Lot #61 and the easterly 25 ft. of Lot #62 for a total
land area of 9,750 sq. ft, and street frontage of 65.00 feet;
(b) is improved with a two- story single-family,
dwelling with a rear deck and front porch areas, all as more
particularly shown on the survey prepared for Roy Stakey
(predecessor in title) dated December 5, 1983, revised March 5,
1985, showing specific setbacks at 42.6 feet from the front
property line and 12.9 feet to the easterly side property line;
2. By this application, appellants have requested a
reduction in the total side yard setbacks, when combined, to
22.9 feet: 10 ft. setback proposed from the westerly property
Page 2 - Appl. No. 4215
Matter of GEORGE AND PATRICIA KRI55
Decision Rendered March 2, 1994
line and 12.9 feet, as exists at the easterly yard. The size of
the addition is proposed at 12 ft. by 22 ft., for which the
landowners assure will comply with all other setback require-
ments - with the exception of the 2.1 ft. total sideyards.
3. The code requirement (enacted in January 1989) for
nonconforming parcels having less than 20,000 sq. ft. in this
R-40 Zone District is regulated by §100-244 of the Zoning Code
for minimum sideyards at 10 feet and 15 feet. The reduction
requested is 2.1 feet on the total sideyards.
4. It is the position of the Board Members that the amount
of relief requested is not substantial in relation to the
requirement, being an actual variation of 2.1 feet for the new
addition. No other side yard is being reduced. The addition
is proposed for additional living area to accommodate a
immediate family member.
5. In considering this application, the Board also finds:
(a) there is no valid public purpose which outweighs
the applicant's difficulties for a 2.1 ft. variance for the
total sideyards;
(b) the size of the deviation is de minimus;
(c) a substantial change will not be produced in the
character of the neighborhood - in fact there appear to be other
principal buildings with setbacks at less than that proposed
herein in the immediate neighborhood;
(d) the difficulty cannot be obviated by some method
feasible for the applicant to pursue other than a variance, and
to change the entire layout and architecture of the building
would necessitate great expenses and substantial building
modifications;
(e) in view of the manner in which the difficulty
arose and the fact that the size and open land area is limited,
the interest of justice will be served by allowing the 2.1 ft.
total side-yard reduction, to 22.9 feet (instead of 25 feet).
(f) the applicant's difficulties are not self-created
since the dwelling was built prior to the owner's acquisitin of
the property;
(g) the difficulties claimed are uniquely related to
the layout and general character, shape and size of this parcel
and are not person to the landowners;
Page 3 - Appl. No. 4215
Matter of GEORGE AND PATRICIA KRISS
Decision Rendered March 2, 1994
(h) in considering all of the above factors, the
interests of justice will be served by granting the reduction in
the total sideyards, as requested.
Accordingly, on motion by Member Villa, seconded by Member
Wilton, it was
RESOLVED, to GRANT the requested reduction of 2.1 feet from
the westerly property line for a new extension, with a setback
at 10 feet from the westerly property line, and total side yards
at not less than 22.9 feet, as requested.
Vote of the Board: Ayes: Messrs. Goehringer, Dinizio,
Wilton and Villa. (Member Doyen was absent due to the current
major snow storm conditions this evening.) This resolution was
duly adopted.
lk
aERARb P. GOEHRINGER, CHAIRMAN
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2284o-1 Date 3J~/qq.
S~s~fo/K Co 7ciu 10,9 0;/3q 3-2/~`V_
BOARD OF APPEALS TOWN OF SOUTHOLD
In the Matter or the Petition of
NOTICE
TO
to the Board of Appeals of the Town of Southold ADJACENT
PROPERTY OWNER
TO: SouY.ktold Town 'Building, Dept.
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to petition the Board of Appeals of the Town of Southold
to request a (Variance) (Special Exception) (Special Permit) (Other) (circle choice)
2. That the pr erty which is the subject of the Petition is located ad'acent to your roper[ and s des-
cribed as follows: ~?0 Bayer Road County Tart Map 1001', Sec, 13~, M- , Lot 21
3. That the property which is the subject of such Petition is located in the following zoning district:
R-40
4 That by such Petition, the undersigned will request the following relief: a variance to allow for
a, 10 foot sideline to permit an addition to built to provide a separate 1st
floor room and bathroom for 93 year old father T-eho is having i icu y ing
std-and-n
S. That the provisions of the Southold Town Zoning CodeM
licable to the relief sought by the under-
signed are Article XXL V Section 10- F
[ ] Section 280-A, New York Town Law for approval of access over right(s)-of-way.
6. That within five days from the date hereof, a written Petition requesting the relief specified above will
be filed in the Southold Town Clerk's Office at Main Road Southold, New York and you may then and there
examine the same during regular office hours. (516) 76'5-1809.
7. That before the relief sought may be granted, a public hearing must be held on the matter by the
Board of Appeals; that a notice of such hearing must be published at lease five days prior co the date of such
hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the
Town of Southold and designated for the publication of such notices; that you or your representative have the
right to appear and be heard at such hearing.
Dated: Feb. 9, 1994 ~ e
P cion r George miss
wn s'Names: Patricia Clancy Kriss
Post Office Address 4?0 Bayer Road
Mattituck KY 11952
Tel. No. ( 51) 298-5
[Copy of sketch or plan showing proposal to be attached for convenience
purposes.]
I i •
Sr
FEB 1 0
'y
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
NAM ADDRESS
I
I
STATE OF NEW YORK) ss.:
COUNTY OF SUFFOLK)
residing at
being duly sworn, deposes and says that on the day
of 19 deponent mailed a true copy of the Notice set forth on he re-
verse side hereof, directed to each of the above-named persons at the addresses set opposite their respec ive
names; that the addresses set opposite the names of said persons are the addresses of said persons as sho n on
the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Of-
fice at ; that said Notices were mailed to each of said per, ons by
(certified) (registered) mail.
Sworn to before me this
day of , 1 9
Notary Public
(This side, does not have to be completed on form transmitted to adjoining
property owners.)
I
I
, MA -D LA i2w -Y S Accr fi~zAu 3z
_f BOARD OF HEALTH
w l I FO M NO. 1 \ 3 SETS OF PLANS
TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK .
TOWN HALL SEPTIC TORN
SOUTHOLD, N.Y. 11971 "AKa}~ C-noi ,Q, P&aP
TEL.: 765-1802 Y.OT I FY p
~j q CALL 1 .8.
Examined 0.l 19l./. MAIL TO:
Approved 19 //(~Per~mit No. .
Disapproved a/c
LTOWN (Buil d' g nI spector)
a.~ APPLICATION FOR BUILDING PERMIT
Date February .7.. 19 94
I6.
INSTRUCTIONS
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 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
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 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 regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
- - (Stin a of appicant, or name, if a corporation)
r l oad i 1~fattituckp niY 11952...
(Mailing address of applicant)
State whether applicant is owner„ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
0can er APPROVED AS NOTED
..................................................................DATE. / B.P..9,..
Name of owner of premises patri cia Clancy (Kri s) and George K7((s - BY:.
(as on the tax roll or lates e BUILDING DEAARTM T A
02 9 AM TO 4 PM FOR THE
If applicant is a corporation, signature of duly authorized officer. FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
(Name and title of corporate officer) 2. ROUGH - FRAMING & PLUMBING
3 INSULATION
Builder's License No.'s 2 FINAL tu()C STRUCiION A M1S7
BE COMPLETE FOR; C,O,
Plumber's License No. t .p!~ `14 . ALL Cc7NGu'iRUCTtON SHI ALL MEET
111E RF0U19FMFN1S OF THE N.Y,
Electrician's License No ~'~:'s } . ST 'E CDN'STRUCTION 8 ENJEPC;v
d COOESL NOT
OP CONS ,RUC i IOh EhctzC)~)R
Other Trade's License No. n:°?~r3ic MS
. ti tuck, Nx 11952
1. Location of land on which proposed work will be done. X20 Bayer . . $oad, , Mat .
429 Bayer Road Niattituck
House Number Street Hamlet
County Tax Map No. 1000 Section Q9 • , , , , , , Block 3 Lot.. . 21 .
parbsl •of • • • •
Subdivision 1K?tt,S,tµp4 .HeIghts............ Filed Map No. ...1? g1L Lot .6162....... .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy residential
..........rest
th~~~~ p i'°'~
b. Intended use and occupancy resid .ti. .en. x..93 ^ea'r. a #`...h er
.
ro... Y:tl .Y.AI•. 1 `Pti.
( pl!
3. Nature of work check which applicable): New Building Addition XXXX Alteration
Repair Removal Demolition Other Work .
(De cription)
4. Estimated Cost 19, P 000 Fee - .
(to be paid on filing this appliclation)
5. If dwelling number of dwelling' as*p see be ow
units . umber of dwelling units on each floor , . , , . , , ,
If garage, number of cars
$ occupancy, specify nature and extent of each type of use . .
76.. If Dimensions sines,ensions of existing commercial structures, r mireif any: Front 3.Q ! 3", Rear 3.M3"....... 3"....... Depth 24. 3#! • • • • • .
'
Height Number of stories , 2 . . . . . . . .I .
Dimensions of ~..in. c structure with alterations or additions: Front ....42.' ! Rear 42!.3 , .
Depth Hei en , entire Num. Height ~Number?of Stories . . . .
8. Dimensions of entire new construction: Front . , , 12.... Rear . Depth ..z .
S ber~of Stories , 1,
i
9. Size of lot: Front 6.5 Rear . Depth 1:50.x... . ,
10. Date of Purchase ..JuYy . I , , , , , , , , , , Name of Former Owner Glastar Ltd ,
11. Zone or use district in which premises are situated . .
12. Does proposed construction violate any zoning law, ordinance or regulation: , , , , , , , , ,
13. Will lot be regraded ......9A.;l Will excess fill be removed from premises: es No
14. Name of Owner of premises Kri ss............ Address 2 Q. .Y, ex . RA Phone No.. 2.9$-I 4Q
Name of Architect i Address Phone No............... .
Name of Contractor Address Phone No............... .
15. Is this property within 300 feet of a tidal wetland? *Yes........ No..,TY.....
*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 indic to whether
interior or corner lot.
addition caill have'one bathroom and one large room to give 93-year old
father his own quarters, as he needs to come live with us as his h alth
is failing and he needs our help, but without disrupting our house old.
PLEASE n'OTE WHAT -WHEN WE BOUGHT NEW HOUSE IN 1985 WS WERE TOLD THIS S ZE
ADDITION VOULD NOT BEIA PROBLEM (pre-existing non-conforming lot)(bld zone
ordinance 1966 Sec. 30?/side yards)
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STATE OF NECRRIC~ ~j s .S
COUNT OF . •T~-~1 II~
• • • • > ~°C1. • • • • 1 . . . . . . . . being duly sworn, deposes and says that he is t e applicant
(Nam f individual signing contract)
above named. I
He is the ......................4!1!(Q ?
(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; aind that the
work will be performed in the manner; set forth in the application filed therewith.
Sworn to before me this
• • ' .day of 19 C
Notary Pub ic, . . . . , , County
• • • •
NotaryP Noa4S79606NowYork
(Signature o'applicant)
Qualified in Suffolk Cc
u~ty
Commission Expires Decamber 6,18
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MARCH 5, /985
JULY 20 , 1904
)Ut , 2 7,1144
REVISEOI•APR.3,./98,4
SURVEY FOR
ROY STAKEY
1 PART OF LOTS NO. 618 62, "AMENDED MAP OF MATT/TUCK HEIGHTS
AT MATrITUCK DATE DEC. 5,198-4
TOWN OF SOUTIIOLO SCALE 1 30'
SUFFOLK COUNTY, NEW YORK NO. 83- /042
K UHAUTHORIZEO ALTERATION OR ADDITION TO THIS GUARANTEED TO:
SURVEY IS A VIOLATION OF SECTION 7209 OF THE USL/FE TITLE SURANIX CO. OF N. Y.
j NEW YORK STATE EDUCATION LAW
*COPIES OF THIS SURVEY NOT SEARING THE LAND S.
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL
HOT )(GUARANTEES CON410EMED TO HEREONVALID SMALL TRUE RUN COPY
ONLY TO O~I,pD I• Y9:-
AND Y'
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED •2• ON HIS BEHALF TO THE TITLE COMPANY, GOVERN-
NEAREST WATER MAIN-MI t N SOURCE OF WATER PRIWTE ? PUBLIC- MENTAL AGENCY AND LENDING INSTITUTION LISTED D1
N RIFF CO TAX MAP DIST Nfl SECTION 194_ BLOCK ~ LOT ZI HEREON, AND TO THE ASSIGNEES OF THE LENDING
0 THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY TOSAWITIONAGUARANTEES A -NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON. TO
THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM F014 THIS REl IOENCE N DNERS
STANCES SHOWN HEREON FROM PROPERTY LINES 45895
WILL CONFORM TO THE STANDARD/ Of THE SUFFOLK COUNTY DEPARTMENT TOEKISTING STRUCTURES ARE FOR A SPECIFIC 'P8
OF HEALTH SERVICES. f AB0 SUE'IE
APPLICANT, AL PURPOSE AND ARE NOT TO BE USED TO ESTABLISH j .i0
PROPERTY LINES OR FOR THE ERECTION OF FENCES '
1 ADDRESS TEL, YOUNG YOUNG RR0RN EbNNEWAANUt- i
NOTE! ¦ : MONUMENT d : P/PE
/'SU80/V/S/ON MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER
1 SUFFOLK COUNTY ON VULY 24, 1935 AS FILE NO, 1184. AND LANG SURVEYOR N.Y.S. LICENSE NO. 12845
- ~ FKWARO W. YOUNG, LAND SURVEYOR
N THE LOCATIONOf WELL(W),SEPTIC TANKIST)BCESSPOOLMN SHOWN HEREON N Y S LICENSE No. 45693
AAE FROM FIELD OBSERVATIONS AND ON DATA OBTAINED FROM OTHERS
IIRANDIS A SONS INC. 1046 `
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j MARCH3, 19$9
i JULY 20 , 1904
?l/N• 2 h, 1984
REVISED: APR. 3, /904
SURVEY FOR
I ROY STAKEY
PART OF L07S NO. 61 a 62, "AMENDED MAP OF MATT/Tl1CK NmNTS
AT MATT/TUCK DATE DEC. J, 198,3
' TOWN OF SOUMOLD SCALE: I 30
SUFFOLK COUNTY, NEW YORK No. 83- 1042
i
M UNAUTHOR12L0 ALTERATION ON ADDITION TO THIS GUARANTEED T01
SURVEY M A VIOLATION OF SECTION 7200 OF THE
NEW YORK STATE EDUCATION LAW USLIFE TITLE SURAAIX Co.. i *COPIES OF MU SURVEY NOT SEARING THE LAND S.
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL b
NOT SE CONSIDERED TO SE A VALID TRUE COPT o~FP
HEALTH DEPARTMENT-DATA FOR 4PPRONAL TO CONSTRUCT NBUARA"TEES INDICATED HEREON SMALL RUN ONLY TO LQG
THE PERSON FOR WHOM THE SURVEY IS PREPARED Q`
i N NEAREST WATER MAIN-MI.! *SOURCE OF WATER- PRIIMTE ??UBIIC EAND A
ON TITLE AGENCY HIS NCNA AND 1L END 0/0111f THE G INS TUTION LISTED N LISTED- Z
MWF CO TASILA?DIST 1000-SECTION ILO. BLOCK LOT _ HEREON, O S INSTITUTION
*THEM ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE MOT TRANSFFERIASLE
1 ~ OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEDUE IT
P M THE WATER SUPPLY AND SEWAGE DISMAL SYSTEM FOR THil RESIDENK OWNERS
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT K OISTAMCES SHOWN HEREON FSOM PROPERTY LINES ~O 413893
j OF HEALTH SERVICES. TOEKISTING STRUCTURES ARE FOR A SPECIFIC
APPLICANT, PURPOSE AND ARE NOT TO SE USED TO ESTABLISH,
PROPERTY LINES OR FDA THE ERECTION OF FENCES uBD SURfEjO~
ADDRESS
TEL. YOUNG' tei YOUNG 'RN OstRANOER AANUE
a RIVERNEADF NEW YORK
IVU/ a : MONUMENT O = PIPE
ru
imlVISION MAP FILED IN ME OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON JULY 24, 1935 AS FILE NO. 1184. AND LAND SURVEYOR N.Y.S. LICENSE NO. 12815
*THE Lourlal OF Wauw),sE?nc TANKISrIB ccffrooLS(wl SHOWN NutaN NOWARD W. YOUNG, LAND SURVEYOR
ARE FROM FIELD OBSERVATIONS AND ON DATA OBTAINED IBM OTHERS N. Y. S. LICENSE NO.13993
II IIRANDIS 6 SONS INC. 1046
UNDERWRITERS CERTIFICATE
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
f
a t OF OCCUPANCY
AP ROyED AS NOTED
DaTE - I B.R p yl4 (P ~
W- FEE: I
NOTIFY BUILDING DEPART ENT AT 765.1802 8 AM 70 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH . FRAMING & PLUMBING 3. INSULATION
+ 4 FINAL - CONSTRUCTION MUST
'0 ol J 5E COWLETE FOR C.O.
ALL CONSTRUCTION SHALL MELT
0 0; o l~ THE REDUIRFMENTS OF THE NY. STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
~ ~ ~ art
II` UFSIGN OR CONSTRUCTION ERRORS
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for water Yw~ng I
ayatIM, piping shall be
PLU, "E types PLUMMCERTMATION K or I
~ I I ~NL! ONLFADCONTENTBEFORE uI~DERNRREQUIIR n~
CG ffm CERMfCATF OF OCCUPANCY
Sat SOLWR USED 1N WATER A;LKjUa q
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