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HomeMy WebLinkAbout21581-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22649 Date OCTOBER 8, 1993 THIS CERTIFIES that the building ADDITION Location of Property 195 MARYS ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 1993 pursuant to which Building Permit No. 21581-Z dated AUGUST 6, 1993 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & TO CONDITIONS OF ZONING BOARD OF APPEALS #4177. The certificate is issued to JAMES & EILEEN LEDDY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i st~on uil g'Inspcctor Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD SUILDING DEPARTMEM TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date lf 19..9.."'3.... No 2].581 Z Permission Is hereby granted to: ,..?..1. ? to W. VWac/ . . em. . at premises located at...... 93......j~~~~ y ......!L ..............................................t~v 1..............................,,...................................... County Tax Map No. 1000 Section -~uQ....... Block.awl Lot No..'„j.~r.................. pursuant to application dated ...y ~i 19..~~~~......, and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 Form No. 6 (J'"" TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar building and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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 dweffigg $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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 u ~e.n1T oczcN Date .....~F'G.19 New Construction............. Old Or Pre-existing Building Location of Property..A./7..A1,19Y.~S.,4i X&,4Y7'/.7."iK........... House No. Q Street Haml.et Onwer or Owners of Property. ~-c.~.. 1.:.. L fi-.~4F . • County Tax Map No 1000, Section... G...... Block Lot.... Y5.~t? Subdivision .....................................Filed Map............ Lot..................... Permit No. q `:y. F/. Z .Date Of Permit ...Flzaly~.? ....Applicant liealth Dept. Approval ..........................Underwriters Approval........................ Planning Board Approval ]tequest for: Temporary Certificate........... Final Certicate.....~.... ee Submitted: Qezf 69 ( 8 1~~ Ya' ~~a.. APPLICANT INSPECTORS yrr=.-., Victor Lessard FF@1!{ Principal Building Inspector r QQp~~ Curtis Horton SCOTT L HARRIS, Supervi. Senior Building Inspector a 1 n Thomas Fisher Southold Town Hall Buikiin P.O. Box 1179, 53095 Main Ro • ~ ` ~ Building Inspector Gary Fish < :o +x p! Southold, New York 11971 !j( ~e ax (516) 765-1823 Building Inspector F Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD September 21, 1993 Mr. S Mrs. James Leddy 195 Mary's Road Mattituck, N.Y. 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: g$x An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. %%B 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 # 215812 Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. INSPECTORS Victor Lessard pgUFi L~(,~ Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervis, Senior Building Inspector o ' w.x„ e Southold Town Hall <,7 Thomas Fisher yi- Rr P.O. Box 1179, 53095 Main Roa Building Inspector Southold, New York 11971 Gary Fish 9~' ya Fax (516) 765-1823 Building Inspector Vincent R. Wieaorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD September 21, 1993 Mr. S Mrs. James Leddy 195 Mary's Road Hattituck, 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) No Underwriters Certificate on file. gxx The check is (e%*tdate /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 # 21581Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. IELD II: SPEC,iON ~~UAi ~QtKMENT3 l ;r FOUNDATION (13t) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL ` ADDITIONAL COMMENTS: x'69-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ] FINAL REMARKS` DATE INSPECTOR sq M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ FRAM{NG [ INAL REMARKS:' DATE INSPECTOR FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date 4/"Q 19Q3.. 1c..1:1; me 77 r.1/761 PLEASE TAKE NOTICE that your application dated . lfG... 199. . for permit to ~1~~Ldr~..~J• at Location of Property C(,! Namlet House No. '~Street County Tax Map No. 1000 Section -!,{/O..... Block Lot Subdivision Filed Map No. Lot No. ................y. is returned herewith and disapproved on the following grounds .~~G9n. lG7D~ c'J.0-7..3....~??7~i OS~-!.f/z1...fQO,~,•'L~ .v 7~Ving Inspector RV 1/80 APPEALS BOARD MEMBERS SCOTT L. HARRIS M' t < Supervisor Gerard R Goehringer, Chairman ±3 Serge Doyen, Jr. s>r Town Hall, 53095 Main Roa, James Dinizio, Jr. p~ P.O. Box 1179 Robert A. Villa Southold, New York 11971 Richard C. Wilton Fax (516) 765-1823 Telephone (516) 765.1809 BOARD OF APPFAT S Telephone (516) 765-1800 TOWN OF SOUTHOID July 27, 1993 Mr. Paul Leddy 29 Bradford Lane Bethpage, NY 11714 Re: Appl. No. 4177 - Porch Addition with Reduced Front Yard Dear Mr. Leddy: Please find attached a copy of the Board's findings and determination rendered at our July 22, 1993 Regular Meeting concerning the above application. Please be sure to return to the Building Inspector concerning the building permit and certificate of use/occupancy. Copies of this determination have been forwarded to the Building Department for their update and permanent records. Very truly yours, Linda Kowalski Enclosures Copies of Decision to: Southold Town Building Department Mr. Paul Leddy or James Leddy 195 Mary's Road j1A ? 7 Mattituck, NY 11952 1 i~' SCOTT L. HARRIS APPEALS BOARD MEMBERS 4 r Supervisor Gerard P. Goehringer, Chairman z Serge Doyen, Jr. r Town Hall, 53095 Main Roa, James Dinizio, Jr. a ' ''9 p~~y P.O. Box 1179 Robert A. Villa , ,;~1 A 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 ACTION OF THE BOARD OF APPEALS Appeal No. 4177: Application for JAMES P. and EILEEN LEDDY. Variance to the Zoning Ordinance, Article XXIV, Section 100-244B (pertaining to nonconforming lots) and Bulk Schedule, for permission to construct front porch addition with a reduced front yard setback at 195 Mary's Road, Mattituck; County Tax Map Parcel No. 1000-140-2-36 (now 36.3). WHEREAS, a public hearing was held on July 22, 1993 and at said hearing all 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, the Board Members have personally viewed and are familiar with the premises in question, the present use and zone district, 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 situate along the westerly side of Mary's Road at Mattituck, Town of Southold, and contains the following nonconformities: lot area at 11,484 sq. ft. (preexists zoning) lot width with street frontage of 66.01 feet; (b) is improved with a one and one-half-story, single-family dwelling structure set back approximately 31-1/2 feet from the front property line along Mary's Road and approximately five feet from the southerly (side) property line.) (c) is located in the R-40 Zone District by the Master Plan Amendments enacted in January 1989. { Page 2 - Appl. No. 4177 Matter of JAMES AND EILEEN LEDDY Decision Rendered July 22, 1993 2. By this application, appellant has requested approval of a 9 ft. porch extension from the front wall of the existing dwelling which will leave, when using the copy of the survey submitted with the application, a setback of 26 feet. The new porch area would be in lieu of the existing stoop area which extends at the front of the dwelling (see survey prepared September 29, 1992 by Roderick VanTuyl, P.C.). 3. The relief requested in this application is a reduction in the front yard from 35 feet to 26 feet. Board Members do not agree that this is the minimum necessary under the circumstances, and alternatively find that it would be more feasible to grant a setback at not less than 28 feet. The addition would be reduced, of course, by two feet in order to meet this requirement. 4. In considering this application, the Board also finds: (a) that the front porch addition as alternatively granted will not be an adverse impact to the essential character of the neighborhood, and the relief requested in this applica- tion is not substantial in relation to those buildings existing generally in this neighborhood; (b) that the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (c) that the addition is not an activity which would cause an increase in dwelling unit density or cause a substantial effect on available governmental facilities; (d) that the alternative method for a setback at not less than 28 feet is feasible for appellant to pursue; (e) in considering all of the above factors, the interests of justice will be served by denying the relief as requested, but granted alternative relief, as noted below. Accordingly, on motion by Chairman Goehringer, seconded by Member Wilton, it was RESOLVED, to DENY the relief requested at a setback of 26 feet for a proposed front porch addition; and BE IT FURTHER RESOLVED, to GRANT ALTERNATIVE RELIEF for a reduced front yard setback at 28 feet for a proposed porch r a Page 3 - Appl. No. 4177 Matter of JAMES AND EILEEN LEDDY Decision Rendered July 22, 1993 addition by maintaining the southerly side yard at five feet (as exists for the house). VOTE OF THE BOARD: AYES: Messrs. Wilton, Goehringer, Doyen, and Dinizio. (AGAINST: Member Villa felt the new setback was not warranted under the circumstances for a porch). This resolution was duly adopted (4-1 margin). lk ~.GERARD P. GOEHRIIGER, CHAIRMAN 16 APPEALS BOARD MEMBERS - a° SCOTT L. HARRIS Supervisor Gerard R Goehringer, Chairman u3 a Serge Doyen, Jr. Town Hall, 53095 Main Roa. r P.O. Box 1179 James Dinizio, Jr. fit, r 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 NOTICE OF PUBLIC HEARINGS NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and the Code of the Town of Southold, that the following public hearings will be held by the SOUTHOLD TOWN BOARD OF APPEALS, at the Southold Town Hall, 53095 Main Road, Southold, New York 11971, on THURSDAY, JULY 22, 1993 commencing at the times specified below: 1. 7:32 p.m. Appl. No. 4172 - To reconvene hearing in the Matter of JANET A. FERGUSON (continued from June 22, 1993). ,Central Avenue, Fishers Island, NY; County Tax Map Parcel ID No. 1000-066-08-006. 2. 7:35 p.m. Appl. No. 4182 - KELLY McDERMOTT. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3 (Bulk Schedule) for permission to expand house and accessory garage which will exceed the 20% lot coverage limitation. Property Location: Northeasterly corner of Oysterponds Lane and Skipper's Lane (a/k/a State St.), Orient, NY; County Tax Map Parcel No. 1000-24-1-8. This property contains an area of t Page 3 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of July 22, 1993 permission to construct front porch addition with a reduced front yard setback at 195 Mary's Road, Mattituck; County Tax Map Parcel No. 1000-140-2-36. 6. 7:55 p.m. Appl. No. 4178 - JAMES AND DOROTHY FITZGERALD. Variance to the Zoning Ordinance, Article XXIV, Section 100-244B (schedule pertaining to nonconforming lots) for permission to construction open deck addition with an insufficient rearyard setback. Property Location: Southwest Corner - Intersection of Oak Drive and Haywaters Drive, Cutchogue; County Tax Map Parcel No. 1000-104-5-25. This parcel is nonconforming at 19,602+- sq. ft. in this R-40 Zone District. 7: 8:00 p.m. Appl. No. 4180 - JOAN AND ROY BERMAN. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3 for permission to construct addition to accessory storage-garage building which was recently altered under Permit No. 20895 issued 8/18/92. Proposed addition would reduce the required frontyard setback and would be in excess of 200 lot coverage limitation for all buildings. Property Location: 520 Rabbit Lane, East Marion, NY; County Tax Map Parcel No. 1000-31-18-11. This property is nonconforming at 2614+- sq. ft. in this R-40 Zone District. Page 5 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of July 22, 1993 the Southold Town Zoning Code, Article III, Section 100-31B for use as a philanthropic home as provided by Subsection 5 thereof. Property Location: South Side of Middle Road near the end of Highway 48, House #6760, Mattituck, NY (present owners: Joseph and Patricia Stiefer). County Tax Map Parcel ID No. 1000-121- 4-8.1, containing 13+ acres. 10. 8:20 p.m. Appl. No. 4183 - JOHN AUSTINE. Variance to the Zoning Ordinance, Article IIIA. Section 100-30A.4 for permission to locate accessory one-story garage building partly in the side yard with a setback at approximately five feet from the southerly side property line. Location of Property: 3735 Deep Hole Drive, Mattituck; Lot No. 54, Map of Deep Hole Creek Estates. County Tax Map Parcel No. 1000-115-16-20. This property is substandard in size at 21,710 sq. ft. in this R-40 Zone District. 11. 8:30 p.m. Appl. No. 4120 - MATTITUCK AUTO CENTER, INC. and WILLIAM GOODALE. Variance to the Zoning Ordinance, Article XXI, Section 100-212B for relief from the front yard landscaping provisions of the zoning code. Location of Property: 7655 NYS Route 25 (Main Road), Laurel, near Mattituck, NY; County Tax Map Parcel No. 1000-122-6-30.1 (previously 30). Page 6 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of July 22, 1993 12. 8:30 P.M. FINAL HEARING on Appl. No. 4119SE - MATTITUCK AUTO CENTER, INC. and WILLIAM GOODALE. Special Exception to the Zoning Ordinance, Article X, Section 100-101B(12) for a permit authorizing: (a) a new car sales-rental establishment; (b) an establishment of an accessory use incidental to the proposed new car sales establishment for the sale and/or lease of used vehicles; (c) outside display of vehicles for sale; (d) accessory office use incidental to the new principal use as a new car sales establishment. Location of Property: 7655 Main Road (NYS Route 25), Laurel, near Mattituck, NY; County Tax Map Parcel No. 1000-122-6-30.1. The Board of Appeals will at said time and place hear any and all persons or representatives desiring to be heard in the above matters. Written comments may also be submitted prior to the conclusion of the subject hearing. Each hearing will not start before the times designated above. If you wish to review the files or need to request more information, please call 755-1809 or visit our office. Dated: July 6, 1993. BY ORDER OF THE SOUTHOLD TOWN BOARD OF APPEALS GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski x r r Page 4 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of July 22, 1993 8. 8:05 p.m. Appl. No. 4039 - CLIFFSIDE ASSOCIATES, INC. (Owner)-. This is a request which concerns the April 26, 1991 and April 9, 1991 Notices of Disapproval issued by the Building Inspector concerning an application for permit to include kitchenettes in motel units citing Article III, Section 100-13 which is the Definition Section of the Zoning Code pertaining to the April 9, 1991 Notice of Disapproval which reads, " ..hotel or motel transient which says in part that there will be no cooking facilities..", and pertaining to the April 25, 1991 Notice of Disapproval which reads, " ..hotel or motel resort. Action required by Zoning Board of Appeals to permit cooking facilities in individual motel units...." The subject premises previously had received a conditional determination for a Special Exception filed 11/28/89 under Application No. 3542 for use of the premises for 68 motel units without individual kitchenettes or dwelling uses. Location of Property: 61475 C.R. 48, Greenport, NY; County Tax Map Parcel No. 1000-045-01-001 and 002 (now 2.1), containing approximately 7.5 acres. The subject premises is located in the Resort-Residential (RR) Zone District. 9. 8:10 p.m. Appl. No. 4181 - AABR Realty Facilities Holding Corp., a Type C Not-For-Profit Corporation (now or formerly known as "Association for The Advancement of Blind and Retarded, Inc."), as Contract Vendee, request a Special Exception as per r T Page 2 - Notice of Hearings Southold Town Board of Appeals Regular Meeting of July 22, 1993 8710+- sq. ft. and is located in the R-40 Residential Zone District. .3. 7:40 p.m. Appl. No. 4179 - THOMAS D. DUFF, JR. and ELAINE DUFF. Variance to the Zoning Ordinance, Article III, Section 100-32B for permission to con£ruct deck addition along west side of existing dwelling with a reduced side yard setback. Property Location: South Side of Crescent Avenue (North Hill), Fishers Island, NY; bounded west by Nitze; east and south by Zabohonski; County Tax Map Parcel ID No. 1000-6-2-3.2; also referred to as Lot 25 on the unfiled "Map of Henry Walsh." This parcel is nonconforming at 1.003+- acre in an R-80 Zone District. 4. 7:45 p.m. Appl. No. 4160 - SUSAN TASKER. Variance to the Zoning Ordinance, Article XXIII, Section 100-239.4A for permission to locate dwelling structure with a reduced setback from the bank or bluff of the L.I. Sound. Property Location: 58235 C.R. 48, Greenport, NY; County Tax Map Parcel No. 1000-44-2-11. This parcel is nonconforming at 5,775 sq. ft. in this R-40 Zone District. 5. 7:50 p.m. Appl. No. 4177 - JAMES P. and EILEEN LEDDY. Variance to the Zoning Ordinance,'Article XXIV, Section 100-244B (pertaining to nonconforming lots) and Bulk Schedule, for BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT .CHECK TOWN HALL SErTIC FORM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t: FY CALL ?.,C.... Examined .la ./.Q„•,•„.,, 19~~133 TO: Approved 19g .Permit No.~~J~~ ~ Disapproved.a/c J??G. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19~ J. INSTRUCTIONS a. This application must be completely filled in by typewri ter 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 he 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. .2c - (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ((7U( State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (5'4WL ....~QC~~ccIS. Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, si nature of duly authorized officer. . ame and title of corpor tt officer) Builder's License No. .....3 I ....l. . Plumber's License No. 4 / Electrician's License No. t Other Trade's License No. ! J....... . 1. Location of land on which proposed work will be done . . 1 y. ~ ~ r 7T ~::ate....:............. House Number Street Hamlet County Tax Map No. 1000 Section ...:..11 Block Lot. ...3.(:......... . Subdivision Filed Map No. Lot (Name) 2: State existing use and occupancy of premises and intended use and occumrr.,y of proposed construction: a. Existing use and occupancy ......v/N. AIi1A~.Alt+.:C ''I'm . b. Intended use and occupancy mfr... 1 t ra{ , y J 3. Nature of work (check which applicable): New Building Addition .4'• • • • • • • • Alteration . . Repair Removal Demolition Other Work . . (Desc 4. Estimated Cost T Fee . } (to be paid on filing this applicai 5. If dwelling, number of dwelling units i........ Number of dwelling units on each floor If garage, number of cars • . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any: Front Rear ,JOB Depth . Height Number of Stories 1.Y~ . Dimensions of.~s/'$jne structure with alterations or additions: Front s- Rear r... . Depth T Height i' Number of Stories /.yam:..:. 8. Dimensions of entire new construction: Front ...3r~........ : Rear Depth ..~f . Height ber of Stories ........I i......... • , 9. Size of lot: Front , Rear .....5-6 Depth ~.'V........ 10. Date of Purchase 1~.~......... Name of Former Owner 11. Zone or use district in which premises are situated . 12. Does proposed construction violatey zoning law, ordinance or regulation: A) . 13. Will lot be regraded AM .~..,.~^~rl Will exce fill e re ove~from premises. : X e. 14. Name of Owner of premises ...~Fd~(!7 Address ./.5.lU. Phone No.. W7 Name of Architect Address Phone No.... 7.. . Name of Contractor 4. i4 / ~ . Address ( .1hone No. , d17t~ 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 dimens property lines. Give street and block number or description according to deed, and show street names and indicat interior or cornea lout. AP R ED AS NOTED 5;T.3 B.P. # ~L57g/ DATE: FEE; BY. NOTIFY BUIL' G DEPART T AT 765-7802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATIO 4. Fi`!AL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR D+ESIraN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF ...............f. 2%1 86p being duly sworn, deposes and says that he is the (Name of individual signing contract) above named. f~ He is the............ .fit J ..j.~cr~ (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 an application; that all statements contained in this application are true to the best of his knowledge and belief; ar work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .........day of.....!! 1 Notary Public, L-~ Count,, MIX Public. £sste at lY~w11W! ~C ~ ! /!ga Nc.48Ti46T of M WwM OoMtMr 22; Isay " . _ : i t~3~3:2X 1 ( , z 4g%t < i ~ STEL:ZEQ N74 22 E. of addition - ~ - t C: r rvs c b rdatim of ' - S EAQTH V21VE ,C U i itata'(1n Le ye liar. 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