Loading...
HomeMy WebLinkAbout21391-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22814 Da%e DECEMBER 28~ 1993 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 5700 NORTH RD. (CTY RD. #48) MATTtTUCK~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29, 1993 . pursuant to which Building Permit No. 21391-Z dated MAY 5, 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 CONVERSION OF ONE FAMILY DWELLING INTO A PROFESSIONAL OFFICE ON FIRST FLOOR & APARTMENT ON 2ND FLOOR AS PER ZBA #4082. The certificate is issued to PHILIP J. & MARILYN P. CENTONZE ( owner s ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C-10-92-13-DEC. 20~ 1993 UNDERWRITERS CERTIFICATE NO. PENDING DEC. 20, 1993 PLUMBERS CERTIFICATION DATED DEC. 14, 1993-BERTSAND PLUMB.&HEATING, INC. Rev. 1/81 FORM* b~O. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJVIIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) '~ N~-~-N,° 21391Z Dote...~,~.,...~..i; ....................... Permission is hereby granted to:,~ i...~...~.~.....~..~..~..~. ........ ~ .............. re .~.~. ~.. . t p s,,,=,eda, ............. .~.~....~.. ,~-,~..~.....~..~.~.~..~.~..J. .................. County Tax Map No. 1000 Section ..... ./....~.l .~.. ...... Block ....~....~-~ ........ Lot No ........ ~...../ ........... pursuant to application dated .... ~.....~.......~.. ............... , , 9..~...~., and approved by the Building Inspector, Building Inspector Form No. 6 TOWN OF SOUTI~LD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% 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. 6. Submit Planning Board Approval of completed site plan requirements. 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 ~~_~qcessory building $25.00, Additions to accessory building $25.00. 2. Certificate of Occupancy on Pre-existing 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 Date ........~...,.... ........ · ........... ..... New Construction ........... Old Or Pre-existing Building ..... ~. ...... ' .... Location of Property .... ~--?p.O..../jf}..¢~ 7/.~ ~9.~" House No. Street Hamlet O~wer or Ow.erS of Property ...... ~. ........ /. ........ ~ ................ ,o 0oo, ..... .& ........ ......... s. ivi io. ....................................riz a ............ not .... K2... Permi~ No ............ .... Da~e Of Permit.../. ~ ...... Applicant. ~eal~h Dept. Approval .......................... Underwriters &pproval ......................... Plannia~ Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... OF ~UIt,D~ P.O. BOX 728 TOWN ~ ~. N.Y. 1 !971 CERTIFICATION December 1 4. 1993 ','" ",.'! ' ",'(''''~ ' EILEEN M, ROACNE Notary Public, State of New York No. 48269~2 Qualified n Suffo k Co~nty h~ot~r¥ ~bli !4~(~%y Q£ ~ecembe~ ~93 , 765-1802 BUILDING DEPT. INSPECTION FOUNDATION PLBG. FOUNDATION ZND [ ] INSULATION /J~RAMING [ ] FINAL 765-1802 BUILDING DEPT, INSPECTION []FOUNDATION 1ST f ] ROUGH PLBG. []FOUNDATION :)ND [V~SULATION []FRAMING [ ] FINAL REMARKS: ~ '~-~~ DATE I N S PECTOR , ) :OUI:DA~TI ON ( 1 s t ) fOUNDATIO~.~ L. (2nd~ IOUGH FRAi4E & -FLUMBING [~ISULATIO}! PER N. STATE EHERGY CODE FILIAL ~DD I 0~ A'L COMME~;TS 7GS-l~0Z BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FINAL PLANNING BOARD MEMBERS Bennett Orlowskl, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-[938 PLANNING BOARD OFFICE TOWN OFSOUTHOLD SCOTI'L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 October 20, 1992 Garrett A. Strang P.O. Box 1412 Southold, New York 11971 RE: Proposed Site plan for change of use from residence to Dental Office w%th accessory apartment for Dr. Philip Centonze C.R. 48, Mattituck Dear Mr. Strang: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, October 19, 1992. BE IT RESOLVED that the Southold Town Planning Board grants final approval and authorizes the Chairman to endorse the final site plan dated as revised October 16, 1992 and signed by Garrett A. Strang, architect, with the following conditions: 1. All outside lighting shall be shielded to the property. e The drainage shall be installed to the satisfaction of the Engineering Inspector. Enclosed please find a copy of the site plan that was endorsed by the Chairman. Very truly yours, Bennett Orlowski, Jr. Chairman Enal. cc: Victor Lessard, Principal Building Inspector Scott Russell, Assessor's Office FORM NO. 3 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ! PLEASE TAKE NOTICE that your application dated . %~....~.~. ......... 19 .~. for pe~it to ' ' · '~. · '~.~ ~ ~.~.. at ~o~o~ o~o.~ ~;~...~..~..(.~...~ ~ h...~ ~~ ....... Street H~mlet County Tax Map No. 1000 Section ... /.~. ...... Block ..... ~. ~ ..... Lot . ~J ........... Subdivision ................. Filed Map No ................. Lot No .................. is ret~r~ed herewRh and disapproved on the following grounds .~'~. · .-~.~..~ .... ~..~.~.~.~.~ ~'5~ ~, , ': .......... ~": ....... a'.: .... · ~,.¢~.. ~. ~..~.~.¢ ~.&,.. ~.. ,.*~ ...... ~.~ .~. a~.~. ~ ................... Building Inspector RV 1/80 APPEALS BOARD MEMBERS Gerard P. Ooehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. James Dinizio, Robert A. Villa Telephone (516) 765-1809 Mr. Garrett A. Strang, R.A. P.O. Box 1412 Southold, NY 11971 BOARD OF APPEALS TOWN OF SOUTHOLD March 26, 1992 SCOFF L, HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Re: Appl. No, 4082 - Dr. Phillip Centonze (Spec. Exception) Dear Mr. Strang: Please find attached a copy of the Board's findings and determination rendered concerning the above application. Please be sure to return to the Planning Board concerning the site plan application (and subsequently to the Building Department your alteration permit or other approvals which may be necessary in this project). A copy of this determination has also been furnished this date to the Planning Board and Building Department for their update and permanent recordkeeping, Very truly yours, Linda Kowalski Enclosure Copies of Decision to: Suffolk County Department of Planning Southold Town Planning Board Southold Town Building Department APPEALS BOARD MEMBERS Oerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Appl. No. 4082. Upon Application of DR. PHILIP J. CENTONZE and MARILYlq CENTONZE. Request for Variance under Article VII, Section 100-72 for approval of the lot area for the establishment of two principal uses within the existing structure. The lot area applicable to each use in this RO Zone District is 40,000 sq. ft. This lot has nonconforming area and width and is known as 5700 North Road (County Road 48), Mattituck, NY; County Tax Map No. 1000-140-2-11. Zone District: Residential-Office (RO). WHEREAS, a public hearing was held on March 5, 1992, at which time all those who desired to be heard were heard and their testimony recorded (see separate verbatim transcript of hearing); 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, its present zoning, the surrounding areas; and and WHEREAS, the Board made the following Findings of Fact: 1. By this application, applicants request an area variance of the total existing lot area at 11,200 sqo ft. for the proposed conversion of an existing principal dwelling structure, presently containing a total floor area of 1860 sq. ft., from one use to two uses, to wit: a residential unit on the second floor containin~ 700 sq. ft. and a professional (dental) office on the first floor containing 1160 sq. ft. 2. The premises in question is located along the south side of County Road 48 (North or Middle Road), Mattituck, in the Town of Southold, which premises is identified on the Suffolk County Tax Maps as District 1000, Section 140, Block 02, Lot 11. 3. The subject premises is improved with a one and one-half story single family dwelling structure which is set back approximately 30 feet from the front property line, 53+- Page 2 Appl. No. 4082 Decision Rendered March 5, 1992 Matter of DR. AND MRS. PHILLIP J. CENTONZE feet from the rear property liner and side yards at 8.8 feet at the easterly side and 30 feet at the westerly side. 4. The land in question contains a total lot area of 11,200 sq. ft. and a lot width of 75.00 feet along County Road 48. This parcel has been held in single and separate ownership according to the town's assessment and building records. Both the lot area and lot width are substandard in this Residential- Office Zone District. 5. The parking area has been designated on a site plan map prepared by Garrett A. Strang, R.A0 dated January 29, 1992 for seven parking spaces in the rear yard area. Screening and other site plan elements will be addressed by the Southold Town Planning Board under the site plan application pending at this time. 6. For the record, it is also noted that: (a) this Board has rendered Special Exception approval permitting two principal uses as authorized by the Code, Article VII, Sections 100-71B (2 & 7); (b) the Master Plan revisions adopted on January 10, 19B9 re-zoned the subject premises to Residential-Office, and the although the size requirements for new parcels in this zone has increased, the size of this parcel has not been directly affected since it has been held in single-and-separate ownership, and there has been no literal change in the dimensions or lot lines of this parcel which would affect the circumstances of the revised master plan amendments; (c) this Board has received communications from the Southold Town Planning Board indicating that they have reviewed the plans and have determined that a handicapped parking space in compliance with the new American Disabilities Act must be shown together with any proposed sign and {outside) lighting facilities. 7. It is the'position of this Board that the intent of the master plan revisions is to permit both uses, particularly under subsection 7 of 100-71B, which authorizes: ...Apartments may be permitted over retail stores and business, professional and governmental offices, subject to the following requirements... The Town in re-zoning this property has, in effect, sanctioned the nonconformities of the property in adopting new uses and requirements. - ~ ' 8. It this area variance, the Board has considered the following: ~age 3 Appl. No. 4082 Decision Rendered March 5~ 1992 Matter of DR. AND MRS. PHILLIP J. CENTONZE Vote of the Board: Ayes: Dinizio, villa and Goehringer. (a) there will be no substantial change in the character of this parcel or adversely affect the neighborhood - this parcel is ample for two uses as proposed without the necessity of substantial physical changes to the property or the building; (b) there is no viable alternative for appellants to pursue, other than a variance; (c) the practical difficulties claimed are uniquely related to the property and are not limited to the owner or prospective purchaser; (d) the amount of relief requested is minimal under the circumstances; (e) there will be no substantial increase in population density or increased burden on public facilities by the grant of the relief requested; (f) the interests of the landowner is not outweighed when compared to the interests of the public welfare; the interests of justice will be served by the grant of the relief requested. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Dinizio, it was RESOLVED, to GRANT an area variance for this substandard lot, as exists, in this Residential-Office Zone District, in this proposed establishment (addition) of a professional dental office on the first floor, in conjunction with the existing residential use - except that the floor area of the proposed single-family residential apartment unit will be strictly on the second floor and will be reduced to 700 sq. ft. on the existing (second floor) building area, as applied in the Matter of the Application of DR. PHILIP J. AND MARIL~CENTONZE {contract vendees). Messrs. Grigonis, Doyen, This resolution was duly adopted. lk GERARD P. GOEHRINGER,~HAIRMAN / APPEALS BOARD MEMBERS Gerard P. Goehriuger, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor .Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Appt. No. 4081. Upon Application of DR. PHILIP J. CENTONZE and MARILYN CENTONZE. Request for Special Exception to the Zoning Ordinance as authorized by Article VII, Section 100-71B (2 & 7) for permission to establish first floor professional dental office, as permitted by Section 100-71B(2) and a second floor apartment not exceeding 750 sq. ft. livable floor area, as permitted by Section 100~71B(7). Location of Property: 5700 C.R. 48 (North Road), Mattituck, NY; County Tax Map No. 1000-140-2-11. Zone District: Residential-Office (RO). WHEREAS, a public hearing was held on March 5, 1992, at which time all those who desired to be heard were heard and their testimony recorded (see separate verbatim transcript of hearing); 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, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following Findings of Fact: 1. By this application, applicants request a Special Exception for the conversion of an existing principal dwelling structure, presently containing a total floor area of 1860 sq. ft., into a resfdential unit on the second floor containing 700 sq. ft. and a professional (dental office on the first floor containing 1160 sq. ft. 2. The premises in question is located along the south side of County Road 48 (North or Middle Road), Mattituck, in the Town of Southold, which premises is identified on the Suffolk County Tax Maps as District 1000, Section 140, Block 02, Lot 11. 3. The subject premises is improved with a one and one-half story single family dwelling structure which is set back approximately 30 feet from the front property line, 53+- Page 2 - Appl. No. 4081 Matter of DR. AND MRS. PHILIP J. CENTONZE Decision Rendered March 5, 1992 feet from the rear property line, and side yards at 8.8 feet at the easterly side and 30 feet at the westerly side. 4. The land in question contains a total lot area of 11,200 sq. ft. and a lot width of 75.00 feet along County Road 48. This parcel has been held in single and separate ownership according to the town's assessment and building records. Beth the lot area and lot width are substandard in this Residential- Office Zone District. 5. The parking area has been designated on a site plan map prepared by Garrett A. Strang, R.A. dated January 29, 1992 for seven parking spaces in the rear yard area. Screening and other site plan elements will be addressed by the Southold Town Planning Board under the site plan application pending at this time. 6. For the record, it is also noted that: (a) this Board has granted approval of the substandard lot size, as exists, in this R-O Zone District to authorize two principal uses under Application No. 4082; (b) the Master Plan revisions adopted on January 10, 1989 re-zoned the subject premises to Residential-Office, and the although the size requirements for new parcels in this zone has increased, the size of this parcel has not been directly affected since it has been held in single-and-separate ownership, and there has been no literal change in the dimensions or lot lines of this parcel which would affect the circumstances of the revised master plan amendments; (c) this Board has received communications from the Southold Town Planning Board indicating that they have reviewed the plans and have determined that a handicapped parking space in compliance with the new American Disabilities Act must be shown together with any proposed sign and {outside} lighting facilities. 7. Article XXVI, Section 100-263, sub-paragraphs A through F of the Zoning Code provides several standards, which standards the Board Members have considered concerning both uses, (professional dental office areas on the first floor and residential unit on the second floor) in this Special Exception application. 8. Other considerations by the Board were also given, among other things, to sub-paragraphs A through P of Section 100-264. 9. .It'is the position of this board that the uses requested under this Special Exception has met the requirements Page 3 - Appl. No. 4081 Matter of DR. AND MRS. PHILIP J. CENTONZE Decision Rendered March 5, 1992 as to burden of proof (standards under Article XXVI, Section 100-263), all as stipulated by the ordinance under Article IX, Section 100-91B, subsection 7, for an apartment over a professional office° Accordingly, on motion by Mr. Goehringer, seconded by Mr. Dinizio, it was RESOLVED, to GRANT a Special Exception for professional office use on the first floor, and for a single-family residential apartment unit on the second floor, as applied in the Matter of the Application of DR. PHILIP J. AND MARILYN CENTONZE (contract vendees). Vote of the Board: Ayes: Messrs. Grigonis, Doyen, Dinizio, Villa and Goehringer. This resolution was duly adopted. lk GERARD P. GOEHRINGER, /~HAIRMAN THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ :~ ~. .U.EAu o~ ELECTmCITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date THiS CERTIFIES THAT o~ly the e~ectrtcal ~uipment ~ ~scrib~ be~ a~ int~ac~ ~ t~ applicant ~med on ~he a~ve ~pllcati~ number in ~he premises of intltefollotrlnglocatlon~ [] B~#ement [] IstF[. ~ 2nd ~'1. ~r~']~C/0~1~' Section Block w~sexaminedon [)~]~r~.')0 i ~)')i~ ~ndfoundtobetn¢ompliance~ithtl~¢Nat~'onalElectri¢~lCode. Lot DRYERS E R V 1 C OF CC. COHO. 3/0 Per- This certificate must ~ot be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. N/O/F PETER L. ZAPP N 48' 47' 40*' W N/O/F GEORGE S 46' 47' 4Or' E L,OMA GA & WIFE ' WICKHAM AVENUE v?,,,~,~,,~ ...................... ~ BOARD OF HE'ALTH, . ..... ~:; ? 3 SETS OF PLANS ....... ~ 'Foam ~o. t SURVEY ~,~R 2" ~TOWN OF SOUTHOLO CBECK .... ~ ..... ,~ ;~01~DING~EPARTMENT SEPTIC FOR ............. ,. C TOWNHALL ~ ' 70,:'.:: _OUTHOLD,, ................... TEL: 7B5-1802 ~L TO: Examined ~ .~.., Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...G.a.r~g~r~. ~ ~ ..... 19 9 .2. 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 Inspecto~. 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. (Signatureofapplicant, orname, ifacorporation) Oarrett A. Strang, Architect (Mailingaddressofapplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... .D.E: . .P.h.~.~ .1.ip..C..e.n.~.o.n..z ~..-~..C9,n.~r...n.c.% .V..eD,d.c. a' ....................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No .... LICENSED Plumber's License No ......................... 's License No " " " Electrician ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .... ,5.7.q 0. ............... .No.r..~k .gg.a.d.. (.C...%... ¢.8.) ........... ~.a.t..~.~?.u.c..k ......... : ............. House Number Street Hamlet County Tax Map No. 1000 Section . .1.4..0 ............. Block 02 Lot. 11 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 ....O.rte. Fo~& $7. ~e ~.&~ .... ~¥,~,.~ ~.~,¢. ~ .~t~.~omS~ ................. Professional Office wi~tv~$'~:~'~i~'i~) Dwelli~a .... b. Intended um and occupancy ........................ , , ,~ .. ~ ...... 3. Nature ofw0rk (check which applicable): New Building ..... ' ..... Addition .......... Alteration...* X... t*... Repair .............. Removal; .............. Demolition Other Work t~2 ~,{~ 4~t5~, (Description) 4. Estimated Cost ....... $48.,.0.001 ...................... Fee . --~u,/.~', · ,~ ............................ " ~ (to be paid on filing this application) Ifd ' ' $. welhng, number of dwelling units . , One . Number of dwelling units on each floor ...... If garage, number of cars ....... i .......................................... 'I g'~ · £ 1'.' 'of £'i'c'a ..... 6. If business, commercial or mixed o~cupancy, specify nature and extent of each type of use2n~. £i... 7. Dimensions of existing structures it*any Front ..... ~ 7 :. .... Rear ...3.6. ~ ¢.' ...... Depth Height ~ ' Number of Stories .'l- ~/.2 Dimensions of same structure withi'alterations or addit OhS Front ..... .s.a.m.~. ....... Rear' ....s.a.m..e .......... Depth ..... s ante .i' Height s amc Number of Stories a arae 8. Dimensions of entire new construclion: Front ............... Rear ..... Depth Height ............... Numbe.'r of Stories ........................................................ 9 Size of lot: Front 75 * J Rear 75 ' ~ Depth 0, Date of Purchase . ~p..¢~>n.t,x~ .... ~ 2/,9.~ ...... Name of Former Owner ...qgh~n .................... 1. Zone or use district in which prem]ses are situated . .I*,7_.0 ..P,e.s±dent.ial O~.~.~e.e .... Does proposed construchon v~olat~ any zoning law, ordinance or regulation: .~pp.q{ .a.1. ~xcep.[±,o,n/,a,r ±.ante 3, ~111 lot ?e,,regrade~d., ..... L'"~ ................. Wdl excess fill be removed from premises: × Yes No 4. marne crowner o~prem~ses ~.~n~oJA:~ ~C.o, nt;r~a~.tP-lddress .. M.a,t,g$.t,u. qk ...... Phone No..~98:-A.fi67 ..... Name of Architect . .G.~¥¥~,e.t.. ~....~.rO~.~ ..... Address .. ~.o.u. gbg.l.d. ....... Phone No..7. ~ 5:-.5,4~ ~...~.. Name of Contractor Not. SelBcted Yet Address ....... Plmne No ....... ,. 5. Is this property located w~thin 300 f~et of a tidal wetland? *Yes ..... No ...)~. · If yes, Southold Town Trus~'tees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensmns from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether Iterior or corner lot. SeC Attached rATE OF NEW OUNTY OF .... ~ Garrett A. Strang (Name of individual ' ' ' . .......... being duly sworn, deposes and says that he is the applicant mgnmg contract) ~ove named. is the ' Architect ! (Contractor, agent, corporate officer, etc.) · said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that all statements coOtalned in this application are true to the best of his knowledge and belief; and that the 0rk will be performed in the manner set forth in the application 'filed therewith. vorn to before me this .~.2fl. th da~ of . Janua.~v ~ ~o92 . ............ ' Ouallflad in Suffolk County' ~ ~ (Signature of applicant~ Comml~lon N/O/F PETER L. ZAPP '~ r~ 47' 40# W ~ /~o. oo ~,~o ~-~.~:~ 149.49' ACT. ~ WICKHAM A VENUE