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HomeMy WebLinkAbout21111-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23787 Date JULY 20, 1995 THIS CERTIFIES that the building DWELLING Location of Property 8380 GT.PECONIC BAY BLVD. LAUREL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 11 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 23, 1992 pursuant to which Building Permit No. 21111-Z dated DECEMBER 1, 1992 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 RECONSTRUCT ONE FAMILY DWELLING WITH DECK ADDITIONS AS APPLIED FOR & AS PER ZBA {4122-B The certificate is issued to ROBERT H. & KAT[3RYN B. DEXTER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-358068 - JULY 17, 1995 PLUMBERS CERTIFICATION DATED APRIL 12, 1995 - HATT. PLUMBING & HEAT. A4 ui ding nspector Rev. 1/81 FORM NO.J 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) N 2N? 21111Z Pate 424 19.9 ° Permission is hereby nggrroged 00 . to . rrlCll...aL2. . .......r~. ri .r ~ iBnRy a4 a at premises located at..,F..3.e.a. 1/t~F G . r . County Tax Map No. 1000 Section 6PA........ Block .........t.'..... Lot No....r`~~? pursuant to application dated ......f/,1 Z 19. ~~~.,-and approved by the Building Inspector. O ` Fee k71 ..A;,)a - ` a.,Pit r Buil~~~ ~Y for 6~/ g nspec Rev. 6/30/80 y_.0, Form No. 6 I L TOWN OF SOUTHOLD BUILD1iNG DEPARTMENT JUL 1 9 1995 TOWN HALL vvi 765-1802 & _p n / p (1~~ Il 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 fromfplumber certifying that the solder used in system contains less than 2/10 of 1% lead. .5. Commercial build ingg, industrial building, multiple residences and similar buildings and installation sa 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 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 Buildine - $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 New Construction.........,. Old Or Pre-existing Building......!.......... Location of Property... 3BO .flied-4,- .Jlio.~J/G ,b„ry duNVJ 40ff 1ri House No. Street Hamlet Onwer or Owners of Property. a 'EQT ,~!•pJ/y~gy, O~,?,•exzm County Tax Map No 1000, Section....... G Block......// Lot....... iW Subdivision.......... ..Filed Map.... Lot Permit No..2111~ ....Date Of Permit ...~?I/A?.... ApplicantW4Wv14- /l f~ia7f/ yttj„ ~L1C7~; Health Dept. Approval...... .Underwriters Approval...... Planning Board Approval........ Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: ?`'ll~o _ ~3~ . 1 r ~ 1 oaf t t dyyVl;Ha11, 53095 Maln Road Fax(gig)789-1823 K0. B69 iif9 Telephone (516) 765.1802 1ilofd, Now YbSt 11971 G ~~•."fbfJ i OFFICE OF THE BUILDING INSPECTOR TOWN OF $OUTHOLD CERTIFICATION SSA,! DATE. J i , 51, `li3ttlg-Permit No. Z/l//-Z the : F 6d 71,1a y u 'e Idle x rfl please .print) tit0b8't E l U Rue, t;, d -1c.-co ~ "T R, (please print) ~o . , , + a Certify that the solder used in the water supply system " ~~Stl ilass than 2/10 of 1% lead. , (P umbers Sig to i 6 1 tt°Vid"bdfore me this ~,i~• ~r,,, ` JUL 19 1995 ~f A~ day, of 19 9~ _ lic County gtrr 1 4` 66 3~ 2 EDITH F. JACKSON Notary Pubffol State of New York x ~ t No. 4920758 =sl _ Cluaiffled in Suffolk County {.+a + Term Expires Fab. 16,106 - Town Hall, 53095 Main Road ca Fax (516) 765-1823 P. 0. Box 1179 W- Telephone (516) 765-1802 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 11, 1995 Mr. & Mrs. Robert Dexter 197 Kensington Road Garden City, NY 11530 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx ZAn application for Certificate of Occupancy is not on file. (Enclosed) xx o 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. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21111-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I:: s. _c .-~;J A: I~ c:rei vr~ y OUNDATION (1st) J I OUNDATION (2nd) rU3 • / , ~s1 0 =GH FRAME & -PLUMBING I 0 • N H 11 z =11SULATION PER N. Y. y STATE ENERGY CODE I FINAL ADDITIONA OMMENTS: • X ro H m r •-l - m H -of fat APPEALS BOARD MEMBERS O~ OG SCOTT L. HARRIS r Supervisor Gerard P. Goehringer, Chairman t z Serge Doyen, Jr. p 4, Town Hall, 53095 Main Road James Dinizio, Jr. 8Q! P.O. Box 1179 Robert A. Villa Southold, New York 11971 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ~ NOV 2 3092 ACTION OF THE BOARD . Rehearing Granted 11/9/92 on: 5'j'r.. Appl. No. 4122-B in the Matter of the Application of ROBERT H. AND KATHRYN B. DEXTER. Variance to the Zoning Ordinance, Article XXIII, Section 100-239.4B for permission to construct deck addition to dwelling within 75 feet from the bulkhead. Location of Property: 8380 Great Peconic Bay Boulevard, Laurel, NY; County Tax Map Parcel No. 1000-126-11-20. The subject parcel is substandard in size and is located in the R-40 Zone District. WHEREAS, all the Members of the Board voted to re-hear this application, at a public hearing, held on November 9, 1992, and at said hearing all those who desired to be heard were heard and their testimony recorded (and no public opposition was submitted); WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; 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, appellants seek a variance under Article XXIII, Section 100-239.4B for permission to construct an open deck, as modified in the drawings submitted October 26, 1992 extending 10 feet at the southeasterly corner from the house and extending 1616" at the southwesterly corner from the house, inclusive of a proposed five (51) ft. overhang at the second floor. The setback between the southeasterly portion of proposed deck and the lower bulkhead is closest at 55 feet. The remaining areas of the proposed deck and the new step area are also to be maintained at 55 feet (or greater). The total length of the deck is shown to be 53'11" on the sketch prepared by Robert H. Dexter, P.E. dated October 22, 1992. 2. The premises in question is identified on the Suffolk County Tax Maps as District 1000, Section 126, Block 11, Lot 20, contains a total lot area of approximately 31,000 sq. ft. and lot width of 100.0 feet. S Page 2 - Appl. No. 4122 - Rehearing Matter of ROBERT AND KATHRYN DEXTER Decision Rendered November 9, 1992 3. The dwelling which exists is presently set back approximately 180 feet from its northwest corner of the house to the front (northerly) property line. The distance between the rear of the house and the second, lower retaining/bulkhead along Great Peconic Bay appears to be approximately 60 feet. The copy of a survey submitted has a'reduced scale and the certified distances were not provided by the surveyor at the time that map was prepared November 9, 1987. It should be noted, however, that there are two bulkheads, the lower bulkhead is 12 feet farther from the house than the upper bulkhead. 4. Article XXIII, Section 100-239.4E of the Zoning Code requires all buildings and structures located on lots upon which a bulkhead, concrete wall, rip-rap or similar structure exists and which is adjacent to tidal water bodies other than the Long Island Sound to be set back not less than seventy-five (75) feet. i 5. It is noted that there are existing structures with setbacks similar to that of the dwelling currently. The lot to the west (now of Pillai) has a pool which appears to be at 55 feet from the lower bulkhead area, with the pool fencing at a closer setback. The lot to the east (now or Cervon) has an existing dwelling which appears to be set back approximately . 52 feet from the lower bulkhead area. This information was taken from the maps on file under Appeal No. 4042 (Cervon) which was denied for a reduction in the bulkhead setback on September 12, 1991, and Appeal No. 3270 dated October 11, 1984 (Pillai). The Dexter dwelling, as mentioned in paragraph #1, appears to be situated at 60 feet (or slightly more) from the lower bulkhead at its closest points. 6. It is the position of the Board that the amount of relief requested for the open deck, as modified, with a setback at the revised, greater setback of 55 feet is not substantial. It is also the position of this Board that in considering this application: (a) the relief requested is the minimum necessary to afford relief, there being no other alternative for appellants to pursue other than a variance; (b) the relief, as requested for a reduction to 55 feet, as an alternative to the original request, is more consistent with the essential character of neighboring waterfront properties immediately in the vicinity of this parcel; (c) the nonconformities of the property size and setbacks of the existing dwelling lend to the difficulties and uniqueness in this project; Page 3 - Appl. No. 4122 - Rehearing Matter of ROBERT AND KATHRYN DEXTER Decision Rendered November 9, 1992 r (d) the variance would not in turn set a precedent and will be adverse to the safety, health, welfare, comfort, convenience or order of the intent of the zoning regulations of the Town; (e) in view of all the above, the interests of justice will be served by granting the relief as alternatively modified. Accordingly, on motion by Chairman Goehringer, seconded by Member Wilton, it was RESOLVED, the relief requested under Appeal No. 4122-B in the Matter of ROBERT H. AND KATHRYN B. DEXTER, be and hereby is APPROVED AS MODIFIED. (Please see paragraph $11 supra, for details of deck extension and sizes:) a Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Dinizio, Villa and Wilton. This resolution was unanimously adopted. lk i~ GERARD P. 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Dexter 197 Kensington Road Garden City, NY 11530 Re: SCTM# 126-11-20 Dear Mr. Dexter: 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.Tr4stees.approve the request,for a waiver`to reconstruct a fire damaged house and add a deck as applied fors, If you have any questions, please give us a call. ery.truly yours, w.. 77T' John M. Bredemeyer, III President, Board of Trustees JMB/jmt cc. Building Dept. New York State Department of Environmental Conservation Region 't Headquarters ablo SUNY, Building 40, Stony Brook, NY 11794 DATE: R'ti ; , ~Tban~s C ,I~~r`ttn~ Re: `f 73 U0 361'E~ CT7l?'), h : i 90 Dear? A review has been made of your proposal to: nnG le: o~.: / CC- ~ ~ Based on the information you have submitted, the New York State Department of E vironmental Conservation has determined that the parcel _42S:_ project is: Greater than 300' from inventoried tidal wetlands. , - Landward of a substantial man-made structure ~c greater than 100' in length which was constructed prior. to720~7. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which i:; greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 21) 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 r 1 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ' `=a 6lt±f SOUTHOLD, N.Y. uoV 2 10/92 s NOTICE OF DISAPPROVAL •,,l;A ce ~.•~L~fiYtiOL.l:S File No . Date SUZY 15.•.............., 19 9.? . . To Robert H. 6 Kathryn B. Dexter 197 Kensington Road Garden City, New York 11530 PLEASE TAKE NOTICE that your application dated JULY .15 , 19 92 for permit to construct A DECK ADDITION AS. APPLIED FOR , , , , , , , , , , , , at Location of Property ..,8320 Great Peconic Bay Blvd. Mattituck, N.Y. House No. G Street Hamlet County Tax Map No. 1000 Section 2ls Block Lot . 20.......... . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds 7.. OF A BULKHEAD ON RIP-RAP. CH 100-100-239.4B Building Inspector RV 1180 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ FRAMING ) FINAL REMARKS: C , ca cclZ ~-~r DATE 417h3 INSPECTOR i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [4,1 INSULATION [ ] FRAMING ~1 [ ] FINAL REMARKS: 4 a/ aL 'E i f ,i DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 100034:`~l BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date JULY 17 ,1995 Application No. on file 8082669393 N 358068 THIS CERTIFIES THAT only the electrical equipment m described below and introduced by the applicant named on the above application number in the premises of ROBERT DEXTER, 8380 PECONIC BAY BLVD., MA.TTITUCK, N.Y. in thefollowing location; ® Basement ® Ist Fl. ® 2nd Fl. ATTIC/OUT Section Bfcek lot was examined on JULY 10, 199..51 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS T. K W. AMT K.W AMT K.W, AM! K.W. T. H P. OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT 11 OTHET CPT TIMECLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS ORYERS FURNACE MOTORS FUTURE APPLIANCE FEEECIAL RE SYSTEMS AML K. W. OIL H. P. GAS H. P AMT NO A. W. G AMT. AMP AMT AMPS. TRANS. r1Mi H. P NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF - S E R V h C E AMT. AMP TYPE METER 10 2W T 0 3W 3.e 3W 30 AW FIG OF CC COND A. W. G NO OF HbIEG A, W G. NO OF NEUTRALS A. W.0 EQUIP. PER a OF CC COND OF HLLEG OF NEUTRAL OTHER APPARATUS: GOODALE ELECTRIC LIC4786-E 7355 MAIN ROAD GENERAL MANAGER MATTITUCK, NY, 11952 11 t 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 BUREAU OF ELECTRICITY '77 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date JULY 17 ,1995 Application No. on file 80826693/93 N 358068 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ROBERT DEXTER, 8380 PECONIC BAY BLVD., MATTITUCK, N.Y. in thefollowing location; 17] Basement ® Ist FL ® 2nd Ff. ATTIC/O1IT Section Block Lot ows examined on JULY 10,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS CEPTACLES SWITCHES INCANDESCENT nUORESCENT OTHER AMT. K. W. AMT. K. W. T. K.W. AML K W. PMT. H.P 31 69 29 31 1 1.5 3 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G AMT. AMP. AMT AMPS. TRANS. AMT H P. NO. OF FEET AMT. WATTS 4 - 1 SERVICE DISCONNECT NO.OF S E R V I C E - AMi. AMP, METER I,e' RW I ,e' 3W 3 d 8W 3,e' TYPE NO. OF CC COND A. W G. NO OF Hl't A' W. G' NO. OF NEUTRALS A. W. G EQUIP. PFR .B' OF CC. COND. OF HbLEG OF NEUTRAL OTHER APPARATUS: PAN CONTROL-6 JACUZZI'-1 FANS--6 AIRHANDLER-2 RBD-1 90A DISCONNECT A/C-2 G.F.C.It-7 SMOKE. DETECTOR:-5 ZQM~ ~"kz~ Continued on Page 2 GENERAL MANAGER 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. Y ? ii Qi s cr, 0 C ~ ~ a It 4ata' ~ N b N 4 f e ® ~N ca N b t~ air' 4 OpD r2,} 80 ,60 lb, Ak x H~~\l~'1 ' d NOV 2 31992 I 0.41 er r o r a x K, t Cw NOV 2 31992. z i` o ~ C11 h' C m-, lj C~ ale n a v C3 f . N p 'A 41, pG>~ m y elf~~ G tn ~ 03 0 b p ti Ys ® ~ yd`s ~ `lo N \ V (O PO C1.V 0y t„`O- . V b Or 1~A ~O m ~O b y o 9 y 1N,1 w ~ a q~pAy o ~ i w. ..~N OyO0140"E. z- ° o 4 ~ ~ O • [ ti O Z Z© ' N ter 6 ~c \ m p _ or 4e i i • rA 01 /g9/~ Q~GO NOV 2 31992 dz AVM A10NONENr.IWNO 0 , STAKE $Utr, CO. TAX NAP pSr. 1000 SECT. /Zd nlaor" n~WS1on° YOUNG d YOUNG NOV.?0.1967 400 OSTRANDER AVENUE, RIVERHEAC NEW YORK OEC 10, 1987 ALDEN W. YOUNG HOWARD W. Y, FAOw[OIONAL [NOIN[[11 NNO 1.N0 [ W V [YON LANG [UNV[YO0. N.K[. UC. NO. IIe.N N. Y.L 4C. NO. P uvmmoneeD uN.nian on .nomox rD SURVEY FOR; N..1 Rx.x,r .e . x~an,D. e.1cDNex, JOSEPH 0. CHISHOLM 0 JO +fl" ` It., OR ,tt +t. 'OR. ,1A,1 UUORT" uw wo W. f DD.OI wryer n. 1 O~ "0 0' 1-11 ROT 1+.1.1 ` f rx[ t.xO ,URVno+•e 1..110 St., D. * i fNtDH10 1111 14ILL ROT H mx11D11t, TO Re , x,,,O wt oORY AT MArrirucx A T , ,o WA+ngte ixD~Uf[D x[N[DN 1xA4TUN oxtr rO r.c 11.10. OR .x.. ,u, TOWN OF sour yOLO t a[ AN i UN<xt CO Nsvtr n I...11, wo ox .n 11x11 V44 ro we r xc eoxNxr, Owt+xutxrN 10fxty "0 1,.DixO irlnmli0x 4fif4 0Y P K+mx, wo rO rxt .enaxete N rxe SUFFOLK CO.. N, Y. te.01.0 ixvnurmn wA.IR191, NOT TRA.Ar,.Alu TO 1001nONAL 9CALM, 40 , bATK• [N,N,.D.1 DN a .nwexr o.R111. /0- Nov, s, /per No' 87-/537 BOARD. OF HEALTH FORM N0.1 3 SETS OF PLANS J4_-" ! TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK , NOV I }L TOWN HALL SEPTIC FORM _ ....A111+.. j SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOT IFY ; CALL isxam?c1:L' ' ttJT LU 19 MA I L TO: Approved 2 2 19 Permit No.-!Z41/l/ . . _ . DisapprogIe . . (Bu1idR g-1nsp or) APPLICATION FOR BUILDING PERMIT l THOLI Date ...................19... INSTRUCTIONS a. ;his 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, d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or am e, if a corporation) /S3d (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. /l~S/l /E.Q.............................................. Name of owner of premises lr.d4dq~ ~ K~1yQyV .>8. ee Xl~l~ (as on the tax roll or latest deed) If 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 . 1. Location of land on which proposed work will be done. B3t~?d...-~r?r~t.% ..?~E~a,vic . ~.~y, ,dLvv~.. ~~!~'i~?~!-,zr~G:~ House Number Street Hamlet County Tax Map No. 1000 Section 1G........ Block ......j~.......... Lot Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . f%~< 4iYli7GO„ /z ST.q yam, ,UNE}„4gyL3Y, l~4!L~ic/y - U7(/D~euB«D 2 S7O Y D kl L 1! (/£LL c!y b. Intended use and occupancy ,,s„ ,a. p.,...,> 3. Nature of work (check which applicable): New Building Additio Alteration .w . Repair val Demolition Other Work A", 1.... . ,er yy (Description) 4. Estimated Cost .........~8~?;.~4.4 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . . . g g . L : occupancy, specify nature and extent of each type of use . 7. Dimensions of exist ng structures, if any: Front , Rear . . Depth , . Height Number of Stories .....~2........ . . Dee ions o . , th alterations or additions: Front Rear . p I.. Height . Number of Stories . 8, D mensions of entire new construction: Front Rear Depth , Height Number of Stories , . 9. Size of lot: Front Rear Depth . 10. Date of Purchase 11. Zone or use district in which re~9/. • • • ' • ' ' • Name of Former Owner 4,46!4A ? 44,.4AY , f~%~.QiVray/P4/ 12. Does proposed construction viol mises are situated ~ U : . . ate 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 Address Phone No. . Name of Architect ' . Address Phone No............... . Name of Copntraactory ' Address Phone No..........:.... . 15. Is thi* rY ert within 300 feet of a tidal wetland? *Yes........ No......... If es, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all Iibuildngs, 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. SEL" IV r7'AGE/L?~ /~LDT D/A4r,-O n i 'I I ii III STATE OF NEW YORK, COUNTY O/F~.. of f4'G S,''.S a8d~?T • Name of individ~~si ni>~~ being duly sworn, deposes and says that he is the applicant g g contract) above named. He is the ..............QIAIXI ?';L , . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly i,authorized to perform or have performed the said work and to make and file this application; that all statements contained n this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this c3 ~d-...day of.• 1. N. Y..., 19"I Notary Public, ounty CLAIRE L: t3}EW .....G Y. . Notary Public, State of New York No, 4879~g Qualified in Suffolk CouM1l C)~ (Signature of,applicant) Commission Expires Dedember ,18 BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK " " " t`"1~ rytTC3 TOWN HALL SEPTIC FORM a.~ SOUTHOLD, N.Y. 11971 TEL.: 765-1802 r:atlFy; CALL Examined 19.MAIL TO: Approved 19 . Permit No........... . Disapproved a/c J. ~ . (Building Inspector) APPLICATION FOR BUILDING PERMIT ~J Date 19l2 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 cod housing code, a regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ...?~~Z~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises q.exrz/ . (as on the tax roll or latest deed) If 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 . 1. Location of land on which proposed work will be done. House Number Street Hamlet County Tax Map No. ] 000 Section ~ G....... Block Lot. . . d.. . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy f/2us z hoc? Fn /i y !!I/? ~L /iv ij b. Intended use and occupancy ....6/?S. r... 6N r=...!~! , , ~!N LG~/N s . . 3. Nature of work (check which applicable): New Building , , e Addition Alteration . Repair Removal , Demolition Other Work . -0 (Description) 4. Estimated Cost............ Fee...................................... (to be paid on filing this application) , numb of of dwelling units X , , . , , Number of dwelling units on each floor . . 5. If dwelling, If garage, number 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structure • ' • ' ' • . . > if any: Front ~ ...~.~D. 3 Rear Depth ~ Height Number of Stories . A . Dimensions of with alterations or additions: Front , • • . , . . Rear......... Depth ! . Height Number of Stories . . 8. Dimensions of entire new construction: Front Rear ...............Depth Height . . Number of Stories , , , , . . . Size of lot: Front 1. Date of 10. Zone or ause rch district e . in which pre. Rear , , , , , , . , Depth . ?.l9/ Name of Former mer Owner anises are situated . 1 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 ~tx T ~R /s K9N~ ~r N ~ .7y Address44,rn•civ *'iry K)y %i53 o hone No. l4 . e Name of Architect Address Phone No......... . Name of Contractor . • • . , Address . Phone No. . 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 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. Sig S~~,Ev~Y y i j i STATE OF NEWY9RIv{(~,~~ S1,S COUNT} tlu . r jjCC~me of of lignin. . . ' • ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant g contract) above named. He is the C~, L~bLQ T (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 3PPlication; that all statements contaigqed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this L.G~~day of ,l 19(,Z Votary public Y• C...County CLAIRE LGIEW Notary PubliaState ofNowYork rr••: QualNled in Suffolk County (Signature of applicant) Commission Expires Decbmber 0, 19 I I PLUMBING ALL PLUMBING WASTE & WATER LANES NEED TESTING BEFORE COVERING i I I 061/14?,4J1ON Td M6ET EX1sr,,1,( if copper tubing is used for water distributing system; piping shall be L of types K or L onl T - - I ~U I i s 9z /z 4 4 i I PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE - - _ fig w I K_qi ,,,m. ~ V ' CERTIFICATE OF OCCUPANCY ~I ; ~ v SOLDER USED IN WATER 4G, SUPPLY SYSTEM CANNOT OZ ANTEk i \ `T I EXCEED 2110 of 1% LEAD. q a I , 1 _ I AG7 Bk/EKfAcF I ~ I ~ Ilk u o OCR / 37 T- •MV. T sTEV op 2e, -GXKl4L- a~y ~ ' ~ 3'O' j OCCUPANCY OR - , - 1 L USE IS UNLAWFU~ / V41THOUT CERTIFICATE - - C LIJPANTk v StRA, OF OCCUPANCY Y T/LE I ~I ICI ~,~"1O / I~~~ - Ni i!~ APP ED AS NOTED - - o a z a z =z" /~i 2/~// _ _ k Z DATE. B.P. p - , 3 Ao I FEE: ~ BY' o L G [ NOTIFY BULL DEPARTL1ttW (U ~ 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS I, FUUNUAIIUN - TYCO REOUIRn - FOR POURED CONCRETE !![qR W/NUONi 2E[ow 2. ROUGH - FRAMING & PLUMBING o J(VOW_EP 3. INSULATION ~J czllo WG~,IOaw i 4, FINAL - CONSTRUCTION MUST gW4 e V?A L,{ M BE COMPLETE FOR C.O. _ I ALL CONSTRUCTION SHALL MEET /UG W F4961N014% /ii.U THE REQUIREMENTS OF` THE N.Y. STATE CONSTRUCTION p ENERGY NDERWRIT€RMRTINCATE-- 63 9 6 19 leEV ///G 1~/Z CODES. NOT RESPONSIBLE FOR - REQUIRED I c DESIGN OR CONSTRUCTION ERRORS / ~/sr .D/lTE S 36 / 3 3 lism SR311RA1N30NN - _IRS 7_ /=LOOk /ALAN 8 SCALE ~~-'a ~f'~n'~ 1 _ s I I~ I cu 0 r,2~~'CX - /'On \ ~ ° III' 26 i'. ri WAILS 6'w/GN - . ~ o-' ' I ~N ' I ~ ' UI II -N -l SCE Mr /~kc5~/No ~ LL6 l~ CI ~ ~ `p IIj z AE7 BR/cR F,fct-7 - ~ ~ ' I / -r r I i 1 ,ry q f Noo ti MI ~ I ~ DEdK j Ulo Till' n I P ° ~ ml_ WJCD RA/G /N6' I I q/ WAGGS N/6H / LAUNOH cHUT[ rl) r 2- L~ _ V. 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MAR - 2X3'.)3 S£671o,v A 4 SfcT/vN C-c' AT S1,361s2 Rev 7192 VOIVS I R,C ? 2/79/93 I i i I I - - I - i J1 - I - I i - ~ ~ I _ i~~,~>~ r 11 I - - ~ ! ~ ~ - ~C` ~ ~ I _ I i i I T~ -IrrFT - l I i i °i l ,IS i /VCQ7~ E L f 11./.4 %/CN Rev 11221y3 F0147-27 61/7/92 7/s/9zPi//ZAz v, MAR ' 21993 ~l's1i SCALE 101/1 4 I II I I L. - cw/4~I i i J . C, 2S _ I i i I r I I I I I I VIII-- ; ~I I r ~I I I r Ir I I i i _ ~ C 35 ' ~ ~ I I I I I I ~ _ i I I I _ ~ I II II --ir - - i I I 1 EAST EL£VAT/ON i, B3d'6 B. B. - i MAR - 2 1993 DA7E 6-1,36/y2 i RE V ,PEv REV /~2z/Y3 SCAZZ i I I i i I I iV I CN,L ;'i - ~ ' o e f w FW6 LOLd!_Ll~__11_1_ I- \ i I \ I,I r ~ it I ~N/G F/ OLBASR fW ELL L.-- - Iii I~--- - 7 SOUTH _F/ZVgTIC' /V ~zv z/i9/93 8380 B.B. OAT,' 61,30/92 @.. Rz v f111 /9zti' d MAR 2 t. I_~J3 e, V 111/7192 REV ~/22/yJ - _ - i I ~I ; r I ~w a I _ I I 1 - I I I_ I -r ,~4 41 T' Z r-_ c I Zs i I ~ _ L r J IT - IT- Nil I- II I u L _ - - it ~ - -I W46T C Z VA 7- ON RfV //2z /93 -_REV 2/19I9 3&o d. 3 MAR 2 1993 2,47E 5~3a~92 REV 8112 /92 REV /L ~6 /92 SCALE ~„-/'o'