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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22550 Date AUGUST 25, 1993
THIS CERTIFIES that the building ADDITION
Location of Property 31059 COUNTY ROAD #48 PECONIC N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 73 Block 4 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 19, 1992 -pursuant to which
Building Permit No. 21144-Z dated DECEMBER 14, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" &
AS TO CONDITIONS OF ZBA #4124.
The certificate is issued to CARL & DOROTHY SORANNO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
uirding Inspector
Rev. 1/81
? FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22551 Date AUGUST 25, 1993
THIS CERTIFIES that the building ACCESSORY
Location of Property 31059 COUNTY ROAD #48 PECONIC, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 73 Block 4 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 19, 1992 pursuant to which
Building Permit No. 21144-Z dated DECEMBER 14, 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 ACCESSORY STORAGE BUILDING "AS BUILT" & AS TO CONDITIONS
OF ZBA #4124.
The certificate is issued to CARL & DOROTHY SORANNO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-284598-7/30/93 & N-284598 - 8/10/93
PLUMBERS CERTIFICATION DATED N/A
ilding Inspector
Rev. 1/81
WORK NO. $
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)
WN° 21144Z Date .../..a, ' 19. E
a GDS.
Permission is hereby granted to:
I
to ~y ~ t. 11-701 ...1....!......
i.....
at premises located at sl~~•...4'~'" "T' 1..... Y
/a
r
.
County Tax Map No. 1000 Section Block T.......... Lot No.
pursuant to application doted / 190.% , and approved by the
Building Inspector.'
E
Fee 3....~.?...~~
`E 106 X~
C
Build Inspector
Rev. 6/30/80
I C-5 Vt¢ J Unf e
i Form No. 6
TOWN OF SOUTHOLD
1993 BUILDING DEPARTMENT
TOWN HALL
s' 765-1802
TOHS.ia~s
Wi,~O.,~' S~,,,C331Ti~C?LC3 .u,«.».
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 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
r "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 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
Date ....~F/9~......
New Construction..... gOld Or Pre-existing Buildi%4 :.........OIJ`
Location of Property..1.~/.. U V N I ~F~ d..L G D A~l e .
House (No'.. l1 r1 Street A Hamlet
Onwer or Owners of Property. &-11/6) . . . . .
County Tax Map No 1000, Section... .......Block....`.`. ..........Lot. 3
Subdivision......... ,,j ..Filed Map............ Lot
v
Permit No.. l 2- Da 'e Of Permit. `..11~.L~......Applicant
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Cerrt/ificate........... Final erticate.. v
Fee Submitted: ...r.~ /J
Co ~G a551 - APPLICANT
- ,,rr 1((L11 l 1
A Form No. 6
t ~OJ a TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
L u: 4 tNf 765-1802
,
TOWN OF SOU"t'1101-,D av.
we.r. s,~¢...m..
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 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.
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 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 $ 5.00,, Commercial $15.00
Date 1.r3............ _
New Construction.........., gOld Or Pre-exis ing BuIlding/~
Location of Property.: IP.r/...C U.v~Ty J ~ G UA//.~
House No.Street Q , Hamlet
Onwer or Owners of Property.(.(( Z
County Tax Map No 1000, Section.../ 3 ........Block.... .........Lot..../ .
Subdivision.......... Filed Map............ Lot
Permit No.~ ....'....Date Of Permit./2~' ~~/j1 .....Applicant
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final CCer~ticaatte...........
Fee Submitted: $...7 ~ .
CAe • ~4G°I~
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FORM NO. 3
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTIIOLD, N.Y.
NOTICE OF DISAPPROVAL
Date AUGUST 14 19. 92 ,
To „ CARL & DOROTHY T. SORRANO
185 BAYVIEW AVENUE
AMITYVILLE, NEW YORK 11701
PLEASE TAKE NOTICE that your application dated . , , _AIIGUST 10, 19 92
for permit ffiK FOR. A. DECK, ADDITION & TO CONSTRUCT AN ACCESSORY . BUILDING . . . at
.
Location of Property 31059, COUNTY. ROAD #48 PECONIC, N.Y.
House No. Street Ham/er
County Tax Map No. 1000 Section 73...... Block ...4.......... 3
Lot
Subdivision Filed Map No. Lot No.
is returned herewith and disapproved on the following grounds .
1. ALL BUILDINGS LOCATED ON LOTS ADJACENT TO LONG ISLAND SOUND SHALL BE SET
NOT LESS THAN 100' FROM THE TOP OF THE BLUFF OR BANK. ART. %%III CHAPT.
100-239.4-A (1) - ACTION REQUIRED BY THE ZONING BOARD OF APPEALS.
2. ANY BUILDINGS & STRUCTURES SHALL BE LOCATED IN THE REQUIRED REAR YARD.
ARTICLE III CHAPT. 100-33 - ACTION REQUIRED BY THE ZONING BOARD OF APPEALS.
t
ng Inspector
GARY J. FISH
RV 1/80
APPEALS BOARD MEMBERS SCOTT L. HARRIS
Supervisor
Gerard P. Goehringer, Chairman
Town Hall, 53095 Main Road
Serge Doyen, Jr. a P.O. Box 1179
James Dinizio, Jr.`
Rob Southold, New York 11971
Richare t A . P1J~
dr C. M ton ~ Fax (516) 765-1823
Telephone(516)765-1809 Telephone(516)765-1800
BOARD OF APPEALS
TOWN OFSOUTHOLD
October 20, 1992
Dr. and Mrs. Carl A. Soranno
185 Bayview Avenue
Amityville, NY 11701
Re: Appl. No. 4124 (Decks and Accessory Building)
Dear Dr. and Mrs. Soranno:
Please find attached for your permanent records a copy of
the Findings and Determination rendered by the Board of Appeals
in the above matter at our October 15, 1992. You will note that
a Declaration of Covenants will need to be prepared and
submitted for acceptance by our office before permits may be
issued.
Once the Covenants have been accepted and then filed with
the County Clerk, the variance will become effective.
We are this date providing a copy of the Board's
determination to the Building Department for their update and
recordkeeping, as well as the Suffolk County Department of
Planning concerning their review jurisdiction within 500 of
waterways.
Very truly yours,
Linda Kowalski
Enclosure
cc: Building Department (Attn: Gary Fish, B.I.)
APPEALS BOARD MEMBERS SCOTT L. HARRIS
Supervisor
Gerard P. Goehringer, Chairman
Town Hall, 53095 Main Road
Serge Doyen, Jr. r; P.O. Box 1179
James Dipnizio, Jr, Southold, New York 11971
Ri Robert C.Villa ton s w?%" Fax (516) 765-1823
chard Telephone (516) 765-1809 Telephone (516) 765-1800
BOARD OF APPEALS
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
Appl. No. 4124:
Application of DR. AND MRS. CARL A. SORANNO for a variance
to the zoning ordinance, Article XXIII, Section 100-239.4A(1)
for approval of deck addition within 100 feet of the top of the
L.I. Sound bluff or bank, and Article III, Section 100-33 for
approval of accessory storage building located in the front yard
area, 400+- feet from the front property line. Location of
Property: 31059 County Road 48, Peconic, NY; County Tax Map
Parcel No. 1000-73-4-3.
WHEREAS, after due notice, a public hearing was held on
September 10, 1992, and at said hearing all those who desired to
be heard were heard and their testimony recorded; 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. This is an appeal of the August 14, 1992 Notice of
Disapproval by the Building Inspector concerning: (a)
construction within 100 feet of the top of the bluff or bank of
the L.I. Sound, and (b) an accessory building in the front
yard area.
2. The premises in question is a conforming lot having a
total lot area of approximately 2.75 acres in this R-80 Zone
District and is identified on the Suffolk County Tax Maps as
District 1000, Section 73, Block 4, Lot 3.
3. Submitted for the record is a survey prepared by Young
& Young, L.S. showing the present layout of the buildings on the
premises (i.e. existing dwelling and accessory garage which is
the subject of this variance and constructed without building
permits or variances).
Page 2 - Appl. No. 4124
Matter of DR. AND MRS. CARL A. SORANNO
Decision Rendered Otober 15, 1992
4. The deck is open and unenclosed as exists, and is
proposed to remain as such. The deck extends along the westerly
and easterly sides, and along the southerly section of the
existing dwelling. The deck has variable dimensions between 18
feet wide and eight feet wide. (Ref: survey prepared August 7,
1992 by Young & Young, L.S.) The setback requested is 35 feet
from the (approx.) top of bluff line as shown on the August 7,
1992 survey, and the remainder of the deck extends landward of
the house.
5. The subject accessory building consists of a size
15 ft. by 19 ft. and has a height to the peak of the roof at
11.8 feet as shown on the construction diagrams submitted as
part of the application with photographs.
6. The use of the accessory building is proposed for
sleeping quarters or guest use; however, the use of this
building is limited to storage, garage, workshop, etc. as
established as customary and further provided in the accessory
use provisions of the R-80 Zone District at Section 100-31C. A
use variance has not been applied for as part of this area
variance application for the accessory building. Such a use
for sleeping or living purposes is prohibited and is not
properly before the Board at this time.
7. It is the position of the Board in considering this
application that:
(a) the circumstances are uniquely related to the
property and there is no method feasible for appellant to pursue
other than a variance - the front yard area as defined presently
in the zoning code defines that yard area facing the
right-of-way. The yard area facing the L.I. Sound is defined in
the code as the rear yard, although it is prohibited to build
within 100 feet of the L.I. Sound bluff or bank;
(b) the relief is substantial in relation to
requirements, however, it is not uncommon to have waterfront lot
with limited rear (water side) yard areas;
(c) the variance requested does not involve any
increase of dwelling unity density;
(d) the relief requested will not cause a substantial
effect on available governmental facilities since the structure
will be permitted to be used only for storage or accessory uses
customarily incidental to the main residential use of the
premises;
Page 3 - Appl. No. 4124
Matter of DR. AND MRS. CARL A. SORANNO
Decision Rendered Otober 15, 1992
(e) the relief requested is not unreasonable due to
the uniqueness of the property and the immediate area;
(f) 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 since the proposed
construction is similar to that generally existing in the area.
Accordingly, on motion by Mr. Goehringer, seconded by
Mr. villa, it was
RESOLVED, to GRANT the area setback variances requested
under Appl. No. 4124 in the Matter of Dr. and Mrs. Carl A.
Soranoo for a deck addition to dwelling and accessory building
in the front yard area, SUBJECT TO THE FOLLOWING CONDITIONS:
1. The accessory building is restricted to those accessory
use for storage or garage purposes (such as a hobby shop or
artist's work studio) customarily incidental to the main use of
the premises, not to involve a separate use, not to involve
sleeping or living quarters, not to involve sales or similar
gainful purposes;
2. No plumbing facilities for a shower and/or lavatory
(toilet), except that one sink with minimal plumbing hook ups
will be permitted as regulated and authorized by the Suffolk
County Department of Health Services;
3. No other utilities, except that electricity will be
permitted;
4. Covenants in legal, recordable form shall be prepared
and submitted by the applicants for acceptance, and if approved,
shall be filed by the applicants with the Suffolk County Clerk's
Office binding all owners, subsequent owners, their heirs and
assigns.
Vote of the Board: Ayes: Messrs. Doyen, Goehringer,
Dinizio, and Villa. (Member Wilton, appointed on October 6,
1992 abstained entirely.) This resolution was duly adopted.
* ~ x
lk
GERARD P. G EHRINGER HAIRMAN
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING [ FINAL
REMARKS:
t4z
e
DATE l3 INSPECTOR
;
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE I
1 (9C1 i'Vr l1 BUREAU OF ELECTRICITY
F 85 JOHN STREET. NEW YORK, NEW YORK 10038
AffMIS'l, lL) 4(9'4 i;1~n":3331 2 N 'af 4".i94
Date ` Application No. on file
THIS CERTIFIES THAT
only the electrical equipment m described below and introduced by the applicant Homed on the above application number in the premises of
H. SHAW), R0I1TE dD, PU'0111(', N.Y,
in thefollowinRlocation: ? Basement O1J
let F(. E:1 2nd h'1. Section Block Lot
was examined on j Q 1` L J) ' 1" 4 4 4 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER T. K W. AMT. K W AMT. KW. "I K.W T. H P
5 A. Yi
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEL6 UNIT HEATERS MULTI.OUTLET DIMMERS
AMT. K, W. OIL H. P GAS H. P AMT. NO. A W. G AMi. AMP AMT. AMP5 TRANS. AMT H P SYSTEMS AMT. WATTS
NO.OF FEET
SERVICE DISCONNECT NO. OF S E R V I C E
METER
AMT. AMP. TYPE EOUIV 10 3W 1.0 3W 3 a 3W 3A 4W NO. OF HIAEG A W. NO OF NEUTRAl3
PER 9 OF CC. COND OF HI*1 G OF NEUTRAL
OTHER APPARATUS:
HOTIMS-11.114- l
FFJEDNR9e1-3 # N 8A£114MXI1T TO RASF)M1,'N'.I'
PAtJK1,137APD,'i11 4 GTR. 100
G GRy~
G Fr CU11'1'RAl`TOR ITC.1#57~ N C/~~
POX ~.l5
SOUTROLO, NY, 11971 GENERAL MANAGER
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 DEPARTMEMY T6~2 COPY OF CEOs 0FiCA u E MUST NOT BE ALTERED IN ANY MANNER.
* THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2
1.00 107 1 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date 111:LY 30,1393 Application No. on file c" 1,043393(<!,,3 N t.B~99
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant namedon the above application number in the premises of
DR. SARANO, ROUT'k, 4,1, PNCOW,, N.Y,
in thefollowinRlocation; ? Basement ? Ist Fl. ? 2nd Fl. OU Section Block Lot
was examined on 311I11 2 7 , 1- 9 g 3 and found to be in compliance with the National Electrical Code.
FIXTURE ECFPTAGLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS 11 DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER MAT K W. AMT K.W AMi W. AMT K, W, AMT. H, P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT K. W. OIL N. P. GAS H. P. AMT. NO, A. W G AMT. AMP AMT. AMPS TRANS. AMT. H P SYSTEMS AMi. WAiiS
NO. OF FEET .
SERVICE DISCONNECT NO. OF S E R V I C E
AMT, AMP, TYPE METER RW ~.3W 3 $ ]W 3,e' dW NO. OF CC COND A W G NO. OF HI-LEG HI A.WG NO. OF NEUTRALS A. W G
EQUIP. PER 9 OF CC. COND. OF F HI LEG OF NEUTRAL
OTHER APPARATUS:
have frequent tr,+W,111d or copal t.s
made by a qualified person,
G & S CONTRACTOR LIC1#578-9
® c'" l
BOB 21.5
SOuTimp, NY, 11971 GENERAL MANAGER
Per 1 V
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 1,,AGTJ 1
9.001071 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date JNC,Y 30,1993 Application No. on file $104.3343/93 N ?$~1li9a
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
OR. SARANO, ROUTE 48, FECONIC, N.Y,
in thefollowing location; ? Basement C9' Ist Fl. ? 2nd FT. OUT Section Block Lot
was examined on 'T U L Y 2 7 , 1. 9 rl 3 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W. AMT K.W AMT. K.W qMi. K W AMT. H p.
tl
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMEGLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K. W. On H. P. GAS H P AMT. NO. A. W G qMi. AMP AMT. AMPS TRANS. AMT H P NO. SYSTEMS
FEET AMT WATTS
SERVICE DISCONNECT NO OF S E R V 1 C E
AMT. AMP TYPE METER EQUIP. I PW 19 3W 3 9 9W 3 AW NO OF CC. COND A. W. G. NO. OF HIAEG A. W. G NO OF NEUTRALS A. W G
PER B OF CC CO D. OF H1 kEG OF NEUTRAL
OTHER APPARATUS:
3WIMMI14G POOL t
MOTOR9-1f,P-F-I
TNIB IS PARTIAL NOT A COMPLETE CERT 1
FEEDERS s 1-3 R 8 BASEMENT TO BASEMENT
PANSLUOARDS11 11 CT.R. 100
`(SWIMMING POOL) This I;e,rt.'LCicatc
covers Compliance It the date of
inspection ouIt E3ecanet: Unusual
enviromen Co It is acivi:tabl e 1.o
<<< 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.
BOARD OF HEALTH
FORM NO.1 3 SETS OF PL1N5
TOWN OF SOUTHOLD SURVEY
Poo, 1 0 . BUILDING DEPARTMENT CIICCIC
TOWN HALL SEPTIC FORN
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 t:OT I FY t
CALL
Examined , , , , , , 19 MAIL TO:
GG .
Approved ..../v~- 1.~~......, 10. Permit No.,~..!
Disapproved a/c 17,
..............................................o...
'J.... a
(Mildin Spector)
APPLICATION FOR BUILDING PERMIT.
Date . vu. ~y 4( 19 9.?r
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 ap Ii-
cation.
i~. The work covered by this application may not be commenced before issuance of Building Permit.
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 alterati s, or £or emoval or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinanc s b dipg ode, housing code, and regulatio s, and to
sdmtt authorized inspectors on premises and in building for necess in c i s. J '
J°
(Sign ture of applicant, or name, i a (crporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
......a
Name of owner of premises CMAI -.&.:'!°r?/.gat q... ~D~ar7!y~ .02/3~1Np
(as on the tax roll or latest deed)
If apriicant is a corporation, signature of duly authorized officer. C
(Name and title of corporate officer)
Builder's License No.
Plumber's License No
Electrician's License No .
Other Trade's License No .
Location of land on which proposed work will be done .
31459 C?e(4A j. A? D,. !FB.............
[louse Number 'Street Hamlet
County Tax Map No. 1000 Section 7:~ Block Lot. . 4 I
Subdivision Filed Map No. Lot
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ K !/D 14O U 0
b. Intended use and occupancy .....S mC j
( "}o house ane dec, 9
3. Repair of work check which applicable):
p plicable : New Buildin Addition ..L....... Alteration
Rembval Demoliti n Other Work
4. Estimated Cost ,CAF oU0 4424 J` po p (Description)
C... Fee .
(to be paid on filing this application)
,
5. If dwelling, number of dwellinSunits , , , , , , 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 HeinShtsions of existing
g structures, if any: Front ?<.Pg Rear .'/-9 Depth -?z,;x
Nur
'ber of Stories , , , , , , , , , , ' '
Dimensions of same structure wi th alterations or additions: Front Rear
8. Dimensions Depth .ion. of entire new const.i Height . Number of Stories , . , .
fiction: Front Rear............... Depth
Height Number of Stories .
9. Size of lot: Front ...4*%*O-'!/A 3l Rear , .y FaoNmgc~ysa~ a. • Depth ' •1"p 4p *vasr,S,Q•e' 994"2
~asr
10. Date of Purchase lgBS• , • , , , , , Name of Former Owner 'Ylvl8, v ~~va
12. Does proposed construction oldare situated . . .
If. Zone or use district in which rto any zoning law, ordinance or regulation: ..N, V . . .
13. Will lot be regraded J.Q, i, , , , , , Will excess fill be removed from premises:.peES Ses No
14. Name of Owner of premisesCR4q rJe!o>tiy, ~oranno Address !b'S (iay.q ~~l)? /at,, y~/l~hone No.-f9e or Poo
Name of Architect h • • • • . • Address Phone No............. .
Name of Contractor . , r . , Address . Phone No. .
15. Is this property within 3100 feet of a tidal wetland? *yes. No.. " " " "
If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
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oti~~~ Pay
O~ / G bo O, 67/7
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5 1 60.00
~aob ' /10.00 N ggo02'50w o q0 "9 0
;TATE 0 N O
,ouNT~- k...... ~.s
t • • • ??!"'jbeing duly sworn, deposes and says that he is the applicant
(Name of individual signing! contra Lt)
bove named.
feis the
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed tiro said work and to make and file this
aplication; that all statements containgd in this application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner set forth in the application filed therewith.
wom to before me this
I ..........day of . ~d~.u 19 5j
otary PuMEblic , , S b~l~.. p County
Abfary ft ft, of No (
No.4948506 eature o ap licant)
~ln Suffolk (S
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NOTE' • .MONUMENT STAKE ~
SUFFOLK COUNTY TAX MAP n
01ST 1000 SECT073 BL.04 LDT03 p
C
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~ P
UiI ~ItY PO~EC1YPl-
SURVEY FOR : /
CARL SORANNO 8 DOROTHY SORANNO
AUG. 7 1992 N
AT PECONIC DATE AUG. 15; 1985 0
N. TOWN OF SOUTHOLD SCALE: 1"= 50 ~ o
SUFFOLK COUNTY, NEW YORK N0. : 85-811
*UNAUTHORIZED ALTERATION OR ADDITION TO THIR Z
SURVEY IS A VIOLATION OF SECTION TEDB OFtHE O p 8330 Acres NEW YORK STATE EDUCATION LAW OF N O 2' to 3
NCOPIES OF THIS SURVEY NOT MEANING THE LAND 4P~E F!Y ` Q $ PrQD' ~IQy SURVEYORS INKED TEAL OR EMBOSSED SEAL SHALL S O O IT" Qf 1'~ Way a
NOT BE CONSIDERED TO SE A VALID TRUE COPY. (UD W, 'F,F. C h t / R GUARANTEES INDICATED HEREON SHALL RUN ONLY TO ,S1F' YO C ti R 19 o~ \ g m
*r E PERSON FOR WHOM THE SURVEY I! PREPARED, Q fj ul AND OX HI! BEHALF TO THE TITLE COYMNY, GOVERN- 2 \ ~J~
MENTAL AGENCYAND LENDING INSTITUTION LISTED III HEREON,AND TO THE ASSIGNEES OFTHE LENDING VTV~ # 0 O 12431 / IQ
INSTITUTION. GUARANTEE! ARE NOT TRANSFERABLE Nit TO ADDITIONAL INBTrtuTIONe Oh auesEauENT 3_ 3 .`Q'i / MC GQQ~19 •Gunni9te o
OWNERS. O ,p yf'j°r]7 P *DISTANCES SHOWN HEREON FROM PROPERTY LINES U'
TO EKISTINO STRUCTURES ARE FOR A SPECIFIC G '4 I / jrlQmQ n
PROPERTYALINES O RFO TTHE ERECTION OF FENCES. CfyAE LAND S00.N~ II/ form
N
v_
YOUNG a YOUNG RIVERHEAD, NEW YORKUE QQw oT
ALDEN BE YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S,LICENSE 010.124143 i' ! AUG O I JI~~
yNI'DyWARD W. YOUNG, LAND SURVEYOR I~
0.„41? LICENSE 110.454133 ,~~IL
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/9'?e'r /yo ,'t°Gs ',r:'C.:~L"'--E"+;"1`1G ~'l ?i'1,,., ?1~`ts ~ ;.i^-. {'"cve ~r c"/{' ,:z:`:lf'%~'r"rr.r" ~5 -'fA ~J' L~ ` /j
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s~a1° / rr, r D r APP AS WED FEE,
i NOTIFY' BUILDING DEPA NT AT 766-1802 8 AM TO 4 PM FOR THE
'k FOLLOWING INSPECTIONS:
I . FOUNDATION - TWO REQUIRED
~4 OCCUPANCY OR FOR POURED CONCRETE 2.. ROUGH - FRAMING & PLUMBING
9 INSULATION FINAL - E COMPLETE FOR RC O.ION MUST
1.,1SE IS UNL MVFUL 4 B
ALL CONSTRUCTION SHALL MEET CCCURAIVCY OR
THE REQUIREMENTS OF THE N.Y,
F~~ CERTIFICATE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR 5 S IS "Ai CY
DESIGN OR CONSTRUCTION ERRORS tlol-
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