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HomeMy WebLinkAbout20339-z FORM No. 4 TOWN OF' SOUTHOLD Bi7ILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20886 Date JULY 24, 1992 THIS CERTIFIES that the building ALTERATIONS & ADDITIONS Location of Property 305 McDONALDS CROSSING LAUREL N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 6 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 11, 1991 pursuant to which Building Permit No. 20339-Z dated DECEMBER 18, 1991 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 ALTERATIONS ADDITIONS & DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING & TO CONDITIONS OF ZBA #4059. The certificate is issued to FREDERICK & DOROTHY CAREY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-242790 - JULY 15, 1992 PLUMBERS CERTIFICATION DATED JULY 21, 1992-HARDY PLUMBING & HEAT. NORTH Building Inspector Rev. 1%81 r IORfI NO. f 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 a 2 0 3 3 9 Z Date ~~,1!~ 191.. Permission is hereby grouted tto: t~ d of Premises located at ef.~.................................... ~L'l?rc'3 County Tox Map No. 1000 Section ....../...~.~:8. Block Lot No...'".rr~ pursuant to application doted 19. ~~1.~, and approved by the Building Inspector. ~a/~~5~~ Fee S..r°z..2'z'. ~ lr.~... ~uildln or~ Rev. 6/30/80 t ~ ~ ~ ~ Form No. 6 7~~ ~ ~ ~ l~~Cft GJ ~t~-"~' A " TOWN OF SOUTHOLD JU~. ~ µ BUILDING DEPARTMENT ~ : TOWN HALL tti~~~,~,. .m.~~~ '~"'~i'"~~a~~at ~ 765-1802 T0~°'JfV~Ci4~~)iP~'ip~?Gk3 y 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 $15.00, Commercialg$15.00 Date ;`?/~,r. ~.Sl. ~ . New Construction........... Old Or Pre-existing Building. Location of Property....:?~~.... ~?~,¢,~~J', , , ,~„~,~,J'J`,..,,t-, ~~{?.av~v~c~~~`e [.-~GPr~~~ House No. Street .J Hamlet . d Onwer or Owners of Property.... e~!~`~...r::7~ ~f.. ~0.~/. r~e~` . . . . County Tax Map No 1000, Section..~O?,0........Block.....5.4.........Lot...:? Subdivision........q ...........................Filed Map............Lot...................... Permit No. °?©:~`~(,,,,,,Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for; Temporary Certificate........... Final Certicate........... Fee Submitted: ~ n ~ 2 0 ~ g'(p APP~£cANT P Y j V 1 I I: 1 ~ ' yew. _ i. '1 _ ~ 1. ' ~ i ~ IUCl,7 ?,y'.. ,i'c.l, ,i ~ '=~~'a R APPEALS BOARD MEMB~RS y~ ~ E, ~ - ~ SC TT L. HAR IS p ~s'e I ~ ~ r Supervisor Gerard P. Goetiringer, Chairman' " ` ~ ~,i Charles Grigonis, Jr. 'a Town Hall, 53095 Main Road Serge Doyen, Jr. ~,,z ;>:4,~f~ P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 James Dinizio. Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-]800 ACTION OF THE BOARD DELIBERATIONS/DECISION: Appeal No. 4059: Upon Application €or DOROTHY F. CAREY €or a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct: (a) proposed addition and (b) deck with insufficient frontyard setbacks. The subject parcel is known as Lot 7 on the Map of Edgemere Park, is substandard in size, and is located in the R-40 Zone District. Location of Property: Corner of Edgemere Avenue and McDonald's Crossing, Laurel, NY; County Tax Map District 1000, Section 128, Block 6, Lot 20. WHEREAS, a public hearings was held on October 24, 1991, at which time 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 application is a variance taken from the September 13, 1991 Notiee of Disapproval issued by the Building Inspector based upon a building permit application to construct additions to existing dwelling. The additions which are the subject of this variance application are shown on the - September 13, 1991 site plan prepared by Samuels & Steelman, R.A. and are noted as follows: (a) 8' x 11'6" open deck with a proposed setback at 21'6" to the westerly front property line along Edgemere Avenue; (b) 6' x 10'6" addition next to the proposed open deck with a proposed setback of 23'6" to the westerly front property line along Edgemere Avenue and 35' to the southerly front property line along McDanald's Crossing; (c) two small additions (4' x 7' and 6' x 7') at~the northeasterly section of the dwelling leaving a proposed setback at six feet. 2. The subject premises as exists: ~ ~ U U Page 2 - November 21, 1991 Regular Meeting ^ Decision in Appl. No. 4059 - DOROTHY F. CAREY (a) is shown as Lot #7 on the "Map of Edgemere Park" filed July 2, 1931 as Map #742 in the Suffolk County Clerk's office; (b) contains a total lot area of 9,071+- sq. ft. with 68 ft. frontage along Edgemere Avenue and 137.08 ft. frontage along McDOnald's Crossing; (c) is improved with a 1-1/2 story, single-family dwelling with its closest setbacks presently at four feet from the northerly (side) property line, at 35 feet from the southerly front property line, exclusive of 42 sq. ft._covered porch, and at 29.8 feet from the westerly front property line. t 3. Article III, Section 100-32 and Article XXIV, Section 100-244 of the current zoning code (as amended January 10, 1989) requires a minimum side yard setback at 10 feet and minimum front yards at 35 feet. The dwelling as exists is nonconforming in these yards. 4. For the record, it is noted also that: (a) the subject premises are nonconforming not only as to lot area and width but has been improved with a dwelling structure built prior to 1960; (b),~there are similar building setbacks within the immediate vicinity on nearby parcels. 5. In considering this application, the Board also finds and determines: (a) the relief as granted will not in turn increase the dwelling unit density; (b) the evidence submitted and practical difficulties claimed are sufficient to warrant a grant of this variance; (c) there will be no substantial change in the character of the immediate neighborhood or detriment to adjoining properties; (d) the difficulties cannot be obviated by some method feasible to the appellant to pursue, other than a variance; (e) that in view of the manner in which the difficulties arose, and in considering all the above factors, the interests of justice will be served by granting the variance, as conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, it was RESOLVED, to GRANT the relief as requested (noted above) SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the deck remain open, unroofed and unenclosed at all times (as proposed); i 1 ' ~ ~ V Page 3 - November 21, 1991 Regular Meeting Decision in Appl. No. 4059 - DOROTHY F. CAREY 2. That the size and location of the additions are limited to that requested and described above (and shown on the survey map submitted in this application). Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen and Dinizio. (Absent was: Member Villa.) This resolution was duly adopted. r`" lk E F i GERARD Ps GOEHRINGER, CHAIRMAN i S' r` 'r V 6 UEC I l ~~~~~I ~ a p ~ti~> ~ F_ a 'Js ~ x . ' 1 g v J .f y.a s:~ ryr p ~s ~ UL~~ ~f ~f APPEALS BOARD MEMBERS ~ rq ~ ~ SCOTT L. HARRIS ~ „y" f ~ Supervisor Gerazd P. Goehringer, Chairman = ^5° ~ ~ Charles Grigonis, Jr. ~ ' "r k r `.e'I'owq. Hall, 53095 Main Road Serge Doyen, Jr. ~ ~~~yxyy~i%' P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 lames Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 ACTION OF THE BOARD DELIBERATIONS/DECISION: Appeal No. 4059: Upon Application €ar DOROTHY F. CAREY €or a Variance to the Zoning Ordinance, Article III, Section 100-32 for permission to construct: (a) proposed addition and (b) deck with insufficient frontyard setbacks. The subject parcel is known as Lot 7 on the Map of Edgemere Park, is substandard in size, and is located in the R-40 Zone District. Location of Property: Corner of Edgemere Avenue and McDonald's Crossing, Laurel, NY; County Tax Map District 1000, Section 128, Block 6, Lot 20. WHEREAS, a public hearings was held on October 24, 1991, at which time 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 application is a variance taken from the September 13, 1991 Notice of Disapproval issued by the Building Inspector based upon a building permit application to construct additions to existing dwelling. The additions which are the subject of this variance application are shown on the September 13, 1991 site plan prepared by Samuels & Steelman, R.A. and are noted as follows: (a) 8' x 11'6" open deck with a proposed setback at 21'6" to the westerly front property line along Edgemere Avenue; (b) 6' x 10'6" addition next to the proposed open deck with a proposed setback of 23'6" to the westerly front property line along Edgemere Avenue and 35' to the southerly front property line along McDOnald's Crossing; (c) two small additions 14' x 7' and 6' x 7') at the northeasterly section of the dwelling leaving a proposed setback at six feet. 2. The subject premises as exists: ~ i Page 2 - November 21, 1991 Regular Meeting Decision in Appl. No. 4059 - DOROTHY F. CAREY (a) is shown as Lot #7 on the "Map of Edgemere Park" filed July 2, 1931 as Map #742 in the Suffolk County Clerk's Office; (b) contains a total lot area of 9,071+- sq. ft, with 68 ft. frontage along Edgemere Avenue and 137.08 ft. frontage along McDonald~s Crossing; (c) is improved with a 1-1/2 story, single-family dwelling with its closest setbacks presently at four feet from the northerly (side) property line, at 35 feet from the southerly front property line, exclusive of 42 sq. ft. covered porch, and at 29.8 feet from the westerly front property line. 3. Article III, Section 100-32 and Article XXIV, Section 100-244 of the current zoning code (as amended January 10, 1989) requires a minimum side yard setback at 10 feet and minimum front yards at 35 feet. The dwelling as exists is nonconforming in these yards. 4. For the record, it is noted also that: (a) the subject premises are nonconforming not only as to lot area and width but has been improved with a dwelling structure built prior to 1960; (b) there are similar building setbacks within the immediate vicinity on nearby parcels. 5. In considering this application, the Board also finds and determines: (a) the relief as granted will not in turn increase the dwelling unit density; (b) the evidence submitted and practical difficulties claimed are sufficient to warrant a grant of this variance; (c) there will be no substantial change in the character of the immediate neighborhood or detriment to adjoining properties; (d) the difficulties cannot be obviated by some method feasible to the appellant to pursue, other than a variance; (e) that in view of the manner in which the difficulties arose, and in considering all the above factors, the interests of justice will be served by granting the variance, as conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, it was RESOLVED, to GRANT the relief as requested (noted above) SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the deck remain open, unroofed and unenclosed at all times (as proposed); . ~ Faye 3 - November 21, 1991 Regular Meeting Decision in Appl. No. 4059 - DOROTHY F. CAREY 2. That the size and location of the additions are limited to that requested and described above (and shown on the survey map submitted in this application). Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen and Dinizio. (Absent was: Member Villa.) This resolution was duly adopted. lk GERARD P. GOEHRINGER, CHAIRMAN ~ i. ':'1cL0 i;:S:_ .iJ:; ~~J;,- 1~ .;i::-fl[.NT~ 1 ~ ~ ~-d91 ~ Grl - adyty ~ ~ OJ ~ ~I . ~ 70U:7DATI ON (1st) `3`~( 1 - y a c FOUt1DATI0t7 (2nd) ~ z . - ~ O 'OUCH FRki~fE & .PLUMBING I n ' I ' 3 . ~ N ~ II m IIlSULATI0;1 PER N. Y. I ST;.TE EtlERGY II CODs II I~ r, , r m y F I;1AL II O ADDITIOPIAL COMMEPJTS: ~ ' x H i H ti~ O I W m _ y . • _ d m ^o H . O ! INSPECTORS Victor Lessard Or~VFFa(,~-C Principal Building Inspector OL Curtis Horton ~ ~ SCOTT L. HARRIS, Supervisor Senior Building Inspector c~ ; _ Thomas Fisher = Southold Town Hall ` ' "r P.O. Box 1179, 53095 Main Road Building Inspector O ' ~ ~ Gary Fish a~~~ Southold, New York 11971 Building Inspector Fax (516) 765-1823 ' 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 JDLY 17, 1992 DOROTHY CAREY 611 PALMER ROAD, APT 4-R YONI0;RS, NY 10701 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ffi An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is /not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20339-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. TEL. 7G5-1802 S~FFOC/i c O~ TOWN OI'' SO~TT~Odll F=> ~ .c OFFICE. OF BiJILDII~IG INSPECTOR P.O. UOX 728 u' ,~1.,..~. TOWN IfALL y0~~o1 ~b~~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O D] Date JULY 21, 1992 Building Permit No.~n3,3 9 Owner HARRINGTON & WEST CAREY JOB (please print) Plumber HARDY PLUMBING & HEATING NORTH, INC. (please print) I certify that the solder used :.n the water supply system contains less than 2!10 of to lead. i " (plu ber's signature) ~ Sworn to befor me this - ao/1~- day of ~ "`~-'~v~/rVlk/ 19 y Notary ublic Notary Public, ~U?G~DLic__ County AIELANIE Y. GROWN 4908712New York Qusi'iNed in SulWlk County Q ~ / Commbeion Expires Od.19,19 1 4 ' FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL 4.. Date . ~°~".9-..-,.cam....! ..3..., 19°x. ~ . . To p~.O.w4.LU,~c,1~ ~~~?~..../.C..rJ4-Lt~s.1 et~ U G~~c 9.3.5:,.. . PLEASE TAKE NOT--IppC--E that your application dated . , 3 , , , , 19 .°.1'.~, . for permit to l-A'V!o?}~~...a5~. ~A.. ~ ..1 .;1~t..y~.~...~ at Location of Property ...~;1~'.7r1}y?.aQ,~.e, . ~ E ~ k Street q Hamlet County Tax Map No. 1000 Section ~ Block ....Q ~ .Lot ~ . l... . Subdivision .4~c~!'~~l~+!~. ~ Filed Map No . Lot No. is returned herewi++th and disapproved on the following grounds . C'D- Z ~..1..~..~.. . ~ ~ ~ . Building In p ctor RV 1/80 765-1$02 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: - ~i~' . DATE %j„~ ~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [)FOUNDATION i5T [ ROUGH PLBG. [ }FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ]FINAL REMA 5: ~~C~~ DL ~iYn o°%. l DATE INSPECTOR ~ 765-1802 BUILDING DEPT. INSPECTIOItI [ ]FOUNDATION 1ST ( J ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]~F~INAL ~ ~~1 REMARKS: `~~~-~~~~'~'~2~ii G~/~--' %--r~-E'~ DATE ~ ~ ~ INSPECTOR ~3~~ 765-1802 BUILDING DEPT. 1 NSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. ( FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: I DATE ~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS eAr~ 1 100121 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Dace JU7;Y 7.'5,1992 App(icadonNo.onflle 7fx&P,6592192 N 2~2"T9r!1 THIS CERTIFIES THAT only the electricnl equipment as described below and introduced by the opplicont named on the obove app[icotion number in the premises of ~ FR~aI)ERLCK CAREY, EUCrF.;F4ECtE AYE, LAURE[,, N.Y. in the following location; ? Basement ?2 fat FL ®2nd F'h OUT Section Block Lot was examined on 1 U I~I Y 0'J , 19 y 7 and fourzd to br in cornpfimLCe with the reyuirerrtents of this Board. m FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS D15H WASHERS EXHAUST FANS OUTLETS INCANDESCENT,FLUORESCENi OTHER AMT K W AMi. K. W, qMT. K.W. AMi. K.W. pMi. H.P 22 R5 22 22 2 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMi. K. W. Oll H. P. GAS H. P AMT NO A W. G AMi AMP AMi pMpS. TRANS. pMi, H P. NO. OF FEET AMT. WATiS 1 2 12 1 2.4~ SERVICE DISCONNECT NO.OF 5 E R V I C E AMT. AMP TYPE METER I ]W I ,B 3W 3 9 3W 3,a' 4W NO. OF CC. COND. A. W G. NO OF HbIEG A W G NO. OF NEUTRALS A, W G EQUIP. PER 9 OF CC. COND. OF HI-LEG OF NEUTRAL 1 10~] CP, ! YI 1 3 3. 5 OTHER APPARATUS: a xACrua~r-1 a MOTORSs2°F 23.Fn C.F,C.T.1-6 SHOtKE UETECTORt-2 3' ~2~E%ce-v+-i ~e~ PAUL R. UURNS r,IC.#292-E 275 T0~'N t1ARBQR LANE C//%~ SUU4'HOr,I), NY, 11971 GENERAL MANAG@R ~:lwf Per _ This certificate must not be altered in any manner; return to the office of the hoard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ BOnFt7 OF HEALTH . 1~,~1,''~q~-.1,p^~j', FORM N0.1 1 SETS OF PL \tIS ./r':...... r ~I SUaVEY ~ 6R` q TOWN OF SOUTHOLD • • - - - n~G ~ ~ Ig~' ~ t!~~ BUILDING DEPARTMENT CIICCR . . v . TOWN HALL sEerzc roast b'Jii SOUTHOLD, N.Y. 11971 .a TEL.: 765-1802 t:orzFY;~~MU1=LS~57~~tNl~N CALL .731': 1~1~J. . Examined . 19 . NnzL ro: Approved Z/~~... 19q~. Permit No..`~'.'~.~~~~ . Disapproved a/c uild- g Inspcctor) APPLICATION FOR BUILDING PERMIT Date . 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 .hall 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 hall leave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 2egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Clte applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ,dmit authorized inspectors on premises and in building for necess inspe-cyt'ons. r-~ _ Ofu.\ ( ignature applicant, or narf~ if a corporation) .<nl 1. ~Irr.~~: ~I.. Apt: '(ot1K>?t~,.i~l:( .IC27p? (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. \anteofo~vncrofpremises .M~~.~.,,~~(_~ .,-.J............ (as on the t:rx roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of,Ic~o,rporate officer) Builder's License No. . I wt . ~ifXjU.:C) . Plumber's License No . . Electrician's License No . . Ot1:cr Trade's License No . . . Location of ]and on which proposed work will be done. . . . rr~a-~. L. ar.~ ~ kls . ~-~,-:~I., . (louse Number Street VIC,J~TJ~Y~ Hamlet County Tax Map No. ]000 Section ..~2~ J " / Block ........~o......... Lot....f'-7~~.../,(~ Subdivision ...~d,C~r.~r~, ~l': Piled Map No. Lot . (Name) State existing use and occupancy ofnpremises and intended Iuse and~~yyoc~~cupancy of proposed construction: a. Existing use and occupancy ~~1~ . ~~m.~.4.u. , .I`L..-"~~~:~., , , • . b. Intended use and occupancy ...c~..~'(~,,............1 3. Aature of work check which a Repair ( Remoplicable): New Building Addition ...,~i Alteration X . r val . Demolition Other \4ork . (Description) 4. Estimated Cost..~~~,.'' Fee.....,...............,...........,.... g (to be paid on filing this application) 5. If dwelling, number of dwellin yrnits Number of dwelling units on each floor }'1~., , , , , , , , If garage, number of cars . G. If business, commercial or mixed occupancy, specify nature and extent of each type of use r?a. , gt , if any: Front ...3 ~ , Rear 38.3........ Depth ..'~(P w,~t, rmenstons of existing structurcber of Stories ....I~, , , , , , , , , , , , • • • De th , , • th alterations or additions: Front . ~ , , , , , , , R a ....36!-.3! , , , , , , • • D P ensions of same structur wi Height , .~3 i. ~ , , • , , , , , , , , , Number of Stories . ' 8. Dimensions of entire new construction: Front • • ' ' ' ' • ' ' ' ' ' ' ' ' ' ' ' Y:)61 Rear . De th Height Number of Stories . P , . 9, Size of lot: Front ....~%•7. , , • , , , , , , , , D pth , . 10. Date of Purchase , ~ ' ' ' ' • • • • Rear , . ,33' , , , , , , ' .......2~~~~I a e of Former Owner . f7~r . which pre 1 1. Zone or use district inllctionw~iola ices are situated ' ' ' ' ,`f~ `~E_? . f rr~~--__. . 12. Does proposed constr ire any zoning law, ordinance or regulation: U~., ° • • • • • • • • • • • • . • • ,Will excel ill be re oved from premises: Yes 14. Nameoof Architect ~i l4CXx': 4~: ~QPYl zbh p #nises ~ >ti9 . , Address~~~~~r~~oY0,1, Phone No. . ~'~9.. Address , . , , , ..g . ty~in. ' llq~3 Phone No. ~3`~": ~e.`~? . Name of C pntrtrPCtory ..............Address Phone No. L5. Is this ro err within 3 If es SDithol~~¢ feet of a tidal wetland? *yes.. * qwn Trustees Permit may be required No.....•,.• PLOT DIAGRAM ' Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street altd block number or description according to deed, and show street names and indicate whether interior or corner lot. i ~ I I ~ III i TATS OF NEW YORK ~I I! OUNTYOF S.SI ' ' ' ' ' ' ' { ' ' • • • • • • • • . • being duly sworn, deposes and says that he is the applicant (Name of individual si nin ~ ontract) ,eve named. I e is the . (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 contained in this application arc true to rite best of his knowledge and belief; and that rite xk will be performed in the manner setiforth in the application filed therewith. rorn to before me thi,~ GB,,~ .dayof.. C'~~~ '....,79~~ Mary Public, • t ' County ~ r ~ b la.o~~ Qom, ~.y~., , , , , , ,Notary Public rate of New YorR •3~N0.•ereasv.....•. ' ~ tananned m New York C~$,~pature of applicant) ~;I Commission pir Dec. 1 y _qw