HomeMy WebLinkAbout20143-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20220
Date SEPTEMBER 16~ .1991
THIS CERTIFIES that the building.
Location of Property 2435 CEDAR LANE
House No.
County Tax Map No. 1000 Section 37
Subdivision
ADDITION
EAST MARION~ N.Y.
Street Hamlet
Block 4 Lot 9
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office date~ JULY 2~. ~99t pursuant to which
Building Permit No. 20143-Z dated SEPTEMBER 16, 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. WOOD DECK ADDITION. TO.DW~.~I_NG AS BUILT & TO ZBA CONDITIONS
APPEAL ~4044.
The certificate is issued to
WILLIAM, AILEEN ~ JOHN PARROTT
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMF~T OF HEALTH APPROVAL N/A.
UNDERWRITERS CERTIFICATE NO. H-022028 - MAY 10, 1991
PLUMBERS CERTIFICATION DATED N/A .
Rev. 1/Sl
Building Inspector
T~N OF
BUILDING D~:PARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEPu~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No_ 20143 Z
Permission is hereby grant/e,~to,: .
...~.~.,.~..>~.~:..~..~. ....
~../.....~...~½..~...._.~.. ~_ _~'~'~' ...... ~.~ ........ ~~. ~¢ ~
at premises located at ...~.~.....~....~...~.......~1~...~..~ ..................................................................
~.~.... ~.~..~~......~ ~. ....... ~ .¢.......z...~z ~..~ ~
/meoo/..-- 0
Co-.~ Tax Mop No. 1000 Sec~io. ....... ~....7.. ........ Block ...... ./.... ......... Lot .o...~.. ..................
pursuant to application dated ......... ~../...~m. .................................. , 19.~.~.., and approved by the
Building Inspector.
~bilcling InsDector
Rev. 6/30/80
Form No. 6
TO~N OF SOUTIIOLD
BUILDINC DEPARTMENT
TOWN I~LL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUFANCY
\. 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 featnres.
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 I% lead. '
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code C,~pliance from archiuect or engineer
responsible for the building·
6. Submi~ Planning Board Approval of completed site plan requirements.
;- For existing buildings (prior to April 9 1957) non-conforming uses, or buzldlngs and
"pre-exzst%ng 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.
;. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelliag $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 Buildfng - $I00.00
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 $I5.00, Con~ercial $15.O0
House No. Street '' ' ''
'~wer or Owners of Property ., ..............
,unty Ta~ Map No 1000, Section .... ~.?. ...... Block ..
~bdivision .................................... Filed Map ............ Lot ....
:reit No ................ Date Of Permit .... ' ............ Applicant ~/[ .~.'; ~'"'''
'alth Dept Approval
· ' ............ . .Underwriters Approval
arming Board Approval .....
quest for: Temporary Certificnte ..... Final Certicate ..........
e Submitted: $ .......
, .......
co % b ..............
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
Charles Grigonis, Jr.
Serge Doyen, Jr.
James Dinizio, .Ir.
Robert A. Villa
Telephone (516) 765-1809
BOARD OF APPEALS
TOWN O~ SOUTHOLD
SCOTI' L. HARRIS
Supervisor
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
September 20, 1991
Mr. John Parrott
Creative Retirement Planning Inc.
30 Rockefeller'Plaza
Suite 4336
New York, ~ 10112
Re: Appl. No. 4044 - Variance for Deck
Dear Mr. Parrott:
Attached please find a copy of the determination recently
rendered by the Board o~ Appeals concerning the above
application.
Please be sure to return to the Building Department and any
· 'other agency for permits or other approvals which are
appropriate for this project. A copy of this decision has
simultaneously herewith been transmitted to the Building
Inspectors for their files and update.
Very truly yours,
Linda Kowalski
Enclosure /
Copy of Decision to:
Southold Town Building Department
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
Charles Grigonis, Jr.
Serge Doyen, Jr.
James Dinizio, Jr.
Robert A. Villa
Telephone (516) 765-1809
BOARD OF APPEALS
TOWN O~ 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
Appl. No. 4044.
Upon application of WILLIAM, AILEEN AND JOHN PARROTT.
Variance to the Zoning Ordinance, Article XXIII, Section
100-239.4B and Article XXIV, Section 100-244B for approval of
deck construction at less than 75 feet from the bulkhead and in
excess of the 20% lot coverage limitation for all structures.
The subject parcel is substandard in size and is located in the
R-40 Zone District. Location of Property: 2435 Cedar Lane,
East Marion; County Tax Map No. 1000-37-4-9.
WHEREAS, a public hearing was held on September 12, 1991,
and at said hearing, all those who desired to be heard were heard
and their testimony recorded;
WHEREAS, the Board has carefully considered all testimony
and docu]mentation submitted concerning this application;
WHEREAS, Board Members have personally viewed and are
familiar with the premises in q~estion, its present zoning, and
the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. By this application, appellant seeks a variance under
Article XXIII, Section 100-239.4B for permission to construct an
500 sq. ft. open deck extension 16.2 feet from the rear (easterly
end) of the existing dwelling.
2. The premises in question is identified on the Suffolk
County Tax Maps as District 1000, Section 37, Block 4, Lot 9 and
contains a total lot area of 7,336 sq. ft.
3. The dwelling as exists presently has nonconforming
sideyards totaling 29-1/2 fe~t (7 and 12-1/2), a nonconforming
front yard setback at 24 feet, .a nonconforming setback from the
bulkhead at 56 feet, and nonconforming lot coverage at 24% (1754
sq. ft.). The parcel as exists is substandard with 7,336 sq. ft.
in total lot area and a width (frontage) of 56.0 feet.
Page 2 - ZBA Appl. No. 4044
Matter of JOHN PARROTT and OTHERS
Decision Rendered September 12, 1991
4. Article XXIII, Section 100-239.4B 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
from the bulkhead.
5. Article XXIV, Section 100-244B limits lotsin a
nonconforming status to a maximum lot coverage for all buildings
at 20 percent of the total lot area. The increase of the lot
coverage over the existing dwelling is 500 sq. ft., or 7%, for a
total of 31%.
6. For th~ record it is noted that similar relief has been
granted for other parcels in the area, along Sigsbee Road, etc.
7. In considering this application, the Board finds:
(a) the relief requested is substantial in relation to
the code requirements although the square footage of construction
over that which exists is minimal;
(b) the relief requested is the minimum necessary to
afford relief; the construction is for an open, unroofed
addition without a foundation or basement and without a roof or
full enclosure;
(c) the relief as requested will not alter the
essential character of the neighborhood;
(d) the practical difficulties imposed are uniquely
related to the property and are not personal;
(e) the grant of the relief as requested will not in
turn be adverse to the safety, health, welfare, comfort,
convenience or order of the town, or be adverse to the
neighboring properties;
(f) in view of all the above, the interests of justice
will be served by granting the relief as requested and
conditionally noted below.
Accordingly, on motion by Mr. Dinizio, seconded by
Mr. Villa, it was
RESOLVED, to GRANT a variance for a 500 sq. ft. open deck
addition at the rear (east end).of dwelling with a reduced 16.2'
setback, for a minimum distance from the bulkhead at 39.5+-feet,
SUBJECT TO THE FOLLOWING CONDITIONS:
Page 3 - Appl. No. 4044
Matter of JOHN PARROTT and OTHERS
Decision Rendered September 12, 1991
1. The southerly (side) yard shall remain open and free of
obstructions (with the exceptio~ of the existing flagstone area).
as applied.
2. The deck addition remain open and unroofed,
(All roof runoff must be retained on site.)
Vote of the Board: Ayes: Messrs. Goehringer,
villa. (Members Grigonis and Doyen were absent.)
resolution was duly adopted.
lk
Dinizio and
This
GERARD P. GOEHRINGER, 7AIRMAN
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
Charles Grigonis, Jr,
Serge Doyen, Jr.
James Dinizio, Jr.
Robert A. Villa
Telephone (516) 765-1809
BOARD OF APPEALS
TOWN O~F 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
Appl. No. 4044.
Upon application of WILLIAM, AILEEN AND JOHN PARROTT.
Variance to the Zoning Ordinance, Article XXIII, Section
100-239.4B and Article XXIV, Section 100-244B for approval of
deck construction at less than 75 feet from the bulkhead and in
excess of the 20% lot coverage limitation for all structures.
The subject parcel is substandard in size and is located in the
R-40 Zone District. Location of Property: 2435 Cedar Lane,
East Marion; County Tax Map No. 1000-37-4-9.
WHEREAS, a public hearing was held on September 12, 1991,
and at said hearing, all those who desired to be heard were heard
and their testimony recorded;
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,
the surrounding areas; and
and
WHEREAS, the Board made the following findings of fact:
1. By this application, appellant seeks a variance under
Article XXIII, Section 100-239.4B for permission to construct an
500 sq. ft. open deck extension 16.2 feet from the rear (easterly
end) of the existing dwelling.
2. The premises in question is identified on the Suffolk
County Tax Maps as District 1000, Section 37, Block 4, Lot 9 and
contains a total lot area of 7,336 sq. ft.
3. The dwelling as exists presently has nonconforming
sideyards totaling 29-1/2 feet (7 and 12-1/2), a nonconforming
front yard setback at 24 feet, a nonconforming setback from the
bulkhead at 56 feet, and nonconforming lot coverage at 24% (1754
sq. ft.). The parcel as exists is substandard with 7,336 sq. ft.
in total lot area and a width (frontage) of 56.0 feet.
Page 2 - ZBA Appl. No. 4044
Matter of JOHN PARROTT and OTHERS
Decision Rendered September 12, 1991
4. Article XXIII, Section 100-239.4B 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 175) feet
from the bulkhead.
5. Article XXIV, Section 100-244B limits lotsin a
nonconforming status to a maximum lot coverage for all buildings
at 20 percent of the total lot area. The increase of the lot
coverage over the existing dwelling is 500 sq. ft., or 7%, for a
total of 31%.
6. For the record it is noted that similar relief has been
granted for other parcels in the area, along Sigsbee Road, etc.
7. In considering this application, the Board finds:
(a) the relief requested is substantial in relation to
the code requirements although the square footage of construction
over that which exists is minimal;
(b) the relief requested is the minimum necessary to
afford relief; the construction is for an open, unroofed
addition without a foundation or basement and without a roof or
full enclosure;
(c) the relief as requested will not alter the
essential character of the neighborhood;
(d) the practical difficulties imposed are uniquely
related to the property and are not personal;
(e) the grant of the relief as requested will not in
turn be adverse to the safety, health, welfare, comfort,
convenience or order of the town, er be adverse to the
neighboring properties;
(f) in view of all the above, the interests of justice
will be served by granting the relief as requested and
conditionally noted below.
Accordingly, on motion by Mro Dinizio, seconded by
Mr. Villa, it was
RESOLVED, to GRANT a Variance for a 500 sq. ft. open deck
addition at the rear (east end) of dwelling with a reduced 16.2'
setback, for a minimum distance from the bulkhead at 39.5+-feet,
SUBJECT TO THE FOLLOWING CONDITIONS:
Page 3 - Appl. No. 4044
Matter of JOHN PARROTT and OTHERS
Decision Rendered September 12, 1991
1. The southerly (side) yard shall remain open and free of
obstructions (with the exceptio~ of the existing flagstone area).
2. The deck addition remain open and unroofed, as applied.
(All roof runoff must be retained on site.)
Vote of the Board: Ayes: Messrs. Goehringer, Dinizio and
Villa. (Members Grigonis and Doyen were absent.) This
resolution was duly adopted.
GERARD P. GOEHRINGER'TAIRMAN
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E 1
8024319 BUREAU OF ELECTRICITY
~-~ 85 JOHN STREET, NEW YORK, NEW YORK 1003B
D,,e MAY 10,1991 Appllc, Ho, Mo, on,file 73125591/91 H 022028
THIS CERTIFIES THAT
JOHN 5. PARROTT, CEDAR SANE, EAST MARION, N.Y.
in .hefoBowing Iocaeion; [] B~setnent [] Ist FI. [] 2nd FL OUT Section Block Lot
tc~s exmnl,edo, MAY 06,1991
FIXTURE
OUTLETS
DRYERS
a,td found to be in compliance t~'ith the relluirements qf this Board.
OTHER
~ _,_ FU_~r~_RNRNACE MOTORS I FUTURE A~UANCE ~tED[~$
RAN~oOglNG OECK~; I OVENS I DISH WASHERS
SERVICE DISCONNECT } NO. OF
R V I C E
EXHAUST FANS
DIMMERS
*NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
18-75 CPL. KINNEDY ST. AP
APT$1 O OENE~At ~N.*,aE~
BA¥SIDE, NY, 11360 11 ~d
· . Per~ ___ C ~
~~ r~u~o the office of the Board if inco,rect )nspectors ma be identified b their credentia,s.
Y . y y
TRUSTEES
John M. Bredemeyer, HI, President
Henry P. Smith, Vice President
Albert J. Kmpski, Jr.
John L. Bednoski, Ir.
3ohn B. Tuthill
Telephone (516) 765 - 1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPERVISOR
scOTT L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
May 3, 1991
John Parrott
18-75 CPL Kennedy St.
Bayside, New York 11360
RE: SCTM 01000-37-4-9
Dear Mr. Parrott:
The following action was taken by the Board of Town Trustees during
its regular meeting held on May 2, 1991:
RESOLVED that the Town Trustees APPROVE the request for a waiver for
a deck attached to the dwelling located at Cedar Lane, East Marion.
Please return to the Building Department for a determination on the
need for any other permits which may be required for this project.
Very truly yours,
John M. Bredemeyer, III
President, Board of Town Trustees
JMB:jt
cc: Bldg. Dept.
CAC
File
From The Desk of
JOHN L. PARROTT
CREATIVE RETIREMENT PLANNING, INC.
30 Rockefeller Plaza, Suite 4336
New York, NY 10112
(212) 974-0160
L~
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
· Date 0. ? .~./. o 19
To ~.~..,~....~.~~...~.~, . .'~ ......................
· .~..~~~..~~ ~
.. ~~.,. ~...,...~.
PLEAS~TAKE NOTICE that~ your application dated
~ __ ~ ,.....~: .................. 19,.~.
House ~o. Street .........
County Tax Map No. 1000 Section ..... ~.~'. , . . Block .... ~ ....... Lot .. ~ ..........
Subdivision Filed Map No Lot No '
is returned herewith and disapproved on the following grounds
~.~...~.'...z.~..~.-..~.~..~. .... ..4~ .~..~.' ~....~....~..~:..
.- ~.;.~'~_ ..... ~..~: ........... ~.~..~
~?- '2')' ............................................
J-ncl~ n s~Se~ ~o~'
RV 1/80
FORM NO. a
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
. Date ~/./. O 19 ~-) /
· ./. ....................., 7/...
PLEASE TAKE NOTICE that your application dated ~'/-'-.Q ~
.... ...~.:~ ..................,19..Z.
~oeation o~rop~r,y ....~ .~'.~.-:......c~../.~.. ~..~ ~,
House No. ' Street ..........
County Vax Map No. 1000 Section ..... ~....~..'... · Block .... .~. ....... Lot ...~. ..........
Subdivision ................. Filed Map No ................. Lot No ........ ' ..........
is returned herewith and disapproved on the following grounds..g~/./~... ~..z~...~
~.-~?..~.'.../..~.~ .~ ~¢... ~. ~_ ~~~ ~... ~..~:-.
~n~I nsiSecto~
RV 1/80
From The Desk of
JOHN L. PARROTT
CREATIVE RETIREMENT PLANNING, INC.
30 Rockefeller Plaza, Suite 4336
New York, NY 10112
(212) 974-0160
~New York 5tare Department ot Environmental Conservation
· Building 40--SUNY, Stony Brook, New York 11790-2356
D~r Mr. -
A review has been made of your proposal to: ~OD3~£b~¢,~- -~];~-~ ~ec~~
c~ per .~h~ s~r~ b7 Sod~r w~ 7u~.l dated .z/~/Tq
5CT~ ~/ooo -37- ~ -~
Based-on-'th-e infozmation you ha'ye submitted, ~he New York State Department
of~Env~onmental Conservation has determined that the parcel
%~project is: . "..
Greater than 300' from inventoried tidal wetlands.
.n war a
greater than 100' in length which was constructea prior to 9/20/77.
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 is
greater than 10' in elevation above mean sea level.
Therefore, no permit is required under the Tidal Wetlands Act (Article 25
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 topographi~ 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
described, may require authorization by_this Department.
this office if such are contemplated.
the project as
Please contact
Please be further advised that this letter does' not relieve you of the
responsibility of obtaining any necessary permits or approgals from other
agencies. : .~.. - .:-- .
~F~"[ ~[: Veery t rul¥~yo~_s.: -~
_~f ! 5~!~1~ i! Deputy Regzonat Permit Administrator
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT '
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Appro ed . .~.~..~ y .......
lng
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH
3 SETS OF PLANS ..........
SURVEY ...................
CI1ECK ....................
SEPTIC FORM ..............
CALL ...................
MAIL TO:
Date ..... '.Y.~..R. .........
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 cbmmec~ced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admitauthorizedinspectorsonpremisesandLubuildingfcrnecessaryinsp~ ~
· / . I/ .(Mailing ~ddress of appli_cant)
. iv.Y, /o o ig.o
State whetber applicant is owner, lessee, agent, architect, engineer, general con~ractor, electrician, plumber or builder.
Name of owner of prem!ses..~..~.~.~ .-'.~..~..., .~~. ?.. · .~.~..ff~.., Z'~.. ,/~'-,..0~. · .........................
(as on the tqtx roll or latest deed)
If applicant is a corporation, ~ignature*of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... 5.~../-: .~. ..............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done .......................... , .......................
.................. . .,¢. .... .. .... //737. .............
House Number Street Hamlet
9
County Tax Map No. 1000 Section Block Lot. '" ' ·
Subdivision ..................................... Filed Map No ............... Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construatiOm
E i ti nd o
a. x s ng use a ccupancy ............. ...............
b. Intended use and occupancy ............................................................
3. Nature of work (check which applicab!le): New Building .....~..... Addition
Repak ............ Removal
4. Estimated Cost ..7o~.~...~.. ........
....... Alteration ..........
....... Demolition .............. Other Work ...............
' (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling units .~ ............. Number of dwelling units on each floor ................
· If garage, number of cars ..........................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, ifafiy: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations ~)r additions: Front ................. Rear .................
Depth ...................... Height ...................... Number of Stories .....................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ..............
Height ............... Number o~ Stories .......................................................
si ooflot: Front .'. , .,. . , ...... Rear :. , : :
t0. Date of Purchase .... i ..... Name of Former Owner .................
1 1. Zone or use district in which premises]are situated... ~',~..J~.~~ ..............................
12, Does proposed construction violate ,~r~y zoning law, ordinance or regulation: ..... /,k/fO .......................
13. Will lot bo regraded ...... ~,x-_:,./~¥~. · .,~,. _. _..: ~:~... Will excess fill be removedjrom premises:' Ye, s No
14. Name of Owner of premises ,v,~,tt-.~,, .~.,. ,~..6~...Crff. Address 3~P ,~a~i'~ .~4}74~hone No.d~/~-%~. ?
Name of Architect ... i.: ...... Address . .t~?.I . .Ar~..../.~..&.O.. Phone No...
Name of Contractor ..... ~r~.~.,. ,! ............. Address ............... ,,... Phone No ................
15. Is this property within 300 ~eet of a tidal wetland? *Yes....~... No ......... · If yes, Southold TowniTrustees Permit may be requiredv,
i PLOT DtAOmm f/ z£
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block numl
interior or corner lot.
STATE OF NEW YORK, t
country OF
.............. :k ,...
(Name of individual signing contract)
above named.
,er or descriptioh according to deed, and show street names and indicate whether
,RPPt O)JED AS NOTEO
785-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPE~IONS:
~, FOUNDATION ~ ~O REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & P~MBING
3. INSU~TION
4. FINAL CONSTRU~ION MUST
BE COMPLETE FOR C.O.
ALL CONSTRU~ON S~LL ME~
~E REQUIREME~ OF THE N.Y.
STATE CONS~U~ON & ENERGY
CODES. N~ RESPQNSlB~ FOR
DESIGN OR CONS~U~ION ERRORS
·.. being duly sworn, deposes and says that he is the applicant
He is the ............ ,.
' (Contractor agent corporate officer eta)
of smd owner or owners, and ~s duly a~th. orized to perform or have performed the said work and to make and file this
application; that all statements containe,d m 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,
Swam to before me this
No lar~b.~li
i of 'Now York
Notary N~, '1950
Qualified in
(Signature of applicant)