HomeMy WebLinkAbout20145-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20736 Date MAY 18, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 830 NORTH SEA DRIVE SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 54 Block 5 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9 1991 pursuant to which
Building Permit No. 20145-Z dated SEPTEMBER 20, 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 ONE FAMILY DWELLING WITH ATTACHED DECKS & GARAGE I1V
NON-HABITABLE BASEMENT AS APPLIED FOR.
The certificate is issued to VINCENT & BARAARA FISCHETTI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-76-MAY 1, 1992
UNDERWRITERS CERTIFICATE N0. N-233112 - APRIL 23, 1992
PLUMBERS CERTIFICATION DATED APRIL 24, 1992 - BERTSAND PLUMB & HEAT,INC
B Tiding Inspector
Rev. 1/81
F0131K 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)
N o 2 0 1 4 5 Z Date ..P~~' 19..~!
Permission is hereby gr nt to•
to
at premises located of .....~~..'.~3z~.....~,1 . .....iC.l.~
.
County Tox Map No. 1000 Section ../....~,1~......... Block Lot No.......0,~........
pursuant to application dated ...~jl..~'N.......// 19.~.~, and approved by the
Building Inspector. ~/~/g~
Fee S..`.~..~,1 p,~'Y
ild~ g Inspector
Rev. 6/30/80
~ E-
Form No. 6 ~ ~ ~ ~
TOWN OF SOUTHOLD ~
MAY 15192
BUILDING DEPARTMENT ~
TOWN HALL
765-1802 ~,.,.,e.~..~m.:~..,„}.u~~~,-mot .
f5L#:.a t3~..~ ,
APPLICATION FOR CERTIFICATE OP 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 Pire 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 $15.0 Commercial $15.00
. / Date .~~~~~9.2'
New Construction....V. ld Qr Pre-exi~ t~~ng Building.........
Location of Property. ~j...•.!{~IV4 ...............`~.d. d~a""...
House No. Street Hamlet
/
Onwer or Owners of Property... UIMC?N ~ .tf' ~/3r°~?i3~/?; ...~JC~?C~G~ . . . .
Gounty Tax Map No 1000, Section..,~~,,....Block.....~ .......Lot.. /.3
Subdivision........ .Filed Map............Lot......./..
?ermit No..~p14,~,~ ,Dafte.Ot Permit.. /,/~,~q~,,,Applicant..
Iealth Dept. Approval~~®!; /9 Z, , , , , , , , , , , , , ,Underwriters Approval..! /,Zv/9 ~C'
'lanning Board Approval
tequest for: Temporary Certificate........... Fina Certicate,
'ee Submitted: $ •C~/~~~
C`~-ee, ~-f 3~~0 dos ~ ~iseGe~{7
9.13P I` APPLICANT
TEI.,. 76,5-1802
~Oc~~FFOLK~o~ TOWI~i OF SOUTSOLD
OFFICE CF BUILDING INSPECTOR
~ P.O. BOX 728
~o~l ~ ~~0~ sOUTHOLD N Y~i 1971 .
C E R T I F I C A T I O N
Date 2~~ /'F~'!'
Building Permit N~o~. Z~~ ~ Z- . .
Owner ~
' rSC.)1 e• 1T7
(please print)
P lumber ~~,e-s f, a s~ ~ , ~
. ~ c ,
(please print)
I certify that the solder used in the water supply gystwp '
contains less than 2/10 of 1~ lead. N.
,f..~
plumger's signature)
Sworn to before me this
day of n_ G~2 ~ c- ,
19 9.~ ~i~,B~ . an ~ ~
Notary Public
Notary Public, SwF~o~-,c County
EIIPEN M. ROACHE '
Notary Publio, State o} New Yak
QualiNedoin
Sutolk County
Commisaion Expires January 31, 19~
THE NEW YORK BOARD OF FIRE UNDERWRITERS nArN a.
10009418 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date TRPRI1t 23x7.992 A liry(~tonNo.o ile 7G10u292192 N 233:11"1.
THIS CERTIFIES THAT ~~~~1'*~ T~~' ~~1~~2 st
only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of
VINL'ENT-nARnARA PTSCHS;TTT., 13341 NUR'a'fC 9WA 11R., SOUTaiOT,nt N.y.
in the jolluwinq'htcation• 3YLJGAR/ATS'IC iOtiT 54 5 1.3
L"J Basement ~ Ist FI. ~ 2nd Fl. Section` Block Lot
n1iR~t~ ze,a99z ~
was erarnined on arzdfound to 6e en cmnpliance with the requirements of this Board.
3
FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K W. AMi K.W PMT K.W AMi K.W. AMT. N P
33 ~1, ~U 32
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UN17 HEATERS MULTI.OUTLET DIMMERS
AMT. K. W OIL N. P. GAS H. P AMi NO A. W. G. AMi AMP AMT AMPS TRANS. AMT H P SYSTEMS AMi WAiiS
NO.OF FEET
~ 1 343 1
SERVICE DISCONNECT NO.OF S E R V I C E
AMi. AMP. TYPE METER I 1W I S, 0W ~ RW J~ dW NO OF CC COND A. W G NO. OF HFIEG A W G NO. OF NEULRAlS A G'
EQUIP. PER % OF CG COND OF HI-LEG OF NEUTRAL
a. z~0 r,r3 1 ~ 1 r~rc, ~ ere ~
OTHER APPARATUS:
h TON A/C 17N'[T- 1
hI.EC. WA.T612 HBA.7'Ftt;it21.'d.5 K.W.
x.1'.1'. ~.t `1
saraKe n~Tnr.TOet ~1
- _
W1:YaT1TAM T,9TOCK P.IG.~889_K G~~~a~
1250 SM7CTHTOWN AVFNtlN
6OHNMIA, NYt 1a.71.G OENERAI MANAGER
t1
Per 5', ~
This certificate must not be altered in any manner; return to the office of the Board iF incorrect. InspecPors may be identified by their credentials.
E ED ANY MANNER.
L~°
PROFESSIONAL ENGINEER
HOBART ROAD SOUTHOLD, NEW YORK 11971 (516) 765.2954
Date:
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ INAL
REMARKS:
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DATE o INSPECTOR
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BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION 1ST [ ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ~MING [ ]FINAL
REM S: _ U"i~--'.
DATE INSPECTOR 2~
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765-1802
BUILDING DEPT.
INSPECTION
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FOUNDATION 2ND [ ] ~ INSULATION
[ 7 FRAMING . 17 FINAL
'REMARKS:
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DATEJ~ INSPECTOR
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PROFESSIONAL ENGINEER
HOBART ROAD SOUTHOLD, NEW YORK 11971 (516) 765-2954
Date:
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AQUEBOGUE ABSTRACT CORP.
123 MAPLE AVENUE
RIVERHEAD, NEW YORK 11901
VARIANCE SEARCH
AAC 2204
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
ELYSE G. WOHLARS, being duly sworn, deposes and says:
That she resides at 123 Maple Avenue, Riverhead, New York, 11901
and is over the age of 21 years and that she is Office ~
Manager of AQUEBOGUE ABSTRACT CORP.
That under her direction, title was examined to the parcels of
land described on the annexed Schedule and labelled Parcels:
A, B, C, D and E
THAT said examination, dated 6-11-91, discloses a chain of title
to determine if any contiguous property was owned by an owner of
property involved since the date of any previously applicable
Zoning Ordinance as of July 1, 1954.
And that this affidavit is made to assist the Board of Zoning
Appeals in the Town of Southold, to reach any determination
which requires as a basis therefore the information set forth
herein and knowing full well that said Board will rely upon truth
thereof.
AQUEBOGUE ABSTRACT CORP.
SWORN TO BEFORE ME THIS
DAY O F July, 1991,
,-Z z ~ ~ f4
NOTARY PUBLIC ~ SE WOHLARS J
Office Manager
HENNETN B. 2ANLER
NOTARY PUBLK:, STATE OF NEW YORI:
SL'FfOi.K OOUN7Y~N0. OiZAd617616
TE"nM EXPIRES FEBRUARY 28, 1993
DESCRIPTIONS
Title Number: AAC 2204
PARCEL "A": (SUBJECT PREMISES)
ALL that certain plot, piece or parcel of land, situate, lying
and being in the Town of Southold, County of Suffolk and State of
New York, bounded and described as follows:
BEGINNING: at a point on the southerly side of North Sea Drive
distant 983.48 feet eastwardly from the corner formed by the
intersection of said southerly side of North Sea Drive with the
easterly side of Kenney's Road; running thence south 50 degrees
36 minutes 00 seconds east 372 feet; running thence south 34
degrees 14 minutes 30 seconds west 100.41 feet; running thence
north 50 degrees 36 minutes 00 seconds west 381.03 feet to the
southerly side of North Sea Drive; running thence along said
southerly side of North Sea Drive; running thence along said
southerly side of North Sea Drive, north 39 degrees 24 minutes 00
seconds east 100 feet to the point or place of beginning.
TAX MAP DESIGNATION SUBJECT PREMISES
Dist. 1000 Section 054.00 Block 05.00 Lot 003.000
PARCEL "B" NORTH
Dist. 1000 Section 054.00 Block 05.00 Lot 012.000
PARCEL "C" EAST
Dist. 1000 Section 054.00 Block 05.00 Lot 087.001
PARCEL "D" SOUTH
Dist. 1000 Section 054.00 Block 05.00 Lot 014.000
PARCEL "E" WEST
NORTH SEA DRIVE
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
Elyse Wohlars, being duly sworn, deposes and says: That she
resides at 123 Maple Avenue, Riverhead, New York and is over the
age of 21 years and that she is the Office Manager of Aquebogue
Abstract Corp.
That the above are the true description of the subject premises
and of the adjoining premises as shown on the record in the
Variance Search under the above captioned title number.
t
SWORN TO BEFORE ME THIS AQUEBOGUE ABSTRF~CT CORP.
1j;:
DAY 0 F July, 19 G~,~ % 1~
Notary Public KENNETH H.ZAR~Ep Elyse WOh1aY$
NoTAnY vuauc. STATE OF I.EW YORK
Office Manager
TERM LE%FIU'RES FErBRUAflY 28,1993
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CHAIN OF TITLE FOR PARCEL "A":
(as to tax map Dist. 1000 Section 054.00 Block 05.00 Lot 013.000
Lidico Corporation Liber: 3584 cp 227
to Dated: 9-1-53
Ethel Mouldern Recorded: 9-24-53
Ethel Moulder Liber 5052 cp 337
to Dated: 9-19-61
Robert E. Green and Recorded: 9-22-61 ~
Millicent E. Green, ux
LAST OWNERS OF RECORD
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Elyse Wohlars, being duly sworn, deposes and says: That she
resides at 123 Maple Avenue, Riverhead, New York and is over the
age of 21 years and that she is the Office Manager of Aquebogue
Abstract Corp. That the above are the true chains of title as
shown on the record in the Variance Search under the above
captioned title number.
SWORN TO BEFORE ME THIS AQUEBfOGUF~. ABSTRACT CORP.
DAY OF July, 1991_ q%y%//////////jjJJ///_/_~~// `
C~j X17 ~2~~_~__ `'=Ltt%~~~' / _ _
yam/ ~ ? ~ ~f
NOTARY PUBLIC ELYSE W/~~ARS
Office Manager
1(ENNETN B. ZANIER
NOTARY PUBLIC, STATE OF NEW YORM
TERM EJ(PIRES FEBRUARY 28.~i9s>3
CHAIN OF TITLE PARCEL "B" NORTH
Dist. 1000 Section 054.00 Block 05.00 Lot 012.000
Lidico Corporation Liber: 3574 cp 542
to Dated; 8-27-53
Matilda Plassman Recorded: 9-8-53
Matilda Plassman Liber: 7194 cp 450
to Dated: 7-11-72
Martin P. Tuttle Recorded: 7-11-72
Martin P. Tuttle Liber: 8292 cp 524
to Dated: 8-11-77
John Zloklikovits Recorded: 8-22-77
John Zlotlikovits Liber: 10730 cp 208
to Dated: 11-4-88
JoAnn Zlotlikovits Recorded: 11-4-88
LAST OWNER OF RECORD
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
Elyse Wohlars being duly sworn, deposes and says: That she
resides at 123 Maple Avenue, Riverhead, New York and is over the
age of 21 years and that she is the Office Manager of Aquebogue
Abstract Corp. That the above are the true chains of title as
shown on the record in the Variance Search under the above
captioned title number.
SWORN TO BEFORE ME THIS AQUEffBOGU,'E ABS RACT COR .
DAY O F July, 1991 r/,~ j~~/~,
j~/~
NOTARY PUBLIC ELYSE WOHLARS
KENNETH B. ZANIER Offic~Manager
N07ARV PUBLIC, STATE OF NEW YORK
SUFFOLK COUNTY-NO. OlZA-4517618
TERM E%PIRES FEBRUARY 28, 1993
CHAIN OF TITLE FOR PARCEL "C"
Dist. 1000 Section 054.00 Block 05.00 Lot 087.001 EAST
Walter R. Brill and Liber: 2040 cp 749
Evelyn E. Brill Dated 5-13-39
to Recorded 5-13-39
Joseph F. Callahan
Mary A. Callahan, ux
Mary E. Murtaugh and Paul F.utor Liber: 7024 cp 392
Callahan, as Executors of LWT Dated 9-29-71
of Mary A. Callahan Recorded 10-12-71
to
Paul F. Callahan, Mary E. Murtaugh, ~
Robert T. Callahan and Joseph G.
Callahan No proof of death or other devolution of interest of
Joseph F, Callahan found in Suffolk County
Mary E. Murtaugh Liber: 7122 cp 474
to Dated: 3-8-72
Paul F. Callahan, Robert T. Recorded 3-14-72
Callahan and Joseph G. Callahan
Joseph G. Callahan, Paul F .Callahan Liber: 8027 cp 101
Robert T. Callahan Dated: 4-28-76
to Recorded: 5-4-76
John T. Vardy AND Linda E.
Vardy, ux
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
Elyse Wohlars being duly sworn, deposes and says: That she
resides at 123 Maple Avenue, Riverhead, Nerw York and is over the
age of 21 years and that she is the Office Manager of Aquebogue
Abstract Corp. That the above are the true chains of title as
shown on the record in the Variance Search under the above
captioned title number.
SWORN TO BEFORE ME THIS AQUEBOG~7E ABSTRACT CORP.
DAY of July, 1991 ~
/ r ~
/ ~ ~
NOTARY PUBLIC ELYSE:'WOHLARS
Office Manager
KENNETH B. ZAHIER
N07ARY PUBLIC. STATE OF t:EW YORY
TERMLE%P RESTFEBRUARY 28.1993
CHAIN OF TITLE PARCEL 'C' continued
John T. Vardy and Linda E. Liber: 9158 cp 351
Vardy Dated: 3-1-82
to Recorded: 3-23-82
Clifford M. Smith
Virginia B. Smith, ux
Clifford M. Smith Liber: 9536 cp 19g
Virginia B. Smith, ux Dated: 3-19-84
to Recorded: 3-28-84
Clifford M. Smith, Virginia
B. Smith and Thomas J.
Smith
LAST OWNERS OF RECORD
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
Elyse Wohlars, being duly sworn deposes and says: That she
resides at 123 Maple Avenue, Riverhead, New York and is over the
age of 21 years and that she is the Office Manager of Aquebogue
Abstract Corp. That the above are the true chains of title as
shown on the record in the Variance Search under the above
captioned title number.
SWORN TO BEFORE ME THIS AQUEBOGUE ABSTRACT CORP.
DAY OF July, 1991 7 /n
t..
NOTARY PUBLIC ELSE WO,HL~RS
-
Offic ~,~lanager
KENNETH B. ZAIILER
NOTARY PUBLIC, STATE OF NEW YORK
SUFFOLK CCUNTY N0. 01 ZA-051)618
TERM EXPIRES FEBRUARY 28, 1993
PARCEL "D" SOUTH
Dist. 1000 Section 054.00 Block 05.00 Lot 014.000
Linco Corporation Liber: 3586 cp 476
to Dated 9-2-53
Basil Youngehan Recorded 9-28-53
Basil Young Liber: 4380 cp 391
to Dated 10-10-57
Robert Edward Green Recorded 10-22-57
LAST OWNER OF RECORD
PARCEL "E" WEST
NORTH SEA DRIVE
STATE OF NEW YORK)
ss:
COUNTY OF SUFFOLK)
Elyse Wohlars, being duly sworn, deposes and says: That she
resides at 123 Maple Avenue, Riverhead, New York and is over the
age of 21 years and that she is the Office Manager of Aquebogue
Abstract Corp. That the above are the true chains of title as
shown on the record in the Variance Search under the above
captioned title number.
SWORN TO BEFORE ME THIS AQUEBOGUE ABSTRACT CORP.
DAY OF July, 199
NOTARY PUBLIC ELYS~ WOHLARS
Office Manager
KENNETH B. ZANIER
NOTARY PUBLIC, STATE OF NEW YORK
SUFFOLK COUNTY~NO, 01ZAd617618
TERFA EXPIRES FEBRUARY 28, 1993
y~G~o~ -~9 ~ ~ o
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theta drE Ce ell}' Lwp types Of garages: Detaches garages are ]n
no way connec tea to the frame cf the existing structure antl can
be COnrtr,~_ie] eul"n Chat they dre COnSltlered dCCerSOrV
5tr l1CL W"ESf n~"dCh2d OdrdOPS dre connec tetl t0 LhE existl(tg ,
s tructw'e, dn.; far flootlpldin management purposes are treatetl es
enclosw"es below the B^E.
Httaehe r' es?
- ~ }qx ~
In e~5~8.^~.YSyi~~i~i`~ _tpast~t lRMi conserut Elgn .~`.a qdr age ttit aen~~ to
_ ' ~ :5n~4,~gCxc~'r~~i~~~~k~~u5~'~~ 5tl~~~IYq'~~Pr a ,~ek~^~9+°~U'i~~2~~~p~5'4cE55n:
OF 50 r„aq,~ d'j~n21<}~,+,tt iry~ftt~t} tt~p dip}1'Ow irk rEFU1rBmQntS.
~ ,36< <~{i~ v ~ ve.Gt p'..
j7 PoC mdchlnery pr equlpmenL wh lCh ServlCe 8 but 7~tllnq SUCK d5
furnaces, air contlltloners, heat pumps. hot water heaters,
warners, Dryers, elevator lift equipment, eiectr:cai
lunc tlcn antl circuit breaker boxes, ane food irEe2Prr, are
per mlttec oelpw the base flootl elevation: and
r.
2) Aj=i'e,i~~2rlgr wail, floor ar`q~..c et Ni°riq~m2te r'i~a ~s'-tac u't="d'
teluw'fhe_-1~,~~_,f_j.p9 a_e-f'~Vdtian must bB unfim sites, siw
:0
Ik@5t5t2nt LG flood ;tl ¢mdCJ@;- antl' - "
n
37 fnp,; waf [s o'fi of+v en'c>osetl area betbw he base°~f 170
~ eievatfor mus£ be, eunetrut~E+`oa it '
C r t 1° 1~ ~ -K~_
5 a .
However, even ]f an additien Crehabil]tatlon, recdna tr uctton7 to
an dCtdCheO ga'a0e Cpmpller wito the abpvementtoned CO nOit~ons
ruCn to dt It Ir CC"tS15LBnC in tleStgn dnq use wlCn Che e.tstinq
garage iwnlCh also meets these COntlltlOnrl, the ccst of the
atlditlon must still be counted toward the "cost of the
improvement' for the entire structure.
Uetacnetl Garages ant uther 4lccesrc~ Sl~uctures
!n cases or new .post-FIRM) ronstructlon. a garage detachetl from
an exlST,l nq StrUCture IS exempt fi'Om Che elevdtlOn regU lrement in
5.6U •-~IC~rCIt l' tt Crlnrt:Li,t E'5 a min:mal invertmen<. ]s used only
ter pdrkln? antl Ilmltf!tl Storage, dntl lf, at d minimum. tfie
f p110wInQ CpnOlt3pn5 are met t'n0to that these COntllLlOnr are
anplicabie to di attar ~urv s[ruci ur err:
F-67
~1
11 use the caraq.! must he.restr lctetl to parkin, ano limited
Stcrayp,
2) The ga~,•age must to ?uilc using unf tnlsnetl and flogd tlamaoe
resin:,:" mate"ldis.
' 3) ihB d3'ay? runt qe adequately anchored Lo prevent
f:otat: o~,. collapse, or lateral movement of the structure
and meet t^.e opens^q requirements in 5.60.3(c)(5l.
4) Pny m~+phant[dl antl utility equipment jn the garage must be
elevate? W c,- above the BFE or floodproofed.
5) Thp gs~age mo=t comply with Flgodway encrea[nmen•
p-o, ;sicrs a; s.50.3(c1i101 nr ld)131.
If feasip:e.~tn? ~ifice of Loss Reduction would recommend that
detacned gaT apes ano Diner detached accessory structures be
eleva ced to nr ao[.e u,e BFE tb minimize damage Lo Lhe structure
antl tc ver,;Fles antl to Diner stored contents. Ho weverr tt is r,he
tl iG[reClJn df ~q,r,mun:ty whether tp require ur encourage the
eievat;gn pi'acces =_cry scr uctur es.
For oecermin~'>•~? su[:stanttal improvement, accessory strut tui es ale
treated en. sew ai ate from the main existing structure.
Ther of q~'e, LnE v[g5t of an idtl1t10n to a detached garage t5
Crimp dr'etl CL Lhe Old rket value of tnat garage td determine if it
hen bee" sylbfitant;diiy improved. Nonetheless, if an dOdltlOn
Creconst^uctaor• re^.apilitatidn] to a garage meets the aoove ~ i
menclonep tp•hditlons such that i;t i5 co ns~tstent in design and 4se
with the gar,yge twhiCh also meets these Conditions)r Chen the
adtlltldn ta~ be co ns:deretl tc be in compliance witn )dF IP
regu:at:c n=,~.
In ortler Cp F^r m;t detached garages or any Cype a[[e65gry
strut tu,e wh tcn i,; not elevated r.r Dry flootlprouf ed, the.
Cum:nuntty wo'~:d ha..e to include cdndi!tons, eqw valent td those
tasted above, l~~ :t', orginance or require the issuance of
vari3n[e5 (5~60.bfali.
i
F-68
•
~ ~ BOnRD OF HEALTIi . ~
_3~ ~.1~~-,}~\l~rn FORMNO.1 3 SETS 0~/PLdNS
SURVEY
p j._.,,.,.'..__ u,.... TOWN OP SOUTHOLD ~ - - .
SAP _ g X991 ~ BUILDING DEPARTMENT CIICCK .d~a"::::::::
TOWN HALL SErTIE FoRri ?
„~e~,~. SOUTHOLD, N.Y. 11971 "~""h "
13L~G•~rE'T• TEL: 765-1802 t:aT1PY;
To N of „tnrs¢aoL° ~ c n L L .:7foS
: d~~ .
Examined . , , , , , , , , 19 Q~ Mn I L TO
Approved 19 ~~Pennit No..`~.. ~~S ~ - . . .
Disapproved a/c
~ y
(Burg Insp tor)
APPLICATION FOR BUILDING PERMIT
Date .!./r...':........, 199/
_ 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.r 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,
b. 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
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other 'cable Laws, Ordinances or
Zegulations, for the construction of buildings, additions or alterations, for removal or emo 'tion, as herein described.
flee applicant agrees to comply with all applicable laws, ordinances, bu' g code, u ng co s, a 'ons, and to
admit authorized inspectors on premises and in building for necessary insp tions.
(Sig a ure f applicant, of name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner~l^essee, agent, archifcn~t,
enginee;, general contractor, electrician, lumber or builder.
Vame of owner of premises ~:~Gd"~ T ~ ~ ' ~~~2
(as on the tax roll or latest deed)
(f 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 . . .
Location of land on which proposed work will be done. .
...............K . ~'+OV ~d ~ .
House Number ~ ~QN Str~~ f . J .
Hamlet
County Tax Map No. 1000 Section S4 Block , , , , , , , , , Lot 3 ,
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 . , . .
b. Intended use and occupancy I ;
s~~, ~ .
V ~ f i rr.'.
~ 3. TR'~t~e of work check which a ]cable): New Building
( pp Addition Alteration
emov
$I ...............Demolition Other Work .
4. Estimated Cost , , , 08 ~ (Description)
/ DOO 37~
Fee
.
(to be paid on filing this application)
g> g
5. If dwellin number of dwelling u tits , , . , , , , Number of dwellin units on each floor . .
If garage, number of cazs tJtil `p
6. If business, commercial or mixed gccupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, I,if any: Front Rear Depth .
Height Nwnb~r of Stories .
Dimensions of same structure wftl} alterations or additions: Front ,Rear .
e t
8. en~fntstons o£entfre new c Nu b~ Height , , , , , , , , , , Num~er of Stories , .
cation: Front ....SS........ Rear ....5~........ Depth ...~Z. .
r of Stories .
9. Size of lot: Front ~.QQ ! Rear ~~b; D~th ~s~~Q..7~ .
,
10. Date of Purchase ...~g.. fl~ , , , , , , , , , , , , , , Name of Former Owner
~7.........
I I. Zone or use district in which premises are situated . .
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded ~'-a , .Will excess fill bo removed from premises: Yes
14. Name of Owner of pr muses V~roe~n t , , , , ,Address ~h'r G7~. .Phone No S ' 79S 4®
Name ofArchitact ~~r ~?t~~'!'!"!A"^r ~+i1t~•S~%1c~... ~j}~~':j:~`7
. ~ kcidms5`. .......Phone No. .
Name of Contractor ~ , , , , , , , , ,Address . .Phone No, :76~
:~~:•'S`S:'
15. Is this property within 300 feet of a tidal wetland? eyes......,. 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.
~ s~
f c~
~F4
i tA~ ,
' ~S6
i
i ry
II ,
I
;T.STE OP NEW YORK S.~S
(Name
of i~Sdua~ nin ~ ~ ~ ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant
g g contract)
hove named.
le is the
! {Contractor, agent, corporate officer, etc.)
f 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 contairjed in this application are frue 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
ay of . t . R.wLa:~! , ~~J
btary Public, ~ - , , ,
. unty
- { - -
_ - _
R08ER11. ,
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