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HomeMy WebLinkAbout20226-z FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OE OCCUPANCY No Z-20497 Date JANUARY 23, 1992 THIS CERTIFIES that the building ADDITION Location of Property 170 DOGWOOD LANE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 5 Lot b Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2, 1991 pursuant to which Building Permit No. 20226-Z dated OCTOBER 23, 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPROVED BY ZBA #4049. The certificate is issued to JOSEPH & JOAN CARPENITO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-220107 - JANUARY 13 1992 PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 ~OBAL 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 2 0 2 2 6 Z Date c.~:.~ :~s,......,~ 19..9./.. Permission is hereby granted to: k....l..o.~:~ ro `-'""`:AhhM.P.~..41~...~.~4?!:°~.~:....4AlX.AW.!:SSA.:o.....V..4.~...4::'1 .................:.1.q. at premises located at ....................~.................Q~Ak!1A........r.5:............~..................................... County Tox Mop No. 1000 Section ......Q.~:g...... Block .......©5...,... Lot No....~.`3 ' pursuant to application dated ........~.s~/.....Z 19.9.x.., and approved by the Building Inspector. Fee 5..~:.:~...... ' wilding Inspector l\ Rev.6/30/80 t s Form [v`o. 6 i~~~:,~~~. ~;5,~.:;~ ~ ~ TOSdN OF SOUT110LD tntCCr BUILDING DEPARTMENT UCti _ 6 TOWN HALL i1, 765-1802 ~~.s e.>{:~.- _ - ' ~ ~ i ~ APPLICATION FOR CERTIFICATE OP OCCUPANCY This application must be filled in by typewriter OP. ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property ~oith 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 19 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 "prc-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 Co 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 - ResidentiaFl~$15.00, Commercial $15.00 Date e': e:ei l°.:..~ ~.9 ::ew Construction.......... Old Or Pre-existing Building., ' Location of Property...I7D.....~6'W©tic~ ~~............~d¢Sr.~~y'~vv/.. :V :.C ..~~~-~`1 House No. Str/e/e~~tO Hamlet Onwur or Owners of Property.. bSN,I?~.:"..`~.~~(.y... `-IpI-I~Erll ~T 0 {{~~~~gg~~ s ~:uuncy Tax Map No 1000, Section.. :~~.......Block.....~........Lot...'.~~T..,~ 3ubJivision ....................................Piled Map............Lot......... Pormit No.. ~ ....Date Of Permit..~~ /y;/,,,,Applicant i!ealcii Dept. Approval ..........................Underwriters Approval......................... ~'l;inning Board Approval...... ~~equust for: Temporary Certificate........... Final Certicate........... "ee Submitted: J ~ ~-~•y3a~3 ~ eo Sao y 9 APPL CANT ~ - - - THE NEW YORK BOARD OF FIRE UNDERWRITERS ,i;r;=; '000121 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date JANUARX 13,1992 AppliratimtlVo.onfile 7i776191/9i i10"~7 THIS CERTIFIES THAT only the electrical equipment as described bebw and introduced by the applicant Homed on the above opplicotion number in the premises of JOSi!.PS CFtK?EDl'i"'0, 170 ~70GWOOD Lei"~ , ".AF ' ',±~~t.i"i7, N.Y./ •im in Ehefollowinq location; ? Basement ? 1st Fl. ? 2nd F'l. +AR/f~Vl ,Ser[ion B/ark Lot uns examined on +)ECEMBFR 3 i ~ 1991 and,(ound to be in cornplianee mith the requiremeafs q(this Board. FI%TURE ECEPTACIES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT ftU0RE5CENi OTHER AMF K W AMi K w AML K W. pML K W AMT. H. P 1 I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Mfr. N. W. Oll H. P. GAS H. P. AMT. NO A W. G. AML AMP AMT. AMPS TRANS. AMT H P SYSTEMS AMF WAIIS NO. OF FEET SERVICE DISCONNECT ~ No. OF ~ S .E R V 1 C E " METER NO. OF CC COND. A w G A. W G A, w G AMT. M1P, ttPE EQUIP lA'$W 1,93W 9d~W 3,e'~W PER OF CG COND. NO. Of HI-LEG OF HbtEG NO OF NEUFRAW OF NEUTRAL 1 ~ 1~ OTHER APPARATUS: G.F.C.I:-i , PAUI, R. RURidS I.C.#282-~~ 2%5 T037N HAR90R r,AR?E SCU1HOi,7, i'Y, 11971 GEP~E~MANAGER J. i 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. INSPECTORS Victor Lessard ~ ~;=,-'i~L"[ i,n'o Principal Building Inspector ~ - ~g Curtis Horton g~ s f` `'a 'l SCOTT L. HARRIS, Su¢ervisor Senior Building Inspector `v' r a,r Thomas Fisher ,5 , E ,.~i~ Southold Town Hall ;~,f~ P.O. Box 1179, 53095 Main Road Buildinglnspector ~ ;-.a~•~:~' Gary Fish ` • ~ ,A Southold, New York 11971 Building Inspector ,,,1 Fax (516) 765-1823 Vincent R. Wieczorek "rte}"~ Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING YNSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD DECEMBER I1, 1991 -7 WARREN SAMBACH, SR. BO% 1033 CUTCAOGUE, NY 11935 RE: 70SEPH CARPENITO To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) x%% No Underwriters Certificate on file. The check is (outdated/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 # 20226-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: JOSEPH CARPENITO cIELD i;:S:•~C:'_U:J ~~Dr.:c I CONMENT~ ' ! ~ ~ t . ~ ~i~e,., - ~ _ H FOUNDATION (1st) - y ~ • ~ ~ FOUNDATION (2nd) N~~ m 2. ~ P z o P,OUGH FRAME & J c •PLUMBING ti 3. -3 m IIJSULATIOJI PER N. Y. ~ . , y QL STATE ENERGY CODE x a FI;JAL o g ADDITIONAL COMh1EPJTS: ~ x ~ • m • x z . .n N b _ T Iu H H ~ O 2 m r • H Z d~ - m b H 765-1802 BUILDING DEPT. INSPECTItJN ~,.,'FOUNDATION 1ST [ ] ROUGiH PLBG. ~ ' , ]FOUNDATION AND [ ]INSULATION [ ]FRAMING f ]FINAL ~ ;REMARKS: ~ ~ L.-~~. s t ,DATE l~ INSPECTOR ~ l ~l ~ ~ /?Juyrcl,~ l 1U1~4 ~J4t~ 1 it r' 1 ~ f~ . .,,..a...,,N~...~ .m>._..< . ~ r-"-"' f~" doh C ~3loc IG %y~i qr?c~ute ~d/~rS /'d ~LG' ~ a C~or~ Crc=T~ Slu ~ 3 JwiL VN~aR /~~RdtiZi~ P~ ~crurc=D an Ga+~v,~yc:Te~cG Gn,oC ~'c ?c 5Nt,1J Cizc VZ' ~ ` ~ ?~R ENc 1~ `p o d i ~ c m " x 3G " l7C? ~6Cz?c9c1~. LANG ~/I's T /l;'r'/~'/ aN a'. y lI 9 3 j r~u, ~~~~r ~ /~'eR ~ i T'" YvU ~ 0,x,2 6 Z G'i~ lZ /q G C; o ~ ~ f / ~ cd. rovva c~ !:t I i a'~ ~ r4~( is _ i : t . <x..__, t k'/ST h ~ , "~z~ USE ST~L-l Tr G Ta L=Xis iirr i Cellar ~ 0 ~I aJl it aY„~~ y~,.i ~ro~oS~-d GDnr~~~ ~r~~i ,~"~s~~~ c/~m~C~/r / 70 J~6 w v o c~ L•/g N c,~s?" l~?i,~R/~~~ N, 9~9 dui/d~~y err/-riT N~,~©226Z, ,D FORM N0.3 7~~- 7~ y~ TONT! OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL q c c~/ Date .~-~.C:/..../........, 19.9.x. . To l.~.a-~ t°:~ .S~ ~ ~ ~ . oS.i. •...lc... ~a~¢,~ Cow (IJ PLEASE TAKE~,N~OTI-Cp.E that your application dated ; ,9, , , , , ,r , „ 19 q . for permit to ~-w!-vil~l.u;e.Q"'. ~c~,~,,o, . ~ ~ p~~ ........at ~q ..Qwrr~.~ Location of Property ~ 7V...~ ~ I House No. ' ' 1 O', T l tinrl-!T.'? . Street Hamlet County Tax Map No. 1000 Scct~on Q.3 8 , , Block _ .....Q Lot ..O.`~?........ . Subdivision~7.".'`:...... Filed Map No. ~ g, 3 Lot No. ~ .Z .7 . is-r~eturnnedn herewith and disapproved on the following grounc~ds . L1Jl~t~. .off. /vim - 31. r-`^` ~.~-ts~..,.Q ~.C... ~.~,Q;c~.~.tiy.,c ....4rG !'!a^.~ .:~t3-~.~,,y ~,~s~, . ~ ' 1 ' ~ . . . . . . . . . Vi . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . Building Inspector RV 1/80 ~ r ' APPEALS BOARD MEMBERS °J ;,U('~nC',{ ~ SCOTT L. HARRIS . " Supervisor Gerard P. Goehringer, Chairman ' 4~, p ~3 d Charles Grigonis, Jr. Town Hall, 53095 Main Road Serge Doyen, Jr. i3 [ , James Dinizio Jr. ~ ~ P.O. Box 1179 ' 's ~ Southold, New York 11971 Robert A. Villa ; ' ' ~~~,C Fax (516) 765-1823 Telephone (516) 765-1809 ~ Telephone (516) 765-1800 tiY~-L~CGLo BOARD OF APPEALS TOWN OF SOUTHOLD 3 i ~,+f.~..~,~} ~ ~ ~ ~''i ."!9 ACTION OF THE BOARD OF APPEALS pi aLT ~ $ " r~ Appeal No. 4049: ~'~e~~€~!~u~.=c;,-t...+~?'~.., u,~ra..,....., Application for MR. AND MRS. JOSEPH CARPENITO. Variance to the Zoning Ordinance, Article III, Section 100-32, for permission to construct garage addition with insufficient front and side yard setbacks. The subject parcel is known as Lot 177 of Gardiners Bay Estates, Section Three, is substandard in size, and is located in the R-40 Zone District. Location of Property: 170 Dogwood Lane, East Marion; County Tax Map No. 1000-38-5-5. WHEREAS, a public hearing was held on September 26, 1991 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, the Board Members have personally viewed and are familiar with the premises in question, the present use and zone district, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question: (a) is a parcel of land shown on the subdivision "Map of Gardiners Bay Estates, Section III" as Lot No. 177 and is more particularly identified on the Suffolk County Tax Maps as District 1000, Section 38, Block 5, Lot 5; (b) is shown on the July 2, 1991 map prepared by Sambach Associates to be presently improved with a one-story dwelling with setbacks at 19.7 feet and 21 feet at the side yards, and 50 ft. front yard setback. (c) contains a total lot nonconforming lot area of approximately 20,500 sq.ft. and nonconforming lot width of 99.72 Page 2 - Appl. No. 4049 ~ ~~`,`wi Matter of JOSEPH CARPENITO Decision Rendered September 26, 1991 'r~~. ~ ~ 1( Ca` 3I q . ~~C 18 s~.f~ xl 4 b ca ~6els C~e~=` ,t s, _ ft. along the northerly property line off of the Dogwood Lane in the Hamlet of East Marion, Town of Southold. (d) is located in the R-40 Zone District as adopted by the Master Plan of January 10, 1989. Minimum requirements applicable to this substandard parcel under Section 100-244 of the current zoning code are: (1) lot width 120 ft. (2) front yard setback 40 feet; (3) side yards at 15 and 20 feet; (4) total sideyards at not less than 35 feet. 2. By this application, appellant requests a variance for a 15' wide by 22' one-story garage addition for garage and storage use accessory and incidental to the residence. The amount of relief requested by this application is that area less than 35 feet from the front property line and less than 15 feet from the easterly side property Line. The reductions requiring relief are for a seven ft. from the front property line (from 35 to 28 feet) and at the easterly side yard requesting a reduction from 15 to five feet (alternative relief was granted; see resolution below). 3. In considering this application, the Board also finds: (a) that the relief, as alternatively and conditionally noted below will not be adverse to the essential character of the neighborhood; (b) that the alternative and conditional relief (noted below) will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (c) that the reductions are minimal and will not create an increase in any dwelling unit density or cause a substantial effect on available governmental facilities; (d) that the relief, as alternatively granted is not unfeasible for appellant to pursue; (e) in considering all of the above factors, the interests of justice will be served by granting alternative, as conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Villa, it was RESOLVED, to DENY the relief as requested for a setback at five feet at its closest point for a proposed garage addition; and BE IT FURTHER RESOLVED, to GRANT alternative relief for a one-story l ~ Page 3 - Appl. No. 4049 Matter of 3OSEPH CARPENITO Decision Rendered September 26, 1991 garage addition (not to exceed a size 15' wide x 22' deep), SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the garage addition be limited to one-story height (without a second floor and nat exceeding the height applied for and shown on the elevation plans dated July 2, 1991, prepared by Sambach Associates); 2. That the addition shall be for garage and storage purposes, as applied; 3. That the addition not be closer than eight feet to the easterly property line and not be closer than 28 feet to the front property line at its closest points. VOTE OE THE BOARD: Ayes: Messrs. Goehringer, Doyen, Grigonis, Dinizio and Villa. This resolution was duly adopted. lk GERARD P. GOEHRINGER, CHAIRMAN ~ ~~~,rs,.~, 181~`~I ~`"~~~Uv~. UI~T F;; t f . . t t,rF r r 1~ 3f.i7 ..,X 1 ~~~~r~-,,~ ~ APPEALS BOARD MEMBERS ~s~~~~~~i'~/,~ SCOTT L. HARRIS Su ervisor Gerard P. Goehringer, Chairman ~;zr';~ y. an.^ c,°s~ ~ p Charles Grigonis, Jr. E ~ , Serge Doyen, Jr. ~yy` '9f ' ~ ' Town Hall, 53095 Main Road James Dinizio, Jr. 1l g -~t~~, , P.O. Box 1179 Robert A. Villa r~r P' Southold, New York 11971 ~ c9 ~~a~ ,~~1 Fax (516) 765-1823 Telephone (516) 765-1809 ~r,, zrzz~~p` Telephone (516) 765-1800 BOARD OF APPEALS TOWN OFSOUTHOLD Qctober 17, 1991 ~ ~ ~~„,nz~`~ >E,' OCT I $49~3i Mr. Warran Sambach sl0 ~ ~ 3 Sambach Associates '~1~~; ' P.O. Box 1033 ` t ' Cutchogue, NY 11935 ,~,M!,'~,~` ~ Re: Appl. No. 4049 - Mr. and Mrs. Joseph Carpenito Dear Mr. 5ambach: Attached please find a copy of the determination rendered by the Board of Appeals concerning the above application. A copy of this decision has this date been transmitted to Building Inspector for their files and update. Please be sure to return to their office for issuance of appropriate permits or other approvals in this project before commencing building or site activities. Very truly yours, Linda Kowalski Enclosure Copy of Decision to: Building Department V , APPEALS BOARDMEMBBRS G~~~°,Ui'~f)(~~ SCOTTL.HARRIS c~\' y "lJ Supervisor 1 tiu Gerard P. Goehringer, Chairman ,.ry Charles Grigonis, Jr. r` * ~ k c ~ Town Hall, 53095 Main Road Serge Doyen, Jr. James Dinizio, Jr. t~ ~ ~ ~ P.O. Box 1179 Robert A. Villa aA ~o~~,~'~s.'~y~ Southold, New York 11971 ~ y Fax (516) 765-1823 ~ `~1 Div Telephone (516)765-1809 Telephone (516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD !~f;~~;. ,~F, _ Ei, ACTION OF THE BOARD OF APPEALS r i°,~ U(~I ~ ~ ~t)~jl y~ la . d ~if5 ~ ~ . Appeal No. 4049: Application for MR. AND MRS. JOSEPH CARPENITO. Variance to the Zoning Ordinance, Article III, Section 100-32, for permission to construct garage addition with insufficient front and side yard setbacks. The subject parcel is known as Lot 177 of Gardiners Bay Estates, Section Three, is substandard in size, and is located in the R-40 Zone District. Location of Property: 170 Dogwood Lane, East Marion; County Tax Map No. 1000-38-5-5. WHEREAS, a public hearing was held on September 26, 1991 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, the Board Members have personally viewed and are familiar with the premises in question, the present use and zone district, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question: (a) is a parcel of land shown on the subdivision "Map of Gardiners Bay Estates, Section III" as Lot No. 177 and is more particularly identified on the Suffolk County Tax Maps as District 1000, Section 38, Block 5, Lot 5; (b) is shown on the July 2, 1991 map prepared by Sambach Associates to be presently improved with a one-story dwelling with setbacks at 19.7 feet and 21 feet at the side yards, and 50 ft. front yard setback. (c) contains a total lot nonconforming lot area of approximately 20,500 sq.ft. and nonconforming lot width of 99.72 9 "2~age 2 - Appl. No. 4049 ~~'~.,:;'~=::i, Matter of JOSEPH CARPENITO ~ ~ ~ Decision Rendered September 26, 1991 OAT 18I~,~~i _~v.~.~_ . S1 f.' r ft, along the northerly property line off of the Dogwood Lane in the Hamlet of East Marion, Town of Southold. (d) is located in the R-40 Zone District as adopted by the Master Plan of January 10, 1989. Minimum requirements applicable to this substandard parcel under Section 100-244 of the current zoning code are: (1) lot width 120 ft. (2) front yard setback 40 feet; (3) side yards at 15 and 20 feet; (4) total sideyards at not less than 35 feet. 2. By this application, appellant requests a variance for a 15' wide by 22' one-story garage addition for garage and storage use accessory and incidental to the residence. The amount of relief requested by this application is that area less than 35 feet from the front property line and less than 15 feet from the easterly side property line. The reductions requiring relief are for a seven ft. from the front property line (from 35 to 28 feet} and at the easterly side yard requesting a reduction from 15 to five feet (alternative relief was granted; see resolution below). 3. In considering this application, the Board also finds: (a) that the relief, as alternatively and conditionally noted below will nat be adverse to the essential character of the neighborhood; (b) that the alternative and conditional relief (noted below) will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (c) that the reductions are minimal and will not create an increase in any dwelling unit density or cause a substantial effect on available governmental facilities; (d) that the relief, as alternatively granted is not unfeasible for appellant to pursue; (e) in considering all of the above factors, the interests of justice will be served by granting alternative, as conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Villa, it was RESOLVED, to DENY the relief as requested for a setback at five feet at its closest point for a proposed garage addition; and BE IT FURTHER RESOLVED, to GRANT alternative relief for a one-story ' ~'~~age 3 - Appl. No. 4049 Matter of JOSEPH CARPENITO Decision Rendered September 26, 1991 garage addition (not to exceed a size 15' wide x 22' deep), SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the garage addition be limited to one-story height (without a second floor and not exceeding the height applied for and shown on the elevation plans dated July 2, 1991, prepared by Sambach Associates); 2. That the addition shall be for garage and storage purposes, as applied; 3. That the addition not be closer than eight feet to the easterly property line and not be closer than 28 feet to the front property line at its closest points. VOTE OE THE BOARD: Ayes: Messrs. Goehringer, Doyen, Grigonis, Dinizio and Villa. This resolution was duly adopted. lk GERARD P. GOEHRINGER, CHAIRMAN ~i, ~,f 's f tc ~ is-' Pl f~ i 6 ` C!,,gJlf„ g_... ~ ~ u 4 BOAKU OF fIEAL'I'll 3 SB'L'S OP PLANS • . FORM NO. 1 ~ SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY 7 SOUTHOLD, N.Y. 11971 CALL • - TEL.: 765-1802 • • CC~~ MAIL T0: Examined .0.&c'.~4 .a3, 199.x. Approved O 0~3, 199 Pennit No. a°.?`~~..t~. Disapproved a/c (Building Hlspector) APPLICATION FOR BUILDING PERPIIIT Date .July. Z 1991 . 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 slLOwing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on,the diagram which is part of this appli, cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit s}Lall 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 admit authorized inspectors on premises and in building for necessary ins ctions. ow~,t ~ (Signature of applicant, or name, if a corporation) Warren A. Sambach, Sr. ...P.A.•..Box..1033..7.675..Cox. Lane,......... . (Mailing address of applicant) Cutchogue, NY 11935 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Consultin~,En~ineer Name of owner of premises Joseph Carpenito (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE gUFFOLK COUNTY LICENSED Builder's License No. ,To Be Selected Plumber's License No . . Electrician's License No.To Be Selected , . Other "trade's License No . . 1. Location of land on which proposed work will be done . . 170 Dogwood Lane, northside 117.93' west Old Orchid Lane, East,Marion,..NY..1,193~ house Number Street hamlet County Tax Map No. 1000 Section 38 Block 5........... Lot 5.............. . Subdivision Gardiners .Bay, ,Estates, , , , , , , , , , , , Filed t\1ap No. 508,3 , , , , , , , Lot . x.7,7, . , . ((Jame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .°ne family residence } . , , , , , , . , . one family residence, attached: one °~ai~~~arage b. Intended use and occupancy ~ i 4. Naturo ol'work (check which applicable): New Building Addition XX...... Alteration . • Repair Removal , Demolition Other Work . 12 , 500. 0~ (Description) 4. Estimated Cost ~ Fee . I (to Ue paid on filing this application) S. If dwelling, number of dwelling~'Iunits ..°ne Number of dwelling units on each floor . . If garage, number of cars one,; , , , , , 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front 3.$'.7:".........Rear .3$' Depth .24!.4,"........ . I Ieight 12. ~ Number of Stories .....one............................................... . 46 4 ith alterations or additions: Front 51.' T'............ Rear 3e.'.7'.'....... , . I epth!s!ons of same stn!cture w Height 12.' Number of Stories , .Qne, , , , , , , , , , , 8. Dimensions, of entire new construction: Front . 1.5'......... , . Rear 1.5 Depth ......22 . Sleight 1 Number of Stories .......one . 9:• Size of lot: Front,99.72'..,,.••.,.,,,,, 12ear.,72.16....•••..•,,,, Depth 2.41:4.2•'_.&,2,13.18,', 10. Date of Purchase ! ..................Name of Former Owner , . I1. Zone }ort~sedistrictinwhich remises are situated...R-40,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, P 12. lloes ro osed construction v!olate any zoning law, ordinance or regulation: Yes, , ,side, ,y~gd, , , , , , , , , , , , , , , , 13. Will lot be regraded riO ~ ...................Will excess fill be removed from premises: Yes No e n arr.en ,p I ~ ,~~rpenito, , , , ,Address 170 ,Dogwood, Lanep}!one No. ~i77-0,536..... . 14. Name of~ttgc~~jremised4~•,a. ,Sambach,. S.r., .Address P.O,$oX..1433....... Phone No.7.39-.7.492..... . Name of Contractor To Be Selected , , , , , , ,Address Cuteho~ue rNY .119)31r5one No~~ . 15. Is this property located'iwithin 300 feet of a tidal wetlandY *Yes No *Lf yes, Southold Town Trustees Permit may be required.' PLOT DIAGRAM Locate clearly and distinctly allll 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 comer lot. INSO° 'x!•40°~' `12.16' ~ o ~ h 23.0, Sr:e7ioA 038 ~ ~ oNE~~Y I- 'BLOCK. ~ ' FxT~talw( ~ C07 ~ 2~hoB' _19,73'_ ~ 'ZoA96 L-4a 'i FXISf. 15To0Y NO O FQ/1YIf: Hvi1SP Q` 0 I 1959' P~2Opo5s ~ i Oa I Z I,I _ IS'.o ~ A V ~ N ool,wl q~j.9'L' ,z rrzg3' ¢ - - Ae~loa,o, &AD= gov~d LA uE 17u7!M ~ OC7 _ _ 1-------._....- :''>'fA'I'E OF NEW YOI2IC, - COIJNTY' OP SUF.EOLK...... , IS•S • .Warren, A ; , Sambach,,, , Sr,; , , , , , , , . • • • , • • . , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signjng contract) above named. Ile istlte.........Consulting ',,Engineer ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the ma!tnefi set forth in the application filed therewith. Sworn to beforeC~me this ......day of (...July......,........, 19 91. Notary Public, ~r.l!Y'.~Y!'ti::-~ County A~ , • , . ~j r\h~~~ui~Cr~. JdYCE NO.A98224d~ WILKINS '.......'.u..W..WI.M fate of New York $uHolk Cou (Signature of applicant) Tum F.~plr~ June 12,19