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Home My WebLink About19674-z . FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19793 Date MARCH 14, 1991 THIS CERTIFIES that the building ADDITION Location of Property 925 WOOD LANE (PVT. ROAD) PECONFC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 6 Lot IO Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 15, 1991 pursuant to which Building Permit No. 19674-Z dated FEBRUARY 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS BUILT, ZONING BOARD OF APPEALS #3921. The certificate is issued to EILEEN G. VILLANI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED ^ N/A - ^T' C~ a-C. O~-l.~ Buil ing Inspector Rev. 1/81 roses xo. s 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° 1 9 6 7 4 Z Date )9~,l. Permission is hereby granted to: . , ro .G~r.~i.:~.cfl....G?~-J....Gr:sZ~~..~.~'J...~. d.~....r~7i%f~• _j of premises located at ....................................................:(~........r............................... ....~.~.~1~-e?~!........ .~.~'........1.-.,`~..Z,~~.-.Cl..U.,lll..~,I.OOoQ..l.-. o....,.~a,~..1~~~,~ 2~~dj' County Tox Map No. 1000 Section ......d~.(t......... Block .......~it........... Lot No...1~ pursuant to application dated ......a~+/~.',f~~~ 19........, and approved by the Building I6nspector. Fee o :~1... 5~••••./•• .Qt1r............ ildin or Rev. 6/30/80 ~ - Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN MALL 765-1802 APPLICATION FOR CERTIPICATI; OF OCCUPANCI 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 u'se: 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-° 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 end installations, a certi'icate of Code Compliance from architect or engineer responsible fnr thz 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 InspecCOr shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions Co 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. Capy of Certificate of Occupancy - $5.00 over 5 years - $L0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date FEBRUARY,28,,.,991,,,,,,,,,,,,,,,,,, ':ew Construction..,DECK Old Or Pre-existing Building _ocation of Property... 925. WOOD. LANE. PECONIC . House No. Street Hamlet nwer or Owners of Property.,,,EILEEN.VILLANI. ounty Tax Map No 1000, Section....~6........B1ock.......6. .......Lot....,10 ubdivision ....................................Filed Map............Lut...................... ~rmi[ No..,19674Z 2/20/91 PETER 5. DANOWSKI, JR. ......Date Of Permit ................Applicant............................. mlth Dept. Approval...N~t. A~Pl :.............Underwriters App roval.,,~Not_App L anning Board epproval..... , ,Not. Ap~l: quest for: Temporary Certificate........... Final Czrticatz,,,, X e Submitted: 25. Qom... ~ii3ya ~ e o ~ 19 ?93 ~¢`rffz S , 17gwow.S/~~PLIC Y Ro ert F. Kozakiewicz - ~ GB THE NEW YORK BOARD OF FIRE UNDERWRITERS PAr.F 1 I 15.9511?, EUREAU OF BLEGTRICITY BS JOHN STREET, NEW YORK, NEW YORK f008s .TlIL14 1').,1991 731 4 R591 /95 N I a~iRv i = Date Applicotion No. on file - THIS CERTIFIES THAT only the ekrctnicd equipment v dsleribed 6ska! end ineroduced by ehe epplicent tserned en the above epp/icetian number in the pronsiep of ,GttiNtl}t 'i'FAMAZ6NI, 3775 SKI7NK I,A, 19T, i'IfTCHOGIfF;, N,V. 0117 in tkefdlouinp hrcetim?I ~ Bent ? IAt F1. ? Ynd F1. .Section Block Lot uaa examined on ACCttCC andfound to 6e in cornplionee uith tke reyuirementR of this Board. = NX11R! IMEf 1MflTC11K RXTU~S COOKNI9 MCK5 OVlNS DIiM f f OUTIETS IxCAMDlSClNT FIUatE]ClxT OTHER AMT. K.W. AMT. K.W. AMf. C.W. AMT. K.W. AMT, X~R S DRYBtS RJMAC! MOTORS MtiUp ArrYAtIC/ 1MEME ilEtlAl MC'/T TIM! QOCKf ENL tI1MT MfATNS t~ fNMt` DIMkIHS AMT. K. W. pl x. P. GAS x. r. AMT. xa. A. W.6. AMi. AMI. AMT. RAVE. TRANS. AMT. x. I. 1t0.Oi AMT. WAm SlRV1C! dSCONNlCT NO. W S E R pp V I C AMT. AMP. 11TE ~ 1 / tW 1 { ]N' ] R ]W ] / ~W NO. q!~ CGND. [C. ~ OND. MD. Oi x4V:6 a~~;;~ ND. p NlI11M15 ~ . w. 5 2n0 ('R 1 X i 2(t) l /11 otttRR nnAlurus: i - V / SAC,F; k iIADRMANN tNC, I~Ct'.M3615-F. °'l _ P.O.RUX 176R ~ 9pITTNOLD, NY, 1 7 971 O~ MAM11Ml _ 11 ~ Prr ~ r This aRrtificoN rnysf not be alNred_ in qtly manner; return to tM ot/ia of 1M Board it incorrect. Mspettor; mstZ be idrntifid by tMir cre~nhgll. C0P1f POR •UILDIIIG DEPARTMENT. THIS CAPY OF CERTIPN:ATE M1~ST ~ ALTERED Ni ANY LAW OFFICES PETER S. DANOWSKI, JR. 616 ROANOKE AVENUE P. O. BOX 779 RIVERHEAD, NY 71901 (516)727-4900 PETER S. DANOWSKI, JR. FAX (516) 727-7451 MICHAEL T. CLIFFORD OF COUNSEL ROBERT F. KOZAKIEWICZ February 28, 1991 D ~~~d[~ D eLnr- - °T. TbWN Or.~ ~ -'_~'HOID Town of SoutholdyBuilding -epartment Town Hall 53095 Main Road Southold, New York 11971 RE: Eileen Villani - Building Permit No. 196742 Dear Sir or Madam: In my letter to you dated February 27, 1991, regarding the above-referenced matter, I inadvertently omitted including the Application for Certificate of Occupancy, Enclosed please find same. Thank you for your attention to this matter. Very truly yours, ROBERT F. KOZAKIEWICZ RFK/sd Enclosure I p ~~~Od[~ ~ ~ ~ ~ 4 LAW OFFICES ~ I PETER S. DANOWSKI, JR. 1 616 ROANOKE AVEN UE TOWN OF SOU7HOLD P. o. BOX 779 - ~ ~ RIVERHEAD, NY 11901 (516) 727-4900 PETER S. DANOWSKI, JR. FAX (516) 727-7451 MICHAEL T. CLIFFORD OF COUNSEL ROBERT F. KOZAKIEWICZ February 27, 1991 Town of Southold Building Department Town Hall 53095 Main Road Southold, New York 11971 RE: Eileen Villani - Building Permit No. 196742 Dear Sir or Madam: This confirms our office's receipt of Building Permit regarding the above-referenced matter. The wood deck was previously constructed and therefore on behalf of Mrs. Villani, we would request that a final inspection be conducted and that a Certificate of Occupancy issue. Please find enclosed the bright o>^ange notice and our attorney's check made payable to the Town of Southold in the amount of $25.00. Please forward the Certificate of Occupancy to this office. Thank you for your attention to this matter. V truly yours, C~~` -10` ~f~~-ac_c~ ROBERT F. KOZAKIEWICZ REK/sd Enclosure pp 1 ( C . ~ ( ~ ~ I I I. "tP~~g(~ ~'~I`I- FE8 2 81991 =1ELD I1:SPEC:lU17 ~~UATE ~ i;OMMCNT° ~ b ~ y ` FOUtdDATION (1st) cn FOUNDATIOIJ ( 2nd ) - 2. z ROUGH FRAME & o PLUMBING ti H b 3. ~ rn H I1dSULATION PER N. Y, STATE ENERGY CODE x a r FI;dAL 3 ADDITIONAL COMMENTS: x~ ~n H yp x \U`1 y H O 2 p, f l1V 'x ro a m v m H 765.1802 BUILDING DEPT. C f NSPECTION [ ]FOUNDATION 18T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN TION [ ]FRAMING [ FINAL REM RKB: DATE ~ ~ IN8PECTOR C ''ry~1 4PPEALS BOARD MEMBERS ~ ± ( SCOTT L. HARRIS Gerard P. Goehringer, Chairman e',,,, Supervisor Charles Gri onis, Jr. ~"'r g 'a Town Hall, 53095 Main Road Serge Doyen, Jr. _.r.,y~y~''~ ~ 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 _ ;phone (516) 765-1800 t="' ~ , MAY 30~ y, r - QL~-~"" p~p7 TOWN OF SOUTHOLD._..__ 1. AU'lION OF THE BOARD OF APPEALS Appl. No. 3921 Matter of EILEEN VILLANI. Variance to the Zoning Ordinance, Article XXIII, Section 100-239 B, for permission to construct deck addition to existing one family dwelling. proposed construction will be within 75 ft. of water or wetlands. Property Location: Private Road 925 Wood Lane, Peconic, County Tax Map No. 1000, Section 086, Block 06, Lot 10. WHEREAS, a public hearing was held and concluded on April 19, 1990 in the matter of the Application of EILEEN VILLANZ, under Appeal No. 3921; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the 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. The premises in question is located along the north side of Wood Lane, Hamlet of Peconic, and is identified on the Suffolk County Tax Maps as District 1000, Section 086, Block 06, Lot 10. 2. This is an application for Variances from the Zoning Code Article XXIII, Section 100-239 B, for permission to construct a deck addition to existing one family dwelling, proposed construction will be within 75 ft. of water or wetlands. Page 2 - Appl. No. 3921 Matter of EILEEN VILLANI Decision rendered May 1, 1990 3. Article XXIII, Section 100-239 B, All buildings located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adjacent to tidal water bodies other than Sounds shall be set back not less than seventy-five (75) feet from the bulkhead. The following exceptions will apply: 4. The subject premises in question: (a) is located in the R-40 Zone District; (b) will contain an area of 38,635 square feet; (c) is improved with a one story framed house and a framed garage with an attached glass greenhouse. 5. In considering this application, the Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its established nonconformities; (b) that *_here is no other method for appellants to pursue; and placing the proposed deck addition in any other location on the premises will require other variance relief; (c) that the area chosen for the deck is not unreasonably located; (d) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (e) that in carefully considering the record and all the above factors, the interests of justice will be served by granting the variance, as applied conditionally noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, it was Page 3 - Appl. No 3921 Matter of EILEEN VILLANI Decision rendered May 1, 1990 RESOLVED, to C3RANT a Variance in the matter of the application of EILEEN VILLANI as applied under Appeal No. 3921, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the deck which is attached to the house not encroach any further than 3i9i~t. to the bulkhead and that any further additions to the deck come before this Board under 239.4 of the Zoning Code. 2. That the deck be unroofed and that any lighting used to light the deck be shielded to the property. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Sawicki and Dinizio (Absent Serge Doyen, Fishers Island). This resolution was duly adopted. * ~ r"~ GERARD P. GOEHRINGER, CHAIRMAN . , New York State Department of Environmental Conservation Hegfon 1 Headquarters SONY, Building 40, Stony Brook, NY 11794 DATS:3~•~11~v P q~P Thomas C. Jorling F~~ Gr,y. 77', /vr. Commissioner ~r~.n ../~.rtT/ ~Y /l iJ I ~r.r~/j nlr~, Nl~ /l'17/ Dear /r:r Vi/l%,nl ~cJ~ 1 ~y~3~ vn/Jo°P~ouvo%ll A review has /beenn made of your proposal to: r-P PS7" ~ c/~~ r/hen<,-{/orr ~i~/r/?-,~'~Jf~C~A ,I: !'.d G-O r' WCi~~,/l./Pr l/ / / K . ('c>n ~ /~r c~;,Ti?.r~ ~i NC./w,, u/ ~JJ////'/Ci~r r: ~l\~/4n r.~ j 1,',~4c ~(`c~ 7c) ~fla .--d~j .S i~/! rr/ <°~/5 ~,7~ rY.~IC ~('AC~~Pr /7/N rIC Oc1~C'~-{r //~6/ bl Hased on the information you have submitted, the New York State Department of Lnvi.ronmentai Conservation has determined that the parcel 'I~~' project is: Greater than 300' from inventoried tidal wetlands. ~ Landward of a substantial man-made structure L' ,~o~,~~~~„~ G,/ greater than 100' in length which was constructed 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 1':nvi.ronmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic 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 the project as described, may require authorization by this Department. Please contact this office if such ace contemplated. Please be Further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional P~rmit- Administrator -~oS~FFark~o o y FRANK A. KU,IAWSKI, ,)R., President ~ ~ ~ TS ~ ~„i1'4 TBLEPHONB ALBERT KRUPSKI, jR., Vice-President tf~ ,t~';. ~rhx~~+,~i JOHN M. BREDEMEYER, III Q "al? f616) 765.1892 HENRY P. SMITH KI, JR. y~ol ,n~O~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 24, 1989 - ES.leen Villani 189 Old Westbury Road Old Westbury, New York 11568 Re: Eileen Villani, waiver application for an existing deck on a house, property located at Indian Neck Lane, Peconic, N.Y., Tax Map Number 1000-086-6-10. Dear Mrs. Villani, Please be advised that the Board of Trustees inspected the above referenced property and it was determined that the project proposed is out of our jurisdiction. This determination is only a determination rendered by this Board. Any other approvals that may be applicable are required prior to the commencement of the project. Thank you for your courtesy and cooperation in this matter. Very truly yours, C~ ~ G~ Frank A. Kujawski, Jr. President - Board of Town Trustees FAK:jmr cc: Bldg. Dept. Board of Appeals D.E.C., Stony Brook t FORM N0.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~ SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL ~ Date 1't.~r. d ~ 19 g y . . PLEASE TAKE NOTICE that your application dated ..o~..~. 1.~~~..~........, 19 ~ ~ . . for permit to QcQ:~^.. ~ . ,R~~!^.^• D~ 1 ~ at J ~......~.......t:~,c~.,;~• Location of Property ..~a,.... ~ ~a-.•!?-, . , ~,~`r. , , , , , 1,s c-iM.c c- House No. Sweet Hamlet County Tax Map No. 1000 Section Q :g.~...... Block Lot ~ v......... . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds . ?~..zc~. ~ . /rrp.-.a.39.~...~'.-~...t-.~'y..~..~ ..~.6-~?-a~e:4. ~s:-~... C:~-?.~a^.!~:. Building Inspector ~ RV 1/80 LAW OFFICES PETER S. DANOWSKI, JR. 616 ROANOKE AVENUE P. 0. BOX 779 RIVERHEAD, NY 11901 , (516) 727-4900 PETER S. DANOWSKI, JR. FAX (516) 727-7451 MICHAEL T. CLIFFORD OP COUNSEL ROBERT F. KOZAKIEWICZ February 13, 1 991 Town of Southold Building Department Town Hall 53095 Main Road Southold, New York 11971 RE: Eileen Villani - Premises; Private Road1 925 Wood Lane, Peconic Dear Sir or Madam: By determination rendered May 29, 1990, Mrs. Villani was granted a variance under Application No. 3921 permitting her to construct a deck within 75 feet of water or wetlands. Mrs. Villani now wishes to make the necessary Building Permit Application and ultimately receive a Certificate of Occupancy. In this regard, please find enclosed the following: 1. Two sets of building plans for the wood deck; 2. Three copies of survey prepared by Young & Young; 3. Copy of letter dated March 21, 1990, from New York State Department of Environmental Conservation; 4. Letter dated February 24, 1 989, from the Town Trustees; and 5. Our Attorney's Check for a Building Permit. Thank you for your attention to this matter. Very truly yours, ROBERT F. KOZAKIEWICZ RFK/Sd Enclosures i,. E~ ~i` I, t ~EE3 1 51991 !I , EEEEEEII ~ ii;.. T(.11N~~' ~S,IJ .•V,._,`I,;.me.....'d ~^~~SEDSOOFHPLANS FORM NO. 1 P • SURVEY S TOWN OF SOUTHOLD CHECK rovZ.2~ • . EUILDINGDEPARTMENT SEPTYC r•oRM sLOG, t3EP-f. TOWN HALL TON!NOftiOUT;~IrJLD„„,,,__I SOUTHOLD,N.Y.11971 NOTIFY - TEL.: 765-1802 CALL ~ E~amincd..r~..'~......,19!!. MAIL T0: / Approved 19~~Permit No?~~ 7`. _ "`t Disapproved a/c Q~~x r G~~.~7~. ~i~ ~ iilding Inspector) i g~ 4 ~ APPLICATION FOR BUILDING PERMIT , lid'/ " Date ; , t3ua~. ~,F~~ __TOWIV of soulrrOt_l; INSTRUCTIONS _ a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s is of lans,accurate plot plan to scale. Fee according to schedule. ~.~,~Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public s ~-I~t~ or at~feas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this 3pphr cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of [iris 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 admit authorized inspectors on premises and in building for necessary inspections. Eileen. G..Yillani (Signature o[ applicant, or name, if a corporation) 189.O1d•West,bury Road•,0.1d,W~~tpury•N.Y. • (Mailing address ofapplicant) 11568 ' State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ......Owner Name of owner of premises .~lj e~4. ~.•..~il~.ar}l . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ..rl-~,:i?4~~ Plumber's License No . . Electrician's License No . Outer Trade's License No . yas- GtJooD pNc, i'~T ,F'a 1. Location of land on which proposed work will be done. . ~ ' ;D ; ; a; , Peconic F{ouse Number ....Street .......................Hatnlet County Tax Map No. 1000 SeCIiO? ...OSb Block Lot . 1~............... . Subdivision Filed slap No. Lot . (Name) Stale existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Friyat~. Re.s~.den.Se b. Intended use and occupancy ...Pri.uate. Re.sidesbce. with. deck • ~.~!~pz,~Q y/~'~ I 3. Nature of wort. (check which ~1 Re air , , , , • • . • • • , • • • Re I pPlicable): New Building , , , , , Addition X....... Alto anon P rrtoval I Demolition C')tftc ,.~k. II t~ 4. Estimated Cost ~oop, , , , , , , , , , , • (Description) Fee n (to be paid on filing this application) If dwellm~, number of dwelhn If arare, number of cars , • ~ units , , , , , , , , , , , Number of dwelling units on each floor . s 6. If business, commercial or mix I . . ~d occupancy, specify nature and,~extent of each type of use , , , , , , , , , , , 7. Dimensions of cxrstmg structures, if any: Front , . , , ' ' ' ' ' ' • ' Height Rear Depth Number of Stories . Dimensions of same structure with alterations or additions: Front ~ ~ • ~ ~ ' ' ' ' ' ' ' ' ' Depth . Ileight . Rear ' 8• Dimensions of entire new construction: Front , ' ' ' ' ' • • • • • Number of Stories . Height Rear 12V,P,tll..~.....~. a:a "c:: . . Nuiitber of Stories . . ~ t • , : t}.:'.' . t ' . 9. Size of lot: Front Rear ~ 10. Date of Purchase • Depth 1 1 10 7an? or use dis*. r i • , • , . ' I' • .Name of Former Owner . rrc. n which pi~crnses are situated , , , , , , , , 12. Does proposed construction vio,'late any zoning law, ordinance or regulation: • • ~ ~ • ~ • • • 13. Hill lot be regraded , . , , , , • . , Will excess fill be removed from premises: Yes Np 14. Name of Owner of premises . , , , , , , , , , . • , , , ,Address , Noma of Architect ! ..................Phone No............... . ~ .................Address .Phone No. . Name of Contractor . ,Address , ~ ~ ~ ~ • • ~ ' ' ' ' ' 15.Is Chis property looted within • • ~ ~ • • • • • .Phone No.... *If yes, Southold Towp Trustees Permit may bea requir wetland? *YES .NO.... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. i ! - I~ !I I !I ~~i ! , STATE OF NE1V YORK, COUNTY OF S, S r (flame of individual signi~j • • ' • ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant above named, g contract) (ie is the .I.. (Contractor, agent, corporate officer, cte.) • • ' of said owner or owners, and is duly'lautltorized to p5rform or have performed the said work and to make and file this application; [hat all statements contaiticd in [his application arc true to the best of his knowledge and belief; and that the work will be performed in the manner $et forth in the application filed therewith. 'Sworn to before me this ' .day of , / 19 -Notary Public, , ,/~C~nJ, ~ , ~,Qi ,C//L, • • , , , , , County I / ~O ~ p' HELEN K ~ VOE , . ` ' • • ~ ~C~ ' NOTMtY PUBLIC, Sdte of New Yqk ' ' ~ • No.4707878,SuttollCounttr (Signature of applicant) Term Expires Meroh 30,18.1 ! nwnINORILkD .AOERAiION O4 AUOIRq R/~~~ O TNK SURVEY I! A VIOLATION OR iFCiION ]]09 0{ iNE NEW YORK 5IA1F D Q [a a ,R„ Ss9 OEL ,D ~DUUnor~ Lqw Lf U[ V D /V .OnEi Of THIS SU0.vEY MAR nOi &A0.wt ~ f ''3 f eT : NLDM CREEK r048f~ADYA IDLia~UfLCOPYiDlE LO SIOEREE ~ 4 s R i~ARANTEEi INbIi Ai[D HEREON iHALL RUh p~/~/~ ~ D S N'2 ~]I SNVRkri.n E(NEAND'Orv H A6.N {O EINf [VL aDLw AD ~.3g45"` 'IiLf CJMiANV, yOVkRNM[N AL AIiWCI m V eNDI^b IHiI ITJ tIGN LSIiL nekiOrv. AND ' ~ E AiSSL:NEES Of MF ~Errxr,( INSTI; !ION ~iUAR an REi AFE NO: rt~AN]fFAApI r 0. 9' ~ stile 11Nal WviLi V.µe yl p,p5{pLl{N \ ^ - Rll. n IIL\\\\\`flT_ nl' ~ c s.r j sc.A• N - - 2. 3 A N WOOD DECK .3.!' 2Y.0 ~ o ~ [Y.3' o e - m W ~ - N 12. a' u 0 3' n t 1 STORY FRAME W xwac . o a: Y __?3.6' O l9.2' o ~ 3.1' o N ~ ~ 3.0 u u a.6' L ~ W 2a.0' i !.O' N _ Y W M ~ zo.z• 9 i-1 FRAYE n a 1 T p n wDAMaE a ~ M o' Q E z ~ Area- 38635 s.f. ° o o . A 9LAaa i r _ 9R[[YE01{aE T ° ~ 50.00 E 3 o o e wolD axe0 p Y[TAL ° aM[p I ].O' ° ~ b C G IA 1' 0.N, _ 2 ~ N > ~ o I ~ g 3 ro I I ,i el; o i ~ 3 M W Z D ° m ~ I D ~ ` vi N.800 E RIGHT 4530 W. o` ~ - OF goo as ~ ` I WAY ° Nf'~ V\ 3 \AH ° ot"' C y4P N~,P I I 0 I I -C a , IwI ~ > c s I 1. 1~ 3 ~ ~ I° I I I W 1 J Q ~ ~ O = al ~ rn aT a E O ~ °I O ~10' 3 O C ~ i SURVEY FOR R~Pp EILEEN G. VILLANI NECK AT PECON IC .PtE °F "Fw `~p~p,N TOWN OF S } t SUFFOLK C ° .Y~ . NOTE I. ¦ =MONUMENT ~ p 4 9 2. SUFFOLK COUNTY TAX MAP d DIST. 1000 SECT.86 BLK.6 LOf 10 ~ DATES NOV 6,1989 0~~ (i .,RIVERHEAD,N. Y.