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HomeMy WebLinkAbout19809-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tawn Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20500 Date JANUARY 24, 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1035 A4UAVIEW AVENUE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Black 2 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24, 1991 pursuant to which Building Permit No. 19809-Z dated APRIL 25, 1991 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPROVED BY THE ZONING BOARD OF APPEALS #4008. The certificate is issued to TONY & MARIA KOSTOULAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-215208 - DECEMBER 3, 1991 PliUMBERS CERTIFICATION DATED JAN. 15 1992 - GEORGE MARTINEK ~C~/ B ilding Inspector Rev. 1/81 rosat xa a TOWN OP 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) No 19809 , 19 3! Z Date Permission is hereby granted to: y ~1-~.. ~N'~'9~~ N:.y.. x.1...7.7•. n~--. ~ ~7~1 to ..~:.1,r::::.`.:4.^.:::~~..~. ..~:~~y....~:?1~4..,, &F:;Yt,~„rite...:.-~,~..!.!~:R:YYw.,,~~„ yi- . J . at premises located at °.'~..5...... ,~S,ca~(,~,,,,,~t,~,,,, ~;q~~f;,,~,y~. County Tox Map No. 1000 Section .....Q. a:..~........ Block~......Q. Lot No...t'..~ pursuant to appNeation doted ...~.~f!r.N .....°1..y(.,..,....,, 19Q.'..., and opproved by the Building Inspector. Fee s.•aQ.~...~.~.... .~.~-~f UDC ~.v~~~c~.-1~ Building Inspector Rev. 6/30/80 r Form No. 6 ~ ~o~i~ i ~ ~ ~ ~ ~ - ~ ~ TOSdN OF SOUTIIOLD (j~r~~°i BUILDING DGPARTNGNT , ~ ~ JAN 16 ~ ~ To[aN HALL c~ id a ' i'~ t,~ 765-1802 E~... ~ . fi-..,<..:.",~'' ~ ;APPLICATION FOR CGRTIPICATE 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 with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1~ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. S. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. .iccurate 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 325.00, Additions to accessory building $25,00, Businesses 350.00. 2. Certificate of Occupancy on Pre-existing Building - 3100.00 3. Copy of Certificate of Occupancy - $5,00 over 5 years - $10,00 k, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential 315.00, Commercial 315.00 Date ::ew Construction...,,,, Old Or Pre-existing Building „ Location of Property...~,U~,`?,,....~t'~,lfy~{-(J,~,~,~/,. House No. Street Hamlet Onwer or Owners of Property...•IL2,Tj;'~..,?F.,,:d(/{-F-~,(~-:.•.~4~5^~73~L~:~..•.•..•...•...••...•.... ~:uunty Tax Map No 1000, Section....-~.......,Block...:~--,.........Lot..,~~ :subdivision ....................................Filed hi:tp.........~.}.-.~,Lot...p Permit No...~:(p.©.L .....,Date Of Permit ................Applicant..".t:s~....Ll~!`~~1j~?:°........ !lealth Dept. Approval.':';,,,,,,,,,,,,,,,,,,,,,,,Underwriters A PProval :Tanning Board Approval ~,eques[ for: Temporary Certificate........... Final Certicatel",,,.,,,,,, ~ce Submitted: 3 R-eR,. y3~~~ ...........V.~.... CO ~ f~OcSO`U APPLICANT _ , Y ~LZ%XXI~.'.~ X11 gy _.,"~,L. ~::.1i F~~ E0.?' p~ a ( fi, ~~QQ, Yti.°~ ~ ~Y' V~ APPEALS BOARD MEMBERS ~ ~ ~ ~ ~ ~ ~ S~O~'°~ L. HARRIS k ~ ir3lrr z c v , k + "h ~ H~ Si?Pervisor Gerald P. Qoehringet, Chairman a ~ Charles Crrigonis, Jr. Town Hall, 53095 Main Road Serge Doyen, Jr. P.O, Box 1179 James Dinizio, Jr. Southold, New York 11971 Robert A. Villa BOARD OF APPEALS Fax (516)765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 DELIBERATIONS/DECISION: Appl. No. 4008. Application of TONY AND MARIA KOSTOULAS. Variance to the Zoning Ordinance, Article XXIII, Section 100-239.4A and Article XXIV, Section 100-244B for permission to construct addition which will decrease total side yards and reduce yard setback from bluff along the Long Island Sound. Location of Property: 1035 Aquaview Avenue, East Marion, NY; County Tax Map District 1000, Section 21, Block 02, Lot 013. WHEREAS, a public hearing was held on March 22, 1991, and continued on April 5, 1991; and WHEREAS, 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, 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. By this application, appellants originally, upon filing the variance application on February 12, 1991, requested permission to square off the two northerly corners of the existing dwelling in addition to renovationsJreconstruction shown on the plans prepared by Miller Associates, Project #9037 dated Janu- - ary 4, 1991. All construction will be within 100 feet of the Sound bluff. 2. The premises in question is a described parcel of land having a frontage along the north side of Aquaview Avenue of 60.0 feet and frontage along the Long Island Sound of 43+- feet. The subject parcel is substandard, having a lot area of approximately 11,330 sq. ft. 3. The subject parcel is unique, being quite narrow and with limited (upland) building area, which lends to the practical difficulties. 4. Article XXIV, Section 100-244B of the Zoning Code permits relief to lots containing less than 20,000 sq. ft. in the front Page 2 April 10, 1991 Special Meeting Southold Town Board of Appeals (Appl. No. 4008 - KOSTOULAS decision, continued:) yard to not less than 35 feet and in the side yards to not less than 10 feet. The minimum rearyard setback is permitted to be reduced under this provision to 35 feet. The code does not specifically permit relief to substandard parcels for bluff setbacks, except as may be permitted by the Board of Appeals. 5. During the processing of this application, opposition was received from the landowners immediately abutting this parcel on the easterly side. Upon learning of the objections raised by the adjoining landowners, the applicants have alternatively requested permission to construct a 10 to 12 ft. addition along the southerly side of the house, meeting the required setbacks as limited by Section 100-244B of the code. Although the addition along the southerly portion is "landward" of the dwelling structure, this alternative would be within 100 of the bluff, also necessitating relief by this board. 6. It is the position of this board that in considering this application, as amended, for an addition along the southerly portion of the dwelling structure: (a) the proposed location of the southerly addition is landward, being 46+- from the bluff at its closest point, of the existing dwelling structure, setback reduction to 24 feet from the westerly {front} property line is substantial in relation to the requirements, however, there is no alternative available for appellants to pursue except by variance; (b) the alternative relief, as requested, is not substantial in relation to the existing structures;. (c) the difficulties imposed are uniquely related to the property and are not personal in nature; (d) the variance will not adversely effect the essential character of the neighborhood, or be adverse to the safety, health, welfare, comfort, convenience or order of the town and neighboring properties; (e) there is no other alternative method feasible for appellants to pursue; (f) in view of all the above, the interests of justice will be served by granting conditional alternative relief, as requested and further noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, it was RESOLVED, to GRANT alternative relief for the construction of a 10 to 12 ft. addition along the southerly (front) of the principal dwelling structure, which will be not less than 46 feet Page 3 . , April 10, 1991 Special Meeting Southold Town Board of Appeals (Appl. No. 4008 -'~,KOSTOULAS decision, continued): to the bluff setb c a a k t its closest point (although landward of the dwelling), asjrequested in the Matter of the Application of TONY AND MARIA KOSTOULAS under Appl. No. 4008, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the'~front yard addition comply with the front yard setback provisions of the Code far this substandard parcel (as per 100-244B) or the provision in effect at the time of the issuance of a building peri[jit; 2. The propo'~sed reconstruction/renovation at the northerly end for the existiing house including the porch (or deck} within the existing footplrint, shall be permitted provided the porch or deck construction not protrude more than four feet from the dwelling; this reconstruction/renovation shall not include the squaring off of both corners at the northerly portion of the house. 3. The renovations of the existing dwelling shall not extend beyond the existing footprint and shall not involve excavation or other land alterat~'ion activities. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Dinizio, and Villa. (Member Doyen of Fishers Island was absent.} This resolution w~'s duly adopted. x * ~ lk GERARD P. GOEHRINGER, CHAIRMAN I I~ ili 'III I ~I - o~Oc~~FFQ(h `O? TEL. 7G5-1802 TO'~N OI'' SO'tJTIIOb,?J . ~ •'fi' ~ OFFICE OF BUILDI24G INSPECTOR = t" P.O. BOX 728 •y t{`e?ai T01VN H,~LL %o~,~~~' SOUTFiOLD, N.Y. 11971 1 ~ ryp I ~1, b _fk . i~~ }}I ~ i.A'i ~ JA~~ 1 6 ' C E R T I F I C A T I O N ~l,., Date g- ~ Building Permit No. ? Owner? ~,I `f N11~2i t crn,. ~ ~r{-c~ (please print) PlumberG~o,L6~ 1?1,~er,~,.~~ (please- print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. t~-'1 (plumber's signature) Sworn to before me this day of ~ 19 9a- . ~~.~~U~ Notary Public Votary Public, L County EILEEN SCHNAUDER • Notary Public, State of New York No. 4904293 ' Quslffied in Suffolk County Commiesicrt ~ August 3t,1 THE .NEW YORK BOARD OF FIRE UNDERWRITERS rxcE [OOti121 BUREAU OF ELECTRICITY B!S JOHN STREET, NEW YORK, NEW YORK 10038 - Dote DECEHBER 03,1941 Application No. on file 7447.2591/91 N 215?.08 THIS CERTIFIES THAT Doty the eltctricel equipment M deacri6ed 6eloRV and introduced Hy the oppNcent named on the above spplicotia+A number in the promLee of TONY KOSTOULAS, 1035 AQ[tA VIEW AVEN[tE, EAST MARION: N,Y. in the fdbtvinp lnc i g~~ ~ let Ff. ~ sod Fl. OI7T Sertian Block Lut ~SSa$MBER 25,~`~~il tvea examined an and found w 6e in compliance with the reyuiremenM of this Board. - R%iW1E R%TURES RANGES COOKING DECKS OVENS DISHWASHERS E%NAU57 FANS ' OUTLETS BiAClfS SWITQIES INCANDESCEM ~ f1U011E5CENi OTHER MAT. K. W. AMT, K.W. AMT. k. W. NAT. R. W. NAT. N. P. A3 2 40 34 13,3 1 1.1. R F' DRYERS RtR111ACE MOTORS FUTUM AMUANCE IREDERS SMGAI MCTi TIME CLOCKS pLL Um7 HEATERS MUIyIAU STtET DIMMERS AMi. K. W. pl N. P. GAS N. P. MIT. NO. A. W. G. AMT. AAV. AMT. AMPS. TRANS. AMT. N. P. ~.OE IRT AMT. wATrs l 3D 7 SlRVKI DISCONNECT NO. tM S E R V I C E ~2 AMT. AKe. 1YPE b{~ 1 A eW t / tW S 1 Tv 3 / AW KR BCOND. Or CC. CG~ G. Or NI~IEG ~ ~ HI NO. OF NEUTRALS Oj NEIITPAI 20n CB 1 2/n 1 1/0 OirtER AiPARAiUS: 3T(1N A/C-1 "l..STON A/C- 14.4KW HEAT PIJMP-1 ELEC. WATER Hr',ATF.RS:':i-4.h K.W. G.F'.C I:-7 SNOKE DETECTOR:-i i - ,,,(o a 4f`_ l L PAUL R. BIIkNS bJ('.#2R2-E: 275 TOWN HARBOR LANE SOIJTHOJ,O, NY, ' 1971 pwpµ z 1t S Per y' z 'iI This csrtifico» must oat bs altered in any manner; return to tM oHica of fhe Roord if irrcorract. Inspectors may M identified by tMir crodantials. COPY FOR BUILDING DEPARTMElIT. THIS COPY OF GERTIFIGTE MUST NOT. BE ALTERED IN ANY MAlNER. --T-~ - ~ z 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: i ~ r DATE ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. . [ ~ FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: °~2.~- Ti~ t ~ DATE ~ ~ INSPECTOR • ~l.S rss-iso2 BUILDING DEPT. 1 NSPECTION [ ] F NDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ DATE ~ INSPECTOR i 765-1802 BUILDING DEPT. SPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL J _ REMARKS: G~ ~ ~G t DATE ~ ~ INSPECTOR ~,t r'lELD I~:SP~CTiU;J ~~Un:~ ~ i;OMMGNT° 1.,~ +e ~ ~O l/ ~ H O FOUIJDATION (1st) ~ ~ _ T _ ~ ~ FOUNDATIOtJ (2nd) 2 . z o ROUGH FRAME ~8c ~ ~I ~ ~ p V iI~ PLUMBING ti • yt', 3. ~ IIJSULATIOPJ PER N. Y. ~ . • STATE ENERGY CODE FZJJAL • ~ s z ADDITIOPJAL COMMENTS; ~ ~ . /L x ~ 3, i~ - H' 0 x a j., H O z `•O r x _ r ~ ~ ~ { e ~ ; s H F ~a ..rv..,,~N..~e ~:fe.,. .:.a'r.,v.-.'....f.,. dv4~u,`f*.t,~dsarn•>.,,.,~;.s..:nf:u,x~..,»w~,.x;afi tNrru~.~&&k'k~itja~,.x~uv~'~sn`i. s'r`''t~`'.u'~t ,.t?~ ~ ?.`~6`= FORM NO. 3 T01YN OF SOUTHOLD BUILDING DEPARTb1ENT TOWN CLERK'S OFFICE , SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date FEB.. 4 19 91... To RANDAZZO.BUILDING C0; INC: ~ TONY ~ MARIA KOSTOULAS (PERCY ROWE, M.D.) 2-21 1485T. 127 SWAN LAKE DRIVE - WHITESTONE N.Y. PATCHOGUE, N.Y. 11772 PLEASE TAKE NOTICE that your application dated .......?an ; 24 , , . , . , . , , , , „ 19 91 , , for permit to GDN$~BFCT,ADDITIONS,TO A ONE FAMILY DWELLING „ at Location of Property ..035. AQUAVIEW. AVE.. , EAST MARION House No. Sheet Nam/et County Tax Map No. 1000 Section ? Block Lot , ,13 Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds .UNDER ARTICLE RKIV SECTION 100-242 A and 100-244B PROPOSED CONSTRUCTION WILL DECREASE TOTAL SIDE YARDS AND IjHQER,[1RTICLE RKIII, SECTION 100-239.4 A (1) PROPOSED GONSTRUCTION WILL BE LESS '1;E]QN,100,FT; FROM THE BLUFF. QGTION,REQUIRED BY THE.ZONING BOARD OF APPEALS. . • . • • • ? ' • • . - • ' • • • • - . i `i-=~%s B ding I Spector ' THOMAS J. F SHER RV 1/80 FORM NO, a TOWN OF SOUTHOLD BUILDING DEPARTbIENT TOtiVN CLERK'S OFFICE , SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL I/ C~ ,j /J ~ Date 19/J~~ . PLEASE TAKE NOTICE that your application dated ~~f.`, , , , , , , , , , , , , , „ 19 9~, . for permit to ~-~/~Yl/mil • •42-~e~l..~~i. emu. at . Location of Property . f~,3~ _ ,,~,y~~"rte!,/. House No. ~~~ae~~A~21~`: • Street . • . i. ...5~~k }/arnlet County Tax Map No. 1000 Section ers Block ~ ..............Lot ...1~.3........ Subdivision Filed Map No. L~Jot No. . is retur~~ned~~hyyerewith and disapproved on the following grounds . Ll~~-~2~L...~. . e*~~• ~o a .,~y. ate,.. . . . y Build'~q In ector RV 1/80 ~ N 'rY n D ~ ~ G , z p ~ 0 pYY ~ n ~ ~ c7 n ~ D ~ v ~ ® ~ v ~ ~ ~ y y -1y r:i 'it 'ev n e ~ ~ cnn~v..aZ.cro e o D ~ ~ ~ Q . n b ~ ~ ~ ~ ~ • _ve 020/ ,ffv~~~ll 0 b A o ~ ® O A ~ m ~ ~ o ~ L Gl ~ ~ w~ ~ O: R R• M O V ~ ~1 ~ ~ o z ~ ~ { a, z ~ ~ ~ a ~ ~ lei o0n ~ ~ b ~ ~1 ~ N J/J \ ?~MP .moo C~O.L .xy3,p \ ~ OQV` pooh N 0 r m Z O u n _ O n X 7_ \ 6'L $ ~ D d _ r ~H " ~ c v D m ~I M' ° ~ D~ ~ ~ p 0 ani7 O m ~ r ~ ivo/1t~13J9A °a ~ ~ r 'f7 n O ~ ~ ~ 0 b s~0o7_C • ,90~ INdoS: z/d o6 S~ ~21~j9 H9/N /'~ae'~v m ~c rn~ ~ o ~ ~ ~ 'a~? 9 i ~~r ' , ~,_a______ Y 47 ~i ° ~ ~ .6"~ ~ ~ in o Z ~ ~ r~~~xu aB',FY'~:~,d p+"0 W~6'~S `3.w~ ~ ~ ~ K y )V 1 tom..: l Q p: ~ W _~'M.?Sw".t/ fi/C?,~/ t9i+3,%L~~? //-,'."'i-`.'/a~ ~~,:°.`.:*d,3F+,y,+, ~J\ ~ C. CJ o g~ uv~~ o ~ a a ~ 9,4;'1'''999AAA fra 4 lLl 7 o ~ _ of- ~uFf Ck k' U 4" a O ~ U _ ~ ° ~ ggr _ t`a 4~ ~ ~ G~ ~ , ,t-- a ~ ~ ryoav U1 ~ recce. -7'a j> ore PIC11~f ~ '~O Tf~ .r__ ~ ~ v~ Fes, r!rAr~~,„, `i~2 ~ W ~a ~ h S,~ C.Pr`'c' ~ ` O V c, 3~,.2 ~ V, ~ o ~ ~ 'q a a ~ a ~ shP ~ /020 ;OfJ /t/ G9 %D %D "!mot/ mod, fJ® ,~1C~u,~ 11/~'Gt/ ~d/~R./G/~ ~ Q 0 u Q ~ 0 ~ ~ ~ ~ ~ N~ Ewa ~ ~ ~ ~ o ~z~~~C~~ p ~ tU a °~o~ ~u ~Q ~a ~ ~ IU o D °~~~~V~ ~ Q~ ITV m D ii: U I- Q Q LL ~ y t) i- <n rn v C? I~~ (~I ~ Q~• 17 ~ ~ ~ (n fn ~ [L ~J ~ ~ V ~ '4~ j~ ~ L/ l~ BOAFD OF HEALTH . FORM NO.1 3 SETS DFipt ~vs JAN 2;41991 TOWN OF SOUTHOLD SURVEY • • • • • • • . cHCCr ~ .~S'. • . BUILDING DEPARTMENT SEPTIC PORCI ~ ~ • ~ ~ ~ • • • DLDG. DL=PT. TOWN HALL . TOW6V OF 50UTHOf D SDUTHOLD. L~L.Y_ 11171 I10T i FY I djn~~~. / TEL.:7II5-1II02 CALL Exatnincd .~C 197/. • • Approved 02 s MAIL TO Disapproved a/c o°l/ • . . ..~1~•;~ (Buc ing Inspector) • APPLICATION FOR BUILDING; PERMIT • Date . r:- IS~~ • INSTRUCTIONS a. Tltis application must be completely filled in b _ sets of plans, aCCllratC plot plan to scale. F y t1'Pewriter or in ink and submitted to the Building Ins b. Plot plan showing location of lot andaofobuildin s on premises, relationship [o adjoinin^ re Fector, will or areas, and giving a detailed description of layout of property must be drawn on the diagram which is cation. , P miser or public strc: c. The work covered by this application ma Part of this apF Upon approval of this application, the BuildintgbInspectornvilldissuedea Buildin of Building shall be kept on the premises available for inspection throughout the work. Permit. e. No building o Permit to the appiic~t Such perr, shall have been granted by the Building Inspector. shall be occupied or used in whole or in par[ for any purpose whatever until a Certificate of Occupant APPLICATION IS HEREBY MADE to the Building De Building Zone Ordinance of the Town of Southold, Suffolk County, New York, Re_=ulations, Cor the construction of building partment for the issuance of a Building Permit Pursuant to tl 71te applicant acrees to comply with all applicable laws, ordinances, building coded other applicable Laws, Ordinances < mss, additions or alterations, or for removal or demolition, as herein describes admit authorized inspectors on premises and in building for necessa _ ' using code, and regulations, and t • ry?Ve~ . .(Signature o[ applitan - or nom ' • ' ' ' ' ' ~-7 1! n Ao~ t' . i a corppr3t1~j . ' State whether applicant is owner, lessee (Mailing address of applicant) • /~(vt , anent, architect, engineer general contractor , • • , electrician, plumber or builder Name of owner of premises ~ v N . . ~ 1~~~, (as on the [ax roll or latest debd)~~~2~ • lt aPPltt~fti,~corp ra ion, si azure of duly out rized officer. • • • • ((;(//N11yya~~m__e and title of carp rate officer) ~ ~J Builder's License No...,, Plumber's ~ Cl~~l tiles.. • • ~ - Liccnsc No. ~ 1 Electrician's Liccnsc No. l~J!l hlS ~G~~?2(~ , Otltcr Trade's Liccnsc No . . , Location of land on which roposcd work will bt: done; I d - ~ y~,., !louse Number • ~ D• • ~OClC;~ © rU f_ • SlrccL County Tax ,,\la ~ Hamlet • • • • • • • • . • p No. 1000 Section , ~ ~,~,,J,Q • , , Block • eQ,(J, , Subdivision Lot ...(N:uncj . F.ilcd t,lap No. • • . . State existing use and occupancy of premise nd in tended use and occu . • • • • • . • • ~ • ' Lot , , , - PancY of proposed cons[rnction: A• lrxisting use and occupancy.. ~5 (~~~("z`f , B. Int n ended use and occupancy...~Jli~.l. L ~ , r e 3. Nature of work (check which ap,plicable): New 1}uilding Addition . • • • .Uteratio • . Re air Demolition • • • ,Swimming • • • • • • • • Tennis Court RFmgval p o1. • J-•••. ;Accessory BuiLding..........Fence .......Other ~-7 Work : . 4. Estimated Cost ..~.1.51,~®l1 Fee . rr {La be paid on films this application) 5. ICdwelling, number oC dwcllin~' d o units .....1. , , , , , , , , , Number of dwelling units on each floor . If ~aragc, number of cars - ~,IPh~~ , , , , , , , 6. IC business, commercial or mixed occupancy, speciCy~nauue and extent of cacti type o(use • 7. Dimensio^ns noC~cxisting structurc;s, iC any: Front , , . r.~• ' ' • • ' ' ' •Q^.l'(. .Rear .~Q.. Depth Y' Hcicht , Nunibcr of Stories . ~ • • • • ' ' Dimensions of same structure with alterations or dd lions: Front • • • Depth . O Rear . .Hcight.c~,(~~,,,,,,,,,,,, .NumbcrofStorics. Dimensions of entire new constriction: Front , Rear . . . . Depth • • ~ • Hcicht p •NumberofStorics.•••••••••••~•• 9. Size of let: Front ~ d P.car [ 3................... Depth aZ.a~.I ' . 10, Date of Purchase , , , • , ,Namc of Pormcr Owner (1. Zone or use district in which premises arc situated , • • • • • • I2. Does proposed construction violp[e any zoning law, ordinance•or regulation: .Nn. 13, 1Vill lot be regraded .%~Q, , , ,'I -Will excess tilll~c rcr~tovcd from prom cs: • • • •Yc. • • ~ • • • 14. Name of Owner of prcmisesT.aJy~`(; ~r(A2t~ ~S~4~Address~ ;al_ _ _1~fB.S I,CsI,(f(f~~'7~rj~~~jb, , ~ • • • Name of Architect 11~~-ty, SF~.~h~!2/~k'l ,Address . •~Phane No. • • • Name of Contractor ~tQ~2?m • >;jLG; •~q • ~(C• . ,Address/a.°Z .S f+1/~+:~ ,~Cf: 1~/1,. .~ft~onc `~o. ~7~:63 . . l5_ls this ro ert loca If es Southold Townted within Sop feet of a tidal vetlaad? =YES....ti0.... * Y • Trustees Permit may be required. • PLOT DIACRAb1 Locate clearly and distinctly alll'buildings, whether existing or proposed, and. indicate all set-back dime..^sior:: t: i?roperty tines. Give street and block {cumber or description according to deed, and show street names and indicate w::.::. interior or comer lot. • • , • ~ S ~ ~ ~'r ~ , sTnrs of ~ o COUN7't• Y 'O''I~F~~ S.S V•ti,1..~ . • •,nii . • • • • • • , being duly sworn, deposes and says that he is the applic_r ~ (Namc of individual sip 'tg contract) above named, Ffc is tltc ~ (Contractor gent, corporate officer, etc.) • ~ ~ • • • • • of said owner or owners, and is dulyli auth o pcrCorm or have performed tltc said work and to make and Glc tl: application; that all statements contained in this application arc true to the best of his knowledge and belief; and that t:: work will be pcrl'otntcd in tltc manncrsct forth in the application filed thcrowith. S`vom to bciorc me this .....day ot.,~... ~ 19 r rotary Public, . County , CU?IR6 L at.E1~Y . ~ . Nepty publlo, State o1 Nwv York , , , . ' No.48786061 Quel8led le $uBdk trottrtty (Si;natnre'o C applican' Cainmbelon G•>artree DeoeoWer 9,1i '