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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19584 Date DECEMBER 14, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 1875 PRIVATE RD. #18A (CRESCENT DR) MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 121 Block 4 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 12, 1990 Pursuant to which
Building Permit No. 19585-Z dated DECEMBER 13, 1990
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 ACCESSORY WOOD SHED AS BUILT - PER ZBA APPEAL #3979
The certificate is issued to THOMAS J. GORMAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Buh ng I spector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19585 Date DECEMBER 14, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Property 1875 PRIVATE RD. #18A (CRESCENT DR. ) MATTITUCK,N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 121 Block 4 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 12, 1990 pursuant to which
Building Permit No. 19585-Z dated DECEMBER 13, 1990
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 ACCESSORY METAL SHED AS BUILT - PER ZBA APPEAL #3979
The certificate is issued to THOMAS J. GORMAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Bu ldi g tnspector
Rev. 1/81
r
1O8M 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° 19585 Z Date .... 3.................................... 199$2
� coos
Permission is hereby granted t
...........j:�... ...............
to .1nKsC .. a.l.. f �GGcFa
// r � GoOS
.. .. .. .. . :.......... . . .... ........ 7............................ .
atpremises located at .lv:.. .. . . '.T.j,../...... .................................................................
......................................... / .. .UJ, .(<Z.el a..................................................................................
.................................................................................................................................................................
i
County Tax Map No. 1000 Section ...41 .......... Block ...................... Lot No. ....'z.��'...........
pursuant to application dated .. . ............I........................... 10t!?., and approved by the
j Building Inspector./J�qr.,,.//�/ ,�J�J7- "�
• ? '�L �'-1
Fee
�.zow, W4(
........ ... ..... ..........g. . .ellS.....c..........
Buil t r
Rev. 6130180
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL mf
765-1802 JUN 12 FA r�
APPLICATION FOR CERTIFICATE OF OCCUPANC BLDG. DEFT.
TOWN OF SOUTHOLD
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 Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
a 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.
1 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 $15.00, Commercial $15.00
LJ9� �ffb,D • C r( . y X�'/. � Date . . .June _12, 1990. . .. . . . . . . . ....... . . . ..
New Construction. . . . . Old Or Pre-existing Building. . . . X . . . . . . . . . .
Location of Property. . Crescent Dr. , Mattituck, NY 11952
. . . . . . . . ... . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property.. . .Thomas. .. ..
J. Gorman
. . . . . . . . ... . . . . . .. . . . ... . . . . . . . . . . . . . . . . . . . . . ........ . . . .
County Tax Map No 1000, Section. . . . . . .. . . .Block. . . . 4. . . . . . . . . . .Lot. .�3. . . . . . ....... . . . ..
Subdivision. ... . ...D.. .. .. . . . . .. . ... .. . . .. ... . .. .. .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . ........ .. . .
Permit No.1✓.�Jp� • •Date Of Permit.�'?,�3 Applicant, Thom as J. Gorman
• �. .. . . ...... . . . .
Health Dept. Approval. . . . N/Agg.��. . . . . . . . .. . . . .. .Underwriters Approval. .. N/A .
Planning Board Approval. . N�,r�. . .. . . . .. . . . . . . . .
Request for: Temporary Certificate. .. . . . .. . . . Final Certicat .. . . .. ... . .
Fee Submitted: $.. . .�,•. /
C3„ y o 9 g y ... ... .. ... . . ....:.. . . . . .
COZ I9S$�f PLIC
Form No. 6 .�
TOWN OF SOUTHOLD
BUILDING DEPARTMENT V , c
TOWN HALL
765-1802
BLDG. DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF 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 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.
LB. 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 $15.00, Commercial $15.00
SZ�CL -5H&-6 'F X ` ' June 12, 1990
Date . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ..
New Construction. . . . . . . . . . . Old Or Pre-existing BuildingX
Location of Property. .18 Crescent Dr. , Mattituck , NY 1195?. . . . . . . . . . . . . . . . .. ........ . . .
House No. Street Hamlet
Onwer or Owners of Property. . .Thomas J. Gorman . . . . . . . .. ...... .. . .
. . . . . . . ... . . . .. . .. . . . . . . .. . . . . . . . . . . .
County Tax Map No 1000, Section. .1?1. . . .. . . . .Block. . . . . .. . . . . . . . . .Lot. .?3. .. . .. ........ . . ..
Subdivision. . ..�. .f. . . . . . . . . . . . . . . . . . . .. . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . .. ...... . . . .
Permit3 Date Of Permit �. . . .APPlicant. . ,ThomaS Gorman` / .. O . . .. ... . . ..
11
Health Dept. Approval. . . . N//A. . . . . . .. . . .. . . . . .Underwriters Approval. . . . N/A ... .. ...... .
Planning Board Approval. .. . . . . . . .. . . .. . . . .
Request for: Temporary Certificate. . . . . . .. . . . Final CerAPPLICANT
. .. .
Oo
Fee Submitted: ;.. �S;,.l. . . .... .. .... .. . ..
�_m.yo99 9 . .. W
. . . . . .. . . ... ....:.. .....
C0 I95 ASS
ATTORNEY AT LAW '
828 FRONT STREET, P.O.BOX E „cr 7
GREENPORT,N.Y.11944 DEC
1990
PHONE (516)4774018
December 6 , 1990
Building Department
Town of Southold
Main Road
Southold, NY 11971
RE: THOMAS J. GORMAN
PREMISES AT 18 CRESCENT DRIVE, MATTITUCK, NY
Gentlemen:
Enclosed herewith please find application for certificate
of occupancy for the 8 ' x 10 ' steel shed and the 8 . 2 ' x 14. 3 '
wooden shed located on the subject property. Also enclosed
herewith please find copy of survey of the subject premises and
my check in the amount of $20 . 00 in payment of your fee for
same.
If you have any questions, please do not hesitate to
contact me.
Very truly yours,
William H. Price, Jr.
WHP:kk
Enclosures
P. S. Also enclosed, please find copy of determination of
the Board of Appeals dated December 4 , 1990 .
FOL1tc0���
APPEALS BOARD MEMBERS vi SCOW L. HARRIS
Gerard P. Goehringer, Chairman �Q ��� Supervisor
Charles Grigonis, Jr. Town Hall, 53095 Main Road
Serge Doyen, Jr. P.O. Box 1179
Joseph H. Sawicki Southold, New York 11971
James Dinirio, Jr. BOARD OF APPEALS Fax (516) 765-1813
Telephone (516) 765-1909 TOWN OF SOUTHOLD Telephone (516) 765-1800
December 4, 1990
OEr, - 11990
J. Kevin McLaughlin, Esq.
P.O. Box 803
828 Front Street `r' 1tir3Ltiro
Greenport, NY 11944
Re: Appl. No. 3979- Thomas Gorman
Dear Mr. McLaughlin:
Transmitted for your records is . a copy of the determination
rendered by the Board of Appeals at our November 29, 1990
Regular Meeting concerning the above application.
Please be sure to return to the Building Department and any
other agency which may have jurisdiction for appropriate permits
or approvals. A copy of this decision has simultaneously been
transmitted to the Building Inspectors ' Office for their file
and update.
Yours very truly,
GERARD P. GOEHRINGER
CHAIRMAN
Linda Kowalski
Copy of Decision to:
Mr. Victor Lessard, Principal Inspector
Mr. Thomas Fisher, Building Inspector
r
APPEALS BOARD MEMBERS c�� tl rn SCOTT L. HARRIS
Supervisor
sst�
Gerard P. Gcehringer, Chairman Q� N*-
Charles Grigonis, Jr. JyQl \O Town Hall, 53095 Main Road
Serge Doyen, Jr. 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 Telephone (516) 765-1800
r-
DELIBERATIONS/DECISION:
ACTION OF THE BOARD OF APPEALS f , DEC _ 7lp9
r, ,t.1 :.
Appeal No. 3979: k
Application of THOMAS J. GORMAN. Variance to the Zoning
Ordinance, Article III , Section 100-33 for approval of two
accessory (storage) buildings in the front yard, as exist. The
lot area of this parcel IS NONCONFORMING IN THIS R-80 Zone
District. Location of Property: 18 Crescent Drive, Mattituck,
NY; County Tax Map Parcel No. 1000-121-4-23.
WHEREAS, a public hearing was held on November 1, 1990, at
which time 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, 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 west side
of Crescent Drive (or Crescent Way) , Mattituck, and is
identified on the Suffolk County Tax Maps as District 1000,
Section 121, Block 4, Lot 23.
INN,
Page 2 - Appl. No. 3979
Matter of THOMAS GORMAN
Decision Rendered November 15, 1990
2. The subject premises contains a total lot area of
approximately one-half acre and is improved with a two-story
dwelling and three accessory structures as shown on the survey
updated June 5, 1990 prepared by Young & Young, L.S.
3. The two accessory storage buildings which are the
subject of this appeal application are situated in the front
yard area survey, and consist of a size of less than 120 sq. ft.
each. (see survey for sizes and configurations) . _.
4. For the record it is noted that one of the accessory
buildings was the subject of Board of Appeals action rendered
July 1, 1976 under Appeal Application No. 2159 (Thomas Gorman)
for a front yard location.
5. Article III, Section 100-33 (referred from Article
III-A, Section 100-30A. 4) of the Zoning Code allows accessory
buildings to be located in the required rear yard area, but does
not provide for accessory buildings to be located in any other
yard area. Due to the nature of the property and the existing
dwelling as located 35. 6 feet from tie line along approximately
highwater mark of Laurel Lake, the relief requested is not
unreasonable. To place the accessory buildings in this limited
rear yard area would not be a better alternative.
6. In considering this application, the Board finds and
determines;
(a) that the circumstances of this application are
uniquely related to the land;
(b) that there is no other method for appellants to
pursue; and placing the structure in any other location on the
premises would require other variance relief;
(c) that the area chosen for the accessory structure
is not unreasonably located, being 145+- feet from Crescent
Drive and 145+- feet from the highwater mark (tie line) of
Laurel Lake;
(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 precedents have been established in area
waterfront communities for the same or similar placement of
accessory buildings in a yard area different than the seaward
areas of the dwellings;
l
Page 3 - Appl. No. 3979
Matter of THOMAS GORMAN
Decision Rendered November 15, 1990
(f) that in carefully considering the record and all
the above factors, the interests of justice will be served by
granting the variance, as applied and conditionally noted below.
Accordingly, on motion by Mr. Goehringer, seconded by
Mr. Dinizio, it was
RESOLVED, to GRANT a Variance in the Matter of the
Application of THOMAS J. GORMAN as applied under Appeal No. 3979
for the placement of two accessory garage/storage buildings in
the front yard area (as described in the above Findings) ,
SUBJECT TO THE FOLLOWING CONDITIONS:
1. That the accessory buildings not be re-located;
2. That the accessory buildings not exceed one-story
height (12 feet or less) ;
3. That the subject accessory buildings not be used for
habitable, sleeping or business purposes (be used for storage
purposes) ;
4. That there be no electrical or plumbing facilities
placed within the building(s) ;
5. All other provisions of the Code as pertain to
accessory uses and accessory buildings for this Zone District .
Vote of the Board: Ayes: Messrs. Goehringer, Doyen, and
Dinizio. (Members Sawicki and Grigonis were absent. ) This
resolution was duly adopted.
* x
lk
GERARD P. GOEHRINGER, HAIRMAN
TOWN OF SOUTUOLD �} 4
BUILDING DEPARTMENT ` EPh/
TOWN UALL ;( ,
ry h
SOUTUOLD, NEW YORR 1 1�.�,�, UG ��pn
7G5 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE, December 6 1990
NEW CONSTRUCTION — AK —OLD OR PRE-EXISTING BUILDING. . . . . .V
(Two Accessory [storage] buildings) ACANT LANp. . . . . . . .
Location of Property. . . 18, . . . . Crescent Drive Mattituck
. . . . . . . , . , . . . . . , . . . , . .
HOUSE NO. STREET HAMLET
Owner or Owners of Y. . . . . .Property Thomas J. Gorman
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No. 1000 Section 121. . Block , . 04. . . Lot
Subdivision. . . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . .
Permit No. . . . . . . . . . .Date of Permit . . . . . . . . .Applicant . . . . . . . . . . . . . . . . . . .
Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval . . . . . ,,., , , . , , , ,
Planning Board Approval . . . . . . . . . . . . . . . .
Request for Temporary Certificate . . . . . . . Final Certificate . . . XX
Fee Submitted ; $ . ,7,Q,00 _ . _ . . _ ,
APPLICANT. ::,:
L H. PRICE, JR.
Attorney/Agent for Thomas J. Gorman
rev. 10/ 111 /88
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
Q /r1 Date . .�� ��r`�. . . . . . . . . . . . . . . . .. 19
To .4 �7OoG. .
PLEASE TAKE NOTICE that your application dated . . � -. . . . . . . . . . . . . . . .. 19 9�.
for permit to � G at
G
Location of Property ,
. . . . . . . . . . . . .
House No, St�eeC � Hamlet
County Tax Map No. 1000 Section . . . . . � .� . Block . . . . . . . . . . . Lot a :3. . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . ./. . . Lot No. . . . . . . .'. . . . . . . . . .
is returned herewith and disapproved on the following grounds .(J• �1i. .
. . . . . . . . . . . . . . . . .
. 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ui1 ng Inspector
RV 1/80
Memorandum from . . . .
BUILDING INSPECTORS OFFICE
- TOWN OF SOUTHOLD
TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
JUNE 15, 1990
Dear Mr . Gorman:
I am enclosing the disapproval on your
applications for permits for 2 sheds .
Also I am returning your 4 checks, please
note that the date on the checks is 7/ 12/90 .
Yours truly,
%uc-er.�..J ; eAe--
Secretary
jg BOARD OF HEALTH . . . . . . . . . . . .
J �. I0 "' FORM 3 SETS OF PLANS
SURVEY . . . .• . . . ... . . . . . . . . . . .
TOWN OF SOUTHOLD CHECK
EUILDING DEPARTMENT " " " " " _ . . . . . . . . . .
SEPTIC FORM . .�.. . . ,
TOWN HALL
`j $OUTIIOL0. N.Y. 11971 NOTIFY :
CALL . . . � �.:. � �
TEL.: 7G5•tII02
Examined . . . . TO gl DPt LO r To:
Approved . y U/G319%yPermit No. . � .. . . . . . . . . . . .
Disapproved plc i,
� s �a . . ... . .
a.
3a, BY _
CJcr..A ENT A . . . . . . . fd . .
a AM 1'0 4 PM pOR THE (B dinvspccx�A
•iEt`.:9;'JiiUf; sNS6=c:G'i"tON APPLICATION FOR BUILDING PERMIT
Ft2lINDi1TtON - NVO REQUIRED _
Fts; POURED CONCRETE June 12
2 ROUGH - FHAMIN(, 13 PLUMBING Date . . . . . . . ....... . . . .. 19 90.
3. MSULATION INSTRUCTIONS
A FINAL - CONSTRUCTION MUST
a•BrFbbfP,PP0T&tFWrdtGt be completely filled in by typewriter or in ink and submitted to the Buildi �„
set%q[p�gi TMo1SM4hLtWW. Fee according to schedule. n;irupector,with 3
*E P6kPtIR PER iSgOfcaTWn 440t and of buildings on premises, relationship to adjoining premises or public streets
ca REat4)�390.R76iBRESPO iI I lion of layout of property must be drawn on the diagram which is part of this appli_
cam®ES. NOT RESPONSIB�F R
ISES9�F0"di1M8' WCWN�ation 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 appiignt 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 Cer
shall have been granted by the Building Inspector. tifigte of Occupancy
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 rcmov o emolition, as herin described.
The applicant agrees to Comply with all applicable laws, ordinances, building co in1- code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspecti
(Sig aw of applic t, or name, if a corporation) "
Laurel Laker ox 1445 , Mattituck, NY_ '
• (Mailing address of applicant) 11952 •• '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Construction by Owner
Name of owner of premises . , , Thomas J. Gorman
. . . . . .•. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
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. V1 A Gr OR
,;;;;; , , , , , , , , , , , , , , , , , , ,
S IS
Plumber's License No.
Electrician's License No. J!
CERTIFICAT
Other Trade's License No. CCU
I. Location of land on which proposed work will be done;
18 Crescent Drive, Mattituck, NY 11952
. . . . . . . . . . . . . . . . . . . . . . . . .
(louse Nuntbcr Street •.... . . . . . .
Hamlet "•
County Tax Map No. 1000 Section .12. . . . . . . . . .. . . . : Black , . . . . Lot , 23 '. . ,...
Subdivision . . . ... . . Filed Iiiap No.
(Namcj . . . . . . . . . . . . . . . . . . . . Lot . ..... . . . .
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , Storage of yard furniture
. .. ... . .. .
b. Intended use and Same
occupancy ........ . . .... ...r��. .. .... . �y �
.. . �' J„�`�„ �.r. ........ .. .. ..
1✓EX�S ,rliG WiFAD sop 697o�
a J,
v Existing Shed Erected 1970 qi=Tqc & x /a G
3. Nature of work (c:ieek which applicable): New Building . . . .. . . . . . Additicn . . . . . . . . . . .Vteration . . . . • •
Repair Rpmoval . . . . . . . . . .. . . . Demolition .swia:ain; pool. . . . . . . . . . . .
Tennis Court: . . . . . . . . . Accesslory Building. . . . . . . . . . Fence . . . . . . .Other Wor •
4. Estimated Cost . .�200:00. . . . . . . . . . . . . . . . . . . . Fee . . ?•(�O v p''�_
item ppliling this application)
S. If dtt•ellin„ number of dwcllin-. units . . . . . . . . .. : . . . . Numbcr of dwelling units on each floor . . .._. . . . . . . . . . . .
ICearaae. number of cars . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . .
6. If business. commercial or mixed occupancy, specify nature and extent of each type of rise . . . . . . ..... . . . . . . . . . . .
7. Dimensions o existing structures, if any: Front . . . . 8•. . . . . . . . . Rear A . . . . . . . . . . . Depth .1D .. . . . . . . . . . . .
Height . . . . . . . . . . . . . . Number of Stories . . . . . . one . . . . . .13 t . . . . . . . . . . . . . . . . . . . . . .E..:
Dimensions of.same structure with alterations F additions: Front . . . . . . . . . . . . . . . . . Rear . .. . . . . . . . . . .
Depth . . . . . ..10. . . . . . . . . . . . . . fIcipht . . .. . . . . . . . . . . . . . . . . . . Nuoibcr of Stones . . .one. . . . ..... . . . . . . . . . . .
S. Dimensions of entire new constniction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth ..... . . . . . . . . . . .
Hei_ht . . Number of Stories . . . . . , • • • • • •
9. Size of lat: Frlant 5 � �3�. . . . . . . . . . . . . . . . . . . . . . . ... .. . . . . . . . . . .
. Rear . . . . . . . . . . . . . . . . . . . . . . cp[Il• .
10. Date of Purc:t:ue , ,Z-1;69• • , Name of Former Owner OP. " . Fafinski. . . . . .:
11. Zone or use district in which premises are situated . . A-.49. . . . . . . . . . . . . . • N . . . . . . . . . . . . . ....... . . . . . . . . .
I:. Does proposed constrg9tion violate any Zoning law, ordinance or regulation: . .
13. Will lot be regraded o Will excess (jl` be cmoved from premises: y . No . .
l•t. Name of Owner of premises . •T T .T.' :GOrfiaCri•. ' ' • Matt> tue{L 278-'' 478
. . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. .. ..... . . . . . . . . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . .
"'X
Name of Contractor . . . . . . . . . . . . . . . . . .. . . . .. . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . .
iS .Is this property located within 100 feet of a tidal wetland? ^YES--- -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.
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i —a°w•„</, .p a"' SURVEY FOR
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•"•"....•.. V THOMAS J GORMAN
STATE �S��N Aj Nye LAUREL o,+.
COUNT mz a N74373209N N. l TOWN OF SOUTH �r�-Tbtif
.�a a+ � 1145 O,W 30 �_ SUFF. CO., N Y. rm"
.. . .. . .' LA u R...iPplicant
KfSCALE: I" • 40'above n JUNFAPRI 5, 1971JUNF 4, 1971dLt� M'YONUMENT Q•ST4NE AUG e7, 1971 w iM�ER EMI
r e is till 3 SUFFOLr'CO T1%Maa OEC b, 1971 gR,NY.S.LN:MO uF
015T MD SECT 41 BL 4 LOT 23 _ RIVERHEAD,M.Y. . . . . . . .
No.71-297
of said c -- — _
nnu rile 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 manner set forth in the application filed therewith.
Sworn to baiarc me this � •
;.
. . . . .. . . �2 C� day of. June . . . . . . . . . 19 . 90
rotary public, .� . . . .. County _
PAMELA A. KING . . . . . . . . •
M€1€ury Pubile, State of New York / (Signature of applicant)
No. d .,,Vn
QW11 t1W in Suffolk County
&ffi ilegio Exp-res June 16, 1990
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SURVEY FOR
THOMAS J. GORMAN
LAUREL
�?3 p45,°37'p w W ul3p I v -�- TOWN OF SOUTH �4 0,
SUFF CO., N. Y.
E SCALE: I" - 401 uT„1 •A{ IYS A. � YaRir rowl
APRIL 5, 1969 P
NOTES: JUNE 4, 1971 b fa .,.
1. e=MONUMENT -STAKE AUG 27, 1971 PR 01NgFR AND
1j
2. SUFFOLK CO.TAX MAP w A
DIST 1000 SECT 121 SL 4 LOT 23 DEC , 1971 LAND YOR;KY.S.LIC.N0.12846
� RIVERNEAD, N.Y,
NO 71-297