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Home My WebLink About18890-z r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19459 Date OCTOBER 17, 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 2140 DEEP HOLE DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 27, 1989 pursuant to which Building Permit No. 18890-Z dated MARCH 19, 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 BUILDING IN FRONT YARD AS APPROVED BY ZBA #3871. The certificate is issued to RICHARD L. & JOAN C. GIBBS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-152068 - SEPTEMBER 27, 1990 PLUMBERS CERTIFICATION DATED N/A 'vim _ Building Inspector Rev. 1/81 gases xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 18 8 9 0 2 Date ...~.~?~,s~.........~.~ ~ 9.~R. Pe?mission is hereby granted to: ..~~..:!-..:...:~:...:~.cJ. ac!:!.... C: ..~~t..~~ 1~a+........... ..a-M~Y ~o P s o........... V Q~r.'.° ............D ..................I........................................ C~~ at premises located at a?s1..T........~ ....k:T:4~:~....!..7~tZ:.....k. ..F~i County Tax Map No. 1000 Section ......~.°13....... 6Bl~ock .....R.y.......... Lot No....fl.~ pursuant to application dated .......I.rkS:~.•..r~...Z.••.., 19..9.., and approved by the Bui ldings~Inspector. Fee S..c?` ti•.:. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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, wa'#~'°~~ 4. Sworn statement from lumber certif e,arzrw~ n,tB, p ying 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 insCallations, a certificate of Code Compliance frcm architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. F"'~~b~~i~'~ INS Pu~t'Yt I,> (~f. E l1f„;E yy B. For existing buildings (prior to April 9, 1957) non-conforming uses, or~jbuil~i~ngs and~kl7iJ j "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 Date New Construction.,XXXXX... Old Or Pre-existing Building.......... _ I.ocaP,:ior of Proner•..,_..2.150, Dt~en.??^.1,~.??ri,YYr. r")~~:dj-.~~}"4~i.,..FIY.~-.~-.° 24........ House No. ~.trae.t Hamlet Onwer or Owners of Property.. Richard L. and Joan C. GIBBS . County Tax Map No 1000, Section.. 123........Block......4.........Lot Subdivision ....................................Filed Map............Lot...................... 18890 3/19 /90 ,Applicant. R.. . ~...GIBSS Permit No ................Date Of Permit..... Health Dept. Appro'val....N~A ..................Underwriters Approval...................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...XXXXX.. Fee Submitted: $.......2s;00. „ „ Co ~ I ~ ~S 9 APPLICANT ' , _,T_~ ~ _ ~ _ _ T _ _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS r~A(aE 1000?lid pUREAU OF ELECTRICITY SS JOHN STREET, NEW YORK, NEW YORK 10038 Dote ,FRTEMREK 2?, 79'-)CI APPlicotionNo.onfile 70ti7;SA4U/90 N 15'2pba - THIS CERTIFIES THAT - orsty the electricd puipment o daecribed 6sknD and iwtroduced 6y ehs app/k:ant named on the abode application number Jn the premises of ICHARD GTBEiS, 27 d0 bFEP HOLE: DR., POI.F #;t7, IMAT1ITUCR, N. Y. in the allomin location; ? Baeement 6AR f N SFPTEMRf':R 17, 1!lyt~ !"t Fl. ? Ynd Fl. Sertion Block Lot rcas examined on and found to be in compliance tcith the rpuirementx of thu Bcard. gliiU@ AOif SWNCXFS RXTIXIES RANGES COOKRID RRCRS OVENS DISH WASHERS iXHAUST FANS OUTLETS INCANDESCENT FlUOeESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. NAT. K.W. AMT. N.P. S ~ { DRYHS RIRNAC! MOTORS gITURE AMMIANCE R~lRS SNR:IM RICK iINIE CIOCKS RHl UNIT Ni11TRRi MUlil-0IITIM DIMMERS AMT. K. W. pl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. NAT. AMPS. TRANS. AMT. N. P. ~ ~T AMT. WATiS SlRVKR DISCONNECT NO.OF S E R p V 1 C E - AMT. AAV. M! ~ 1 / JW 1 d JW J d JW J d AW ~k dCOND. ~ CC. COND. ~ NI-lEG a'µ_~ NO. O/ NEIITRADi OF NEUTRAL OTHER AMAMTUS: WIPING FOR STORAGh"".~ SHED RLDG ONIV~t C. F. C..L-A i_ RICHARD f,. RF•L'tFA I.If,.E)IdRF, LAl1REl_, NY, 119GA OMiRAI MANAOU 71 Per This certifitaM must not be altered in any monnsrj roturn to Nn office of the Board ii itrcotraq. Inspectors may be idenNRed 6 IMir ePadentials. COPY POR WILDING DEPARTMINiT. THIS COPY Of CERTIFIGTE MIST NOT W ALTERED IN ANY MAMIER. - . , ~ ~ ~ ~ ~y, 1s ~ , r ~ ~ ~ ~ 1 ~ I ! ~ ~ ~ ~ - 1 ~ i _ ~ ~ ~ ~ i ~~t- 1 _ G i (~'~C ~ 1_ - - ~ 'a... K f~ "w ~ _ ~eJ ,4 P ` o ~ ~ 4'" ~ t ~ ~ t1 ~ i , a , ~ - t~ ~ , ~ -3s, - ~ - rrrmz TEL. 7G5-t 802 S~FFOtx~ o OGy TOWN OF SOUTIIOLID ~ '~c OPPiCE OP BUILDING INSPECTOR i'+ ~ rn P.O. BOX 728 Q 'J' ~ ~ T01VN fIALL y ~ SOUTHOLp, N.Y. 1 1971 °~~l Sao September 6, 1990 , ~ Richard L. & Joan C. Gibbs F 8 Sunnyside Lane ~~+II~OOVV~~`°°JJ°`"" ~ ~i, ) Westport, Ct. 06880 Q ~ `L~~ +i, SE a~ v~~" a~~ To Whom This 'May Coktcern, Vg~o~•SOU'it~ ~0 ~ We are unable to complete your Certificate oL- Occupancy because of the following reasons. % / nn application for Certificate of Occupancy is not on file. No underwriters Certificate on file. The check is (cxn~x3EUdxx1/not on file.) $25.00 / / No health Dept. 1lpproval on file. % / No final i.ns.pc;cCion has been made. Please contact our office on this matter. 'Pha~tk you for your cooperation. Building Permit ~f 1 8 8 9 0 2 Buildi.ncl Dept. , No Plumber. Solder Certificate on file. ( all permits involving plumbing being ~j~ i:sucd after npril 1,19II4 ) 1~)" ll~ lA' ~ ^C,iU;~ ~~UkTE ~ COMMENT ~ 06 1 . ' ~ y ,p ~ rOU1SDATION Ilst) ~ cn p FOUNDATION ( 2nd ) _ ` •S 2, zo ~ ~.c. d P.OUGH FRAME & PLUMBING H [~7 s. ~ n INSULATION PER N. Y. STATE ENERGY CODE ~ rn r H 4 . f Y FIidAL . - E `h - z m ADDITIONAL COMMENTS• x 4 y-~ • x 'b • ..0 H ~ ti 9 " 3 H ~ O 2 M • ~ • r H [7 H Residence: 8 Sunnyside Lane ~ ; Westport, CT 06880 ~"e ~~36~` May 14, 1990 I. a~ Permit Located at: 2140 Deep Hole Drive i' ~~r ~ Mattituck, N.Y. 11952 ~,w;; May 14, 1990 :.-n~~.~~~~ Building Inspector's Office Town of Southold Southold, N.Y. 11971 Re: Certificate of Occupancy Gentlemen: I am enclosing no building permit issued on March 19, 1990, number 18890. Completion of the accessory building has been done and I am now requesting a certificate of occupancy. Thank you. Sincerely, Richard L. Gibbs RLG Enclosure TOWN OF SOUTIIOLD BUILDING DEPART2IENT TORN HALL SOUTAOLD, NEW XORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE_......._ 1989,••_ NEW CONSTRUCTION .XX$X..OLD OR PRE-E%ISTING BUILDING....__VACANT LAND........ Location of Property..214Q.pees.HQ~e.DLl~Zer.Mdtti.tu.C1C,.SIs.FC.Y.cas'k.•••---...... HOUSE NO. STREET HAMLET Owner or Ovners of Property.... Richard L. Gibbs & Joan C._ Gibbs.......•._•., . . County Taa Map No. 1000 SecCion ~°'T~.. Block _.I Lot Subdivision Filed Map ........Lot....•..... Permit No. ..........Date of Permit ..._......Applicant R.ichdzd•L.-6abbs•.• Health DepC. Approval Underwriters Approval.............. Planning Board Approval • Request for Temporary Certificate Final Certificate Pee Submitted: $ Z APPLICANT. 4..t~,~.~,»~r?F-_z~m~ ~/a~~z.:~ Richard L. Gibbs• - rev• !0/Ik/88 ~oc~~FfOLK~~Gy VICTOR LESSARD ~ ~ Z ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR o T P.O. Box 1 179 (516) 765-1802 tl~ ~ Southold, New York 1 1971 F'AX (516) 765-1823 y0~~01 ~ ~~0~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 29, 1990 R.L. & Joan Gibbs 8 Sunnyside Lane Westport, Ct. 06880 Dear Mr. & Mrs. Gibbs: We received your returned notice of what is needed for a C.O. As you will notice we received it the 29th and you requested an inspection to be done on the 25th. Also if you will look on your check the fee you paid was for the Building Permit, not for the C.O.. I am sorry that whoever sent you the letter did not enclose an application. I am enclosing one. Please let us know when we can do an inspection. We need at least one or two days notice. Yo~r ~ 'v Z / Enc. Secretary ~ - ~ v-~ r1 W t':'~• z k~ Southold Town Board of Appeals "~>n ~,,.\~~,~y MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.L, N.Y. 11971 ~r.,.. / ; ~ ~ ~ . ~'~Z~. , (~~'r - TELEPHONE (516) 785-1809 FAX Na. (51fi) 765-1823 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. n n SERGE DOYEN, JR. - JOSEPH H. SAWIC KI JAMES DINIZIO, JR. ACTION OF THE BOARD OF APPEALS ~ ~ „ i'LS'T. ~JTN p:.D ~..J Appeal No. 3871 Matter of RICHARD AND JOAN GIBES. Variance to the Zoning Ordinance, Article III A, Section 100-30 A.4., (Article III, Section 100-33) as disapproved, for permission to construct an accessory building in front yard area. Property Location: 2140 Deep Hole Drive, Mattituck, county Tax Map No. 1000, Section 123, Block 4, Lot 4. WHEREAS, a public hearing was held and concluded on November 8, 1989 in the matter of the Application of RICHARD AND JOAN GIBBS under Appeal No. 3871; 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 south of Deep Hole Drive, Town of Mattituck, and is identified on the Suffolk County Tax Maps as District 1000, Section 15, Block 1. Lot 3. 2. This is an application for Variances from the Zoning Code Article III A, Section 100-30 A.4, (Article III, Section 100-33), for permission to construct an accessory shed in front yard area. Page 2 - Appl. No. 3871 Matter of RICHARD AND JOAN GIBBS Decision rendered November 8, 1989 3. Article III A, Section 100-30 A.4, Accessory buildings shall be subject to the same requirements as 100-33 of the Agricultural-Conservation District. Article III, Section j 100-33, In the Agricultural-Conservation District and Low Density Residential R-80, R-12Q, R-200 and R-400 Districts, accessory buildings and structures or other accessory uses may be located in the required rear yard, subject to the following requirements: 4. In considering this application, the Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its establ}shed nonconformities; (b) that there is no other method for appellants to pursue; and placing the proposed accessory shed in any other location on the premises will require other variance relief; (c) that the area chosen for the accessory shed 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. Ainizio, it was c s Page 3 - Appl. No. 3871 Matter of RICHARD AND JOAN GIBBS. Decision Rendered on November 8, 1989 RESOLVED, to GRANT a Variance in the matter of the application of RICHARD AND JOAN GIBBS as applied under Appeal No. 3871 for placement of a 16' by 20' Accessory Shed, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the Storage Shed not be any closer than 42 feet from Deep Hole Drive. 2. That the Storage Shed not be any closes than 2~ fey-.t from the east property line. 3. That the Storage Shed not exceed 16' by 20' in size and only be used for storage purposes. Vote of the Board: Ayes: Messrs. Gochringer, Grigonis, Doyen, and Dinizio, lAbsent Joseph Sawicki). This resolution was duly adopted. F k k df ~ ~ GERARD P. GOEHRINGER, CHAIRMAN 8 Sunnyside Lane Westport, CT. 06880 March 14, 1990 ~CC~~~TIr~~/( , Building Department ' Town of Southold ~p ~ j~~ P.O. Box 1179 Southold, New York 11971 "~tLj~;~~ttG Re: Request for Building Permit at 2140 Deep Hole Drive, P4attituck Gentlemen: Enclosed please find 3 copies of plans to build an accessory building at 2140 Deep Hole Drive, Mattituck. A variance for this has been obtained under application number 3871, dated November 8, 1989. I am also enclosing a check in the amount for $25.00 payable to the Town of Southold, for the building permit. If you need additional information, I may be reached by telephone at (203) 227-1378. Sincerely, (Mrs.) Joan C. Gibbs Enclosures FORM NO. 3 TO~~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . r~.g 19 . Toyl.'~~.,~,. G' ...~o~ PLEASE TAKE NOTICE that your application dated 19 t~~. for permit to L~i9i~~'I.. ~ZZ~~'Q. 2!?ul~~ . !??G~~~S"w? ate ~ .G Location of Property ~ ....,;!~:./T~. ~/~1~... NouseNo. Street ~ am%et County Tax Map No. 1000 Section Block ~ ........Lot ~ . Subdivision . . Filed Map No. , /Lot No. . is returned herewith and disapproved on the following grounds . ~~..,-~~L . Bu'ldin nspector i RV 1/80 8 Sunnyside Lane Westport, CT. 06880 June 27, 1989 ~ "°n; psi r°; ~ ~r>r~ fP ; e ° ; ,~3p 1989 Board of Trustees e Town of Southold, Town Hall Southold, New York 11971 rt~•< „~,_.9 Dear Trustees: This letter requests an inspection for a waiver for an accessory building I would like to construct on my property at 2140 Deep Hole Drive, Mattituck. I am enclosing informa= tion regarding location of the property as well as proposed site of the accessory building. This storage building will require no electricity or plumbing. Very truly yours, Richard L. Gibbs Mattituck Tele: (Friday - Monday) 298-5134 Westport Tele: (Tuesday - Thursday) (203) 227-1378 .r ~ ~ z~~ BLDG. DEPT. WN OF SOUTHOLD ~o ~ a3 ~ as / 3 7 ~ TEL. 7G5-180? ~~FFO[K~4 ~,~p`? /~t~ ~OG~' TOWN OIL' SOUTIIOLD r~ (3:~Ct~.: =AC UI~PiCL' OP BUILDING INSPECTOR ~ ,~r, P.O. IIO~ 728 ~7, ~ TOiYN FIALL ~Dy~~o~ ~ ~~0~ SOUTHOLD, N.Y. 11971 MAY 16, 1990 Richard & Joan Gibbs 8 Sunnyside Lane Westport, CT 06880 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. i~:X~ An application for Certificate of Occupancy i:, not on file. / / No Underwriters Certificate on file. The check is(outdated/not on file.} 825.00 No ttcalth nept. Approval on file. No final inspection has been made. Please contact our office on this matter. it Thank you for your cooperation. 13uiidin~l Permit If 1 8 8 9 0 2 accessory storage building Du.ilding Dept. / No Plumber Solder Certificate on file. ( all germits involving plumbing being issued after April 1,1984 ) Please contact us as to when the storage building will be open so that the inspector can inspect it. Thank you for your cooperation in this matter. Southold Town Building Dept. Application for C.O. is enclosed ((~~(('~~~(~tc~ BOARD OF HEALTH D L~LI\"J1~7•~~~t 3 SETS OF PLANS.. ? • • • ! i FORMN0.1 SURVEY ~ i'•, TOWN OF SOUTHOLD CHECK BUILDINGDEPARTMENT SEPTIC FORM ~~i~-.~,,.-~. ~ ~ , l ~ TOWN HALL TC ~ ` i~,. ~ ? SOUTHOLD, N.Y. 11971 NOTIFY ~ r t~ ~ ° TEL.: 765-1802 CALL .......(f ~p MAIL T0: ~ - r~cz_ Examined . . ~ 199 p, . Approved G!LC,D.~ . ~.9..., 19gD. Permit No.. ~ ~~./d ~ ~ Disapproved a/c TbWN OF SOUPTTH'0 ~q~ ~ (But in; Inspector) APPLICATION FOR BUILDING PERMIT Date ~ V.t.~.... j 19~. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street; 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 permi• 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 Occupanet 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 of 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 gulations, and tc admit authorized inspectors on premises and in building for necessary i pec 'ons- ~ e (Signature of applicant, or name, if a corporate Qj .~AJ N ~51 D E, , ~.q.y , W E5~ pq rT~ ,L,~. ;dfo 8 $O (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. R!-u ~ E,2 Name of owner of premises .t5-!CF4~.RD, L; , F~iy'S, , . . , ~oA?.J, , ,L~, , ,~,-~,1 Ey~$, (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 . . Plumber's License No. ~ . Electrician's License No. ~ Other Trade's License No. . 1. Location of land on which proposed work will be done. ~.~.4 DZ`~~~..~'`S., , ~21~I , , , , , , , , , , , , , , Z,1.4° TSE;~~ ..~-~ol~ , ,~r~v Y:............... Ci:Cti~c~clC House Number Street ~amlet County Tax Map No. 1000 Section ~ Block Lo[ ..../'L, . Subdivision Filed Map No. . Let , . (Name) ~ - 2. State existing use and occupancy of premises and intended use and occupancy of proposed ctigstruction: ~ . a. Existing use and occupancy ....'.r.~Stda+neg . b. Intended use and occupancy ...~~.'r'~cl.~ .y 3. Nature of work check whit ~ Addition ~ ~ ~ 5 e ( h applicable): New IIuilding Alteration , ' , Repair , moval . Demolition OWED' r~t Re ' ~ Y description) ?5a 4. Estimated Cast .......1 , r ~ .)47.p . Fee . (to be paid on filing this applicatioh) 5. If dwelling, number of dwelli~tg units Number of dwelling units on each floor . If garage, number of cars . 1_ } 6. If business, commercj,~l nr miffed occupancy, specify nature and extent of each type of use . ~~:4 s'.4+~E ,`'!ARP... , 7. Dii~i~flSions,o~fiekist~ngstrgct}~ ces, if any: Front Rear , , Depth . Hei,;~tt',~:m I:.:........", . Ni~rnber of Stories . . . . Ditii r~stons a st ture',with alterations or additions: Front . Rear . De 't t ~ , . IIeight ..........Number of Stories . 8. Di ~ ~pns of entire new co ` t~ction: Front le I. , , , Rear ....I,~,I, , , Depth . c~C? . Hei lZ"'Y":'~`;wi:e'.t.;c•j~.,'d.,ti~r umtper of Stories . . . . 9. Siz i~:= W,p: ,;':.:.~^'°"s , Rear . . Depth . o f 10. Date of Purchase ...1 . /7./.. 7'.S . Name of Former Owner C:hAY.~.~S.. ~~C ~5'f`. , , , , . . 1 1. Zone or use district in vv ttcl premises are situated , , , . 12. Does proposed construction violate any zoning law, ordinance or regulation : . . 13. Will lot be re~rade P ,Y.~t ...............Will excess fill be~emoved from premises: .Yes o i 14. Name of Owner of remrses R~'.?~ard.~ JP4r1 , , , , AddressZtAp ~?-~p..R ~~,~:~~'hone No.'~~4+: S. 13.~... . Name of Architect .................Address ...................Phone No, . Name of Contractor .Address ..Phone No, , . . . 15.Is Chis property lo4ated within 300 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. ' p ~ UNAUINORILl1 Al}[g110N OI AOp1IlON II !O iM15 6URYlY IS A VIOUIIIXi OI r ~ i[[IION NOp Oi iNE N[W YOW. S}Ai! ~'^y .G~ iWGAiION LAW jj ('~q~,~ I - ~ ~`r~ CONf2 Of INIS SUpVEY MAV NOi gARINO ? ~ M{ ~ F({(H ~~^+„y f iH! LANp $URV[YOR 5 INY,[0 5(A[ OA ~M , R,?Nl C~{{ ,/fl l I 5:'9~j IMBOSf(p SfA[ SHALL NOl Bf CONSIpfRfO ' - ~ k~H 1.1 C.1 k~ ,,x yI~U ro Bf A YAUO IpU! COPY. M , ((yy ~ A •F/; ~ Y[1' OWRANIff51N01CAIW H[R[ON SNA0. pUN e' x 'Mi.~ 9 VI ONLY 10 LN[ YfI50N Np V/IIOM 1Nf SU0.V[Y > A 0''1 ~ ( 1 1 Q JI ~ IS ppfVARfO ApG ON XIS &NALI f0 INf ' Q ~E. ~ t ~ (If III (1 _ ilrlf COMVANY OVWNM[WAL AGfNGY ANp ~ - _ YCE ~j'' L 2 9 3'~/+ k - ~4 unprc+G ren'iuYmN LISra x.p[Grv. ANp U 9 Q • !^`-,+Y~?~ ~ fO INf AS51WIff501M IWOWG IN51b ' t. I ~ A9999 Yts\iS yam,, I ~ p Y a IUIION. GUAPANI(fS ARf NOS IGANSiERA6E f~l a I~ ~ 7~b y~ ' l ~ ~ ~ / ~P ^ t OWryIAl ZONAL IN31[IYRON( O0. Wg5WFN1 .Q ~ 11 ~.pl~ ' t M',' M3 / Li4~ 1-• I ~ ~ , ^tI r ~ I , . LY x : 0~ s l ' t p,r„ a . - rp ~ 0 , W 1 ,.S AI ~7 ~ k o f F'» Q ~ ~ , ~ ~ 7 m a! 1~ f 5 ~ m ~Y' I Al- rgvaq ~ "'v. ~ d ~ ~ R~ ' ~ 1 d p p l~ t~ d et,<A J d Q ~ ~ ~ bQ s"~ t, ~ ._E p / ~p~,6~'bs' / LL ~ } - A u A Y~~'a' ~ ~ ~r ~rz~~S' ~or lM i,At9~~ L ~ ro r f _ . . ~ I IV ,~,n~'~... ~n ~ / ~F.eGI~ItYe. t^+40f='1~ / a k'" l~.~.,,~E?,~1,..I#t~{4G! r f I t Y r. i I ` .'-'~Ifii'~si,KRl~s trterEM y~, . / 1 u . .~~~I~I~T-~1.~ 1 x /AA 1~ ~I /1 9 }AE RO ~~(~~j ' :,i~tc~acar~ •ll: ~:Ja,~~v G.~~l~ 1 p ~ JUN 3 0 1ya9 I I f. u''R ~ ~ ° 1F 'GMa4ahteatl' 4a +k. ~ ' ~`l EFV~f~ s r142a.L; ~ d , . ~1+~RT'~'0'T Vt,C.VL - ' lAsuraL+am Q'a..4 tM ~ , ~_..1 ' ~ ~ C~Garlk as suvv~LaFS~. ~f5:t. 1 ~ t9'l~i ' `'TOW A/' AF SQ~MQ+.,pi~ Yn ~ ~ ` ,f~ou~LYLCr< V~Sa 'TMVl.,P;t..' . > I'' 2'14:0 ,Deep 'Hole Drive„ Matt2-'t'tr~'k' Y~' is~.Y.-ill. . ~ ~ ~ ~ ~ `:L..ic~riarcd~ 'L.ancf°Surv~ynvc~ ~ ~ It.',~...,GxI~L~.*~ 'avi'i''N.eIYa YeYlc. s _ '1 . ~ ~ _ - work will be performed in the manner set forth in the application IIled therewith. Sworn to /before me this ~ , .day of',... 19 Notary Publicj ..T,td-l.d~f1`2-t'C~ County ~ I~ .l._.-... . (Signature of applicant) Jra~/~YJ . ~~tr.(1~G VGG Z u e~mr». e ~tlo%u 5~ 3l 3 l ~ ~ip5z~ ~ k r y ~ 4 ~ ; - x l i ~ ~ r t'1. VC~ C~aAV S O S y_ ~ ~ w.~.~.~-rS~V~k.~ 1~?g v ~ Y3 t ~ , ~ x ; ~ ~~~-=may b ' ~ - z Ya ~Q e~`~a ~ ' ° ~ r y / 4 a P 1 F {~3,''"`` p ` ~ j4aG~!a _ r - 1~.. i ` t ~ .t ~~4-}rj a' ~ t ~ .4p a".~'f11j.,'j ~y ~ iii ~ i r u -"'Y ' f N^ ~ AmAy r+ IlS 1 _ * ~ _ 2 ~ yy~"eT ~ ~ F~ r,~~y^ ~ 'C + t j Z'.T. l'4 a, M r+ 'R ~ f f ~ 1 , a t,° ° ~ f r t? t ~///j~~~' _ _ r ~ ~ ~ a. 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