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Home My WebLink About18784-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20371 Date NOVEMBER 22~ 1991 THIS CERTIFIES that the building. ADDITION Location of Property 1300 SOUND BEACH DRIVE House No. Street County Tax Map No. 1000 Section 106 Block Subdivision Filed Map No. MATTITUCKr N.Y. Hamlet Lot 37 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5~ 1990 pursuant to which Building Permit No. 18784~Z dated FEBRUARY 8r 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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS PER ZBA % 3957. The certificate is issued to JAMES MESKOURIS & ORS. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-209244 - OC~. 23~ 1991 PLUMBERS CERTIFICATION DATED SEPT, 21t 1991 - PETER MESKOURIS Rev. 1/81 · //' Bt{ilding-Inspector l~OWm' NO. · TOWN OF SOUTHOLD BUILDING D£PARTMFNT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- ~8784 z Permission is hereby,granted to: .a / /? .., . ~ / ~ , ........ ...~..~~.,,...~..,...~......,. ........ ~.~ ....... ..~../....~.~ ........... ~ ........ ~~..~...... ....................... at premises loc,ted at .../.~...:......~..~.....~...~(~.:'~.~'.:~~,~. ..................... .......................................................... ~ .~...~..~..... .................................................................. County Tox Mop No. 1000 Section ...... ./..~...~?. ...... Block ........ ~..../.. ..... Lot No ......... .~...Z .... pursuant to application dated ....... ~..~,... .............................. , 19..~...,~and approved by the Building Inspector. Rev. 6130180 TOWN O'F SOUTHOLD ',, BUILDING ~EPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 archiuect or engineer responsible for the building. 6. Submi~ Planning Board Approval of completed site plan requirements. 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $,_5.00, 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 ......... ew Construction ........... Old Or Pre-existing Building .......... ..... . . ocation of Property ~. .~.00~.~..~ .~t.~ .~.D~.~ ............... House No. Street Hamlet awer or Owners of Property ...... -.~-~. J.O.% .... .~.O..~%~O~.f~.~ ......... ~unty Tax Map No 1000, Section .... ~. ..... Blocx ................ Lot ...................... ~bdivtsion~ ,~.~h~, ~ .~-. I.'?.~, ~ .Filed Map ..... '~.~ ..... Lot ..... ........ .i ............. ~rmit No. :.~.-,~-;~t"~O ..... ate Of Permit .......... Applicant .............. ~alth Dept. Approval ...... ~.~ ........ anning Board Approval ................ ~quest for: Temporary Certificate .... Submitted: $ ...................... 71 ..... .. Underwriters Approval ....................... .. · .. Final Certicate ..... APPLICANT TOWN 'OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O: BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 To Whom This May Cogcern, TEL. 765-t802 We are unable to complete your Certificate o~ Occupancy because .of the following reasons. //~ An application for Certificate of Occupancy --//is not on file. ~ /~_w~/~o Underwriters Certificate on file. /~ The check is(~/not on file.) /~/ No llea~th Dept. Approval on file. /5/ No final insocction has been made. Please co~tact our office on this matter. Thank you for your cooperation. Dui]ding Permit It / ~ '_~ ~ ~ Z Buildinq Dept. ***/~/No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 TOWN OF SOUTIIOLD OFFICE OF BUILDING IN~P£CTOR P.O. BOX 728 TOWN tlALL ' SOUTHOL0, N.Y. 11971 TE,L. 765-I$02 ,'4 To Whom This May Concern, We are unable ho complete your Certificate of Occupancy because .of the follo%~in~ reasons. /F/An application for Certificate of Occupancy /_~Io Undcrwritor~ Certificate on file. /~z~--~Thc check ia(ou~d~e~/not on file.) /~/ No lIcalth Dept. Approval on file. /~/ No final ins.pcction has been made. Please co~tact our office on this mahter. Thank you for your cooperation. Uuildinq Dept. ***/~MO Plumbe~ Solder Certificate on file. ( all permits involvin~ plu~bin~ being issued after April 1,198~ FOUNDATIO~ {1st) FOU:;DATIO~'! 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Fi;:AL ADDITIOtJ~L NTS: TOWN OF SOUTtZOLD OFFICE OF BUILI~ING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Owner.. ~Z~! ~ .R~o~ ;g%~ (plehse p~±nt) (please prlJlt) I certify that the solder used in the water supply contains les~ than 2/10 of 1% lead. system Sworn to before me tkis (plumber's signature) Notary Public l,k~ry P~ ~ ol N~w Yerk '. ROBERT H. WHELAN, P.E. , BY DATE .~'Z/-~O P.O. BOX Sg0 ' ,.' / ~, . 160 BUNGALOW LANE '"' SHEET NO~ OF MA~TUCK. N.Y. ~,52 ~',~/~. - CHKD, BY DATE (516)298-5770 ~.,,., JOB NO. ' . . L · . ROBERT H. WHELAN, P.E. CONSULTING ENG'fN~E. R P,O, BOX 590 ~ BY DATE .~.~'/C~:~ 160 BUNGALOW LANE MATT]TUCK, N.Y, 11952 CHKD. BY DATE (516)298-5770 SUBJECT ~,,,~/'~,~/.,~.,X ';'.~ ,...~'..~.~,~..~'F' .~.~"~'~..~"*~'* CHKD. BY. SUBJECT__ ROBERT H. WHELAN, P.E. '~ · CONSULTING Er'I131NI~ E R "~' P.O. BOX 590~'~ ' , ' DATE ..~'.~/~.~ 160 BUNGALOW LANE~ SHEETNO. J OF ~ MATTITUCK, N.Y. 11952 DATE (516)298-5770 '..,. JOB NO.' ~,~)J~* L ROBERT H. WHELAN, P.E. ,, . CONSULTING EN~IN.EER '~ . 160 BUNGALOW LANE '~ SHEET NO. ~ OF ~ MA~ITUCK, N.Y. 11952 CHKD. BY SUBJECT ROBERT H. WHELAN, P.E. CONSULTING ENGIN~EE F:[ ' DATE ...~-,~?,"/%~O P.O. BOX 590''''~'',, ' , ' ~' 160 BUNGALOW LANE '~ SHEET NO, ~ OF MA3-rlTUCK, N.Y. 1'1952 DATE (5'16)298-577D L . '. ROBERT H. WHEILAN, P.E. P.O. BOX 590 ',, ~[TUCK, N,Y. 11952 CHKD. BY DA~ (516)298-5770 SUBJECT ~~~~~ L ROBERT H. WHELAN, P.E. CONSULTING ENGINEER ,.,~/~, ~' ..Z"~- ?/') P.O. BOX 590 BY . DATE v'----.- 160 BUNGALOW LANE MA~I'ITUCK, N.Y. 11952 CHKD. BY DATE (516)298-5770 S,EETNO,/ Of / JOB NO. /~/~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL · .~ .,~.. ~ ,.~. ,:.. ~ !.% .~. g. ........ PLEASE TAKE NOTICE that your application dated ...~....~-..~. ......... 19 .~..O.. for permit to Location of Property County Tax Map No. I000 Section ... J. ~. ~ ..... Block .... ~ J ....... Lot . . .~.'~ ....... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds. ~[~.4~. ~'~-{ .~..e.,~4,~. I ~ .'..~o A, il RV 1/80 APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Charles Grigonis, Jr. Serge Doyen, Jr. Joseph H. Sawicki lames Dinizio, Jr. Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 RECEIVED J.E, FiT2GERALD Upon Application for CHRIS, JAMES and PETER MESKOURIS for a Variance to the Zoning ordinance, Article IIIA, Section 100-30A.3 for approval of insufficient area, width and depth of parcel with an existing single-family dwelling (re-separate lots that are merged), Article III, Section 100-31A, and Article XXIII, Section 100-239dA(2) for proposed deck construction which requires approval as to insufficient sideyards, excessive lot coverage, and reduced setback from the minimum required setback from the ordinary highwater mark of Long Island Sound. Property Location: 1350 Sound Beach Drive, Mattituck; County Tax Map No. 1000, Section 106, Block 1, Lot 36 and Lot 37. WHEREAS, p~blic hearings were held on September 26, 1990, concerning the Appeal Application filed by Proper-T Services, Inc. in behalf of CHRIS, JAMES AND PETER MESKOURIS under Appl. No. 3957; WHEREAS, at said hearings 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. The premises in question is located in the "Low-Density Residential R-40" Zone District and is referred to as District Page 2 - Appl. No. 3957 Matter of CHRIS MESKOURIS & ORS Decision Rendered October 17, 1990 (Appl. No. 3957 - MESKOURIS decision, continued:) 1000, Section 106, Block 01, Lot 37 on the Suffolk County Tax Maps, situate along the northerly side of Sound Beach Drive, Mattituck, Town of Southold, New York. 2. The subject premises as exists: (a) contains a total lot area of 15,096 sq. ft. with 75.00 ft. road frontage (lot widtl~;; (b) was conveyed by separate deed to the Meskourises by Deed at Liber 10959 page 396 on August 24, 1989, and immediately adjoining the subject lot to the west exists other premises, in common ownership, of the Meskourises conveyed by Deed at Liber 10849 page 466 on April i1, 1989. (c) is improved with a single-family dwelling as shown by the May 14, 1990 survey prepared by Anthony W. Lewandowski, L.S. with setbacks as exist at 63.5 feet from the southerly {front} property line, six feet from the easterly {side} property line, 108+- feet from the average high water mark (to the north) of the Long Island Sound, and 13+ feet from the westerly {side} property line. 3. Article IIIA, Section 100-30A.3 of the current zoning code (as amended January 9, 1989) requires a minimum lot area of 40,000 square feet and minimum side yards at 15 and 20 feet for a total of 35 feet. 4. Article XXIII, Section 100-239dA(2) requires a setback of not less than 100 feet from the average (ordinary) highwater mark of Long Island Sound for new buildings. 5. The relief sought by this application are variances for approval of: (a) the subject lot with a lot area of 12,506 sq. ft. (per filed map) and lot width of 75 feet, said land presently improved with an existing one-family dwelling; (b) proposed open deck construction to be set back 92+- feet from the average highwater mark along the Long Island Sound and 1-1/2 feet from the westerly side yard, and total side yards at 7-1/2 feet; 6. For the record, it is noted that: Page 3 - Appl. No. 3957 Matter of CHRIS MESKOURIS & ORS Decision Rendered October 17, 1990 (a) the subject premises are nonconforming not only as to lot area and width but is believed to have been improved with a dwelling structure built during or before 1960; (b) lots in the immediate vicinity of the subject premises to the west and east are of a similar size in this preexisting subdivision of Cpt. Kidd Estates; (c) the total lot area, to the ordinary highwater mark of the Long Island Sound, is shown to be 15,096 sq. ft. (d) the total coverage of the lot, with the proposed deck, is 2320+- and a variance is not necessary since the total coverage of the parcel by buildings is less than the maximum 20% of lot area to the highwater mark. 7. In considering this application~ the Board also finds and determines: (a) the relief as granted will not in turn increase the dwelling unit density, since the parcel is believed to have been improved with a dwelling before 1960; (b) the evidence submitted and practical difficulties claimed are sufficient to warrant a grant of this variance; (c) there will be no substantial change in the character of the immediate neighborhood or detriment to adjoining properties; (d) the difficulties cannot be obviated by some method feasible to the appellant to pursue, other than a variance; (e) that similar relief was granted to County Tax Map Lot 1000-106-1-35 (Subdivision Lot 37) located immediately to the west of this parcel; (f) that in view of the manner in which the difficulties arose, and in considering all the above factors, the interests of justice will be served by granting the variance, as conditionally noted below. Accordingly, on motion by Mr. Doyen, seconded by Mr. Grigonis, it was RESOLVED, to GRANT the relief as requested (and noted in paragraph ~5, supra), in the Matter of the Application of CHRIS, JAMES and PETER MESKOURIS under Appl. No. 3957, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the deck be constructed at a height not to exceed 16 inches above grade; 2. That the deck remain open, unroofed and unenclosed at all times (as proposed); Page 4 - Appl. No. 3957 Matter of C~IRIS MESKOURIS & ORS Decision Rendered October 17, 1990 3. That evidence be furnished in the form of a Certificate of Nonconforming Premises, or other documentation satisfactory to the Board of Appeals, concerning the preexistence of the subject dwelling before issuance of the building permit here- under. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen and Dinizio. (Absent was: Member Sawicki.) This resolution was duly adopted. GERARD P. GOEHR~NGER, CHAIRMAN AFFIDAVIT I, JAMBS MESKOURIS, as one of the o~ers of the properties identified bu Suffolk Countu Tax Map Nos. 1000-106-1-36 and 1000-106-1-37, state that to the best of mu knowledge, based upon personal conversations with the former otuners of the properties and/or their attorneus, with owners of neighborin9 properties, and with others havin9 long-term knowledge of the area, that both properties as identified above have, since 1957, never been used for any purpoee other than as private residences, and that such use of each residence has been continuous from the time of original construction of each residence. P.O. Box 55 · Peconic, N.Y. 11958 ,Proper. T Services POST OFFICE BOX 617~ CUTCHOGUE, NEW YORK 11935 (516) 734 - 5800 a subsidiary of THE PECONIC EASTERN CORPORATION FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL TOWN OF SOUTHOLD To~..~.....~..~.. Y~..~ ~..~....-~ ?.~ ¼ ,~.,.z.-- .~..~ ........................... ~. ~~..~.~.....u.~.~ ........ PLEASE TAKE NOTICE that your applic~~ . ~. ......... , 19 ~.O.. ......... . ............. for pemit to Locat,onofPro err ).o?s~. ~~~ ~ ~Street ~ ~ h. Hamlet ' p Y .. ........ ~?.~ .... ~.. .~ ....... County Tax Map No. I000 Section ...I ~.~ ...... Block .. ~t: ....... Lot . ~.~ ......... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds..C~.~..~...~.. ~...'~ . . . ~. =. ~.,. ~. :....~.....~...'.~.%.~.t~...&..~....4 ~~..~..~...~. ..... :. Building Inspector RV Z/80 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL .%.-..~ .~.~ ........................... '~.~....~ ..%....u.~ .~.~. ........ PLEASE TAKE NOTICE that your application dated .~-~4~ ~..~. .......... 19 .~.o. ,orpe~itto ~~.~,.l~.....afi~.~.'~ .............. . ............. at Location of Property/4oust)'*' .O~D..;qo, ' '~'~'V~''' 'f~'' ?"&'..~..~rStreet .... ..~7~.~.~.. County Tax Map No. 1000 Section ...~..~..~. ...... Block .. ~ J. ........ Lot . .~."1 ......... Subdivision ................. Filed Map No ................. Lot No .................. iS returned herewith and disapproved on the following grounds..(~.~..~...~ . . . t ~. :. ~.,. ~. , . . ~ . .~. . .'.~ .%.~.t.~. . .&. . ~. . . .4~~" '°'~"~' i' ~. . .~. . ~. . . .~. . . . .~. . .~. ~.~:. . .~. . . . . . .~.~. .,.~. . ~.~. '"~ ........ ' 6"~ee'~' '~' ~ ......... ~" ~' "~' ~'~' Building Inspector RV 1/80 TOWN OF SOUTIIOLD BUILDING DEPA RTMF. NT -~OUTHOLD, NEW YORK TO: STOP WORK ORDER CHRIS, JAMES & PETER MESKOURIS (owner, Owner's Agen~ or Per,on Per~ormmg Wora~ 52-22 BROWNVALE LANE :. LI%~LE NgCKa. N.Y. I]363 [Aaare~$ o: a0ove-namea person1 YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 1300 SOUND BEACH DRIVE, MATTITUCK, N.Y. ~aoore~$ where wor~ is ~o be ~oppea) TAX MAP NUMBER 1000- 106-01-37 Pursuant to section 100-283 of the Code of th~. Town of Southold, New York you · re notified to immediately suspend all work and building activities until this order ham been BASIS OF STOP WORK ORDER: EXCAVATION IN REAR OF BUILDING .WAS DONE WITHOUT A BUILDING PERMIT OR POSSIBLE ZONING BOARD OF APPEALS APPROVAL. · CONDITIONS UNDER WHICH %VORK MAY BE RESUblED: WHEN ALL NECESSARY _ PERI~IITS HAVE BIgEN ISSUED. Failure to remedy the c6nditiorm aforesaid and to compiy with the applicable ptovisiova of law may constitute an offen-~e ptmiahablc by fine or imprisonment or both. DATED: JAN. 31, 1990 BUILDING {NSPECTOil / C(~DE ENFORCE.MENT OFFICER VINCENT R. WIECZOREK P.O. Box 55 · Peconic, N.Y. 11958 (516) 765-1119 REMARKS: 765-1802 BUILDING DEPT. INSPECTION [~J~UNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. FOUNDATION 1ST INSPECTION [~LBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE INSPEC~~ ECTION FOUNDATION 1ST [ ] ROUGH PLBG. DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~FRAMING [ ]FINAL REMARKS: ~/.~-~..~.~ ~-~'~ DATE 765-~.802 BUILDING DEPT. INSPECTION ] F~I~NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: INSPECTOR ]65-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING ROUGH PLBG. INSULATION FINAL DATE INSPECTO~ // 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR~.~/ New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11794 review has een ma, e of your proposal to: Based on She informakion ~ou have ~ubm~kk~d, [he New York 'o~nvironmental Conserva[ion has dekermined khak ~he ~ parce1 ~ project is: _ Greater than 300' from inventoried tidal wetlands. ~ Landward of a substantial man-made structure greater than 100' in length which was constructed pri~r 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 Environmental 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 described, may require authorization by this office if such are contemplated. modification to the project as this Department. Please contact 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 ~mit ~dmi~nistrator '~J~ BOARD FORMNO. 1 3 SI~TS OF Examined ................. 19 ... Approved ................ , I9 ·.. Permit No ............ Bisapproved a/c ..................................... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 SURVEY .... c,,~.: '.-,¢+: : ,. .: .:g,: . :::::: SEFTIC FORH . .~-- ........ CALL .................. HAIL TO: ................................ (Building Inspector) APPLICATION FOR BUILDING PER~IT INSTRUCTIONS Date ............... a. Tl~s application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 streets ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- orion. c. The work covered by this application may not be cl)mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 hall 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 ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ',egulations, for the construction of buildings, additions or alterations, or for ramoval or demolition, as herein described. 'he applicant agrees to comply with ali applicable laws, ordinances, buil~.ag_code, housing code, and regulations, and to --' (Signa{ure of applicant, or name, if a corporation) ,-~ '%.(Mai~ess '6f applicant) irate whether applicant is owner, lessee, agent, architect, engineer, gener~~,klectrician, plumber or builder. {amc of owner of premises ~..~ , . ~ ..... ~ .... (as on flip t .rtl ~oI1 or latest deed) f applicant is a corporation, signature of duly authorized officer. " (Name and title of corporate officer) uilder': Licen ....... Plumber s License No ........ .5/... ........... / Electrician's License No...../f. ................ Other Trade's License No .................. · Location of land on which proposed work will be done .................................................. .... /~..~..o ....... ~. ~..~..~...,.~. ~..~. ~ ..... ~ .f. ......... .r~z...~./-?..'~.. ?~: .......... House Number Street Hamlet County Tax Map No. lO00 Section ...~- Block ~ ~. /. Lot Subdivision .................... Filed Ma o ............... Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction:. ' a. Existing use and occupancy ......... . ................................ 7 b. Intended use and occupancy ................................... 3. Nature of work (check which applicableS' New Building .......... Addition ......... Alteratioj~ ........ Repair ...... Removal .............. Demolition .......... Other Work..~.,4~...~/t~.. (Description; 4. Estimated Cost ........ ~ ..................... Fee .................................... ~ (to be paid on fiIing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .............. . If garage, number of ca~s ......... .~,6e.g~ ........................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............. Height ............... Number of Stories ...................................................... Dimensions of same stmcture with alterations or additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories ..................... 8. Dimensions of entke new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... 9. Sizeoflot: Front ...................... Rear ...................... Depth ..................... I0. Date of Purchase ............................. Name of Former Owner .......... ~ ~. ~,. ~ ....... 1 I. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate any zoning Iaw, ordinance or regulation: ............................... 13. Will lot be regraded .......................... ,. Will excess fill be removed from premise~: . Yes Nc 14. Name of Owner of remises .AS~:~'?~-~- eq'~/~',~./2..~.~'/~dd~es~ t:~,:~ ~ ~,,.Z~ ~,,;"~t,4~.~ ~,~ Name of Architect .......................... Address ................... Phone No. ,~ ............. Name of Contractor .,4~.~.~,~'~L'~ff.../-./-./-./-./-./-~...<~..afl....~...'/eq.. Address .~.~r.,X .~-~. Phone No../.dv~..~x'./~. .... 15. Is this property within 300 feet of a tidal wetlaiSd? *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 descriptio;a according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY (~ ................ (Name of individual signing contract) ~bove named. ]e is the ........ ~'~. ............................................................. (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this ............... ..¢. ...... day Of... ............. ~ Cou H~EN'K. NOT~ PU~c, ~ o~ Sew Y~ (Signature of applicant~ '. No. 4707878 8ufi~k ,'~euntl~ ?mm Exp res [LD, G DE~T BOARD OF HEALTH ...... 3 SETS OF PLANS .- · ..... ~ FORM NO. 1 SURVEY .......... /OWN OF SOU/HOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N,Y. 11971 CALL - (BulldOg Insp~of~for) APPLICATION FOR BUILDING PERMIT Date ................... 19., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Ifispector, with sets of plans, accurate plot plan to scale. Fee according to scheduIe. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strm or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apr- 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 penn 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 Occupan 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary~n.s. (Signature of applicant, or name, if a corporation) State whether applicant is ~7~ner, lessee, agent, architect, en~in.eer, general contractor, electrician, plumber or build ................. ..... ................................ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOL. I~ QOUNTY Builder's License No ...... .~. ~..~. l. · . ff..Y[ .... LICENSED Plum bet's License No ......................... Electrician's License No ....................... Other Trade s License No ...................... House Number Street Hmnlet Subdivision. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing b. Intended use and occupancy ..... ~~7-~. · .'W'~- · ~'- ........................ ':T ............. 3. Nature of work (check which applicable): New Building ..... '... gAddition . .~. ..... Alteration ....... · ' Rmv ' Re,o~,.r ............. e o al ............. DemohUon ........... Other Work ............ 4. Estimated Cost.. Fee ............ / " (to be paid on filing this application) 5. If dwelling, number of dwelling units / Number of dwetling units on each floor .~. If garage, number of cars ............... ,g~9/'t~C~ ................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... 4~..r.>{+5 ....... 7. Dimensions of existing structures, if any: Front .... ~ ....... Rear ..... ~ ...... Depth ....-~.. ,°~w., .... Height ............... Number of Stories ..... / ............... ~ .................. ~ ........ Dhnensions of sam~ structure with alterations or additions: Front ..... .~..~ ......... Rear....-~. ........... Depth ...... ,.,-~..~. ............ Height ...................... Number of Stories ... f. ............... 8. Dimensions of entire new construction: Front ......... Rear ...... 3. ? ...... Depth , Height ............... Number of Stories ..................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... I0, Date of Purchase ............................. Name of Former Owner ............................ I 1. Zone or use district in which premises are situated ..... .~. ............................................. 12. Does proposed construction violate any zoning~law, ordinance or regulation: ..... ~f'~. r2) .................... 13. Will lot be regraded ...... ' ........... , ..... ..... Will excess filI be removed from premises: Yes 14. Name of Owner of. premiies .. ~ .~--~.~. rfP, ~.~..r ~. Address .. ~ .o.a, ~..~./f .~ .e~,, ~/llhone No .............. "7 Name of Architect .......... ~/~f?,2. ............ Address ................... Phone No ............... Name of Contractor ~.. ,/~..q-f~ ...... Address ,t~.~. ~.~..*'.fi~. Phone No. ;p. ,c,,..~.-.-./././. 15. Is this proper~y located within 300 feet of a tidal wetland? *Yes ..... No ..... ' · If yes, Southold Town Trustees Pez~mit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ~roperty lines. Give street and block number or description ~cc/~rdin~ to deed, and show stree~nmmes and indicate w~ ~ntefiororco~erlot. _ ~~ ~ ~ /~o ,-1'-- . .. :'0e iTATE OF NEW YORK, S.S 70 U NTr~Y OF ................. ..... :..} ......................................... being duly' sworn, deposes and says that he is the applicant (Name of indMduaI signing contract) .bore named. {e is the ............................................................... (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file Otis pplication: that all statements contained in this application are true to the best o£his knowledge and belief; and that the .,ork will be performed in the manner set forth in the application filed therewith. worn to before me this 0'- .day or. .. ...... ....... .................... (Signature of applicant)