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Home My WebLink About18754-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCHPANCY No 219129 Date JUNE 11, 1990 THIS CERTIFIES that the building ACCESSORY BUILDING Location of Property 2480 MINNEHAHA BLVD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 03 Lot 57 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SAN. 16, 1990 pursuant to which Building Permit No. 187542 dated JAN. 24, 1990 was issued, and conforms to all o€ the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is NON-HABITABLE STORAGE SHED Z.B.A. APPEAL #2311 The certificate is issued to PATRICK W. LOHN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A v Building Inspector Rev. 1/81 rows xo. s TOWN OF SOUTNOLD 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 18154 Z Date 19~Q Permission is hereby gro ed ~j...!~/.+... ~.G~1 ....~/.~....Z,1~..:3......s~.~~~.....2.S..a........... to Goa, ..~~Gd,...,r.'/.?~l?~'... ......f '=~i"'_`I••• ,l .................................................................gip . County Tax Map No. 1000 Section ..........P..../........ Block ......:3........ Lot No....5.1 pursuant to application dated ,~~~J:.:...L~~t/~~•••••••••••.•••••, 19........, and approved by the Building Inspector. / Fee $..s+f•~.a~/ " ! .~lw.-..... Bu ing I or Rev. 6/30/80 l~ ~ ~ co, x ~ a ~ D~k CALL ,q VF ~ ~ a csa ~ ~ ~ - 51 f5 Q I 1 ~ ~ _ _ 2 ~ W 5U ~ ~u O ~ Y~ Ij Q fi ~ ~ ~ -...__J w i l ~ ~ ~ ~ , ~ u, - ~ w ~ ~ x ~ pi ~ ~ ~ 2 a ~ ~G.._. p ~.I~~ ~ CJ b ~ w ~ 4J. ~ ~y _t ~ 0. ~ ~ o ~ 'G. a ~ ~1 Q ~ C.Yi. MeD 1 ~ .yam ~ ~1. '~c*-q ~ v o T ; ~ j f~'`l"! 0o a ~ ; 't '1J v ~ o ~ ~ ~ ~ ~ O ~ ~ o C r ~ ( ) 1''~- x 7'f° ~i7~ W ~ 9~.0' W ~ ~ - w 0 ~ Q 1 Form No. 6~QR/ 3~~,J~" ~ S 6 'I ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 y 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. B. For existing buildings (prior to April 9, 1457) 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 o£ 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 Co 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 - Residenti//al((//$1//5//.00, Commercial $15.00 ' Date .`PA•j!l.~Q New Construction. Old Or Pre-exist/in Building . • Location of Pronerty.. _ _ ~ ~JV /~tv~ ~ • ~q~ ~ ° ° House No Street Ha et Y Onwer or Owners of Property... Y?:~LGQQ~.~..~'•~t:•••••••••••••••••••••~~•jj•'' County Tax Map No 1000, Section..~L?.~.....Block....~..........Lot...l..,~ Subdivision ....................................Filed Map............Lot...................... Q Permit No../Q.~~.Ni ..71• .Date Of Permit....~~.R~y~~.~..Applicant. ~GVC:. Ylealth Dept. Approval ..........................Underwriters Approval........................: ; Planning Board Approval Request for: Temporary Certificate........... F na Certicate. Fee Submitted: D D ~ 31~~ . . ~r/ll APPLICANT ~ . ~'o'z iyl~y _ ~ J ~ G . _ IJ n~a L ~I - v ~tl'~ Li/ 1 I 1 ~ e II a R I V\'~~,`y~ y OUND:,T20:7 (1st) c FOU!lDATZO!I (2nd) m 2. o ROUGi-I FRki~1E & I 0 ~PLUhIBING . ~ ~ ' ti y 3. ~ m n H IJJSULATIOJ7 PER N. Y. ST„TE EIIERCY CODE I / I 4 , FI:I„L t~ ADDITIONAL CO!4MEPlTS: m ~I . co x H \r A \ H O H b m H FORM NO. ~ TGtiVN OF SOUTIIOLD BUILDING DEPART1fENT TO1VN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL n ',J Date ~/v~.1.2 19l To i~. ((~i. ~~.~~`Flee?. PLEASE TAKE NOTICE~thLat your application dQQated !3?>!r.~/~~......, 19~ . for permit to GIuCG'./...4r.1~~.~?. l!fl.~ ~%x~C-l~r.R/.......~z~~~• • . • ~t Location of Property ~ ~L~i House No. Street Hamlet County Tax hfap No. 1000 Section Block Lot J~~~.... . Subdivision Filed hfap No. Lot No. . is returned herewith and disapproved on the following grounds • ~ B ldi g Inspe for RV 1J8p tirms~ ~ TEL. 7G5-1802 o~Oc~UFE~[KCOO TOWN OF SOUTIIOLD ' `a, * ~c OFFICE OP BUILDING INSPECTOR a " E~,~ P.O. BOX 728 ' " TOIVN f{ALL `'O ~ ~ ~ SOUTHOLp, N.Y. 11971 ~~ol ~ ~.a~ June 8, 1990 Patrick W. Lohn R.D. 93 Box 250 Southold, N.Y. 11971 To Whom This May Concern, We are unable to complete your Certificate oL-~Occupancy because of the following reasons. /~?J nn application for Certificate of Occupancy is not on file. CBNCLOSSD) / / No Underwriters Certificate on file. Ttie check is (~~d/not on file. ) $25.00 /u/ No Health Dept. Approval on file. No tinal ins.pccCion has been made. Please contact our office on this matter. '19iank. you for your cooperation. Building Permit 1) 1 8 7 5 4' Z Bu.ildi.nq Dcpt. / No Plumber Solder Certificate on file. . ( all permits involving plumbing being i~sucd after April 1,19B4 ) FORM N(7.3 TO1VN OP SOUTI3OLD BUILDING DEPARTb1ENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ~/v`.I.!Z 19 ~ V h t our a licatton dated 19~. . PLEASE TALE i OT1CE t o y pp / j ~Q for permit to G'~-X.d~l~4~G'//..4r. ~~??a'?. f!i7.-~ a%x~'-l=~y.V• ......~,:e:e~~ • • • •~t Location of Property °~Y.~O (1~ry!~/• - Nouse No. Sheet Hamlet County Tax biap No. 1000 Saction Block Lot c~ . Subdivision Filed ;~fap No. Lot No. . is returned herewith and disapproved on the following grounds .v~...~~..~ .~~...~~r . B ' ldi g Inspc~ for RV 1/80 ~ _ - - ~ D f~ `F~ b ~ ~ ~I 0 ~ ~ x" ~ ~ ~ 1, ~ ~ rn " ~,I °f ,3, ~ I ~ ~ ~ ~ o ~ . b n ~ z ~ o ~ ~ ~ a Z ~ ' f" O ~ i' Z } Z ~ - ~ - _ ~ ~ p - ~ " OWN ~ ea ~ ~ aaNS a Q n 0 ~ 1 ' ~ ~ ~ - RI A~ J C (1 i ~ ~ ~ < ~ ~ ~ ~ ~ ~~:1 ~ x~ ~U ~ O . , XI' i o ~ ~ ~ ~ ~G e ~ ~ ~ ~ ~ 1 ~ p ~ 'A~ a z ~ R1 ~ r', ~j~ i ~ ~ ~ ~y { PAR" 59 PARCEL. '~S8 ~ j~~ o i PARC~t~'~s7 PA~i"s< ~ ~ z ~ ~ ' ~ z i~ J''. L ~ 4--t N rn i f ~ ~ . 1 ~ 4 ~ /~d~st 4 0l a / sTY ~ ~ ~ t ~~-C,k,. ~ ~ ~ ` ~ ~M~IA/ ~ . ~~s~%~;~s _ ' S CQV~ i AOq-r wp DES K ! SLIP r~ t ~ONING f"'1.PF.EAL ~ ~~1~ J: I~QHhI +8•L. YOM ~~F//y RQ~TECT - l~ R~rr I'•')~TAL. STORAGE SHEDS DN 407 L.INE'~ L3<1Ch( 'YA /~3~~ACK W~TFiouT SE7C3AcK~ SCREEnNEG~ Wi7/-l $NRUL3C3Ero'~ /'AR('EL S7 SyED = ~a~X 1~'"!" PARCEL 5'8 ~hIED = "7~XlO~'x SefitE - ,~o.z pA-r~ta '7-6-77 ~a-~ _._~._...~_...~......~..~...~_,._.w...... _,...~.n......._.... _~a......~__._._,_ _ SWEET °`2 0`1 I S~~~OL~C' FRANK A. KUJAWSK[, ,lR., President ~ ~ ALBERT J. KRUPSKI, JR., Vice•President t1~ pia. ~ ~ . TELEPHONE JOHN M. BREDEMEYER, III ~ (516) 765-1892 JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRLSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 2, 1989 J.M.O. Consulting P.O. Box 361 Wading River, NY 11792 Re: Minnehaha Blvd. N.Y. Dear Sir: The following action was taken by the Board of Town Trustees during their regular meeting held on May 31, 1989 as follows: WHEREAS the Town Trustees have conducted an on site inspection of the subject property, Minnehaha Blvd, NY. RESOLVED that the Town Trustees approve the request made by J.M.O. Consulting for a waiver to construct deck and storage shed landward of timber bulkhead on above mentioned property. , Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK:kjw cc: Bldg. Dept. Board of Appeals file r, ~ New York State Department of Environmental Conservation ? Building 40-SUNY, Stony Brook, New York 11794 G DATE: MC~~ y~ I "!S5 / p1~„r Fcv~rcuc.~ La , X33 S- ~~~h ~~zC;cti(~~, 3(uc~, Re: /D~`6~-CAS"3 II ,1{ CC~r Thomas C. Jotting SuU~h~ ~t~ ((Ca~7~ Commissionsr Dear ,N.,, ~-L~nh A review has been made of your proposal to: r `'.l ~ ~ S ~1 -t' , 5 °~'f :2 ~ -3 S ~ ~ ~r~ c:.. G' J ~u'~S - J ?~U'~"`'p--QC~% Based on the information you have submitted, the New York State Department. `off P,nvironmental Conservation- has determined that the parcel x~`~ project is: _ Greater• than 300' from inventoried tidal wetlands(~~ ~ r- IJ' ~ ~Q~ X~ Landward of a substantial man-made structure "~^N Y!u by ~tQ"``K. greater than 100' in length which was constructed prior to 9 20 77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. _ Landward of the topographic crest of a bluff; cliff or dune which is - greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Bnvironmental.Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the , ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale, berm.; Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional ~ermit Administrator v P 4 k Applicant proposes to construct approx. 3,150 s.f. of timber decking and storage shed landward of an existing timber bulkhead. At Corey Creek, Southold, Town of Southold, N~ Wed ~g` ~;.G~s~ Suffolk County, New York. •a. •,''Q4;~ Applicant: Patrick Lohri J... 235 Minnehaha Blvd. D gib„ ft~`' pct '~~Iw~x, de• ,Scap9 .4 y . iA • fir. y~, 13 ~ ~ -Y 1f i.~r~. a Y11'yy, N ~ ~ 5.,~~~cik Coc.ind~~ !-lassfiuri ~ m . 2 ~~O~a ~ ~ 0 ~ ~~'a ~ m o?~ .r. s ~ 'C ~ X008°~'~ ~ 1 r,~ s MAR off, I ~r of t ? ~~,g S ' 'r SCALE ' I =40" .~..c--~ 0 20 40 ' ~ SHEET OF - 7~5`' J)nr,~JF,7,~srt~rr ~ - I ~ - I ! i l i II I ~ I I II I ~ I a II jl i ~ I I I ' ~ i I~ I' j li I I I i( I I ,i I - ~ I ~ ~ I ~ I - j ~ i - i Ij - II - - j -I III I - -;I l~ I, I I I ~ ~ I j ~ I I I~ i III ' ~ ' ~I ~ jR I ~i i I I i I' I' ~I I II i) I I ~I ~ I i I I ~ , - ~ - - ' - - f- - ~ ~L ~ 1 ~ .i ~ f i j~ Ij ~ ~I i II I j ~ i I ~~~I ' i ii II IUI V I I j, ~ i ~I ~ ;I ~ 'ii I! II j ~ ~I~ I i I j I II --.a. I; ! it ':I I ~I I I ~i ~ I - f I I~ i ~ ~ j .t~', i~ ,~'I ~ I j ~ i I I~ I II i ~ I I~ I~ I I - - - - ~ ~ i- _1- = - ~_I_ i I l ~ i n , i i- I j i -i-I - i it ~ ~ I 1' I I I ~ I I I ; ~ I II. I I j I i ~ .I I I i~~ ~ f. ~ I, I I I j j II I I I I ~ I ~ j ~j 1 I I~ ~ ~ ~ ~'~I I I ~ ~ I I i ~ I i ~j ~ ~ ~ ~ ~I ~ ~ i1 i .I ii~ ~I I II ~I ' i I 11. _l._'~_ 8 I I I \ 1 j I 'U~ ~ ~ ~ i I I ~ i n I II I I ~ I I ~ i n ~I ~ II I I ~ I I I j ~ t,. I , ~ 7 C x s H ~ --~---1~ _ _ ~ I . , ~ - f . •f . - _ ~ ~ Y~ ~ ~ ~ ~ rI ~ ~ ~ ~ ~ rn ~ ~ o i~ n ~ o •~6 ~ ~ R ill Z. T`r o a ~ ~ Z ~ ~ a , ~ m aaa~~ i t ~ i ~ p ~ r ~ ~ ~ a ~ n, p a• r p~ p y ~ .U c~ x Z cf o h e< j ~ ~ ~Tl o v o o Z v b m 0~ l m ~ ~ ~ ~ ~ ~ ~ ~ -w _ . ~ r ~ ~ ~1 na ~ - 1 h Q ? Rl I 1"` 45 1 4 ' . j- ESTIMATE SOUTHOLD LUMBER CO., INC. NAME __~-l~a~f t YOUNGSAVENUE ADDRESS _ _ SOUTHOLD, N.Y. 11971 - Lat7 (516) 765-2552 (516) 765-5444 JOB NAMF. ~ _ r' r r F'' This estimate, although carefully prepared, is not a gux. ~f materials required to complete your pro)ect. This estimate covers only the items listed, as li id should be carefully checked. Price subject to change after~j0 days without notice unlt_ . . Sher arrangements have been made ' nn I ~ 1 X S L ~i y, 5 ~B Y ry QC1 lt~ ~~?'ri'll~c; bold-~ ~-~r.___-ei}I~-_ ,.3/tA ~ It l~ , : i T~ <'; e' l /io , ~ t I 'i L;~" T X " t =1 ll.•z.~-P r~ 7.0 81-'~ ~'l/t~, cox ~ ~ A 77. 3r ~~~.a /3 / 0 . ~ . o ~-a _ _ ~ _ ~ c. c~ ~ a~ 26 - a o ~_._-------T 9 y~ ~~~5' ~.~.b - - _..r...~ f ~rnwv n} SPi;THOI,U. tiF:W YORK,. n.\•rt; n°g•_..`~~ 1977 u ru)~ ut• 'nlr: iu~l~r. I:u.u:u ur~ .verr:.vts Appeal ;.n !~CCd Jlll',• 6, 1.977 AC7~It r~;' 'i'.'i'r: ;F~.":IVC; !;O.\liD (~I' :\!'i'E:11a OC 'i ii'r: TOl':\ Cep SOL'TIiOLU c: r To J";u) ..~hn I3. Loretta Vom Lchn nppeuant - :;ii:::~::l:llt.''.. ~30ll1CVard Southold, D]Y 11971 at a meeting of the Loning Board of Appeats on August 4, 1977 the ap; cal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( )Request for a special exception under the Zoning Ordinance Request for a variance to Ehe Zoning Ordinance ( ) I. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article Section Subsection paragraph of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be ' confirmed because 9:55 k.M. (E.D,S.T.) upon application o~ Jean Lohn and 8. Loretta Vom Lehn, Minnehaha Boulevard, Southold, New York for a variance in accordance with the Zoning Ordinance, Article III, Section 10030 and 10032 for permission to construct accessory building on property line. Location of property: East side Minne.- haha Boulevard, Southold, New York, bounded on the north by Prieto; east by Corey Creek; south by Vanderbeck; west by Minnehaha Boulevard. t 2. VARIANCE, By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because SEE REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because SEE REVERSE and therefore, it was further determined that the requested variance ( j be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. SEE REVERSE ZONING BOARD OF APPEALS FORM ZB4 I .~e1. ..rr~ • ~ ~ After investjigation and inspection, the Board finds that the applicants request permission to construct accessory building on property line, east side Minnehaha Boulevard, Southold, New York. The findings of the Board are that the Board is in agreement with the reasoning of ,the applicant. The Board finds that strict application of the Ordinance w~,alc~ produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all praperties alike 'in the immediate vicinity of this property and in the same use district; and the variance will not change the character 6~ the neighborhood, and will observe the spirit of the Ordinance. THEREFORE TT',WA5 RESOLVED, Jean Lohn and B. Loretta Vom Lehn, Minnehaha Boulevard, Southold, New York be GRANTED permission to construct accessory building on property line, east side Minnehaha Boulevard, 5outho;ld, New York, as applied for. Vote of the Board: Ayes: - Messrs: Gillispie, Berqen, Hulse, Grigonis, Doyen. ' t - , I l~x~4n ~~wtee. C,~..eclFi ~a~i+l~r"w,in~w~ry ~a7~L B0.\K1f OF HEALTH . 3 SETS OF PL,1N5 FORMIV0.1 SURVEY TOWN OF SOUTHOLD CHECK ~ • Q .7•y~(a • • • . BUILDING DEPARTMENT SEPTIC Foltri ' TOWN HALL EOUTHOLD, N.Y. 11rJ71 NOTIFY 7EL.: 7G5~1802 GALL .~~J: • a q f1AIL T0: ~7az-~Op00~k7~~. Examined ..1. P~. s! 19 l.~ [[l~~~'T \pprovcd . 2cimit No............ ~ L~`~' LJ V Disapproved a(C ..f./. ~!.?~~'`0 . ~ ~ BLDG.OEPT. rownloPSOUnioLD (Building Inspector) APPLICATION FOR BUILDING PERMIT ~QC7f Date ~ .l.V.. 15`:.! INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspeotor, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appB- cati2in. 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. _ APPLICATION IS HEREBY MADE to the Building Departure the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk Caun y, N ~v York, and other appli ble Laws, Ordinances or Reculations, for the construction of buildings, additions or alter ions, r for removal or demol t on, as herein described. Tire applicant agrees to comply with all applicable laws, ordin e bu dine code aus ~ co a and regulations, and [o admit authorized inspectors on premises and in building for necess e io (Si;natu a of a plica/nt, or . if a corporation) .......~O,~.lj?.~~°/ , . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....~~1i1~~...... , ti'ame of owner of premises y 1~-l O. ~ . (as on the tax roll or latest deed) iC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) , ~ o Builder's License No. dd.~8.~ ..~:~.-L•"• • :~.8'~• ~ ~`I'i"~""'~ Plumber's Liccnsc No . Electrician's License No . . OtlierTradc's License No . 1 ~Z~ Location of land on which proposed work will b~ one. .!Yy~IN'~~.~1~?~>~ • , ~~V~' U~ • House Number .St-r7eet....... ................Hamlet County Tax \lap No,. 1100/D Se{c~tion . /...IUR~j'.'</.. • . • • • • Block • ~ , , , , , , , , , Lot ~ , . Subdivision vCrl~ 1l,'• ~ , W ~D•" v.~ • Filed Atap No . Lot . '(Ncunc) State existing use and occupancy of premises an/d~intendcd use and~ojccupancy of proposed construction: a. Exis4ng use and occupancy ~ U l: • •`!-1: ; . b. Intended use and occupancy ....`'r. l~ s • ~ • ' ' ~ `~'~tt++'r •~t • , , , , , 'S~AR~i$4~15t $I4tR..p~~'„y ~ et ~j~T (MRrv,+' ~ Haan IaPPlicable): Ncw lluilding AJdition .Utcration 3. Nature of work (thee}. whtch~ Repair Removal Demolition Other Rork (Description) 4. Estimated Cost O.IJ Fee , . (to be paid on filing this application) 5. If dwctling, number„of dwcllirl; units Number of dwelling units on each floor............. , . Ifgaracc,nuritbcrofcars ' 6. If busiriess. commercial of miffed occupancy, specify nature and extent of each type of use . Dimensions of existing structti'res, if any: rront . Rear Depth . Height . , Nt%mber of Stories Dimension5~o~f!~ame structure with alterations or additions: Front Rear . Depth.., t'` .IJcight..... ..NumbcroCStorics......,. Dimensions o cnt cw construct"iorj:,Front Rear ......~o........ Depth Hcicht . Nulnbcr ~f"5torics . 9. Size of lot: Front, , lQ.o~.-. ' ' Rear Depth .1 a.3. 10, Date of Purchase ~ °t,.'~„ 'S' , ~ ~ . . NSIC~~~P~rntcrtOwner .~~/`l .l~:. f? 1 I. Zone or use district in tchich premises are situated . , ~ . . I~, Does proposed constructio vitjlatc any zoning law, ordinance or regulation : I l3. 14'ili lot be regraded ~ (J., \Vill excess GIl be removed from premises: Yc • Nc l4, Name of Owner of premises . ~!~.I.!i•!iv,~'...4?,•.~{J(.l~l Address ~x.~~•'$e~~~Phone No. 7~J.°~.'~~? , Name of Architect ,Address . .........Phony, No.. . . Name of Contractor uQ!tCl!!~d(l;~ . V~."~,Y.L,~SJD!~S'/. ,Address .:~~.kdL~. ..Phone No..7~ ~"31.~ IS.Is this property loc:~ted within 300 feet of a tidal wetland? *YES. ..ti0.... *If yes, Southold Tow~t Trustees Permit may be required. . _ I PLOT DIAGRAh1 Locate clearly and distinctly al~ buildings, whether existing or proposed, and. indicate all setback dimersions from property lines. Give street and block) number or description according to deed, and show street names and indicate whether interior or corner lot. ~ . . . rATe of x~w R~:, s.!s UUtiT OF . ~A.r~.1 being drily sworn, deposes and says that he is the applicant (Name of individual si;ning contract) ~ovc named. .isthc ~W Y~-QcJ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly ~utltorizcd to perform or have performed the said work and to make and tilt this ~lication; that all statemcnu contained in this application arc true to the best of his knowicdgc and belief; and that the rk w01 be performed in [he manner sot forth in tltc application filed therewith. orn to bclorc me th`i's ^ ? `...day of . I . 19~. 1 ~~,~f~~ ark Public,, :xN.iX ~ ~-.:~.l.4,~• County ~ " 1/~/ ~ ~ dQ6~NrYnrbk y • • \ • . • • ~ • • • • • • . ~ • (Signature•of applicant) may' pw~ , f~nlwbnip~'~sN1~nMwt~,1lG~: ~ Lam'-'fRz~ ,!AJrh i~u~+ra/ 1l.t~QO ~Jt~+-~d'.`.'e,eE C/`u1~•i 1.I.7.i..~. ,?,,,ern flGc. "~-n7~{L BOdR[1 OF HEALTK 3 SETS OF PL.a1NS _ FORM NO. 1 SURVEY • • • - TOWN0I=SOUTHOLO CI3ECK •~•Q•7•`~~•••••••••..... BU1LDlNG DEPARTMENT SEPTIC FORPI . ' TOWN HALL . EOUTfaOLD, N.Y. 11971 t10TIS•'Y 7EL.:7G5~1802 CALL .7~,5:•~;~g~; ~~2~. MAIL T0: `~73-/of00 ~iJcr'.~.~. / ~ / ry lpproved f :omit Nol~l~~ ~ ~ ~~~1 U A P H3 pS ptYTED .~1 1 ~ ~ • • •DATE:• 0`~8~!M" BLDG. OEPT. D ° ..I~~ZJ.~!`~ , a TOWN OF SOUTHOL FEE: ~°zr;BY. NOTIFY BLIIL ING OEPA NT AT ~ uilding Inspector) 766-1802 8 AM TO 4 FOR THE FOLLOWING INSPECTIONS: APPLiCA lON FOR F:UlLDING PERMIT 1. FOUNDATION • TWO REQUIRED Date ~1., 15Y.~ FOR POURER CONCRETE 2. ROUGH -FRAMING & PLUMBING INSTRUCTIONS 3, INSULATION q AL CQNSTRUCTION MUST a. ~us~~gr(rjpltBsbbe completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets c~r~H~~ ~jpt glpy{llg ~IBE~ Fee according to schedule. 1 q$ l~patipdEoNladt and of buildings on premises, relationship to adjoining premises or public streets ~r ar~~n ~Ir~~ppgpjcd'.d~9GQEiffin of layout of property must be drawn on the diagram which is part of this appli- .attoa0i- S. of r, ~~~~j~y~6tion may not be commenced before issuance of Building Permit. d•D on ~p~~~•^t-~l3tRlt~ epp~4ieatiorr, the Building Inspector will issued a Building Permit to the applicant. Such peartit shat! be-l~-ept on the pre s availab_,____le for_inspection throu;}tout the work. e. ~"Apr-~tT~~--'j~glgg0'A¢~t>•o~ATused m whole ar in part for any purpose whatever until a Certificate of Occupancy shall h3~tg_ ~ggvp~{1 j~ ;f#t®IBttROffi~IHiapector. p~pQL}~ A7r ~ the Building Departure the issuance of a Building Permit pursuant to the 3uildirlg ~4i~ own of Southold, Suffolk Coun y, N w York, and other appIi ` ble Laws, Ordinances or Regulati~r~R5~>rP t m^s, additions or alter ions, r for removal or demo! t on, as herein described. Tite a~pl~m'~" ~t8" omPly~w~it~h~allaPPlicable laws, ordinaal~: e bu ding code/ ~}ous' n co a and regulations, and to admit ~uif~Stti~ e~¢,t~~..~~t~~+d in buildin; for necess3 e io ~~%r, b. FINAL 8E COMPLETE FOR C.O. . ALL CONSTRUCTION SHALL MEET (Si^natu e of a phcani, or e, if a corporation) THE REOl11REMENTS OF THE N.Y. STATE CONSTRUCTION ENERGY , , • • . • ~l . COfiFS. NOT RESPONSY"i.E FOR (Mailing address of applicant) • ~.E?,~,IGN-OR CONSTRUCTION ERRORS State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ ~~l ~ 11.x....... . . \'ameafowncrofpremises (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. • (Name and title of corporate officer) , guilder's License No. • •~''~~~~'rt~" v ~ (J~~'~~ Plumber's License No . . Electrician's License No . . Other Trade's License No . ................a Location of land on which proposed work will be done~.~,lI~~~C7J.~j y?`~ 7t • , ~1-;~~; , , v0 J Z t~~!L,~ , • • }louse Number .Street. Hatttlet • County Tax Ma/p No. 1000 Section . ,...yL~//!;;~ • • • • • Bluck ~ • • , , , , Lot ~ , , , , Subdivision t)~l-~ 1.~ W ~b,~v.~-r Ejied 11ap No . Lot . .(Name) State existing use and occupancy of premises an[[d~~inf]tennded use and occupancy of proposed construction: a. Exiumg use and occupancy ~ U ~;K~ ~-1 , . b. Intended use and occupancy . • • ~ a~FtNt~!^_'. Cdp ~R. . • • • • 'l,fn, y9snKt'R~:ataiL,;, bt"hft~`,Ameea? .»..81.8 earJr°.we'V tecW+~ stois.~I I • ( pplicable): New ISuiWing Addition , , eVtcration • , 3. Nature of worn checl. which a l Repair . Removal . Demolition , Other Rork 4. Estimated Cost ~ , lr'.t 0O ; Fee . (to be paid on Cling this application) 5. If dtvclling, number of dtvclling units , , , , , , , , , , , Number of dwelling [[nits on each flopr............. , , If gara~c. number of cars . , !i , s. , , ..t . 6. If business, commercial or mired occupancy, specify nature and extent oC each type of use , , , , , , , , , , , , , Dimensions of existing structures, if any: Front . . . Rcar Depth . Hei:ht Nunt~ber of Stories ..gut,•s~'-tr~~+i,.'c`'I~.......... Dimensions o;f same structure with alterations or additions: Front . • Rcar . . . . . Depth Ilcight . ..........Number,®,f-~S.t•srics~'.`).~.^:~ g, Dimensions o entirc'ncw construction: Front J Rear ..Ga... ,,~,,,.•'PSPlh-•~•.t~? • Height , Number of Stories .......'c.§ ,~'!~,`#n75,i"+'t:St6 ; . , . . cZ., Rcar ~:~..........:ttl .R : ; ~ • . . 9, Sizc of lot:, Front , . , , , f. c rh , . 10. Date of Purchase ~ :pr7.`~.. , , Nam of F rmcr Owner ~1.~, f'~'s•~.: i!''~.~. ~'r`F~ . 1 I. Lone or use district in which premises are situated ,fz~s:~~ ~ s~.~it$'t~~::' t . • , . • , . . 1 Does proposed construcuo violate any zoning law, ordinance or regulation: , e, • t.t§.,,;. • • , , : • , . ~~~I. g} l3. Rill lot be regraded , C .CJ. , ~ , , , , , , , , \Vill excess fill be rcnSovcil ~rom premises: Yc Nc l4. Name of Owner ofprcmises.~~n.~!G~...4'?,~,~4~fr!'lAddress~~3~~x.~?~4'.5;~;~~~;;',~'honeNo.?~?°~.'a:~~?..... Name of Architect ....Address . .'.......Phone No.. . . Name of ContractorNQ!`CF! t~d~'k''.V;~Jy~:e.,gj~){J~i..Address .~it',T,1l~,t:~. ,••!•:Phone.No..7~. 15.Is this property located within"~00 feet of a tidal .c(~C_;landt? *YES-.Y..ttO.... *If yes, Southold TownlTrustees Permit may be required-.~~. PLOT DIAGI2Ahi , .,t ~ . ,;,ti,~~ ; ~ ~ Locate clearly and distinctly all buildings, whether existing or proposed, and: indicate al( set-back dimcrsions~from property Lines. Give strut and black number or description according to decd, and shots street names andsndicate wh:the: intenor or corner lot. ~ I', M _ . ~ ~ y ~ p pGS T I d ~ ~pN~ ~ y ~`b ,.~,s ' ~ ,,,i„vp® 6 1- >a~ ~ ~ ~ paol~- ~rw1 ` fir/ ~ - r,>,TG of ~s~G';~>aai;,~ ~ 1~-- ! ^l AUNT OF . ~i..t\.-~ U.Ih S.S ~ !V . being duly sworn, deposes and says that he is the applicant (Name of individual signing ~ontract) ove named, / (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly au~horizcd to perform or have performed the said work and to make and file this tlication: that a!1 statements containcdl in this application arc true to the best of his knoa~ILdge and belief; and that the rk will be pcriormcd in the manncrsct forth in the application Glcd thcrctvith. , ~m to bciorc me this ` \ ,l ~ ..day of. 19 ar; Publi., ~~;G''~t , ~.~J, GL'~. County ~ < CLAIRE4.GLEIN ~ ~ ~ (5ignamre of applicant) ~~i oa488~ge~~t~NtMNo~lt 4 \ ''a f~ann?LaLttpYas~O~soek~ir a 1'~ ~t .