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Home My WebLink About18864-z • FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18888 Date MARCH 13, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1300 SECOND STREET & 80 ORCHARD ST. NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 7 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 1989 pursuant to which Building Permit No. 18864-Z dated MARCH 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPROVED BY Z.B.A. X3873 (EXISTING). The certificate is issued to VINKO & MARGARET NALETILIC (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ~l ~ , t~C/ (Q.~,~( , Building In ector Rev. 1/81 rows xo. s TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) x.8864 Z N° Date .......l..1'..I.!~!?~:~:Yr1.....~ ~ 19.g a Permission is hereby bra ted to: 1 1..~Z?.' ~ 6..........~ `~.~.r....~ .lrL?........~~!~-.....~ ~ y.. i i as 7....... -~~..~....s~v....~.lt ~,,.~.?A:...~3~87.~...~........`. v 7 at premises located of . ~..w~!~ ~S,:QY.~...~...... y~....':-'`!.:"':".:....1~".r.......l.Y.f.!a County lox Map No. 1000 Section(....... ~ ~.~....q..... Block ......a.::l........ Lot No...~.3.r............ pursuant to application dated .....~}........1 19.8.., and approved by the Building Inspector. J Fee ~ gyp-- ~.Ci"!..o-S' Building Inspector Rev. 6/30/80 ^ TOSFN OP SOUTIIOLD BUILDING DEPART:fENT TOS{N QALL SOUTUOLD, NEST YOLK f 1971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPAtICY ' I HEN COtiSTRUCTZON ._.....OLD OR PRE-EBISTZtiG IIUILDING.:'~...VACANT LAND_._..... Location of Propcrtp.,_1\50____:. SCCCwIO~ _S~~PJ~~ UQUSE NO_ STREET IIAHLET Ovncr or Ovners of Property... H~: weJ,.~mL: ~;~~'_°..aP\~~~\a_ County Taz Map No. IOOD Section ZZ 1~~. Block Lot Subdivision Filed Map ........Lot..__...... Pcrait tlo. ~,~~.tt~~.DaCC of ~P~,c~~/r/,~Qm,~i[ .._._..._.AppLicaoC llcalth DepC. Approval _,(j:!/!yq!.`. Undcrvritcrs Approval___L~~~!~_.__.. PLanning ¢oard Approval .___'t.~"_'_~.._,... f Request far Temporary Certificate Final Certificate .Fee Submitted: $ yC. rev. !0/14/88 Qom. 3ry9fiia3/ na ~ D b ~ U L u FORM N0. 6 TOWN OF SOITTt10LD BIIILDING DEPART2tENT TOWN MLL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to [he Building Inspector with [he following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural ar Copographic features. ' 2_ Final approval of IIealth 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 thaC solder used is system contains Iess than 2/10 of 1Z lead. 5_ Commercial buildings, industrial buildings, multipte residences and similar. buildings and insCallations, a certificate of cade compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board Approval of completed site plan requirements. 8. 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by [he applicanC and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire Lot prior to April 4, [957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing Co the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C_ For Vacant Land Certificate of Occupancy: 1_ An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of CiCle issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall stare the reasons therefor in writing to the applicant. D_ FEES: 1. CERTIFICATE OF OCCDPANCY - New Dwelling $25.00, Additions [o Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing duelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 pears - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $J.5.00 Residential $50.00 Commercial `Y d w $ A as ~ ~ SoufhoI To n oard of ppe l ~ o_, •~~C' M D((~~ (S""~~T(~A/TE ROAD 25 SDUTHOLD, L.I., IV.Y. 11971 ~o% 'ryY ~ ~ lam', Ll 1~.~I ~ TELEPHONE (5161 7651809 I y ~Y 9,~ APPEALS BOARD ~ ~ ~ ~ ~ ~ ~ ~ MEMBERS I ti GERARD P. GOEHRINGER, CHAIRMAN ~_~_-~.......~-•m~'~~ CHARLES GRIGONIS, 1R. TOWNLUP SOU HOLi7 SERGE DOYEN, JR. JOSEPH H. SAWICKI JAMES DINIZIO, JR, f , ~ e ACTION OE THE BOARD OF APPEALS Y~c. t Appl. No. 3873 Matter~of=V=NRO__NALETIL-IC. Variance to the Zoning Ordinance, Article III A, Section 100-30 A.3, for permission to construct a deck ad ii-;on, construction exceeds permitted lot coverage obis R-40 Zone District. Property Location: 780 Orchard Street and 1300-2nd Street, New Suffolk, County Tax Map No. 1000, Section 117, Block 7, Lot 22. WHEREAS, a public hearing was held and concluded on December 19, 1989 in the matter of the Application of VINKO NALETILIC under Appeal No. 3873; 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 Orchard Street, Town of New Suffolk, and is identified on the Suffolk County Tax Maps as District 1000, Section 117, Block 7, Lot 22. 2. This is an application for Variances from the Zoning Code Article III A, Section 100-30 A.3, for permission to construct a deck, proposed construction will have insufficient lot coverage. Page 2 - Appl. No. 3873 Matter of VINRO NALETTLIC Decision rendered January 22, 1990 3. Article III A, Section 100-30 A.3, No building or premises shall be used and no building or part thereof shall be erected or altered in the Low-Density Residential R-40 District unless the same conforms to the requirements of the Bulk Schedule and of the Parking Schedule, with the same force and effect as if such regulations were set forth herein in full. 4. In considering this application, the Board finds and determines: (a) that the circumstances of this apn~ication are uniquely related to the premises and its Pstablished nonconformities; (b) that there is no other method for appellants to pursue; and placing the proposed deck in any other location on premises will still require other variance relief; (c} that the area chosen for the deck 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. Dinizio, it was Page 3 - Appl. No. 3873 Matter of VINRO NALETILIC Decision rendered January 22, 1990 RESOLVED, to GRANT a Variance in the matter of the application of VINKO NALETILIC as applied under Appeal No. 3873, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the deck remain open and unroofed. 2. That there be no further building, or expansion of decks, etc, on this premises. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, and Dinizio (P.bsent Joseph Sawicki). This resolution was duly adopted. x * x df ! -"g GERARD P. GOEHRINGER, CHAIRMAN _cLJ i::S: =...iJ:i I(U:.:a II ~i:.`ti4ENi 1 . II m =OUtID„^TIO:J (1st) ~I ~ - - ` • ?OUtdDATIO;Z (2nd) I y m _a - - - 2. I~ II o OUCH FRAifE ~ I •PLUMHIfJG N 3, I ~ m n ~IISULATIOf) PER N. Y. I y STATE EPIERGY I CODE I~ II ~ 3i3 I ~ ~ .Ja I I FI:1AL ( • I o ADDITIOflAL COM^fE1;T5: m • x -o H 9 9 ' H H O m r • - / -a ~ o. m ro .d oc~~FFQiA~C~ ~ ~ VICTOR LESSARD ~ < Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1179 (516} 765-1602 ~ Southold, New York 11971 FAX (516) 765-1823 ~~.f(O~ ~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 2, 1990 Vinko & Margaret Naletilic 150-16 24th Road Whitestone, N.Y. 11357 Re: 780 Orchard St. & 1300 2nd Street New Suffolk, N.Y. Suff. Co. Tax Map #1000-117-7-22 Dear Mr. & Mrs. Naletilic: We have received notice from the Zoning Board of Appeals that your application for a variance for a deck addition has been approved. Please submit two checks to this office. One in the amount of $50.00 for the building permit, and one in the amount of $25.00 for the Certificate of Occupancy. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Vincent R. Wieczorek, Ordinance Inspector VRW:gar FORM NO. 3 TONN OF SOUTIIOLD BUILDING DEPARTbIENT TOiVN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL t~ / Date . 1.-.~ 19 .~r. . Aso.-!6.... a..~ ®Pd' . PLEASE TAKE NOTICE that our application dated ..~!?j~~~ 19 . for permit to . ,~L;ca-~`7.4!?ti at Location of Property r~D ..~2C~~~~. ~ oQ; , , , e!!!'; House No. Street ~ ~ ~ ~ Ha et County Tax Dfap No. I000 Section 1.~.~...... Block ......7...... Lot Z Subdivision . Filed Map No. Lot No. . is returned Herewith and disapproved on the following grounds .U . ..45~~j44~....1.Q0..~Q3.4~. f/....3.... ..G~°"~-cY~'S~4t~~'?y.~.~~yG`~.~..e~ c/ r~'JJ~- /lding nspector RV 1/80 o~~~FOL,~~~ VICTOR LESSARD ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR P.O. Box 1179 (516) 765-1802 °'r' Southold, New York 11971 FAX (516) 765-1823 ~O"~[/ ~ ~~0~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 26, 1989 Vinko & Margaret Naletilic 150-16 24th Road Whitestone, New York 11357 Re: 780 Orchard St. & 1300 2nd Street New Suffolk, N.Y. Suffolk Co. Tax Map #1000-117-7-22 Dear Mr. & Mrs. Naletilic: We still have not received the necessary building permit or Certificate of Occupancy applications as requested. We have not received a current survey either, We must have these papers immediately or we will start court proceedings which may result in fines. This is your final notice and you must respond within 5 working days of receipt of this letter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Vincent R. Wieczorek, Ordinance Inspector VRW:gar (cert.mail) ~~~~8~~ - Gam, V(,a~P_e.,~~. ~-a,,,,,,~,~ L~,.~t-tee a.~C ~ Gk~:e.. CU , 7lL 38.4 - ~nti . I/1,.r ~a u.~a ~ u - c.Ql, - ~ cil~t~2~,~-a.~ r - o5UEF0[/~c0 VICTOR LESSARD ~ ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ ~ P.O. Box 1179 (516) 765-1802 ~ Southold, New York 11971 FAX (516) 765-1823 ~~Ol ~ ~.a0~' OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 14, 1989 _ ~ . l~, Vinko & Margaret Naletilic 150-16 24th Road Whitestone, New York 11357 Re: 780 Orchard St. & 1300 2nd St. New Suffolk, N.Y. Suffolk Co. T.M. #1000-117-7-22 Dear Mr. & Mrs. Naletilic On April 13, 1989 we received check #578 for $50.00 and #579 for $25.00. There was no completed Building Permit application nor a completed Certificate of Occupancy application. The survey that you sent is from 1960 and does not show the location of the deck or house as it now exists. You must submit the applications and survey immediately to avoid legal action. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Vincent. R: Wieczorek ordinance Inspector VRW:gar lr , ~ ~y r ~[f1 ~...,~..~~'~1 ~ Jry APR 2 6 1989 c oS~FFOl/('CO VICTOR LESSARD Z Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ ~ P.O. Box 1179 (sie) 765-1so2 ~ Southold, New York 11971 FAX(516)765-1823 ~.{,,0~ ~~~Q~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 14, 1989 a ~ ~ Mnr 3~ r,: Vinko & Mar aret Naletilic ,1 g u~ 2E-JG. DEPT. 150-16 24th Road TG4NN UP SOU~rG~e Whitestone, New York 11357 Re: 780 Orchard St. & 1300 2nd St. New Suffolk, N.Y. Suffolk Co. T.M. #1000-117-7-22 Dear Mr. & Mrs. Naletilic On April 13, 1989 we received check #578 for $50.00 and #579 for $25.00. There was no completed Building Permit application nor a completed Certificate of occupancy application. The survey that you sent is from 1960 and does not show the location of the deck or house as it now exists. You must submit the applications and survey immediately to avoid legal action. Very truly yours, SOUTHOLD TOWN~BQU~ILDING DEPT. Vincent R. Wieczorek Ordinance Inspector VRW:gar ~SUFfOL,YCO VICTOR LESSARD ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ !;i P.O. $ox 1 179 (516) 765.1802 ~ ~ Southold, New York 11971 FAX (516) 765.1623 ~ ~1D~ f _ t-, - - W f3...." OFFICE OF BUILDING INSPECTOR ~ ! 3 TOWN OF SOUTHOLD B(-OG.6ePT•~ ~ 1nWN OF S'JU7Y,pLD April 6, 1989 Vinko & Margaret Naletilic 150-16 24th Road Whitestone, Queens, NY 11357 Re: 780 Orchard Street & 1300 2nd Street New Suffolk, NY Suffolk County Tax #1000-117-7-22 Dear Mr. & Mrs. Naletilic: We received the plans for the deck. We also need a survey showing the deck location and setbacks, a Building Permit appli- cation and check for $50. You will also have to submit an appli- cation for a Certificate of Occupancy and a check for $25. In order to avoid any legal action you must resolve this matter immediately. Thank you for your cooperation. Very truly yours, SOUTFi.OLD,TOWN BLDG.DEPT. ~ . Vincent R. Wieczorek Ordinance Inspector VRW:smw ' . ~ oSUEFULfr~~ o VICTOR LESSARD ~ - Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR r~ t`; rn P.O. Box 1179 u''` ~ Southold, New York 11971 (516) 765-1802 yO~ ~ ~ ~ FAX (516) 765-1823 sw'' "~pl OFFICE OF BUILDING INSPECTOR TOWN OF SOIJTHOLD April 6, 1989 Vinko & Margaret Naletilic 150-16 24th Road Whitestone, Queens, NY 11357 Re: 780 Orchard Street & 1300 2nd Street New Suffolk, NY Suffolk County Tax #1000-117-7-22 Dear Mr. & Mrs. Naletilic: We received the plans for the deck. We also need a survey showing the deck location and setbacks, a Building Permit appli- cation and check for $50. You will also have to submit an appli- cation for a Certificate of Occupancy and a check for $25. In order to avoid any legal action you must resolve this matter immediately. Thank you for your cooperation. Very truly yours, - SOUTHOLD TOWN BLDG.DEPT. Vincent R. Wieczorek Ordinance Inspector VRW:smw oc~~FF01/CC0 VICTOR LESSARD ~ < Town Hall, 53095 Main Road PRINCIPAL BUILDINGINSPECTOR ~ l~i P.O.Box 1179 0515) 755-1ao2 ~ Southold, New York 1 197] FAX (516) 765-1823 w~.yli~~ ~ ~1v0~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 22, 1989 Vinko & Margaret Naletilic ,1 150-16 24th Road Whitestone, Queens, New York 11357 t' Re: 780 Orchard St. & 1300 2nd Street New Suffolk, New York Suffolk Co. Tax Map #1000-117-7-22 Building Permit #15617-Z ~ Dear Mr. & Mrs. Naletilic: During an inspection o£ your property on February 21, 1989 a new deck addition has been constructed and a Building Permit has not been issued for same. Your permit #156172 has expired and it did not include the deck addition. According to the Code of the Town of Southold Art. XXVIII Chap. 100-281 a Building Permit is needed for a deck addition. A Certificate of Occupancy, Chap. 100-284, is required before the deck may be occupied or used. In order to avoid any legal action, you must contact this office and resolve the violation immediately. Thank you for your cooperation in clearing up this matter. Very truly yours, SOUTI30LD TOWN BUILDING DEPT. Vincent R. Wieczorek, Ordinance Inspector - _ - _ r C l v- l a 2 °t T k 12.0 "l.U-~~.~..=`at ~ G~ u.a~e=voa.,~ I.~, Y, if331`' (1.~. 7 8 o d ~.~c~=~..~~y ~c.~'', 6 3 r~ o z ~.1 yt.~.,, ~ x . Y. S~~-~~ C0-~,,,..~~ ~ `~c`-7C ~ 1Op0 -117 - 7- 2 2 J / ffL+' ~ /l.°~L`"'~°' r ~~"-2_-.,~- ~t~, Carr CX,~',~.,4~._, ~ G£X-~'" rte. l.^~- .fd.~i~ttt,+~i,~°'~~ ~ ~ r '~~/t. ~ ~t::'~c II . _ ly !r'~,.~~., ' G.. li C{J-~~CJ~-f~,~:~ ~V°'vM..~~^.#~ 5 t ~ ~i , ~ V ~t. /~.J jj Q,r,,jY . _ t~d~Gc,~2~ ~ ,1 f r i 'I I I 't r C, ~ 3D t 6 ~ Y Ae~-~, ~ ~ J`~-y±''" l/ / Fig n cit. C..d~'~" ~(~Oa - e? 2 , l i t~..~_,i~ ~ f'.~.tit.~r,~ ~t ~ 4_t..t?~~, 1d,~GJ-7.- a..~ '~y(r * ~ _ ~~t'' ~~I'~~. i t. --,~f li7_ 1. ~ ~ ;:lt~„f~ ~-~.Q. ~,k:~tt-~Q..a-.~w~~ r3 t~'i ~s ~ ~X~* fir.,.: .~t`C-t- <;f~ !Y'. vl.attJ-' ~ . Lt.. 11.t.!~e...-:.i l'..Lt~kt-a '~.E' t,..{,~+e?. L.1,~-e"~ ~`~PJ: ~ ~ ~ ~ ~ r~ ~ c t ~ , V ~~.UJ _ f~ _ ~ ~I - !,I "I is ~shf .yk - ~ . eF~a - _y -'-'---^F-.^-.- ~-'-e.^^'~^^e^`- _-,,..-.w'-T'- ~ - -ter T'.:-. ~k ki,~y.. :ar ,2w' s;. r r zv. 'r :tee - 1~ y1Y.. ~b~ k_ y y r^v~ w r r .4 2 ~ -~'f~ r? - ti r ~ t -T• f ~ - J ' FM7~L' 12° NOV'iii~ a ~ ~ ~ i1 _ r"°~ ''K ~`i S pb"4g~ t0"~~ iOi.62t y ° 46-4 ;.i;. ~ r ~ , } :s.. ~ , ~ ~ t ~ +i~v',` ~ ~ 2x75 ('Jto¢`??'a ~ ~ ~ - QN ~~i ar ~i J I ~ ~ i t - 9 to _ ~ ~ : ..,W.,.. - - 3. 2 . ~ f}~ LAU» to - l r =r OF S 1 t - , - - n . r4~w . / f - t. o =,2ja•,s` ~~iv ?.to ~.1~atJ.~ SUFPUL.K.~~. r.nz*o~a,& v: ihts (~a:uir'ui ' ~ l excep` by n Lkense0 Pro . ~ .;.,Tcaw~oFSoU.-~r-tai~,N~.'~; sional EngSneer, is lllegai'; . ` ~ _ °3 - 5ecsion 729, Sub~ilvtsloe - _ 3cw~~s-: 1t~=2o`--0 ~ AI. Y. Stall lvluorrnotl l ~ , S r 'a~ j b n N._ ' ~ ~ ~ ; Y ' - B0.1RD OF HE.aLiH 3 SETS OF PL.1N~,Q~j;~,,,, ' FORM17 N0.1 SURVEY TOWN OF SOUTHOLD CHECK , , , , . , , BUlLD1NG DEPARTMENT SEPTIC FOR:1 , , , , , • TOLVN HALL SdUTHOLD. N.Y. 17371 NOTIFY - TEL.: 7G5.1302 CALL . . . Examine! 19?D. MAIL T0: .\pproved ~.3..., l~.a .Permit No? ~8(D7 . Disapprovedalc C~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ~`u?-~.~~.f...., I` INSTRUCTIONS a. TItis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and oC buildings on premises, relationship to adjoinin>^ premises or public si ar areas, and giving a detailed description of layout of property must be drawn on the diagram vrhich is part of this 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 p shall be kept on the premises available for inspection throughout the work. • ~ e. No building shall be occupied or used in whole or in par[ for any purpose whatever until a Certificate of Occup shall have been granted by the Building Inspector. APPLICATION IS HEREBY Ia1ADE to the Building Department for the issuance of a Building Permit pursuant t~ 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc Rcculations, for the construction of buildings, additions or alterations, or for removal ar demolition, as herein descz+ iite applicant a_rees to comely with all applicable laws, ordinances, building code, housin, code, and regulations, an admit authorized inspectors an premises and in building for necessary inspections. • (Signature of applicant, or name, if a corporatton) • (I.Saiiing address of applicant) State•vvhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or but ~w~.a~L wS ~CttZ............................................................. Fame of owner of premises e!.^.a-.•..~.`•':~:2'c • ~?•05.'*_ . (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporapte officer) r Builder's License No. ~ 7 . l . ~ • ~L ~ ~u ~ l Plumber's License No . Electrician's License No . . Other Trade's License No . . Location oCland on which proposed work will be done. ~.LE: Co2.JC IL O ~ ~Q.+~a'C. a L7~ House Number Street, Hamill County Tax \lap No. 1000 Suction ~ ; Bluuk , . , ; .l, , , , , , , , , , , , , Lot . Subdivision F.ilud Map No. Lof ~(wautc) State existing use and occupancy of premises and in[cndud use and occupancy of prcposcd construction: ~ ~ a. Existing use and occupancy~~:T- • ~ b. Intended use and occupancy ~ • - • • - 3. Nature of work (c ck vvnrch appiicable): Sve~v Uuilding Addition ,Utcratton Repair , , Removal . . Demolition Other l1'ork , (D :~rtpt 4. Estimated Cos[ ~o~: oo Fee r ([o trc paid on filing this application 5. IC dteclling, numtrcr oC Swelling units , , , , , Number of dwelling units an cacti Roor If garage, number of cars . . 6. IC business, commercial or miscd occupancy, specify na4ure anel extent o(cach type o ~ use , , 7. Dimensions oC existing structures, iC any: Front ; , , , , ,Rcar y..... Depth . , tp,t, ; Hci=ht ,.Z.S~,,,,,,,,,NumbcroCStorics,.:d•;~,.,,,^C,,,~q,,,,,,,,,,,,,,,,,,,,,,,,,,, Dimensions aC same structure with alterations or additions: Front .3`,'~ ~ .Rear ~.r~... :`,t~`I Depth..,,;:~.~!,:.`-~;i.......flcigttt,.,,2.j•t,,,,, ,,,.NumberofStories.•:'1.Yx>:4.......,,- • Dimensions of entire new construction: Front 3~`, : y r`• , Rcar dy.~ :.`•j..... Depth `~!~t, ; Height , . , , ,'a.,~, ~ , , . , , Number of Stories , , ;C a 9. Size of lot: Front . , .....ia.G,', , , Rcar ..........b Depth °.'t :.bZ t.. . 1Q. Date oC Purchase , , ...................Name of Former Owner 1 1. Zone or use district in ~vtriclt premises arc situated . , , , , • . . . . . . . . . !3. Does proposed construction violate an}• zoning law, ordinance or re;ulation: .........................No 13. ~l'il( lot be re_raded , . ~Yill execs fit] be removed from premises: es 14. Name at Owner of premises ..?t, _ .RS P ~~,'r;+ ~ j!'.-, ,Address .2, ,',-.$~9-~~Q?:~ . ".'t:5 Phone No............ Name of Architect reonv~cr:. ~~\~~s ~ e E. Address 4~s.C-r• Sw«..:sQys;•E ~t~v7Phonn No.. ,-.3•:-. Name of Contractor ..........................Address ...................Phone No........•.... 15.Is this property located within 300 feet of a tidal wetland? *YES....t10, YL *If pes, Southold Town TrusCees Permit may be required. _ PLOT D1AGR.1Si Locate dearly and distincti}• all buildins, whether existing or proposed, and. indicate aII setback dimensions property Lines. Give street and block number or description according to deed, and show street names and indicate wh= interior or corner lot. v T,\TL Or XEtiY YOR1:, S.S OL1\TY Or bcittgdul}'sworn,dcposcsandsayst}ratheistheapp[i (\amc of individual signing contract) •occ named. , :istftc (Contractor, agent, corporate officer, ere.) said owner or orvncrs, and is duly autltorizcd to pcrfornr or Itavc performed [lrc said work and to make and file ~licatton; that all statements eontainrd in this application arc true to the best aChis knowledge and bclieC;and iha rk wi)1 6c pctiomted in the manner sc[ forth in the application (71cd tircrctvith. om to before me this _ \ o?~ day o-f/.. 19 a:; Public. t`i~Qµ:.~}... C-. 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