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Home My WebLink About18708-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18981 Date APRIL 23, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 2i~55C. COUNTY ROAD #48 CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 96 Block 01 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 18, 1989 pursuant to which Building Permit No. 18708-Z dated DECEMBER 28, 1989 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 INSTALL WHOLESAhE RAKF.RY & FOOD PRncFARTTif: Fnrrr.Tmv Tu nu The certificate is issued to LOCAL TALENT INC. (lessee ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - APRIL 16, 1990 PLUMBERS CERTIFICATION DATED APRIL 18, 1990-PECONIC PLUMBING & HEATING Building Inspector Rev. 1/81 rows xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT N~ (THIS PERMIT MUST BE KEPT ON 7HE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~~~®~ Z Dote ....~.~~.~~~. ....,, 199 Permission is hereby ranted to: , . . .. . .~. / ~~. . ~ ~~ ..... .... .. ~r~ ... ............ .... ... . ... ... ~ .. . ~ ~~ t/~ :. .. ct premises located of ..c~1.`~....,al.:.t .. ........ ..... ..I~.....~4~.........7:`D.............................................. County Tox Map No. 1000 Section ..........%~...... pursuant to application doted ..........1.`~./,~f~.. building Inspector. / D Fee $.l...0 0 ............................................................................ ............................................................................ Block .........G.2~...... Lot No......d•/............ ........................ 19~~.., and approved by the ~uildi... ~ .... ....... .. .,1~........... i~~ nspector 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. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 19 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, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I 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...........•O~l-d Or Pre-existing Building.......... ~° Location of Property..C~7.~ J...~ • . • .~~•rJ%~t-~f-. • • • ~ C`=~"~ • • • • • •l/ House No. Street Haml Onwer or Owners of ~..~ ~~• Property.l-h~.~.H.':: ~-: :• ••••• ••••••••••• ••••••••••••••••••• County Tax Map No /, 1000, Section.....%.~.....Block ...... ~.... // .....Lot...` ................. Subdivision..........Q( .....................L.,./...F/ileGd Map............Lot...................... Permit No.. J. 8..7afJ•~Date Of Permit. o4~/~t;?~fj.~.Applicant. ~ :... i.r ~ :~~~r. J.`v.C- Health Dept. Approval.. ................./....Underwriters Approval. v..................... Planning Board Approval ........................ Request for: Tempo rry Certificate........... Final Certicate... ~.... Fee Submitted: $~-d..~ Q ................ APPLICANT ~. cod I$ys( Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD *,s~s W w n 4~! . L~Nx i3, ,...~ ~-~ti_. j~It~~„,,~1, November 27, 1989 Victor Lessard Building Department Town Aall, Southold RED SCTM~ 9&-1-19 Dear Victor, The Planning Board has made a one year review of the above referenced property. 'She applicant has a certificate of occupancy. A special exception was granted by the Board of Appeals on April 27, 1989 stating that vehicles stored outside of the building must be licensed, complete, and only located in a screened-in rear yard area. The Planning Board Staff found six vehicles unlicensed on the property, and the rear yard storage area was not screened. Sn addition, some curbing was missing in front of the building. The curbing found on site was wood, the site plan called for concrete curbing. V y truly your , s°' 444 ppp~~-~~~ Bennett Orlowski Jr. " Chairman cc: Arthur V. Junqe 765.1862 LDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL /~ `~~~/ '765-18®2 ` / i BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~`rI-" (/ ,'t.~'~" - DATE ~ 1 ~ ~ ~ / ~ INSPECTOR r'1P:LD I;:S:'?C:1U17 ~~DniE ~ i;OMNlENI° r--- . 7. ,v ~ a - - - 3 H r0U1JDATI01v (1st) - -- `Yl C FOUNDATIOIJ (2nd) _ ~ , 2 . _ ~ z 0 P.OUGH FRAME & PLUMBI G N ~ 3. m m IIJSULATIOPI PER N. Y. .. '~ STATE ENERGY CODE 4 . •-- ~ ~~ ' ~ FIiJAL v (/ - ADDITI P COMMENTS: ~ ~' ..~ ~\ 3 •. x~ ro •~ M ~ ~• c ~' H '\i z ~ ~~ I • ~ [*] _- - \f\ ~ . c [ Y y , ~ .. b H ~ °C1 O ~~ i LION O I SUFFOLK COUNTY DEPARTMENF OF HEALTH SERVICES ` PALS CONS CHGE i FOOD ESTABLISHMENP BISPECPION RF.K)RP I OF NEW ELT Q ES~I.D. A~RF'A~ QSS~ U E~AB ~ U C' f} E -(- A§ ~ , ~ C ' C ~1. ' / `l Ap~IV. Y ~ T AC TY Qfl1~R'S NAME ~ ~/ E a CORP. NAME ~'/ 9 ~ * ESTAB. PHONE # 3 ~ - S Y CORP. ADDRESS C~ G1 "'~ ~ ~ ZIP CODE 3 WATER SUPPLY SEH7AGE DISP. FR02EN DESSERT 3 ~CO~DE~ ~NUMBSR ~ a 3 DA 'FIB ~ I~NSPOF AM- WATER ?Q. DAY YR. C ~ SI@I YES n EIX~JNIIC YES ND S.A.F.E. I .2 3 VIOLATION Q Q CIASSIFICATIGN Q 0 REIIiSPfXTICN DATE _ PA[YP 1: RED CRITICAL I7Trv5 S[k4IARY OF VIOLATIONS ITEM N0. . ,,. ITEM,,, '.NO: ,. DESCRIPTION OF VIOLATION ~ ~~ THESE Y1~iS ~RELATE'DIRECTLY Ttl FACTURS WHICH LEAD Tt7 EUOD~RNE ILIS3ESS AND MUST RECEIVE II~4IEDIATE ATFc'PJTION GATE CORRECTED Q ~'~ ^' i6'IKf~bfYR' IpM~bBiOil~tlN 4' AkNd/ m- r if JiP.~iM 1rq •sn^ :n, ^ rv~:=.r iiY@" " Yfl0 bi R~ _ SO ~ ~'/GO PART 2: BLUE MAINTENANCE ITE[+S SUMMARY OF ITEM VIOLATIONS N0. ITEM N0. DESCRIPTION OF VIOLATION THESE ITEMS RELATE TO MAINTENANCE OF THE FOOD SERVICE OPERATION AND CLEANLII~S.S. 60RRECT AS SCHEDULED. ~8~f ~ Sr /(/U S as , o~- 6o S~ -,~ 3 ~ Q ._ 3 ~ ~ ~ ,~ ~ / d < <„ ~~ : THE MARKED ITFMS ABOVE ARE VIOLATIONS FOUND DURING AN INSPECTION OF THE OPERATION OF THE FACILITIES IN THIS ESFABI.ISHMENP (WHICH MUST BE CORRECTED AS INDICATED. FAIL T'0 OMPLY MAY RESULT IN THE INITIATION OF LEGAL ACTION AGAINST THIS S SPENSIOiN OrF YOUR FOOpEOPHATION~ANDOR Tim PITBLIOCATIO OF~T'fIE~V_IO~TION AND FINES INQ.UDING,A HEARING, POSSIBLE ~.~ SIGNATURE OF PERSON RECEIVING REPORT J r~ C~1-f .~ J~ 'n ~~ - ~ ~ U SAN.I~~ N0. j11SPECPION STATUS ti G .~ ~~g QQ ,41~, Y<, i~~~ Q b t Iu~ m J m o _. y °,' ~:n U ~ ~ N~ y~?~ S -~ a ° t~1 > ~ Lv pN Q i ~ i . U ~. ~~ }~ "~" Z /I L Q ~ r/~° ~'I `~ W V l i ^^tt U L L:. ~ d F- ° aL'g F`g Yi~ Gb£g .,fra €~c Syy 'v ~ 2Rc ~~n ~e -~ ~_ V ~ _ $~ ~ U =s',1 ~ 0 o 3 - 5 ~ s „i c ~ « S ~ts¢ ~-- - -~ II ~b~Jrj i 2i.'E92 ~ •~n ~ ,~ - " - __ z w ' ' ?- - ~ N-- -$ - r ~ I I ~ ~ l i; ~'"~ ___ ~ n Q ~ r ~ a + _ ~(mg $ 3 ~i ~ • i I F '- ~ ~ '~~ \ . ~' 1 ~ F UY - ; ~, ~%y F I B9'Z52 M OZ,9S 0'iT >~ ~I?J dry G!~ ~z ~: S ~4 ~~ ~i m% R° I ogoV', sl ao~ 4 Z '~ a L i m ~`. 3 .~ ~ a E ,,i CpS ° HCl n\ i •uvt f 1~ 2 ~~hB~s`j 1 z ~ ~ R t . ~`~.'S J ~'Y,_. 1dh :n l:r .~ ~I 1\!:~ e ~~~ (y N;-A-' ~i~ I z ~ ~ ~ ~~ „ y ~, m I ~,. o I~ 7~ `~ ~- ~ ` ~.~~. 0 ~ ~~ ~ 111 z , v~ ~ } I d ~ ( • l Y y~ W ~' ~ i in i t ~ ~ ~ yy rr ~ ;' ~ W g I ~I rn ~ o i ~ ~~ I ~' a ~,. ~ 4 f . 1 i o~oc~~FFOL~ c0~/ TORN OF SO~JTHOb,D ;~ r'~' l:ti~"~' ~ OFFICE OF DUILDII4G INSPECTOR ~ ~: .. -_ o ~t~,, rt., P.O. DOX 728 t" ~~" _~t~ TOWN HALL -~ `~ ~~' ~ ~'r SOUTHULD, N.Y. 11971 o~~~l ~ Yob C E R T I F I C A T I O N TEL. 7G5.1802 Aate ~1~{~~~~~~ 8uildirg Permit Na. ~~Z..~G'~~~^/~„ , ,~~G~ Ownerl~y ~~ (please pr' ) Plur..ber ~£~O/~/C. ~Ls!//~2~j/N//~/Y~/~//1/y' (please print) T I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. ,. Sd~/..~i"~GC~.s p ^~~~~~ tuber's signature) Sworn to beforn_ me~tris 1~day of L~79t~ _.,~' 19~. ~77ff Notary Pub is t7otary !'ublic~ -- County s~f~aat~easr~pwtovastcf " - Nntary i~ubfir„ Szato of New Vork No. aaf~47f72 Qualified in Suffolk Courrty Comrniasion Expire30, 9~~ 1 P~ 7n A ~ ~_ [A. THE NEW YORK BOARD OF FIRE UNDERWRIfiERS PAGF, ' 7.000460 BUREAU OF ELEGTRfCITY 83 JOHN STREET, NEW YORK, NEW YORK. 10038 - b$dOb$90/90 N 12$49b 1990 NAY 15 ; ApplicotionNo.onfile Dote THIS CERTIFIES THAT only tke electrical puipment as described 6ebro and introduced by tke appikant Homed on tke abode applkation rwsaber in tke premises of UNGE, 'Ll$55 CTY 4ti, CUTCNOGUF, N. Y. LOCAL TALSNT/ARTRUR in theJdbrcinq lTrcatApR~IL 16BateF~gnt L~ Ist Fl. ^ Ynd FI. .Sectinn Bleek. Lot 4 1930 and found to be in compliance with tke requirements of tku Board. wss examined on , RXTURES RANGES tbOKIN6 tNCK5 OVENS DISNW EXHAUST iANS RXiWE AClES SWROIES OUTttif INCANaEECEM.FIVORESCENT OTXEn AMi. K.W. AMT. K.W.- AMi. K.W. AAa. K.W. AMT. H.P. 7 21 6 7 DRYERS wRNACE MOTORS wTURE Ar#IANt! iuRERS sVEUAI txc'eT TItAE Clt)piS REta UNIT t1E11TRAE tAULT40UitET CMRRTIIK AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W.O. AMT. AAV. AMT. AMPS. TRANS. AMT. n P. ~r~ ~T AMT. WARS :+ zo 1 F SRRVICR OKCOlINRCT NO.Oe 5 E R V ~ I c E AMT. AMP. TYPE ~. ~ / tW 1 / ]\Y t / ]W 7 / iW NG.O~R sGONO. oP CC CGOiq. NO. of IN.IFG Gf ~ G. NO.OF NEUIIIALS a r EuTGMt OTIIlR AlMRATUS: PANBLBOARDS:1-1$ CIR. 15p .Po'( JUNGC ARTHUR LIC.62142-6 6$$0 NASSAU PT. RD, CUTC80GUB, NY, 11935 O~IIRAI RiRNA09 11 ~ Psr ~~ This certificaN moat not be oherod in any manner; return to the office o4 the Board if incorrect: Inspectors mqy bsjideMSied bY. their credsrMiala. COPY FOR Bt11lDING DEPARThR:NT. THIS COPY OF CERTIFIGITE !Al.ST'NOT 6E ALTERW IN AHY hMINER. '~,~ ~- .;. U,w Town hoard of Appeads ATE ROAD 25 SOUTHOLD. L.I.. N.Y. 11971 TELEPHONE (5161 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appl. No. 3705-SE ` ~C,~ p Application Dated December 16, 1987 _l~Y" "KU" - TO: Mr. Arthur V. Junge ~` 6880 Nassau Point Road Cutchogue, NY 11935 ,~.~-~-- ~~ ~ [Appellant(s)] At a Meeting of the Zoning Board of Appeals held on March 3, 1988, the above appeal was considered, and the action indicated below was taken on your [ ~ Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [X] Request for Special Exception under the Zoning Ordinance Article VIII Section 100-80 (B) j ) Request for Variance to the Zoning Ordinance Article Section [ 1 Request for Application of ARTHUR V. JUNGE for a Special Exception to the Zoning Ordinance, Article VIII, Section 100-80(B) for permission to establish electrical shop use and construct two buildings located as shown on Site Plan dated March 10, 1987, prepared by John A. Grammas & Assoc. Zone District: C-Light Industrial. Location of Property: North Side of C.R. 48, Cutchogue, NY; County Tax Map District 1000, Section 96, Block 1, Lot 19, containing 45,589± sq. ft. in lot area. WHEREAS, a public hearing was held and concluded on January 14, 1988 in the Matter of the Application of ARTHUR V. JUNGE under Appl. No. 3705-SE; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is a described parcel of land containing a lot area of .975 of an acre, or 45,589 sq. ft. with frontage (lot width) of 168.17 feet along the north side of C.R. 48, in the Hamlet of Cutchogue, is vacant, and is more particularly shown on the Suffolk County Tax Maps as District 1000, Section 96, Block 1, Lot 19. 2. The subject premises is located in the "C" Light Industrial Zoning District as approved by the Town Board at a Regular Meeting held December 15, 1987, and is immediately adjacent to the Southold Town Disposal Site at the north side. The premises immediately adjoining this property along the west side is a parcel of 1.2± acres improved with a single-family dwelling and along the east side is a vacant parcel of 39,524 sq. ft., which has also received a change of zone from "A" to "C" (Parcel 1000-96-1-20). CONTINUED ON PAGE TWO) DATED: March 3, 1988. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) Page 2 - Appl. No. 3705-SE Matter of ARTHUR V. ,JUNGE ~ ~ ., .`- Decision Rendered March 3, 1988 3. Town assessment records indicate that the applicant acquired the premises from Watson Gray on April 6, 1987 (see Deeds at Liber 10321!cp 162). 4. By this application, appellant requests a Special Exception under Article VIII, Section 100-80(B) for permission to establish e]ectrical shop use 'as more particularly shown on Amended Plan prepared by John A. Grammas & Assoc., Drawing No. P-1 presently under review by the Town Planning Board (and filed February 10, 1988). ~, 5. It is the opinion of this Board that the 7,750 sq. ft. building together with all parking and other site-plan elements are consistent with it he zoning requirements for this zoning district. '~ 6. In consider,~ing this application, the Board has also determined: (a) the; use proposed will not prevent the orderly and reasonable use of adjacent properties or of properties in adjacent use districts; (b) the uses will not prevent the orderly and reasonable use of permitted or legally established uses in adjacent use districts; (c) the safety, health, welfare, comfort, conveniencg and order of the Town will not be adversely affected by the proposed use and its location; (d) the use will be in harmony with and promote the general purposes and intent of the zonin ordinance. The Board has also considered items [a] through ~1] of Article XII, Section 100-121(C)[2] of the Zoning Code. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, it was RESOLVED, to GRANT a Special Exception in the Matter of the Application of ARTHUR V. JUNGE under Appl. No. 3705 for the proposed electrical shop use in the proposed 7,750 sq. ft. building as shown op Site Plan prepared by John A. Grammas & Assoc. (dated March l0, 19871, SUBJECT TO THE FOLLOWING CONDITIONS: 1. There be n;o outside storage; 2. All vehiclles left on-site must be registered and licensed, for parkiing only [No storage of vehicles shall be permitted]. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Douglass and Doyen.', (Absent was: Member Sawicki.) This resolution was duly adopted. lk ~IRMAN GERARD P. GOEHRINGER, March 14, 1988 BOAFD OF HEALTH ..y........ 3 SETS OF PLt1NS/........... .. ... FORM NO. 1 SURVEY ~ ....... . ' TOWN OF SOUTHOLD CHECK :.L!• . ...~~I~:........ . BUILDING DEPARTMENT SEPTIC FORM ................ TOWN HALL $OUTHOLD, N.Y. 11971 NOTIFY o 7~~~-~1~~~.% TEL.:765-1802 CALL f 2/0~/ ~'q MAIL T 0: Examined .~. ..... 19 ................. . ,~q a Approved ..lad/~O......., 19U!. Permit No..~~ 7 , T ..................... . Disapproved a/c ..................................... P."?" .. •.... .. 1J uild' Inspector) ~ ~~ ~ ~ ~ I 1 3 ~i. APPLICATION FOR BUILDING PERM4T ~°"°"""°"'""""°rv°°°°"°°"` o~ ta<<,~:; SUPT 1~.1. 7gVU UTH INSTRUCTIONS a. This 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. ' 6. Ptot plan showing location of Sot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layouk of property must 6e drawn on the diagram w}rich 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. Suclr 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 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 I.arvs, Ordinances or 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of appltcant, or name, if a corporation) - (Mailing address of applican ~13V ~0010~ State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ..lt?5 52e :..................................................................................... Name of owner of premises ..... ~ ~ ~ ••••• ~~ •••••••••••••••••••••••••••••••••••• `(~s on the tax roll or latest deed) If plicant is a corporation, signature of duly authorized officer. (Name ~nd e of corpotate officer) Builder s License No. .., ...... ~. ~~~` 1, •I • ~~ . Plumber's License No . ....... . ............... . ~~ Electrician's License No . ..................... . ~~ Other Trade's License No . .................... . 1. Location of land on which proposed work will be done; 1 ~+'' `~ , s~~, House Number ~t / Strc Hamlet County Tax \tap No. 1000 Section .... `~?.....:...... Bluck ..~ ~ ............. Lot ..~ ~......... ,' . , Subdivision . ............. .............. Filed Alap No. .............. Lot .............. . (Name) =. State existing use and occupancy of premises and intended usne~+m(i~d{ occupan9cy of proposed construction:. ~~ a. Existing use and occupancy 44 :~.~ • ~~ ~ 1~ • • ~• • • ~ """,~~~C~I • • .Cso. ~t.~C"4 ~'?11/...1.1~~~`4r1~3.r: iN.~f:°1,Nt1~f b. Intended us I- ~~tt Q p e and occupancy 'U~~~l~a.~..~?r~ .q ~.~4~aSSIU,v,~C/`,it~ .. ~ ..~ e...y.i~~..... ~w 'we' u-nt~' ~` ~~ 15~) _ 'Se.~'- .5~)'~ iii .~,'~-v~zX~ • r able): New Building • ...... • .. Addition . Alteration ..~ ..... . 3. Nature of work (checl. which applic'i Repair .... ....... R~moval;i .............. Demolition ..............Siaimning pool............ Tennis Court ....... Accessory Building..........Fehce ......,Other Work:........... 4. Estimated Cost .. ~.~.~{•~~.~..', ..................... Fee ..................................... (to be paid on filing this application) S. If dwelling, number of dwelling units ............... Number of dwelling units on each Cloor ................ • If garage,numbcrofcars .......1• •••••••••••••••••••°••• ' 6. If business, commercial or mixed ogcupancy, specif}' nat~r and extent of each typF, Hof use . ..... . 7. Dimens Qn~Qf existing str~u,~{ures, if any: Front , .`,\Q..C'~r..... Rear ..~.~,~• .~C.:... Depth .. ~~.~. ~~r.... . . Hcight~lD.'l~.lr~lrrA~h(`'.'t~umbcrofStorics.... t.......... ... ..... .. ..................... .. ... c Dimensions of same structure with alterations or additions: Front S~14S . R~. P~ltlV.~: Rear ................. . . Depth .:..:.i'•:.:~.,5;:,~," '..i..... ~IIeigltt ...................... Number of Stories ...................... . 8. Dimensions oferitti•'e r`ie,1~`coclstncckion: Front ............... Rear ...............Depth ............... . Height • ...... Number of Stories ..... : ............... ~ . , 9. Size of lot• ~~.~. 1 ~ ..~~+±... • ..... Rear ..(. l~~t ~~. ihC'•......... I~pth~,~;~(a'~ .CtNQS~'~'t 9~.~ °.~~.~~~A(~ 10. Date of Purc ase ... • . 7 ................... • Narne of Former Owner I!P!M. ~ ray • , , , • , • • , , , , , • „ . 1 I • Zone or use district in which premises are situated ..~r.~ .... • ......................................... . l2• Does proposed construction violate ny zgning ]aw, o dinance or regulation: ..~:a . • • • • • • • • • • • • • • • • • • • • • ° 13• 1Vill lot be regraded syi'Ver~ sW~l~. ~OC~aAY~ .BYIGty. ~e. Nill excess fill be removed from premises: Yes J/.. ;' No . . 1 ~: Name of Owner of premises ~.'~ ~~C ..~W>n~*:.... ,Address .Gs^.t:f~.o~u:R . ,~.~ ...Phone No. ~.hy ..ra1.-4?~ .. • . Name of Architect .. N.p!f`:'L.... ! ... ...Address ...................Phone No................ . Name of Contractor VY`~U'!~.W~..°1t:.~h'}, ; ~i ~':R' • Address . ... ..Phone No.... • .. • 15.Is this property IocatQd within 100 feet of a tidal wetland? *y7;S...r~NO./.. *If yes, Southold Town ,Trustees PLOT DIAGRAM a required. Locate cleazly and distinctly all liuildings, 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. d ~y ~~Sp- Y~o~'e-. ~~ ~i('~~~ ~o~a~Y't v`,~ 0~ ~ t,Ja } G~~~'u (W`-rl //~~,,p~ ,y~ ~J_ ~} , ~~ ~,{~It @7lTv ~~~'U 1 • . ~ RG~JU1~~~, eu1~ V~ ~~P~~~t~ i `~t~~ icau~'~ q~S~ ~ cdw5u~~'~ ~- . ~~G~Vtini ~ ~pq K~ ~~ ~ ~~ l~~ti~~G u~~S adv'o~~ ~ ~D~`~~~ ~~is~~n~ ~ ~ ~f~~Jo~u~ u5~' Uuee,~' ~ ~I s i F~ ~~ ~ ~'1rp ~ni w ~ ~ ~'~-c ~ ir~~m~,~' S au~d ~ ~~ ~~~~,~ ~ . 5~~` ~~CnM Gt~~('9Uvi( (~~Sn~~ ~l ~ ~Q ~'~~~11~~ STATE OF NEN YORK, ~ S S COUNTY OF . ~u~Fo4~~, , • • , • ..... ..~!q:`:'t.~ ~ • • ~ ~.~.F~ ~~ • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) •- above named. ~' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is drily authorized to perform or have performed the said work and to make and Gle this application; that a!I statements con~aincd in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application Glcd therewith. ~ Sworn to before me this i i ............ ~Q~~~.~/~ .d~ayo~f...'L~Fc.~M~c!t,...,198.p ~, Notary Public,/~';'?`,;"°? , , ,""'"-'" . SWF~nG~f',. County ROBERT ~OTTON i~~7~„~ .. ~ .~ Notaryfublic,StatoofNewYork :: • •.. • S, • • • • • • • • • • • • • • •' n~. 30.5$34150 (Signature of applicant; Qualified in Suffolk County Commission Expi~es Apri! 30, 19 yp,