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HomeMy WebLinkAbout18160-z . FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19722 BATE: February 12, 1991 THIS CERTIFIES that the building ALTERATIONS & ADDITIONS Location of Property 385 ORCHARD LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 89 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1989 pursuant to which Building Permit No. 18160-Z dated JUNE 1, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the Yaw. The occupancy for which this certificate is issued is ALTERATION FOR GARAGE ADDITION & DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING The certificate is issued to FRANK & AGNES LICARI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-293357 - JULY 15, 1976 PLUMBERS CERTIFICATION BATED N/A ilding Inspector Rev. 1/81 IP013ffi NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~ ~ ~ ~ ~ Z Dare .....ref....~ 19.. Permission is hereby grantei'~In4~ .....................1....~. toCt~-tr'~• •~`tz/rr••••Q,~~ . ..ut~....O.x:~..~...~~/.!a*.!r?..i.:....lr~e..... Q ......a~!~.....~ . ~ p~ of premises located at .....~.Cl ~ /yam ~ ~ D 4QarG~s~6,~................................................................... ..........................................................................qq..................................................................................... County Tox Map No. 1000 Section Block ......~r2........ Lot No..........s''~`..~...'~~.. pursuant to appl(cation doted 19.4..~~.., and approved by the Building Inspector. n,~,oo Fee ~IP.~,~!" G~Buil g ~ rispector Rev. 6/30/80 N lttd ~;\~`~Y FORM NO. 4 ~t,,,,.~~; TOWN OF SOUTHOLD ~~a ~ ~ ~,~,~2 BUILDING DEPARTMENT %t, ; : ~ c Town Clerk's Office ~ Southold, N Y. ~~~~Q :'c' Certificate Of Occupancy No. 27112 Date ~F?z.7,Y.....6........, 19.7.6 THIS CERTIFIES that the building located at . orchard , Line , . , . , , , , . Street Map No. cedar &aacY~~k No...........Lot No. 29 , , .Southold , ,1~,.~;'. , , , . , . , . , , conforms substantially to the Application for Building Permit heretofore filed in this office dated .............Auk... , 19.69. pursuant to which Building Permit No.~407Z dated Aug 5 19h9.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Px~.vate. one. family..dlTelling The certificate is issued to .Laurence, P. , ~xaruiagan.......Uwnax . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . T! UNDERWRITERS CERTIFICATE No. ..,1?ending HOUSE NUMBER ......505 , ,0~`-.~, ~~~~~~3:~~ , Orch~xd ,~txe.~t;....Sou~hold.. ...P;~T~,.:, ,Misc , intexio~; .i~o, tic . oop;nlet~.d .by..a~~rner . ~ / Building Inspector Form No. 6 TOWN OF SOUTHOLD OlOH1NOS 80 niM01 BUILDING DEPARTMENT l~fld'00'ifl TOWN HALL 765-1802 ~.i i;-~" ~ ' :;~r N Y; t? APPLICATION FOR CERTIFICATE OF OCCUPANCY,.~l /1 ~ G1 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 17 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 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 - Residenti/al $15.00,~yCommercial $15.00 Date .Ylf~r~r~97? . New Construction...: Old Or Pre-existing Building........ . Location of Property ..3b'.s ..OR~r!#i9/LQ...~.'~ .~f~:E'mX~,',~.~. s~5~:'~...St"f!TtfF'!.~...N•~~.... House No. Street Hamlet Onwer or Owners of Property..~~~}A/.~L .¢'~l~~i/L~~..~e~1.C-f~Z..... , , , , , , , , , , , , , County Tax Map No 1000, Section.m~~R T?....Block..Qr~:.~.a ......Lot 6?4' 6. R~.r? , , , , , , , Subdivision ....................................Filed Map............Lot...................... Permit No. ~ g{.~ ~ , ,Date Of Permit.. lR~~l$.~......Applicantf.'Sp,~'.9:t?,,s/~...~/~J,~l,~, , , , ~ , . Health Dept. Approval ..........................Underwriters Approval..rY..~cg 3 ~vr.7 Planning Board Approval ' Request for: Temporary Certificate........... Final Certicate........... + Fee Submitted: c~~,. y1z,s ~ C0 ~,~9~~~ APPLICANT c _ >.s < NiiF~Nr cr ..r sSn A~Nn~ . q1 max.. lM~'~~N 7 -1 2 I ~ E , [ ]FOUNDATION 1ST [ ] IiOUGFI ~L G. ]FOUNDATION 2ND [ ] INSULATIO [ ]FRAMING [ ]FINAL REMARKS: DATE INSPECTOR '765-1802 BUILDING DEPT. INSPECTIOI~1 [ ] FOUNT ON iST [ ] ROUGH PLBG. [ ] F~l~NDATION 2ND iNSU [ ] CATION [ ]FRAMING Q~~ [ ]FINAL .~~Z~°"` REMIARKS: DATE ~ INSPECTOR r^ 6~ ~1 _ II~INt# o [ ] tJNATIO 1ST [ ] L Ga [ ] FOUN®ATION 2N®[ ] IPISl11.AT10N [ ]FRAMING AL REMARKS: ATE ~ INSPECTO ~ ~ ~ 765-1802 BUILDING DEPT. ~ INSPECTION [ ] F UN ATION 1ST [ ] ROUGH PLBG. [ FOUN ATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~~~G „f DATE INSPECTO ~ i ~ ~ ~ ~ a ~ m 3° pp c y a ] ~ 2 I ~ o n s n 5 m ~ m VI o a ~ e f ~ o m m~ 1 a Nm a ~ cnyro ~ n „ aF r ~i~ ~ W ff Z _p N -vi ~ n° N n' 'i1 C 'o .'7' ~~y M ~ n C V " $ "i m N`C ~ ~ ~ y 2 o aao ~ f c. ~ ~ ~ bQ 3 Z m N N CD m m' ~ Oyo A i `C p~ r ~ n. r 'C v p ~ n 0 ~n H 9J ~ w ~ H n ~ N A z N ~ W ~ V Z ~ £ x ~ ~ V ~ i ~ 5m p'a A H• 0` o r m ° m co ~ ao a m m v F ~ C ° r ~ p m N v m O o ID o -y ~ N a -Ni F ~ O o a ~W ~ z v~ r ; c~ H 0. m C 0 G O n m ~c R. n n ~ i m N ~ ry m A~ °s ~ 0. W a ~ Z C a m ' ~o YY v 3a b ~ a' ? ~ ~ d T v~ y Q ~ p O q A 0 o A ~ m „S rr a I m o n m 'N m 2 oa A F~ e~i~ ~ C ,Ti 1 _ _ ~F ~ ' ~ cn ~ cA m A "rf w 00 1 V $ ° > a' O ~ a ~ -1 rb N r1 C ^ 3 2 R f'h .'3' 0. W m 2 O F,. o ° N ~ ~ N p 0 F.a ~ C s n p n o N. r, a F n P. 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DEPL 0 s - TOWN OF SOUTHOLD V ~ ~c~ %yy~/7 2 ems, ~~~-~_~oA~~ . v O / © s~'CTi ~N o~ btz~,~ 7'r1,5~ T w~cG ~ C3 r I ~ `l " GU , H07' Noc~S~'' (zov,@ S~jq ~ ~ E~YOLoSV,~E .DliL4~.tGS~O.~OS~~.ISL~^~+~OC!} 7/G7df.,~ © SYAi.~''S -Ta A'~'GC C~lllDiTioNS) /EA ,.~i0~~ X 1/I yo?~'~AL.~. ~ TREAD. ~ RiSE'2: 7%." N/~.~Z9~LiN6 .2~/fi„/-~ ~4 i AL/_ [,tii~[~.rJ C~,r~ ,qti ,r/n..e~n cud,~,~ lit/~/ i,l~i~.t~-, ~ y ~ ~ D 0 MAY ' 8 (99p ~~a~ ~s ; .~~d.~e~ ~~~f~ ~ ~ 7tc~-ic~-~.°s .-~.~t~.~c-mot- rte. ~ ~i ~a z ~ v~ oc~~FFO(k~O VICTOR LESSARD ~ 1 Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR ~ P.O. Box 1179 (516) 765-1802 y • Southold, New York 11971 FAX (516) 765-1823 ~iLi0~ ~ ~~o~ OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 7, 1989 Mr. Frank F. Licari P.O. Box 261 Southold, New York 11971 Re: Suffolk County Tax Map #1000-89-2-6 385 Orchard Lane, Southold, N.Y. Dear Mr. Licari: During a recent inspection in the Cedar Point area new construction work and additions were observed on your home. According to the Code of the Town of Southold Article XXVIII,100-281 a Building Permit is required for any renovations or additions. According to 100-184 a Certificate of Occupancy is required before the building may be used or occupied. In order to avoid legal action, you must apply far a Building Permit immediately to correct these violations. Thank you for your cooperation in resolving this matter. Very truly yours, SOUTHOLD TONW BUILDING DEPT. U . Vincent R. Wieczorek Ordinance Inspector VRW:gar L ~ ~ ~ L a - ~ L 6y~-P~/u.~~~. ~ l / / e N2 G/~ F'~-- ~ r ^lir~ld ~ 6trCZ_N~/~ ~ 2 A licotion r~.».. u:,,b~ ~ ~ PP No.....~ 1 -~~c-u( ~ ^ ~ Ica ~ cc l ~7~73P n t~ ~yiY~3/~!` i . .J~u-..rL2~~ c,~_ 3cn~s ~~~z"~C r j ~ I ~ j +I ~t `f 6 `7 / r; i ERMIT ~.c2-iL.e...~r~ b~P~l l l S ~ 5`^ G.' ~C.1Lgl C) v G- ~ tt 3'j s ~ ~ i . . luc .5'TU1G5 .~.y 9 ~o ~ 3 ~5 sc~~ a~'~~~a~.~ i ~a'^~ ~ ,d' d.«t ~ >.~_.BS_,~. co,rrn . t.,P.~-c L,/,aB~~^: _ ik and submitted in duplicate to the Building s4- F ~~L ~ 2~ mship to adjoining premises or public streets or ~''O'- n the diagram which is part of this application. issuance of Building Permit. ~ Building Permit to the applicant. Such permit ~ .s of the work. T, ~ C' H N JZ t7 ~ ~ IJ ~ pose what ver urLtil a Certificate of Occupancy vii"~,'., ' ~nce of a Building Permit pursuant to the a r r ~ rk, and other applicable Lows, Ordinances or r removal or demolition, as herein described. ~7 ig code, usin c ,and regulations. ~,L. ....~..re... . O • C pp cant, or Home, if a orp on) .....f . (Address of a licant) E ~ v State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plu ber or builder. ~o ~2.~. Name of owner of premises W ~ ~nr C ~ ~ `r3 ~,9 ~r N ~ G R N . If applicant is o corporate, signature of duly authorized officer. . (Name and title of corporate officer) C~Oh~ ~~ACH }'1F,'PK 1. Location of land on which proposed work will be done. Map No f Lot No.:.. p~'c~>gr Street and Number ~..V's S ~ ~AN~ mil/?~ L 1~ Municipality TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building ~ Southold, N. Y. 765-2660 '~-(o- Et: 1 J ~1I; r /''~/i^ d^^ ~ CIiGL'nn[~~t a'~ L /~S'''~,l M<<1 ' tJ°'7 C~~f J~~ ~~~f[[i.'W V/( ~i OG~?"'v ~ "~dAQr_C_ vC rM ~ p ~..fflAA~v~L1) O(.~1'.Gi ~ lX",~1 t~ '~%r`l,tr" A"'1 1' ~ CZ~I G0~-p 0_ l~' . ter., ~l a !i ae.~ ,pYl Ce ,~t~it` n s a'L--~ ~u~ns alt'" ~.,,,d ~focti.. i."'__ p~ArL~~t.ea3-+^ ~ 4.- G03". r~` 1?. Pr`.~ ~~n~ ,/~~na~'C"r,~A,,,~V ~~i~u_ .Pty ;~"Q -~~~J rt?~G~ '~e7.'1-'vs't~~ ~ - Orchard l.a., POB 261 Southold, NY 30 April 1988 Mr. Vincent R. bJieczore.k,Ordinance Inspector Southold Town Building tJrp't Twon Hall, Southold, NY 11871 Dear Mr, blieczorek: In answer to your letter of April 7,1989 and following up on our subsequent meeting in your office, i am enclosing a 1883 survey of my home and land, sketches for proposed repairs/ renovations and alterations ,and a duly executed Application for Ouilding hermit. The survey depicts the carport that was erected at that time, i but it does not show complete details on the deck which was around the waterfront end of the house. The construction drawing on file in your office does show a screened porch, but this porch was enclosed with sliding glass doors sometime before my acquisition of the home. The sketches enclosed show some of the details accomplished prior to my purchase of the home. and they depict renovations and additions that are planned by me. If~any more data is required to satisfy the Building Department's reouirements and to personna•Ily attain an acceptable and cooperative stance with you and your office, please advise. If it is expedient, please call me on 765-5185. Ner truly y urs, Frank Licari Encl. RENf1VATINNS/ RFPAIP.S - Replace entire deck ( except for Plote 1 on sketch} which is without a railing, badly rotted, and unsafe to use. Replacement deck will be entirely of CCA wood fastened with galvanized M- , iron hardware. There will be a stairway provided from the P~°~` ground level to the deck level. (See Note 3 on sketch,} - Replace front door and door frame because of water damage,rot and inadesyuate weather tightness with a Peachtree steel door and wood f rame unit . N ~ 4'Tr2~L ! ~~c~ G" e-L-tt~~UC~~ - Replace aluminum frame kitchen sliding window of poor fabrication with a weather-tight Andersen Permashield Casement ktindow. Although window is narrower, it will use the same lintel/header presently installed. ><lO ~72~a~'-7t~?~r4-t. qty-id-t~tPJr~ - Replace three sliding glass doors that are of inferior made, not vrind tight .and entrapped with moisture and fogging between panes with Andersen units. aujr_r~~j ~//~f~'Ns1t`~, - Replace double hung window in dining room with an Andersen Permashield Casement IJindow. This window will be relocated so that window layout on exterior of building will be uniform and symmetrical. ~j7t~~jtoLC ~`7-' ~,c rico s~-~ .be A,,,r nr .PYTAGNE~ .5~?'"Ai.25 To bFCK SEE ,p~cK f'.@~~/r foni vE-,es~o,v oi= CS;~;~ep©.eT ro ~A.P~Yi~ ' rJx9-~,Q G'A.P,daeT sr,Pvcru,PE !'~x~.sri~v4> i5 ,9f~~.Po!/Eby s~-~ IIr~ANJiN/y ,9rr.¢et/€,b e,. q,~..... c . _ ~ , o- y• Irl G~9JCAGQ''fITLE IN;iUi;r",iV C(1Nir'1iT , yn• •a~ ~cN txs Q T~sYFtcL~ ~ I>-~rLtJfwt,t:_v..__~w.~t,-..An~J111,:V ' - ~ W of ..q4.J .5 r VL):.\flJn Ol ••.r :'.i,':n iLY J£ ~ilE r:zn fgwt >U•.f7 I ~ .,.y 1L+ f~ I ~ ~ -.7 . , ~.nt il,I I _ IOO. t7 ~ L y^., ~I I 0 C~' C- ~ r-a,. ' } ff1 i cfr. I. ? ~ 05 •I ~~c;r. 2 N T.H.- '`t y x „i i~,~ U) •rs ~py~v<:ut~ •toa~a j V1 " C-~/cur et /s r. s ~ / ~ . Q //.3 a~nve .rrdan pa?' ~ e'~'"~,ri'! MJ4A O~ ~.,-s0.1•~11C7 . i 'I r ~`a' Pa bye2 ~`y1A2GA~~'Z". ~ ~'~i ' C,c~cin._-.c ya `N' • o ~~,a' , \ - - C~k C7 ~ N _ aid ~ \ 1 ' , f. ac-cp ~~5 ~"nl..,~t ~UOtdtt ~tY~>`t~ Y`J? • ~t~~~ ~ ' ~i' 4Hn NN U/C.'M1'f 7 ~ _ L~~J '2~ u .~.Q~4 ..L L1V h ~jYAi-r ~ • r a~' 63C1: l31. X983 ~ • • Ckxfud• ~ O.d = urtl;Hcavw Hiq.• I I ; r ! l wcrtrh .iN• Dti'uad ~a F? ~ I ~ vw :_.....~"'.""~,r.._-_,_, Nnf~x*'4.a# N!Je+ck+atvK sHown r~+"~•rf~; ~ • 'P~lap 4f C•F.riryY. C?s.cyc41 irk ; ~i lcrlr ` GiGJ°rr.9C~ ~ ivsYlrQr.. a54'r'°;JC~dl.S iH i kz Su{'{-Qlk Ca.lrrFy Clevk's G~~i4a1 ~ ~Y.tBri~Grf', gal. •y, - ~ I ~g , ..2 _ ~k'85 7' . b~C.~. - s/ Z E , . ~``O O FT Z - O.vIY .6.~ ~ ~ ~ --Z" $E e?Ef~.Cf1C-~"D s1/©W~_. ~SEF NOTE .Q ~ . _ - . . - . - . ENCGOS~ /j ~p / ~X g - - Oo - _ S E NoT~~ ~ D. A ~ - ~ ~ . , - 7~p BLDG. DEPT. 0 ~s ~ jUWN OF SUUTHULD v ~ ~ m _ C~ y. . GA~E'~U ~doAlE' y r, ~ © s~'cTi aN o~ ,ptr,~ 7-,y,q r w1cG ~ f3 r f ~ ` ~ i~(i Gv , .t!oj' $E' .t'G-`P~HC~LI ,yob. ,f? h'o7' Moc~SG'' <x'oti,Q SC'jg < ~ E.YCGo6v,~E CfJ .AIitOU`T.IGS~O.Ua~~Ce~O~f T/per' ~.fl Poi r~ co ~ rJ.~ct,~~,A ~~a~, n © SYAiA"'S X737 j~'~ ~rllaD /TiON$~ /E'A J~OI~ ~t l// YO?y~~Irl TREAD.' , R15E'/2; ylx. +-?`.~2•v~CiN~S .2~Ni~,N ~ ~~A 9~ u 6~ " w/3o" N.~ ~v,A.e ~ l~ ~4~ i A L t-~/O Ci.l~ C C,A A L J~io.nn reltd 1, A/ i i i.l~i^.f~-, BOARD OF HEALTH ~ 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL vDUTHDLD, N.Y. 11D71 NOTIFY • TEL.:765.1802 CALL Examined 19 a MAIL TO . . . Approved ..~0./~........., 19C~Permit No. ~O./.~o. B~ Disapproved a/c (Budding I pector) APPLICATION FOR BUILDING PERMIT Date .~a~...l........., lSe~~ INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 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 Petmit 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 Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 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 appiicab'le laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio (Signature ai applicant, or name, tf a corporation) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........4.!a!;t~E2 Name of owner of premises . ~({A r!fC, , . , LlCf1 /l ~ /1 Fi.UE'5 . ~ /CA ,e (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ' Builder's License No. (J.w~~ Plumber's License No . . Electrician's License No . Other Trade's License No . . I. Location of land on which proposed work will be done . . 2 / House Num bcr Street. ~ " " " " Hamlet County Tax Map No. 1000 $CCIIO? ..0.8.9.•.0.x? Black off; o o. Lot p. • god Subdivision Filed tvlap No. ? Lot . (Name) Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: a.Existin;uscandoccupancy..~E:s::b~:vG•~••.•• b. Intended use and occupancy .:Pgs ~ o~•,v, a,c; ii 3. Nature of work (check whicfj applicable): New building Addition . V Repair . t•~, , , , , , , , Rrtmoval . • • • • • Nteration . • • • • ~ • • • • • • Demolition Other t4ork . (Description) 4. Estimated Cost . Fee..................................... 5. If dwelli „ number of dwelli i (to be paid on filing this application) g " n" ~tg units . . . . . . Number of dwelling units on each floor . If ara,c; number of cars . 6. Tf business, commercial or mi,~ed occupancy, specify nature and extent of each type of use ~ • 7. Dimensions of existing structures, if any: Front . , Rcar ~ ~ ' ' ' ' ' ' ' Height Number of Stories . Depth . Dimensions of same sttvcture iwith alterations or additions: Front • ~ ~ ~ ~ ' ' ' ' ' ' ' ' Depth I . Ilcight . Rear 8. Dimensions of entire new construction: Front . • • • ~ • ' ' ' ' ' • • • Number of Stories . Height . Number of Stories Rear Depth . 9. Size of lot: Front .....%QO..' . 10. Date of Purchase G,?,~J/ Rcar..../. Q,4 Depth 3iJa-`z71~:~~~?TH SiO~,..::: ~ ~.7',• ...................Name of Pormcr Owner~twREN4~". P•.,8;~q;?.rtibe~V~meRryyzsr 12. Does ~ o se district in which remises are situated • dvS~brtl p pore raded truc[~~ olate any zoning law, ordinance or regulation: ~+l4 , , • • ~ • • • • ~ • 13. Hill lot be g j .Will excess Gll be removed from premises: Yes 14. Name of p . o Owner of remises ~s;~;.;'-, ~;cAiL~ , , , , Address?~L'/ys~C?o t(,p, • ,Phone Na~.s'!b~? 76~,5;/B~' Name of Architect ~ ,Address .PhoneNo.. _ Name of Contractor. ' .....Address.••~~~~~~•••••~~~~ S pro ert loc ~ •••.••.PhoneNo. IS.Is thi p y •ated within 300 feet of a tidal wetland? *YES ?...NO.... • *If yes, Southold Town Trustees Permit may be required. . PLOT DIAGRAM Locate clear] and distinctl Y y all buildings, whether existing or proposed, and, indicate all setback dimensions from property Hnes. Give street and block: number or description according to deed, and show street names and indicate whether interior or corner lot. h i . I I I , I `STATE OFNE~V'~Y'ORK, COUNTY OF S•S • ~ • • • • ~ , ' ' ' g ~ ' ' ' • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (T\arpu of individual si ni~tg contract) above named. I Ile is the ~I , (Contractor, agent, corporate officer, ete.) ~ ~ • • • • • of said owner or owners, and is duly~i, authorized to perform or have performed the said work and to make and file this ~Pplica[ion; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerset forth in the application filed therewith. Sworn to before me this ~ q rotary Public, . , ,/~P.~! ~ , N/d; (JB~ ~y • County ~Y~~~~~ ~ NOTARY VU LIC S~tEeYo New York ~i, ~ ~ ' No. A707878, SuHofk Coun (Signature of applicant) Term Expires Meroh 30,1 - - _ ca,epo,er _s_.e vc_T u.eT~ ' _ _ I i 1 - , - ~ - ~ I CExlisriwe~)- -j I I ~r-' I i ~ ~ I I ~ I - I - - - i ~ I I ---~-F ~ ~ ~--~-~_-~~.LON ?1r~?` Lr11-.L)~~-GB~Pp_P1 ~T ' - - -HOUSE ~ ~ - - - - ' I ~~DP9CJtU - i^~d L.-~ ~I I I ro I ~.aJ9XBS~ ~~I~~~ - ~ I t rtlrat rd®tribukin~ I ~ I I; ~ I I - --i 'I- - - - - - - _ I ~ syateRn: PIPi p s q e i I I I. 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FINAL - CONSTRUCTION MUST r _ -BE~OMPIfi"E FOR O~-.-_-_-----__ - ~~~ry+~ ~4~ 1/~1 _ _ _ ~ - ALl CONSTRUCTION SHALL MEET ®~~/r~~~ • ~ - THE REQUIREMENTS OF THE NY.--- - _ _ _ - - STATE CONSTRUCTION 8_ENE~,V -_~~~~~((~u'1VVf ~(~~n - / 7 / / ~ 7/ ~ I C7ESIGN OROCONSTRUCTION ENRORS - ~~~ITH~UT IJCRTIFIGI~`TL-- - - ~ - ~ - - ~~CU~ANCY~_ - - , - ~ - rI - ' - - PLY -SNFATM /N~ - - ~ - - - - - - - - - ~ - - - 25~" cFU - - - TERS CD V LFCSr~2 - - - - - - - - - - - - - - _ - p g ,zx - - - ---o- ' - ~1 _ - - _ ~ BFwn ~ _ ~ `1_ _ _ / _ _ _ _ _ ~ - i I _ I I ` i - - - - `N .IOISTS -^.~[(c _ _ _ _ - 84ACE5 _ ~3h'/o BEAM -1-_---GE 6XG ~ 6X6 i _--_-sec .aevylrL-~_ ~"6r~6 Pe76T ' ~ ~ - - - - ~ Acc ~~~r~ ~ 'acr s _I _ - - - - - rNFj 3° BOL7E t? ]b SEAM 4 i ~ _ P _ 2E/L/Na N£ATH- - ^ - - ~°o `F_ _ - n - - _ _ ?OiS/'S .2X6 _~~Y ~r e? r i, - - Co.vGRE rL* S[Nf3 ~.7 r,-___- /2 rLY---~ ° e ° r - Ji ~J ~s`T,V rQ , f ~ r~ Ire iJ ,f - ~ - ~ - - ~ r ~ - - - - - - c®,vice~rE coau.,,.v - i -E/nW i - 3 PlACF 5/DB. 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