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HomeMy WebLinkAbout18192-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218536 Date NOVEMBER 6, 1989 THIS CERTIFIES that the building ADDITION Location of Property 115 PARSONS BLVD. EAST MARION _ House No. Street Hamlet County Tax Map No. 1000 Section 037 Block 02 Lot OS SECT. TWO Subdivision GARDINERS BAY ESTS.Fi1ed Map No. 275 Lot No. 77 conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 10, 1989 pursuant to which Building Permit No. 181922 dated JUNE 9, 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING. Z.B.A. APPROVAL #3836 The certificate is issued to ANNA SCHALLER (owner, Xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N099061 OCT. 24 1989 PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 v Fosst No. s TOWN OF SOUTHOLD Bti1LDiNG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 819 2 Z Date .........~,,..err..4s..........9 19. g.~ Permission is hereby granted to: .....1.3.~..A. a.~~ ro ...4,%I~^r~lhi~.S~.....0.......~.4.~Saa:~~S....~kQ.A!;I;!:1-a1...~'!?....~'!~...l~J~!....~,. s at premises located at ..1.~ 5.......~..a~1r.4:$?:):'...3Q.!>:~.,........a~.,..9-a~:..... ~7.).A4Ar~r~............ .....`~.....a...~.......~.......~. ~?.a?.~e.~. County Tax Map No. 1000 Sectton ©.~,7...... Block A. ~:.....o. Lot No... ~..r1............ pursuant to application dated .....~.A,~r?h:4.~,,,,.~.Q,,,,,,,,,,,,,, 19.A..~., and approved by the Building Inspector. Fee . a.`.:!:........................ But ding Inspector Rev. 6/30/80 R,• ? TOWN OF SOUTIIOLD BUILDING DEPART?LENT ~ ~ ~ ~ TOWN HALL SOUTIIOLD, NEW YORK 1197 1 S~{~ ~ ~ 765 - 1802 y ~ TOWN OF ~O(JfHOLU APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. J~~_. Z a ~7_c~f NEW CONSTRUCTION ~ „ OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Location of Property.. ~G~rJ;CS~1.o _ - /Jj()~.. - _ _ _ - ~,f_~- m~r~ 1. HOUSE NO. STREET ~ SJw HAMLET Ovner or Ovners of Property..... ~ ~S-;..~~~~~`~~'_.•..--•---..---•-••-.. County Taa Map No. 1000 Section ~3~] q ~ Block Lot- . ~J Subdivision Filed Map ........Lot.......... Permit No. ~~1~~ ..Date of Permit ~.~4M./~a~~, ~//~~-..Applicant . Health Dept. Approval Undervriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate n~ Fee Submitted: d APPLICANT. L _X ~.,~L?cv. lV.•. ~-'?~'C.c,.~-J. 3 d s"G ~ ii/~~~ y / rev. 10/14/88 CU z /~S^~J~ ri~..D l~.J? uli.iul~ pu;,:~. i c~,K~tcNrs - t . t ?ti ' i ~ m oG a ..o - - H r0U11DATI0N._.. (1st) ~ f~ rOUNDATI0t1 (2nd) _ - _ ~ 2. z o ROUGH FRAME v,~~l PLUMBING J ti H 3. ~ m n I1ISULATI011 PER N. Y. y STATE ENERGY CODE . CI a . 3 FIi1AL o ADDITIOIIAL COMMENTS: s . ~ ~ x ~ ~ H 9 H H ~ O m Z H T • ~ L m w H ~ ~ 765-1802 ~/JC BUILDING DEPT. 1 NSI~ECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: z DATE ~ J INSPECTOR G v 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUND TION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: T/`~-~c,P DATE ~ ~ INSPECTOR .v~~ 6 ~ TsS-1802 BUILDING DEPT. I NSI~ECTION OUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: 'y . DATE ~ INSPECTOR 9 ~ THE NEW YORK BOARD OF FIRf UNDERWRITERS hACw; 1 1001071 EUREAU OF ELECTRICITY ' OS JOHN STREET, NEW YORK, NEW YORK 10038 ' Dow OCTOBER 24,1989 APPltcattonNo.onjtie 6t3ti87889/89 N G<IyU63 THIS CERTIFIES THAT only the eleetrleal psipnEant w dacrtbad 6eloro and inttodueed 6y the applicant ns,nedon the sbo,» applicstton number to tha pren+t+s+ of B. SC,NALLER, PARSONS BLVD, EAST MARION, N.Y. to thefoUominR /acstioni ? Bs+emsnt ? l+t Fl. ? Ynd Fl. GAR .Section Block Lot ,ea+exsmined un OCTOBER 12,1989 sndfoundWbein rnmpUnnre with the reyuirernent+of thi+Board. NXnA11 T RANOlS COOKING DICKS OVlNS DISK WAEKERf EXIIAYST FANS OUTIITS NGNOESCENT RIUOElttlNT OTNER AMT. K. W. AMT. R.W. AMT. R.W. AMT. K. W. AMT. N. 1. 4 3 DRYriE FtNNAC! MOTORS Kilue AFSUANa FNDERE AtREen nw aosRE qu wtn lwATellz Mwn.ouneT DIMMERS AMT. K. W. ql N. E. OAS N. r. AMT. NO. A. W.O. AMT. AMG AML AMr4. IRAN{.. AMT. N. r. SYSTEMS AMT. WATTS NO.OF FHT ERRVICI OItCOFBILCT NO.OE S ! R V I C F AMT. AMr. TTN p~j 1 w 1Y/ ~ / Sw S r SW S,r ~w No. Of C ~cON[I. or cc . O. No. q Ni.uO a ~ HI NO.Of NEU1RAlt ~ •~~''Al OiMR AFMRATUE: rM G.F.C.T:-2 G il: S CONTRACTOR t,IC.12578'E BOE 215 SOUTNOLD, NY, 11971 9~u AoRII I1 j per~C . Thb esAiKeah.~MDN tqf be oNered in any nagwr; retam•1o tM office of 1M Rsard K inwrreN. IntpecMn bs ideati by thNr cTedaMidt. ILDING DEPART IS C Of Cltt FFIG bRIST ~ ALTERED IN MANN ~ 5~FF0(k~o o • ~ Southold Town Board of Appeals 'y.~/Ol ~.~Ot' MAIN RO G(ATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.I., N.Y. 11971 LS ~ ~ P K'`~'~ TELEPHONE (516) 766-1809 e. _a„_ ~ f~ ~ ~ FAX No. (516) 765-1623 APPEALS BOARD _ $ ~Fp 20 f989 ~_'_~~f' MEMBERS j r i n GERARD P. GOEHRINGER, CHAIRMAN ........w± ~ ~ 'J ~ l'~ ~~j~ t3LG}f~. S7E~i: YJ d" I / CHARLES GRIGONIS, JR. YQ1Atry pF SULt7; t~i1, €J SERGE DOYEN, JR. ~ - ~ a-~ - JOSEPH H. SAWICKI JAMES DINIZIO, JR. September 14, 1989 Mr. John Bertani, Builder Inc. 1380 Oakwood Drive Southold, New York, 11971 Dear Mr. Bertani, In response to your letter regarding the Board of Appeals approval of Anna Schaller's variance, stating that the garage must be 11' 6" in width and 6' from the side yard. You stated that the new garage foundation would only be 5' away from the property line rather than the 6' approved by the Board of Appeals. A Special Meeting held on, August 28, 1989, on motion by Mr. Goehringer, seconded by Mr. Grigonis, the Zoning Board of Appeals voted to accept 5' as minimum setback on Anna Schaller's appeal rather than 6' as approved, based upon a more accurate field survey, made by a licensed surveyor, Dated August 7,-1989, by Robert Van Tuyl, P.C. Vote was unanimous, all Board Members voted in favor. Yo>, s very/t~~ ~ r Mr. Gerard P. Goehringer CHAIRMAN df TOWN OF SOUTHOLDI BUILDING DEPARTbiLNT TOtiVN CLERK'S OFFICE - SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL c `-'',tom //~,D,ate . ~L. ~2 19 ~ ~ PLEASE TAKE NOTICE that your application dated ...................19.~~.9 for permit to ' dG~~.. at , € Location of Property ~ Street Ham/e~~~ County Tax Map No. 1000 Section 3 7 ........Block 2--.......Lot Subdivision Filed Map No. . Lot No. is returned herewith and disapproved on the following G~. ~'~~..~~,~....1~..., B ldin Inspector ' RV 1/80 WARREN A. SAMBAC H. SR. CONS ?LTING ENGIN EERS~P CANNERS h'~C1°7 3~ G®X L°~ 773 HILLSIDE AVENUE p~,1i{~~ +~.8. WILLISTON PARK, N.V. 1 7 596 6G~s AREA CODE 516 PIONEEfl ~-5096~508~ Q ~ ~ . Ma 30, 1989 y 3~9AY 3 t ;~~R Thomas J> Fisher vOtr,~ra C1+~ r ~is~ m , _ ...~,a Building Department =nom., Town of Southold Main Road Rte 25 P.O. Box 1179 Southold, NY 11971 Re: Anna Schaller 115 Parson's Blvd> (Private Road) East marion, NY 11939 Mr. Fisher: Enclosed is a copy of the decision of the Southold Toorn Board of Appeals with reference to the above. Also enclosed, are three copies of plan for the one car garage revised as per the Southold Tozrn Baard of Appeals decision. Sin erely, QAA.IM 1j1. Sz~~~~ltG-- Warren A. Sambach, Sr. P.E. was:s encl. ~ S~FFO~~o~~ ~ ~ o, ~ ~ Southold Town Board of Appeals '~~f~l t~l MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.I., N.Y. 11971 )f'~~ c TELEPHONE (516) 785-1809 ~ ~ ~ FAX No. (518) 785-1823 APPEALS BOARD I,J ~(+I~.,J'' ` ~ MEMBERS ~~~I t' ' ~ 4 MAY 3 01~_Rg ; ; .3 ' . GERARD P. GOEHRING ER,CHAIRMAH ;,I CHARLES GRIGONIS, JR. '"°~~Er JC,-•.~ f_.. _ ~ SERGE DOYEN, JR. T~1PJi[i C1[_ ^.f,3 ~ t"-it . ~ ! JOSEPH H. SAWICKI ' ~ JAMES DINIZIO, JR. M4Y 2Q 19.E ACTION OF THE BOARD OF APPEALS ~I WARREN A, ~~BACH Appl. No. 3836: Matter of ANNA SCHALLER for a Variance to the Zoning Ordinance, Article III, Section 100-31 as disapproved, Article III-A, Section 100-30A.3, and Article XXIV, Section 242B for permission to construct (garage) addition with an insufficient setback from the north side property line and insufficient total sideyards. Lot area of premises is nonconforming at approxinmately 11,718 sq. ft. in this R-40 Zone District. Location of Property: 115 Parson's Boulevard (Private Road), East Marion, NY; County Tax Map District 1000, Section 37, Block 2, Lot 5. WHEREAS, a public hearing was held on April 13, 1989 under File No. 3836, filed March 14, 1989; 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 located along the easterly side of Parsons Boulevard (a private road), in the Hamlet of East Marion, Town of Southold, and is identified on the Suffolk County Tax Maps as District 1000, Section 37, Block 2, Lot 5. ~ ~ ~ Southold Town Board of Appeals -2- April 27, 1989 Special Meeting (Appl. No. 3836 - SCHALLER decision, continued:) 2. The subject premises is known and referred to as Subdivision Lot No. 5 on the Map of Gardiners Bay Estates, Section Two, Map No. 275, filed with the Office of the County Clerk on April 24, 1968; and contains a total area of 9,750+- sq. ft., road frontage of 75 feet, average lot depth of 130.0 feet. 3. The subject premises: (a) is improved with a single-family, one-story frame house set back 16 feet from the northerly side property line, 10+- feet from the southerly side property line, 34 feet from the front property line, and 55 feet from the rear property (at the closest points), and as more particularly shown on survey revised October 17, 1988, prepared by Roderick VanTuyl, P.C., which is a nonconforming building as de€ined by Article XXIV,, Section 100-242 of the Zoning Code; (b) is located in the R-40 Zone District. 4. By this application, appellant requests a variance from Article III-A, Section 100-32A, (renumbered Section 100-30A.4) for permission to constructea 13'6" wide by 22' deep garage addition at the northerly side of the existing dwelling which would reduce: the sideyard setback at its closest point to four feet (see sketched plot plan prepared by Warran A. Sambach submitted for consideration). 5. Article ILIA, Section 100-30A.2B of the Zoning Code requires minimum sideyards at 15 and 20 feet, for a total of 35 feet for a principal structure. 6. Article XXIV, Section 100-244-B permits sideyard reductions to 10 and 15 feet, for a fatal of 25 feet, for a principal structure, upon lots containing less than 20,000 sq. ft. in area. 7. It is personal knowledge of the Board that a one-car garage at a minimum can be constructed at 11'6" rather than the requested 13'6". 8. For the record, it is noted that there are Covenants and Restrictions of record for this subdivision requiring garages to be physically attached to the w. dwelling. Q- inn n: ,ten " '~vhi~AGN WAF3Fit~€ • ` _ - ~ a I ~ ~ ~ / V N .a "^M~~^Y ` ~ ~ ~~li t Southold Town Board of Appeals -3- April 27, 1989 Spec" eting /71,~ MAY 22 1989 (Appl. No. 3836 - 5CHALLER decision, continued:) gRR~ry q AV" 9. In considering this application, the Board also fin (V1ggCH and determines: (a) that the grant of alternative relief will not be adverse to the essential character of the neighborhood and this major subdivision; (b) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring 'properties; (c) it is not feasible to locate a garage addition at the southerly "sideyard area which has a lesser setback than the 16' setback at the northerly sideyard area; (d) considering the substandard size of the property, the Covenants and Restrictions of record affecting this 1968 subdivision, and the character of the immediate area, there is no alternative feasible for appellant to pursue. (e) the grant of the variance will not increase dwelling unit density affecting available governmental facilities; (f) the relief, as alternatively granted, is the minimum necessary to afford relief and will not in turn cause a substantial effect on tY;e safety, health, welfare, comfort, convenience, and order of the town. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, it was RESOLVED, to DENY the relief requested under Appeal No. 3836 in the Matter of ANNA SCHALLER for the location of a 13'6" by 22' garage addition; and IT WAS FURTHER RESOLVED, to GRANT ALTERNATIVE RELIEF for a smaller one-car garage addition SUBJECT TO THE FOLLOWING CONDITIONS: 1. There be a minimum six-foot setback from this northerly (side) property line; 2. That the existing area between the proposed attached garage and the northerly property line/fence remain open and unobstructed (for emergency access purposes). Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Sawicki, and Dinizio. (Absent, as agreed for this Special Meeting, was Member Doyen of Fishers Island.} This resolution was unanimously adopted. lk _ * * * .ems 'xAttD P. b"6' HRIlQGER, CH~rAN [ ' ,1~ - y~ 1~, ~ Southold oard of .A ea_ is o,,.~ Pp =;;y~l ~ ,~~o MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.I., N.Y. 11971 ~~'n n, o,~ TELEPHONE (516)765-1809 17y~'''fj ~,'/ay_~ f FAX No. (518) 765-1823 APPEALS BOARD ~ MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. - SERGE DOYEN, JR. ~ ~ ° ~ May 23, 1989 ~ JAMESD NIZIOIJR' ~ ~F ~Ht ~~I`~~~ ~~~~~J~f/'` ~1~ BLDC,. DEPT. Mr . Warren A. Sambach, Sr. q®wN OF SoU'rNOLH„® ,,,,,,,~,1 P.O. Box 1033 Cox Lane Cutchogue, NY 11935 Dear Mr. Sambach: Please substitute the attached "corrected" first page to your copy of the above decision, which was recently forwarded to you. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN Enclosure BY Linda Kowalski Copies to: Building Inspector's Office Mrs. Carsten Roensch - ~ _ _ _ _ _ ~~va+e voad P ~~„F N F~.y _ ~ ~ p;{~(1ej~"'f n G 'f i i t a ~'J O y/ ~ .lort LOS ~9 ~ \LI ~S2~J~<. .n;1?w lrn 5•.~tr t1T? ~ 1i y ~ f F: i .~.~3V f1d'I O _ SOIi $hL': nai. a9 M^ nSLiC-F" 1 . , _ ;,;Id Aua cnaY~ i _ - :'.-i... 9Y Sn'j:CalN- hereon S. {4 f"I - t varsoa for whom ~e . 1 i 1 .~1p ,ar4l. arlu on hls hF^~. .o t'' LOt l V ~.I '+Y'.9~nman of a.~. :!y.r.~3 I y _ 1 - tutipn li-iwl ho c a n: ~e I I I ~ c n ~s of iha Ia w o'a ~ N • 5~ Q ~ . 1 ~ 0, ~ ~ ~ au;aas ars rwt tran ~;,mh1e 0 i FIEKE d+lS _$t --._i 31VCtG4?E FYNCE~ } b., .::c;,a.lat rnwwnansawtamuem . . ~ Q c:..:'ss. 1 i---- - ~1~r T8 1J MAP OF LANO ~ ~ { o-.~ - . ~ it~ ~~tic vino SU2vEYE0 t~ r ~ p~~ I~ Q 77 N 0 ~ HAROLD J. SGNALL~ R ~ (r1 `1 ~ {YI AT D ~coaa, _-IOt J EAST MARION 5.58 ~8 30 W. 13p. I, - - TONVN OF SOUTHOLD, N.Y. y a ~ LO+ Tlo I' ~ ~ Scctle : 40'= l" 0 D = tt~OHN1MaNt - - - I M!~F AMENpED-QC?.I7rt~8 Nctn :Lot aHrHb4wa s1+owM viefar +o . Gtaarcante~el to tire, Nolrns 'Tula C3taoYar+tt ~~Maip o4 S~etior+ Two - CSardita rs Go. as suYVayea+l Oct_ la, 195'T. t3ay Esta~as", kited in the 6uf~ti~ O{}o W. van'~U 1 s 'sph Courty Clerk's c'Ff~c.~ a3 MQp -'G?~3. ~i SUF'F.CA.?AX MAP pATA' ~ppp-09'7-2-5 L\C6 MSeld Ladd SUVVayors Ya~,H Yt t~la ~(C7K.1' Y pt7(.~ ,Z~r~ oYu~.~ PK pY~va+c 0 J ,P3Fi Lot zs r ~ N 58' "E. 130.0 ~4 0 I Q k. y 1~- ~a~: . 7$ yr! MAP OF LAtv~ rui o., + ' s---- - .f _ sutzv~tao tit . n J-EPJQC PAT10 - r ~ ~e?a j t` 0 ~ HAROLD SGNALLEi~ ~7 u ~ m AT i .~_~-1 a . ~ 5.58 'Si"3 30 W. t'$O.~J - - ~ TOWN OF 54UTHt,71_O, N_Y• 1 ~ ~ , ~~1~ Q ~J . t] = rrtor~urMSr~t MAF ANV£lYDED-OGF.P.,S91~i;AU5.4,1 r~1,l,116.".'.?`-1'89 Note : t_o+ rtN~baws SkowM ~etfer +o Guearcxe~~leed firs +hn 1-torna T~~1a l3tv4rat+t ~~Ntap of SECtia>rt Two'' C3+ori~rd~tnera L3ay Eatcaies", ~i led +4+e SwiffoliL Go. as st.tvve?.jed Oct_ IES, l9S'T. County Cterlc's offices cis Map c'75_ Utlo W. Vatt+ ~.ttj 1 s Soh . ~/e..,.., T-.,.,-~, (1f'£CA.lA1cMAP:~,TA~l0U0-G9?-2-5 )_icCHSed l..ctt+d Suvvet..ycsra O~raar~t Y't t`t+a ~lc~xk. _ r' 3 SETS OF PLANS FORM NO. 1 SURVEY . . Z ~~,,,s,~+~ TOWN OF SOUTHOLD CHECK • • • • • . BUILDING DEPARTMENT SEPTIC FORl4 TOWN HALL SOUTHOLD, N.Y. 11971 NOCALL . ~ TEL.: 765-1802 MAIL T0: /d33 Examined . A'/.°~........., 19~gq9 G'-~t~ 1/`('35`- Approved ~ 19~ 1. Permit No.~. p ~ Disapproved a/c , , ~ , , , , ~J ~ ~qq .h u~..~~ t~~i .~m..,mr t, !'3f.OC~ i~SFa~ rc~U~n,~4~~•t~ o~~l~ r . , ~~..M~a ( uildi nspector) APPLICATION FOR BUILDING PERMIT Date . January..10....., 198.g . INSTRUCTIONS r a. This 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 apple- 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 permi t 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 tlrc 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 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe tuns. ~a~.~.J ~.~u.~~l~-- . (Signature of applicant, or name, if a corporation) P ;0; ,Box, 1033, , Co~,1,pAe ~ , CutcbOgue , NX. . (Mailing address of applicant) 11935 State whether applicant is- owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..,.Consulting.Engineer .....................................................................I Name of owner of prerises donna .Schaller . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED - Builder's License No. .To..be . se.Leeted....... . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. hocation of land on which proposed work will be done. Eastsid.e .Parsons..Blvd . P fir. ~a ~U , , , , , ,Parsons Blvd. Gardeners ,Bay, Estates , , East, (Ka.~i,plt,,..NX. 1.1,939,. House Number Street l{anilet County Tax Map No. 1000 Section , 037.. , , , , , , Block . ? Lot ..5............... . Subdivision Map Section Two Gardeners Bay E~~i~~R~a No 275 Lot PpXt. ,7$,,, ,77. , p (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existir:g use and occupancy one, famil.y..resi.deuce . h. Intended use and occupancy .Ons .car..garags, . on.e .Eami•Ly . resi.den,ce . 3. Nature of work check which a Re air ( Rem¢ Building Addition XX........ Alteration . p val able New Demolition Other Work . (Description) $ Fee......... 4. Estimated Cost . F1000...Q0 . ` (to be paid on filing this application) 5. If dwelling, number of dwelling ~linits Number of dwelling units on each floor . If garage, number of cars ...O~hE 6. If busii~i>p I or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . ~L5'........... Rear 3.Q'........... Depth3.7.' . Heightl?.' Nutijber of Stories .....':one.............................................. . Dimensions of same structure with alterations or additions: Front 5.8' Rear 3.0'• . • • 22' ..Height 1.~ Number of Stories one • , • • • . • • • . , • Depth 8. Dimensions of entire new construction: Front .13.'.6 7 Rear 13.'.6':......... Depth .22 . Height 10.x............ Nuit{ber of Stories one ...13D . 9. Size of lot: Front75' Rear ..........7.5.'...... , Depth . 10. Date of Purchase ..................Name of Former Owner . 11. Zone or use district in whichpr$misesaresituatedresidence,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 12. Does proposed construction violate any zoning law, ordinance or regulation : ...................$8........... i 13. Will lot be regraded no...... 1 Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Anna..Schal,l.er..... Address 5. Hidden..QaK. did ,Phone No.9.14-2.7.3 :85.1.9 . Name of ~mbacki• • • • • • • • • • • Address Ar~onk~, NY, 10,504phone No . Name of ~e~raNFa><ren { .................Address PQ..liozc, 1.833...... Phone No.dl,6-,7,3.4 :7.49.2 . 15. Is this property located'~within 300 feet of a tid~~R~~~iltg! N~ea NoXX *lf yes, Southold Town Trustees Permit ma be required. PLOXI' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklinumber or description according to deed, and show street names and indicate whether interior or corner lot. ---.-Y-p /,t~owBa ~~gp~ i4s,°~ ~vd~M~ ad pY ii ' i Loi- ?9 i ~ J A -~---~`-..Lot Za ------~----'I ----~I" ~ ~ ~ ~ N• ~ O"~. l O.O ~ ~ 0 ' I &PHnrE a83. ~ i.,...-L=srocvme RMCe ~ ~ ~ - 7$ O ~ pA ewctc vwrw dl ~ I Ili ~ a' ~ s~oay tll t t9 0 ~-FU.Ha. 0 z7 ~ M m + •r ~ x - N U ~ ~eax,w • .~io : J STATE OI' NEW YORIC, ~ COUNTY OF ...~SUFF.OLL{.... , , ' S.S ~ ~ S.'S8 °38 30' W. I3~. : ~ f ' g~........~...Q, being duly sworn, deposes and says that h~ is the ap~icant ....Wax>:en. A•..Sara>~ach...l (Name of individual si Wing contract) ~ I~ above named. Ile is the Consulting Engineer......... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........1.~ .....~.....~da/y ofy...... January......, 1989. NotaryPUblic, .~Y{-~CiN!!.71:..~,.K/1Z:.UQ~........ County ~J ~ ~Q~~~~~ HELEN K. DE VOE I' ~~.1~ ~ ¢bLu,Wc?~`;',`-` . . NNpo47087R;SuNulkCawYak ( g••••••••pp•••" ~n Si nature of a licant) Term Expires Merch 30,1