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HomeMy WebLinkAbout18070-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20540 Date FEBRUARY 19, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 1065 PARK AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 1 Lot 2.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 1989 pursuant to which Building Permit No. 18070-Z dated APRIL 25, 1989 was issued, and conforms to all of the reguarements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to DEAN & ANNA MARIA RUSSELL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A i1NDERWRITERS CERTIFICATE NO. H-026968 - FEB. 12, 1992 PLUMBERS CERTIFICATION DATED N/A Bu ding Inspector Rev. 1/81 rose xa s 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°- 8 0 7 0 Z Date 19 g9.. Permission is hereby gmnted to: /n~ to ..C=~.^;.~;:~:~....Ck~r.~.....Q4:4:1...~.~.....A.~t......:~c°....9~~(f~~t'4... . ~ ......................................i.~."....-.`..p.................... . at premises located of .I...P.~~........1....... ~~`a:~~4.......~.t:":.~.......... . County Tox Map No 1000 Section~..m~' "SQZ!...... Block ......d..~........ Lot No.....Q.~: ~ . pursuant to application dated ~k~tt..... 19~.~.., and approved by the Building Inspector. ~1 Fee 5..~c.:?:.°...... Building Inspector Rev 6/30/80 Form No. 6 i p) 1 a TOFIN OF SOUTIIOLD , b 1 ~ BUILDING DEPAP~TMENT 1 ~ h ` ~ ~ TOLJN HALL F~ ~ 765-1802 APPLICATION FOR CERTIPZCATE OF OCCUPANCY This application must be filled in by typecariter 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-° 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. S. 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 Euilding - $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~ $15/0/0, Commercial $15.00 Date ZJ/~J..~~-:. '.uw Construction. Old Or Pre-exist/ing Buildi~ng~.~............ . I ocation of Property.. /.~~r~.... ~~,~,d2c~ J(?~f/~r Zu..... r.V House No. Street Hamlet 1~=AIL/ . ~!S/iU:~ M~?? r~ ?5.t:-z, c.,,. . ~7nwcr or Owners of Property. C' / .uunty Tax Map No 1000~,~, ySection..~-C.~.~'.....Block.....r~.~+1.........Lot...//.~`".`. ubdivision.LJ~IJG...°"n/Y...~~.~. Fil Map.f).~~~.Lot..!..~ ~'crmit No.~ ~~.?...Date Of Permit.. `~~...Appllcant.r~.~~!~'..~".1~~~. ~ ~.'1. 1 ~~77pp ~y q 1 !ealth Dept. Approval ..........................Underwriters Approvalk7.~C!R.. 1.Ury//~r...... '1,inning Board Approval tequcst for: Temporary Ce t~ ificate...~i Final Certicate... Y....... c.~ L 'ee Submitted: 2.',/ Q.nc,433~0 l . ~~..~~~.•w••~~ P., ~ .?0S4fJ APPLICANT ' ~J~r,,,~ TEL.'65-18I'.'_ c, T0~'P! Ur SOUTiIOi.D _t~ ,y 1~27t~,:,~i.~ Y~ ~c OI'FICIs OT BUILDING iNSPFCTOR ~~~•',1~ ~ TOVlN BALL • ~y0 ~~Z' SO(1"I iIOLD, N.Y. 1 1971 1 ~ December 26, 1990 Mr. & Mrs. Dean Russell 1065 Park Avenue Southold, N. Y. 11971 't'o l~lhcm T:ti~ May Concern, 4;e arc unable r.o complete your Certificate of occupyncy because of the following reason. / rln application for Certificate of Occupancy is not nn fi]c. /XxhC :vo tJndcrairitcrs C~~rt-ificate on file. 't'he cbccf: i:: (~7~d/nut on file. )$25.00 b:o final th DcEat. Approval on tile. Ko final ~nsl~ection has been made. Please contact: our office on this matter. - Thank you for your cooperation. I)u i 1<7 ir,<1 Pcrm i t• it 1 8 tL7- 0 ! Z IIuilcling Dept. ttk/J/ tto Plumber 5oldci Certificate on L-ilc. ' ( all p~rriits involv~.ng plumbing being i~succl afL-cr April 1,1)84 ) ~ _....n. , IcLD I:. S. c .~u; ~~U;,TE I~ CUakMLNT~ I 1 ~Q ~ H ^OUtIDATI0t7 (vfst) r ~ ~ =OUNDATIOtd (2nd) - T' Z' o ROUGH FRAME & PLUMBING w 3. ~ m n IIISULATIOI7 PER N. Y. STATE ENERGY CODE L ~ J 4. m I ~ _ FI;7AL ADDITIOIIAL COMMEIITS: m t pp x ~70n wv,~..'~ L'n~,,, ~P~p ~ r '7~rn7A_~~ /~~l yS.=~L y~~s~~ t 6 ~ . x ro H • a H H O m H x d m v H r C + fi..U.• , I ~ ` :%.f ~ ~ v` l , ~ U b„' /I~ r~ 1 ' I ~ - i - k ~I, n,k%~ i I I ~ 11 f1 i _ ~Itl, ' 4 I I ~ 1 • I~ ~ I I I ` '!a' , ._,.-"---ter T `(•,l ~1,~ I 1 f II'I! 1 ~ I I ~ ~ I ~ r ~ ~ I t % ' 1~ I 1 ~~I1 4 j~~ ' - I I 1~ I 1 ~ ~1 y~../ / _ ~rr I I Anr;. __i g ~ t! , ' 3Y _ .t7 ~ ,I-I ~iloir~ 'lEF• RTIL9ENT AT % I I ~ ' ~ ~ „ ~ T n = v FOR THE _ _ 7 ~ _)t •7v~1ATIUh+ TVVC) REQUIRED i •,~i~, FOR POURED CONCRETE _ ' __,i I'' ~ QR 2 ROUGH -FRAMING & PIUMBtNG ~ QG(~U ~wfUl 4 F SALATIO CONSTRUCTION MUST _ ~cJ~• ~ CERSIf10PTE BE COME'LETE FOR C.O. • w~~ Of OCGUf,pKO~ ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. „t~ STATE CONSTRUCTION B ENERGY CO S. NCR RESPONSIBLE FOR ~ 1~ Y N E' C A 2 R i A~ E S N E gpe;~GN OR CONSTRUCTION ERRORS GONST{ZUGT'ION DETAILS r;, uvan,l, 1 C I J~~~p n~i LI' ~ ~ / ~ 1 ,T ~ r ~-p ~ 4; ELI TOWNSFND&SON, 3- ` ~3STLR. P (1 60X 331 }1 \ <~^I ~`~'-"~ri. CI INTON, CT 06413 i.'~4)gkA~t3l~"`~~~ PERSPECTIVE ` © ELI TOWNSE.ND E SoN t976,'e0 VIEW ~I .I v i ei ;n T , , J - ~ ~ (i - ~ ~ N J,RW ~GLS Z1- i II _ • ~ \ H ~tuj "tx~ 02 I i y ~ I ~ W Fns zmz LL> ~ / ~ ~ I r WNr ~o° ; N p~Q Za2 Off. I I/ 'I III _ _ I ~ 0 3r;o F u a : I I I - - li O N W r v0N :.r Q ® (i j~ i ICI I s 0 n~o I ~ ~ I I II' ~ I' m~ I ~ ~'ll, I i ¢ zdr I ' ~ II G f 0 I I III I I W ~'~N i ~ ~ ~I I't~ I I ~ 9 Ow` , I - I I III I- I 4 X11 i I I - - , I ~I, W j?1 L1 II ~ LIL_J hl I I I I1 ~i~ { I I ° ttoz III 1 uL---~' a , i l ' I ~ _ ~ 'I I ~I I ~ ~ III I ~i~ r ~ ~ ~ Z ~ i - - \ ~I' .I I III ~ {t w ;3W I. II I I• I'IIII L I u ai0o ' I iii - W F Y 2 I 'I R' m~Q ~ I rL I tJ 1-4 - L~L~ - - - ~ I 'I LL_LL~ v~ i I LL~' a i I I - LLi I ~ ~ ~-C o I,I i I'i _ _ - _ N _ _ _ _ _ - 0 ~ ~ •I I' I ~ 0 _ LL' E1 CI Il~ ~ I' _ _ LLL rte, \ LI I ~ I I II I ~ ' I~_L ~ _ N - I rv i~ l i L LLJ I, , / I I (j; ~u u li ' I, r f _ I~~ I LLLL ~ 11 I. L - LL L~ - - LC : C. _ ~--f~ - LJ . LJ _ - - ~L_LI-~ LL _ CL LI- I - _ _ _ LL~F L - - I _ L~LLLI _ ILYIL-L -LL L_t_J - - _ LL_ _ i LLI'`I _ Q - - H _ N - - m _ - _J _ ii - ~ L L L N - - _ _ N _ - _ _ LI_L ti GJ \ LL_LI I 1~ LL LJ L _ l - ~ ~ Cam' L } ^ ~ _ -RIp4c E ~ ~ _ -OI~~ ~ S, V j \ - ~ ~ ~ yCE TABLE, SHEETS, I a•~ M1~~ / -q Fo4 LeTYCRCO TIIMLNSION ` ~ ~ slcvLlaNr _ r/ k Jai N ~ l~ ~ ~ ~~I~ ~ ~ I I i- PLAT Q \ + 2 • o ~ \ APL AT[ I \ ,(2 L4) ro+(p ~ 2 <x zna) / ~ Or'// ,-~1'"~ I T ? RDOr cl.+c i j / X04 O H~ 4+- 1 I ~C ~ / tNG /x P 6 a ? I 2j Cs[c NOTE .Q CDT_~E ~ .~04 ~4 `wlupow y,~ t7 i-• I'•1 O' l-P/Y / M1 I 'i[a 1wa.. a' 7I I 2w4 3T405 1 b p„ ~ / (OViR JUl1T int - 2.4TCtAT 'x' / / '~H IGU[ I I I 2n4 TIl3 AT 3 9 z•B JOISTS ] • I I 'n ' ALL RwrreRS /g _ „ I ~lo o•LON4~~_ -~II ~4n q rr APTERS(• (LAP JOIfTf 1!•) G / 2.4 scups (SEE NOT¢g ,Y N~ JoISTS 11 ap'~• (Sf6 NOTES IL (DVCR JOILYSI II IN N P~ NoTl q~ 7~ ) / S•M (avcl[JOiaTC) pRIP4'G II I (Yi•PW I 14rL ' I ~J~ _ 9 PoNG iNiITa 4 F „ ( I /J K! upr! E~ • ~ yw[ •a. - T~~ L)r h 3%g( 3241') yTt on[ 3.2+4 _ _ ss_c LL-2.4 GIR OGR (2.2v11w / ~t4a I __~--'a _ 11 / / f/ Jtl- Y}1II 'S-o/%y lice were l>![) ~ %i Pw SPA CCP /J h/'' I ~h\ 28•x4.6 I I lfDIpAP4 [Tw•R I 1 L tlN ; I /y v- (s a[NeTG w) L~J015Y LENGTH-1_ C pOW p DooR Go w4le••24 L16HY ~SEi. NOTC•f M o- A ~ r~ ~ ~ wluoow i b 1'•4' ~ 4'•11%4 w 17 ~T. P I 1 SASH I` 2 (O 3.10 SEE NOTES G T I I i t_ ~(t _ 1 4'•Op L1p.;OIA Po ST 1 I .-%2 OIA ANCN02 pOLT Sfc NoTf3~ Iii ~T MID SPAN j ~ T" ON w1UMIN AL LY 6 O. 16 Ib• 16 IG (S[E NOT[4) j i 14 Ib` 16 W _ I I I - zN4 gTUD Sa16.O C ~ ` I ~ ' ''1 (n6 SILL APRON (DOUR T- _ ~-r-T~-' _ _ wIrH SLwO) GRAB I 1. a SL/.B I•~. i _ C•4.AbE I• •TOP OP GOUNO ATION t, A.iTN (TA nn h) oR ,7 ~ 1';~g.2• , .r ~ ¢rTCND 1-$ I ~/3TONC 6ALLMST ~ 1' 8•--1 „1 ~ V''ZM FOTNW 4...,f » b"' y 4' 1~" 4 L- - $ sARRI! ~'r-9-I Vii'- ;-i. CCNTCMEO uNOER { POST FR Or 5T L1NE .1~ Z4'w24"~ 1~---~ ~ ,N ~ N 5I DE ~4-le...l• L •L-cuPOLA-.{ - ELEVATION RIDGE I ~ -24 w24~~(te¢PRONT FYRRING 1~ EIEV wTto N, STRIPa?I W z+G 4AFTE RS-~~--- J I 0 ~ it I yI - 20.0 _ _ _ I I) II I I C7 ~ ~ I _ I -FRONT PL ATl12-2.4 (RG.LR~ I RAFTLR TIES MAY b Z Y N P~.AT! NoT SHOWN) I LAPPEp ro EITHER SIB ~ d, N 1 ~ OF JOISTS ANp RAFT - CRS {SEE NOTE rf~ w % r- - - ~ - ~ - - -)r ~ N ROUGH OF¢NING FOR N 3 I4 I „I 16 16_ 14 I I Z,tG RI.FTBU$ ~`OISAPDeARINy STAIRS -Ilr S 1 j"Pw ~ (s[o¢ NoT! lo) uLC' I' I I I = yi.M1l ~yH pGIN4 ,~=pw' 2.6 TIG3 17 •/-2 •?S J015T wT Spca 11 _ 1 . ~C ~ _ L l / LnIHetL¢ oN 14• GEN• 1 - ~ \ TER,S,uN OCK RAPT eats N `soLm I>i eLe c,.q ov eR aIR DL RS ' I ' JeIST p6L R'~ I ~ 2nB ' \ ~ JoliT f I \'~s~PW oerWECN ¢NOG Z i` I ~ ' 'IT ~_TI I(~_`J RAFYCR ANO TIG (PY IO 0 i 22n12 SIROCq \ 1 C'1 RAFTER+~rI-11 SIpC ONLY•SEE SNEi r (WITH ~ PW SPACTR) / \ V / --TTT---"' ` 'll 24' , FRONT ELEVATION N 'r14•P W sHf ATU1µp 2+4 ~ (N41N4LL P.LN [L5),~~I/// k L REAR REAR eTH[ Aa swo.urv•\- 2 2w sT RU C- SGALG._ I' SILL cut Te LwGS IuvH ~ STUpi TuRE / CAYCP~ i[C NoTiG I I~p"O C .F D•T•N• Auv iHLeT T. ( '~I I 2x4 CVGCJ(INy it L •4 (STNp wRR~GT AT I 10-0 10 O - -y { lu FOUR co RN Eels `DET.+,IL"A" a'pIA. xRRL POa: uN• 2•a.4. 11- 1 j/ ecq RGnR GIROCR I I 2r•L[ i ~ ~56E NOTC 7) I Id (b~! NoTC SGAIE I:1' Y I• 1• NOTES WILL 9E TOP or FONN OATION TOr OF 2.4 FILL 4• 7-4 --L- FOU FID ON SHCGT 2 r• •TTin ]LAB r PooTO cRADC C :T Elf TOWNSEND & $ON, IS i TRF rDTO wwLL 4(.-~ •I.1~12°•^ tPru iera.,v7 li' 1~ _•`i~~B.E UNVCR PO BOX]5I FOTN • RcAR •:14ocR sloe lo••o"---_.,. CI INTON, CT 06413_ ' wwu .ia'• a• '(.I-h 4. ~ FQAR VALL. I'rM 4•_" B•IZ" _ Uc 4• ~-za•.za STRUCTURAL 1 •«I T r;~Zd~ • • ~T •'N _ _ _ DETA1 LS I• "'7 I-•---(+^11DE W?LL RT4 <147 24 O`/ f' ~ ~ ~ a d \ v ~ ~L H ~ 1 3 ~ ~ Qv Z d ~j, ~ ~ r` i , ~ ' o ~ c ~ X 3 W 3 ~ X N `O r \ 1 ~ yN \ ~ ~ 4 ~ v ~ ~ 3 1~ ~`1 `off ~ ~ ~ ~ c,_`~ ' ~ i ~ u i ~ ~ ~ ~ ~I I r~~~t'„ i ou ~t~ ~~pe ~ u h~ Y~ C ~ ~ ~~1 N i O~ ~ v ` \ ~ ~ 1 ~ ` L ~ V 1 ~ d~~~ ~ k~~°Q / 3° ! a ~ ~-9- 5i / I ~ f St ~a n pIJ~GG bN /~i !I Historic Restoration 5550 Bergen Avenue ! i~ ' ~ 1 Mattituck New York 11952 ~ (516) 765-2481 ~;j~A _ ~ .Jr~ nk.CG DEPT TO'?J J 6~ JC'JTHO!_D Town of Southold Office of Building Inspector Town Hall Southold, New York 11971 Dear Sirs: Please extend for an additional six (6) months our building permits # ~fQCy~ ~ ~ as we require more time to finish the construction. (Thank you for your consideration in this matter. Sincerely, ~ ~ Q r~,. All J S~ ter-t~2--~ , N ~ Dean & Anna Russell 765-18Q2 BUILDING DEPT. INS ECTION [T/]~FOUNDATION 1ST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND ~ ]INSULATION [ ]FRAMING ( ] FINA! REMARKS: DATE INSPECTOR _,~°''D /~,~~d 768-iso2 BUILDING DEPT. t NSPECTION [ ]FOUNDATION 18T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INBULATION [~RAMING [ )FINAL REMARKS: ~i~~ i ~ . ~...-,.f DATE IN8PECTOR N e t 4 C ~ r-i ~ U1 W a W ; U~ C m ~r "U v g ~ I C W u I]1 C V W~ ~ ~ v W ~ Z C ~ W ~N.. S ` Z ~ ~ N ~ _ ; ~SILI ~ ~ N Sr ~ ~ a Y ~N~ ~ ~ w > ~ ¢ g 3 5N~ $ _ z LLI C L H F W c [ o p Y a ~ ° ~ ~ sr: `e 3~ d~ w 3 ~ ~ . 4 r ~ n' ~ i w E H 0 `R' O j J ° i N ~ W Q O $ z ~ ~i - W a ~ z O C ~ V Y~ m F ~ a ~ .e y, - O ~J Y T C G Y Y 1 Z V Z' ~ Li7 ~pC y 2 ~ < a ~ NWN O ICS G ~ - ~ N li ~ ~ F ~ ~ ~ V C V ~i ~ g 4 ~ ~ ~ uo „ ~ W E ` 3u v Q ~ j U_ ~ ~ G O W ~ ? .-i O ? K V rv W ly c ~ - .ti ~ ~ ~ W ~ o U a O w e ti a' 'a tt ~ ° u V° `u-' O Q Z c Ey ~ ~ ~ a g' 3 0° ~ } O ~ W ~ 'pS y ~ n ~ ~ u' z s RO m 4W Y 2. ~ Z O yl m ~ R Gt.l ~ ~ N ~ ~ ~ ~ _ W J F M1 ~ ~ n s ~ % ~ OWi ~ u O r ~ N 3 ~ 'sd y c ~ ~ m~ ~ 4 rr Y, ~ H E Q d F" N ~ ~+7 < V a ~ ~ v.] ~ o W w ~ ~ `d 9 i ~ R I.a ~ a G a ~ ~W; x ~ v W ,x ~ v a ~ s, W~ $1~ c aa~ 0 9 N ~i ° u a = ~gC-1 a LL LL ` ~ _a u 'r' o ~ ? ~ b vii ~ E 0~~. F- y ~ Y m Cr yi r H+ r O ti* .°t 4" o C S E n o V r e W m ~ e i W i «.I C,, w n, p U Y C ti a W N `aa Y V u Iwo CSI UI ~ V v Y ~ a ry0. ~ .d. L- F o ~ C ~ K ~ p < ~ ~ O C3 Ch ~ r F- illN1HfMUt111111NU~~~~ M1NINl11NIEANHIU(NIIN1NtNfIHNi41NNtN111111HUHl~p NY{(\)HiNINl11N119UOIIIt IrvlU HINHHDUHtIit SOA1;D OF HEALTH 3 SETS OF PL,1NS 4~......... FORM N0.7 $URVCY TOWN OF SOUTHOLD CHECK . • L7I• • • • • • • • . BUILDING DEPARTh7ENT SEPTIC FOItPf ' TOWN HALL SOUTHOLD, N Y. 11071 NOTIFY ~ ~~~R • TEL.. 7651802 CALL .~~C'.'.' Examined .~..t-{v"rl as'..., 19~~, MAIL T0: Approved UV as 199 Permd No ~ ~07,L1:~. ( , r. r-_! ~ Disapproved a/c (Buildinglnspector) TOWMOFSO OLD APPLICATION FOR u;JILDING PERMIT Date APx'a.7. 21~. 15 8C INSTRUCTIONS a. Tliis apphcahon must be completely filled m by typewnter or m ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing IOCIIUOn of lot and of buildings on premises, relationship to adfommg premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the dia;ram which is part of this appl capon. 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 perm shall be kept an 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 Occupant shall have been granted by the Buifdmg Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordinances Reculations, for the construction of buildings, additions ar alterations or removal or demob as herein des bey The applicant agrees to comply with all apphcable laws, ordinances uildin_ code, h sm~ e, a re^ula on rind t admit authonzed inspectors an premises and ui building for necessa ms ecuo s. ~ tr - - re of applicant, or name, if a corporation) !C „SQ~Q Bergen Avenue,.Mattituc~: New York 1195 • (Mailing address of applicant) Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budde, owner builder Name of owner of premises .Dean M. Russell & Anna Maria Russell . (as on the [ax roll or latest deed) IC applicant s a corporfation, signature of my authonzed officer (Name and title of corporate officer) Buildcr'sLicenscNo 6786HI.,,,•,,,,,,,,,,., Plumber'sLiccnseNo. .owner,,,,,,,,,,,,,,,,,, Electrician's License No.~]~z."~ Other Trade's License No ....l . I, Location of land on which proposed work will be done. . , Loney Pond Estates Se. # 1 Park tie Southold ..Lot.#13...l.Qra .........~?Y?-i? House Number Street Hamlet County Ta~,U.ip No 1000 Sccuan ....1444.-454-~-?:~ Black Lot Subdivision Long Pond Estates - Sect. 1 8037 13 File Mali No .Lot . (rlanic) State c~ullng use and occupuncy of premises and intended use .Ind occupancy of proposed construction. a. E~istinguscand occupancy VdCa17t b. Intended use and occupancy .Garage (Detached) . 3. Nature of wort: (check t~ inch applicable) New f3uildmg . X...•..... Addition .Uteration . Repatr Removal Demolition Other 1York . (Duscnpiton 4. Estimated Cost..~10,000;000 Fee................. (to be pmd on fihng this apphcation) 5. If dwelling, number of dtivelhng units , , . • Number of dwcilutg units on cacti t7oor , • • , . , • • • , • Ifgaragc.numbcrofcars 6. If business, commercial or mixed occupant,y, specify n~uire and extent of earh_type of use 7. Dimensions of existing structures, if any Front Rear Depth • , • , • Height Number of Stones . Dtmenstons of same structure with alterations or additions, Front Rear • Depth . _ ~ IIcight Number of Stones . Dimensipnsiofee~donstruction. Front .2926':........ Rear . 29~.-6.~........ Depth .24!-0"• Hetgltt ~~9'-1"....... Nuinber of Stones 9. Size of l~ji. rF'~on• I , 2`9.50• feet • , • • • Rcar ....249.50 feet Depth 161:0 feet 10. Date of ~ urchase ..`~-20=86• • • • • • . • • • • • • , • • •Namc of Pormcr Owner 8ayviez,: Idrid. COZP:........ . 1 1. Zone or use dis[nct m which premises are situated , ,Rest • • . • • . • • • 12. Does proposed construction violate any zoning law, ordinance or regulation, Nn . . 13. Hill lot be re;raded .Yes ........................Hill excess fill be removed from premisest Ycs RXP 14. Name of Owner of premises S1eaT1 M•. Russell, • • • • Address 5550.Bezgeri AV Matt.Plione No. 765-2481 • Name of Architect .Address ...................Phone No.......... . Name of Contractor .Qt'?t!er as noted, above. ,Address ...................Phone No.............. . IS.Is this property located within 300 feet of a tidal wetland? *YES....NO•}[}G. *If yes, Southold Town Trustees Permit may be required. _ PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and. indicate all set-back dunenstons fro property lines. Give street and block number or descnption according to decd, and show street names and indicate wheth intenor or comer lot. ~ ~ rr t~rti ~ ~LAlc- ~C~ ~ ~'Q~ c ~ ~r ~L f ~ ~ 2 ~G'~~ ~ rla,;s~" ~ i ~%,p Vr ~ y~_ ij ~ v' ~r~ Slla,ad~` ST,1 TL O F N >;1V Y O P.1:, ~ ' r7 il tYt'! ;.f~ COU;.TY OF . , S S ~~n V being d~ilyswoinid posesandsaysthatfieistheapplicai {Namc of individual signing contract) above named. iieisthc (Contractor, agent, corporate officer, etc ) ~f said owner or owners, and is duly authonTCd to perform or have performed the said wock and to make and file th 'Pphcation, that ail statements contained m this applica,hon are true to the best of lus l.nowfedge and belief, and that tt vork will be performed to the manner set forth m the application cited trierewith nvom to bctorc me this ¢ A? ~ day of ~?~u--~... 19 ~l. 1 .otary Public, . , /`i?'~+~! !l.....~/.~ .l!'~... Count HELEN K DE VOE • . NOTARY 4UOttC, State of Ne rw~tYyo~rk~ ~ f~ TeNtn Exla~eslMuch 30 13_-.~ ~ . .'1. - _ - - - - - L ~~tv -{f~ rv V9 Z~~ ~ ~ } f i ~ ~ r, l~ ,T E3PYV'E'W SAND ~~:2i? ' 1,µC'=1""i ~ ~tz' ti O 11~nl~' ~ i t+1 i~ IC'.v ` 111 4 O' ~ ; , T ~ _ _ ..~-~.1~ ~s~ ~ ~ cO NCR FNDA ~ {;3 ~ iN ~ ~ ~ ~ r- ;.i4'~i"iG"t^,. -^-~--Y- - x'49. at"~'-`--~4`~,~?~curz~f~ca~ri,A-r i.N l WAIF fL MAC n,} r r -__i__.. -J • y m w r T ~ b' ~ ~ , L ~ i~~tt ~ ~ ~o ~ m ~ir~f'~~D fi;~ OfA ~ i~ ~ , X ~ ~ ~ , ~ r~^~ ~ C C ~ ~ Ian ~ is I~ i• ~ p n~-~G;t 1 ~ ~ i~a~ ~ I) ~ SEEFaIL~ElG x ~.a y o mm cn~ D ~;Nm ~ ~ s tsA , . O ~ t N t!7 0 ~ ~ z n m ~O n ~ N m p ~31Nb n O '~~'n ~ O'{mto-i r _ -i0 e~n...i O m z D m -i -yam r .e.. ..,~p~ ~D z0-~ 1 1 x arm x. ~ - ~ x r A ~ - _ ~,7 ~O m zmmZ Oi _ m t _ . _i~ ~O ~ ApDm , _ ~ n O ' aN -i D m m ~ ~p r x A D U! c ` m>,~""mom m a r r n a m x m r r i.~ / r o