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HomeMy WebLinkAbout18449-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20463 Date JANUARY 10, 1992 THIS CERTIFIES that the building ADDITIONS Location of Property 1270 TRUMANS PATH EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 12 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 29, 1989 pursuant to which Building Permit No. 18449-Z dated AUGUST 31, 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 ADDITIONS & DECK ADDITION TO EXISTING COTTAGE AS APPLIED FOR The certificate is issued to PATRICK & ELIZABETH BRENNAN (owners) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-165934 - DEC. 19, 1990 PLUMBERS CERTIFICATION DATED NOV. 26 1990 -BAYVIEW PLUMBING & HEAT. G -/~_Z~ ~ ilding Inspector Rev. 1/81 n~ossit xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 5OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 18 4 4 9 Z Date S/.~/ 1 Permission is here ranted to: at premises located at ....~~P.....~~....~~.'(.y~..~'rf°..... County Tax Map No. 1000 Section Block Lot No pursuant to application dote 19.'.'.1...., and approved by the Building Inspector. ~ ~G v/`~~ ~/ll// pp ~0 Fee $.7:~74r i ,dr.(,.~........... B ildin Inspector Rev. 6J30J80 ~ u Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TO[dN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY .1. This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property caith 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 Undertoriters. 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. :4, 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. Fces Certificate of Occupancy - New dwelling $25.00, Addictions 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 - $50.60 S. Temporary Certificate of Occupancy - Residential $1/J5.00, Commercial $15.00 Date :~~aLJ..~~ ::uw Construction........... Old Or Pre-existing Buildin®g f Location of Property...~.~~~...~itld`c.?~T~:..:~~~J House No. Street Hamlet Unwcc or Owners of Property.~.~~":'~J.':.~....~C.y~~ ....~~?.Q'•~ Cuuncy Tax Map No 1000, Section.....-~f......Bloclc... ~..~c!:.....Lot...... :subdivision ....................................Filed M:tp............Lot...................... yy~~ //1~ , Purmtt No.lK~~7.`7i....Date O//f Permit.. . ~~~...Applicant.. i!calth Dept. Approval..,....!,K,,//~ ..............llnderwriters ApprovaL.!Y..~~~~.`~j. :'!;outing Board Approval..... !4"./.% :request For: Temporary Certificate........... Final Ccrticate....°...... O'er "ce Submitted: APPLICANT _ , ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS fArr. ' 1aa1o71 BUREAU OF ELECTRICITY - 85 JOHN STREET. NEW YORK. NEW YORK 70038 Date DF.f,EPIBER 1.9,.19361 APPlicationNo.onfile 7Q35199aJ90 N 165939 THIS CERTIFIES THAT only the electrical equipment at described bebw and introduced by the oppliKwnt named on the above application number in the premises of BRENffAN, TRUldANS P~rAyyTH, EAST MARTUN, N. Y. in the following location; L"J Boaement (>IIT let FL 2nd FI. Sertion Block Lot was examined on DECEMBER 1.1. , 1331) ondfound to be in compliance with the reyuirements of thin Beard. FIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASNERS EXHAUST FANS OUTLETS ECEPTACNiS SWITCNES INCANDESCENT FIUORE$CENi OTHER AMT. K. W. AMi. N. W. MIT. K.W. MIT. K. W. AMT. M. P. 29 as 25 28 1 1 1.2 Q P DRYERS FURNACE MOTORS FUTURE AFNIANCE RIDERS SPECIAL RECPT 71ME CLOCKS YU UNIT NEATERS MUlT1.0UTlET DIMMERS AMi. K. W. Oll N. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AML AMPS. TRANS. AMT. N. P. SYSTEMS AMT. WATTS NO.OF FEET F 1 3p ] E,Oa SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE MITER 1,I tW 1 R 3`N 7 9 3W 7 X AW NO. OF CC. COND. A. W. G NO. Di HLIEG A W. G. NO.Oi NFUTRAlS A. W. G. EQUIP. PERL Of CG COND. Of H4lEG OF NEUTRAL 1 [aa cB 1 x 1 afo 1 rfo OTNER AP?ARATUS: EIREC. HATER HEATERS: :1-4.5 K.H, G. £.C.I:-5 SM6KE DETECTQR:-2 G & S CONTRACTCIR L1('.M57R-E BOX 215 .SO1fTHOLD, NY, 11971 TEEIEERAt MANATiER 11 Per 1~~1 ~~._~,i This ceAificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TNIS ER GTE MUST NOT BE ALTERED IN ANY MANNER. `~j~ ~ ~~,C,I~~fl l 9~/ - U BAY VIEW PLUMBING & HEATING ~28~90 22 GREENVALE RD. ~`'h~~. P3LDG. DEPT. Elclra Work O~d,.~ SOUND BEACH, N.Y. 117B9 TOWN DF sourHacrs, ,a~g (516) 7441195 A ~ No. NAME OF J08 ~~~Y1 P?' bV1T) R. DATE 9~I t~~1 19 LOCATION I ~`~~~-..a,-t w.wvw~a~VV ~ ~~~i ~~lf ~~-W~~ 17..1 M 'SZi ~J DESCRIPTION OF WORK PERFORMED 1r ~4 0 5 ~o C'~~E s"~ ~ V ~r ~ LABOR Y - ' _-J MRS TRADE _1~~ Lh < TOTAL HOURS EQUIPMENT ® MATERIAL USED QUANTITY ~ ~ 3 vi 'o ~v~v ~ - iva t~ ~ ~ i ~ ~ aq. ANRA R. ,~pA l~ , ~ xr" No. 521G4 GO Ana Tied in Suy~ / DL DAYP.d ~ v 3 d 6~Y u ' 1~ y~ ~ ` 5 SUPERVISORS' SIGNATURE ABOVE WORK APPROVED BY: SIGNED fOR ?ISTRIeUTION I INSPECTORS ~ Victor Lessard FO~~-~' Principnl Building Inspector O Curtis Horton f G'~% SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ A.~ 't ~ Southold Town Hall Thomas Fisher emu- k± , ~ P.O. Box 1179, 53095 Main Road Building Inspector ~ Gar Fish 9~ Southold, New York 11971 Building Inspector Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING YNSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD NOVEMBER 4, 1991 PA'~'RICR 6 ELIZABETH BRENNAN 1270 TRUMANS PATH, BO% 785 EAST MARION, NY 11939 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: %ffi[ An application for Certificate of Occupancy is not on file. (Enclosed) xxll No Underwriters Certificate on file. The check is ( not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. %%R No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18449-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ,4 ~ /~~~~9/ ~ ~ - - - - iL~ ~ ~a~ _ eve, i ~ - JAN 2 41991 ~ - BLD~i. DlP7. OWN uOU7HOLp - _ a J V - ro e ~~s~'9~/ - ~NQ s~N,~• - - - a~, . ~ ~ - ~ - ~ x - - ~ tf~~ u?;//lams a'~ { N_6d°©x`40'"g. Z5'S• f ~ ' Z O 1 yt vi ~ ~ ? O a ~ I • ~ ~ ~ y r 1 L ~ < ~ b o _ 0, ~ c _t 5.6t'o3 ` O"v+l. raS.0 0 t H ~ r (tote J',s' ~tg'_ . _ xs~~l, rt °If - to°Y - , ~ 1 ti Stors~'g tq~ 1, artQ~ qfr/' / j ~ fence along /tile ~ J 1f/ t h~ S. 64`05' "4o'"W. !¢2' a Thnrrr 4 ~ / it ` ~ y~ i _ Jv i~;-, oe i 6~~ ~ ~ 1 1~ .n fYJMY ~K 1 C3ru3my i 5 nclicaP9C 1'..'POM1 shall rUn ~ ~,~eN?~4AiT / S~K jG Y~•r ~ F~~ o tr - rson to wn m tha ru^re{ c a ~tl an his .,ana f to Yr . an•L 9overnmonsl eaercy end 1 pA r'~~ ~ K ~ ~ j"'~ ) 1 j to r' i ~ tscitution liatad haroon sob _ r yY~ G / / Y ~ 1/ to the essignaas of the lantlin9 inrto- ~ - to.ion Guerentaas are not transtaradla ` OF N. ty m aoE~2ionel inctltutiona or 88deo7ueM ~g~P~CK VqN rO,P A'T' own~rn f yoti ` < + E~tsr A/JA~2taN h!. Y, ti1a~~fied relay 9, ~s9o. . i¢ rO _.a_.~...__._._ .20t/Qr'i V,GrTf ~lj. F: L. 1~« n2 m. F2 0' CS 26~~ ~w lGy. t?s.--? ~'r+...-y(~ sF~tAN~`e ,~Cr7/e4'~ $4~:/.. _ _ _ dry Ls"ceased LaaG ,Scrrv,rYors S.r~~folk Gvunty TQx RarC~l: too4-3~^rz-6 ~rtsrr~or7; nt. y; Anter+cl~r~l.lc+roe 5,1990 i / ~~C~~j 765-1802 a~~~~~ G 6 BUILDING DEPT. 1 NSPECTI~JN [ ]FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION MING [ ]FINAL REMARKS: ss I ~ ^ Y r ~ I w~~ ` DATE ® INSPECTOR 765-1802 ~ 9~~ BUILDING DEPT. ~.....~~"~"'~d''~-io ~9r~Z . INSPECTION ~i [ ]FOUNDATION i5T [ )ROUGH PLBG. v~~ ,~I ta~L~+-~-~' [ ]FOUNDATION 2ND [ ] IN CATION . ~ ~ G~~~ [ ]FRAMING [ ]FINAL REMARKS: at~ DATE ~ INSPECTO s__ _ ~__g (j T y~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ] F//INAL REMARKS: _~~^'~~~~.~X ~ i DATE INSPECTOR 765-1802 BUILDING DEPT. 1 NSPECTION FOUNDATION 1ST ( } ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL r---~ ~ /`//f}~~•-j,~) REMARKS: v~ f//yy " ~~u r / f ? e r/ O r DATE, r" INSPECT$it' -Q~, 1:. - ~ =LD~I."' :.~::v.: ~~Unir, ~I i,U1`1('(LNT° ~1 1 1 . , ~ ~0 ~ y~ FOUNDATION (1st) - , LH~ w ~ o-t,0 ~ " FOU?dDATION ( 2nd ) ~f/ ~ 2. ' o ROUGH FRAME & ' b PLUMBING ~ =A.,; ~ ~ ~ H 3. x' ti m IIJSULATIOP! PER N. Y. • • y STATE ENERGY ~ O CODE y~ . - 3~ 4. ~ ® y -~Q ~ r _ FINAL ' ~ ~ ~ ADDITIO? COMMENTS: x~~ O ~ / „q~ , i - ._.q ~ C ' x~U\t ro ~ i H \ 9WA ? ~ H H t ~ I ~ b s ~ ~/d ~ 3(/' ~ m~ tA~ c^ • ~ v m -o H i , r o~~FFOU~~O VICTOR LESSARD ~ ~ Town Hall, 53045 Main Road PRINCIPAL BUILDING INSPECTOR ~j ~ P.O. Box 1179 (516) 765-1802 ~ Southold, New York 11971 FAX (516) 765-1823 y~i~,Ol ~ OFFICE OF BU~[ILDING INSPECTOR TOWN OF SOUTHOLD August 17, 1989 Mr. Patrick Brennan P.O. Bax 785 Truman's Path East Marion, N.Y. 11939 Re: 1270 Truman's Path East Marion, N.Y. Suffolk Co. T.M. #1000-31-12-8 Dear Mr. Brennan: In order to process your building permit application we will need more plans. Under Chapter E 1231.3b of the New York State Uniform Fire Prevention and Building Code, the size of your addition will require the entire existing building to comply with this code. We will need plans for the existing building. Also be advised, the side yard setback shall be a minimum of 15 feet instead of 12 feet. Very truly yours, SOUTHO~LD TOWN BUILDING T. Thomas J. Eis r, • Building Ins ctor TJF:gar pso-e~-~ ~ , ~~4 v/ c R~ ~6 ~x A~yf~ f ~ ).v~ ' ' ~ 75 L FRANK A. KUJAWSK[, JR., President a { ~ TELEPHONE ALBERT . KRUPSKI, R., Vice-President ~ s E j r.,P J J s ~ ~ ~ (516) 765.1892 JOHN M. BREDEMEYER, III ~~:Y:~ ""f''R? JOHN L. BEDNOSKI, JR. ~ ~"1~~ff~~~~~.~ HENRY P. SMITH ~~1 D ~ ~ I7 ~'1 ~ BOARD OF TOWN TRUSTEES 1 l 3 TOWN OF SOUTHOLD ~ 6 ((JJ Town Hall, 53095 Main Road UG P.O. Box 728 Southold, New York l 1971 BLDG pEpr August 2, 1989 TOWNOFSOUTHOLD Patrick J. Brennan PO Box 785 East Marion, N.Y. 11939 Re: Addition to existing structure at 1270 Truman's Path, East Marion, N.Y. Dear Mr. Brennan: The following action was taken by the Board of Town Trustees during their regular meeting held on July 27, 1989 as follows: WHEREAS the Town Trustees have conducted an on site inspection of the subject property, RESOLVED that the Town Trustees approve the request made by Patrick J. Brennan for a waiver to construct addition to single family dwelling within 65' of wetlands at above mentioned property. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly yours,, ~l' 1~;G~~-/ Frank A. Kujawski, Jr. /(J,~ President Board of Town Trustees FAK:jas cc: Bldg. Dept. Board of Appeals file r FRANK A. KUJAWSKI, ,jR., President ' o-~- E TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President ~ st, ~ ~ (516)'65.1892 JOHN M. BREDEMEYER, III ~r~~:~ ~ R-. 4 JOHN L. BEDNOSKI, JR. ~ HENRY P. SMITH BOARD OF' TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 i Southold, New York 11971 August 2, 1989 Patrick J. Brennan PO Box 785 ~ East Marion, N.Y. 11939 I Re: Addition to existing structure at 1270 Truman's Path, East Marion, N.Y. Dear Mr. Brennan: The following action was taken by the Board of Town Trustees during their regular meeting held on July 27, 1989 as follows: I WHEREAS the Town Trustees have conducted an on site inspection of the subject property, RESOLVED that the Town Trustees approve the request made by Patrick J. Brennan for a waiver to construct addition to single family ~ dwelling within 65' of wetlands at above mentioned property. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. ~Vpe~r~y ~ t~ru~lfy yours , , / 't`i'S~/C /i ' 1'~~G~~IC.uM~i/ ~l ' i Frank A. Kujawski, Jr. President ! ' Board of Town Trustees ' FAK:jas cc: Bldg. Dept. Board of Appeals file l` i „ - _ . , _ - _ 3 ~ ' ~c~~FFOLK~OG VICTOR LESSARD ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR = P.O. Box 1179 (516) 765-1602 ~ ~ Southold, New York 11471 FAX (516) 765-1823 yo ~ y'~yQ! ~ ~,DO OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 4, 1990 Mr. Patrick J. Brennan P.O. Box 785 East Marion, N.Y. 11939 Re: B.P. #1$449-Z- Addition Premises: 1270 Trumans Path, East Marion, N.Y. Suff. Co. Tax Map #1000-31-12-8 Dear Mr. Brennan: In regards to the changing of plans for your proposed construction, the plans have insufficient information. Please contact the building department. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. G~ Thomas J. Fi er Building Inspector P.S. The construction is required to be a minimum of 75 feet from the wetland. TJF:gar ,i ~j{ 1 ~jE } ~ 5' `t I t ~ _ _y ~ ~ X .q ~ . V p~ ~ ~ a • _ Ems. ~ ` i. s o - ; 'i E ~ ~ ~ _ r.r _ i • ` t • j { 73 ,r J ~ , ~ s ~ is - ~ t t i fir, Yti. .,..+.r-...+ ~ ~ ~ i ~1' L.~-a-TTd~G ~ ~ 0 F ~ sc L' y . ~ v R s~ _ ~4~fl~ •.r r+ ~ ~.~c.~~.y~-vim ac. ,.,__y.-u.- +i y,W;'-~~_..y 25... ` ~p g_ I 3' ~ l; ~ . fj , r _ _ . - A, v' _ - - ~v5. _ ~ y _ a ~ - ~c j ~ 1 ~ ~ -t y, j ~ ~r c, _ ~ _ , . ' ` Q . ~ 4~ r . ~ ~ ~ Z ~.,~k4o~ t ~ _ ~{4 3, 1 +i i f 1. 1' Q in 4 ~ ~ ~ y 1 a'-~ { - 111 i n n i y v '~i 9. a, s$ ~~9 .q. t ~ to _ r~9Y- ~5 ~ t •r t ~ ,~ja.W7 , z ~J u y v 9 ; is . . ; ~ } { ~ 1 ~ i t N3/i t 1 BOARD OF HEALTH 3 SETS OF PLANS?...r/ FORM NO. 1 SURVEY . . TOWN OF SOUTHOLD CEIECK . BUILDING DEPARTMENT SEPTIC roaM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL MAIL T0: Examined . ~Q . 19Y./. / f~' Approved ~f ~~<........0.,., 19~Permit No. !.~.r'L!..e~...ry R n ~p l~ Disapproved a/c ~~/(~Y` • t ~ ~ Ly L5 U U 15 ^ .r.~ BLDG, gEPT ( ildi Inspector TOWN OF SOUTHOLq APPLICATION FOR BUILDING PERMIT ry w~ q. Date O. f-~~ 15 INSTRUCTIONS a. Tlus 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 ]ocation 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 Permit 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 applicable ]aws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa i spec 'o (Signa ure of applicant, or na e, if a corporation) ~.n..3oX .7.8`x, T,~•u~!1N. f,~.' ~RrH~: F.9;s7.' /~I~rr~oN, (Mailing address ofapplicant~•~-< State whether applicant is owner .essee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~~~1'Q 1C'.~K ..J ..~~~/.?/?~/.~...!4.>?"b ~~~.X77 . ~~4~i>k?~P~ , . . (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. . 110. i ...~~!!~a•`:~^! • ~r• • l~~~S~ W~' rr Plumber's License No . . ~J Electrician's License No . . Other Trade's License No . . 1, Location of land on which proposed work will be done . . I 1. 1.~:/~ i P.~iJ........... . .............~~~M~ s.:P~............~~5r. House Number SStreet Hamlet County Tax D1ap No. 1000 Section Block Lot......17 Subdivision Filed Alap No. Lot . (Name) 2. Slate existing use and occupancy of pr~eJmises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1y 1~.~5it~,~iY1~/•~'.~ . . b. Intended use and occupancy • • •~•~`S/•d.E~??.Tlf~L" . • • • • • • • • • • • • . 3. Nature of work (check which applicable): New Building Addition Y • . • Alteration . Repair Removal Demolition Other Nork _ (Description) 4. Estimated Cost 1.7E . 9.t2 O Fee . (to be paid on frling this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor I........ . If garage, number of cars . D.N.11`?' . 6. If business, commercial or mixed occupancy, specify nature and extent of each typg of use . 7. Dimensions of existing structures, if any: Front , Rear . . . . Depih ~.5...... . Height Number of Stories . Dimensions of same structure with alterations or additions: Front :s~........ Rear ~!F . Depth ~O~ ...........height ............Number of Stories ~ . ' 8. Dimensions of entire new construction: Front .....~.Q Rear .....!¢a • • • • • • • Depth ....~(o....... . hc'~ S ~ . Number of Stories . 9. Srze of lot: Front .....~14.......... Rear 9.4.......... Depth .....~J~.J`.......... . 10. Date of Purchase . , r~~'. r..~j .~9 ~7I Name,°f Former Owner ?'Q.H./.?../.ti1lL•l./.6.~Pt+l....... . 11. Zone or use district in which premises are situated ...`~:7s~ O 2 , , , , , , , , . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .N.~ 13. Will lot be regraded ..........l.~/? ~ Will excess till be removed frorrt,premises: Yes X 14. Name of Owner of premises PiPTR/CK :~BRFNrYifi~.~Address h ne No............... . Name of Architect ...........................Address ...................Phone No............... . Name of Contractor ..........................Address ...................Phone No...... . 15.Is this property located within 900 feet of a tidal wetland? *YES.~:NO.... *If yes, Southold Town Trustees PLOTDIAGaRAIvI a required. Locate cleazly and distinctly all buildings, 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. S~~ ~-7"T~4Cbt~ - S U/~ V4;~ STATE OF NE1V YORE:, S.S COUNTY OF . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pgrform 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 rrm77 e this 9 .............1.. .day of..~..........,19 Notary Public, , , . • ~.L: • • • • • • County ~j Nt1Rt K BE YOE ~~/~a .l/~/s~'_d~~.'i' . NBtNlY PUBLIC, Sd4 d New Yak i;nature o f applican t) N0. X70787& SUfldk t~anb Tartu Expires Mach 30,19_ ` ~ ~ ~ TOWN OF SOUTHOLD P OPERTY RECORD CARD ~ M ` yl , 31 - OWNER STREET VILLAGE DIST. SUB. LOT ~.c ~ /~2~Hivi7N J ~ . T4-u ~ ~ ~ i ~.,.,1 3 ~ ~ $e, FORMER OWNER N E Ta.~,,.~~5 ACR. / S ~ q TYPE OF BUILDING d N ! f/ Ify? ~ d`YiY'v (1.Y",L.I ~ F 'l ~.;~~r'1-"~ C? f~~/ ! ;^-trc -~)R tr tF RES. SEAS. a~0 VL FARM COMM.. CB. MISC. Mkt. Volue,~~~ .,r 6 iY c _ . . LAND IMP. TOTAL DATE REMARKS ~ _ ~.-^/y ( b 2G ~ ~ ~~0~ ~ r ~ ,~y~Z. U~ ~Q/ ~ P r? Cr..~,rdpE, ~ i C; 1.T00• L 7, w!f i v ,1 00 OD F':! / ~ r ~ !U o S o a ' S~o2 ~ e n I o .fc a U~ 90 DO 7 Qd ? 261 AGE BUILDING CONDITION NFW NORMAL BELOW ABOVE FARM 'Acre Value Per Value Acre ~ Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER ~ ~a7 yl~, - 9Q~ Brushland FRONTAGE ON ROAD ~ House Plot DEPTH , j - BULKHEAD ^ V+- _ _ Total DOCK i .r_ ~ / ~ ~ COLOR . ' TRIJv1 ~ ?f:'zr& . M. Bldg. ~ Bath ~ ~(1= S 'r Dinette y, ~ ~ ~ G / ~ ~ Foundation , E .p ~ Extension Basement ,r.,, ~ , Floors K. Extension Ext. Walls t ~ ~ Interior Finish 4,aw~i ~;!l'' LR. ` Fire Place ;~i o . Heat ~ d . DR. Extension Type Roof ~ ,C> Rooms 1st Floor BR. ~ Porch 1, _ s'7~ ~ y/ Recreation Roo Rooms 2nd Floor FIN. B. / `r' Porch Dormer Breezeway Driveway _ Garage ~ 1 X 2 j 3 0 0 d t7 - Patio O. B. Total 1 - ~ ~ ~ ~ I <t~F a/i/liirm3 c,r s - , -----_--___t-._- _ zO _ - ~ W ,y a ai • _ _ ~ ~ e o b i ~ ' ~ Q ~ ~ ~ y a' - - - ~ cotta ~ : trV~- ai~h - w.rr~ _ ~ ~ ~ v N o _.i-- N L ati t'a,4r~ j tin 7ta'n r~My h ~ v!detbn d ~ ----ilC-. _.4~._.._.-_. beetion T2u^'~dlw tMYYgkBW S. 64'05 .•W. !¢.2' t F~,m.uontaw. . - "7 ~ n~eav~.~~ya.r.~aw~.~w 1I rharrfda smba..ea wldrll Kewaarldrrld ~ ~ 1 mw.wuuw.~ . k pnpru:wdaMlsYdNMaW f ~ wfa oonrorna 0o.w~Y an+ ~~namwi w.a n~.w ene l Waddi21o1WkWWYkIMKM1EMW~MLL r- p o t1f4KL/t7e'/1~" SvQYEYEL> Fad AT' It~fc~jb~7~df 0?~qi~/ 9, l~94. -~~sr__r~au~ t~.:1.- E OF NELV Y ~!?~dil fC+~ Srldfl F: H { ? - < . o LiCearded Lssrtd Serr'vrrfQrs ; ~I SrJ~f'Olk G4uttt~ T1?x PdMCdI= 1004-~J-fx'8 ~F.p,24 CS 256ti~J4r Grearrr~ar7~, N. Y,