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HomeMy WebLinkAbout17742-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218034 Date MAY 17, 1989 THIS CERTIFIES that the building ACCESSORY Location of Propexty 270 PVT. RD. #12-WINDY PT RD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 06 Lot 4.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated JAN. 3, 1989 - pursuant to which Building Permit No. 177422 dated JAN. 5, 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 DETACBED (ACCESSORY} GARAGE TO CONDITIONS OF BOARD OF APPEALS--APPEAL #3795. The certificate is issued to PETER & IIOROTHY MICCICHE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL__. _N/A CERTIFICATE NO. N069038 APRIL 28 1989 PLUMBERS CERTIFICATION ~/~ Buildinq Inspector Rev. 1/81 iiros~ xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (TtilS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~1. t'~~~+2 ~ Date ....... l/ ........, 19~p Permission is hereby ranted to: ~ a moo, .~}`.9s ... ~~.f.~~......~...~...-.~.....~w.~-e ~ ~ ~ ,,TL ,.~ //' ........./.~ 93.,9............ ~,~,~/ ct premises locoted ot .,,:~..7L?.......~~....1.1~:......~~y-- ........................................................ County Tax Map No. 1000 Section .............~.(p.... Block ..........1~...... Lot No......T..:.~......... pursuant to opplication dated .,~.~~7 ........................................... 191~~., and approved by the Building Inspector. ~/`3/~7r Fee $.~3~ Rev. 6/30/80 ~~ ~ TOWN OP SOUTNOLD ~ 6. ! s BUILDING DEPART2IENT ~ ~• TOWN HALL • SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. ~~D ,~...... NEW CONSTRUCTION .,~ „OLD OR PRE-E%ZSTING BUILDING..T...VAC/ANT LAND...__... r~ n7' Location of Property..~,~a,,,_/w~ ~~_ ~~. /2P~~~ o~~ho~'~ HOUSE NO. •. STREET UAHLET .-- ~- Ovaer or Ovners of Propert~~G.~~./,~,~,~,?U~~l~. ~/C~/c'(~~_____________•'•. County Taa Map No. 1000 Section l.~ „ Block ~ Lot .... Subdivision ....................... Fi/led Map ........Lot.....l.~../. /~/ P e rm i t N o . f `7 742 S' l~~c~~ ... A ~!!~~/ `l ~F~(/; S ~E/~(/ l~ l ~ •-....Date of PermitC pplicant .... C .................. Health Dept. Approval Underwriters Approval... v ,,,,,,,, Planning Board Approval v ................ Request for Temporary Certificate ....... Final Certificate ......._. L-~ m c •-- Pee Submitted: ,5,,, _,_._.,.._.. APPLICANT~,~ ~`=?~o'~ %~... ~v' ..... . ~ 3jasz s~,~/~y ~ ~ z i ~~3~ rev• 10/14/88 1ELD If~SP~C:iOIJ ~ IUriTr, ~ i;UaKME:N15 ~ . ~~ 1 ~ ~ ~ b ' yn.~ y~ ~ ,/ i ~?S~L~Gg7l y 'OUt]DATION (1st) ~. c 'OUNDATIOtJ ( 2nd ) - m _ ~S/' ' z O / TOUGH FRAME +~ PLUMBING N y 3. ~ r~ i11SULATIOt! PER N. Y. " y STATE ENERGY CODE ~ -~ G~ sr ".-1 i . ~ y FI;dAL ' I E ~ ADDITIONAL COMMENTS: 4 ~ ' ~ ~ x ro • ~ H ~ G ~ \ y H O .,, ~ Y~ y \ `\, - H o~ x ' d m -o H 'K '~ .i 1~' !#' `•\ k, V Q~~FFOLKCO~. ~ ~a. ~: ~ ~ ~~ ~ ~~~ z o Ir y ~. cP ~~0 c~ ~ TOWN OF SOUTIIOLD UFPICL• Or I2UlLDING INSPECTOR P.O. DO\ 728 T01YN kIALL SOUTHOLD, N.Y. 11971 5-9-89 O`r7o Sc HOe NsT¢iN ~. CJ. ~oc I (o us ~ E ryl ra•~ ~ r; L ~ IvF ~asT Mw~~o,v 1sy 11939 To P7hom This May Concern, TEL. 7G5-1802 Mi cc.lcr-)L. ~~Rn~,T*t I'77ya~ }~d,~.__ e~ETpe~-rya C9r'k1GE We are unable to complete your Certificate of Occupancy because of the following reasons. /~ An application for Certificate of Occupancy i:: not on file. Jiil~ No Underwriters Certificate on file. /?~ The check is (outdated/not o~~file~ )~a~ n~ j_/ No Ilcalth Dept. Approval on file. /_/ No final inspecCion has been made. Plc:a:;e contact our office on this matter. Thank you for your cooperation. kluildi.n~i Permit fk ~ Z 2 ~ ~ Z I3u.ilding poet. ***/_/ No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,1984 ) '\~ ~ ~FF~(/(r~ ~ ~ ~ o `'~ ~ ,_. w § r` '" n ~`,~~ APPEALS BOARD MEMBERS Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 GERARD P. GOEH RINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, lR. JOSEPH H. SAWIC KI JAMES DINIZI O, JR. ACTION OF THE BOARD OF APPEALS Appeal No. 3795: TELEPHONE (516) 765-1809 u~~~Ii~° a ~~8~ Upon application of PETER AND DORO MICCIC or a Variance to the Zoning Ordinance, Article , Section 100-32 for permission to construct detached garage in an area other than the required rearyard. Location of Property: 270 Private Road No. 12, Southold, NY; County Tax Map District 1000, Section 78, Block 06, Lot 4.1. WHEREAS, a public hearing was held and concluded on December 8, 1988 in the Matter of the Application of PETER AND DOROTHY MICCICHE under Appeal No. 3795; 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: 'Page 2 - Appl. No. 3795 Matter of PETER AND DOROTHY MICCICHE Decision Rendered December 16, 1988 1. By this application, appellant requests a Variance under Article III, Section 100-32 for permission to construct accessory (detached) garage in the most southeasterly frontyard area, as more particularly shown by sketched survey map, with setbacks of 12 feet from the private road (along the southeasterly property line}, and a minimum of 35 feet from the northeasterly property line (along land now or formerly of PiscottaJ. 2. The premises in question is a 17,400+- acre parcel of land with 140.0 ft. frontage along the westerly side of a private right-of-way referred to as Private Road No. 12 (which extends off the south side of Bayview Avenue) and approximately 130 feet along dredged canal in the Hamlet of Southold, Town of Southold, more particularly identified on the Suffolk County Tax Maps as District 1000, Section 78, Block 6, Lot 4.1. 3. The subject parcel is improved with a single-family, one-story frame house and two small accessory structures, all as shown on the above-mentioned survey sketch under consideration. 4. The accessory garage structure is proposed of a size 26 ft. by 30 ft. It is understood that the two small existing accessory structures located along the front property line will be removed from the premises. 5. Article III, Section 100-32 of the Zoning Code provides accessory buildings to be located only in the required rear yard. 6. Article XI, Section 100-119.2 of the Zoning Code prohibits placement buildings within 75 feet of existing bulkheads, and there is no other alternative for appellant to pursue other than a variance. 7. It is the position of this Board in considering this application that: (a) the circumstances are unique to the property and are not personal in nature; (b) the relief requested is not unreasonable and is the minimal necessary; (c} the relief requested will not alter the essential character of the neighborhood; (d) there are other buildings also located in the frontyard area; (e} there is no other method feasible for appellant to pursue other than a variance; Page 3 - Appeal No. 3795 Matter of PETER AND DOROTHY MICCICHE Decision Rendered December 16, 1988 (f) the variance, if granted, will not in turn be adverse to the safety, health, welfare, comfort, convenience, or order of the town, or be adverse to neighboring properties; (g) the interests of justice will be served by granting the variance. Accordingly, on motion by Mr. Sawicki, seconded by Mr. Goehringer, it was RESOLVED, to GRANT the relief requested under Appeal No. 3795 in the Matter of PETER AND DOROTHY MICCICHE for permission to place accessory building in the frontyard area, to be used accessory and incidental to the residential use of the premises (for storage purposes), SUBJECT TO THE FOLLOWING CONDITIONS: 1. No plumbing or other utilities permitted, with the exception of electricity; 2. The frontyard setback be no closer than that as applied; 3. The subject accessory building not be used for sleeping or habitable quarters. 4. The subject accessory building not exceed a total height (to peak) of 18 feet; 5. The overhead doors open to the side (or rear) of the building. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Sawicki and Dinizio. (Member Doyen was absent due to serious family illness.) This resolution was duly adopted. a~• GERARD P. GOEHRINGER,°CHAIRMAN FORM N0.3 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ~~~~ ~~~ /,~~~~ Date . ~6 : ~i ,7,y.^~ ., 19 ~g. ..~~~~... ~:~~:........!6. stns, y~.~~ ~¢ " ~/ ... ~~`.~~~.,.,. ~~..... x/9.39 PLEASE TA~,K-E NOTICE that your application dated ........ ,/. ?'? :- ~.........., 19 ~~J. . for permit to ~~jZ44G,~. ~...~,(.~~~• ,~.r' n Location of Property ..?~.?~ ..!~~ , (~,~/~• O House No. ~ ~ • Street ~ ~Hamler County Tax Map No. 1000 Section .....7 ~'..... Block ...... ~°...... Lot ....~~, f ..... . Subdivision ................. Filed Map No. ................ Lot No. .......'......... . is returned herewith and disapproved on the following grounds .~J~(..~.~~~,~, , • ~19.~.... /.4.4.c..3.2...... ....-t~l.~. . . ...G~. ...... ..~ ........................................... ................................................................... Buil ing In ec r a RV 1/80 1 ~7~~ 7sS-1802 BUILDING DEPT. ~NSPECT~oN [ ]FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] IN ULATION [ ]FRAMING [ FINAL REIYIARKS: l f~ DATE ~~ v ~ INSPECTOR ~~ ~i~~~v 765-1802 BUILDING DEPT. [ ]FOUNDATION i5T ( ) ROUGH PLBG. [ ] F NDATION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: DATE 3 -~~ U INSPECTOR l7~ ~v 765-1802 BUILDING DEPT. SPECTIOIV FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~~~~ d~, DATE ~ INSPECTOR / v ,~ 1 ll~snos THE NEW YORK. BOARD OF FIRE UNDERWRITERS EUREAU OF ELECTRICITY i ~ 83 JOHN STREET, NEW YORK, NEW YORK 10038 .-#~~~. T:APRIL 2a,1'S89 ~ 6177U7a91aA N U6903a W Application No. on file PACE J 'TNlS GER7"lFIEl6 TFIAT only the e6ctrlal grsipmant w described below end ineraduced 6y tlw eppBcarst nerved on the eboro epplioetion wumber in the promises of ETER kICCICN)S, YINnnDX NOWT Ri>AD, HOLE#3, SOiJTNOi.J3, N. Y. in tkefoUowlnp loeatimtTL 1,.1, ,Basement ^ Ist Fl. ^ Ynd FL GAR .Section Block Lot war esamIned on AYR 11 .J] 71~Y988YY and found to 6e in compliance with the requirements Df this Buard. _~ IIXTURt OUTIlTS AQef SWITOMS I XTURRf NGNDlSCEM FluORESCENT GTNEn RA AMT. NORS K. W. tX10KIN MAT. 6 RRCK5 K. W. O AMT. VlNS K.W. DISN WAflNRS NAT. K. W. BXMAY AMT. ST FANS M. P. a s ~ i IMYlRS RMIeitC! MOTOIK ttlruM AMLIANCe RRDeRi sreaAt Mean nkle CLOCKS eNt UNIT IIeATeRi ~Tt ~ IR gMMBRS NAT. N. W, ql K e. GAS N, P. AMT. NO. A. W. G. AMT. AMP. AML AMPS. TRANS. AMT. N. P. S T ~: « R7lT AMT. WAlT4 SRRVK! OlimteNeCT NO.Oi S E R V 1 C E AMT. NM. T1TE ~ 1 / TV 1 / T4 ] / T4 ]/ AW ~• KRC,COMD. q CC. COND. MO. q nIdEG 01'X4~LE0 Pq. q nEUTRA4i Oi ~mU1GMl IeleR 1Ve11R11TYL: PANELBOARDSzl-2 t:IR. 1OU G.F.C.I:-1. ~o~ Q.C. ELECTRIC INC. LI'C.#3a21 E F.p.DOX 51a 1,AiJREL, NY, 114Qa OIIRRAt M ~ RR 11 Per This nrNficoM must rat be alNred in any momwr; return to tM offfee of Me Board if incorrsd. Impsclors may be identrfied by Nrefr ttedantiah. 1 1510'7 3- - ~ . o. _ _. ._ _ ,_~~ ~..~. _! TWE NEW YORK BOARD OF FIRE UNDERWRITERS PAGR 1 1000773 BUREAU OF ELECTRICITY 88 JOHN STREET. NEW YORK. NEWYORK 10038 Ds~ MAY 09,1989 Application No. on file 61374589/89 N 0"10685 THIS CEftTIF1E8 THAT awty the aloe[ palpment v dsecrihed 6ebra and iweroduced 6y the appBcant named on ehs a6ooe applleatton number in the prem4se 4( N6r-I E-yf ~ RT.PIPIT 1)Y T E ARINA, MALN ROAD, ORIk:NT, N.Y. in thefdloselnR klcation; ^ Basement ~ Ixt FI. ^ Ynd Fl. Section Block Lot toes examined on APR IIA 24, :1.989 andfound to he in compliance with the requirements of thu Board. RXTUW Agts ~iCMEf X RANWf tX701lINO DECKS OVENS INSN WASHERS EXHAUST fANS OU7IETS INCANDlS<!NT PIVG[!e<!NT OTNFR AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. P. 7 6 5 2 ERM~S fURNACE MOTORS FUi1KtE AlfllAttq REDEES SMCIAI EECei TYYK4 tYAClI4 ~, IXK7IIEAiERS AItXi40UM DIMMERS AMC K. W. pl N. P. GAS N. I. AMT. NO. A W. O. AMT. AMI. AMT. AAV5. TEAKS. AMT. N. P. NO. ~7 AMT. WATT] SNVId pf00NNECT ND.Of 5 E R V I C E AMT. AAV. TIPS ~ 1 / 1V/ 1 / Te ] r ]w ] / ~W ~. ~ CC. COND. IFS r A. W. p cc. <gia. NO. or NIAlG ~~ X ~~ No, p NELRIIALS Gj NEInnAL tITIKR AfIARATU6: sffoRrs n~:T>scTUac-1 ~~ ARTHUR A. RIJRUEOE LIC.~2234R MAIN RQAU ORTP:N1', NY, 11957 Etl1RAl1~l-OEE Per This carKfita6E must not ba alNrsd in olhr monner; return to 1hF office of M» Board if inwrract. InspeNOrs moy be idantifrsd by 1hAF, radsMLals. ~~ COFT Far; EWILOING DEI'AR7MENr. IRIS GoPY ~ cERT1FIGTE MUST NOT EE ALTERED IN ANY MANNER. [ ~jr ~,xu~n~n,.pey-,.,~ ~n,T t 1 ~~ f' j: ~1 ". ' ~ ~. ., - P~ x, II, 1~ j. i ~.1~ ~•~ ; ~ O ~ ~~ /~aP r~ ~hr0y:ft4 4 ~ ~. ,. ~~~ _,.. __ ~~ j.. _~_ .- ~~ .. -. ,ti~~ /" ,~~' ,,~ 1 s ~',, '`.~ '~v - ~ 'f sv e ~~r. ~'~` [af 0~~~ '~b. l ~ ~ q,Q ~ , F4 i; o/ v, ,. ,r ~ ~ .r °~ ` r. t ~ %i; ,nY// ~ N ,. ~,, e ,. ~4' ~K ~/5' ,y ~ ' i .~ ,,,. ~~4 ~~F gay?a. ~qp~ m~ - h ~a _ -°~ ,, ~ ~, O wQ ~ `~~ ~~ w .~ ri``~ ~~~ ~ ~V J pw s`9 ~4y,. ` d1 .~~ r! ' R ~q;~ ~~~~~ ...~~;;1 ~ ~ ._~~ ,, ,, rg~~~!' \+ , G f~'~ 1 1 a~ ~ t3~, ti n~ -~. k~ tr 5. ~} ! r ~a ~ /ry , V ~^I-r -1,J~r-~' ~~'N~c-~MSac ©v i `5''~,rr2' , ~, ~, , Uncwlhou ~ - -, 'f~~ - ~ - ~ ~ - zed oltorafion d addiliory ao lhrs curve is sacnnn 7209 of fh ~ ~ ~~ e Naw v,; .h,«, Y o violaH~~, _x~ - ~mr" .hu eurvey rnpp' not baarinp~ $ie Inn ~.. . ~ - ~._..:rd "°a` .it.-p not F, d. 5urv0yo.'s inked ~ LfjfUt±VO t~~Lt"{~'i ~~~%! vi:,t vw4,Y r`d~ ~,..L UpIJ ~ e 4ClJ?IG~grgrl - - I . m' eor,r~.ae~ne scribe o vol;d rn,~„ ~ (54E}'717'-s~~J` P`_ar~ car ..~ nn_.rfe.1 tea ~'on chc(I ~-~ gum t'. i o r, - run only to rho M!e ',FomT,-r„ ~"!'` pn~<ra 1, 'v^d nn }s'behclf t, - ~ - _ ,~ ~evLrrin=.rt;c:i .v oco~, i ~ to Lie ~' ..~~~~__ -utyn, c,~:: to th. ~ ~. r ..^ TITLE ~~__~~ . os^i~w n9ya r "? fniiihrtion Cued ~ on `s.Ci'rCalr~ns are not tro~,¢@r. ~ - ~~~ ~ -'!'+uhn0. Uuorm.i~ ~ i 3u6sa ~b v r.~ +es 4w. ~:: Owneq, a.tdgional en>grvbOns pl ' 4 ,. ~».......~ ~~~1'~r~ ~ aoRarr~r r~~ccfcrr~ a ~ ~~,~ o ~-`~`~.~v ~ AT Ei>RlY VIEW „`~~e of NeW ra Td7WN p~ SUUTHULD ~ ~lir a, R~ ®u,mttAar~eeo rn= f 9uP'e"OtK COUNTY, ltl.Y, a°0V ~, k,~r. ~ CMrC~r~a rrrLe rnrsvRanrc~ ecr,~uv~roY 'a~,Ki PETER fa AORAtMY M!C'C1CNE B t7=TA~tkd.t,At F. 6 SCALP + f .a: .~O ~ 'vt " D©RpJ'MY R. r9MPFC'rA+S firFti is fa7t5 ,:° ~ ~~ TOW-~~~~ SOUTHOLD 7 "~`~ I'~~~~`w' `" ~"••"" ""` Uli[ ~iNG DEPARTMENT ' ~ (~ t (l! L7fi i~Gi~' A _ ~'~~ ~.....1'ti4V9d i;P SOUitiOi~ TO N HALL i0U71-00LD ~~ ~ SOUTHOLD, N.Y. 11971 TEL.: 765.7802 Examined ~~. ~~........, 19a . Approved .~`~? .........., 19~~Pennit No ~ .~r.7 ~~~ Disapproved a/c . ~ .' 7 .''.. ~;~... ~~ ... . . ~"- lti (Buil g Ingb~c ZAP (/ BOARD OF HEALTH ............ 3 SETS OF PLANS /. :........ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY 7 ~7 CALL ~f7.Z:.~~.(.1...... MAIL T0: APPLICATION FOR BUILDING PERMIT Date ................... 15 .. . INSTRUCTIONS 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 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 laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in ections ~,.~~ ... ~: c:...... . (Signature of"applicant, or name, if a corporanon) . .............................................. • (Mailing address of applicant) • State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises I. ~~. ~.~:.~. ~O~OTl1< `I' /N° ~ ~ e «"t~~ ............................................................... (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. ~.`~.~.~:~.. N'.I: • • . • • . • • • • d L L~ w Plumber's License No . ........................ ~ l~ Electrician's License No . ...................... ~ r v Other Trade's License No . .................... . ....... Location of land on which proposed work will be done . ............................. . ......... ~ ~o ..~~~.%..1.~..~..~ :/. ~ ............................... ~~..... House Number Street Hamlet County Tax Map No. 1000 Section 7~. ~......... Block .....~........... Lot ... ~'. Subdivision ..................................... Filed Map No. .............. Lot .............. . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~.. f: ~ f'vl~a.~:.~.. ~ W i/ (~ f.tf Er,v^•4 i '' s;;%• • • • • • • • • • • • • • • • • • • • . b. Intended use and occupancy ...... ~?~'!•!~ • • u/ • • • • •/~' .................. . v 5i ..:. 3. Natpure of work (check which applicable): New Building . ~'.~^:°! '~1` thl4Gtdlp .......... Alteration ......... . Re air , ..... Removal • • ............ Demolition ..............Other Work ... .. . (yCW ~ ~~R' ~'q'Q'`~`-1.~ (Description) 4. Estimated Cost ..°Y..~ :~y O O a ........................ Fee ..................................... . (to be paid on filing this application) 5. If dwelling, number of dwellin' units .,_....:::::::: Number of dwelling units on each floor ............... . If garage, number of cars ...~-.....(.~~ ,,,,,,,,,,,,,,,,,,,, ,,, 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use ......... ~ g ~ ~ ~ res, if any: Front ... ~•~....... ,Rear . ~:•~~......... Depth . ~.l-,t~. , , , , , , , , , 7 Hemh>Ysionsofexist;ngstruNu'mberofStories......~......a(C,/,y',,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, De th ... , , , , , . With alterations or additions: Front ................. Rear ................. . p ...Height ........... ~.......... Number of Stories ..................... . 8. Dimensions of enhresnewtconstruction: Front ... ~6. y... , .. Rear .. ~~ ~^........ Depth ..~Q. ~, , , , , , , , Height .. ~.~......... Number of Stories ...... ~.~ ..................................... . 9. Size of lot: Front ........ ........... Rear ........... ... Depth ............... ..... . 10. Date of Purchase ....... ................... Name of Former Owner ............................ . 11. Zone or use district in which premises are situated ................................... . 12. Does proposed construction viplate any zoning law, ordinance or regulation: . ~f~c9:N~ ~ .. ~~'Y!'?:~'','~ .. . 13. Will lot be regraded ~ .......... . . . . ......Will excess fill be removed from premises: Yes No Name of Owner of remises . . P ...... ~~"~:~v?..I~.l~'scEF~Address ...................Phone No............... . Name of Architect ...... . .....:...... Address~d~^ ...........:...Phone No...... t~ . . Name of Contractor .C>Z~ ..~~/,-?§~/,ST, ~??!~/. ,Address . qg: /.d4`.f!~f,.~, , , ,Phone ~22..1.~~~j..' .. . 15.Is this property located within 300 feet of a tidal wetland? YES ...NO.... *If yes, Southold Toc3n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly a!1 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. C ~~' ~~ ~ C~ ~'_. ~/' ~ STATE OF NEW RK COUNTY OF .. , , i S.S ... ....~J, ?fa ..~~t.p~y/.57~<. ti • ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ He is the ......... Ca ~it/G 2,A~~-- ~© .~r i /L -f~Td2~ ~~i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du4y 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 ma`t~h-is~ ............ ...`........day of .. ~/~~~~j!l ..... , 19 Notary Public, .~...~~\~w~~..~R"-. County CLAIRFs L QL~W .(.% ~/ Notary Pu61b, State owT NeW York .................. . No. 4879601 ~~ (Signature of applicant) flnalHiarl In C~.Hn14 (`n~~nW • -- T -- i _ ~ ~ r._,_ .. ~_ i' US lS UNLAWFUL f Y ~NI HOUT CERT ElC ~ }~ ~ S' OF OCCUPANCY ~ ~ - - - ,~.-~;~, ~ = ` ~~~ '~ ~ .,, , 4, / ~~ ~~ _ ,y i39 ~~v Y~ ti . ~ ~ Y'q' 1? ~4 J 1`t 1 ~ I ~ '~ V {I 1 ~~~ ~ I,I r /~ a ~ ~,o„ tz_~v~ i /3~ -_ - -. ~; I ' ~ 1 I~ . ,r I :r ~a 4 ! ~ ~-~ ~ G N , M e Tl E.,JCI l"C.. !~ t't E~ ,t l r;t ~ ~ . - ,~ ,.•- r f 't' ~ ~ - ~. . . ~•- t;.s~ F't ~'e~1 n'.~retA ~ I r ~. I ~, i i ~r i i'' I yt p~ x7~n~: ~ Gl SG'c'. FN~'c •',~:,,-,~ Dc:.ie., . ~ ~~~ ,~ ~~n, 'a ~-3 - -i'H'- ~~~,• -------I '~' ~ (~ ~ -M-~'_ - ~ 7~ _, - ~ ~, - _ _ s _ r' ---- -- -- .. - _. - _._ _. .-, '..___. _ --- ___ - --- -- ~ __.._ .__~=_ ~ A P VED AS MOTED , ...'~ a ~ ~~2, ' ~~Qir YJ C~`^-'~ ~ DATE I.~&P,M ' ~ ~ 8~ ~ ~ ~ NO IFY UI 0 DEPA T ~ I /4 ~ ~ - T66-1802 9 AM TO 4 FOR THE - . -_ ~', '+_.'°~ri ~':~ ~i~l,~n•,.l rJ ~~0nFitJrp ~ '2" _ L. ., -__. FOLLOWINGINSPECTI NS:-- i 5'I`Te r.,r - i - 1. FOUNDATION REQUIRED } fOR POUflED CONC~E'TE ~ ~ ~/~'1 ~,y gCnRC/~ _ `-s~- ~"-*p~-"'s~+., ~- - 2. ROUGH - FRAMIH01•M PLUMBINQ 3. INSULATION •,~ ~ t ,~--.~-' I.~~,-^, rla"~ 4. FINAL - CONSTRUCTION MUS ' ~ ^- ?=4+ 'c~~ ~I ~C'iC ~ 3 / BE COMPLETE FOR .O. '~ 2/r,' ~ ~ ~' ' ~ 1x ALL CONSTRUCTR)N SHALL ME i '' J •r'.x A ', t<.~9 ~r j .j ,ti"~ - THE' REQUIREMENTS OF THE N.Y' ~~ 'i~~ ~ ''_ STATE CONSTMI i ENERG i LI I y' ';~ - ~ ~k'--~44~~-p*-=' CgDES. NOf RESP NStBLE FO •~ /~ ~a- - h+ °' ~,r, ~4"~'~+'' {'~-»~ DESIGN OR CONSTRU ON ERflOfl ' ! 2' ti 8 ~iO~Sr l5" r~.C. ~ - -- 'i a+P tic VL r•TF / i_~, / ~ 1~-~" r.xJE2 - 'cr„~-~ 7.,~ ~. ., ~~, tii ~.~ a^'xi4~~ ~ xa`' ~D~ . boor HEntJ d'2 t:.a+e-v E"k~ r ~v it ~ ~~ I ~ ~9 H r iii: l7t t ^t' i ' ~ I ' { I ,~{e"E,m6TS, r ~~t'bor.u.~rh., f7: u. ;'. ! .tic-~u y~ _ ~ _y>>i :-'r'f4 ~-~~iX TnuN`~~- ~rx tw~lt Tn~ of F'.~uN4 ... ~. -_ .~ _1 ._ ..r - ..>RF.C V. i c~.'LA6~ - -' . __ _ _ _ - - __ r r I I ~.~.. .-_ 'iron., r t~EAwI1DERSDH11RIp1E ~~ ro~~n..,P:~~n~.lyl i ~ __ i , ~' ~ ~~ ~ _~ c~C-rtc~tt =- 1-~~, io~?Ac~~ Ht~ouE' e lull H S