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HomeMy WebLinkAbout18326-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219345 Date SEPT. 7, 1990 THIS CERTIFIES that the building ADDITION AND ALTERATION Location of Property 435 BRIARWOOD LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 136 Block O1 Lot O1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1989 pursuant to which Building Permit No. 183262 dated JULY 25, 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 ADDITION AND ALTERATIONS TO EXISTING ONE FAMILY DWELLING-- DECK DELETED The certificate is issued to VERA AND MATTHEW CUSUMANO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A 77NDERWRITERS CERTIFICATE NO. N132820 JUNE 4, 1990 PLUMBERS CERTIFICATION DATED HARDY PLUMBING & HEATING JAN. 22, 1990 ~n~^'~ V _ Bu lding Inspector Rev. 1/81 r~oaas xo. s TowN of sourHOLD BUILDING DEPARTMENT TOWN HALF. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- ~ $3~6 Z Date .9....~,~ Permission is hereb ranted to: 1 .?,~y~~~ . ~ ~c~~ ..%'!r .i ~.a.,.... ../?.c.~~.. /mod. to ~~~....a.~~~;. at premises located at ....~.~...~.......~...!~4rt~r~if/./~.... L County Tox Map No. 1000 Section ..........f.sl.~a.. Block ..........o,l...... Lot No pursuant to application doted .......5'P.~7r-.~r 19.~,°!., and approved by the Buildfhg Inspector. Fee S.,v~.l ~ .3 L=^'~~ ' uildtn t~'~' Rev. 6/30/80 I ` Form No. 6 ~ ~ p TOWN OF SOUTHOLD 5 BUILDING DEPARTMENT p~pl „ 6 TOWN HALL v 765-1802 BLDG. DEPT. TOWN OF SOUTHOLD . APPLICATION FOR CERTIFICATE OF OCCUPA CY 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: L. 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. S. 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions Co 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. Z. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Upualed Certificate of Occupancy - $50.00 5. Temporar Cq~ificate of Occupancy - Residential Q$15.00, Commercial $15.00 /?Q 7.~?~©x/ !/'r9 Date g..:.r~~~.. :~•w Construction..........`. Olfd~ Or Pre-exnisting Building .............1 :.~ca[1on of Property..,~'3~[..!;'(\(A~rS~-i0~?q„~--a^a. ~'T~b :,tS~' House No. Street mlet ')over or Owners of Property ~~Q~~~? V~;•, C(,~u.wla"w . County Tax Map No 1000, Section ..............Block................Lot...................... Subdivision..........;$...~ ....................Filed Map............Lot.............:........ - 3z Pcrmlt No ...............".Date Of Permit................Applicant............................. {Icalth Dept. Approval... Underwriters Approval... " i :Tanning Board Approval • Request for: Temporgqary Certificate........... Final Certicate........... Fee Submitted: $,,;~I,S ~~~/~o • ~a Ys ~ APPLICANT ~c. 7 J" _ , , • m " THE NEW YORK BOARD OF FIRE UNDERWRITERS F'AGF 1 3001071 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10088 Dote JUNE Oh, 199(5 Application No. on file 651025A9/89 N 1328'10 THISi CERTIFIES THAT ' only the e/ectrieal equipment v dsecribed 6eble and introduced 6y the appllceat nomad on the oboes tppNcstbn number in the premlre of - ~ PLATT CUSAMANO, RRIARWOOD LANf., CUTCHOGOf, N. Y. in the dbecin locotioni ®Boeement (111T - J ~ ®let Fl. ®Pnd FL ':S~ctiun Black Lot was exomined on MAY 1 k , 19 90 and Jound to 6e in complbnce uPth the requirsmenG of this /loord. Rl[TYMI RPI RANOlS tPy0E1N6 W UST ANE OUTIlTS ACtES fItI1TCME5 INGHDESCENi HUGIIE6QM GTNEN AMT. K. W. NAT. K. W. ~ AMT: R.W. AMT. R: W. AMT. N. 1. t 51 B6 51 50 1 1 1.2 ~ E DRYDRS RJIINAC! MOTORS lUitlM AMIANCE IEEOERf S~lgAI RlC'K TIEIlCIOdif EEII LIMIT NEAipt MplT40yT1ET DIMMERS AMT. K. W. dl H. 1. GAS N. R AMT. NO. A W. G. AMT. AML. AMT.. AA11t.: TRAMEJ; AMT. N. 1. ~tM' ~T AMT. WATR 15 5110 SERVICE DNOONNECT NO.OE S E R Y 1 C f.~ E AMT. AMV. TTIE t / tw 1 / aw 3/ tW ],e Aw GPER 1COIn1. A. W. IIGq INtG. Of Nl'ltG Na. p NENEAIt GI 'NEURAL - t pLTO C8 1 % 1 6~0 1 2(0 OT/IEE AMAEATUS: _ G. F.C.1:-6 'iflOKE DETECTOR:-2 r G 8 5 f.UNTftACTOR I.TC.BS7Af ~~~JG~E~~~~ 60?( 215 ~i0l1TMOLU, NY, 11971 O~,~IliW1A0~ - 1 1 pn Thh prMicate muN not bs olhred in any manner; rNarn to 1M off d Nls Board if incorrect. IntPect?1'? bI identiffed by sndenMalt. COPY FOR BUILDING DEPARTM@IT. THIS COPY OF CERTIFICATIE ARlST NOT 11I.T~t~ IM:aMFIf MAMrIlR. u . p1. TEL. 7G5-1802 S~F~°ttrc To~rrr or sr~~rT~o~.~ ~a o~ ~ OFFICE OF BUILDING INSPECTOR D ! m P.O. BOX 728 u' .,c TOWN HALL "O/~O~ ~ SOUTHOLD, N.Y. 11971 r~ TOWN OF &o~d Ld C E R T I F I C A T I O N • Date ~ ~ 0 Building Permit No. /`~D ~a(o Owner ~~~i.~(,Gr,aw.iirx a~ (please print) (J Plumber ~ , ~`fL~ (pl se print I certify that the solder used in the water supply system contains less than 2!10 of 1~ lead. (plumber's signa ure) " - Sworn ;o,befo me this x=~~ ~_day of • ~(yrr%i~~il~ ~~~~c~ ha 19 ~jn • Notary Public ? Not-ary Public, County OQA13 UAR1E E'~'tn81SL-~7 N ~1d05"~.oS~Sulb~CoYva~k,, CaadMbn ~ ~ fiY( ~~.r ~ , M f~ ~ ~ a ~ Li ~ ~ ~ 1J Li ONF, FRANK A. KUJAWSKI, JR., President 4~;'%d -s rn ALBERT J. KRUPSKI, JR., Vice-President ~s ~.``w$ ~ ~ ( -1892 JOHN M. BREDEMEYER, III ~ AUG - ~ ~ JOHN L. BEDNOSKI, JR. 3~ HENRY P. SMITH ~ BLDG. DEPT; 7pWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 August 1, 1989 Matthew Cusumano 435 Briarwood Lane Cutchogue, N.Y. 11935 Re: 1000-136-01-01 - Briarwood Lane, Cutchogue, N.Y. Dear Mr. and Mrs. Cusumano: 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 for a waiver to construct deck addition to single family dwelling located on 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, Frank A. Kujawski, Jr. d! / President Board of Town Trustees FAK:jas cc: Bldg. Dept. Board of Appeals file r1F:LD I;: °,Pc~.:'-u;+ ~~Uni° ~I i:Ot`iMENT~ ~ .d ?OUilDATION , (1st) 9 ~ c r OUNDATIOtJ ( 2nd ) _ m DOUGH FRAME & PLUMBING N 3 . ~ ~ ra I7JSULATIOP! PER N. Y. • • y- STATE ENERGY \ CODE 4. FI;JAL o E~ ADDITIOPIAL COMMENTS; m x ' x H ro A H H O i a I ~ • r y ,j~ Z `{,J C7 [7 b H 1~3z~ rsS-zsoz BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ~ULATION [ ]FRAMING ]FINAL REl1AARKS: .._.__~~-~/~Q~r DATE < ~ INSPECTOR 765-1802 BUILDING DEPT. 'NSPECT'oN [ ]FOUNDATION 1ST ROUGH PLBG. [ ]FOUNDATION 2ND [ ~ INSULATION [ ]FRAMING [ ]FINAL REMARKS: '~C~""- DATE ~ INSPECTOR ~ ~ T65-1802 y BUILDING DEPT. INS~'ECTION [ ]FOUNDATION 15T [ } ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~RAMING [ J FINAL REMARKSa c~ DATE 1 ~ ~l ~ INSPECTOR l~~b 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: .a.~_ ~ DATE INSPECTOR ~ ~.~~.s~ J ~ 765-1802 1%`. BUILDING DEPT. 1 NSPECTION j FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING j ]FINAL REMARK: ~ :.~~-~~/~"c.~c. , .r.~~ ~.R J9+~JFS' ,~b'~c t 1 DATE `INSPECTOR r~ S ~D ntnzzJ~ TEL. 7G5-1802 ~p~~FFdLk~OG TgWN OF SOUTIIgLD ~ y''-c OPr1CE OP BUILDING INSPECTOR ~ ;s~~~ P.O. BOX 728 ~ ~ TONN FiALL O~o~ ~ ~0!' SOUTHOLp, N.Y. 11971 July 31, 1990 MATTHEW CUSUMANO 435 BRIARWOOD LANB~'--~~~ CUTCHOGUE, N.Y. 11935 To Whom This'. May Concern, We are unable to complete your Certificate oL• Occupancy because of the following reasons. /~i// An application for Certificate of Occupancy is not on file. (ENCLOSED) / / o Underwriter:, Certificate on file. /,~Tlie check is (oR>It~y~!/not on file. ) $25.00 No llcaltli Dept. P:pproval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit I) 1 8 3 2 G Z (ADDITION & ALTERATION) Buildinc Dept. ***I No Plumber Solder Certificate on file. ' ( all permits involving plumbing being .i:,sued after April 1,19II4 ) ! 1 ~ h Y c~~iF97~i ~.`r 0 4 a ' ~~~'V ~ Southold Town Board of ,Appeals MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.L, N.Y. 11971 =,_q~ EPHONE (618) 785-1809 h L ~U No. (576) 765-1623 APPEALS BOARD iU1 l~ MEMBERS ~ ~ ~ ~y~ GERARD P. GOEHRINGER, CHAIRMAN 1.7.7V f~ CHARLES GRIGONIS, JR. SERGE DOYEN, JR. BLfJCa. 13Ei;'~i. JOSEPH H. SAWICKI TOV`dN OF S®Ui'Pd{yi.4 JAMES DINIZIO, JR. ACTION OF THE BOARD OF APPEALS Appl. No. 3870 Matter of MATTHEW CUSUMANO. Variance to the Zoning Ordinance, Article XXIII, Section 100-239d, (Article ILIA, Section 100-30 A.3) as disapproved, for permission to construct a deck and other additions, proposed construction will be less than 75 ft. from water or wetlands and will have insufficient front and re~a~r yard setbacks. Property Location: A35 Briarwood Lane, Cutckiogue, County Tax Map No. 1000, Section 136, Block O1, Lot 01. WHEREAS, a public hearing was held and concluded on December 19, 1989 in the matter of the Application of MATTHEW CUSUMANO, under Appeal 3870; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; 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 east side of Harbor Lane, Town of Cutchogue, and is identified on the Suffolk County Tax Maps as District 1000, Section 136, Block 1, Lot 1. 2. This is an application for Variances from the Zoning Code Article XXIII, Section 100-239d, (Article IIIA, Section 100-30 A.3) for permission to construct deck and other additions, proposed construction will be less than 75 ft. from water or wetlands and will have insufficient front and rear yard setback. i . , Gage 2 - Appl. No. 3870 Matter of MATTHEW CUSUMANO Decision rendered December 19, 1989 3. Article XXIII, Section 100-239d, All buildings located on lots upon which a bulkhead, concrete wall, riprap or similar structure exists and which are adjacent to tidal water bodies other than Sounds shall be set back nat less than seventy-five (75) feet from the bulkhead. 4. The subject premises for the one story extension on the west side is known and referred to as being 17.6' by 19.0', the porch on the west side is 7.6' by 15.0`, the wood deck located on the east side is 12' by 20.0' "L" shaped extending to south side of dwelling and abutting exisitng porch. 5. In considering this application, the Board finds and determines: (a) that the circumstances of this application are uniquely related to the premises and its established nonconformities; (b) that there is no other method for appellants to p ssue; and placing the proposed additions in any other location on the premises will require other variance relief; (c) that the area chosen for the additions is not unreasonably located; (d) that the variance will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience and/or order of the Town; (e) that in carefully considering the record and all the above factors, the interests of justice will be served by granting the variance, as applied. Accordingly, on motion by Mr. Goehringer, Seconded by Mr. Dinizio, it was RESOLVED, to GRANT a Variance in the matter of the application of MATTHEW CUSUMANO as applied under Appeal No. 3870 for placement of a deck and other additions. Vote of the board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki and Dinizio. This resolution was duly adopted. df. GERARD P. GOE~ GER, CH RMAN s FORM N0.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL / Dat/e . 19~/.. . ToG%~~~~~~ .L/!..~'~l~'4Yl.~~Q~~.21.1/" ~ ~1llitCl ~U~iyc-6~yt~- PLEASE TAKE NOTICE that your ap'plfication diloated 9 19~5..~. for permit to C'~9F,r~lL. ~a2~..U~"G?~~ .4~%~G~ at Location of Property . ~J.~~... ~.~G>~~*J,~ ~j House No. Street ~ ~%/an County Tax Map No. 1000 Section Block ~ ........Lot ....Q.~...... . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds off' . r~ - ~ p.~ ~.~.-~....1~~ ....a5:. -.tea ~ A f • • • • , •~~~`s!%•~~•~.-mod... a~.~~ ~1 ...s-~.~:.~-:....... .i Bui~ ing spec or ~G RV 1/80 ~ ~ :n~ OMB 3067-0077 tM'""'"^. A'xpirer: Jarx 19N4 O^ FEDERAL EMERGENCY MANAGEMENT AGENCY , ,I~ ~ pp ~ -NA/T~~IONAL FLOppO~~D I~NS+UCRAN~CyyE~PROGR/A~M ~ILE~/'1T'®IV ~.r~r1l 1 ~ ~'~.r~T This form Is to be used tor: i) New/Emergency Program constructlon In Special Flood Hazard Aress; 2) Pre-FIRM constructlon attar September 30, 1982; 3) Post-FIRM constructlon; antl, 4) Other buildings rated as Post-FIRM rules. Vera Cusumano 201 Fast 15 Street, New York NY 10003 BUILDING OWNER'S ADDRESS NAME 1000-136-01-01 PROPERTY LOCATION (Lot and Block numbers and address if available) I certify that the Information on this certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by tine or Imprisonment under 18 U.S. code, Section 1001. SECTION I~ ELIGIBILITY CERTIFICATION ~ (Completed by Local Community Permit ditlClal or a Registered Professional Engineer, ' Architect, or Surveyor) COMMUNITY NO PANEL NO. SUFFIX GATE OF FIRM -FIRM 20NE DATE OF CONSTR. BASE FL000 ELEV. BUILDING IS (ln AO Zone, use depth) ? New/Emergency 360813 0094 C June 15 A4 ? Pre-FIRM Reg. 1983 8 ? Poet-FIRM flag. YES NO It is Intended that the building described above will be constructed In compliance with the community's flood plain ? ? ordinance. The certifier may rely on community records. The lowest floor (Including basement) will be at an elevation of ft, NGVD. Failure to construct the building at this elevation may place the bullding in violation of the community's flood plain management ordinance. YES NO The building described above has been constructed in compliance with the community's flood plain management ? ? ordinance based on elevation data and visual inspection or other reasonabia means. If NO is checked, attach copy of varlanco issued by the community. YES NO The mobile home located at the address described above has been tied down (anchored) In compliance with the ? ? community's flood plain management ordinance, or In compliance with the NFIP Specifications. MOBILE HOME MAKE MODEL YR. DF MANUFACTURE SERIAL NO. DIMENSIONS X (Community Permit Official or Registered Professional Engineer, Architect, or Surveyor) NAME ADDRESS TITLE CITY STATE ZIP SIGNATURE DATE PHONE SECTION II ELEVATION CERTIFICATION (Certified by a Local Community Permit Official or a Registered Professional Engineer, Architect, or Surveyor.) FIRM ZONE Al-A30: I certify that the buildlpg at the property location described above has fbe lowest Iloor (including basement) at an elevation of "I J b feet, NGVD (mean sea level) and the average grade at the building site is at an elevation of 1 - feet, NGVD. FIRM ZONES V, Vi-V30: I certify that the building at the property location described above has the bottom of the lowest lloor beam at an elevation of feet, NGVD (mean sea level), and the average grade at the building site is at an elevation of feet, NGVD. FIRM ZONES A, A99, AH and EMERGENCY PROGRAM: 1 certify that the building at the property location described above has the lowest floor elevation of feet,NGVD. The elevation of the highest adjacent grade next tothe building is feet,NGVD. FIRM ZONE AO: I certify that the building at the property location described above has the lowest floor elevation of feat, NGVD. The elevation of the highest adjacent grade next,to the building Is feet, NGVD. SECTION III FLOODPROOFING CERTIFICATION (Certification by a Registered Professional Engineer or Architect) t certify to the best of my knowledge, Information, and belief, that the bullding is designed so that the building is watertight, with ' walls substantlaily Impermeable to fhe passage of water and structural components having the capability of resisting hydrostatic and hydrodynamic loads and effects of buoyancy that would be caused by~the~ilood depths, pressures velocities, Impact and uplift forces associated with the base flood. YES ? NO ? In the event of flooding, will this degree of iloodproofing be achieved with human Intervention? (Human Intervenllon means that water will enter the building when floods up to the base flood level oo- cur unless measures are taken prior to the flood to prevent entry of water (e.g., bolting metal shields over doors and windows). YES ? NO ? Will the building be occupied as a residence? If the answer to both questions Is' YES, the floodproofing cannot be credited for rating purposes and the actual lowest floor must be completed and certified instead. Complete both the elevation end iloodproofing certificates. FIRM ZONES A, At,-A30, V1-V30, AO and AH; Certified Floodproofed Elevation is feot, (NGVD). THIS CERTIFICATION IS FOR ? SECTION II ? BOTH SECTIONS II AND III (Check One) CEP.T!FIER' COMPANY NAME LICENSE NO. (or Affix Seal) Jo ~`A er Peconic Surveyors, P.C. - TIT ~rl lC ~ ADDRESS - ZIP ` ins Su r PO .Box 909, Southold, NY 11971 I S UR DATE CITY STATE PHONE ' ~ 02/28/89 (516) 765-5020 ~ I should attach the original copy of the completed loan to the flood Insurance policy application, ~TFOF N6 d copy should be supplied to the policyholder and the third copy retained by the agent ~ INSURANCE AGENTS MAY ORDER THIS FORM A Form 01-31, SEP 83 REPLACES FEMA FORM 81.31, APR a2, WHICH IS OBSOLETE. _z r, BOARD OF HEALTH - ~ - 3 SETS OF PL.1NS FORM NO. 1 $URVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' c TOWN HALL 73~ „OUTHOLD, N.Y. 11D71 NOTIFY • TEL.: 765-1802 CALL . ~1~ ;4,21.3500, , DIAIL T0: Examined 1~.........'„ 19 .89 SCR DESIGN ORGANIZATION, INC. Approved ~O J~2~?~.--~~ 1,114 FIRST AVENUE, N.Y.C. 10021. 19~/. Permit No........ Disapproved a/c jl~/~~'... • ~ • uil ;Inspector) BLDG. DEPT. APPLICATION FOR BUILDING PERMIT TOWN OFSOUTHOLD - Date JUNE - 2 9... ; , 15 89 . 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 piot 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 pan 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. - - - ~?is,,,. -APPLICATION IS HEREBY MADE to the Building Department for the issua ~2i'f a'~i~ld'~h~:P~ pursuant to the ' Building Zone Ordinance of the Town of Southold, Suffolk County, New York, appli~'a~a~ tag ,Ordinances or Reculations, for the construction of buildings, additions or alterations, or for r ~ °b dum¢h,~[oit rein described. `The applicant agrees to comply with all applicable laws, ordinances, building c ou n`^ c ~ d ations, and to admit authorized inspectors on premises and in building for necessary inspection ~ ~ , e (Signaxureot dr' 1 ~t ,gfre,-r~ rporauon)~ JEFFERY G'rt<~ AI~~ - 1114"FIR: "A~F~" j7~,~~~ .C. 10021.• ,~dYess~-- - (Mailing a oY pplicant) State whether applicant' is owner, lessee, a ~eiits, architect, engineer, genezal contractor, electrician, plumber or builder. APPLICANT IS THE ARCHITECT WHO~~S'R~ERVISED THE PRERARATION OF THE PLANS HEREWITH. :ti'ame of owner of premises ~.~~'$$I'I...GUrHUMF~NO, ,ts , V~1~ ,CUSUMANO..• • . • . • • _ . • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ' Btiildcr's License No . - Plumber's License No . . Electrician's License'No . . Other Trade's License No . . !1.' Location of land on which proposed work will be done. . . 435 BRIARWOOD LANE, CUTCHOQUE, NEW YORK 11935 House Number ....Street........................Hamlet County Tax Alap No. 1000 Section ...13,6........... , Block 01, , , , , . , , , , , Lot 01.......... . ,v Subdivision Riled t,fap No. ,....~.~:.......''Lo[ . (Name) - -."State existing use and occupancy of premises and intended use and occupancy Qf proposed construction: a. Exis[ing use and occupancy ,EXISTING, ANI~, J',RgpQ$,ER.USE .AND OCCUPANCY-ONE FAMILY DWELLING. b. Intended use and occupancy ONE FAMILY DWELLING,.. ' t~ • • Re air , • , • , • , • • • • • Rent plicable): New Uuilding , Addition .XXXXX • , • .Utcration . 3. 1\acpure of work checl. which a oval Demolition Other 1York . (D~scription) 4. Estimated Cost 25.655;40........... ' Fee .517.25 . / (to be paid on filing this application) g 5. If dwellinn number of dwcllin ,units , , , , , , , , , , , Number of dwelling units on each floor . If garage. number of cars . 6. If business, commercial or mixed occupancy, specify nature and uxtcnt oC each type of use . ;7. Dimensions of existing structures, if any: Front , .24.4..... Rear ...33 Depth . 33' Het^_ht . , 2S........... Number of Stories , 2 WOOD FRAME ~ " " • " ~Dimensi~~~;a'fr:S,i"": e~gr~i~,t"~t~c with alterations or .'dditions: Front ....26 .Rear . 33 r ~ • I)p'th': , •.6• x , I, . Iicighf , ,zg : Number of Stories ..2 .U100n .FRAME...... . ' 8. Dimension n~tir~ew, edristruction: Front • • • • , . • • • ' . •Rcar • • • • • • • • • • • • • Depth• • • • ~ • • ~ • • Hci~ht ~Ywl~ I . +t,~jNumber of Stories . • 9. Siid of to root ww:.,~cl ls~ Rcar Dc th . 10. Date' of.Purehasa~;;; i`;i . ~ , , , , , , , , • , , , • • ,Name of Former Owner p 11. done 4~ use:d-i~~t~,is~',jaY'ir~icYi.~rc'mises are situated • • • • • • • • ~ • • • • • • • • • • • • • ~ ~ ~ • ~ • • 12. Daes proposed construction violpte any zoning law, ordinance or regulation : . . 13. 1Vi11 lot be regraded 1Vi11 excess fill be removed from premises: 1'es No 14. Name of Owner of prcmues ...............Address , ...Phone No. . Name of Architect .................Address .Phone No.. . . Name of Contractor . .....Address . , • , , , .Phone No...... . 15.Zs this property loca~ed with in~00 feet, of a tidal wetland? *YES...•NO.... *If yes, Southold Town!Trustees Permit may be required. PLOT DIAGRAM Locate clearly 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 comer lot. ;t , - Pri arezrr uHC n7r ~s m• e - _.•"i8~. av • _ ;.'~~:h' ; .4;,: ;1 s+l.~ l ~i r~N'" _'_~,'.~'a Hsu.,.: ~ I fi _MhT.:l.ya'_ GtlylbLYl ~ R .il '.Y ¢)9~' I 41 pp ~'T ;f -'14.•5, I TI°yy, ~i•~'^a 1':e.': ' ' j ~~T _ i , Jr,~^'I_.exlsr~'`x'7,F*,"*„ fi ~e ~ .i ~ awn.. xti;~`. ••,y'~, °I. ~ 4 ~ i; ' 2i -6xISnn4'whsta- 1 „I If,'=9:.?r. 11 t W ~ '»ISWaw~T>Nrii:} ',;i•., yUtyi'q_ ,qP{ Z u ' • p,Y is ,r;•% y~1~'..•01.~: H ct 1~ U I I L ~mi~' ~•';~•t'4:ri.)••~ i 37,5• - a%I G' LEA", It'; .~9y.l;i l f .6 'tJ,IN ~~Ap) ~r1 p~t' aN 4lut tblt ¢IISeu,~~,~- ,.n '!'l.'p.'n+f~Pi`rn5r(;~, ~~i..n.~4)•. I PQkn .,_2FOrCZTY.LIHa,...'.48~3!L[Sbl:'od W ' . -~•I%75°«°-,•,. Y' ~ti ~f'~ 'wX , R%Q~Wi=~IOB~CKNOVWl1'pS~Oha:WOOn ~n.NE) ~51' 1r.{.3;,'`s.,..iJ:P. R~rr..~Ypp~~r;•lY•P}i:'..,__ "tlrS•er;"rl:ijl.!5~~~:i:`ir'dll't~ti"~1,?i:;<rA;i'tl 1 STATE OF \E1V Y•ORf:, S S _ COUtiTY OF . bcingdulysworn,dcposcsandsaysthathaistheappiicant (Hama of individual signing contract) above named. • ilcisthe (Contractor, agent, cocporate officer, etc.} • • • ~ • • ~ • ~ • • ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thisr, -pplication: that all statctnents contaid~d in this application are true to the best of his knowledge and the •vork will be performed in the manner sot forth in the application tiled therewith. 4,'~' ~ eta, '~'s i5vorn to bciorc me this i tih'~.,cQN. siy~o vrN • ~Ay.... I' Jl/N ~ 19 v ~ ~ ~e`r +~~i, 2 F rotary Public . County f i . ~ e Notary PubI~~S stet }Newr01A hq...... ~°i~~ .O1B$"'~ o~~ No.81.48490ti0 Qualifiet In New Yank CeaptYq~ Commission Fxpiras June 3Q,~19JL $1 ~t e. ) I I 'S -s D R ~p,N~ z Q A R V O ~~g6 50 N ~ ~ ` Z \ ~ ° q o a m ~ ~ ~~C ~ > i ~ _ T 3~~~ ~ ~ ~ 79 i~, ~ ~o~ W ~ ~ ~ P~~®~'N3 i`a ra~ . ~ A ~ H ~ y N e D ~ ~ ~ \ ~ ~ iu~o SPL~t~yLP ` T ~ [T ? 1 ~ ~ ~ ~ O ~ ~ ym ~ \ O ~~o \ \"k ~ < 2 \ ~ ~ A ~ _ u ~ \ m \ ~\y 's y~mn~~ ~ \ P y ~C c D may, c \ maim` ~ + ~ \ 24.4• .w `~'pC~~ n ~ F N N~ r~~~~ a ~ ~ ~ w ~ . y ~D ~ ~ ~ ~Qa•, .y ; ~ 'p 13,8•-~ G7 ~ \ ~ ~ + 9i a ~ a y a 33.&' 7f \ O \ Ib 7.. O N \ ~ \ ~ ~ 2 n o o, ~ 0 (~jy \ ~yy CONTOUq LINE O Z ~ e ~ ~ ~ ~ ~ CONC. WALL i a' ~ ~r ~ ~ o~~' C ~ W O. C \ N16N WATER MARK ~t 10.3'- T1E ALO,NB ~ °'2 O ~ ~ ~ - _ - - ~ o ~ ~ ~ %n ~ - EAST CREEK(EUGENE'S CREEK)__~ y~ ~e v `n - - - - y~• ~ z o m ~ - - x~m, : s F O~~u. ~ > ~ 2 ~ C r a~ b V ? ~ ~Qr~r D cn " b ~ ~ ~ O A