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HomeMy WebLinkAbout18327-z ~ ,,,q,. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18259 Date AUGUST 8, 1959 THIS CERTIFIES that the building ACCESSORY Location of Property 245 KIMBERLY LANE SOUTHOLD N.Y. House No. Street Hamlet i County Tax Map No. 1000 Section 70 Block 13 Lot 20.2 Subdivision PARABISE BY BAY Filed Map No. 6463 Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1988 pursuant to which Building Permit No. 18327-Z dated JULY 26 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AND DECK ADDITION AS APPLIED OR AND TO CONDITIONS OF ZBA Appeal #3814. The certificate is issued to RYCK KOKE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-021386 - JULY 12, 1988 PLUMBERS CERTIFICATION DATED N/A i E~ d Bui inq Inspector xev. 1/81 ~ . sosat xo. s TOWN OF SOUTHOLD BUILDING DEPARTMCNT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- X 8 3 2 7 Z Date ....7f"""'.6 19 ~9. Permssioryjs h~y g~anted to: / ~ ~~G~~ ~ ~~f' 1rc1~c. f/~*c~/gC/ s~.~~ . t . i~ ~T ....~i-~.....~.~.c.................................................. County Tox Map No. 1000 Section ........,7Q........ Block ~3........ Lot Na....r~...~< 2.... ~ 19 and a roved b the pursuant to oppllcation doted b~~l pp y Building,, I®nspector, Fee $..,41'4../....4. n .s.... ......../.r.~......... ildin for Rev. 6/30/80 e~ S.t a ri "a~ +v ra`~y. '~.~3ti~ i r r+ F'zl s s - F t y C x Fi `i R ( ~ ~ ~ ' iii,, TO6)N,;„4F SOUTHQLO ~ n ~ _ ~ ,,~a~ _ ~ r. a :~gUILDING' DEPARTMENT ~ ~ ` ~ ~ ~ "TOWN HALL' ~ BLDG DEPT: SOUTHOLD, NEW YORK 1 197 ] T0~10FSOUTHOLp 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY qq DATE...?~ ~l.~.1..... NE{i CONSTRIICTION ...~.OL~R P~RE-E%ISTZNG BUIL~ING_.....VACANT LAND........ Location of Property. ~ K::~: C~.~Sr-... - - . HOUSE NO. STREET .HAMLET Owner or Owners of Property_....6~.'='(7.....~1:~~ County Taa M~ryna//p~/No. 10J0n~0'Section ..~v. Block 1. Lot SubdivisionJ.":;:.~:`~~t:: Filed Map ~ ~~~Lot_.. Permit No. ..........Date of Permit .._...._..Applicant ...~'.`.~?:::..J.... Health Dept. Approval Underwriters Approval......_...._.. Planning Board Approval Request for Temporary Certificate Final Certificate ~ Fee Submitted: $ APPLICANT. •.`L7`~~. ~-""Z~.•.. ~LC• ~7~a~' i r'ev. 90/14}88 CL ~ - „ 1 ? ~ i s m - s v FORM NO. 3 TOIYN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL To . L...C..~ ..d~......~4. ! J ~ ~ p f p PLEASE TAKE NOTIC/E/ that your application dated ...,.L ~~;~iT:r/? , 1~9 .~r/.~~~~~ for permit to lX. eZ _s~r/.`'... ....~.c~GiC'`~!~~ t.*'!': at " ' ' Location of Property ..O`'. , . , , , , ~ ,~G/~~~i, House No. Sheet Count Tax Ma No. 1000 Section ~ Ham/er Y ~i,~yP / ,~q~ O.. ......Block .2.....1,.~..... tot .0~,0~. . . Subdrvn (~fFC ~/~'iled Map No. y~. LotQNo. . is returned lierewitdh and disapporoved on the following grounds .~?~D. T'.'~ , /r/,l , , , , , , , ~ _,c.~ ~l:'/CfI . Il%/LL~ ..d.... y..~.~... ~..~~!lr7.r..~%~~ L... ~r~z?~r?~~ ..kid'fis2i'~~,~~.'6.~...,rf!'.'4../f!!~'~ . . Building Inspector RV 1/80 S~FFO~ Q~,, ,CDC '1 ° ~ Southold Town ,hoard of Appeals ya®~ MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, i_.I., N.Y. 11971 of ~ j~ I TELEPHONE (516) 765.1609 Tl d"'~¢ CQ~/h FAX No. (516) 765-1823 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN _ CHARLES GRIGONIS, JR. SERGE DOYEN, JR. April 28, 1989 JCSEPH H. SAWICKI JAMES DIN IZIO, JR. _ p i.-a . ' 1 =';~I Rudolph H. Bruer, Esq. ~ I;; Main Road, P.O. Box 1466 ~Y ~ ~~9 ~ I~ Southold, NY 11971 Re: Appl. No. 3814 - Ryck Koke (Variance) 7Ctt~tni , l~F o~:..~..~~~°H~..ww~ Dear Rudy: Transmitted, herewith for your records is a copy of the ' Board's determination recently rendered in the above matter. Please be sure to return to the Building Department for appropriate permits and other approval(s). Yours very truly, GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski Enclosure - Copy of Decision to: Office of the Building Inspectors Office of the Town Attorney(s) r ~ cuFFO(~~p~ o~ ~ ~ ~ Southold Town Board of Appeals ~~Q1 MAIN ROAD STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, ~.I., N.Y. 11971 TELEPHONE (576) 765-1809 FAX No. (516) 765-1823 APPEALS BOARD MEMBERS GERARD P. GOEHRING ER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWICKI 1AMES DINIZlO, JR. ACTION OF THE BOARD OF APPEALS Appeal No. 3814: Application for RYCK KOOK for a Variance to the Zoning Ordinance, Article III-A, Section 100-32A and Bulk Schedule for approval of swimming pool with fence enclosure in the side yard area. Zone District: R-40. Location of Property: 245 Kimberly Lane, Southold, NY; Paradise By the Bay Subdivision Lot No. 2; County Tax Map District 1000, Section 70, Block 13, Lot 20.2. WHEREAS, a public hearing was initially held and a two-to-one vote was recorded on January 12, 1989 in the Matter of the Application of RYCK KOKE under Appeal No. 3814; and WHEREAS, on January 23, 1989, the Board Members unanimously - voted to reopen the public hearing to allow questionning, if needed, by two Board members who were not present at the initial hearing; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the easterly side of Kimberly Lane, in the Hamlet and Town of Southold, and is identified on the Suffolk County Tax Maps as District 1000, Section 70, Block 13, Lot 20.2. 2. The subject premises is known and referred to as Subdivision Lot No. 2 on the Map of Paradise By The Bay, Map Southold Town Board of Appeals -2- April 13, 1989 Regular Meeting (Appl. No. 3814 - KOKE decision, continued:) No. 6463, filed November 4, 1976, contains a total area of 48,000 sq, ft., road frontage of 165.58 feet, average lot depth of 282.31 feet. 3. The subject premises: (a) is improved with a single-family, one-and-one-half story frame house and attached garage, all as shown on survey revised September 1, 1988, prepared by Peconic Surveyors & Engineers, P.C. (b) is located in the R-40 Zone District; (c) is situated along Jockey Creek; (d) has variable contours at five feet above MSL and 9.4 feet above mean sea level between the westerly property line and the easterly property line {bulkhead}. 4. By this application, appellant requests a variance from Article III-A, Section 100-32A, (renumbered Section 100-30A.4) for approval of swimmingpool construction with fence enclosure located in the yard area just southerly of the existing dwelling. 5. Article III-A, Section 100-32-A and Article III, Section 100-33 of the Zoning Code requires accessory buildings and structures or other accessory uses to be located in the required rear yard. 6. The rear yard area on this lot is that area located between the easterly side of the existing dwelling and the bulkhead along Jockey Creek. The distance between the existing dwelling and the bulkhead is shown on the survey to be 88.3 feet. 7. The area of the construction under consideration in this variance application, inclusive of the wooden decks and fence enclosure, is immediately south of the dwelling, all of which is in line with the front and rear lines of the dwelling structure. Southold Town Board of Appeals -3- April 13, 1989 Regular Meeting (Appl. No. 3814 - KOKE decision, continued:) 8. For the record, it is noted that: (a) an agreement was entered into between the applicant and the nearest resident to the south to purchase the middle lot for the purposes of increasing the size of each dwelling lot; (b) a verbal authorization was given on April 12, 198 by the Building Department to start construction based upon the agreement to purchase the middle lot and based upon the contractor's intent to attach the pool to the dwelling construction with deck areas, with setbacks no closer than 15 feet to the southerly property line {see sketch submitted with building permit applicat.ion}; (c) a conditional Wetlands Permit was issued for all new construction under No. 416 by the Southold Town Trustees on July 27, 1987. 9. It is not unreasonable to locate construction of this nature at the highest and best contour points of the land, as proposed in this application. 10. In considering this application, the Board also finds and determines: (a) there is no other alternative available for appellants to pursue other than a variance; (b) the location of the inground pool construction as requested will not be adverse to the essential character of the neighborhood {there is an existing inground pool on the adjoining premises to the south of this construction area}; (c) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (d) in carefully considering the entire record and in viewing the character of the land and the general waterfront community, it will be within the best interests of justice to grant relief, as applied. Southold Town Board of Appeals -4- April 13, 1989 Regular Meeting (Appl. No. 3814 - KOKE decision, continued:) Accordingly, on motion by Mr. Goehringer, seconded by Mr. Sawicki, it was RESOLVED, to GRANT the relief requested under Appeal No. 3814 in the Matter of RYCK KOKE for the location of an inground pool with decks and fence enclosure, SUBJECT TO THE FOLLOWING CONDITIONS: 1. Minimum three-foot setback from the southerly property line; 2. That the existing area between the deck and the dwelling be movable in order to allow easy access for emergency equipment in the event of an emergency. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki, and Dinizio. This resolution was unanimously adopted. lk ~ GERARD P. GOEHRINGER " CHAIRMAN /p ra~ho~ i f ~1i~Y GD~c~~°~l m ~u» ~`~~,~ls~ ,d y~~e ,d~r~ ~~in/ crw7~~P~vG~ !D v~PGhI~S~ ~O~ lh!?~~. j~1f17~..~~ u/r`~~©tGtJ ~~z_SF ~ c~~FFO(lrl~~ Southold Town Board of Appeals °~y~l ~ MAIN ROAD -STATE ROAD 25 P.O. soX 1179 SOUTHOI_D, L..l., N.Y. 71971 TELEPHONE (516) 765-1809 FAX Na. (516) 765-1823 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. April 28, 1989 JOSEPH H. SAWIOKI JAMES DIN IZIO, JR. Rudolph H. Bruer, Esq. Main Road, P.O. Box 1466 Southold, NY 11971 Re: Appl. No. 3814 - Ryck Koke (Variance) Dear Rudy: Transmitted herewith for your records is a copy of the Board's determination recently rendered in the above matter. Please be sure to return to the Building Department for appropriate permits and other approval(s). Yours very truly, GERARD P. GOEHRINGER CH RMAN C~Sinc[a"K2Swalski Enclosure Copy of Decision to: Office of the Building Inspectors Office of the Town Attorney(s) i i tc, . ~ S~FFn~~o~ o ~ ~ Southold Town Board of Appeals ~~01 ~ ~~o MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.L, N.Y. 11971 TELEPHONE (516) 765-1809 FAX No. (516) 765-1823 gPPEA LS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWICKI JAMES DINIZIO, JR. ACTION OF THE BOARD OF APPEALS Appeal No. 3814: Application for RYCK KOCK for a Variance to the Zoning Ordinance, Article III-A, Section 100-32A and Bulk Schedule for approval of swimming pool with fence enclosure in the side yard area. Zone District: R-40. Location of Property: 245 Kimberly Lane, Southold, NY; Paradise By the Bay Subdivision Lot No. 2; County Tax Map District 1000, Section 70, Block 13, Lot 20.2. WHEREAS, a public hearing was initially held and a two-to-one vote was recorded on January 12, 1989 in the Matter of the Application of RYCK KOKE under Appeal No. 3814; and ' WHEREAS, on January 23, 1989, the Board Members unanimously voted to reopen the public hearing to allow questionning, if needed, by two Board members who were not present at the initial hearing; and • WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the easterly side of Kimberly Lane, in the Hamlet and Tawn of Southold, ,and is identified on the Suffolk County Tax Maps as District 1000, Section 70, Block 13, Lot 20.2. 2. The subject premises is known and referred to as Subdivision Lot No. 2 on the Map of Paradise By The Bay, Map i Southold Town Board of Appeals -2- April 13, 1989 Regular Meeting (Appl. No. 3814 - KOKE decision, continued:) ' No. 6463, filed November 4, 1976, contains a total area of 48,000 sq. ft., road frontage of 165.58 feet, average lot depth of 282.31 feet.' 3, The subject premises: (a) is improved with a single-family. one-and-one-half story frame house and attached garage, all as shown °orsu&vey revised September 1, 1988, prepared by Peconic Survey Engineers, P•C• (b) is located in the R-40 Zone District; (c) is situated along Jockey Creek; (d) has variable contours at five feet above MSL and 9. ro erty line feet above mean sea level between the westerly p P and the easterly property line {bulkhead}. 4, By this application, appellant requests a variance from Article III-A, Section 10000 2construat~ion With°fencelencl sure royal of swimmingP of the existing dwelling- -<,r<. fOY app and area just southerly located in the y 5, Article III-A, Section 100-32-A and Article III. Section 100-33 of the Zoning Code requires accessory buildings and structures or other accessory uses to be located in the required rear yard. 6. The rear yard area on this lot is that area locate dwelling and the between the easterly side of the existing bulkhead along Jockey Creek. The distance between the existing dwelling and the bulkhead is shown on the survey to be 88.3 feet. 7, The area of the coinclusivenofnahe woodenedecksnand ~ lication, all of this variance aPpis immediately south of the dwelling, fence enclosure, which is in line with the front and rear lines of the dwelling structure. Southold Town Board of Appeals -3- April 13, 1989 Regular Meeting (Appl. Ho. 3814 - KOKE decision, continued:) 8. For the record, it is noted that: (a) an agreement was entered into between the applicant and the nearest resident to the south to purchase the middle lot for the purposes of increasing the size of each dwelling lot; (b) a verbal authorization was given on April 12, 1988 by the Building Department to start construction based upon the agreement to purchase the middle lot and based upon the contractor's intent to attach the pool to the dwelling construction with deck areas, with setbacks no closer than 15 feet to the southerly property line {see sketch submitted with building permit application); (c) a conditional Wetlands Permit was issued for all new construction under No. 416 by the Southold Town Trustees on July 27, 1987. 9. It is not unreasonable to locate construction of this nature at the highest and best contour points of the land, as proposed in this application. 10. In considering this application, the Board also finds and determines: (a) there is no other alternative available for appellants to pursue other than a variance; (b) the location of the inground pool construction as requ2sted will not be adverse to the essential character of the neighborhood {there is an existing inground pool on the adjoining premises to the south of this construction area}; (c) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (d) in carefully considering the entire record and in viewing the character of the land and the general waterfront community, it will be within the best interests of justice to grant relief, as applied. . Southold Town Board of Appeals -4- April 13, 1989 Regular Meeting (Appl. No. 3814 - KOKE decision, continued:) Accordingly, on motion by Mr. Goehringer, seconded by Mr. Sawicki, it was RESOLVED, to GRANT the relief requested under Appeal No. 3814 in the Matter of RYCK KOKE for the location of an inground pool with decks and fence enclosure, SUBJECT TO THE FOLLOWING CONDITIONS: 1. Minimum three-foot setback from the southerly property line; 2. That the existing area between the deck and the dwelling be movable in order to allow easy access for emergency equipment in the event of an emergency. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki, and Dinizio. This resolution was unanimously adopted. 1k _ GERARD P. GOEHRINGER Z' CHAIRMAN THE NEW YORK BOARD OF FIRE UNDERWRITERS "A`''' ' 1.001381. EIUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 Dote JUJ.,Y 12,]988 APPlieatianNo.onftle 557A7788(88 N o?1386 THIS CERTIFIES THAT only the eleetrkwl puipment a daecrihed 6eloro and introduced hY the applicant twtnsd on the shoos application namher In the premiwx of ALEXANDER K.OKE, KTMDFHI~X LAN.6, SOUTHOT,D, N.Y. in tke dlotcin Inca ' n[ C)U'P f R `JYfliE LJ Bexerµe ? Ixt Fl. ? Pnd FI. Section Block Lot uas examined on J11N. ]]..33 1756 and found to 6e In rnmpllanre with the reyuinmentx of this Board. AXTW! ACES SWI7CIN5 RX 000X1110 DECKS OVENS EXHAUST FANS OUTIETS INGNOFSCFM. P1V011FSQNT AMT. t. W. AMT. t. W. AMT. t.W. AMT. K. W. AMT. M. P. ] 1 1 DRYERS IURNACE MOTORS RITIIRE A/NIANCE Immli AI INC?T TINEtXOCKE. EHL {HNi INATME M ~Tt~llT DUAMEK AMT. N. W, ql X. P. GAS M. t. AMT. NO. A. W.O. AMT. AMP. AMT. AMPS. TRANS. AMT. M. P. ~ RT AMT. WAITS t 20 1 4(1 SERVICE DISCDNNECT NO.O! S E R V 1 C E AMi. AMP. TYPE /p1Y~. 1 / ]'N l e xw S / ]W S e AW NO. Opt~C,COMD. «A~W. O. NO. a HIAEO ~ • MO.OP murxAtx gArBUTGMAI onaR AnrARttius: e(S117HNING POOL) Thiw certificate = r` covers compliance aC the date of inspection only. T}ecause of unusual environmtsnts it is advisable to have frequent Cest/and or repair~z made by a qualified person,. .Po'C BODY PUK:CLLO PAT 1lANE j MATTJ.'CUCK, NY, 1195'1. OEl~AI'fiiRAllAOER 71 ~I/~ LICt;NSF, NO. 2300F, pK JY "--=a This chtificab mule rot I>t akarad in any rnoTUlary Murn b Mr of tM Board H incorrsd. In[Pacforx ma.:fdanlifiaQ tMir cradaMiab. 00lr PORIIHWMIG DE,; ?MK COPY ~ C~RTfPICATl;WS'f N9r ~ , r'lELD I;:SP~C.iU;! ~~Unic COMM€NT° ~ ro W a 1. - ~ ~ a FOUtJDATION (1st) v~v~~~ FOUNDATIOtJ ( 2nd ) _ - m1~~~ ~ 2. z 0 P,OUGH FRAME & , PLUMBING y 3 . IIJSULATIOPI PER N. Y. y STATE ENERGY CODE x~ a ~i ~ m 4, y~ FINAL z ADDITIOPIAL COMMENTS: ca ~ x\ ~v H 7] RU.~ 9 y H O d 2 i \~l m A ` ~ \ • r y ' T d ' m -a y FORM NO. 3 TOWN OF 50UTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL O~ ~J / ~ Date,.~r~;~•Ci1, . , o•`' . ~ 19 . ~.7~ PLEASE TAKE NOTICE that your application dated ....G /~?l.~~',,?~~/~!,o.. 1~9 .mar/. G~~~~ for permit to lJl. ~ ....~~!':..~i%x'Y!'~ at " ' Location of Property , , , , , , , Nousa iVo. Street Count Tax Ma No. 1000 Section ~Hamler n Y P / ,y~~ O. Block .z.... Lot .~.1~.•. . . Sub/d-ivisi~~f`yj. (~14C. ~1~'iled Map No. U%.~ta. / ~L~otfQJNo. . is returned ]ierewitah"and disapproved an the following grounds .~rO.Ti'.'4, /f!l,, , , , , , , , , , , ~Y. n . ~/~1.G ../~~.~C.f /..e,.z,~~s.LGi~-~yalie!.~-f.~.. ~au.~. '~aP~`C ,,vim-P ....C~.,~..~~~.. Building Inspector RV 1/80 Wa m ~ ~ iC Id mO~icC~~~2 yQONC~~ O uB~~ Ztz ~~act~ii w g ~ g~~~w~~cQi ~4St~ o n O LLZn~.`- niai`7 Qwv~i°o ~ N) N b O W W b N N33 ao A3N~Or ° ~Z pZ - J ' W p - - C ~ m ~ O H n ~N I~ r m ~ Po.a4.r)n9 6rro~o aop~ap~--~ ._~3..OO,b ZnO 'S _ rl _ _ ~ N W LL = ~ Z - n m m Q OV3HN~~0 DOOM ~ _ ~ ~ ~ - ^ ~ (A O ~ c_ Q m O ± U a_ O U W N N i ~ O Q - O W ~ - I J$2 - a JQ OY°~~wV xl Q a ~ Q Z JO /n ~ y.: \ . o n D: n, ~ sJ~I N ~ O W Z O W CZ O$~~ ~ Au w e v t wQHeo O~m el I i d ~ n I ~ " s e~ ~ N i n ~ o° _ :'xPIN LINK +ENCE ,L'Bt n c~1 I may} i ii ,b'GI • Ti ~ LL O W Y B' I ~ V r a x - ~ o F w< tt i __jl . iP 1 b I b J - mi U .Ofl `i061 4 ~yCll r0 [I ~ ~ , "I ~ r ~ 3Nb'7 .17a38WfN 91 ` : I i\ .B'oz b! L'~1 °uo` W I S .OB r~W ~ I ~ j~o~ 111 Q~~{Z I 69i - M ~6U~ ~.r W w ° r. Q I ~~1~6~ J L.Z= OI Q Q pp1Y o ~ joz: .w ~ ti. t9~ ~ I I Fo~Q ~ p, ~ Qo~~ I ~ a v a . n n~By~~8r"''~w S5 ~Sy ~N2~ h L~ z I - C~pW • y _M~ GZ~ ml _w 9 it ~ ~ I WI / ~ - X I / V ' F ~ ez O ~ I ~ ~ n~ ~ ~ eI .o ~ L _ ~ u m -_l J- / 9 I ^ ~ n W / `ii 5; x 91'90 \ ,00 0091 = b d 15 ~ BOARD OF HEALTH 3 SETS OF PLANS .U~-~- • - FORM NO. 1 SURVEY . ~2 ~ OWN OFSOUTHOLD CHECK B ILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY ~NOF UTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ~y~ MAIL T0: Examined . 1~~.,.°~.Z~~.:6........, 19p~~ ^7 Approved j~ 199. Permit No. ~ (i~a. Disapproved a/c ~.7 d7'. a~ `~~'",/y (Burl mg I~to~1r). APPLICATION FOR BUILDING PERMIT Date 19 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 eir azeas, 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 pazt 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 innspections. (Signahire of applicant, or name, if a corporation) (Mailing address of applicant) /(1,J'~- ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........~~?~~~~...C'o~T-6z~lc7~~ e o Name of owner of premises ......~K:'...rf...~'°S'••••!~`~••...~~6%~~ ~,~,•~.,K•,~~•, (as on the tax roll or latest deed) If pl t is a corporation, si ature of duly authorized officer. (Name and title of co orate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. _..f-f~"~..... . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ....~(i.'? ?~~Y...L~a~'~~ lel ~ - a..~,~r.....k~c~r~~ y.....z raw. sdl~:~~~ ~...1~s ~,r........ House Number Street 1 Hamlet rr~~ County Tax Map No. 1000 Section .....Q.~~ Block , Lot e~t.G?.. . Subdivision ~„~12F1/~/S,(-~ . >~.J~ Filed Map No. f3 .y. 6 .3• . Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~~',~/~~li{,l fed b. Intended use and occupancy ~~C r~.... ~ ~ • . 3. Nature of work check which a I licable :New Building ddrtiony f~~1V`yuu'~ ~ rN G h~U ` e air 0 p val . Demolition r.i..... ,her . ' F ffll~~ S'` (Description) • , 4 ;'W~ 4. Estimated Cost '~..,~b ..`~a Fee ' a.'k.~l' filing t is application) 5. If dwellin number of dwellin units Number of dwellin+ P~~ • g> g nits on each flan . If garage, number of cars i, . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7.; Dimensions of existing structure's, if any: Front Rear Depth . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front Rear , . Depth j.. Height Number of Stories . - 8. Dimensions of entire new construction: Front Rear Depth Height ...............NumberofStories............................................... 9. Size of lot: Front Rear Depth , . 10. Date of Purchase ! ..................Name of Former Owner , , . 1 I. Zone or use district in which premises are situated . 12. Does proposed construction viol 14. Nameoof Owner o d remises ate~ny zoning law, ordinance or regulation : . • . ..........Will excess fill be removed f om premises: Yes p Ko1~E....... Address ..S4u-~f~C~1../t(~ .Phone No. Name of Architect ...........Address , ....Phone No..... Name of Contractor y r ...Address . J~7.•7-!TG 4~~.... Phone No. 'Z P ,9 ~ sx~. i~' 15. Is this property located within 300 feet of a tggiuudal wetland? *Yes No *If yes, Southold Town Trustees PermitPLO~ DIAG1tAMed. ~ Locate clearly and distinctly all ~I,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. ~~'lJ J ~ n ~k~ S~~' it STATE OF NEW YORK, $ S 'COliNTY OF • • • • • • • • • • • • • • • • • • • • . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. I He is the ......................1'.................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements conta{ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application filed therewith. Sworn to before me this da of ................,19".:. Notary Public, ....54~il1!..~ !lJ•GG~...... County - y NOTARY PU LIC StCatEt94 0~ New York No, 4767878, SuOblk Couo (Signatur phcant) Term Expires March ~0,19~