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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218272 Date AUGUST 11, 1989 THIS CERTIFIES that the building MOHRING ENTERPRISES Location of Property 90 KIMBERLY LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 070 Block 13 Lot 20.20 PARADISE BY Subdivision THE BAY Filed Map No. 6463 Lot No. 20 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 18 1988 pursuant to which Building Permit No. 177302 dated DEC. 30 1985 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 ONE FAMILY DWELLING ATTACHED GARAGE, AMENDED TO INCLUDE DECK. The certificate is issued to MOHRING ENTERPRISES (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-137 6/23/89 CERTIFICATE N0. N084092 AUG. 1 1989 PLUMBERS CERTIFICATION DATED SANDERS PLUMBING & HEATING AUG. 8 1989 Rev. 1/81 gosaa xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON TtdE PREMISES UN71L FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~1~7 %~Q Z Date ~...~..........., 19...~~ Permission is hereby granted to: .....~.. ..~ ..G..:. . ~ ~7....~~-~,.. ......Q~-e .............. to .. .................................................................................... ........ .................................................... ct premises located ot ...~.Q.....~~!c!:n.!~.t.,}...............C~, ~r.!a~l:N!~ .................. ................................................................................................................................................................. County Tax Map No. 1000 Section .. .. ~ .7 .0...... . Blo ck .......I..~. ........ Lot No. ....c~,.~.:. ~-.a. n ~ ~q . pursuant to application dated ....0.~:-}:..~!~-~-.. `~ ....l.a .... ............. 19.~~..~.., and approved by the Building Inspector. ,I `' ~~ 3~ yis` Fee $..'CA..Q..:.~.~...`~ n~ '4' /$/ ~ ! ~~ ~Q 6_ ~G ~ jg/~' Bu (ding Inspector Rev. 6/30/80 TOWN OF SOUTUOLD BUILDING DEPART2IENT TOWN HALL DATE .~ll~ V.S ~ ~ ~ 1 -/ O ~' ........ NEW CONSTRUCTION~......OLD OR PRE-E%ISTING B1UILDING......VACANT LAND........ Location of Property....~~..,,,;,_~Gw>.be~2.~ ~..IA~K~ ~~1~P... HOUSE NO. STR T 1- ` - HAMLET Owner or Owners of Property..~U~!~\^'~~_~, C"`~T'~-~~~~Se-5 ..................• County Taa Map No. 1000 Section ~.(O, Block .~~..,, '~,tij i~ j~ •• 11 (J, Lot . Subdivision. l"~A`2C.1c;1~,~2b,1~~. ~CA-L Filed Map ~ y Permit No. .`.,1~~`~ ~~'~3U I~X W1v~1,~12.1;w ....Date of Permit ......Applicant ....... ~~ ~~'~~ . .. Health Dept. Approval ..~~r ~U-~~~ Underwriters Approval.~~.J~`1~-I_~ Planning Board Approval ................ Request for Temporary Certificate ...... . Final Certificate ................ Fee Submitted: $.~~', ~,~ APPLICANT....._ ._.... APPLICATION FOR CERTIFICATE OF OCCIIPANCY SOUTIIOLD, NEW YORK 11971 765 - 1802 ~, 379s-6 ~/~,/~y ~..- 3 ~ y sly ~l« /~ y rev 10/ 14/88 G~,,.~e.,T.o~ $O'~ a-a-c®/C~ ~~ ~~~~~~ ~~~~~-~ S~FF~tI~-~o1 p r . ~'~. r~? M -~ ~~ °~9~1 ~ ,~b0 TEL. 76S-i 802 TOWN OF St~YJTBO]LD OFFICE OF BUILDIt•IG INSPECTOR P.O. BUX 728 TOWN HALL SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N Date C.C.I,~. V~ cS(~ '~J" O j {1 ~ y Buildin{ng~Permit No.,-+~~ 27~~( pwner i r ~i()~'1'21~Yt\ Cy1~e'2~i~pc~' (plea, print) ~ Plumber ~\~yl(~•Q'}2~ ~~t•i\,1.\ ltjly~ '~- (please print) I certify that the solder used in the water sugply system contains less than 2/10 of l~ lead. ScW~O r1T~1 t0 Tr-CL..__day 19~ , Rotary before me this o£ , Public, County Notary Public Kiiw 8. SgViANG Nobly public, State of New York No. 4702599 WaGfied in SuNoik Ccu~{,~, Term Expirea Sept. 30,1 :1::LD li.J.::... lUdd ~~U A'ic ~ ~C'dKMENT° i/ ~ ti 1. ~~ 3W _-_ H Q H FOUNDATION (1st) _ ~ FOUNDATION) ( 2nd ) ~ - ,~ L ~'. m ~ 2. 7 /~ ~a«~C ~Wio z o ~ ROUGH FRAME & o PLUMBING N" H+V6 3. C x ~ IIISULATIOCI PER N. Y. .. y STATE ENERGY ; CODE x a y 4 . _~ ~ y ~' `~ WGYI Vr.VR ~`,Y FINAL ~ T~o-,~, ~c ,.- o ADDITIOPIAL COMMENTS: _ ~ x ~~ ~ ~ ~ ~~ ~ :c ' .~ ' ~ ~tr p 0 ~~ ~ ~ x 3 H ~- 9 u ~ ~ O ``~ ~ ~ r~ ~ ~e p a K1 ' r~ c~,~ ~ ~ f o A H ! r r _ ~ ~~ ~G92~i~~ir~ ~yi~.d ~~zc. BUILDERS, LAND DEVELOPERS, GENERAL CONTRgGTORS 347 GLEN COVE AVENVE SEA CLIFF, NEW YORK 11579 January 31, 1989 Southold Building Department Main Rd. P.O. Box 1179 Southold, NY 11971 RE: Permit ~k177302 Dear Sirs: ~v ~~y it L/, LS u. ~@~l~ FEB 6t ~648q{~- Enclosed, please find the foundation Location for the above referenced Permit. If you have any questions, please do not hesitate to call me at the above number. Si el-y, Richard Mohring RM:ah k ~n 3 ~~.;~ .~ __~._.- TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK STOP _WORK ORDER TO: MOHRING ENTERPRISES, INC. Owner, Owner's Agent or Person Performing Work 347 Glen Cove Ave., Sea Cliff, N.Y. 11579 Address o above-named person YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 4640 PINE NECK RD. & 90 KIMVWELY LANE & 135 NORTH BAYVIEW RD., SOUTHOLD, N.Y. Address where work is to be stopped TAX MAP NUMBER 1000-70-13-20.20 Pursuant to section 100-14] of the Code of the Town of Southold, New York you are notified to immediately suspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: CONSTRUCTION OF A NEW DWELLING HAS BEEN STARTED WITHOUT FIRST RECEIVING A BUILDING PERMIT FROM THE BUILDING INSPECTOR AND IGNORING A DISAPPROVAL FOR A BUILDING PERMIT. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: WHEN A BUILDING PERMIT IS ISSUED BY THE BUILDING INSPECTOR. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of !aw may constitute an offense punishable by fine or imprisonment or both. DATGD: 11J2/88 I /,,~~~~~-+`' BUILDING INSPECTOR /CODE NFORCEMENT OFFICER VINCENT R. WIECZOREK FORM NO. 3 TOWN OF SOUTAOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL n ~ ~ n Date .. /.~.,~.~'.~ ............... 19 ~fj.. .....<3s`.7..~~.-~r~..,.. .~,.... . aS. PLEASE TAKE NOTICE that your application dated ... . lL~ ~ ~" //may / .........., 19 .. ~. for permit to 1.i~_ <G.~~Bs~ .~~`~~tl.'~4/."vy. GGfti~~r:,~ .............. at ~ 3S ~ '-c~ ~2 15// Location of Property ...q rg~ Bµ Vi~x~J R 5®uT,~ L1~ Hou64egilo.~i'~~~'e%~~ ~Lf/~E' ' ~ `Street ~ ~ ~ ~ ~ ~%femlet County Tax Map No. 1000 Section ......?O...... Block ..... /.~...... Lot ....Z.o.r.~Q. . Subdivision ................. Filed Map No. ................ Lot No. .......'......... . is returned herewith and disapproved on the following grounds ..R!I!..Qit~~. ;1,1,x.. , .. . ................................................................... .. Bui ing pe for ~ ' RV 1/80 FORM NO. 3 TO1YN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ..10/25 ................... 19 88 .. To MOHRING ENTERPRISES INC. .............................. 347 GLEN COVE AVE. ...................................... SEA CLIFF, N.Y. 11579 ...................................... PLEASE TAKE NOTICE that your app]ication dated .. Oc t... , 18 , , . , ., 14 8.$ , . for permit to Construct a one family dwelling 4640 ~ PINE ~ NECR ~ Rb': '& ~ 9~0"Iti~t$'1;IiLY' LANE" "" "' • • • • • • • . at Location of Property ..1,35 NORTH BAY VIEW RD. SOUTHOLD Street .......................hamlet House No. County Tax Map No. 1000 Sec[ion 70 ... Block 13 Lot 20.20 Subdivision ................. Filed Map No. ................ Lot No. .......'......... . is returned herewith and disapproved on the following grounds , ,un d e r A r t i c l e I I I S e c t i on .................... 100-3] proposed construction will have insufficient rear yard set ................................................................................ ,back.,,,Action re uired by Zoning Board of Appeals. Modular home .....4 ........................................................... construction plans require a stamp of approval from New York State ................................................................................ Division of Housing and Community Renewal complete with signature ................................................................... and date of approval. ................................................................... ................................................................... B ildi Inspect r THOMAS J. FIS ER RV 1/80 FORM SdO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date November 2 ....................... 19.....88 MOHRING ENTERPRISES, INC. TO .......................................................................... (owner or authorized agent of owner) 347 Glen Cwe Ave. ,.,..,,,, Sea C1iff~..N;Y;,. ] 1579 (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists n violation of: Zoning Ordinance ]00 ............................................ Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that AFTER A DISAPPROVAL WAS ISSUED FOR A ............................................................................................. (state character of violation) ONE FAMILY DWELLING CONSTRUCTION WAS STARTED WITHOUT A BUILDING PERMIT. " ................................................................................................................................................................... in violation of ARTICLE XIV 100- 14 1 . (State section or paragraph of applicable low, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at 4640 PIt~ NECK RD. & ..)35 ~~~,~X.V~^I,I.~~..y,,,..SOUTHOLD County of Suffolk, New York. 90 KII96ERLY LANE SUFFOLK COUNTY TAR MAP ll 1000-20-13-20.20 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of low may constitute an offense punishable by fine or imprisonment or both. Building Ins ctor VINCENT R. WIECZOREK i C~yC~ (~aCI~tiJL~ ~ .~z~~ ~` ~I:P~ own Board of Appeals APPEALS BOARD MEMBERS GERARD P. GOEH RINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWIC KI JAMES DINIZIO, JR. December 21, 1988 Philip J. Cardinale, Esq. Cardinale & Cardinale Main Road - P.O. Box W Jamesport, NY 11947 Re: Appl. No. 3807 - I~`Y Dear Mr. Cardinale: Transmitted herewith for your file and perusal is a copy of the determination rendered by the Board of Appeals recently concerning the above application. Please note that it was the position of the Board not to approve the entire building envelope and determined all accessory buildings will require additional review through the Board of Appeals. Please be sure to return to the Building Department for issuance of additional documents which may be necessary. A copy of this decision has also been furnished to their office to update their files. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN - By Linda Kowalski Enclosure Copy of Decision to: Office of the Building Inspectors Suffolk County Department of Planning MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 "~~x. ~. \ ~ TELEPHONE (516) 765-1809 ~Yl ~ I Ll a.'1\~ ~ . ,~fi"g~FF~I,{„ (. O~~ s 0 4:=r ,' cn ~ ; ~"' ~ ''®~ _ ,~Ol. ~ ;~,,~®~ APPEALS BOARD MEMBERS Southold Town Board of Appeals MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE 1516) 765-1809 GERARO P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWIC KI JAMES DlNlzlO, JR. ACTION OF THE BOARD OF APPEALS Appeal No. 3807: Application of MOHRING ENTERPRISES, INC. for a Variance to the Zoning Ordinance, Article XI, Section 100-119, and Article III, Section 100-31, Bulk Schedule, for permission to locate new dwelling with an insufficient rearyard setback on a lot which has frontage along three roads: North Bayview Road, Pine Neck Road and Kimberly Lane, Southold, NY; Subdivision Lot No. 20, Map of Paradise By the Bay; County Tax Map District 1000, Section 70, Block 13, Lot 20.20. WHEREAS, a public hearing was held and concluded on December 8, 1988 in the Matter of the Application of MOHRING ENTERPRISES, INC. under Appeal No. 3807; 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 qu side of North Bayview Road, Road, and the westerly side Southold, Town of Southold, County Tax Maps as District 20.20. ~stion is located along the easterly the southerly side of Pine Neck of Kimberly Lane, in the Hamlet of and is identified on the Suffolk 1000, Section 70, Block 13, Lot 2. The subject premises is identified on the Paradise-By-The-Bay Subdivision Map as Lot No. 20; and at the time of filing this application, the Lot was vacant land. Page 2 - Appeal No. 3807 Matter of MOHRING ENTERPRISES, INC. Decision Rendered December 16, 1988 3. The subject premises contains a total area of 47,559 sq, ft. and is regulated under Column "A-40" of Article III, Section 100-31, Bulk Schedule, of the Zoning Code, which requires a minimum rearyard setback at 50 feet for a principal structure. The subject premises contains three frontyard areas along the above-noted streets. 4. By this application, appellant requests an interpretation and a variance approving a 215 ft. long by 85 feet deep, and to locate a new principal dwelling structure as shown on the September 21, 1988 Survey Map prepared by Peconic Surveyors & Engineers, P.C. with setbacks shown as follows: (a} 70 feet from the northerly front property line along Pine Neck Road; (bJ 50 feet from the easterly front property line along Kimberly Lane; (c) 223+- feet from the front property line along North Bayview Road; (d) 15 feet from the southerly property line along Lot No. 19. 5. Article XI, Section 100-119 of the Zoning Code provides as follows: CORNER LOTS. (Amended 2-1-1983). On a corner lot, front yards are required on both street frontages, and one (1) yard other than the front yards shall be deemed ,to be a rear yard, and the other or others, side yards. No obstruction shall be erected or maintained at street intersections within the triangle formed by the street lines of such lot and a line drawn between points along such street lines thirty (30) feet distant from their point of intersec- tion. 6. Article III, Section 100-31, Column "A-40" of the Bulk Schedule, of the Zoning Code, requires minimum: (a) front yards at 50 feet each; (b) rear yard at 50 feet; (c) minimum sideyard at 15 feet; (d) total side yards at 35 feet. 7. Also noted in the subdivision records and the survey map are the restrictions for "natural state" buffers within 20 feet of the front property lines along North Bayview Road and Pine Neck Road, and the requirement for no access off of Pine Neck Road or North Bayview Road. 8. Also noted is the fact that some time subsequent to the filing of the variance application and prior to the hearing of this application, a foundation was constructed without the issuance of a Building Permit. In rendering this decision, it is noted that the Board Members do not sanction such unauthorized activities; and the property owner has done so at his own risk. Page 3 - Appeal No. 3807 Matter of MOHRING ENTERPRISES, INC. Decision Rendered December 16, 1988 9. In considering this application, the Board also finds and determines: (a) the relief requested is minimal and is not self-created; (b) the relief will not alter the essential character of the neighborhood; (c) the difficulties and circumstances are unique and are not personal in nature; , (d) 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; (e) in view of all of the above factors, the interests of justice will be served by granting the relief, as requested and conditionally noted below. 10. No interpretation has been made by this Board to deem either one of the three frontyards a side or rearyard; and accordingly, the front yard areas must continue to be deemed front yards under Section 100-13 - Definitions, of the Zoning Code. Although this does not directly affect expansion of the principal dwelling structure, the location of any proposed accessory buildings or uses will be required to be reviewed by the Board of Appeals by separate application. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Sawicki, it was RESOLVED, to GRANT a Variance to locate new principal dwelling structure with an insufficient setback at 15 feet from the southerly property line, 70 feet from the northerly property line, and 50 feet from the easterly property, as applied in the Matter of Appeal No. 3804 for MOHRING ENTERPRISES, INC. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Sawicki, and Dinizio. (Absent was: Member Serge Doyen, due to serious family illness. This resolution was duly adopted. lk ~^W:r'`t.. ,~ .,l rd c ,.'eS:RE.~.'vilifi~4L.s,q'r~y- GE'RARD P. GOEHR NGER, C~IAIRMAN 7 ~3~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS: [ INAL DATE ~ ~~ INSPECTOR __ ~~ l 7? 30 7ss-~so2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING (FINAL r DATE 3! INSPECTOR REMARKS: ~.~~.ll,~c+~i..~i _.~-+.~~9..~ ~ ~~ ~ ~ ass-isaz BUILDING DEPT. I NSPECTIC'N [ ~ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION ZND INSULATION [)FRAMING [ )FINAL REMARKS: _ ~ `~~ i~Mr v DATE ~ ~ INSPECTOR ~~ ~ ?Z ~ a 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~ MING [ ]FINAL REMARKS: ~Y-~-~" ~~~ o"~`---' DATE L INSPECTOR THE NEW YORK BOARD OF EIRE UNDERWRITERS k':~r~; # "f. (it)lib Fik BUREAU OF ELECTRICITY BS JOHN STREET. NEW YORK, NEW YORK 10038 s4Yii:~ll£>"C CGi,79{~'~ i~267:>, ~S91b9 1d €i3~t)=3k Date t`k.'NfS~ta3t'~pF:4V , a~'1 1.3'~7;~ THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of +pn~tRtrala r;flixr;r~.Eyl~:r';ae„ ,Ll.: {,~ x.rFlx~srttav ~,ala~„ ;~baxP~t}n~'a~~, ta..v.. L~~Jj~J GAS./t)Mt'l` °jil € :, 2i`3 in thefollowinq local', l Be~e£tr~ent ~ ]st Fl. ~ 2nd FL. Section Block Lot .~`~l~Z~~ , I d! ! uwa examined un and found to be In coutpfianee with the requirements q(this Board. FI%TURE FIXTURES RANGES COOKING DECKS OVENS DIiH W ASHERS EXHAUST FANS OUTLEi$ ECEPTAClES SWI7CNE3 I NCANDESCENT FLUORESCENT OTHER Ami K W. AMT. K.W AMT. K.W. AMi K W. AMT. H P s3 I;~ '1,9 ~i ~ ? ~' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS RELI UNIT NEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. W. Oll H P, GAS N. P AMT. NO A W. G AMT. AMP. AMT. AMPS TRANS. AMT H P NO. OF FEET AML WATTS ~ P` ~ - ~_ 1 a0 1. SERVICE DISCONNECT NO.OF 5 E R V 1 C E AMT AMP, LYPE METER EQUIP. 1,e' RW I ,e ~W 3 N JW 3,0' 4W NO.OF CC COND PER .9 A. W G. Of CC.COND NO OF H4lfG A. W G. OF HI-LEG NO 6f NEUTRALS A. W G. OF NEUTRAL 7 2110 zt? l ~~ 1. <?f0 9 ~Jl1 OTNER APPARATUS: ,1G'Ti)R;a,'i"] }l. P.,,~-9 id.b".,7-p' ,'f.•f`-„l,-f;,'?6 N.h', SSi0K1; ~t3~;T1"It;9'~TZ; -? ~~ C,F;tF[:RAL ..@':1~C;1;9'FtL'.:kl~ C`L311f`f~(} 3,'ft;,~}'iS:9--~+, 20t]J S~IkJ1~Lk.Y !'€,k1t7F; EAu3.' tik;[~iiL>"rf r i3`1 , 3.1 `.t `. ~ GENERAL MANAGER ,t ; Per ~, f° This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identif~d''by thei~edenTtals. DOPY FVK BUILDING UE YAtt 1 MEN i . I nla wrT ur I.CK I I rILA 1 E,MUJ I NV I tSE AL I EKED IN ANY MANNER. 0 ~...~ y i NORTH N * N f y 14 NI I I ~.~ ~ ~~ ~ ~~ :~ ~~~~ ~ ~~ ,o. ~~ o ~~ g BA 1'VF~''~ ROAR 150.05' ~ 26' 4~0" W -~-~-~-r f~_~--- ~~ m m Pa -1 ~ ~: , o ~_ m I' .m r ,T i~ I n ~ I z 132 _ 2~ 1 - ' eo. W I 15.3 ~-p~~m FOUNORTION 30.1 _, ~ y a ~ °m, N~~ ~ o I I N w ~ ~ A ~C u P 6 ~~~a~ o f ~~ Y Oho `go sR Sao X900 ~ Z9,~a u ~ $. ~ E' e ~' ~- o ~~~m m ?, v o- 3 a ~ ~ 3 w ;c m y 2 ~ n o b n ILI~° ~ 128.00 KIMBE'RL Y le ~^ ~ "' I I i 4p IW I I I I m Li. Z m o m r rn n fi m r I D ~ O ~+ O O "i / 1 I ' °-x °o I lu l0 9 I ' I ~SN~ 1 '~~. z I I~ S 03' S3' 10" E ~~ LANE I~ low !VACANT) n oo~ y~~ =O. x~~ ~~ ~` R ~~ ?G 22 ~ ~~ -. wn 0 ti y~ ~~ _ H n _ ~ c 3 n 2 -c I:T y ~ T V ~~ 8 o OZ 1.' y o O °O`~ s ~ ~r ~xo ° ' c~ ~ a cn ~ ~ I~~ O w N ~ '° b .u ('~ ' ~ `" Q C b ~ ~ ~~~o = r ~ ~ ' yC ~ C s` N Z O o• r p ° R~ ~ 1~ ;CO ~ ~ ~ w ~ .•ALTH ..... ... 3 a.._., OF PLANS .~....>~..... FORM N0.1 SURVEY ...., .... . / TOWN OF SOUTHOLD ' CHECK ...........>,~. Y....... . ' BUILDING DEPARTMENT SEPTIC FORM ... '.......... .s • TOWN HALL SOUTHOLD,N.Y.11971 NOTIFY ~~l_ L9 /,Lc~~ TEL.:76E-1802 CALL ........ ............. '~\ 1 :xamined l~..ZQ.~wk~.~ .',~.., 19 ~ ,MAIL T0: , , 1pProveo"`~- •`"'~ •~ •, 19~. Permit NoJ.~.7 3v~t". )isapproved a/c ..................................... .................................A.-~C~.c9ti•.................... (Building Inspector) APPLICATION FOR LtUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or irr ink and submitted to the Building Inspector, with 3 acts of plans, accurate plot plan to scale. Fee according to schedule. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets it areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ;ation. 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. Suclt permit ;hall 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 lone Ordinance of the Town of Southold, Suffolk County, Naw York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. T1re applicant agrees to comply with all applicable laws, ordinances, building cod ousr k code, and regulatio ,and to admit authorized inspectors on premises and in building for necessary inspectio (Signature ot° applicant, or ame, • a orporarron) ~el7 G-/•ee~ C~ou ~ 14~P ~c~~- C /~ ice'' .............................................. (Mailing address of applicant) • State whether applicant is owner, lessee, agent, architect, enginee general contractor, electrician, plumber or builder. ... ......................~~~`.lG~ ..~~-~~~~r~~s~s -~nC................................ Name of owner of premises ~ ............................'................................ (as on the tax roll or latest deed) If applicant is a cor oration, signature of duly authorized officer. (Name and title of corporate officer) // Builder's License No. ......~.L'. `2 ~`' ~P[ 7fli~ Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . X33 ~~ 1. Location of land on which proposed work will be done. . ~• ~m! •~"'~~.~ . .. ....~r. f~.~~ d ........ . House Number rStr Hamlet // ~~77 ~/ V ~V , ~G L/ County Tax Map No. 1000 SectionI .. ~........ • • • • Block .. !..~ ........... Lot .....~~ ..... , , , , , ~ ,,~~ ~ Subdivision ...,ll~~~Z~U/~,I2 U ~N~ ~!3 ..... Filed Map No. . ~?. ~',-~..... Lot .............. . ...(Na:k(ej ..... 2. State existing use and occupancy of premises an intended use and occupancy of proposed constnuction: CJ P/~( ..... . a. Existing use and occupancy ........ ......~ .............. ............................ . l ~~~? ~r~ ~ l~, ~ b. Intended use and occupancy ........... =°~r^y :ost~a • ' • • • . • .... . ... . .................. . t5u ~. _~~~ 3. Nature of work (check which applicable): New Building , . f:...... Addition .......... Alteration ......... . Repair ........ . ..... Removal .............. Demolition .............. Other Work .............. . / (Description) 4. Estimated Cost ....la~~ U O~ ................ . ..... Fee ..................................... . (to be paid on filing this application) 5. If dwelling, number of dwelling 'units .. ~........... Number of dwelling units on each t7oor ........ . ...... . If garage, number of cars .....~..:. ................................................................. 6. If business, commercial or mixes) occupancy, specify nature and extent of each type of use .................... . 7. Dimensions of existing stnictures, if any: Front .... . . ......... Rear .............. Depth ... , . , ........ . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear ................. . Depth ....................I,.. Height ... .......Number of Stories ...... r..rr ..... . " 8. Dimensions of entire new construction: Front , .~ .:.~1.. , ... Rear , ~~ : ~......... Depth .?/.~3 ,f, , , , , , , , , , Height ..2~, , .... Number of Stories . . ............ . 9. Size of lot: Front .. hS~G•.. .. , .. Rear , ,,5~: ,~'J.. , ...... , . De th ~N.,. . , , 10. Date of Purchase ... ~4'4~ . ly~.~ .... .........Name of Former Owner .. ~:.~ !~!~''• . ~'~:.~~.~.... . 11. Zone or use district in which prelmises are situated ........................... ~ ......... , . , ............ . 12. Does proposed construction v ol'ate any. zoning law, ordinance or regulation: .. ~U .................... . 13. Will lot be regraded ......~~ 15 ......Will excess fill b~ re~ ve~from premises: }'e~ Qo l4. Name of Owner of premises ~u~i/Gl':~J ~~L.~ .. , ,Address .c.3~,7 car .. ~~.. ~. Phone No..~.~f :.. ~... . Name of Architect ..y~r!%~JU~S :f~1!¢NY... Address . ~ ~~. Ci~Pr~ Lyv.; !~i°°Phone No.. ~ 7/-GC~~. . Name of Contractor .. ~(fl~a!'N/~ ~.~.~? ~~-SPS.. Address .c.~~{. ~~~eN.U:Va ~:P.. Phone No..~~. ?~ ~~ 15.Is this property locdited wit~in 300 feet of a tidal wetland? *YES....NO.... *If yes, Southold Towq Trustees Permit may be required. PLOT DIAGRAM 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. ~' STA7~E,O, IF,,N-)x,}VcYpRK,i k ' S S COUN~ Y~-.~' ~'R~~...'.}.'T°M... ~... . Y ~ .......... being dul sworn de oses and says that Ile is the a l~cant (Name of individual si p pp • • r gr}i~contract) Y above named. He is the .. ..................I'C....................................... ,.......................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du'y 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 wilt be performed in the mannEr set fprth in the application filed therewith. Sworn to before~yme t is ........., .. D..........day off' dJlG~O~Q l!..... , 19g~ Notary Public, .. ..^~. ~' .~. ~{? ~• lC . • . , • ...... County ~~~ ~L/LII CAWOLOtMON ......... .. .. .. ....... . MQfARYPUeUC,BrotsorNeW ignat a of applicant) i No. 62.4812688 • olk U Commtsalon ~ke~ ~~. 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I S~jFa I O ~ O Iz ~ 1 6~y I N ~ c I ALL II 1 ~? ,az I' IU III 2 0 >, m; /~ 7a~~I,~~~ --,00'SZI ~ m~ ,~~~ ;S ~~r 3 0 3 @ o ~~$~ ~~ x >= o a c Y ~ g~ ~9`~` a ~ J ~ ~~ ~ ~ 1 i ~ i 3 I ~1 / \~`~ ... .w Y II ~ ~ O 1 ~ '° ' O , r O Q ~ I 7,, ~ ~1i ~ I ~ ~4 \ ~ ~ I 4 m ~ Q I _ yY9) 31TAN ~yyj ,{21015 Z I'I ,: W WI 2I`I II W =J , o N O I h u (o Q ~ ~ ~ - ,SO'OSI a z 2 d ~ g U 0 w j 2 z 4 ~~ w~ ~~ ti~ ~~ z~ is Q ~ ~ Z. ~~ ~® OWO OWg z O w '~ 02 ~~~ W~= ~~2 WU2 U zs~ I i 2 ~,I ,~ I I ~ I a.~s 1y1uuZZ~ v~'fF ~g "-.%A I ~s- w~ ~ I a i ~~ ~o .~ N G~ fav4 I N L ~ h ~ ^) 0 w ~~ b 0 n ~- - -~ ; 3 / hAt -- S M ,O'b ,9Z ,SON ~.~ 4- ~~~~ M3in~c b8 sa, ~~ ~~ :~; ~r nn; rQE ~ . .._ ~_~1 Hl ~~N p m U a ~i 2 v 2 J h 2 ;W k M 2 ~ e d Ain $ PROVED AS NOTED +- -. •. : 'F.";,,.: .: . _ Y a � ' .Ow=- _ '.d� •, OATEa�FY BUILDINGDEP • 765I18O2 9 AM TO 4 PM FORTTHE FOLLOWING INSPECTIONS 1. FOUNDATION„ TWp REQUIRED ROUGH - FDCONCRETE kw0000ll 2. ROUGH - FRAMING & PLUMBING 1' 3, INSULATION t 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.Q. ALL CONSTRUCTION -SHALL MEET THE REOUIREMENTS OF THE N.Y. li STATE CONSTRUCTION S ENERGY - - CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS If copper tubi is used for water dist ting system; piping s I be OCCUPANCY OR- of types K or L o USE IS UNLAWFUL UNDERWRITERSCERTIFICA WITHOUT CERTIFICATE - REQUIRED OF OCCUPANCY PERMIT REQUIRED FOR — — --- ---- -- PLUMBER CERTIFICATION ALARM SYSTEMS UNDER - - -- - ON LEAD CONTENT BEFORE ALARM LAW - - CERTIFICATE OF OCCUPANCY - — SOLDER USED IN WATER - - _ SUPPLY SYSTEM CANNOT PLUMBING -- _..- - ALL P BIN -- IZ EXCEED 2/10 of I% LEAD. &WA�uNESNWe� TESTING BEFORE COVERING ' h0 giH(4e'� I i r i -- - _ ;' __ _ ; `hl moi°'\. l� --- -- fir✓(__° �---"_ - -_ - -- _-.�—�. --- - ._------_ �-� \\ In of �� G � — -_ Gtr � t i v -_ - � � � , !_ �T�.,,..�.-,_ �.�:�:,..�--;;:•C,�-,..- -_�_ 4 T Il.r.'Oy3td' P(u I- - - - — .- - - - I I I � p - - - - - - - 11 --- — -- - — -- -- -- -- I W 1 I� V ✓� W/ A Iee 9 0 0 °F EST OI I 1 ." _- j ._. . ,. . - . . - .--------- ----- - ... - -- . . ._ Oil I - -------- -- - ---- -- -- - - d, 1 -F - , T4. - - - -- -- --- - f f 77 w m . ., S i fl: I'• oy�" t. =4 �,a Y��f•eei-! s'v >f Y -'i,. 4- t ';wf - Frvr �'Yf'. 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