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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17651 Date JANUARY 3, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 36925 MAIN ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 085 Block 02 Lot Oil Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 1986 pursuant to which Building Permit No. 17293-Z dated AUGUST 4, 1988 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 ALTER & CONSTRUCT AN ACCESSORY APARTMENT ZBA APPROVAL #3728 The certificate is issued to ANTHONY & JOAN STURCKEN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A u4i.g nspector Rev. 1/81 A 1 FORM NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 017293 Z Date .....QC41.A. ...... .............. 19.4. Permission is hereby grante .. .Q3r!:r.:�.....RN. ....................................... :. 9.. .'"........ .�'......... .............�........................................ oY premises located at .... .�O.q a15.... ..Qc! ! - !.:........\ 5.>:.R.M,n! Ai�4,..,,.............I...... ................................................................................ ................................................................................. ................................................................................................................................................................ County Tax Map No. 1000 Section ...... g Jam....... Block .......Z..;!::..... Lot No. .......... pursuant to application dated ........!..C..t.4M .....s ............... 1914., and approved by the Building Inspector. i Fee $. ...................... !�`eJ✓,.�?- ............... Building Inspector Rev. 6/30/80 • FORM NO. 6 D TOWN OF SOUTHOLD OCT + 71988 Building Department Town Hall Southold, N.Y. 11971 T. 765 - 1802 70LM4 OF SOiJTi _l.D APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted n aw� to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible forthe building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. + e --- -e rpT�iaurowneras tmuse occupancy-and-condlten-af-bu-ildmgs: 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25 . 00 POOLS $25 . 00 ALTERATION $25 . 00 1. Certificate of occupancy New Dwelling $25.00, Accessory $ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5 .00 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $ 20 . 00 /� o 5 .Updated C.O. $ 50 . 00 Date . . C�JC � �/. .��Q,�, . , , , . New Construction . . . . . . OldorPre-existing Building . . . . . . . . . . . . Vacant Land Al . . . Location of Property . . . . . . . . .a?�a 5' . . .�t�c-o'�-- olSp; . :� . . C;�Z U . /. .�✓ House No. Street �^ Hamlet Owner or Owners of Property . . ✓.ry!r7f��! �v ✓�o✓ S��rC ✓ County Tax Map No. 1000 Section . . . (29�S. . . . . Block . . . . Lot . . . l f Subdivision . . . fj'/9., , , , , , , , , , , , , , , , , , , , , ,;Filed Map No. . . . . . . . . . .Lot No. . . . . . . . , Permit No. Date of Permit 9v1� �.'.Aapplicant . AA1. QN1, � , 1 , Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . afi Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . I . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and er it meets all applicable codes and regulations. Applicant . . . Rev. 10-10-78 7361 6Y�G367 lG5 1 =1ELD IGSf'ECTION' COMMENTS FOUNDATION ( 1st ) o FOUNDATION ( 2nd ) — m 2 . z o U1 ROUGH FRAME & �O PLUMBING v\ ti H . 3 . � ra H IIJSULATIOPI PER N . Y. ' STATE ENERGY CODE x a 4 . FI14AL ' z x ADDI IONAL CO MENTS : 4 H H O A Z 6 A • r H C7 C+] -e H eL��u.c�1GQ.✓ q - M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]�INLATION [ ] FRAMING [ FINAL REMARKS: DATE P i� ! INSPECTOR FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.X. NOTICE OF DISAPPROV(A�L` - n �� . . . . Date . . a . . . . . . . . .. 19 �6 ( . .%3 4 /`a. .� . L �.<^ .led . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . . . . . . w, a.�. . . . . . . .. 19 �.�. for permit to '? -�!? . . . a . . . . . . . . . at Location of Property . 3.1a`1 al.S^ . . . yY/.a�+. ! .•. L 1 c — Nouse No. Street Hamlet County Tax Map No. 1000 Section . . . © $. . . . . Block . . . . . 2 . . . . . Lot . . A. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . . . . ? ` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector RV 1/80 d FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . . . 29.7.31 . . . . . . Date . . . . . .October. 26 . . . . . . . . . . . . . .. 1979. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property No36No 5. . MAIXI. . .RQ4�l-I. . . • • • • ' Street Cutchogue, ....Y.Haml . use County Tax Map No. 1000 Section . . .085. . . . . .Block . . .002. . . . . . . . ;Lot . . .pt.. .011. . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . .Lot No. . . . . . . . . . . . . . Requirements for a one family dwelling built prior to conforms substantially to the Certificate of Occupancy . . . . ,Apr l . .23. . . . . . . 19 57 pursuant to which BUMUCKAVRAtM. . . . . 7.9.731. . . . . . . . . . . dated . . ,October• 26• . , . , . , . . • , . • 19 79 ,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 . . . . . . . . . 9Ta.I1Y.INQ11 Ag .W/.T.WO. Car, ,G?X.%ge/Dwe1*j3.ng. Uxli'It. .for. . Human. Habitation The certificate is issued to . . . . . . . . . . . . . . .Martha.$tQ tan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner,alan_unxr,aa W of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . :N/R. . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . N/R . . . . . . . . . . Building Inspector Rov 4/19 . gk Southold Town Board of Appeals MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN _ CHARLES GRIGONIS, JR. SERGE DOYEN, JR. July Z1, 1988 ROBERT J. DOUGLASS �� JOSEPH H. SAWICKI 2 2 Mr. and Mrs. Anthony Sturcken )ti,JI 36925 Main Road TOWND OUT' Cutchogue, NY 11935 THOLD € Re: Appl. No. 3728SE - Accessory Apartment Dear Mr. and Mrs. Sturcken: Transmitted herewith for your file and perusal is a copy of the official findings and determination recently rendered by the Board of Appeals, the original of which has this date been filed with the Office of the Town Clerk. Please be sure to return to the Building Department for issuance of any permits and other approvals in writing as may be applicable. Please do not hesitate to call either our office (765-1809) or that of the Building Inspector (765-1802) if you have any questions. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN Enclosure Copy of Decision to: By Linda Kowalski Building Department Suffolk County Department of Planning LIE�k w7���v •rA�c�G,� ......�..,,� tatulard NA`❑.F.U. Fo ar 8002-20M —bargain and Sale Deed,with Covenants against Grantor's Acts-Individual or Cotpoutina (single sheet] CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT•THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 9th day of November nineteen hundred and eighty—four considera BETWEEN ' " 9 ANTHONY C. STURCKEN residing at ( no # ) Main Road, Peconic, New York 11958 party of the first part,and ANTHONY C. STURCKEN and JOAN STURCKEN, his wife, both residing at (no #) Main Road, Peconic, New York 11958 party of the second part, WITNESSETH,that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Suffolk, State of New York, being more 'particularly bounded and described as follows : BEGINNING at a point located on the northerly side of Main Road District : (NYS Rte 25 ) , Peconic, New York, distant the following two ( 2 ) coursF and distances from the intersection of the division line between 1000 lands now or formerly of Philip G. Horton and lands now or formerly of Martha Stojan and Lawrence Stojan and the northerly side of Main Section: Road (NYS Rte 25 ) , Peconic, New York: ( 1) South 32' 361 15" We,st, 300 . 00 feet ; ( 2 ) South 34 ' 051 05" West , 95 . 37 feet ; running thence 085 . 00 along the northerly side of Main Road ( NYS Rte 25 ) , Peconic, New York, the following two ( 2 ) courses and distances : ( 1) South 340 Block: 051 05" West, 160. 00 feet ; ( 2 ) South 39° 121 05" West , 70 . 00 feet; running thence North 540 571 55" West, 175. 95 feet; running thence 02, 00 North 350 021 05" East, 226 .83 feet; running thence South 55' 541 55" East, 178 .41 feet to the point or place of BEGINNING. Lot : BEING and intended to be the same premises conveyed to the party 012 . 0 03 of the first part herein by deed from Martha Stojan dated January 8 , 1980 and recorded January 16 , 1980 in Liber 8763 cp. 519 . SUBJECT to a mortgage made by Anthony C. Sturcken to The Prudential � y s Mortgagee Co. , Inc. dated June 2 , 1980 and recorded June 11, 1980 ( in Liber 8762 p. 121 for $39 , 500. 00 which the grantees herein ✓ ' assume to pay as part of the consideration for this conveyance. NOV 2 31984 �A °t Ir7ULK TOGETHER with all right, title and interest, if any, of the party of th N an;zstlects and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the Carty,o(,t(,; first ,part covenants that the party of the first part 4a's,not done or stiffered anything whereby th4Fsajo prcmil ps,bd,Ye,been encumbered in any way whatever, exc5pt tis aforesaid.: , AND the patty,of the first pagt, in compliance with Section 13 of the Lien f�tfv,`curen,u1 : du+l`.ihr party of the brat part wtlP reccivrtlt" consideration for this conveyance and will hold file right to receive such cons+d- the fi n as a trust fund to be appticd brat for file purpuor of pa)'iug the coat of the inirroretnent and wilt apoh. crathe name first to the payment o 'tic cost Of the ir"I""Itu•t+[ before using any p.rr O the total Of the s urre or any other purpose. �= The wntd '"p:ny" ef;rit t,r .r�tatrue•,i ,ra if it raaQ "µart+r>"" whntrtvr tktr xuvrxt oI Ihar iewSrntprrt sK+tar>�. IN WITNESS WHEREOF, tW psrt;r of the htit l�u isAa J+a1 tar«uatd N,is�#«r,I th+r y rtvd earl tits rlv x rillen. I + rwe,t char: u j r � Anthorty e turckatt tIBLk�l,�0� i'ACCi)�� STATE Of KEW: KC COUNTY OF SUFFOLK SSt STATE OF NEW YORK. COUNTY OF SUFFOLK SS: On the 9th day of November, 19 84 , before me On the 9th day of November 19 84 before me personally came ANTHONY C . STURCKEN , personally came JOAN STURCKEN to me known to be the individual described in and who to me known to be the individual described in and who executed the foregoing instrument, and acknowledged that executed thgoi sin trument, and acknowledged that rie executed the same. ec executed Notar—�1c Notary Public µARAM R. SOPP µAR"R. SOPP KOtay;pl 'S%ft of Now Yak �tOlf SWO of New Ywk No.4M429,WGRI CaImX / Tom Expires March 30, 192 1 1,0 Eap{res Mirth 31.19 d STATE OF NEW YORK. COUNTY OF SS: STATE OF NEW YORK, COUNTY Of SS: On the day of 19 before me On the day of 19 before me personally came personally came to me known, who, being by me duly sworn, did depose and the subscribing witness to the foregoing instrument, with say that he resides at No, whom I am personally acquainted, who, being by me duly sworn, did depose and say that he resides at No. that he is the i of that he'knows the corporation described I to be the individual in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed described in and who executed the foregoing instrument; to said instrument is such corporate seal; that it was so that he, said subscribing witness, was present and saw affixed by order of the board of directors of said corpora- execute the same; and that he, said witness, tion, and that he signed It name thereto by like order. at the same time subscribed h name as witness thereto. Flr1}ttin ttnd Ode 'eeb SECTION WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK TITLE NO. LOT ANTHONY C. STURCKEN COUNTY OR TOWN TO Recorded at Request Of ANTHONY C. STURCKEN & JOAN CHICACJ 'TITLE INSURANCE COMPANY STURCKEN, his wife Retum by Mail to STANOARO FORM OF NEW Ya RK BOARD OF TITLE UNDERWRITERS Distributed by RICHARD F. LARK, ESQ. C>BItICAfiO 'lc'='1l'I.>B Box 973 1l1A NUER<ANCIS COMPANY Cutchogue, New York 11935 Zip No. W U W O to P 0 O w a 0L W ,lll�int.), ;1'tO:JJ(15 ti'� � ,f"t7aS1,111', '`t 3.LL�1"1t1P � s vZ „u;r v iitlt ild '�� 0. N N W 7 a[ . W a FOCir o Southold Town Board of Appeals MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS. JR. SERGE DOYEN, JR. rl ROBERT J. DOUGLASS ACTION OF THE ZONING BOARD OF APPEAQ JOSEPH H. SAWICKI "^� Appl. No. 3372gg. 80 Names of Applicant(s) : ANTHONY AND JOAN STURCKEN TO: Mr. and Mrs. Anthony Sturcken 36925 Main Road Cutchogue, NY 11935 At a Meeting of the Zoning Board of Appeals held on july 14tt the above application was considered, and the Action in icate below was taken on your { } Request for Variance to the Zoning Ordinance Article , Section { } Request for Variance Due to Lack of Access to Property, New York Town Law, Sec. 280-a { X} Request for Special Exception under the Zoning Ordinance, Article III , Section 100-30B(15) 7: 45 p.m. Appl. No. 3728 - ANTHONY AND JOAN STURCKEN. Special Exception in accordance with Article III, Section 100-30B(15) of the Zoning Ordinance for permission to estab- lish Accessory Apartment in conjunction with single-family residence of the owner at premises known as 36925 Main Road, Cutchogue, NY; County Tax Map Parcel No. 1000-85-2-12.3. WHEREAS, a public hearing was held and concluded on June 9, 1988 in the Matter of the Application of ANTHONY AND JOAN STURCKEN under App1. No. 3728; 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 considered 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: 4 I I A Page 2 - Appl. No. 3728 Matter of ANTHONY AND JOAN STURCKEN Decision Rendered July 14, 1988 1. By this application, applicants request a'; Special Excep- tion to the Zoning Ordinance, Article III , for permission to establish an "Accessory Apartment" in an existing principal single-family dwelling and in accordance with all the require- ments of Section 100-30B, subsection 15 thereof. 2. The premises in question is located in the "A" Residential and Agricultural Zone District, containing a total area of approximately 40,950 sq. ft. and road frontage of 230 feet. 3. The subject premises is improved with a 64o-story, single-family dwelling and accessory frame garage building as more particularly shown on the January 4 , 1980 survey prepared by Young & Young, P.E. ( #79-748) . This parcel is more parti- cularly identified on the Suffolk County Tax Maps ,as District 1000, Section 85 , Block 2, Lot 12. 3. 4. Upon information furnished, the square footage proposed for the apartment will not exceed the requirement !of a maximum of 40% of the existing dwelling unit (40% of 2122 = 049 sq. ft. ) ; and the square footage of the principal single-family dwelling use will be an area of approximately 1273 sq. ft. l, 5. Parking plans have been submitted by the4pplicants for additional parking within and along the driveway ,area. The total number of parking spaces provided in the plan by applicants is for five vehicles (on site) . In considering this application, the Board finds and determines that: (a) the use requested will not prevent the orderly and reasonable use of adjacent properties ',or of properties in adjacent-use districts; (b) the use will not adversely affect the safety, welfare, comfort, convenience, or order of the town; (c) the use is in harmony with and will promote the general purposes and intent of zoningi The Board has also considered subsections {a} through {1) of Article XII , Section 100-121C(2) of the Zoning Code. Accordingly, on motion by Mr. Grigonis, seconded by Mr. Goehringer, it was RESOLVED, that a Special Exception for an "Accessory Apartment" as provided in Article III, Section 100-30B(15) of the Zoning Code, BE AND HEREBY IS APPROVED as applied! in the Matter of the Application of ANTHONY AND JOAN STURCKEN under Application No. 3728 , SUBJECT TO THE FOLLOWING CONDITIONS: 1. Compliance with Subsctions {a} through (q) of Article III, Section 100-30B of the Zoning Code; 2. A minimum of five on-site parking spaced; 3 . A turnaround shall be made available on the sijtOe i21 order to prevent any backing out onto the street.! $>" s� Vote of the Board: Ayes: Messrs. Goehringer, G'tigos,� Douglass and Sawicki. (Member Doyen was absent.) 'his resolution was duly adopted. lk E GOHRINGER CHAIRMAN i I I� c t:C b s {"f�1�� �Ni7 �fNGG T 7-V J 3 � K I i ..._. iT i ' ,�+1 !✓-/' C l� � -_--�� � ' � I, ��-} ` `-'I�-4 _ ` �'I N. F�J� j\..3�J\�.C����.TL--�-� ; ' � � � i � i i i � � � � � i Py 'JgQa N'O '11II o � 5� p % {y. 4^ a � o > % 0 h P J aPo O S� asaN Q C' qqa or l� 1 ^>C y P� / \ \S v o /U ``a ". •� ;oEh O P SURVEY FOR ANTHONY C. STURCKFN AT CUTCHOGUE DATE JAN.4, 1480 TOWN OF COUNTY, SCALE i19-748 � SUFFOLK COUNTY, Nf.W YOHH NO. !D-'!4e EEo nu£xs�i� s,ux noo,upx to rms GUARANTEED TO,I+inlwia ANIIn fPn1n >pr ur NI THE TITLE GUARANTEE CO 1 "I lll�i4 u up wvfvN fmm�w l,l ,;i wlp 1, fP'fvw5/Nf Y(N[U,Ip i AlP„141Nt wLIF4 lV .x leNfs N I')' 1 x..r cNPe£e m loN xuEN muawvoN CN9siou(x1 1� L n:s+i�oi nuwl A1R11=rls sm.N ncxulx rxow YPpxexry L:xfs '�!I �I� ��•�• y � NOTE;0=MONUMENT roP£po nx„slm,Ipxfs.ill wP w svccum SE A..A £NOT IU BE USED 1.FaIPILiax PNp P[R IY lIN[]pX(pp INE t0.(<IIpN 0P i(Xf[f YOUNG YOUNG ^0°OSEAD,N(. ONK Y —_ RIVE HHFU, LW AVENUE ALDEN W YOWEG,PROFESSIONAL ENGINEER AND LAND SURYf YOR NYS LICENSE NO 14045 N NO WARD W YOU MG.L A N D SUN VE YOH NYS LICENSE NO 45095 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT APR I § MS TOWN HALL SOUTHOLD, N.Y. 11971 BLDG DEP7. TEL.: 765-1802 tOVVN OF SOUTHOLD Examined Mw'r .7. . . ., 19 A Received . . . . . . . . . . . , 19 . . . Approved 111111 '1 19'0. Permit No. .1.7 a9 } Disapproved arc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (r, ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... . .�.^. . . . . . . . — Q 0"� . . . . . . . . . . `�. . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT M 1 p Date I. ! 'Gtt. .Z�. . ., 19Q� 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 ' specti s. . . . . . . . . . . . . . . .p . . . . . . . . . . . . . . . . . . (Signature of a licant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . .tXs� � �t J. . . . . . . . . . . . . ,�. . . . . . . .`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises l�N. 1 PP! pr1 . . .�5.1".11. .�'.... . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, 'gnature of duly authorized officer. / 4. . . . . . . . . . . . . . . . . . . . . . (Name and title df corporate officer) Builder's License No. . . .� J . . . . . . . . . . . . . . . . Plumber's License No. . . .N� . . . . . . . . . . . . . . . . Electrician's License No. N . . . . . . . . . . . . . . . Other Trade's License No. J . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 .�?. 9. Z5. . . . . . .M �.�. . (2t0. ... . . . . . . . . P . . . . I . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section .PBS . . . . . . . . . . Block .Q P..& . . . . . . . . . . Lot . . .o.1. Subdivision . . . . . . . . . . .qk. . . . . . . . . . . . . . . . . . . . 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 . . �, N��. .(.�.,. . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy C\ C C�S� �. . . . '. `� WLT �`' t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . .*. . . . . Addition . .'. . . . . . . . Alteration .V' . . . .'. Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . .;. . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . .�J.'A . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . .I,. . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwellin units . . . . . . l Number of dwelling units on each floorQ01-.qif-" Ifrz y Ifgarage,number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . .N.I�{ . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . .''. . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions*of same structure with alterations or additions: Front . . . . . . . . . . . .I. . . . . Rear . . . . . . . . . I . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . --8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . .I. . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . .'i. . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . !Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Qwner . . . . . . . . . . 11. Zone or use district in which premises are situated . rS N�6141- fI / AE;W..'e ( . . . . . . . . . . . . . . . . 12. Does proposed construction violat any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . .. 13. Will lot be regraded N . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of premi esn'�'.E.. . Address . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . /A. Address . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . .N ! r . . . . . . . . . . . ". . . . Address . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 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 corner lot. I li✓ fi t L71J 1 S �--bv7- /4" �CGi��^ �(Z� Af3A -1 � ZEd2loPC 6f: T--mG f5y Ibrl -5-1 ,{ Wr,L(-. NO v CLeE N--) At-) Ywft� - Se7� 'r4 L M 14F FOE WlLL �t( E � lE=21O2 tn5Sb�A2 RCS >2EL� CiA4 - w4LLs o� �ff�2 �j-/Z1 GJlZIaL 010M R>VVW 5 ! S CdNCIE�NLc�i S. STATE OF NEW YR S COUNTY O Qw4 . . . .� t� �...'?'6e1Yt duly sworn deposes. . . 0 k- Y g y and says that he is the applicant (Name of individual signm co tract) above named. Heis the . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `. . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 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 me this /9. . . . . . . . .I.day of. ..� . . . . . ., 19�� Notary Public, O gad. . County l JEFFREYSCn17SMITH . . . . . . . . . . L?'✓.':: . . . . . . . . . . . . . . . . . . . . . NotarvPubllo,State of Now York (S nature of applicant) No.62-37$788PSuifolk Counttyy Commission Expires Maroh 30,18 o- X cam O \ ao6��3�ooQ •�Oc yo^r��o s'oio 0 � 5� V r° tt et �� SAssF r! t� tib• 1 �Q ti 6yM tip. 0 a00h�1 Q 0 R 013 Q \ L h° GO a ti y� QO �� po oo�o � �o ,,' coo• Xo� � o�Q os SURVEY FOR ANTHONY C. STURCKEN AT CUT,,P OGUE DATE JAN.4, 1980 TOWN OF SOUTHOLD SCALE: I"=5O' SUFFOLK COUNTY, NEW YORK NO. 79-748 , *UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO: SURVEY IS A VIOLATION OF SECTION 7209 Of THE THE TITLE GUAR NEW YORK STATE EDUCATION LAW, *COPIES OF THIS SURVEY NOT BEARING THE LAND •�P,•�E F NFyy SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL S yo NOT BE CONSIDERED TO BE A VALID TRUE COPY. PRD W P *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, v �0 `06 AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- T ? MENTAL AGENCY AND LENDING INSTITUTION LISTED 0 HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE s, 'a% TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. I i *DISTANCES SHOWN HEREON FROM PROPERTY LINES NOTE:'/= MONUMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC CFI 4889' PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES.OR FOR THE ERECTION OF FENCES. . - AND SURNb YOUNG 81 YOUNG 4oERNEA6NDE�Q�1VOK ` - 'YOUNG V � 'RIVERHEAO, NEW YO�tk ALIEN Nf YPU�G,PROFQSSIONAL ENGfNEER„ AOI).LANI>SiJW9,YOFt-N,x.$ LIOENSE N0.19045 HgWARO VY X44NGi,I:AUP 9URVEYOfi 1�Yr{.,LIOEN§E00 7, 77- r k r tt z -- JI I ! I ! I I I I 1 I I I IZ) -q l I I I I II Ills I ! 5 II I I III I G/L-Slli Il l (Amc CLd S _ r 3 I Il � I I I OCCUPANCYd lll(1 OR I USE IS UNLAWFUL ` ! j WITHOUT CERTIFICATE L OF OCCUPANCY Z24 I AS NijLq �-- 14 ATe.Ps FEE 13Y NOTIFY ,BUILDING DEPARTMENT AT 765-1802 9 AM TO a PM FOR THE III FOLLOWING INSPECTIONS. ! ! I 1. FOUNDATION TWO REQUIRED FOR POURED N CO CRETE I 2., ROUGH - FRAMING & PLUMBING uj`�L ! 2 I I I' I � I ai I 3. INSULATION I IG U n 4. FINAL - CONSTRUCTION MUST ' �_ II—+I�i yI� 8E COMPLETE FOR C C ALL CONSTRUCTION$� SHALII MEEyyT - � I �-- - STAT CODES. NOTE-AESPONSIBL FOR -�C-OU(r'L CJ ? I'�"' _ Z I -� 81 -DESIGN Ofl CONSTR CTION�RROR ' I � ' ' I 1 1 q--t S I N I C,, fFEwT udr- io j f T q I 9 I i I i I I f II K I I I I II I � V� HI' M ZZ.� T III I I � Ilill � II � I� rd � j I� IS � �� ,��/� � �� I j ! � ��`P�S �►� �D; ICI -�TC'E-Fo�� i I I III I I I I I