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Home My WebLink About17606-zOUNDATION (1st) ~OUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QODE Ye COMMEN lb FINAL ADDITIONAL COMMENTS: FO~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJvUT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 017806 Z County Tax Mop No 1000 Section., . /./I. pursuant to application dated .... ~CRAq-~c~LL~ Block ..... ..~...[ ....... Lot No . .~.! .~ -~. .......... 19 .~ ~., and approved by the Inspector. Building 6/30/80 FORM NO 3 TOWN OF SOUTItOLD BUILDING DEPARTMENT TO~YN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your apphcaUon dated ...~.//.?. ................ 19 .f?. ~,~ o~ ~o~,~ .... 7~.. ~~.. ~ ........................... oou~e No. ' // Street Ham/et co~t~z~x~o.~oo0s~t,o~ ..~ Z~Z .... mo~ .. ~/ ....... Lot ..~.ff~... Subdiwsxon ................ Fded Map No .............. Lot No ............... ~..~,~.~. ~~~. ~ .. ~.~~ RV 1/80 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Ma{n Road PO Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 8, 1990 TO: FROM: SUBJECT: GEP3LRD GEOHRINGER CHAIRMAN Z.B.A. G. PRINCIPAL BLDG. INSP. FRAlqK & SANDRA CUl~RAN VARIANCE APPEAL NO. 3768 The D.E.C. turned down request on swimming pool. Front yard reduction no longer required. Would like to use excessive lot coverage granted to build addition. Is this permitted under your Appeal ~3768 variance approval? COVE' API~§"EO AS ~OTED ,o ;~'Y ~ AM TO ¢ P~ FOR THE FOLLOWING INSPECTIONS 1 FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL CON~TRU~ION MUST BE COMPL~E ~R C.O. A~ CO~~ ~ ME~ ~E R~IR~ ~ ~E N.Y. STA~ ~N~ · ~ERGY DESIGN OR I l,S ?tL,'C/FLL IALL PRO PEP, TiES ,pOOL - PE~CE~'~ Or:: OCcoPA~¢Y IGc/lo F~X I,.STI~G FORM NO 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL .a~.~. s..~..~ . ~ ....... .).~.~.~...~..~ /!Y~ ...... PLEASE TAKE NOTICE that your apphcahon dated .. ~~. rorpe~,t to ~~. ~.* ~.. ~m ' ................... at vs~ ~ ~ .~ ....... ~.~~.. Locahon of Property Ho~se ~o' ' ' -~ ...... ~ ...... Street County Tax Map No. 1000 Section /~ / ...... Block ...... ~. l ..... Lot .. ~ ~ ~ ..... Subdlws, on ............ Filed Map No .............. Lot No .~..~ .... ] ..... is returned herewith and disapproved on the following grounds . ~ d~...-.kfl~....o.,~.~.¢ ~-r~/.oD.: ~ / ~ ~ r~, .~. ~~' ~ ~~~~' - Buzldzng Inspector RV 1/80 APPEALS BOARD MEMBERS GERARD P GOEHRINGER, CHAIRMAN CHARLES GRIGONI$, JR SERGE DOYEN, JR JOSEPH H SAWICKI JAMES DINIZ[O, JR Southold Town Board of Appeals MAIN ROAD- STATE ROAD 25 ~BOUTHOLD, /.I., N.Y. 119'71 TELEPHONE (516) 765 1809 ACTION OF THE BOARD OF APPEALS Application of FRANK AND SANDRA CURRAN for a Variance to the Zoning Ordinance, Article III, Section 100-31, for construction of a pool with deck and fence enclosure with an insufficient frontyard setback and excessive lot coverage (over 20 percent), at premises known as 780 Haywaters Road, Cutchogue, NY; County Tax Map Parcel No. 1000-111-01-016. WHEREAS, a public hearing was held and concluded on October 6, 1988 in the Matter of the Application of FRANK AND SANDRA CURRAN under Application No. 3769; 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 made the following findings of fact: 1. The premises in question is known and referred to as 780 Haywaters Road, in the Hamlet of Cutchogue, Town of Southold, is identified as part of Lot #45, part of %27, and Lot %26, on the Maps of "Peconic Bay Properties" at Fisherman's Beach, and is more particularly shown on the Suffolk County Tax Maps as District 1000, Section 111, Block 1, Lot 16. 2. The entire premises has frontage along the north side of Haywaters Road of 120+- feet in length and varied depths of 128 and 100 feet. The subject premises is presently improved with a single-family dwelling structure as more particularly shown on the August 3, 1988 sketch submitted for consideration. Page 2 - Appeal No. 3769 M~tter of FRANK AND SANDRA CURRAN Decision Rendered October 26, 1988 3. The setbacks of the existing dwelling are shown on the sketched submltted hereunder to be: (a) 12 feet at the northwesterly corner of the dwelling to the westerly side property line (along the bulkhead); (b) seven feet, more or less, from the nearest northerly {rear} property line; (c) 19 feet, more or less, from the easterly side property line at its closest point; (d) 51+- feet from the front property line along Haywaters Road. 4. Article III, Section 100-31, Bulk Schedule~ Column "A-40" of the Zoning Code requires a m~nlmum frontyard setback at 35 feet and maximum total lot coverage at 20 percent. 5. Section 100-33 permits the "...average setback of the existing dwellings within 300 feet of the proposed...on the same side of the street, same block and same use distrlct .... " 6. The location of the proposed pool and fence enclosure is within the frontyard area. The setback is requested at 12 feet for the fence from the westerly side property line and at 30 feet from the front property line. 7. The total lot coverage of the existing dwelling is shown to be 19,080 sq. ft. (inclusive of land underwater), or 15,470 of the upland area. The square footage of the house is given at 3066 sq. ft., and the coverage for the pool and deck is given at 833 sq. ft. The percentage of the existing dwelling coverage is 19%, and the total percentage if this variance is granted is shown to be within a half percent of 25% (25 - 25-1/2%). 8. It is the positzon of this Board that in considering this applzcation, the nonconformities of the lot and limited buildable area do lend to the nature of the practical difficulties. The relief requested is the minimal necessary and the Board agrees the request is not unreasonable under the circumstances. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Grigonis, zt was RESOLVED, to GRANT the relief requested in the Matter of the Application for FRANK AND SANDRA CURl{AN under Appeal No. 3768 as applied under Appeal No. 3768, SUBJECT TO THE FOLLOWING CONDITIONS: Page 3 - Appeal NO. 3769 MAtter of FRANK AND SANDRA CURRAN Decision Rendered October 26, 1988 1. The total lot coverage shall not exceed the amount requested (at 25+-%); 2. Screening with three-ft, high evergreens every six feet be placed and continuously maintained on the outside of the fence enclosure; 3. The new construction remain open and unroofed (as applied): 4. There be no lighting which may be adverse; 5. The pool construction not be elevated more than three feet above grade level (with the exception of minimal step areas). Vote of the Board: Ayes: Messrs. Goehringer, Dinizlo. (Members Doyen and Sawicki were absent.) resolution was duly adopted. Grigonis and This lk GERARD P. GOEHI~/NGER 6/ CHAIRMAN .uo AoNVdnO~O. ~ m BLDG. DEPT, OF SOUTHOLO TOWN FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Recezved .......... ,19... aapproved a/c .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ?{qv.e..m.bp.~..7.~...., 19 .'q.[ INSTRUCTIONS a. Tlus ~pphcatton must be completely filled m by typewriter or mmk and submitted to tho Building Inspector, with- ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan ~owmg locatmn of lot and of bmldmgs on premises, relationship to adjoining premises or publ~ street areas, and g~vmg a de/ruled description of layout of property must be drawn on the diagram which is part of thas appP rich. ¢. The work covered by tiffs applicanon may not be commenced before issuance of Building Permit. d. Upon approval of this applicatmn, the Building Inspector will issued a Budding Permit to the applicant. Such perm~ all be kept on the premises avadable for mspecnon throughout the work. ~. No braiding shall be occup,ed or used m whole or ~n part for any purpose whatever until a Certificate of Oceupanc all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the msuance of a Braiding Penmt pursuant to th dlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o :&ulations, for the construction of buddings, addmons or alterations, or for removal or demohtaon, as hereto described ~ apphcant agrees to comply with all applicable laws, ordinances, budding code, housing code, and regulation.s, and t, mat authorized mspectors on premmes and m budding for necessary mspectxons · I~ ~v. Lr 9 p4r~e.~ .~.~.~1:,..I .nC., ................. (S~gnature of apphcant, or name, if a corporation) 3075 Indian Neck Lane .Re ce. nit ,..NY. 11.c~58 ........................ (Mailing address of applicant) whether applicant m owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ............. Gene-aa].- Co~t~ o~or .................... amc of owner of premises ,. ~'.Da~k. ~ garz. g~'a. Gur~a,~ ............. (as on the tax roll or latest deed) applicant is a corporation, signature of duly autlionzed officer. Presiden~ (Name and t~tle of corporate officer) Buffer's License No . 5~(~. g~. .......... Plumber's License No ....................... Electrician's License No ................ Other Trade's License No ................... Location of land on winch proposed work will be done ....... · 7.80. · l'Iayw~t-e rs. ·Road .................. Cu.t~chogJa. e ........................... ltousc Number Street Hamlet County Tax Map No 1000 Secnon . &ll .......... Block ..... O2. ........... Lot... O.l~fi ........... Subd~vm,on .~0.eog~9 B. qT..Pr.o.p,,..l~ .n.c., ..... Fded Map No .... 7~..6 ....... Lot .... 2.6...~..~.?.,. (Na~ne) State existing uae and occupancy of premises and intended use and occupancy of proposed construction. a. Existing use and occupancy . .One. £.am!l~ .dwe22. itag ........................................ b. Intended use and occupancy One ,f. amil~r cl~e.].litlg..'d'~g~ ~992-..& al,eel; .................. 3. Nature of work (check which applicable)' New Building .......... Addmon . .g ....... Alterat3on ......... Repair ......... Removal ............ Demohtlon ............. ~the Wo ............ (DesenpUon) i. Estanated Cost ..-~.&..~.~'~.~. ~ .~.~..': ................... Fee ..................................... (to be paid on fihng th~s application) i, If dwelling, number of dwelhng umts ............... Number of dwelhng umts on each floor ............... 3. If business, commercial or mixed occupancy, specify nature and extent of each type of u~ .................... L Dimensions of exmtmg structures, if any: Front ............... Rear .............. Depth ........ Height ............... Number of Stones ................................................. D-nemaons of sa,ne structure with alterations or additions: Front ............. Rear ........... Depth .................... Height ...................... Number of Stones ............... t. D~nenstons of entire new construction' Front .............. Rear ............... Depth ........ Height .............. Number of Stones ...................................... {~., ...... ). S~ze of lot. F)ont .12D.~ ................. Rear .... ~.' .............. Depth .................... ). Date of Purchase ............................. Name of Former Owner ............................ I. Zone or use district in which premises are s,tuated., tt~.~ict~/a~ ~al ..................................... !. Does proposed construc t:on violate any zoning law, ord,nance or regulation: 2p.s.,..V.s,~. ~ ~[!e.e...i ~ ~,u.e..d..by.. $ ~. Wall lot be regraded ........................... Will exc. ess fill be removed from premises: y~ Bd ~. Name of Owner of premises ~'.&.$..~.u??.a. ri ........ Addre~7.~.O...H.a..7.~..a.~s.. ~.d. Phone No...7.3.~7.~.~.0.~... mine ofAxch~tect . . . ~ Cutchogue-ax .,~ ., ~ ........................ '~'-*'~A~,==' · ' ~t ...... · .... ,.. · * rrKone INO. N.,,,e of Contr., o ' ?,. Address NO. Peco hie, ~Y 11958 PLOT D~AORA~ Locate deaHy and dmHncdy ~l building, whether existing or proposed, and~ indicate a~! sea-back dnnens~on$ fron operty hnes. GAVe stre¢: and block n~mbcr or desenptAon according :o deed, and show street names and ~d~¢ate ~nor or cornez lot. See Attached 'kTE OF NEW YORK, S.S UNTY OF ............... (Name of ~ndividual signing contract) ~ve ri,lined, being duly sworn, deposes and says that he is the applican m the ................................................ (Contractor, agent, corporate officer, etc.) ~ad owner or ownerS, and is duly authorized to perform or have performed the sam work and to make and file th: ,l~anon; that all statements conta:ned m thru apphcation are true to the best ofhm knowledge and behef; and that th~ rk will be performed in the manner set forthrm the apphcat~on filed therev, qth. )rn to before me thru .............. 7..;-..day of ...... ~'43::.~. ......... 19 ~..~.. a.~ Public ......... ~ 4707878, Suffolk ~u~ 0 , FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ....... , 19 Received ........... ,19. Approved · . ,19. Perm~tNo . .. Disapproved a/c ................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date fq t.4_g{ ~ .... 19Y a. Tins application must be completely filled m by typewriter or in ink and submitted to the Bui/dmg Inspector, witl sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing location of lot and of buddings on premises, relahonship to adjmmng premises or pubhc sire. or areas, and g~vmg a detmled descnptmn of layout of property must be drawn on the diagram winch ~s part of tlns aP! cation. c. The work covered by tins apphcatlon may not be commenced before ~ssuance of Bufldmg Permit. d. Up~nappr~val~fthmapphcatmn~theBui~ding~nspect~rw~~issuedaBu~dmgPermitt~theapphcant Suchpeni shall be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupan shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Bmldlng Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, addltaons or alterations, or for removal or demolihon, as hereto describ~ The apphcant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections (Signature of applicant, or name, if a corporation) .s-F .......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bufldr Name of owner of premises ~¢.~3 k<..q- ~qO~£~ (', .coC~:~? ........... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer .........................+ (Name and title of corporate officer) Builder's License No. ~q-2~"~' (o .~.~.. Piumber's License No .......... Electrician's License No Other Trade's License No 1. Location of land on which proposed work will be done House Number Street County Tax Map No 1000 Section .. I I I Block ..... Subdlvlslo n ~ ~O )%~ ~.~ .~ ~.!'~.~ J~*, ~ ~ .. Fried Map No 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Ex~stmg use and occupancy [ ~'~,.v~.,\.¥'~txD~.[I ~,.~ ......... b Intended use and occupancy 3. ~4~[q~ I 1.~..~.c45¢~1 Hamlet ...... Lot...&lb. (o...2.7 Lot.g q- ...... Alteration ..... Repair ........ Removal ............ Demolition ....... Other ~ ~[ ,., ~. 'b · ' ' ' "~ (Descnption) ,,. ' st,matedCost .............. Fee ............................... ~' (to be prod on filing this apphcation) 5. If dwelhng, number of dwelling units .... ~ . .. Number of dwelling units on each floor .... If garage, number of cars .............................................................. 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ............... 7. Dimensions of ex~stmg structures, if any. Front .... Rear ............ Depth .......... Height ............ Number of Stones ......................................... Dimensions of same structure w~th alterations or additions Front ......... Rear ............ Depth ............. Height . ~ ~ ....... Number of Stories 8. Dimensions of entire new construction Front..~)..X...~.. .... Rear ............. 'l~p'til' i i ' ' i . Height ...... .oNum bet of Stonoe ......... 9. Slzeoflot Front 1~,~:~ ........ Rear ....... I.gr-.t't.~ ..... Depth I~"i.''.. 10. Date of Purchase ................... Name of Former Owner ........ 1 1. Zone or use district in which premises are situated I?.,~ ~ ~e. O~.~ ~ } 1 2 Does proposed construction violate any zomng law, ordinance or regulation. 'e~lagr ................... ..~ .... 13. Will lot be regraded .................... Will excess fill be_._____ -- ___rem°ved from premises. 14. Name of Owner of premlsesF:t--~.~.~ . .. Name of Architect .. .. . .. .. . .Address ................ Phone No .......... Name of Contractor~*-39~t~hlo.~ .~.~/~Y'.~. ,'~..~.C... Address 35D ~'~.~lNt,]~.<~,,~/.&Phone No.~,"L---:2 PLOT DIAGRAM Locate cle&rly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dnnensions ftc property hnes. Give street and block number or description according to deed, and show street names and indicate wheth interior ol corner lot. STATE OF NEW YORK, COUNTY OF ........ SS (Name of individual signing contract) above named · being duly sworn, deposes and says that he is the apphc He is the .............................................. -.~- .. ~ agen~,~t~'o'r~c ) ' . . (Contractor, of said owner or owners, and is duly authorized to perform or ha-'~e--p~ormed the said work and to make and fiI~'~t application, that ali statements contained m this application are true to the best of h~s knowledge and belief, and that work will be performed in the manner set forth m the application flied therewith. Sworn to before me this Notary Public, ... .~.'...~.~. ~'/.'~'.. - .. Coun ' HBfN K. ~ VO~ .................. NOTARY. ~ 4~787~8L1~ ~lk~ d~ ~d ' ' ~ ~ ~'~ (Sl~ature of apphda Examined ........... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y 11971 TEL. 765 1802 BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY .................. CHECK ................... SEETIC/FORM gALL ................. MAIL TO: Approved ................. 19 ,. Permit No ........... Disapproved afc .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT (I'IOH. LnOS 40 NMO.t, ~ 'J~t(l 'D(rl~l J Date ICarch.7..1989. ..... INSTRUCTIONS a This apphcatton must be completely filled tn by typewriter or in ink and submitted to the Building Inspector, ~v sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of braidings on prem:ses, relahonsh:p to adjoining premises or pubhc st or areas, and gzvmg a detmled descnphon of layout of property must be drawn on the dmgram wh:ch is part of tlus n c. The work covered by tl-as apphcatmn may not be commenced before issuance of Budding Permit. d. Upon approval of ttus apphcat:on, the Braiding Inspector w~ll issued a Braiding Permzt to the apphcant. Such pc shall b¢ kept on the premmes available for mspechon throughout the work. e. No budding shall be occur:ed or used m whole or m part for any purpose whatever unhI a Certificate of Occup shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmlding Permzt pursuant t, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmanc RegulaUons, for the construcUon of bmldmgs, ad~d~tions or alteranons, or for removal or demolmon, as hereto desert The apphcant agrees to comply w~th all apptmable laws, ordinances, budding code, housing code, and regulanons, an admit authorized inspectors on premises and m budding for necessary mspecUons. ·. E. ........... (Szgnature oi' apphcant, or name, if a corporanon) 3075 Indian Meek Lane ... Foo~nl~ .. XE .1].95,~ .................. (Marling address of apphcant) State whether apphcant Is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or ank & $ ndra Curran General Contractor Name ofownerofpremmes Prank & Sandra Curran (as on the tax roll or latest deed) ......... .... ~ (Name and t:tle of co.orate officer) Builder's L~cense No · · .~.~6,,I PIumber's License No ................... Elcctrtcmn's License No ................... Other Trade s Lmense No ................. I Location of land on whtch proposed work wd[ be done ............................................. ...7.8. Q..H.~,y¥o.tPrs..Road. ...................... :, ........ C~t. qbgg.u~. ...................... House Number Street\ Hmnlet ~' " ~ 16 County Tax Map No I000 Sect:on .1~-34 ............ BIpck .................. Lot ................ Subd:v:slonP.O 9qnL. e.. Bay ~yop~.F.~.t? s..~..I.n.e.: .... F,,tled Map No.. 786. ......... Lot .. 25..&. 27.. (Name) 2, State e\lStlng use and occupancy of premmes and intended usc and occupancy of proposed construction' a. Exmtmg use and occupancy .I. ,~g.~.i. 3:.~r..D.wo J:..1.i..t~: ........................................... b. Intended use and occupancy -l- C.~,~i Z~..dwe 33:% tlg'..~[J.~; .h.p. OO..1. &..~e..Cf. ....................... 3. Nature of work (check which applicable) New Building .......... Addition . .X ...... Alteration ....... Rep;ur ............. , Removal ............. . Demolition .. ............ Other Work .......... . . (Dcscnptzon; 4. Est~mate'dCost ~ 2.0.,.000.,. ......................... Fee .................................... (to be prod on fihng this apphcat~on) 5. If dwe[hng, number of dwelling units . ...I .......... Number of dwelhng units on each floor .............. I£ garage number of cars ........... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................. 7 D f e ,, £ F R pth · lmenslons o Xlstmo structures, 1 any rent ............. .. ear .......... .... De .. ..... . ... Height .............. Number of Stones .................................................. Dimensions of same structurg wf~h alterations or addmons Front .. ~ ......... Rear ............... Depth .......... ,. ........... ; tImght ........ f .......... Number of Stories ................. 8. Dimensions of entire new construction Front . .}.1.~.6.' ........ Rear ...... 1.9.~. .... Depth .... ~9.~. ~'.. Height ......... "i (I .~.~: . . Number of Stones .........l~0 ....................................... 9. Size of tot' Front ..................... Rear ................... Depth l~Q' ................ 10. Date of Purchase ............................ Name of Former Owner ........................... I 1. Zone or use d~stnct in which premises are situated Re side mt i al 12. Does proposed construction v~olate any zomng law, ordinance or regulation' .... y~.a 13· Wall lot be regraded ........................... Will ex~;e~s fill be removed frqm premises: Yes F&S Ourran '(o~ ~aywa~ers rta 1~. Name of Owner of pr~m~ses .................. Address ............... Pl~one No.7~A4 .~2~ .... GU 1; OrloLtg~, ~..~ P e Name of Archxtect ........................... Address ,. *7 .......... ' .....Phon No .............. ~.v on emt East, Inc 0,~ Im~ian :~eck Name of Contractor, O. ~-r..., ................. Address ¢ ........... ,.,-~-. a~.c,~ne No.7.~&. 7474 .... 15.Is this property located within300 feet ~°~aU~aal'~e~? *YES-X--NO .... ' mil yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether ex~stmg or proposed, and red,cate all set-back d~nens~ons property hnes. G~ve street and block number or description according to deed, and show street names and red,cate whorl intoner or corner lot. See Attahed STATE OF NEW YORK, S S COUNTY OF ............... ........... being duly sworn, deposes and says that he is the applic: (Name of mdiwduaI signing contract) above named. (Contractor, agent> ~_.~orate office?~c.) of said owner or owners, and ~s duly authorized to perform or, have'~erformed the said work and to make and file apphcat~on, that all statements contained m this appb.Cat~on are true to the best of his knowtedge and belief, and that work will be performed in the manner sci fortti in tim application filed ttlere%ulth. .... / ./,~-7',' ' ' , · tA* ....co ty / <' "'Z / (Signature of apphc~