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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 218941 Date MARCH 30, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 470 PVT. RD. #12 OFF MAIN BAYVIEW SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 078 Block 06 Lot 10.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 15, 1988 pursuant to which Building Permit No. 174332 dated SEPT. 15, 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 ONE FAMILY DWELLING, WITH DECK AND BALCONIES ._ The certificate is issued to DANIEL E. & PATRICIA STEGNER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-82 JAN. 29, 1990 UNDERWRITERS CERTIFICATE N0. NO92584 SEPT. 19, 1989 PLUMBERS CERTIFICATION DATED GALE KASKE PLUMBING & HEATING MAY 17, 1989 B itB it~~pector Rev. 1/81 Fosas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED? ~~~ 0 01.7 ~f .~ ~ Z Dare .... ~ ~ F'i:'?. ~?.t<... ~..~'~.........., 19.~ r Permission is hereby granted to• V .. ..... ~/ # at premises located ot ..7..~d...t/.~?1.P...~...~1-~.~.~~....//~(.aM..~.~.SA,v:4~~........ .~~ ....1.~...... J..J..4?rt ~. ~~~ (.~44~r .................................................................................................... County Tax Map No. 1000 Sections\.~~.._.~y.,~.~....p.... Block .......~.4a....... Lot No...../..Q.!..~........ pursuant to application dated ....,~.A~^....~. Z:......., 191~~.,, and approved by the Building Inspector. VVV Fee $..3.D.lo.:.~~.. Building inspector Rev. 6/30/80 TOWN OF SOUTUOLD BUILDING DEPART2fENT TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DnTE January, 29 ,, X990 NEW CONSTRUCTION XX.....OLD OR PRE-E%ISTING BUILDING......VACANT LAND....._.. Location of PropertylJ'~O.(Pttt~.$d~~~2~_off Main Bayview: Southold, N. Y, HOUSE NO. STREET HAMLET Ovner or Owners of Property.D2]118~..Fr..&,Patricia_Ste~ner County Taa Map No. 1000 Section .O'78.. Bloc[c .6._... Lot~10.3 Subdivision ....................... Filed Map ........Lot.......... Permit No.OJ-~!+.'3Z....Date of Permit 1~1~~8H...Applicant .INLAND HOMES, INC. Health Dept. Approval .1~~9~9Q,.,,,,.,,, Underwriters Approval,NOg25S4 Planning Board Approval ................ Request for Temporary Certificate .:..... Final Certificate $ ................ Fee Submitted: $. ~5,Q0 .............. Cp 'z ib'y~/ ~/3o~y~ ~` ~ APPLICANT ..... ........ ~.... _ ._ Robert E. Hiltz - Inland s, Inc. 3y~33 rev. 10/14/88 - _ , THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~~~ ~. 1 ~ 951 ~ ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 70038 Date ~~'~~~~~+~f~~12 1_~7 ,.I~Rs;`• APPIinaHon No. on ftle ~~~~~'~7$~d~S~ ~'1 ~~:~i`4{d,'. THIS CERTIFIES THAT only the eleccrical equipment as deacrihed below and introduced 6y the applicant named on the shove application number in the premises of UANZ'~'Y, STP;GP(P7R, WTh7f?Y PGi"N'1' FGAI?, SO[IT~[7L}l, IY..Y. a in the following location; ^ Bodement ©' let Fl. ~ 2nd Fl. Q1f~,~ Se ti Bl k , v on oe 4k{y A11CJlfhP ~L."1 Lol , was examined on andfourzd to be in cornplim}ve with the requiremears o/ this Board. FIXTURE ECEPTACLE$ SWITCHES FIXTURES RAN0E5 COOKING DECKS OVENS DI'iH WASHERS OUTLETS EXHAUST FANS INCANDESCENT RUORESCENi OTHEfl AMT. K W AMT. K.W AMi N.W pMi K W. AMi. H P 3f ~[l 37 3?> 1 ~ 1 ~ ~ ~' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CIOCK$ EELL UNIT HEATERS MULTI-OUTLET AMT K. W OIL H P GAS H P SYSTEMS DIMMERS . . . AMT. NO A W. G AMi. qMP PMi gMPS TRANS. AMi. H P, NO.OF FEET qMT. WAiiS l' t SERV ICE DISCO NNECT NO.Of S E R METER y 1 C E AMT, AMP TYPE EQUIP. ' ~, EW I a, 3W ~ q 3W 3,e dW NO. OF CC. COND. PER 9 A. W G. Of CC COND NO. OE HbtEG F M G NO OF NEUTRAL S 2 . O LE OF NEU RAL 2©0 Ctrl t. R J. 2df} 1 '1d(I GTHER s ooAnemc. FRO~'CIItC,I,~_q/a FL. P, fiL+FlC. ~A'1'h;R IfLATEftS~r]_~~.r H,id. ~.,F.G.Z:-4 SAC#E & f,A6k;MAPf[d CPlC~. I~Fr;.~~63~°E L f+.Cr.HpJK J.7F:8 ,S4a0TffOTrD, hlY~ 11971 GENERAL` Ar1AGER 1..1 ; r~d This certificate must not be altered in COPY FOR BUILDING DEPARTMENT. THIS COPY QF CERTIF,ICATE MUST NOT BE ALTERED manner; return to the office of the Board if incorrect Ins be ~eh`t'died by their credentials. ANY MANPIER. O~VFF~L('~pG TOWN OF SOUTHOLD ti ~ OFFICE OF BUILDING INSPECTOR z P.O. BOX 728 ~' yc TOWN HALL ~ O`,0~ ~ ~~Ot- SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N TEL. 765-1802 Date M~y~'7, 1989 Building Permit No. p1~433Z Owner Dan Steiner (please print) Plumber Gale Kaske Plumbing & Heating (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ~~~~~ ~~.~j~~`- Gal xas e rs signature) !~ Swo~ befo me this ~~ 'day of c~>.~-- 1 a a-~...... 19~• Notary Public Notary Public, N ~ County ROSE N. DONNELLY, Notary Public, State of New York No. 52-46241 Suffolk Couwty T~r[r! FaWires w,t-c_ 3 0 ~ /~yg 6 ~~c~))F~~.,J(C <, TEL. 745-180'_ `~ ~„~'~,~ C% ~ T0~'N OIL S0UT7ZOLD r.~e,~?' ,. /ua L,:~~, y,~ -<~. OFf'IG: OC BUILDING INSrrcrolt ,., v~ ~C^_+'"~''% TO1VN (TALL ~i Q~" SOU7'IIOLD, N.Y. 1 1971 /~~ March 28, 1990 Inland Hones, Inc. 315 F7estphalia Road PSattitucl;, N.Y. 119s2 RE: STEGNER To tahom This May Concern, :; Pte arc unable ro complete your Certificate of Occupancy because of the following reason::. /t~1n application for Certificate of Occupancy is not on fil.c. (ENCLOSED) /,~/No tJnder;•~ritcrs Certificate on file. rt/r t'hc checF: .i:: (~~i~t/nut on file.) $2'5.00 /_r// D1o riaal.t•1~- pept. Approval on file. /_/ No final insl~ect:ion hay been made. Plca~e contact- our office on this matter. Thank you for your cooperation. !;u'ildinq ['crm.it: Q 1 7 4 3 3 Z IIuilc7ing epL•. `*'"/_ t1o Plumber Solder Cert.ificatc on file. ( all pnrmit:; involving plumbing being icsucci after ,~pri.l 1,1984 ) x {. 765-1802 BUILDING DEPT. ~r~sPECTSC~N [ ]FOUNDATION i5T [ [ ]FOUNDATION 2ND [ [ ]FRAMING REMARKS: t ;~ `~~ ,~ 1 ] ROUGH PLBG. INSULATION l'~~ FINAL `'~'~~ l `~ ~ i <d/ " ~ 2 /J ., -~ ~~ C~Q ~ ~d~- DATE INSPEO'TO -1ELD if:S:':,~CTiU;7 ( ~llAir. ~ %OMMENTS , • 1 } 2 ~ ~ . i ~ ~ C H ~/ FOUtJDAT20N (1st) _. _... ._.__ h ~ L OUNDATIOIJ (2nd) ti ~ [ 3 t • 9 O ROUGH FRAME & O 7 PLUMBING ~ F cn H 3. c~ ~ m IIJSULATIOPI PER N. Y. ' .3 v STATE ENERGY Nq BJ ~ L CODE x ~ /~jj ~ i ~ ,, ~ O /iCC E .~ F y G 4. a c FINAL ~ r ~ o OP7AL COM TS: x . L e ~ ~ ~ S 3 ~~ x ~~u H 9 9 H H o .., j z C . ~ [*~ p A ' r H T b ' t+1 b H O( N ~~ 765-1802 BUILDING DEPT. 3~'. INSPECTION [ ]FOUNDATION 1ST f ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING FINAL REMARKS: i ~ _ DATE ~ l INSPECTOR ~>~~3 765-1862 BUILDING DEPT. INSPECTION ( ]FOUNDATION i5T ( ] ROUGH PLBG. [ ] FOUNDAT{ON 2ND [ ] INSU ION [ ]FRAMING ( FINAL REMARKS: DATE ~~_ j_ ~ / L~ _ .INSPECTOR 785-1802 BUILDING DEPT. INSPE~Tit3N [~ FOUNDATION 15T [ ]ROUGH PLBG. jjr [ ]FOUNDATION 2ND [~'f INSULATION [ ]FRAMING [ 7 FINAL REMARKS: ~~ ~ ~' - ~~ -_ DATE ~`~ ~ ,INSPECTOR ~~~33 . rss-isos BUILDING DEPT. ' INSPECTION [ ]FOUNDATION i5T (!/1 ROUGH PLBG. [ ] ~OUNDATiON 2ND [ ]INSULATION ] FRAMING [ ]FINAL DATE INSPECTOR REMARKS: ~.~-~i,,e _ "' `-' 17~~~ 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ,~~c~-~ ~- r DATE ~~ ~`~ ~ INSPECTOR FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No . ..................:............ Date .~j,~l~ .... ~......, 19~~. ..9.~ a~.at~tn.Ct~ ...~1~,, ........ . PLEASE TAKE NOTICE that your application dated .. e!.,.~l.....~7"`: ~-!.. • • • • •> 19~j~ for permit to construct .. ~/.1... (/.?2C.. .. .. ..... ` ............. at //~~ L/.... Location of Property ................1.~0.4Y. O.:C 'C. l.'b.~'I!'~ 1~~~/7~~ ~~ House No. Street /~ ? amlet County Tax Map No. 1000 Section .. 7 ~...... Block .... (~........ Lot ,l.~i..J• . • ... • Subdivision ................. Filed Map No. ................ Lot No. ................ . is returned herewith and disapproved on the following grounds ...~~r~2~'~.~~t,/7!S!`... . Building Inspector RV 1/80 ~. FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN'M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH ~~~c~JF~~~, ~„~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 May 31, 1988 Mr. Rudolph Attorney at Main Road Box 1466 H. Bruer Law TELEPHONE (516) 765-1692 Southold, New York 11971 - Re: Daniel & Patricia Stegner - 1000-78-6-10.3 Dear Mr. Bruer: The following action was taken by the Board of Town Trustees during their regular meeting held o_n May 25, 1988 regarding the above matter: RESOLVED that the Southold Town Trustees Waiver the need of a wetland permit as requested by Rudolph H. Bruer on behalf of Daniel & Patricia Stegner to construct a single family dwelling and to replace in kind and in place a timber bulkhead and to fill on the property located on a r.o.w. off Main Hayview Road, Southold. The Trustees have as part of the file, a letter from Mr. & Mrs. Stegner stating that they will place hay bales on the property first and then replace in kind/in place the timber bulkhead and fill on the site„ prior to the house construction. A $25.00 fee for the waiver is now due and payable. Should you have any questions, please contact this office. - Qf?`~? ~_~,,~y Very truly yours ~~.SG~• ~~ v:J ----. rank A. K awski, Jr., President - Board of wn Trustees FAK:ip cc: Bldg. Dept. D.E.C., Stony Brook Planning Board Board of Appeals Mr. & Mrs. Daniel Stegner k'OItM N0, 11 TOWIJ Ok' :;OU'rHOLD BUILDING DEPAIiT'MLNT TOWN IiAJ,D 3AU'1'HOLD, IJX DEVI:I.OPMI:TdT J'~FiMI'P I~exsnle©So7 is hermby grnntod to: I i4N ~~,1:.~ti~. nt premin®o locstod nt ~70 / nVP 12~ ~~a~ rE'•O.LJ, o ~e~• {y~~}.rnl ~ _ p !L~ 2.d,w. ~o vQ-No ~o~ Cc~ur~ty Tax Mixp Tdo. 1000 Sootiota c°~ 7 ~ Block O (c Lot _____/ Q, 3.~M purvuunt to a~pliocition dated ~r~'1~~L'~vl li 19„~P, and npprovod by the Building Ixanpertor. auildSng Parxnit No, t7 ~f 3~ z 4/~so Y~~ ~_~_._~. Building Inspoutor Application Received Disapproval Issued Permit # / a $ cS ~= P~t.`'?9 ~G(' /~19 ~ ~ 19 n~.¢~L'3hDPK / SJ 19 ~~ FORM N0. 10 APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD -19 8 B 1. ~Pype of uevetopment Proposed: New Structure (including storage tanxs K Addition and/or Alteration Flood Proof Below Base Flood Elevation Other (specify) 2. Elevation Data in relation to above mean sea level of: (a) Lowest floor elevation, including basement ~ feet ~ inches (b) In a V Zone, bottom of lowest structural member feet inches ' i, 3. FIRM--Flood Insurance Rate Ma(p~, Zone designations /Q-y .,~.L. Q- O 4. Owner of Premises ~~ JflN Q~~F~~~ETL, 5. Location of Property: ~5bs X70 (T„~ ,eel /~) a,o,w. r11 ln'l_~,,: House # Str t County Tax Map No., Dist. 1000, Section O-7$ Block ©(c Lot(s) IO.3 Subdivision Filed Map# Lot(s) 6. Permission to be granted: _ Owner as above New Owner _ Under Contract _ Lessee Contractor ~ Phone # a 9'8~ 9~ 9'la !/J ~. q u~ )~! o >» E's ! iv ~ W II 9~ PN.O I /A ~°d 1M~G~`/P-u elc. Name if not given above Mailing address 7. Approval from other(s) before Permit is issued: DEC Health Services Wetlands (Town Board) Z BA ~ 3 ~1 / S~ Building Permit / 7 ~{~ 3 ~. Planning Board 8. I, the applicant, am the Owner ,, Co-Owner _, New Owner _, Under Contract ~ , Lessee ~, Agent `, Contractor _, and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises 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 my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. STATE OF NEW Y RK COUNTY OF ~~ SS SWORN TO THIS pl~ DAY OF ~~ ~ ~~ /~~ Notary Public Applicant's mailing address and phone # if not given above Signature 19 ~ HELEN K. DE `~' New Yak NDfRRY PUBLIC, State No.4707879, Suftelk Caunty q Term Expires kkrok 30.19 / 11/85 FORM N0. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT ' (516) 765-1802 P.O. Box 728 ' Town Hall Southold, N.Y. 1197,1 Main Road ' Southold,N.Y. RRPLT~ATTON F'(1R PRVFr,f1PMF.TiT FFRMTT Instructions: The application to the Building Inspector includes (each in duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of. premises with ',elevations above mean sea level, 3. Drawings of pro- posed work. The appl~'ication must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as ',required in Section 46-17 of the law to minimize flood damage: A. Anchoring of ',structures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations Specific Standards a~ required in Section 46-18: A. Residential construction B. Non-residential construction C. Mobile homes) The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure hds or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, ghat: 1, such structure is flood proofed in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of~buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-~.8B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazard,.'larea (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied w~,th. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot be lower than the base flood elevation', with all space below open except breakaway walls. Sand Dunes. If sand!,, dunes exist on the premises and the applicant pro- poses to alter same,;plans and specification must be shown in detailed nature of any altera~.ion submitted. . Building Permit. A Building Permit is also required for any structure. Both a Development a~td a Building Permit must be issued before any work can start in a special flood hazard zone. A written disapproval or a permit must be issued within ten (10) working days. During construction the inspector shall be notified in time so he may make the required inspections. , Upon completion, the, required certification of the final elevations and work must be submitted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 11/85 ~"' © +r,~FF ~~~©G ~;4 ~ ~; ~. ~,~ ~ o,~,~ , APPEA LS BOARD MEMBERS ~~ Southold Town ~oa~d of l~ppeals MAIN ROAD -STATE RDAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE BOARD OF APPEALS GERARD P. GOEHRING ER, CHAIRMAN CHARLES GRIGONIS, 1R. SERGE DOYEN, JR. ROBER71. DOUG LASS JOSEPH H.SAWICKI Appeal No. 3718. TO: Rudolph H. Bruer, as Attorney for Main Road Esq. PATRICIA STEGNER Southold, NY 11971 A 4 L` ~` ~'~:^~, At a Meeting of the Zoning Board of Appeals held on June 9, 1988, the above appeal was considered, and the Action indicated below was taken on your Request for a Variance to the Zoning Ordinance, Article XI, Section 100-119.2H: Upon application for PATRICIA STEGNER to locate new dwelling with an insufficient setback from existing bulkhead. Location of Property: 470 Private Road #12 (off the South Side of Main Bayview Road), Southold, NY; County Tax Map Parcel No. 1000-78-6-5 and 10.2 (now 10.3). WHEREAS, a public hearing was held and concluded on June 2, 1988 in the Matter of the Application for PATRICIA STEGNER under Appeal No. 3727; 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: (CONTINUED ON NEXT PAGE) Page 2 - Appl. No. 3718 Matter of PATRICIA STEGNER Decision Rendered June 9, 1988 1. The premises in question is located along a private right-of-way extending off the South side of Main Bayview Road, Southold and more particularly identified on the Suffolk County Tax Maps as District 1000, Section 78, Block 6, Lot 10.3. 2. The subject premises is also known as Lot No. 1 on the Set-Off Division Map dated January 22, 1988, prepared by Roderick VanTuyl, P.C. and recently approved by the Town Planning Board. 3. The premises in question is improved by an existing small accessory tool shed building located in the immediate northerly yard area situated approximately five feet from the northerly property line, 15 feet north of the proposed dwelling location, and approximately 13 feet from the bulkhead, at its closest points. 4. By this application, appellant requests a Variance from the Provisions of Article XI, Section 100-119.2E to locate a principal building for single-family dwelling use 30 feet from the outer edge of bulkhead and more particularly depicted on the sketched map prepared 4-26-88 by George H. Fisher, Draftsman. 5. Article XI, Section 100-119.28 of the Zoning Code requires all buildings and structures located on lots adjacent to tidal water bodies other than the Long Island Sound to be set back not less than seventy-five (75) feet from the ordinary high- water mark of such tidal water body, or not less than seventy-five (75) feet from the landward edge of the tidal wetland, whichever is the greater distance. 6. For the record it is noted that the subject premises was the subject of a prior appeal under File No. 3174 and conditional approval rendered March 17, 1984, concerning the lot and 280'a. 7. Southold Town Trustees approval for a waiver was issued May 25, 1988 with conditions. 8. It is the position of this Board that: (a) the relief requested in relation to the existing nonconforming setbacks in the immediate area is not substantial; (b) the project as alternatively granted is not out of character with the neighborhood since there are other properties with the same or similar setback; (c) the circumstances of the property are unique; (d) the variance requested is the minimal necessary; (e) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience, or order of the town; (f) there is no other method feasible for appellant to pursue other than a variance since the zoning setback restrictions as to frontyard and setback from existing bulkhead would render the parcel unbuildable; (g) in view of all the above factors, the interests of justice will be observed by the conditional grant of this variance, as noted below. c:. Page 3 - Appl. No. 3718 Decision Rendered June 9, 1988 Matter of PATRICIA STEGNER Accordingly, on motion by Mr. Douglass, seconded by Mr. Grigonis, it was RESOLVED, to GRANT a Variance for the placement of proposed dwelling with an insufficient setback at 30 feet from the outer edge of existing bulkhead and placing accessory tool shed at the northerly yard area (as exists) in the Matter of Appeal No. 3718 in the Application of PATRICIA STEGNER, SUBJECT TO THE FOLLOWING CONDITIONS: 1. Compliance with the Floodplain Elevations requirements for the lowest floor at the minimum elevation, without utilities, pursuant to Chapter 46; 2. Location of paved right-of-way not to be extended to the west into this parcel's frontyard area (east of proposed house); 3. Setback from bulkhead be not closer than 35 feet; 4. No further principal building setback reductions in the rear (westerly) yard area or front (easterly) yard area. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Douglass and Sawicki. This resolution was duly adopted. * x GERARD P. GOEHRINGER, '!`AIRMAN ~ ~ y33-~ ,~ Examined ................. 19 ... 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 ..o....... CHECK -••-•••••- CFPTTC Fl1RM NOTIFY GALL ................ MAIL T0: Approved ................. 19 ... Permit No........... . Disappr'~ovtte,~d a/•~c ~//. /~.`~_,.~l.~•,~• • ..;.~~• •Q... •1 .-•/~. •-. - ~ a o_ t r~,~ -~ ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~ .:.~7. ~........., 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 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 inspections. (Signahire of applican , or name, if a corporation) °/l ,Ly.LV~2ci..:~~•...Sr,,~~ti,.,,Tgwµ .lU~ J... 1!:?$"7. (Mailing address of applicant) State whether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~~.~a.eL... • .ST.rl.~c~..... , i~R'?!~:~.c1!9 .. $Lc4-1;1ry~ , , , , , , , , , , , , , , , , , , (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED ~lllder's I.1CE715( NO. :.Y.2.V. .}'~~e. N•~.p C.-ca c... y?a ~r xt. ...._ ___..._ Plumber's License No. .... i°Cr!!~?a. ~~:^~.... . - - -- Electrician's License No. .. /~e,uMy, .C.V w.-~'.2"` Other Trade's License No . .................... . 1. Location of land on which proposed work will be done. .,~ h, ~. ~ ~f.~?.. ee~+~.~....°rr. ~oic~ ~J. • C~®t~... . .i~P:^!. °.~~...Mg{u. ~?o,.~. Yl ~?^'... [\.~ _ .. ~1.1,~M.6, f, , aF .Tja°.4. °!~°.'^~...T+J., cf I .. Sa .~jln 1-f~t. J. House Number Street Hamlet County Tax Map No. 1000 Section ..7~ ............. Block .... ~............ Lot ...~. ~~.......... . Subdivision ..................................... 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.....~'~"`v"~`" Lbf ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ................... b. Intended use and occupancy ... ~ !~.~. tr~T ~ ...~ !^:ie LL r u ~- 3. Nature of work (check which applicable): New Building . >/, .... Addition ... ;~ .. , ... Alteration ......... . Repair .............. Removal ..... , ........ Demolition ............ ;~ .Other Work ..... , ........ . ~•-' y .......................... Fee...........;.............(Description).. 4. Estimated Cost ...... , 4~ .© ~ ~ v ` (to be paid on filing this application) 5. If dwelling, number of dwelling units .... G h, ~...... Number of dwelling units on each floor ............... . If garage, number of cars .......................................,............................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type] of use ..:................. . 7. Dimensions of existing structures, if any: Front ......... . .... .Rear ........ '; ..... Depth .............. . Height ......... ......Number of Stories ............................. i ......................... , Dimensions of same structure with alterations or additions: Front ............. ', .. , Rear ................. . Depth ......................Height ............ Number of Stories ..................... . 8. Dimensions of entire new construction: Front .... ~ ....... Rear .....~~ • '• ._• • ..Depth ... 3 /......... . Hei ht ....... Number of Stories ................. ) . :I:.................... . 9. Size of lot: Front ........: `~.4.........: Rear ::Name o~Former Owner Depth .. r.?~ ~ .............. . 10. Date of Purchase ......4.- .7. fv........ .... , , , ,R. a.4•S- ~ S.T.ot ! 1 .......... . 1 1. - Zone_ oruse-district in tvh;= h--pren~-ices-arc-situated .... , .-- .- . ~ . ... ' .:........................ . 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ... - _~ g -~ ........... ... ............ 13. Will lot be re raded ..... x r.S ............ Will exbess fill be removed ;from premises: Yes No l4~ _~ie.af-(~~~es a~tr,~~?at~~~,'~_~~,.~£-~~1:~K ~altlre~s~a~~,~~~.~^r.:'n^- _ ne?~9__~8~~3S~f+ .~. _. ._ -~ Name of Architect ....... PxN,..•n• t.rr,xSaiia...... Address .................'• ..Phone No............... . Name of Contractor ........................ . .Address ....:.... , ......'...Phone No............... . 15. Is this property located within 300 feetyyof a tgidal wetland? *Yesy.t,$, No ..... *Tf yes, Southold Town Trustees PermitPLOT DIAGRAM ed. / Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property Bnes. Give street and block number or description according to deed, and show''street names and indicate whether interior or corner lot. ', STATE OF NEW YORK, S.S ~OUNTY OF .............'... . •••••••••••••••••••••••••••••••••••••.•.......... being duly sworn, deposes and says that he is the applicant .(Name of indjvidual signing contract) above named. '~ ,~ ieisthe ............................................................ ............................ (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tMs application; that all statements contained in this application are true to the best of his ,knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. I ;worn to before mre~ this A ..... . ........ !.. ....day of .... ,~!~2/C/~c; c~-....., 19 ~~ Jotary Public, ... f~ .~. ,K!e; (/~- .... County ~! HELEN K DE VOE ..... ~~ ... .~~........... . NOTARY PUBLIC, State of New Ycrk ~~, (Signature of applicant) No. 4707878, Suffolk Countg '~ Term Expires March 30,19 • BOARD OF HEALTH 3 SETS OF ~"LANS ....... ' FORM NO. 1 SURVEY .../ TOWN OF SOUTHOLD CHECx • •+~•~.I`-{~5 BUILDING DEPARTMENT SEPTIC FORM ./...........: TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 _ CA ............ TEL.: 765-1802 ~` rq~ MAIL T0: ~~Iar~I-laHpS~~rvr Examined .~,a„~G~~lA`„ 19 g.$ UU ~5 Wes+y)ull~. t°c , Approved. ...9'."."~!'-!ti~S, 19~$.PermitNo.~ ~.~3~~. Flat+~i-~eK, N`{1l9 ~ 5 Disapproved a/c ..................................... . • 0 ~. ~aa.. ,sue? ac. ~ ..... . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date September. , . _12. 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 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 inspections. .IN7~AIdD .HOMES , ..1NC . ....................... . (Signature of applicant, or name, if a corporation) Box 11'7 ~ Mattituek.,. N. , Y.,..11 j~2 , , , , , , , . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............General.Contractar .............................................................. Name of owner of premises '. Dan .Stegner ........................................................... . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz .............................................. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. .. ~ ............... . Plumber's License No. . 2.4,~>.p . ............. . Electrician's License No.2'73E, , , , , , , , , , , , , , , ,, , Other Trade's License No . ..................... ~.~ Location of land on which proposed work will be done. PT.IYa~fte..ROaS~'".~"~SPe..8ttx".vey~ ................. . ... o~~ . of..Main..$ayvi,ew, ..........................Southold, . New. Yoxk....:............ . House Number Street Hamlet /o. ~ County Tax Map No. 1000 Section ...978............ Block ...6 .............. Lot .. ...... . Subdivision . A~St... ,~z'Op.ex'ty ................... 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 ... . ................................................................. b. Intended use and occupancy .... ,1 Family Dwelling 3. Nature of work (check which applicable): New Building . ~ ....... Addition .......... Alteration ......... . Repair .............. Rempval .............. Demolition .............. Other iyork r............. . j (Description} 4. Estimated Cost ..... ~. ~~/, ~~..C~ ................... Fee ..................................... . ` (to be paid on filing this application) 5. If dwelling, number of dwelling',units ............... Number of dwelling units on each floor ............... . If garage, number of cars .... . .................................... . ...... 6, If business, commercial or mixod occupancy, specify nature and extent of each type of use .................... . 7. Dimensions of existing structures, if any: Front ....... . ....... Rear .............. Depth .............. . - Height ............... Nutryber of Stories ..........:.:...............................:.......... . Dimensions of same structure with alterations or additions: Front ................. Rear ................. . Hei ht ~6 ........... Num Height ...................... Number of Stories ..................... . ` De gth .:................. {action: Front . ?~............ Rear ...?~.......... Depth .. ~1.......... . 8. Dimensions of entire new const ber of Stories ... ~ .................................................. . 9. Size of lot: Front 58®, surgEy. , . , , , , ... Rear ...................... Depth ..................... . 10. Date of Purchase .......... ! ..................Name of Former Owner ..:.......................... 11. Zone or use district in which premises are situated .................................................... . 12. Does proposed construction violate any zoning law, ordinance or regulation : ............................... . 13; Will lot be re raded : ...................Will e~c,~ ss ill h e ve rom remises: Yas No g 71 ~a1~~~ ~g'1~~ p 14. Name of Owner of premises Daxli.e~ . St.~gi}~x , , .Address Smithtown ~' i~: Y: • Phone No... $64-359Q .. . Name of Architect ......... : .................Address ...................Phone No. ............... Name of Contractor .INZrAND; I~OI°SES.,..2NC...... AddressBpaC .7. ].~.~.Nj~~ti,ttlFkcphone No..~9~-9~9F? ... . 15. Is this property located ,within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit ma be reqgu~ired. PLO DIAGKAM 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. ~ y x ^~--~~ r.x e. '.ero !.w„„ lY i'. J~ i ~ r FiO1,,~ c• 7 .~. ~~ ~, ~ -` ~ jjy~ ~~ ~~ ~~ - 1 " :.~, ~` '~. OF io ~' i . 77~'..",'. ., ~, '_ `•.,~~~„ ~ P.tt 1»- r~ tf'• ., t ~~k'f'S1~'ic,'..F^~ fSL~I:r~r ~ '~,~ , , „ . n ~ "".." p 1 +~~ C3. ~y ~ R X N ~ ~ "^"' } ~ rvU•1V U u. ~47, ~../ ~ ~ _, _ ~ ~J~)i. , ~ (h h~e,a,~ e 1 V.~ ~ ~ t ...,rsn....,,. .- ..! G '] ' I-.. ~ . j~/~f~~C~(rt'Xjlw. ~' `5,~`~+„'110~°~,` . --,1. `'. ~3Fs~~~~:. ~~~. ~ , - lk"t ; ~ _~ £ ~~4 t ~~ TAT ~ F - , f..,"^~ ~ Cll lg~ ' 3 r ~ ..1 ~' lti~z''1 $1~.B •`i 1~. u. ~/ ~.+~~~ ~' -~~ ~ ~~r ~' 1'.` fx''~ i _~~~ ~ ji ~p .p (~`~} ~~ r~r o~;M~ [r( - w-: a. ppar l'}~F... ~V.4 e ~ ,~ v~i 2 1'. ,~~ A r.n} ~ ~ ~ Ch F'~ Miil. ~ '~~ ~ .., .. :.;lf i!;'• ~a o- ~t 7 I R.+~ ~ ~ 4 "". R ~ ~ '' iy4~ ~v ....... J „XJIa' ~ ..~.. w~.....'rt a. M....e.u.w. i r ~. ~ ~ w ..,,-_ ,S1,.ri 3 ~~~~i~ ~. ~`~'7°~'Sj +/v~ A,,~y `m r~ ~ ~'~ ~ ~i .'x - ~ _.,... «4~tY'4~~F ~, .x~} r~~1~it d7{ `~hy y,,~ ~' ~p3 ~ ~ ~ Sf7 -"" ,~,,,.. t '~E..f?~.L Vo E. i1 y+'-l,a \° "~U~ ,, ~>~ ~ r' r-~~ri. A _~~~ ~. i~b~K/~~+4 F~C~.IL?~+1~1't^'~,. --7'.{ ~,o ~, ; ~ ~ ~ ~ - -4\t k7 ~ ~ Y' ~}Or i{,JY ~-~~-. ~,~.C I^47 > f F .• ~{,f ~`r p!'~ y.(~n t ~i,~ He is the.....COXiti'~At4x....l ................................................................... (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 Notary Public, .... ~~u/-.~.~t.., .~, ~(!e-. l/1~~ ..... Countyi-~ ~ NOTARYrN'U1LiCKS~teo~P2ewYork ~' RObert L''. Hilt2 rpplicant) ' Nc A!t}i':3;N, Sui4tdk CourtY~ry ierrr~ Expires March 39, 19&1 ~ 1 ~.. 4~~. W ~ ~ N. 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N0. ~~-~ .~~ ~ ' ~~ P1P~2.~rt~83i~oV,.221'~8,~, ' Thy 3ewai;' dtywY,~l a~~~ water Supply fari+itta~ fet r h y-~, ~ ~~~ ;' locatnn h;,~e beftn Irsptc:ed by tfiis Deparf,nem a++ci~ ~' ~) t„~ Ll ~ 'k ~~ ~:"~~d'w:n.r ~1 ~ i l;, i ~~~ 'din )~t ~~~~~ rr'^/,' .'[ f _ .w.-. .._-.~._ older a tou b tiStarlgy A~ ~:1 '\fE'~EC A4~ftSa?~3 t 76 j !~ . •. - ,- . _ _ _ fief of wesiewatet Ale L_.__~.~.___.._ _ ~t SUFu4~fC CC FP'`... •~ ~. ~. r i t; E.... i C~.. l~p~'~C'~{A L.. ~~ '..:r ~~ Y ~h--.v~~ ~/r~ ~ 1 i?AI F -- _ ~ 41-~.~ ~~ L.l'~C*1~ :T..)~/~~?~i'_1 --.. tr~~~~ i~#4Y,. '~ - r ~ ~ } y r _ ~~~ .. ~~ ~. ~.. __. - - _ L. .. . , r .. < +~~ ~ :mot , SUFFBLK DEPARTIVtENT z :z~ ~') { y I r`{~ A" ~~:, 1 .- ,,~ ^„. O~liFlit:TH SF.it4i:...- -.~: ..ra ,,.,..a ~ - ~ ~. r T;~ ~ttF F' FOR APPROVAL OF CONSTRUCT20N Cf ~ ~C?.Cti~P ~ ,,, 1 ~ _~~ ~,~~ - Single Family Residence Or:.y ._ .. .,.,~ ,r, . .:..DATE a• 1 ~~ HS RE . N0. 87 5 ~. ~j~, ,r....._ - - APPROVED Q • '-_' _` ~ : -t--- _. _. _ -- - EXPIRES TiNO YEARS FROM DATE OF APPROVAL ~ '; k:G v tv. a% A,,~~ j .. .. a~l4+i Z._. !r "- Y!d 111 Y1CLYt1YlA1FCY YIC. }~fM ~ It :'A\1 `11' ~ X21 detelrlusaiil+n datrd _ 1 - - 3 .-__.. Mhtd ~_.. . t'.";~ _'v~,' ~~ ice/, __ _ 5.59°oF.z~ ;- ~5U.2 ~ 1 ~- - ------. z ~ -.~ m r$8' i~lflt. E y :U t.. . y ;T I tips i, I ~ I ~ ~-l J ~~ '' t,rr,r~ _~ - ~~ T tj .~ 7 . , ~v ~ ~..r~"e_. sI.C7 ~~ N ~~ 1 1 i "_--,.I? I ^ r i j ,~ 1 _, ~- ~ ~o ~.~, v"' f` Q r ~~. ii.1 (u ~_. ~' ,a a ~ ~ ~ ~ ~~ I ~ y,p '7'~d 2 i ~ ~ 5, F. i.liS { I v liir'PO its' 'Y' OPfi~'. a ~. ~~' + ~- 1 \v u.+ 7 v I~ i ... _._.._lll .. .._. .. -.-. -. atiana a^- -Wi~"4Lt j o i~ IN f~ j ,..,~„_..-,. ten,. b + ++ aur'cwt ii o NO~tCpn yi j a.. - h ..M 'k'R o1 th., Nrw Yyn s:a ' 47~?f~~k'~ AL;hQES_5~ +~+w.nUw. . ~t /'6~.FK C. 4. GQ~~/~~ CKC.e n"IF,F emry rsry n~+ ae';.: -«-.-..._~...._ SPI[ vt;Y wrveya'[rtlc^2 fx' ,~ ~ , a I ;; Ci 1 ~ vv` -. 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