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HomeMy WebLinkAbout17516-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Clall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218059 Date MAY 26, 1989 THIS CERTIFIES that the building ADDITION & RENOVATION Location of Property 650 PARADISE POINT RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 093 Block Ol Lot 02 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this offioe dated OCT. 5 1988 pursuant to which Building Permit No. 175162 dated OCT. 11, 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 ADDITION AND RENOVATION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JOSEPH MACARI (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING SLIP 5/25/89 PLUMBERS CERTIFICATION DATED HARDY PLUMBING 5/16/B9 ~'~%L~L B ilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218060 Date MAY 26, 1989 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property 650 PARADISE POINT ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 93 Block 01 Lot 02 Subdivision Filed Map No. Lot No. conforms substantially to the Application far Building Permit heretofore filed in this office dated OCT. 5, 1988 pursuant to which Building Permit No. 175162 dated OCT. 11, 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 ADD ONE CAR GARAGE TO ACCESSORY COTTAGE. The certificate is issued to SOSEPH MACARI (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP 5/2.5/89 PLUMBERS CERTIFICATION DATED N/A uilG~ Inspector Rev. 1/81 sosat xo. 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) ~175~6 Z Date 19.~.g Permission is hereby granted to-:--y}~ .g- . .~a.Q.~....~. ~ to .l~'~Kl~~:.A~':'~?~0.~JR-...~.,~:!:4~!<'!~.41....a?^~i....~~'~*~f....` 1..~ ...'...i.....C,6.C~'°.!&K... ct premises located ot ..~...`~.......V.°!,:s-°m~.ek... ...............1~-F1............. Q4,:......... Caun o~~No. 1000 Section ,...Q... O 1 © L tY p Q ~ Block Lot No......................... pursuant to application dated ...fi~.C'~.....~ 19~.~., and approved by the Building Inspectpor. Fee $...%Z.3~.:.~.>'~. ~ ......9...~ec............................. ~ Buildin I for Rev. 6/30/80 ^ ~ TOWN OF SOUTIIOLD BUILDZN6 DEPART`fENT MAY 2 6 1989 t~ ~ TowN HALL 4,~~!,, ,,,a~u~ ( SOUTIIOLD, NEW YORK 11971 ,A4 e. II1~~""~ ti 765 - 1802 T01h~fd~iti ~.iPTrF10-O„„,.. APPLICATION FOR CERTIFICATE OF OCCIIPANCY J o, DATE / . NEW CONSTRUCTION ._.....OLD OR PRE-E%ISTING BUILDING.. VACANT LAND....._.. ` ~©GC Q / Location of Proper Cy...........f'~~:-~:d.t~~..~.°4t~:~'_~'~'•••.-• HOUSE NO. STREET HAMLET /y n Ovner or Owners of Property..:-2~:~.t°~.~. ..!LLk4~~./~-.h~-:_.......? County Taa Map No. 1000 Section Block LoC Subdivision Filed Mapper........Lot.-~.!........,/~/J Permit No. I.L.~.~ .(s:'D'-ate of Permit ~®~~/~~F.Applicant -..1C~"~~C=~~..i:~:!~.C~~l'~~:/ Health Dept. Approval Underwriters Approval../ .x:3:5..... Planning Board Approval Request for Temporary Certificate ......'Final Certificate ....v......... Fee Submitted: $ APPLICANT.. _ Y ~ ~V rev. 10/14/88 Lp. v FORM NO. 6 TOWN OF SOUT330LD BIIILDING DEPARTMENT TOWN PAL?. 765 - IB02 ~ APPLICATION FOR CERTIFICATE OF OCCDPANCY INSTRUCTIONS A~. 'This application must be Filed in typewriter OR ink and submitted to the Building i Inspector 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). 3. Approval of electrical installation from Board of Fixe Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of 1Z lead., 5. Commercial buildings industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning BoardlApproval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957 non-con#orming 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. 2, A properly completed 'application, a consent to inspect signed by the applicant and a certified abstracC of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in wiXiting to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informationrequired to prepare a certificate. C_ For Vacant Land Certificate of Occupancy: 1. An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstrpct of title issued by a title company showing single and separate ownership ofl,the entire lot prior Co April 9, 1957 shall also accompany the application, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: i~ 1. CERTIFICATE OP OCCUPANCY - New Dwelling $25.OD, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25,00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $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 Certi€icate o£ Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $SO.OD Commercial APPLICATION ON BACK rev, 30/14 /S8 ~I p q ~ ~ TOWN OF SOUTIIOLD y~y g ~ ~ BUILDING DEPART2IENT AMU G TOWN HALL BLDG. DEPT. SOUTIIOLD, NEW YORK 11971 TOWN OF SOUTH~~t ~ 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE..`~L.. NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING..VACANT LAND........ Location of Property......... ~~Y~V ~J ~ _ . /.~.~.~1...~~... _ ~ C~ HOUSE NO. STREET UAMLET Ovner or Ovners of Property...~~'S.~~~...~.~C~~L County Taa Map No. 1000 SecCion Block Lot Subdivisionl Filed Ma/pp/~.~~.......Lot.`.....n.... ~/f Permit No.I.F.~./. Y. '.Date of Permit .l~~f~/.SA.Applicant :~-~1~s5'~~.~.J:L~C~~C- Health Dept. Approval Undcrvriters hpproval.. PlanninU Board Approval Request for Temporacy Certificate Final Certificate Fee Submitted: $ APPLICANT....-_Z' a~c_ ,,,ddd~~~ 1~0~~ Sri-~~~~ ~~r rev. 10/14/88 L~. ~I _ .mss, FORM NO. 6 ' TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HAL. - 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must b~ filed in typewriter OR ink and submitted Co the Building Inspector with the follgwing; 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). - 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from 'plumber certifying that solder used in system contains less than 2J10 of 1Z leadl~ 5. Commercial buildings, industrial buildings, multiple residences and similar. buildings and installations, a certificate o£ code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Boarr~ Approval of completed site plan requirements. B_ For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings cad "pre-existing" land !uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. . Zf a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code ar safety inspection of buildings ox premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership ofl,the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state Che reaso~rs therefor in writing to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25_00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.60. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - 520.00 • 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial APPLICATION ON BACK red. 10/14/38 TEL. 7G5-1802 ~oS~~F°~'co~ TowN or sr~~7~'~r~~,o ~t OFFICE OF ItiJILDII~IG INSPECTOR o f rn P.(?. BOX 728 ~ ~ D ; w' TOWN HALL O`~~! ~ ~~~`r SUUTHULll, N.Y. 1197 t ~ 2 i~ C E R T I F I C A T I O N pate ~ ~ _ Building Permit No. J'7S l~ x Owner ~f% /YJ/~C/l/2/ (pleasep print) Plumber ~-j~j/Z~4 Y~Us'ri.P~/rt/Ca ~`~-~c~YfirJG~ i{/~,2i~ (pl ase print) I certify that t_he solder used in the water supply system contains less than 2,/10 of 1; lead. (plumber s sig ature) Swozn to before me this day of ~~GG,, _ 19_.L_• Notary Pub i ~ Notary Public, County KATHLEEN D. KOTZKY NOTARY PUBLIC, State of New York No. 4842181 puelified In 9uifolk 6aunty Cammtwla^ !><vUn JaVY 44 T9E4 :'IELD If:SP~CTiUtd ~~D„TE ~ ~OMMENT° =~dro ~ ~ ~.1 1 • O ~ J Y f _ ~-i C FOUtJDATION ( 1~ - _ I~ c cn FOUNDATIOIJ (2nd) ~ 2. z o s ROUGH FRAME _ d PLUMBING ti H 3 . rn ~NSULATIOtt PER N. Y. ~ ~ STATE ENERGY 'l ti CODE x } r c _ _ y 4 . ~ QQ Q O~~ FIIJAL ~ O ~ ~ ADDITIOPIAL COMMENTS: x nr ' - x ^a -C H x 9 w,~ H yB ~ b z A r v m ~o H FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ©c.,°-~,',rsSe.-}-~; ...l 19 .`18. . .WSJ'2?..~1'V!~!-?:~-l-sg..PT:.~a.~........... PLEASE TAKE N,O,,T__ICEpp--that your application dated O ~.~a:4 19 . for permit to .l.:an^.a.`^."~ ~..o~.. S-°w . Qc.. at Location of Property . ~.5~........... .pr~ ~p~ 5............ House No. ~ Street Hamlet County Tax Map No. 1000 Section ...©4.3...... Block 4 Lot ~ . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the Following grounds . \Xrt,Ur~:.~ . ~c~t°h .1.?~7.' ~.1 1 0 a U . 0.~......... . .4~-a .4 ,w, ~.cBW .Oab~- 9. n Building Inspecto RV 1/80 ~ 4 MARLO AND DE CHIARA ARCHITECTS AND URBAN P4ANNERS 222 EAST 37si ST. NEW YORK, NY iOtli6 (272) MU 4-4333 December 28, 1988 Southold Building Dept Town Hall Southold, N.Y. Re: garage extension Paradise Point Road Southold, N.Y. Gentlemen: Please be advised that the proposed garage extension at the above-mentioned premises, and as shown on the architectural drawings is substantially less than 50% of the existing floor area. The existing floor area on the 1st floor is approx. 1,160 s.f. The proposed new garage area is only 275 s.f, or about a 23o increase in floor area. At the attic level, there is no floor increase. The estimated cost of the new garage area is 275 s.f. x $30/s.f.= 8250. If there are any questions regarding this information please call this office, att: Joseph De Chiara. R s 1 , _ ci\~ c~ERED ABC ~~y~'S~p N De oy hoj, 2' ~o ~9 ~p se De Chiara ~ ~ -d ~ No. 693a U~ ~V i i:I 'iSoce~idt~ ~cccl~rvlc~ t~c?~i-~. ~c~,~~c 19 f~ I IQ~ ~ ~rGe der ~7~cvr s i dat i:i k I~ayfcr~~c?~ S-l-~~-cc~~ a~~ -1-~e ~,cts-~ih~; ~r~r~a~~. 1~ 14~~W~o,c. 7~© spFf X 7S.aoPe~ sy~+, .=.'~s~ as®.oo(?~Ia~i q ~~~~S ~IN~ J~Bt~C'tQQ.~' ttN~G; A-P~ray~. ~02o S y_Ff- X~.ao P~~ S~Ff G~ oc~ ac I Q~Xcs~~~y C~c~wac/~ . Ij '~P~"o~c. ~~s'sy,r-~ ~ 3a,sa P~~sy_F-E; - 7 9s'o.©d ~ i~ _ ~ ~ lo~a / Esfrn~4~~d 1Ja 1u~ - 7~~ (~/Ql~~ I I, li~c Tie ~s~,'~xa~ed dc¢rlu~ ~p~w.- sy. ~ r`s ba~~1 a vt ~~7s,~I0 rrc~U~ ~ov~ Lcucvtq Y4-V-~°cASravt~,CC/~3~•0o Ae,~f !I~~~ ~ GDCpu~cx~cS~~arc. ~~C.S~ Q~`~ ~ut7"~ i~~_[1~tST"f`Gt i' awz ~ossc //6ly uhc~~~r~s-l-r~cQy~-~~. t ~u,id,h y, Coifs e~a~-~s~ ~~-fps«s~ a~~ k I ~ ~Ct'> ~R ?'GK. CPS . i ~ J ~ t~P~O~rox• a7SSq~~- ~ 3©<0© $aso.oca j ; `t9ew ~oe~ r ~ d U. D 6 L0.v- o~ a~ ~ Ma-~-~v- tags = f lofct/ Bu.l~c~y L~os-fs = ~ac~l7,S~,o<•~ 3, P~ r c e v~ -~Q ~ e r/a 1 u o-~ iU e u.> Gv' s fs t~ V ~ e` ~ ~ r s ~rn q ls~+ ~c«. p ss Cos-- _ ?,O,7sa.©o LK~s-1-rn~ ?c~lue- '~4r goo . op Q r n , . _ , oS~FF~(,5-~0 o,. o:. rn Southold Town Board of Appeals ~,-,vr~~~ ~ MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.L, N.Y. 11971 Ol ~ ~8 TELEPHONE (516) 765-1809 APPEALS BOARD MEMBERS GERARD P. GOEHRINGER. CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWICKI February 10, 1989 JAMES OINIZIO, JR. Mr. Alfred Skrzpecki Eastern Painting P.O. Box 900 Mattituck, NY 11952 Re: Appl. No. 3822 - Joseph Macari (Variance) Dear Mr. Skrzpecki: The Town, as you may know, has recently effectuated the new Master (Zoning} Plan Update, and our office has been reviewing all the pending applications, which were filed under the previous Zoning Code regulations. In reviewing your plan submitted under the above variance application, this Department has taken the position that we are without jurisdiction at this time. Attached is a copy o€ the new Section 100-242 with regard to "nonconforming buildings with conforming uses," which states that enlargement shall not be prevented if such action does not create any new nonconformance or increase in the degree of nonconformance with regard to the regulations pertaining to such building. We are providing the Building Inspector's Office with a copy of this letter, and suggest that you or the property owner follow-up with your pending Building Permit application with their office. Please be aware that this position may be subject to change in the future, subsequent to any additional amendments of the Page 2 - February 10, 1989 Appl. No, 3822 - Joseph Macari To: Mr. Alfred Skrzpecki zoning laws, if you are not able to obtain your building permit and start construction, pursuant to the appropriate permits. You r - GERARD P. GOEHRINGER ~ CHAIRMAN lk Enclosure cc: Building Inspector's Office Mr. Victor Lessard, Principal Building Inspector Mr. Thomas J. Fisher, Building inspector Mr. Joseph T. Macari I `I I~ i 26. Chapter 100 is amended 6y adding a new Article thereto, to be Article XXIV, to provitle as follows; ARTICLE XXIV f Nonconforming Uses and Buildinns I, Section 100-240, Purpose. The purpose of this article is to reduce or min imiie impacts of: uses and il. b_ulldmgs which do not conform to the use or bulk regwrements set forth in 4 lhrs chapter; aN uses an buildings that become nonconforming by reason of any subsequent amendment to this chanter; and all bwltlings contarnrnq 1'i nonconformrnq uses, t~ Section 100-241. Nonconforming uses. 'p! Excent_as provided hereinafter, nonconforming use of buildings or open land S~ ewsnn a_~ n the_etfe_[ttve date_ of t rs c apter or authorize by a buUdtnq permit rssu_e o-rwr thereto, regardless of c nge o ut eT~ossessron, or , occupancy or right th_ereot, may be continued rn~rnriely, except [ha[ such bwl rnq or use• ttt 1 A, Shall not be enlarged, altered, extended, reconstructed, or restored or place on a dr Brent portion oft a of or parcel of Wnd occupied by such use on the efFecti ve date of this c apter, nor shall any ex ternaV fyrdence o such use be increase by any means wnatsaever. I B, Shall not be moved to another location where such use would be } - noncon arming. ~t 1 C. Shall not 6e changed to another nonconforming use without aooroval by th~ cT o pea s an then on(-y to a use wnich, rn the oornron i ' o [he said oard, rs of [he same or of a more restncu ve nature. D. Shall not be changed hack to a less restrictive use, if cha ngetl to a more restrrchve nonconformrnq use. E. Shall not be re-established if such use has been changed to, or replaced by, a conforming use. F, Shall not 6e re aired or-rebuilt unless the use is changed to a conformin user the nonconrormrnq use is amaged by fire or other causes to the extent o 50, of rt5 (air value. ~ ' G, Whenever a noncon(ormintLuse of a builUinq or premises has been dtscon Unued for a period of more than nvo (2f years or has Ucen changed to a htg er ciassurca uon or to a contormutq use anything in t rs article tg the contrary notwrths tan rnq, the noncontorm rig us-e of SllCn bull rnq aY premlSC$ s al n0 Ungel' be pe rmlllCd 1Ar11B5g a y,j iron Ce [hereror shall have been granted Uy uie L3oar of , upeals, Section 100-242. Noncan (arming buildings with conforming uses. A. Noehing in this article shall be deer__ _ ned_ to In'event t}te remodetinq, X recpnstruc UOn or enlargement o a ~on~ontornunn UwlUUiq ~orttarning a conforming use_provrde thad-t: such ac[mn Uses Writ o'eale any new nonconlonnnnce or increase the egree o nonconroi manta with rrnarU to Ulc requlatrorro'pc rtmnuig to su~lt Uwlilnxls, D, Reconstruction of a damaged builcLng. i L Y. noncon kir mina building conlarninn a con (orufnui ue~• whit l+ has ^ -00- c • .la FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date .1//ot 199.. To GLE~:~Y~.%....... RC ~aGc?jtc. E ...Ll. °O. -...~~~j . ~ ~ PLEASE TAKE NOTICE t~ your application dated ~a?~.5~6'./1!G ~//Cl ~ 19 . I - I~ ' for permit to G'dx~~Gt7........ !B7 ~~¢rJ ~ . at Location of Property c~~ /.~CZi2+~ .....4~~~~9`?~......Q,~,~Y4r~Q`~ House No. Q Sheet Hamlet County Tax Map No. 1000 Section , .,r.3...... Block fll....... Lot . Subdivision Filed Map No. //L--ot No. ...p...'......... . is returned herewith and disapproved on the following grounds .4~? ..~u'-Lt. . .~~r it g Inspec or !~j/ /~S(~ RV 1/BO / FORM NO. 3 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL c~~ ~ Date ..I.~~t-?-/-h,~4~c.. ~-0....., 19 R;~..~.~ PLEASE TAKE NOTTICE that your applica-t'i-on~dated . ~ sfi-+~•~-4-~ / ~a........, 19 . for permit to ~a~ . ~:~q:g..~'?...:..~. 4{ ,..~.c....... at Location of Property . ~I~r..~t.~:.. `?-~''`~1 ......~csri-~x~e`n.~ . House No. Street Hamle[ County Tax Map No. 1000 Section ~ 9. ~ ....Block Lot Q. ?r:..... . Subdivision Filed Map No. Lot No. . is returned herewith and disapproved on the following grounds . ~-~T.~.ct.~ah ~ ti . B ldinq Inspector RV 1/80 II /7s/~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ l FRAMING [ FINAL REMARKS: Q~ DATE ~ ~LG ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ROUGFI PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: G( DATE ~ INSPECTOR" ' 765-1802 BUILDING DEPT. INSPECTION t ]FOUNDATION i5T f } ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION t ~RAMING f ]FINAL REMARKS: 1~ r y r~ J , DATE ~ l ~ INSPECTOR ~ ~~~'V~ ~ ~3 d'f Tss-isoz BUILDING DEPT. INSPECTOON [ )FOUNDATION i5T [ ] ROUGH PLBG. [ Y~FOUNDATION 2ND [ ]INSULATION ` [ ]FRAMING [)FINAL REMARKS: ~ DATE ~ INSPECTOR r / ~ ~"1~ 765-1802 BUILDING DEPT. 1 NSPECTION [ FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: 1~ ~ ~ i DATE O 'J/ 0 ~ INSPEC'TOR i a ~ . BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ~Q~. TEL.: 765-1802 CALL ff ~~~~MAIL T0: Examined .C9.4'~.N~..l.E..., 19 ~ Approved . U~3!' ~ ~ ] 9'g~. Permit No..1.75! [o„'LZ,., Disapproved a/c . .................................1..L~~fy4.. X.~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date i~.®. 15 C~.~ 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. r (Si ature of applica r ame, if a corporanon) (Mailing address of applicant) State whether ap ]icant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ~©SG.~1.~... ~ . (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 . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Loc~a}tion of land on whic/h~proposed work~will be done . . t .C.~.4`~•c~ .1.5 . J-•4.I. ~'L~:... !.\V`. ~ a ;7."Cl. ~ .~Gx . House Number Street Hamlet County Tax Map No. 1000 Section ~ 3....... Block - , , , , , , , Lot . Subdivision Filed blap No. Lot . (Nmne) 2. State existing use and occupancy of premises a/nd intended use and occupancy of proposed construction: a. Existing use and occupancy ,~QLS JG~,,//El!/ C ~ . . b. Intended use and occupancy . • ~ `•~-S~ u •e~C ~ ~ , , , , , 3. Nature of work (check which applicable): New $uilding Addition ~ • • • Alteration . Repair Removal Demolition ..............Other Work . ^I (Description) 4. Estimated Cost.....vCD~ i~C?OyOO•,••.•..••..,,,,, Fee (to be paid on filing this application) 5. If dwelling, number of dwelling, units , Number of dwelling units on each floor ~ . . If garage,numbcrofcars ....,2 6, If business, commercial or mixed occupancy, specify natureand extent of each type of use ~ . 7. Dimensions of existing structures, if any: Front ...r./~.~....... Rear ....Zfl........ Depth ..-S'7. , , . • , , . Height ..~.'a~.~ ........Number of Stories o( . Dimensions of same structure ~ith alterations or additions: Front .....~.Q%!~?C° Rear ~CL . P 8. D"mensionso~~ri ~wconst'.'Height....~4.r!'t.~..........NumbrofStories.....~~t~~......... ruction: Front ~.~!'!??~r'..... Rear Depth ~!~t . Height ~C~!n.~°.-.... Nu~bar of Stories ...:~'.a.~t1.C~ . 9. Size of lot: Front aQP. ~ . , Rear .....a4,~ Depth ,fP/a ~ ~../..r . 10. Date of Purchase ?.'.2b.; .............Name of Former Owner 4t'~/.•z•~b•~f~• •~.~/b /v.SS.. . 1 I. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance of regulation : . . 13. Will lot be re raded ...........Will excess fi ve o~m~,~,my~ s• Yes o 14. Name of Owner of premises ~o~~ph JYI.4L.CRri.. Address 9~~`.a nr~'~elf.~~i/.~i'tto3le"1V~C2!$~%r/.~ .~01® Name of Architect t71Gtr.~.a ~ C ~.~.Q N.r2:..... Addressd.2.2. ~.3/~,Yz~..N. ~/r;Phone No . Name of Contractor ~?.t<~ . , .Address . .Phone No..... . 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.... , *If yes, Southold Towfi Trustees PLOT DIAGaRAhbe required. Locate clearly and distinctly aid 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. ~ ~ ~~a Dt'~oe ~ i GK~S ~ i , i ~I ~ Ye ~ r . f ~a~ g.a~a ~ ~ ~.f.,» .Ue+~ 1~~.a-cam % ar`Qg G ~j[rs~-ev~q >-~OCtS~. l - a b ~ ~ ~ ~ ~e ~ ,v ~ a ~,a-~C I ~ B'X~s~~'~1 J ~°roposc.d ~S~iry ~X-~eNSio~ i ! I STATE OF NEW OR COUNTY OF S.S • • • • • • • • ~ being duly sworn, deposes and says that he is the applicant (Name of indrvid g Ong contract) above na ed. fie is the ' ~ G ~ , . (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 wil! be performed in the mannei'set forth in the application ,filed therewith. Sworn to before me this I ..............day of'L~.V;~?~:~°:~-f-'....:., 19 Note Public, 1~~'~~~~' County UNpgJ. COOp~R (Signature of applicant) Notary Publiq State of New YoHI,,~ Tsrma• 4822683, Suffdk Cotirny l:xplres December 31,18._.,, ~ ._~_,..~._..___..,__.~._.~...~.--.,..__.~.r._,_~__.~._..,~:._.~,..__..~~.-.__._...~........._...,.w...aro.___..._..._~,_.. ~.~~.iUy ~ g2 ~7 t a a~o,_?~Fy ~p Q ^a;Y ~ L~ ~s+ O f kfy~„~~@ i 4~ -~._._rw - , . ~ ~t~` j ~ ° i I} ~ .,y ~2.r w s: trey .:1 ? ( tip., ;,'t ~ ~ } p, ~ t ~ ~ G~ _ i' a ~ ~ ~ ~y~ C2~~ a.,.F_ ~ S d rte` ~ ~ 9~ ~ .~y, ^a~~ yJ~? l ...,......^^..-r=te' ~ ~s ~ ~.1 ~ ~ . ._-,~~,~w-^"` ~ ~G !,fey 't c n ~ iii - fl} { 3 y{ y3 it .y ib9". ~1 i S. f - ~ ~4 F~ i 4 FJ is ~ ' `e7 ~5 ~ ~ u} ~ uy ? ~ i ~ ~ VF C u C 0.1 ~'Sw?j~~~ s -J O dm N 'Fj T N C Po C yW vPo ti a~ ~~4~ ns n ~ yam. u L ~F M® d 0 C C 4• o.~. a.,cM ~'pL 4~~wa tet h tt v i, tl i C Y`J ~ t ,1 ~ V y0.N O # w ~ .M ~ iy ~'O raja w ~ f i.a _ 1 ~y~ ~ n ori''m ~:%~~cx~ya i~ ( ~ , : 1 u. 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