Loading...
HomeMy WebLinkAbout18309-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ' No: Z-26188 Date: 12/24/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 630 OAK STREET CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 136 Block 1 Lot 42.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 5, 1989 pursuant to which Building Permit No. 18309-Z dated JULY 13, 1989 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 WINDOW ALTERATIONS AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HELENE S. WECHTERMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A X --------/i ding ..nape for Rev. 1/81 soaas xo. s 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) N ° ~ 8 ~ U ~ Z Date ............~..~,3 19..~ b Permission is hereby granted to: ........14 .o.K..'~. 3~...... ~l.~sQQ.v ....~-4...~ to .........acad.. . at premises located at ..W.~......u:`.'.~:5:.......1~~.rl~t.. ~.'~....~:Y~q~!cs0:-, ..................................................................................................................I.............................................. County Tax Map No. 1000 Section ....~..w~..lR........ Block Lot No......7..d........... pursuant to application dated ....~..c~:sdl..,~ 19..~~., and approved by the Building Inspector. Fee . Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWPI HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from 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 the solder used in system contains less than 2/10 of lZ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. o. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior Co April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildins - $100.00 3. Copy of Certificate of Occupancy - .25~. 4. Updated Certificate of Occupancy -_$50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......1~//G~~'J7 aw Construction.~~..,.... Old Or Pre-a/xr,isting Building./1~ ocation of Property....~P.~.~.......Q~l~..:S~~•i...... ~i~~~ House No: [~,~~S~t/r~e~et Hamlet ewer or Owners of Property... /•~L• • •44'x:4~lJ Y:~:': Y17~~>>........... . aunty Tax Map No 1000, Section...~:3~P: o~...B1ock....U4~. ~ ~ ....Lot.d.~~:~uU. ~ ~'?.®B~ ibdivision ....................................//Filed Map ............Cot. nrmit No. ~ ~v ~ ~..~.....Date Of Permit...~~~L.~~ ....Applicant.~.~.`J~. Z~~Qr'J =alth Dept. Approval ..........................Underwriters Approval......................... Canning Board Approval aquest for: Temporary Certificate........... Final Certicate..~..... ee Subm~~itL.tted: :5. ~ G Ss~ p Y AP ICANT CONSENT TO / /~IN~S/PE`/C,TION ~1 ~~°I Chi S~ [~f C.~(~G?-f-l~4I1Q17 the undersigned, Owner(s) Name(s) do(es) hereby state: That the undersigned (is) (are) the owner(spp) of the premises in the Town of So/unyth~ol~~d/ylo~c ante d at lp 3~~z U~'l'Ni(~~ which is shown and designated on the Suffolk'/ County tax map as District 1000, Section/3 ~s Block ©I, d~ Lot O~~l~Q7,~ That the undersigned (has) (have) filed, 'or caused to be Piled, an applica- tion in the Southold Town Building Inspector ~s Office for the following; That the undersigned do(es) hereby give consent to the Building Inspectors of the 't'own of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, Srules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the law~s,//~or,(~dinances, rules nr regulati~o/n//s/~o/f the T~owQn of So/~uthold. Dated: ~"Zf~-7_"'_- !`~--X.Li'.1 V ~1~/~~~ (signature) /eh~ S. G~~'U4~u'~re'~j (print name) (signature) (print name) . i::LD i;:.~,: r. . l:ini II i; vl4MLNT~ _ I 7 . ' ' m °4 r ? ~ H ~ OUIIDATION ~ (1st) o 'OUNDATIOJJ (2nd) _ _ ' ttt z 0 0^ ROUGH FRAME & PLUMBING 3. ~ m n IIdSULATIOP! PER N. Y. . • STATE EPJERGY CODE A. / ~ ~ .~H! FI;IAL I -rr C ~ or ADDITIOPIAL COMMEPJTS: s m ' x H 37 \ • ~ W H H O "A ~ m c^ \ H t7 m ^o H FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE 50UTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . ~ o:~!-~fi ..nl 19 . 111 To I e~~..~~'.°.~.~..'~... ..'11.,x...eQZtw Wzc..{~t~-t++~ n-h • . x..~! 7 . PLEASE TAKE NOTICE that your application dated G?'.. ~ 19 ~ . for permit to 'C..,~..~-v~.. c%P ? ~~-.~^~?~r. at Location of Property ~,30. . (AoLLC L.~.~' ,t,.~~ House No. Street ~ ~ ''~I ~ Hamlet County Tax Map No. 1000 Section ~ :3 .....Block Lot T ~ . Subdivision Filed Map No. Lot No. . is returned here(~with and disapproved on the following grounds .1~(~c~.*:.~...~.SX-t-!~:^.. 9.~ J. ~ ~C W. s,~°.~..rQ . ?4a-:-v:a. ~-1 c~%v.~ ..1..~ r1~ . ~ ~ a..~. J t -J c~"~u; . !t~-, c,~e~C~. . Q ~,~~~Qs. Bua.lding~ Inspector RV 1/80 o. FRANK A. KUJAWSKI, ,1R., President ~ ' ~ ~(p"// ALBERT J. KRUPSKI, JR., Vice-President ~ 4~ ~ ~ TELEPHONE eye 'r~ .'Z. ~ 1516)765-1892 JOHN M. BREDEMEYER, III O ~ ~ 4~~~ JOHN L. BEDNOSKI, JR. _ HENRY P. SMITH ' r BOARD OF TOWN TRUSTEES ~ 8 TOWN OF SOUTHOLD ~ 1: J `3 ~ a Town Hall, 53095 Main Road ~ ~.'~s..-..,_. P.O. Box 728 TOi4!Pd UFO yNOI.,b Southold, New York 11971 ° March 30, 1989 Proper-T Services PO Box 617 Cutchogue, N.Y. 11935 Re: Application No. 11-88-136-1-41142- Ira Wechterman Dear Mr. Fitzgerald: The following action was taken by the Board of Town Trustees during their regular meeting held on February 28 1989 regarding the above matter: WHEREAS, Proper-T Services on behalf of Ira Wechterman applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, .application dated November 18, 1988, and WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a public hearing was held by the Town Trustees with respect to said application on February 28, 1989 at which time all interested persons were given an opportunity to be heard, and WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of -the town, NOW, THEREFORE BE IT RE50LV that PROPER-T SERVICES ON F OF IRA WECHTERMAN BE AND HEREBY IS_GRAN_~__TE_ D PERMISSIO UNDER THE WETLAND ORDI CE TO: Co~nstruc wo~n_dec attached o e, extend line of re aining wall, constr~t 3 x 34' wal ay, 3' x 12' ramp, 4' x 12' floating dock, install piles to secure floating dock on property located at 630 Oak Street, Cutchogue, N.Y. This permit will expire two years from the date it is signed if work has not commenced by said date. Fees must be paid and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please take notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. Permit will be issued upon payment of the following fees: 93.00 walkway 4` x 31' (below MHWM) 36.00 ramp 3' x 12` 48.00 floating dock 4' x 12' 350.00 14 pilings 10.00 wetland Inspection fee $ 537.00 Total fees due Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jas cc: Bldg. Dept. Conservation Advisory Council file o`~ ~ ~ Southold Town Board of Appeals qq ® MAIN ROAD STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, ~ I., N.Y. 11971 ~U1 TELEPHONE (576) 766-1809 ~ - 23 C~ APPEALS BOARD MEMBERS GERARD p. GOEHRING ER,OHAIRMAN ~ i CHARLES GRIGONIS, JR. SERGE DOYEN, JR. July lO, 1989 JOSEPH H. SAWIC KI BLDG. DEPT. JAMES DINIZIO, JR. TOWN OF SOUTF40LD r Mr. James E. Fitzgerald, Jr. Proper-T Services P.O. Box 617 Cutchogue, NY 11935 Re: Appeal No. 3844 - Dr. Ira Wechterman (Variances) Dear Mr. Fitzgerald: Transmitted for your records is a copy of the June 29, 1989 determination rendered by the Board of Appeals concerning your application. Please be sure to follow-up with the Building Department for further processing of your pending application. Copies of our decision are simultaneously being transmitted to the Building Inspectors' Office for their files and update. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski Enclosure Copy of Decision to: Building Inspectors' Office Suffolk County Planning Commission ~ h~ Southold Town hoard of Appeals 0~~~"4~ o},`~`~~ MAIN ROAD -STATE ROAD 25 P.O. BOX 1179 SOUTHOLD, L.L, N.Y. 11971 _ TELEPHONE (516) 765-1609 FAX No. (516) 765-7623 APPEALS 80ARD MEMBERS GERARD P. GOEH RINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. JOSEPH H. SAWIC KI JAMES DINIZIO, JR. ACTION OF THE BOARD OF APPEALS Appeal No. 3844: Application for DR. IRA WECHTERMAN for a Variance to the Zoning Ordinance, Article XXIII, Section 100-239d (now 100-239.4) and Article IIIA, Section 100-30A.3 (Article III, Section 100-32 as Disapproved on March 9, 1989) for permission to construct deck addition with an insufficient setback from the rear property line and an insufficient setback from the existing concrete block retaining wall along Eugene's (East) Creek. Lot area is nonconforming at approximately 8,200 sq. ft. in this R-40 Zone District. Location of Property: 630 Oak Street, Cutchogue, NY; County Tax Map District 1000, Section 136, Block 1, Lot 42.1 (includes 41 and 42); Subdivision of Eugene Heights), Lot Nos. 28, 29 and half of 27. WHEREAS, a public hearing was held on June 29, 1989 under Appeal No. 3844; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along the easterly side of Oak Street in the Hamlet of Cutchogue, Town of Southold, and is identified on the Suffolk County Tax Maps as District 1000, Section 136, Block 1, Lot 42.1. 2. The subject premises: (a) is improved with a single-family, one-and-one-half story framed dwelling, as shown on survey dated February 18, Page 2 - Appl. No. 3844 Matter of DR. IRA WECHTERMAN Decision Rendered June 29, 1989 1988 prepared by William R. Simmons, Jr. submitted under this application; (b) is known to be nonconforming as to lot area, lot width, lot depth, rear yard setback, setback from bulkhead, and northerly side yard setback, in this R-40 Zone District. 3. By this application, appellant requests variances for permission to construct an open deck addition at the rear of the existing dwelling 4. Article XXIV, Section 100-244 of the Zoning Code requires a minimum rear yard setback to be at least 35 feet, which is a reduction of the usual 50-f t. rear-yard requirement for conforming lots in the R-40 Zone District. 5. In considering this application, the Board also finds and determines: (a) the nonconformities of the land and building in question lend to the within practical difficulties; (b) the difficulties cannot be obviated by some method feasible for appellant to pursue other than a variance; (c) the location of the deck as requested will not be adverse to the essential character of the neighborhood; (d) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (e) in carefully considering the entire record and all the above factors, as well as viewing the general character of the neighborhood, it is within the best interests of justice to grant the variance, as applied and further noted below. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Dinizio, it was RESOLVED, to GRANT the relief requested under Appeal No. 3845 in the Matter of DR. IRA WECHTERMAN for the location of Page 3 - Appl. No. 3844 Matter of DR. IRA WECHTERMAN DOClSlOn Rendered June 29, 1989 an open deck addition at the rear of existing dwelling, SUBJECT TO: 1. The provision that the deck remain open, unroo€ed and unenclosed at all times (as proposed herein); 2. The recommendation that the deck be constructed as applied within the boundaries of the concrete-block retaining wall, and that safety measures be taken as recommended by the Building Inspector for appropriate railing, etc; 3. That any and all lighting be shielded to the property without adversity to nearby properties. Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Sawicki, and Dinizio. This resolution was unanimously adopted. lk GERARD P. GOEHRINGER, CHAIRMAN Proper-T Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935 (516) 734 -5800 MarCY? 6, 1989 LF c?~~~~c.~=r~! 1 Y I ~ MitR - 6 i~~:~ ± $ efauc-;. L~krP. c~ Mr. Victor Lessard, Executive Administrator TOtNflf;F5JU7Hf3fl.D Building Department Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re Application for 731ailding Perrnitw_.for _Dr.___Iwra„_Wechterman Dear Mr. Lessard: Att<~ched are tYie documents prepared in support of the appli- cat.ian for a Building Permit for the construction of a deck and the alteration of several windows in the dwelling or. the property of Dr. Ira Wechterman, located at 630 Oak Street, Cutchogue. Proper-T Services repx•esents Dr. Wechterman in this matter, and a. letter of authorization is attached. If veu need more information or have any questions, please call me. s tr y a es E. Fi zger ld, Jr. Attscchments: A~rplication Application Eee (check, $50) Letter of Authorization Plot Diagram (3 copies) Property Survey (3 copies) Specifications (3 copies) Construction Details (3 copies) a subsidiary of THE PECONIC EASTERN CORPORATION 3 Uva Way Port Jefferson, New York 11777 November 6, 1988 Executive Administrator Building Department Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Services to act in my behalf as my agent in the submission and processing of a permit applica- tion for the construction of a deck attached to the house on my property located at 630 Oak Street, Cutchogue, and designat- ed by Suffolk County Tax Map No. 1000-136-1-41/42, and to furnish, upon request, supplemental information in support of the application. Y/~urs ~u y, Ira Wechterman C 3 ~ ~ ~ ~ o ' GGG~ 4J ~ ~7 w ~ ~ F H .i Q~ ~ ~ ~ ' dcv ~ ° ~ ~r ~ ~ ~ Q~ ~~N 1 ~ a $~Q ~ 71 ~ ~ ~ 3 ~ ~ 4 iM l//~ ~ U ~ d \~i o ~j ~ ~ ~ ~ ~ a w~ --O _ _ ~ o' ~ A ~ b ~ 4 1 ~ ~ _ ~ ~Z~o ~ ~ ~ ~ ffi ~ ~ z z ~ o ~ ~ ~ ^ ~ ~ Z ~ 8~ r ~ ~~3~ 1~-~ I-- g~~C`~icn lto~s `,~~6 i=2RM?N9 CONS~fU~ctwN Cs~~.~Q ~"2 0~ ~¢~ec C.C.R ~oo~ ~ s Zvaic~?~5~ lb oa C6rJGs.,~ ~ Sv\~ ~!'.~e\~Nc~ L lN61G11S0 W11~~ °..~t?aa C-r~c~`~ a'_ (o~ " ~~ll t~hOv1Z LagejSP ta~o S,~l ~sP-o~~ t~lS?N1 l~ x ~ z. ~ r~.v r~ ~Zr~ ~o~. tN s1a~ lP `f, oa CE~iy s ~oo~r So~s~1 u~h~~ rite c~ac~,e~ '~o s,1\ h~os~ , ti1?1,~ ha-~e JOtS~ hgNg6P-~ ~t ~fl\ leevSl Cj t r ~ ~Y-~ C rJ S'TG l lug i~g tv / H r~ r M ust N~ Zx ~ cStE ®rr..t Nci\ io ~c 8 oN c~!'4z,g \ ~ r, ~2.~uJEca-~ su~ut.G~ ~us~. ~rApPo2G ~s1 ~X~ ec_2- r~i cvNecea~~ ~t~~- ~~"'o~~ 3~" ~Y~-GA'S ~ Ce~ul~~e_& ~ ~(',/.~.,,n.p ` ~iR~V~iCM ~ j~rtU~ ~CS.~~r.~~ ~.t i~rlq;~ ~a t2c ~ A2A a . Yenngve tN'I~'~?c~~ WaL~ M.~~~~a.~ r~ U~,,,~4 L tJ sQaL1 hLA-o~ls S/[ u~S rati2- -~Op~Z.- . `C'ec~b¢,?~ ElE~rr?c_ o~.U~c-Ts s~ ~equ~~e.~ Sow't~ u~a ~0.3~anE~ ~('e~ c~cx.~blQ ~X~si?N t-lun~ J~~s~ ~lv.~ ~~s~IgLl o`Z - • 3~~ ~ ~ COQ u M U.3 ..aro,., ocq - ,,.n S ~ fi3l rv ~ X ..~._LL._......__~ ,_.~N~~M f J..~~~ . I v t o <~tr z ~ ins l ~ Ho ~Nilvv~ "rte hM~ . o ~y~, ~ J .I 1"~ A _ J . _~~~0~ ~ c, m - _ ~ ° - m y '''QQQ H i ~mm x ~ ~ - ~ wx~ w ~Q ~ w NEo 8 Q aa° pti~ 7i aF z° vNr°°. r. ~ o .vxA, F Y~ IF oq~m m1~r: ~ ,vy V'O ~~11 F Y. M ~ b1 ~ . {y ubfWG Q,Or m is n~~~ ! F i,~a"Qio O~W o ~ e ~ ' N a H~ ~o~; ~ ~ i o ° i U N " v I s ; I m i _ t (~+Y tar ti ~ . , ~7 v- '^'k1 ~ FI m V+ ~r~~.g't',.'.. ~ a: >-„Xt., fit. o ~ '`'~tk - ,~1.. ~ ~ 6.,~-- v.r j 4 N . ~ ' . _ ~ i J , ~ ~ ~ - _ _ i f ~ j i; , id ; i I ~ `~n ~ j , 00 ~ ~ a, i I~ ~ m i o m a ~ I?-'_'f-~ ~ ~ a ~ N m ~ ~1~ i ~ W ~ 1 b I a L d - v ~ i . I 7 - m w D. a N ~ ~ a ~~a~ ao~ h, ~ I c9 ~ - H arc"~io ~mw a ~ i - i N ~ tiow I z o a P, v ~ - - - ' a w ~ y - - - { v ~ d ~ v i ? ~ ~ 6 v ~ ~ a ~ ~ i ~ i ' i ~ _ ~ li ~ ~ ~ ~ j- - j ~ , ~ ~ ~ I ~ _ i ~ _ - 3 ~ ~ i ~ ~ ~i ~ is , ~ ~ ~ I I - ~I--1~1 ~ _ _ ~~o ow i ..r,,X _ _ _ - -mom ~ y~yM ] e. ~~-~a-03 - _ 1 b'^wN rn L ~ s,., ti ~ ~ ~ i ~ f.~ ~ s3 6 r Azi ~G, o_ A ~ CONS TRUCTZ ON DETAS LS SA. .a i5' P,p _ ~ h ~ ~ Application No. _ c Z ~ Regarding the property of ~,i _ - ~ ~ , 2AA WE CHT ERMAN y r c c Suffolk County Tax Map No. 1000-136-1-41/42 aJ~'.; 'p ~1 ~ ~ Represe.^.ted by ~ ~ ~ Proper-T Ser v3 ces ~ P. D. Box 617, Cutchogue, NY 11935 ;;i 'L 'T £ ~Y James E. Fitzgerald, Jr. 516-734-5800 , o P F ~ ~ . sheet ~ of 3 Narch 6, 1989 .i 41' ~u ti a e~ ; ~V ~i ~ c ~ 3 0 o c ~ ~ 1a O \ ~ ~ ~ N m ~ ~ 7c ~ ~ O r2 ~ O X ~ ~ O ~ 1 ~~6(~1Cy~ r ~ x O ~ ~1 ' ~0~,~ O {~,N v ~ (anv ~Z~ZpON \ D '1~ p, ~C <m C 7O ~ D ~ O ~ A Z a ~ ~ Z ~ . OA,~ ST~E~"T ~ So'w G2.5o - ~ I~ I .930.7 y VI`J 6l~\ ~•~~'ji of N ~ ¢ N ` ~ o ~ 3 o rn, ~ z { ~ 0 w ~ o V ~ 0 0 N ~ ~ ~ ~ a 1~ 4 n 0~ 40 5 y O n s ~o ~ n T 1~` tq2 r .T z• ~ F hV m r Z ram O VI _ ~r n~ \ p 0` \ O n ~,4 s7- ~ s o D 3 ~ o ~~`c-~~ ~ m y ~ \~~D m C W O to \ R < - x ; ~ \11 Z ~ {JZ ~ Vkl J ~ ~ ~A A ~ ~ N: BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OF SOUTHOLD CHECK /l~t.~. ~ ~•~;IGr °J.~y~`X`( BUILDING DEPARTMENT SEPTIC FORM z~J(r~... . ' TOWN HALL SDUTHDLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL qq MAIL T0: Examined 19 g..l ~~-~-c.1_~ •t.,,., ' U q (8 S a po _ Approved I9~./. Permit No.........t. ~*-kc*~ .J.~:s-~ Disapproved a/c ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ,March 5 , - • , , • ly 89 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 applicabl s, ordinan • ding code, hou ~ ~ code, and regulations, and to. admit authorized inspectors on premises and in ilding or nece ectio t c br name, if a corporarion)~ PER-T SER ES James E. Fitaget' d; • • ~ • Mailing address of applicant) ' .Box 617, Cutchogue, NY 1193' Phone: (516) 734.5800 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Applicant..i.s . th.e .agent . o~..ths..awnax. . Name of owner of premises ....~r,• J<~~,Weehterman••,••„•••,..•,•,••,,,••.,.•••.,.•.•............ (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. ...1.422•$I•••••••••••••• Plumber's License No . . Electrician's License No . . Other Trade's License No . 1. Location of land on which proposed work will be done . . 630 Oak•• Street,,Cutchogue•••,.•••••••••• House Number Street Hamlet ~ L~ County Tax Map No. 1000 Section .....1.36.......... Block ~ • • • , • • , , , , Lot • , Subdivision Filed hiap No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single •family, x;~s~d@rlpe• • • • • b. Intended use and occupancy Same. . - _ _ _ ~ } . , • I 1 i ` 3. Nature of work (check which applicable): New Building Addition X..... Alteration X.:. , . Repair Removal , , Demolition Other Work . (Description) 4. Estimated Cost....X10,oQ0 Fee r~ (to be'',paid on filing this application) 5. If dwelling, number of dwelling units ......1 Number of dwelling uni~s on each floor . If garage, number of cars ....N/A 6. If business, commercial or mixed occupancy, specif26 ~tu+ and extent of eac26ty~~~e of use , N~A. , 1 . , , . 7. Dimensions of existing structures, if any: Front , , , ,Rear Depth ...:.3b ter, Height ~ S fit.. Number of Stories 1.......... . Dhnens~ons of same structure with alterations or additions: front 33.~.`~°. . De th , ..47. .I11&X........ Height , Sams......... Number of, Stories ......1 . . 8. Dimensions of entire new construction: Front Rear , , 'Rear 33.x.9°±, , , , , , , • N A .......Depth Height . Number of Stories . . 9. Size of lot: Front ..,62.5',,,,,,,,,,,,, Rear.... ...6.~~~~....... .'Depth ...1~OOI.var:;'~::~'~ 10. Date of Purchase .Name of Former Owner . 11. Zone or use district in which premises are situated ~-44 , . 12. Does proposed constructiNno violate any zonin law ordinance or re ulahon: No . g . ' 13. Will lot be regraded Will excel still be removed from premises:N~A Yes No l4. Name of Owner of premises . ~ see .below... , , ,Address ...Phone No....... . Name of Architect .Address ...Phone No....... . Name of Contractor (see ,below}. , , , ,Address . ..Phone No.. . IS.Is this property located within 100 feet of a tidal we tland? *YES.Yt..NO.... *If yes, Southold Town Trustees Permit may be required: - 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. See attached drwaings and maps~.l~ • Name of owner of premises: Dr. Ira Wechterman 3 Uva Way Port Jefferson, NY 11777 I Phone: 331-3692 ' Name of contractor; Robert Frederick 24 Highland Dowri" Shoreham, NY 11786 Phone: 744-6858 ' STATE OF NE1V YORK, S S COUNTY OF . J~,m~s, E, , ~'t~g~~ a,lg~l,. Jr, j , , , _ . , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual si nin contract above named. He is the......fig?r4tr ~ g , P (Contractor a ent cor orate 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 I r SI X.Tµ. ......day of ~'I'1J-4leC~:}:........, 19 ,f~, ~ ~ /l C Notary Public, (L:..~. ,'^:"'dDJ';t!7i.,........ County _ JANE R. MINERVA Su (~1%e• l I ~ ~ ~~~c lOTARY YUOf IC, State of Npw YO[R - C.l , ~ , ~ No d853~OS, Su((olk Cpunfy ~ ' ' ' ' ' Commisome i.,,p~re> ~epmary 18, 19~ ~ ignatuieoP2p icant) i