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Home My WebLink About22113-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28001 Date: 10/05/01 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1350 WEST COVE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 111 Block 5 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 24, 1993 pursuant to which Building Permit No_ 22113-Z dated JUNE 7, 1994 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 ALTERATIONS TO EXISTING ACCESSORY GARAGE WITH GUEST UNIT AS APPLIED FOR, & AS PER CONDITIONS OF ZBA ##4224. The certificate is issued to THOMAS & ROBY GLUCKMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 10/02/01 PLUMBERS CERTIFICATION DATED 09/19/01 NORTH FORK PLUMBING thor' ed Signature Rev. 1/81 FORM NO.3 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® 22113 Z Date......(. 197 . Permission Is hereby granted to: , ~.4 7q ..1... .t~ ~i5F......... to v slay............... at premises located at....l . . ........................................................t7 County Tax Map No. 1000 Section-/// Block Lot No. ....~L pursuant to application dated ./..2/z.f,~ 19.%;...x......, and approved by the Building Inspector. Fee °`~~r..... .Z................................ Building Inspector Rev. 6/30/80 f Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 7 40 APPLICATION FOR-CERTIFICATE OF OCCUPANCY A. 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 bt Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildin and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. j B. For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings an Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. Aproperly completed application and a.consent to inspect signed by the applicant If a Certificate of Occtpancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. 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 $25.100. Businesses $50.00., 2. Certificate of Occupancy on Preexisting Buildine - $100.00 3. Copy of Certificate of Occupancy - . .Z5ip 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 :Date New Construction........... Old Or Pre-existing Building . Location of Property 43622.J.~trv:CY-1,6T. House No. Street Hamlet i Onwer or. Owners of Property.....l7#/?6S.t~~cJ County Tax Map No 1000, Section. A/.........Block..1-r..........Lot.... - Subdivision 0 ............................Filed Map........ ....Lot.................... Permit No4Za !J.3:. ..Date Of Permit..... ........Applicant........ Health Dept. Approval ..........................Underwriters Approval........................ Planning Board Approval Request for: Temporary Certificate........... Final Certicate.ll........ Fee Submitted: $ c~ •eoa~ ' C o ~ a 8 00) - - - - - - - - - - - - - THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE' 8085588 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 15,2001 ApelicationNo.onfile 5 3209501 /01 H 073094 THIS CERTIFIES THAT PERMIT NO. 221135 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of THOMAS CHUCKMAN, 1350 WEST COVE ROAD, CUTCHOGUE, NY in the following location; ® Basement L9 1st FL ? 2nd Fl. OUT Section Block Lot was examined on OCTOBER 02 , 2001 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANiESCRA illN]SEKFNT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MUSTS-OMTSLET DIMMERS ART. K.W. OIL N.P. GAS N.P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT ME-T S E R V I C E AYr. AMP. TYPE EQUIP. 1 • = 11 • ]W ] e ]W ] E AW NO. O R K OND. OF CC. COND. NO. OF 111-110 OF MI-LFO NO. OF NEORAU O„IEUTIMI OTHER APPARATUS: GUEST HOUSE-1 ELECTRICAL SURVEY AS PER LETTER-1 *NO VISUAL DEFECTS, "An electrical survey has been made of the exposed electrical equipment in the premises indicated." "No obvious Mnsatisfactory condition was found. ` LGF.F,.....~. LL CRAIG ARM GENERAL MANAGER P. 0. BOX 1675 ~I SOUTHOLD, NY, 11971 Per 16 06dilaaES wAM not be die" In any mariner, Thom to the office of the board N incorrect. Ingteaton may be Idj" by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER osgFFOLKcoGy~ Town Hall, 53095 Main Road y x Fax (516) 765-1823 P. O. Box 1179 V, Telephone (516) 765-1802 Southold, New York. 11971 .fi 0! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE : 9-/'? Building Permit No. 22l(32 7- owner: G LL C (vl A fJ R T (please prince) Plumber: (please print) ~y~ ~LocF I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) MARK F3LDo-~ Sworn to before me this /q 14 day of Notary Public, OsIJF,L0Z-4 County NANCY A. PESTER New Nota 4940985 Suffo k County Comm rk Noission Expires Aug. 15, eSWz2-, FORM NO. a TOIVN OF SOUTHOLD BUILDING DEPARTi<IL•NT TOIVN CLERK'S OFFICE SOUTHOLD, N.Y. AMENDED NOTICE OF DISAPPROVAL Date . . . . February 23, 19.. 94 To ,,,David Kapell a/c Thomas 6 Roby Gluckman P.O. Box 463 Greenport, New York 11944 PLEASE TAKE NOTICE that your application dated December 30, 19 93 for permit to ALTER AN EXISTING GARAGE WI . TH . . ATTACHED GUEST . UNIT . . . . . . . . . . . at Location of Property 1350 WEST COVE ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax tap No. 1000 Section 1........ Block 5......... Lo[ 2 Subdivision Filed Nlap No. Lot No. BU is returned herewith and disapproved an the following grounds A ILDING WITH A . NON-CONFORMING USE SHALL NOT BE ENLARGED OR ALTERED OR RESTORED NOR SHALL ANY EXTERNAL EVIDENCE OF SUCH USE BE INCREASED BY ANY MEANS WHATSOEVER. CHAPT. 100-241 (A) ACTION REQUIRED BY THE ZONING BOARD OF APPEALS. NOTE: AMENDS NOTICE OF DISAPPROVAL DATED JANUARY 14, 1994. 9YJ. gISH RV 1/g0 Go 2C Fax (516) 765-`1823 Town Hall, 53095 Main Road Cz P. 0. Box 1179 lb Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 23, 1994 Mr. & Mrs. Thomas Gluckman 128 East 74th Street New York, New York 10021 Re: Premises @ 1350 West Cove Road, Cutchogue, N.Y, Suff. Co. Tax Map #1000-111-5-02 Mr. & Mrs. Gluckman: I am sorry our meeting did not go as well as you may have expected, but I trust you have a better understanding of the facts. The Pre-Existing Certificate of Occupancy that was issued by the Building Department for your residence at 1350 West Cove Road, Cutchogue, N.Y., Suffolk County Tax Map #111-5-02 was issued with an error. The Pre-CO lists an "Accessory Garage with Attached One Room Apartment with Bathroom". The fact is, the Accessory Garage has a Building Permit #3758 dated December 29, 1967 and a Certificate of Occupancy #Z3129 dated June 26, 1968. Therefore it cannot be included in a Pre CO as it was built well after the inception of Zoning and has a bona fide Building Permit and Certificate of Occupancy. Enclosed is a corrected Pre-CO with the Garage omitted. Mr. & Mrs. Thomas Gluckman, Page "2" Feb. 23, 1994 I have also enclosed an amended Notice of Disapproval regarding your recent application for a building permit to renovate the Accessory Garage. The procedure is to contact the ZBA with your disapproval and set up a date for a hearing. The telephone No. is 516-765-1809. I trust this letter sheds some light on the facts regarding your Pre-CO and recent Building Permit Application to renovate your garage. If you have any questions or need any further assistance, please feel free to call me at 516-765-1802. Sincerely, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish, Building Inspector GJF:gar cc to: David Kapell cc to: Laury Dowd, Town Atty I ryYO~gUFfOC ~-a APPEALS BOARD MEMBERS +r= , . ~Gy` ' o Gerard P. Goehringer, Chairman u' r' me Serge Doyen Jr. Wo Town Hall, 53095 Main Road James Dinizio, Jr.~~'~p! PO. Box 1179 Robert A. Villa Southold, New York 11971 Richard C. Wilton Fax (516) 765-1823 Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516) 765-1800 TOWN OF SOUTHOLD May 18, 1994 Mr. David Kapell Front Street, P.O. Box 463 Greenport, NY 11944-0463 Re: Appl. No. 4224 - Thomas and Roby Gluckman Dear Mr. Kapell: Enclosed please find a copy of the Board's Findings and Determination rendered at our May 4, 1994 Regular. Meeting. Before commencing building activities, please be sure to return to the Building Inspector to follow-up on whatever documents may be needed (such as amended map to conform to the ZBA decision) and other agency actions which may be appropriate prior to issuance of the building permit. For your convenience, we have furnished the Building Department and the Southold Town Trustee Offices with copies of this determination for their permanent recordkeeping and update. Also, we have trans- mitted a copy of your file to the Suffolk County Department of Planning in accordance with the Suffolk County Administrative Code rules and regulations pertaining to projects located- within 500 feet of a waterway. Once we have received their written response; we will forward a copy to you for your permanent file. Very truly yours, GERARD P. GOEHRINGER CHAIRMAN Enclosure cc: (With copies of this determination to:) Town Building Inspectors' Office Office of the Southold Town Board of Trustees Suffolk County Department of Planning Mr. and Mrs. Thomas Gluckman I APPEALS BOARD MEMBERS~~ a_ 1 Gerard P. Goehringer, Chairman' " x Serge Doyen, Jr. Town Hall, 53095 Main Road James Dinizio, Jr. P.O. Box 1179 1. Robert A. Villa Southold, New York 11971 Richard C. Wilton ` Fax (516) 765-1823 Telephone (516) 765-1809 BOARD OF APPEALS Telephone (516) 765-1800 TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS Appl. No. 4224. Upon Application of THOMAS AND ROBY GLUCKMAN. This is an application, with amendments, concerning property known as 1350 West Cove Road, Nassau Point, Cutchogue, NY; County Parcel ID 1000-111-5-2, requesting: a) a variance based upon the Building Inspector's February 23, 1994 Notice of Disapproval concerning a building permit application to alter an existing garage with attached guest unit, which will include an expansion of the guest unit by more than 50 percent of its present size; ref. Article XXIV, Section 100-241 of the Zoning Code; and b) a variance based upon the Building Inspector's March 4, 1994 Notice of Disapproval concerning a building permit application to construct an inground pool, pool house, deck and fence enclosure, which will not be located in the required rear yard or required front yard; ref. Article III, Section 100-33 and Section 100-33C of the Zoning Code; and c) a variance based upon the Building Inspector's March 14, 1994 Notice of Disapproval concerning a building permit application to construct an inground pool, pool house, deck and fence enclosure, a portion of which is proposed within 75 feet of the bulkhead along Horseshoe Cove; ref. Article XXIII, Section 100-239.4B of the Zoning Code. WHEREAS, a public hearing was held on April 6, 1994, at which time all persons 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; WHEREAS, 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: Page 2 - Appl. No. 4224 Mbtter of'THOMAS AND ROBY GLUCKMAN Decision Rendered May 4, 1994 1. AREA VARIANCE. This is an application based upon the following Notice of Disapproval from the Building Inspector: February 23, 1994, March 4, 1994, and March 14, 1994. 2. CODE REQUIREMENTS. (1) Article XXIII, Section 100-239.413-1 of the Zoning Code requires all buildings and structures located on lots upon which there exists a bulkhead to be set back not less than seventy-five {75} feet from the edge of the bulkhead; (2) Article III, Section 100-33, requires accessory buildings and structures to be located in the rear yard, or in the case of a waterfront parcel, in the front yard; (3) Article XXIV, Section 100-241 of the Zoning Code limits an expansion of a nonconforming building or use. 3. PROPERTY DATA. The premises in question is situated on the corner of West Cove Road (a/k/a Northwest Loop) and Vanston Road, Nassau Point, Cutchogue. This parcel contains a total lot area of 4.2+- acres and is presently improved with a one-story house, raised, and an accessory garage building in the front yard area, all as shown on the survey prepared September 13, 1993 by Roderick VanTuyl, P.C . The property has variable contours in areas close to the existing house, which lend to the limitations for building in reasonable locations while meeting all other zoning code requirements. 4. PROPOSAL. One of the proposals in this application is a request to locate an inground swimming pool at 60 feet from the edge of the ordinary highwater mark, and with pool house/shed structure in the northerly side yard (all within a full fence enclosure.) Second, the accessory garage is proposed to be altered to expand "sleeping quarters" from the northwesterly end of the garage, throughout the entire existing garage. The "sleeping quarters" which is shown to exist is labeled on the September 13, 1994 survey as "apt" and "pch", although it is not and has never been an apartment. (Apparently, the survey was mislabeled and should have depicted "sleeping or cot area" rather than "apt." 5• INSPECTION(S) AND RESEARCH DATA. (a) An inspection of the site reveals that the house is presently set back approximately 110 feet from the existing bulkhead and 30 feet from the southerly property line at its closest points. The accessory garage is located in the front yard approximately 220 feet from the bulkhead and centered between property lines. The square footage of the garage area I Page 3 - Appl. No. 4224 Matter of THOMAS AND ROBY GLUCKMAN Decision Rendered May 4, 1994 proposed for "sleeping quarters for members of the owners' family" on the premises is 48 ft. by 26 ft. - the same size as exists at present as a garage. (b) Regrading and new landscaped areas must be done to keep surface water runoff directed away from the bulkhead and Horseshoe Cove, and measures will need to be taken to either truck the pool water off site, or properly install drywell drains. (c) Preexisting Certificate of Occupancy No. Z-22620, as corrected and dated February 23, 1994, shows occupancy for a 'one family dwelling with attached "shed" (generator cover),' accessory deck "landing" and pumphouse". Certificate of Occupancy No. Z-3129 dated June 26, 1968 shows occupancy for a private garage (accessory building). Certificate of Occupancy No. Z-3999 dated September 28, 1970 shows occupancy for an addition to the private one family dwelling, referred to as House No. 1350 West Cove Road and 2260 Vanston Road, which addition was built under Building Permit No. 4732Z dated May 5, 1970. 6. OTHER TOWN AGENCY JURISDICTION/REVIEW. Prior to issuance of a building permit for the swimmingpool, an application or other written request is expected to be necessary with the Office of the Town Trustees confirming their action under this project under the Town Wetland Ordinance (Ch. 97). 7. EFFECTS OF RELIEF REQUESTED. It is the position of this Board that in considering the relief requested and more particularly shown on the September 13, 1993 survey that: (a) the setback at 60 feet is substantial in relation to the requirements, that is, 20 percent of the requirement; (b) the grant of the entire relief will, in turn set a precedent, and will alter the essential character of the neighborhood; (c) there is an alternative for appellants to pursue with a greater setback at 65 feet from the bulkhead. NOW, THEREFORE, on motion by Member Dinizio, seconded by Member Wilton, it was RESOLVED, to DENY the relief requested for the inground swimmingpool at 60 feet, or less from the bulkhead, and be it FURTHER I Page 4 - A ppl. No. 4224 Matter of THOMAS AND ROBY GLUCKMAN Decision Rendered May 4, 1994 RESOLVED, to GRANT alternative relief for the inground swimmingpool at 65 feet from the bulkhead at its closest point, AND SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the pool area be open to the sky, without a building enclosure; and 2. That there be no lighting that would be adverse to neighboring areas; 3. That the fence be placed as required by the Building Inspector for safety purposes; 4. That there be no other land disturbance to or close to the bulkhead or nearby areas within 75 feet thereof, and that hay bales shall be temporarily placed north of the area under construction while construction activities are pending; and be it FURTHER RESOLVED, to GRANT a variance for conversion of the existing accessory garage building for sleeping quarters for family members only, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That there be no expansion in the existing floor area of the building remaining at the present size of 26 ft. by 48 ft. 2. That in the event of a future proposal to subdivide, the owners, their heirs, successors and assigns, and/or subsequent owners, must reapply to the Board of Appeals for continuation of the use of the garage as family sleeping quarters accessory to the existing residence and for an appropriate amount of land area and location of lot lines with appropriate setbacks to be applied for this proposed use (which would then be a modification to less than the 4.2+- acres and altered setback lines); 3• That the accessory garage building to be converted shall not be rented or leased; 4. That the use shall remain accessory to the main dwelling and riot a separate use; 5. That the accessory building shall be permitted to be used for sleeping purposes for family members; 6. That there shall not be any kitchen or cooking facilities; 7. That there be no further expansion without additional Page 5 - A ppl. No. 4224 Matter of'THOMAS AND ROBY GLUCKMAN Decision Rendered May 4, 1994 Board of Appeals approval. Vote of the Board: Ayes: Messrs. Dinizio, Wilton, Doyen, Goehringer and Villa, except that Member Villa is opposed to the pool location. This resolution was duly adopted. A A GERARD P. GOEHRINGER, C IRMAN SOUTHOLD TOWN BOARD OF APPEALS P O W O ip N S 7 7 ~ CO ,(tsar n P n W 1. . 1.t 4+ ~ O N If I II 1 e MC> 'L! t `C O I~t'1 ~ 1G w o .Ii } ulo p ul ~ `b H 4 ~r \C O ar ~ 6 - - - n -71 o o + I O Q+ 3 a -fi - ~ ~ g m m ~ o r A I , I.4" I 1 o m T p \ .....j ~ o . 3 X42 0 0 1 A } A - 4... CL cr o m D N Z m m f 1D o o o m O w o o q ° z A l f' c. n o o O O O LI y ri ~ 6 ~ ~ l :-1 < \ 7 b Z \ 1 D A ~ ~ ~ v 1 f1 S ~ R•r m p o a t, G O O ~ i n W 1 o ao S R' c'l t1 o Dc Z m O Z `C \ ~ o ~ r N ZNI G) O Q Ca C A aO~oQ m 0 o A o c~ s H w O m r w. Y O ' A a P 'k` R 7C -I Z Z r m z = > G) qz O O m Z Z 70 6- Ck -kb n c o\ • O \ x T a_ /~1 µ it a 1 o t s a i;l FORM NO. 3 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. AMENDED NOTICE OF DISAPPROVAL Date February 23, 94 ......................I9..... To David Kape11 a/c Thomas 6 Roby Gluckman P.O. Box 463 Greenport, Nev York 11944 PLEASE TAKE NOTICE that your application dated December. 30, 19 93 for permit to ALTER Ali EXISTING GARAGE WITH ATTACHED . GUEST . UNIT . . . . . . . . . . . at Location of Property 1350 WEST COVE ROAD CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Niap No. 1000 Section . 11 I Block 5......... Lot Subdivision Filed Niap No. Lot No. . . WITH A is returned herewith and disapproved on the following grounds A BUILDING . g NON-CONFORMING USE SHALL NOT BE ENLARGED OR ALTERED OR RESTORED NOR SHALL ANY EXTERNAL EVIDENCE OF SUCH USE BE INCREASED BY ANY MEANS WHATSOEVER. CHAPT. 100-241 (A) ACTION REQUIRED BY THE ZONING BOARD OF APPEALS. •••••.NOTE:•••AMENDS•NOTICE OF.DISAPPROVAL•DATED JANUARY 14, 1994. ....cBu' in ~ Inspector . 9 GA Y J. FISH RV 1/g0 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ) ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING /J[ ] FINAL / REMARKS: ~ c DATE INSPECTOR 76S-i80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION [ ] FRAMING [ ] FINAL REMARKS: t J DATE INSPECTORi 6w /67- M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST ROUGH PLBG. [ ) FOUNDATION 2ND [ ) INSULATION [,j`F'RAMING [ ) FINAL REMARKS: •~ie DATE INSPECTOR =1 'a IJ m FOUNDATION (1st) "Al FOUNDATION (2nd) _ 2. JJ f- z o ROUGH FRAME & PLUMBING m - Alz/ INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL 9 ADDITIONAL COMMENTS: x h x~ b H 9 a v H H O U, m a m 1 R f. BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS N OFSOUTHOLD SURVEY DEC .3i U~ B ING DEPARTMENT CHECK • • • • . TOWN HALL SEPTIC FORM ~~_Dv. EaL OU HOLD, N.Y. 11971 :)F SOLIT. HOLD EL.: 765-1802 NOT I FY f CALL tl JJ.-AU Examined .0 ,17 199 MAIL TO: Approved 7. 19~V Permit No. qo°l 3 Disapproved a/c ~A 4-wI. ( din ,ctor) APPLICATION FOR BUILDING PERMIT Date 1!~/z/,/...., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets o~ 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 :)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ,atibn. 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 ;hall 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 ,hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspectio s.-C~ o„~cy 1 G nature bf applicant, or name, if a corporation) c~,. 3aa~ t-\61 Gr r1Pa.<A..Jk-A-A..114 L.4.9 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. eT lame of owner of premises mc-.N . A-. . \\,~?b~ . (as on the tax roll or latest deed) f 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 . Location of land on which proposed work will be done. CoS.~~ e .,N y House Number Street Hamlet County Ta:- Map No. 1000 Section 1 AA Block Lot a Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed cons[ uctjon: 1 ~jR} {d(9~ 1 i, ni i r a. Existing use and occupancy `:.S 1•~-..... ~.':"r^ ~...CCJ~~??~~~r ~ T b. Intended use and occupancy J 3 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal Demolition Other Work l~"rr. ,yt~ i11.~ (Description) 4. Estimated Cost 3 ~,OV 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 mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear Depth Height Number ofStories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number ofStories 9. Size of lot: Front Rear Depth . 10. Date of Purchase I o. 1.:? 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 regraded Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address , . Phone No............... . Name of Architect Address Phone No............... . Name of Contractor Address . Phone No. 15. Is this property within 300 feet of a tidal wetland? *yes.. No......... *If yes, Southold Town Trustees Permit may be require PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions frorii property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. r (n SC mac: 4'Q Ckc. K TATE OF NEW ORK S'S OUNTY OF ...~Y-T. . e being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) love named. eis the ................ot e~.4 (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained. in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner set forth in the application filed therewith. vom to before me this .7~ ..day of 9`e. tart' Public, ~tt `~L Count ~g c _ FREDER!C1K=DES(iil MOTARY PUBLIC, Sta) of haw York (Signature of applicant) No. 6z-334640 Qualified in Suf,o!k Counri Cor,+mira;on iypires March 3J, 19 -~~W low LA t 9 ~ 1 . MI . _ 1'F2=rsPLUMBING ALL PWMeme mm A WATER IJNES NEED 4z. rJ _ I. ~~(I TESTING 9EFORE COVERING if copper tubing is-used j 01, for water distributing system; piping shall be qty' s'' iF: of types K w L onl 4~ y I POO p-4 PLUMBER CERTIFICATION ~ tf LL " °r w ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY a+ 4 SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF 1% LEAD. ZI(P ra °i. 2f•~b ~r~ .lt s,t 0 ~ OR ~LI 'La A4 11 RKyI..I ~ I ~ ~1~4'L 't6l Pact? Pig 6 ~rryra @ `F11L >x~~ VP,MYe~4~Br~ ~~~~tl9F@t~~3~ 4~ 13 G 190) AN 110THI + d ' r siERN Ti AT r r d5![;; ejrq TO N V';+fi FrV!"I THE it ~d3u;Yk)'-o-ltifa - lVIAW~ SQUIRED x Ftlq- -O 1 : ~+?~RrOr,C pr°EETE ~~'cIM h'(1FP~1 W lal=,~} Cg ~:~I„t ;Ts ' e'niC, , . ~F;,a p,9;rIC; s r'€UML1PNf, ' Fi-ti f(X~t=-.unr: . ~.'Nfr}I A+f .0 r7;~ h~1 ~q. - -.rdliP ~,J r~4Jd'B3~l dll'P ~T Ai.4. CON3;RUOTI00 SHALL MEET - :3E,-AIREMENTS OFp~ THE NL ±;TyTi_ "ONSTRUCTION q ENER,3Y Os7r'~E35. NOT RESPONSIBLE FOR - q~FsPi3o m1 c.nAV TRUCTION ERRORS UNDERIy nMCERNFlCATE REQUIRED E~CI~i i f't`EC,, 4x~. L~„ "ft ~Nlp{2~ GL ~dt~°rF_T L-~-~ WEtv.~ W'NEL_ .HVI'~~ lair=( VE1~1'I`„~rr<.. ~ ~C~IY;iITI('r~~l'JL T 1x11[7 L If^VPTC'~?'/ ~1 C.KT'~lA~ r6L ~"dfli Nr=G Gl,h GbIGIl.J ~y wkl wNl)w~F'~`~- ~,,hTh 'Y, a .E.'ASY.31' i;NEtV Y MY. f OF"flo-la~-JIFAUR OF ` t41YF, ~ ~IG~~~ sy: 'sMlnrt»r. IY M'.. _ +~fNYY. ~icf isrer NQTE? I REFER I.O'AMENIPEG MAP A QF N^55AQ POINT FILEO_N I' TWE SUFF. CO. CLE2165 Ci} -ICE A5. MAP NO, 1156, t ,I ' No2r QP PRQP~ TY + wes MAP r SUTZV'`(,p _Fb{7,, 3s~/ LOOP TIE LINE' i 0 4E}16756 .S.SP 39'SdE. 100.63 .r LU~1C I11V RopD 5.8909` CrrFLrNE) I67r I9 AN IQ2EGULA2 C i k REGULAR CVRV[ - ezo r C ezo'r) Z~ .0 NA55AU POi WI C ) i -r 56T ~a~A o~ I! a a w ~Pa J~ ~~I 2230 - 41, • k' J r rt: OQ r e r I I ' y!r Pump HOUSE / [G/ dC Ox ~CALE__ 50.1 o• MQW(JMEHT (7 V s\' HANG PUMP, ryP A 2- EA:4.2 AC. v, lM1"i ~ ~ ~CUNG. STEPS ! 4 I' N I r t r 1 Z o. 1 ~b q 5 0 U~ I 7 C,Up 2ANTEi o TG FIC~LITY NATI NAL TITLE 1.1.15URA_N_C_E_ (.0 A5 SI~2VE`tk.'- SET7T 13 Iq9' 11rmu1hmlzntlelmmXOn aretlyXgr. V~'-Y ~ / ~ bmb survey lea WOlaOon cl t - 9ectlm Y2olMma New YOdcbltln t'L .~'r0 EtlYCellon uw, ' ^r~~ckNE~Ap ~!ri~~fcl' I( '/F~~~i -I I~ir{ ~.r Ca l4 o ffib o• ~J~.1 zq 44 rM1elmtl wxrw~~l~ynnpx 4{ y X„5~ IOb ~Xd IXy Oy~gy~YlMccnw N OLYry~l1y ry' r maaHtlhenwn NeX mn y,1;~~~•r1 G I' omYbmepnmonMwM1am me Harvey) G~ C~rySF0 NY. weerm~cemtl.enaonNebenaXmme FOP DATA+ lC3pC}-! I-5 -2 - bntlNpr in~~,XOVemmunlol e0enry entl 'I ~ - b Ne assirc- - hereon entl ( ~ - - - _ . - WXan. CLCr- -'tlln0 instl~ medtlkq,~„ tabrebb , ownors F.ICfrE : /1 i FILED !h! - RE~FGr4 1-0 AIAENLiFG MAP A OF !~1n55A1, _P01"JT, TI { I '1+'Ic 51aF. CQ, CLEO1 S OMCE P~-,_IAAP HO 5G, M 16,P) OF PROPER -T cUfZ'JEYEG FGA t, 'vF V'q~ LOOP A / ' Q I 4 r n l\ `\I S 9JUG a ~ '~•,~l L....'..~ C._ f i, ~1 `a -1,AC• - _c'eIe LrnJE1 i6 IB WJE 167.56 TIE UNE, _ i I ~ C) BY QNC _ =SE~3950~E.i' 100.53 i , A T~ ~~~h EG V LAfZ ( 320 t, 2a 20._,n I NA55AU POil"I'T azQ r; 71 52r'SFE f F~ Co'~r/3P ~fN 0 .223.0 9 P' I; `O r pow D x~ OO to ' p'. i.. PUMP FIOU~ q I SCALE SU= I~ i. i; pa131£ ~ - El° r~CiPJLJMchJT al WnWO vuMP~, ~ A2EA:4.' / AL r I , t I vF,. - ~ ll_ i LA, IU III ~ , /COFIG S1EP5 i ~A. ~~qq y J y C~'A ~ T ~r~'cs- - O I ; CI ~ I I ' Z AIN x \ v °F apw: ~ X11 z 0 YY(iA~'Ni:E GUA,QANTEF6 TO PIC, EL.ITY NATIrJNF,L. ~ I FfI C Its= SEPT. Uneulbtlzetl altorellonwetltlWm 1 , / I3 19 to lhle survey lsa WOlahon ai of NFL, Semlon )2OM MG New y=am ! EtlutlIIm L9W, F is bid •~rulEwtl hill ~/,'7~ p G l•,F'~ ,/,;j1-\" F W;,' 1 K... Y e....+ Quelenby MAmbp M1errrsn eheA run L., PH. _ a xo ~sso^o ~ _ _ _ onNblM person h)whemlhe survey./l G - L v. ~sEO iaNV3.°' I i( bpammmtl'mtlm hie behell to the LLL+++~~~"' SU FF Cu TAXM_ AP DATA 1000 ~I pamr, povernmen!al egenryentl - lenalnplnslnv„ -y hc:uon entl lunon.Cb,--- .tumble q R>P ~e„•.y.pmMRea}+vcm^ ~Aq,°^^'-me^+rr; t -r < 5' Q 1 t r. J 77777 F r 77 ell ' - ?C 'tn4, kt l' ~ A * .VHF S t. t + P111 MBING '_I g" ' S i l ALLP.WNlMGYIO~$fE~, . LNMTEti LINES NEED az*~ ate'" r r e -'TESTWG 115 COVERING Ifeoppsi_tUbingIStned, K, kf. forwdter disc ibuting - ~1!~ I V 4 ~ V n gyit nr piping shell bs - of types K of l on 1. ' f ,Ir' 'rtr 1 ht, ~ ~ ~ y mod' sL rv PLUMBER CERTIFICATION x a ON LEA& ONTENT BEFORE CERTIFICATE OF OCCUPANCY f t M SOLDER USED IN YYATER i , ''SUPP&VSTEM CANNOT r EXCEED 2110 OF 1 % LEAD. !fir ~ i } ~w.Z 04 ~ _ USE: ORUSES IS UNLAWFUL pa"r? ~i WITHOUT CERTIFICATE pl, OF OCCUPANCY J y~q ' r y 11 Al NOTED G L'~nl'E. B:P 17 "i66 1802 w AM TO d PM FOR THE . FOLLOWING INSR4CTIONS; _ - - a FUUNL'ATION TIMO REQUIRED FU POURESI f CNCRETE - 'u, s ~k« 'FT~~~~'~~~~!(~`POUCH FRAMING & PLUMBING SR7NIr}} as 'T1= *ft} D LPLGI101W 40 .bets a '!NAO. C9NFxRVCTIONMUST _ OWOPCO F FOR C.O ALI. CONSTRUCTION SHALL MEET _ THE REQUIREMENTS. OF THE 'N.'t STATE CONSTRUCTION &; ENERGY x+!^', .I -IMF COOL-S. NOT RESPONSIBLE FOR - ' i 'DESIGN OR CONSTRUCTION ERRORS gNptA111011 MI IRCAIE RF,QUIRW 1> f~. j Fxf~ ru&- + rr ~l -fo. pM'ktN ~ Gtrw~t titE~~w#Ek HV H~Pr~vei~7~~t1 GaWrrrlNituG> Nry ~r~=r , r - i r -Of LET '6 $tVEt L L~`VATD~'/ ' EGi. EQtJJ~L r G4(a G~111Ki lb w$ wHt(~~~'~ ~3NS~ P ^v 771Q; 7