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HomeMy WebLinkAbout24103-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25512 Date: 02/02/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 775 KNOLLWOOD LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 6 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 1997 pursuant to which Building Permit No. 24103-Z dated MAY 6, 1997 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 ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to CHARLES P. LUSTENRING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-94-0083 01/21/98 ELECTRICAL CERTIFICATE NO. 17916 11/05/97 PLUMBERS CERTIFICATION DATED 09/18/97 PECONIC PLUMBING & HEAT. —,--4 f- Z�� Bu' ding Inspector Rev. 1/81 !'0RX N0. 2 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? 24103 Z Date .......... ...5/....................... . 19iz Permission is hereby granted to: .. f.�... .. �........ . 5��.............................. to .. . ......... . ....«.� - . . ... .. .... .. y.... . ...... ... ... :. .. . . ... ...... ... .. .................................................... ................................................................................................................................................................ at premises located at..........;72- . ........ ..^..... ..... 1� . .........J,..1� County Tax Map No. 1000 Section .....,( „1....... Block ....I?............. Lot Na. .................. pursuant to application dated ............... . .......... .... 67 . ................, 19/../.., and approved by the Building Inspector. Fee ......... ............ . ........................ . ........... ...................... Building Inspector Rev. 6/30/80 M (2 Form No. 6 U L5 TOWN OF SOUTHOLD JW 2 2 W BUILDING DEPARTMENT TOWN HALL � BLDG.OEP765-1802 T. N F S UTHOL 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 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. 6. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25c 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.001l,,pCommercial '$15.00 Date . . .//v7 . /f.'?. . . . . . . . . . . . . . . . . . . . . . . . ew Construction. . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . ,ocation of Property. . .E . f. . . .!`:/VoL�t�4o.�. . Llan/Fr. . . . . . . . /14:771.! 7t c.A N'�. . . . . . r• House No. Street Hamlet rower or Owners of Property. .C, �.'?'4 .4=.-S . . �;/� S, ,l, 4 ?r'!.��.�!�. . . . . . . . . . . . . . . . . . . . . . . . . .ounty Tax Map No 1000, Section. . . 657. . . . .Block. . . .4.1. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 'ermit No., . ,103.7-„ • ,Date Of Permit./�J :Y � ��1r.?.Applicant.,4.� � .�a!`. 5 . .. . lealth Dept. Approval:�p'.µ: (, ,! �.�. • . . . . . , ,Underwriters Approval. . �..f�/✓`~./l7. . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . Y . . . . . . ee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 . . . . . . . . . . .�, . . . . . . C-a_tC2 55�� APPLICANT Z< Sf�4ti OG Town Hall, 53095 Main Road N Fax (516) 765-1823 P. O. Box 1179 0 Telephone (516) 765 1802 Southold, New York 11971 �° +0v OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: A43� Building Permit No . � ( 03 owner: 1-1 n IXL q- L (please print) Plumber: �L°GprIIG ��U177�lN�'r ���fT//Y� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (PluhtbJrs Sig ture) Sworn to before me is day of 19 ` Notary Public , _ �TO rVO jG County : ARA STEPNOV S.J �GQ GpC, 7 Pub:,c.State of New York flj.C;CT4344752 Cii2li cd in Sufs31k County ;.;sion Expires Sept.30,ICI ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 17916 DATE: 11/5/97 APPLICATIONNo.ONFILE PILLAGE: Mattituck TOWN: Southold ADDRESS: 775 rnnllwnnd Lana ISSUED TO: Lisco Construction INTRODUCEDBY.• W.E.B. Electric LIC No: 4682E was examined on 1115197 and found to be in compliance with the National Electrical Code LOCATION: Base.. XX 1st zx 2nd 3rd Attic Det.Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES I HEATERS FANS G.F.I. AIR.COND. 14 24 14 4 DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKE DETECTOR 30 Amp 20 Amp. 40 Amp. 4 outlet FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERMEDISCONNECT 3-f 1 METER A0 OSPHASE 1 150011 OTHER EQUIPMENT Outside,Res. 1-hood 1-20 Amp. water pump 220v -- - ZL Ht, S. SURDI PRESIDENT BUILDING PERMIT No. This oertificate must not be altered in any manner Inspectors may be identified by the¢credentials BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE �it/OLL,K/DQD L.�4N�" N 7 "y7:E :2 •Z 7' /V SIR -57/�'r��iY OSeD LaNGs LE{tq'Y 9GiA I� L9 Lf r 519 BLDG.DE�'7. �N f w y c¢,.. �f�WN OF SQ"�3a!©l..D:. ��_�.._ `AW W4V V~/ 44W,frWAOO'- .4rri� T '�r LO i✓• Y• o4,Pox-0"W iWO/. ,o/. V. 0,e*AVdtlerr,�re�.y���vr6,��w ��yrye� r �y0�i1LE/�f�fuc�D.�rcElo. A , F, W/. 05/05/1997 14:38 5167347702 DEBORAH DOTY ESQ PAGE 01 DEBORAH DOTY ATIORNfiY AT LAW 670 WEST CREEK;AvEMJE P.O. BOX 1181 CUTCHomm,NY 11935-0876 FAX sa-7344 02 516.7346648 FAX LEEEg DATE: May 5, 1997 jJ�N MAY _5 1997 TO: Jolty Boufli s, Building Department f�' TO 8 FS OUTOLD DG.DEPT ; FAX #: :516-765-1823 FROM: Deborah Doty RE: Charles Lustenring 775 Knollwood Lane, Mattituck, NY (SCTM # 1000-107-") TOTAL NUMBER.OF PAGES INCLUDING THIS PAGE 5 - If you do not receive all of the pages, please call this office as soon as possible. MESSAGE: Dear John: With reference to the pending application for a building perntit, please we the following 1994 demrmination by the Southold Town Zoning Board of Appeals. 1M12ni 7: TM QifOAM wm cwr,%Nw RI TM FACMU Z TION M MM=a by A LAW OMCM AND MAY COMA94 INFORMATION WMCK S fAWQRGKD AM OR com m inn-Tas QmamATm u Yfl>vlDfa 0D8•Y FOR In Uig OF TO MrMUAL Olt COMPANY NAMM AlON6. IF YOU ARE NOT Tm INiLND m RtClfmr OR ADIYMP=n OK AWNNZWOMM3FOR AKLIY) M TM TACiVLa TOT=VaV00 UCr=r NjANitADVWWTHATANYUNA1TlROW==0NMT='=S"nUn N,D OWCO/Y1NCOFTAKiCOMNUWATIONRP"BMn=AND 05/05/1997 14:38 5167347702 DEBORAH DOTY ESQ PAGE 02 J f FOLK APPEALS BOARD MEMBERS � � Southold Town Hall Gerard P. Goehringer, Chairman 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 James Dinizio, Jr. Southold, New York 11971 Robert A. Villa "�1 a Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD October il, 1994 Abigail A. Wickham, Esq. Wickham, Wickham & Bressler, P.C. Main Road, Box 1424 Mattituck, NY 11952 Re: Appl. No. 4263 - Mary Ann Lahmann Dear Ms. Wickham: Attached please find a copy of the Board's determination rendered on October 5, 1994 pertaining to the above application. Please be sure to return to the Building Department to obtain your building permit (and other agency approvals which which may apply) For , your convenience, we have provided the Building Department with a copy of this determination for their permanent recordkeepwg and update sines the issuance of its Notice of Disapproval. Also, due to the proximity of this project within 500 feet of a waterway, State Road, or County Road, we have transmitted copies of this Town file to the Suffolk County Department of Planning as required under the County's Administrative Code. Once they have finalized their review and forwarded their comments to our office, we will transmit a copy of the same to you for your update. very truly yours, Inds Kowalski Clerk, Board of Appeals Enclosure Copy of Decision to: Building Department (Attu: Thomas J. Fisher) Suffolk County Department of Planning 05/0511997 14:38 5167347702 DEBORAH DOTY ESQ PAGE 03 APPEALS BOARD MEMBERS Southold Town Halt raerard P. Gcehringer, Chairman 53095 Main Road Serge Doyen, Jr. 0 P.O. Box 1179 James Dinizio, Jr. Southold, New York 11971, Robert A. Villa yl' Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 gOARD.OF APPEALS TOWN OF SOUTHOLD ACTION OF THE-BOARD OF APPEALS Appl. No. 4263; MARY ANN LAHMANN. Variance to the Zoning Ordinance, Article XXIV, Section 100-244B for a review of a single-and-separate search and determination that the Town will recognize this substandard lot as a distinctly separate parcel for the purposes of zoning. This is not a subdivision project and will be only- a determination pertaining to a non-merged or merged status. Location of Property: 775 Knollwood Lane, Mattituck, NY; County Tax Map Parcel No. 1000=107-64. " WHEREAS, a public hearing was held on September 7, 1994, and all those who desired to be heard were heard and their testimony recorded, and several persons living in the area voiced opposition (please see transcript prepared under separate cover for reference); and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises In question, its present zoning, and the surrounding areas; and WILEREAS, the Board made the-Iollowing Findings of Fact: 1. By this application, appellant seeks a determination for approval or recognition of the subject lot. The survey submitted under this application was prepared by Anthony W. Lewandowski, L.S. last dated June 18, 1994. This subject lot (referred to as "6") has a total substandard lot area of 12,427 sq. ft. and road frontage of 124.27 feet along the southerly side of Knollwood Lane, Mattituck. The property Is bounded on the north by Knollwood Lane, on the !west by a private right-of-way identified as 1000-107-6-21, on the south by .a substandard lot identified as 1000-107-6-5 containing approximately 3/4 of an acre in size preexisting the zoning regulations, and on the east by lot idents God as 1000-107-6-7 also containing an area of approximately 3/4 of an acre. The subject parses (6) is vacant land; the westerly adjoining parcel (21) is a right-of-way consisting of a described area of 20 ft. by 100 ft.; the southerly lot (5) is improved with a single-family dwelling which preexists the zoning ordinances; the easterly lot (7) is also improved with a preexisting single-family 05/05/1997 14:38 5167347702 DEBORAH DOTY ESQ PAGE 04 eF.�ge 2 Appeal No. 42�., Decision of MARYANN LA LMANN Regular Meeting of October 5, 1994 dwelling. All of these lands are situated in the R-40 Low-Density Zone District adopted January 9, 1999- Immediately to the west along lot 115" and near the subject parcel (116") is another separate parcel (wnsisUng of approximately 3/4 of an acre referred to as lot 1141 , also owned by Mary Ann Lahmann, which is improved with a dwelling constructed in or about 1966. The described parcel 1121", or right- of-way, separates the subject lot ("G") from the most westerly lot (fIVI) 2. The Article and Section of the Zoning Code, added in the amendments of January 9, 1989, under which this application is being made read as follows: Article XXIV, Section 100-24413: "A nonconforming lot separately owned and . . . not adjoining any lot or land in the same ownership at any time subsequent to (the effective date of this Article] may be used, or a building or structure may be erected on such lot for use, in accordance with all the other applicable provisions of this chapter, provided that proof of such separate ownership in the form of an abstract. of title showing the changes of title to said lot . . . and shall contain a certification that no contiguous property was owned by an owner of the property involved since the date of the previously applicable Zoning Law.'. . 3. proof has been furnished by the owner in the form of a single-and-separate search ' prepared by Commonwealth Land Title Insurance Company dated April 21, 1994, which shows that the owner, Mary Ann Lahmann, acquired the subject parcel ("6") from liar Husband, Walter A. Lahmann, Jr. with its present lot size, as described in deed recorded November 7, 1990. In' 1976 Walter A. Lahmann, Jr. acquired that property from Rosalie Lahmann, who acquired the property in July of 1962. The record shows that the subject lot (6) was acquired by ' 'separate ownership prior to 1957 when owned by jointly by Robert 'Ii. Preston, Robert Muir, and A. Kenneth Monsill, and that each of the surrounding parcels were in different names continuously since 1957, although each had, and appear to still have, an easement across parcel 21 referred herein as "right-of-way." Prior to 1957, zoning was not existent. r 05/05/1997 14:38 5167347702 DEBORAH DOTY ESDI PAGE 05 Mui r. 3 - App(ml No. 4�--J i)ccisiun of MARYANN LAIIMANN Regular Meeting of October 5, 1994 4. l-or the record, the Lewandowski survey does indicate a proposed building envelope for a future principal dweiliug structure to courorm to the minimum zoning setbacks requirements under Article XXIV, Section 100-2448 of the Zoning Code (and/or compliance with Future requirements (if amended) Iu effect at the time of the building permit application>. 5. The substandard lot size is found to have been created prior to zoning in 1957, and the current zoning may not prevent a continuing preordiitance right. There is indication in the record that the property was kept in diverse owners, in order to preserve valid nonconforming plots. Nor is there any evidence that the properties were ever used in conjunction with each diher or that one lot materially ecnlianced the value of another except to utilize the rights of access of parcel "21" (right�-df-way). 6. Based upon all of the above, it is the determination of this Board that the lot referred to as 1000-107-G-6 is recognized as a single-und-separate lot from 1957 to the present date, as certified by the title insurance search prepared by Commonwealth Land 'Title lttsucance Company. 7. It should be known that the hoard is making this determination relying solely upon the accuracy of the single-and-separate search submitted under this application and the referenced deeds. In the event of inaccuracy or error found in the search which may show common ownership with another parcel from 1957 to the present time, a new application and hearing will be required, at any time in the future, to consider tine new evidence. Accordingly, on motion by Member Villa, seconded by Chairmati Goehringer, it was RESOLVED, that the Application for MARY ANN LAHMANN under Appl. No. 4263, be and hereby is granted, provided the rules and regulations pertaining to new construction upon substandard lots or tlus size at tice time of issuance of the building permit be followed pursuant to law. Vote of. tine Board: Ayes: Messrs. Doyen, Goehringer, Dinizio, Villa and Wilton. This resolution was duly adopted. Jk 11Y -------- GERARD P. GOEI RINGER, CLIA MAN G 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 'c"e, �{ 6se-11 A9_w��� _ - DATE INSPECTOR BUILDING DEPT. INSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ J INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: D DATE _71311377 INSPECTOR T65.1S02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ 'ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ VI FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: ••L+. C12�.. � /.JAY s DATE / S f INSPECTOR Gr/�CO� X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION �"ING(IU-,4� 1 I 1 FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� INSPECTOR G� M-18" suauiNa DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: J�j DATE q14? IN8PECTOR T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ � FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C C DATE INSPECTOR, e i i r -� i d�;� BOARD OF III:AI:1'll . . . . . . . . . . . . . . . FORM No. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIA1.1, SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: / �J CAi.I. . . . . . . . . . . . . . . . . . . 19�! ,Lv (�; . . . . . . . . . . . . . . . . . . . . Examined. �S `'7 '� !' MAiI. TO: . . . . . . . . 19 Permit No. � P. Approved. ��.., j ��t �r)�� �t .................................. Visa roved a/c A�- ................i. ..................................... ............................ .... L.....T`11���rJ/J.r17y, 11 (lung 1nS11eCLOC) • APIAR FOR ilU(I.DTNG PERMIT Date.�14 . . . . . . . . . iNSTRUCTIONS a. 'This applicatidnl nest he carmpletely filled in by typotriter or in ink a(xl sidxnitted to the Building Inspector wit _3 sets of plans, accurate plot plan to scale. Fee according to schedule. h. Plot plan Meowing location of lot and of lx(ildlings on premises, relationship to adjoining premises or public streeLs or areas, and giving a detailed description•of. layout of properly must be drawn on Lite diagram wllicl� is part of Ibis application. c. 'ilw work covered lry Luis applicaliom (fly not, be canmenced before issuance of Building Permit. d. l)p(nl approval of this application, the Buildirl, Inspector will issue a Building Permit to the applicant. Such permit shall. be kept on the premises available for inspection Lin-oup)iout Lite work. e. No Wilding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of (k,.cupany shall have been granted by the Building Inspector. APPLICAIWI1 IS IEREBY MWJE to lute iuilding Department for the issuance of a Building Permit pursuant to the Building Z(x)e Ordinance of Lite Town of Soul-llold, Suffolk Cdxlnty, New York, and other applicable i.aws, Ordinances or Regulations, for Lite constriction of Wildings, additions or alterations, or for renwal or demolition, as herein described. 111e applicant agrees to comply with all applicable laws, ordinances, building code, lxausing code, and regrulatiois, arxi to a(lnit authorized inspectors (xl premises aml in b4d](ling for necessary inspections. !S�..G��! l.:.Gvf� ?:.................. (Signature of applicant, or name, if: a corporation) (Mailing a(kiress of applicant) 7��`f State w1leUler applicant is owner, lessee, agent, architect, engineer, general conLractor, electrician, plumber or Wilder G�-.c.N.�P.h ..�P sw.a? �P. .....................................................:................. Nave of owner of premises .. ..N!......G � �. V 5�G it R,1.�................................................... (as on t.lie tax roll or latest deed) If a14)licant is a corporation, signature of drily nutlx)rized officer. (Nene and title of corporate officer) Builders License No. .. !9>�9 3 0 ........ Plunbers license No. ...7.G'.'s.�.............. Electricians License No. ..�P 7.. ....... Other Trade's License No. .................... 1. location of l a(xl onwh i clh proposed work wi l 1. be done..`-� /s . .....`.......o o.c7. 4 ......................... ............................. ...,... ... .........................`, ( v v�......` ............... (louse N(nber Street +7 Winlet County Tax Kip No. 1(X)0 Section .../d./•...... Ill(ck ...��......... loL V�............ ScIXIivisicnh ...................................... Filed l't No. ............... Tot ............... (mine) 2. State existing use and occupancy of premises arxi interKledl use aril occupancy of proposed construction: a. Existing use and occupancy ........................................................... ............... Bv,LDo 0t -. �rh9, , �,`1 Dom. eLLi�U_ b. InLe(xled use arxi occupancy ............. ..................................... ............. 7. Ntlme of walk (clk:(:k ►d1idi applicable): Nc.1j Ik)ildillf-, .... tuklitiofi ........ .. AlIeratioo .. . .... It/I)1 i . ............ Italloval ............. Ika1►oI i 1.ioo .. ... .. ..... Other 1Jo1 k ......... ........... . ..... . . ... Q (besc:ript ioxo) /1. I:s 1.111111 t L41 U)s 1: ..Y.�<�o.................. . rix: .... ... ... ....... ... ................ ..... ..... (lo Ix! paid cm filing this appliraticx)) ,,��// :i. If ckvlIiol;, ►xui)er of cA.relIing units ......... .. lltnrbxer of AA, lIiol; lmm ifs cellch floor .�.�� -.Q .(. . .. If garalse, lumber of cars . Q R.......... ................. 6. if: Imsioess, cotimercial or mixed oc:calprllx:y, specify IulLllre alxl extent. of each type of use................. ..... 7. Ointensimo of existing sLr►►cturen, if any: 1?ccml ... .r:-=:. .. ... Mat. .. .... ......... Depth ......... ...... . Ik:igllt ........ .............. Rather of Stories ....... . .... ......... I)imensiox►s of scree stn►r_h►re with alteraticros or mklitioos: front .... ........... Rear ... ............ Dept II .................... lleil)rt: Mmlx-r of Stories .. ....:........ i If. Uiuxansicros of entire new cxmstructiom: Franc ....`............ . Itt:ar ...?tl�.'. ... Depth .RRS>........ r Ik i1;1►t .... ................. M,d)er of Stories . . ..:5!.....`....... . i '). Size of lot: Frcmt ............ Rear ..�a :'?.1....... I1Lplh .add.............. 10. Hata of 11►rcliase ..... ............. Mine of Former t)w1►er ........ . ........................... ... If. L.00e or use district in %Add1 premises are situated ........................................................ ..... 12. Wen proposed cxxlslrtxaion violate any timing 111w, orclionn►ce or regulation: .!v40.................. 13. Will lot be regraded ....yid,:$; ......... Will en-.ens fill lie romno)ved Fran premises: S 7' Ili. Nimes of (Inver of prani sea G NAR E-S ,L vS70w9,' ,4 AoklresN�Q 3: �.. 5../.`......... 1�xxt.•.�INc-r�7�1F^�zl��' .13 thti Mame of Architect .../.......................... ...... Address ......... ..................... lime No. ...... . .... N:mle of Cxxifractor .fa�SOG-o�vS/•.. .............. lkklress�o�tP1!!1 ,�4vYos.P�4T.tti(.-Y- mone No. h. is this property within M) feet of a tidal m0ancl7 * YI?S .......... NC) ..... .... *11? YIDS, S(Itrllkjl) 'IX)WN 'Iitl)SIL'sS I'l-OHIT MAY Illi Ill:AIII'(lil). PLOT 1)1 AGRAM locate clearly and distinctly all lx►lldings, whell►er existing or proposed, mxl irxlicate all set-hack dimensions fro■n prolrerty lilies. Give street aril block nni)er or descripticm accoroling to (k-ed, aril allow street.' rumea and indicate %Awtlwr interior or corner lot. S A-77,cf C fil'A'113 M Nli Y(AW, IJIAINIY O ...... .. .... ........... K/x E=/l C [= 1j/ S v j per- .. .... .. ... ....... . .... .................. .. ........ .. ..lWillil dilly mxmi, delx►ses aid Nays that Ile is the :11)1)1 ictlnt (Raw of imlivichu►1 signing coutr-1cl.) nlxrve l)ftllx-ml, Ik! it; Ille .... 6........... ....... ..... ..:.. .................. ...... .................................... .. UmiLracLo , ngeot, corlx)rote officer, etc.) ol` nnid owotir or owlwr , nx) is duly Nrllh0fi7.(NI to Ix:rfolnl or have lxmforlled file nail w)tk noxi to naoke arxi file titin -1111ic:al.iou; 111111. fill Nl.fItU10.?111N colltailX41 ill thin -11)1)1icntinn rite 1.1m. to [lie bent: of Isis lotowledge mill lmilietf; aoff Ihnl. the work will. Ix- Iterfomed in the oummr set forth in lite application filml therewith. ikA)ll► lot Ixcforc! nil: (Ilio .. . . . ..CLI- . ....day of .......1<�..� �.. (:iil;n-1llue of Aplil ic•rmt) NDA COOPER Notary Public,St a of Now York Term ExD res December 31, 19ty' w r ZZ•S SUFFOLK COI M DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OF CONYMUMON 1POR A 51NGLE Y RF3IDENQ ONLY DATE O c�rErycsro NOV 5 - 72m 0 AAV 4fAVr,::20r APPRO FOR UM OF4�BEDROOMS P,�ios,,.,✓�ir,� � EXPIRES THREE YEARS FROM DATE OF APPROVAL 1�Caropr�+wo 'x� ij } Approved in accordance wit Board of Review EXCAVATIONFOR SANITARY SY EM v. R �/AOZLWO G�/S� determination dats9 3 h� y BY HEALTH DEPAR TENT -t ,3t4 «,r;�; r•;� SUBJECT TO COVENANTS&RESTRICTIONS U8E U 4 PA Qp ul Umji.And alteration or adOW to No aurvey is a%4dadon of p \ Seedon 7208 of dN Nm Yak rile -' �6 D LA p p Edumdon law. LEW ,�,.- 6�► 8G 0 the WW r.awn.r © O� 9 ti ./ � � f3ueArwa.M�MwwfillilM # � tiny b 8>.rtaalMMalNlrr«nlgr arrn8l88�fllfaflil8 ` taadtfiddnalin:lr/oneet■l�llflt �p 0�►� + ,�•4 /QZ4<L7/ • a�wira �NtW '� 1, /S�TE':/ylEr¢,�,(,PEM�it/l4�t�''1H/BG�iY/'✓EL[t�F.�dd'OC -'9 0SEI�7r/G P,hI?r+y1C��OABerNaT6'v9RTia. 1=9 �� ' saey�'EOF�.E=Ci�iP�Clf�rEN•l�W�i , [�Iegr�ew .Diir/ r7 �'aerorsiY. ���� CUA.P�4NIEEOTo•L�//�CIE>se��,��"/Y�itYt �'OA1.�!'JNIYF✓d1J�iS/I�Q�YO 446�%6,eW 4 Iric/A/��/.P•9•YGE�✓ofWX f>NDiagT6 CGlVG ,da, _ -,--,___--- � --- ----- __ `' ,4s/lH�WYyV•LF��it/G+ost�,('% SCALE•/'"=�' /YosE� L�gjyO,fu�YEYcG� A1E��ot/G/y� ��i✓iW6 f�Ve7e<�CeNyibaG�'�''K"�.�Y�J1�/�.lf> d/VLF�y DTi'XER/✓/tE/✓G1E0 $O�C.tIyB •�i��Apv��a�/}jog - pcot.K i . 13 D f ti. 4Z 0 � a - ah a -.57 F,1' as1 SERVICES 1Yfw.. �(}(}���� .�....��....- ..,._. 1' r�6 d`D SMO Gf'� LEIt. aGq � spec:,, ,_" , �'-. s, r .._ ,�+ ,;�,:�,9 ts � � �y �• �q,�� G��. Vi{II:G G��o „f i t FJ•,r�p u •"R'i�fi �"^s'Ir(IY I °R Ncw v 0 .aarv�sy,�ae�G.,y, .etas<</11'�F" IWIVG Wh/,�1��'Y`driY.�NG�SMII r�ov AMreTo •�•vv.��"Y� OF 10 LI& ,7&A .s4-f!// ow ����rYT,�E,P ro �•�,�.�„ � L.�.�r�ti�2i c��f��N�1/7�c/dt/c'�+LTii/�i�iYO 71'1LE��f�fL�FF�iVCE�d. .PE•✓i�a0 �'�'�t.��Loc, /���� ftar�•vp.�►�pti Laa✓ft�yJq/f,9�, Jrcq� 11-11-4111,40�/ �C /Dioa-/D7-ad-dG BOARD OF IIFAI.TII . . . . . . . . . . . . . . . Ft1RM No. 1 3 SETS OF I'I.ANS . . . . . . . . . . . . . . . TOWN OF SOU HOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPAR'1741iNT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN IIALi, SEPTIC FORM SOUT11O1.1), N.Y. 11971 TET,: 765- 1802 NOTIFY: �j� l4 _. (:At.]. . . . . . . . . . . . . . . . . . . I'xanirhecL.. 44; .., 1911? —. MATT. TO: . . . . . . . . . . . . . . . . . . . . Approved..-/ .�0.., 197,//7Permit No. � _. Ar11' Disapproved a/c .................................I. .................................... F ........................................ACATION nspector)APIR iIII11.DING PERMIT [� Date. .! ./"Z�. . . . . . . . . , 19!. (.. 9'7 iNSTRUCTiONS a. 'Ibis application mist be curepletely filled in by tytxtwriter or in ink anal solmitted to the Brhilding inspector wi 3 sets of plans, accurate plot plan to scale. Pee according to schedule. b. YIoC plan slrowing location of lot aril of Imhildings ori premises, relationship to atljoining premises or public streets or areas, aril giving a detailed description of layout of property nest lie drawn on the diagrrm winch is part of this application. c. lbe work covered try tris application rcry not be cumhtenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issue a Wilding Permit to the applicant. Such permit slhall be kept on the premises available for inspection thrrxugltont the work. e. No Wilding slhall due occupied or useol in h.Arole or in part for any purpose wlhatever until a Certificate of Occopaocy slhall have been granted by [lie fluilding Inspector. AP19.iCNf10N 1S 11ME111Y ME to [lie Iluilding Department for lite issuance of a Wilding Permit Pursuant to the Ikrildirhg Tate Orlinance of. the Tam of Soot. hold, b&hfl-olk Coxnly, New York, aril other applicable laws, Ordinances or Regulations, For the constnuctirn of lnildings, aoklitios or alterations, or for removal or denolition, as herein described. Mlle applicant agrees to comply with a]I applicable laws, ordinances, building code, {rousing code, m-Al ret;ulal ions, aril to admit .nutrorizecl inspectors on awl awl in Wilding for necessary inspections. �.I So GdN,Sl.:.GvR� .................. (Signature of applicant, or name, if a corinraLion) -Pa 0 1 b J t1 n a 6 N, t /J � ......_....`... �..._...... (Mai l ing xklress of. applicant) 1/47`f 7 State rdheLlher applicant is owner, lessee, agent, architect, engineer, general contracLor, electrician, plrnber or Imilde ................C.�`.'.G.N.r'Q 7?�;..4.P.:4?.A:'?ra: P.t2....................................................................._. NareoFamerofpremises .. !N ^'.Eliit� ,_V,S�GN {? IN�......................................... ......... (as on Lite tax all or latest deed) If applicant is a corlhoration, signature of (Inly rnullx)rize(l officer. - �--4.;`a' .. ...... ....... (Nue aril title of corporate officer) Iluilders license No. �S ..9el3 ................. Plunbers license No. ...76 3 .................. Electricians license No. ..Y!J�- 7.. ....... Other Traders License No. .................... / I. incation of larxl al wlniclr prothosed work will. Ile done.. ✓` �5.... w°D (- tsNE L�N.oLLwo.`.'D...�-.h.". - ...............rl 1'"� ` ( v�� r4 -/ ................ ...........,............................... Ilouse Number Streetrr�� Ilainlet Crxnty 'TaxKip No. 1000 Section ._.fid7...... It Iock ...QA......... lot 10!��........... SuIttlivision ........—.......................... Piled Kip No. lc)t ......... (Name) 2. Slate existing use aril Occupancy of premises anxl intetxled use arnl occupancy of proposed construction: a. ExisLing use aril oactip ncy ............................................................................. PLD Ot40 t-Fm.o- , ��[ D eLLI,-dU.. B w b. Interxled use aril Occupancy ............................................................................. 7. MWIlle of walk ([Ixe(:k 1.111[11 alh)li(alhle): Nu Iklildinl; `!., ..... A(klition ... ..... .. Ikryrlir Itmmal Allertiion . . ... .. . . . ........ .... . ............ Ikmnl i(.ioll 011ier IJl)ik .. . ... o (Nk?scripl:ion) �I ES1111Y1LLYl 0)-it ..Q�t o0v.e�..- . -_ KKX f1:(. .. . ... .. . ... .. . ..... .. (111 Ix: lucid ou filhq; this appiicatiou). . .•• i. If (ka-Alioll, ixuber of d4elling units . .. .. . .. .. tknlx:r of thmlliol; 111111s ou each flout 1f garalle, instiller of care ..�. .Q 1�...... .. .. . . ... ........ . .. G. II' Ixlsiuess, (Nnrmer'cial or mixed occulmo y, slx:cify nature film] extent of each type of use...... . ....... ... . .... 7. Il iuxi11s i IN"; of existing structoles, if ally: viout.. . .r=. . .. . .. 14,111- .. Ik:illlt NemLer of Sl.ones ...... . ...... .... . ... Dilrc?nsions of stone s(turture wish niteratio)s or ixklitions: Front Itear .. .... ... .... .. :1)l 11 .........:.......... Ik?il)r( NrdN:r of Stories ..... .:........ It. DlxCtasio us of: entire rxv co lstnxa:iou: I"I out ...T��....••-.• Iteenr .. `? Depth , ................. Nmd)er of Stories . ./• TaQ� ,,// .. ... ...... . .. . `J. Size of lot: FrrNIC ..I 'Y. .7 hear ../a4 .2,1,. ,-, ,, IkpU1 - IOd .... ......... . IO. 14)1e of Hlydiase ,-...-............. 1J111C' of Fonller 0.411er If. Z(mie fir use disl:rict io wlddi praxises are situated ..... ... ... . . .......... ............... .... .. .... . . . . . .. . . . 12. IN)es 11101)n[te(1 roustnrti(xl violate any uxlinf, llxa, ordinalx:e or regulal:ion: 17. Will lot lie rept-mled ....Y.e'V ......... Will ew!el;s fill lie rair)ved from preamises: YIDS t[) N;uC?fi 11f ()ater of premises GH�aIiLE� L(/S/8'✓RivG /vklress�¢3: ✓ �� 5� /�ief//�O� 111cxm /� LYf- . Mmr? of Ardlilect ........... ............ ......... .... A(kI cess ... . ........ flK)IW_ N). N;nle of Cx)nl ractor ..E./.SO LONS/,. ................. 7, tone tJn. 7•���3��$- is (his prolx!rty within 3(X) feet of a octal wetAmid? * YGci .... .. .. N) ... ....... *Ili YGS, S(A/I1111O 'I1AM 7NI1SIL3S l7ilwl' NAY Ili luplf(ED. PLOT MAGRAN ]Ax-ale clearly and distinctly all Imildhigs, w])elher exisl:ing or prolx)sed, soil ilxlicate all set--I)ack di[neusions from prolx?rty lilies. Give street: anal block nnixer or descriptioi according to (it-"], alxl show street lames alxl intlicale -xAwt1wr iolerior or corner lot. S A'�AC &10 z> SvoO v 51'A'lti (N� N1J Y(M(K, SS (]AIIJIY (N ... ... . ..... . .......... . . .. (11:11xof i .lm.li.vi.d.ll.al nil ing colq . . r..a.cL... . .. ... ... .. . .. . .... .Ix:inl; duly [mann, delx)ses and says that he is the applicant. pplicnt. ? gn . ) .hive luded, Ile it; the .... . . .. .... ........... ........ . ..... ...... ..... .. Qxlt'acto , agent, cur-ilimite officer, etc.) of acid (x-nm�r ur (Mml; , int is duly milhor iz[:(I lo Ixerfulm or h:rve Ix?r(i)Ffied the slid woek mxl to mcike olxl file Ihis ;IIIpl i(!lll.'1111; Illat IIII st,al ilvuln contiflued in (Ills ;11)1)1 '"ll 1(111 ;Ile I.1 lx: IO file b0fil: of his kolmirvlge 111x1 IN?I lf.l� ill Nl !11111, the work will. k- llen rfomed in the Ilvallo:r set: forth in file appli[all:ion filed lllerewitli. !1A1111 l(1 Ixann: $,1 thin / n [ X: ... .d;1y of Lf� ta.. .. ... 19..7. 7. . N)Ialy I11blis .. �: Y�-(�1..�(9:-�s[�-L.-c (Sil;nallne of Applictlnt) -.... Nota LINDA.).COOPER Public tate of NflW YorNo.4822568SSuff�k C uDk�� Term Expires December 31, 19____ EG,2 Z•6 P SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES r1�ViCKi/d(/ Dir vLa vuy PERMIIT FOR APPROVAL OF CONSTRUMONI POR A SINGLE Y RESIDENCL ONLY a• 'cc9ycr� DATENOV 5 - T Y' IfAV�'�rcur APPRO 7' — FOR IJmOF.BEDROOMS EXPIRES THREE YEARS FROM DATE OF APPROVAL jwrvpstlwp 17 =determination cordance wlt Board of Review EXCAVATION INSPECTtO REQt!„ Ib ��Nt datad. FOR SANITARY SY TEM k/VOZZAVO D G _ BY HEALTH DEPAR ENT 9i O ;.f✓. /o /t;" 7/'* `cZ.,/Z71 SUBJECT TO COVENANTS&RESTRICTIONS LIGE /0 d� PAGE_ 2C r1 f�oop 6x�7/� 0 Unaur.prized alteration or add don to Na survey is a violation of ESWUM duct on Law.dnwarYarktida '6O LANA w c\ mes«dawilwleitM�laiY�lM vG �.�'�• LEkgyQA meeapW�w4m O O OI 1CA I r p Guo*M MdWW VAIM"M onybloom* iM�lwMai� r vray.ad..ir«r wtwlr�� a o o ��1� � tldaaorrprry pMawrOrwlwNl f 6 (-•Iw Ux baa NII ` l4 b add d"indE 110M V♦YGM /Z L7,, aarw� Ncw YO a Fi za•,� �3J/'y7' fX�,�o j /•bTE:i3f�s(QEiNdsvT4,,gE-1�y�E,y�.vEus�P.�we�oG• _ Q fE/fj� PJy�'���KO'ARcNa76•�'9R,r•�TL<i0. v � SU.¢YEYEOFbe C/S�I���Eg L�/'JrE/✓�/�/ , hb��� LGtGgT/GW/h(•4Tl/Tul A,7//o.� /T.XaCort�3� LEf6R�O G GUiYQiONTEEOTo•L°.f�iRCGE3�.�.�SYC�Y,P/ .�L'oA/.�tyYxYCTHLQYO �__ •lNDia9TE CoNG 6 ,� —T --- >•-- ---------_ - __ I .4NTf/GL✓Yl'�GL�'fii9iYLi��W,('% SCAGE/"��' /Yo>B�.�Q,kvt�/N6 Y✓C!L C / LAiYO.�t•�YEYG� lE•�ot/L/y�?=�' � �d/�•��w��yoricvice> VN eJ.f�.Pir✓�tEi✓aTEO Bor•{!•f/8 9 •�'Y/,16g A.o,PiG L�Ip9g �UJ02=41 AV 44. 7o00P".eet/� -' .. 1111 --,. 1111.._- ..v ::. u.- „r.r,: s- 1-111: -- •._z Y. -._�*m axr,.,, v.p;r.. - -.,,"'-,a:fTnYl 3*"a'S, w >s'i.. 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