The URL can be used to link to this page

Home My WebLink About17127-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17387 Date OCTOBER 6, 1988 THIS CERTIFIES that the building ADDITION Location of Property 1605 NORTH PARISH DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 1 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Build ing Permit heretofore filed in this office da ted FEBRUARY 16 1988 pursuant to which Building Permit No. 17127-Z dated JUNE 20, 1988 _____ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECKING ADDITION AS PERMITTED BY ZBA #3715 AS_APPLIED FOR The certificate is issued to BERNARD & CAROLE KIERNAN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION A ~~ Building Inspector Rev. 1/81 n~osas xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 0 ~ 1.71.2 ~ Z Date .......~..~!~....... °~: ~ .............. 19.8. Permission is hereby grouted to: ..a 5~.... ~.4.~.4:SF::......1:~....~-t{!!c'~.-........... to ..4.r!?'!.`.:v^!!;u.4~....~.4:!`..^.:'.!^~... q:......~'..:.t.:~^°::....~.~F?~`~?......0`•OJ~~'ff,,,~'n,,,,u.,~.K~ 11 U ~ .!~....~`~.. ~. ~..... ~.~ f s.......... ......... ........t.................................................................... ~) ... r at premises located of ..~.~~ 5...........4.':~~...... ..K...~~?:........~~.?.o-'!".^.:.:!.:°`.' :.............. r County Tnx Map No. 1000 Section .~..~~~..~ ~......... Block ...... C`.?..~.....~1.. Lot No.....I.4? .............. pursuant to application dated ....~:'~r!!:.'~!'~:~-!~...,..~ ................ 19 a ~.., and approved by the Building Inspector. v ~ .~ Fee $..?.s ................~~~ i es ¢~ P.Og C.U~ l- o~ ~ ~ ~~~ Building Inspector Rev. 6/30/80 ,tn, ~"d °~~~. FORM NO. B TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CEFTIFICATE OF OCCUPANCY Instructions A. Thia application must be filled in typewriter OR ink, and submitted ~ la~a~ to the Building Inapec- torwith the following; for new,buildings or new tree: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S•9 form or squall. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and s'ilnilar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 19B7), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pYOperry showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or othurpertinent informa- tion required to prepare a certificate. 'C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy onpre-existing dwelling $15.00 3. Capy of certificate of occupancy $1.00 4.Vltcant Land C.O. $5,00 _ _, -_ S.Updatad C.O. $15.00 Date ., 9/1~,4,/$.g,,,,,,,,,,,,,,,,,,, ew u d ng ...x ......... Oid or Pre-existing duilding ............ Vacant Land Location of Property 1605 North Parish Drive, Southold, NY ~- '"" `"-- ....... ................................ Nouae Na Street • ............. • .Hamlet - - -- - Owner or Owners of Property ........~~rxLarst•.and..-C.ar41e, Kiernan, , , , , , , , , . , . , County Tax Map No. 1000 Section ...071-........ Block ... 9.1.......... Lot ... ~ 5 ..,.., .... r Subdivision .................................Filed Map No. ..........Lot No. ............ . Permit No. 7?1.277x... Date of Permit 5~8$.....AppliCantGarrett Strang; Architect. ... ... ...... ........... Health Dept. Approval ........................Labor Dapt. APProval ....................... . Undervvriters Approval ........................Planning Board Approval ..................:.. . Request for Temporary Certificate .....................Final Certificate ........ ,~C ............ . Fee Submitted $ . ... - - ......... . Construction on above described building and permit meets alt applicable codes and regulations. Rw. 10.1G7e ~.~c,• ~5$~5 (~ . C o ~ r "131 Applicant .................................................... GARRETT A. STRANG 'h1a~.e ~' yip GARRETT A. STRANG ARCHITECT MAIN ROAD, P O. BOX 1412 S OUTHOID, NEW YORK II971 516-765-5455 September 14, 1988 Mr. Victor Lessard, Building Administrator Southold 'Down Building Department Main Road Southold, New York 119'71 Re: Bernard and Carole Kiernan 1605 North Parish Drive Southold, New York Building Permit #171277 Dear P7r. Lessard: Please: be advised that my clients have decided not to erect the gazet~o, as shown on my drawings, in connection with the above permit. I respectfully request that the perrnit be amended to re- flect same. Enclosed is a completed application for a certificate of occupancy, for_ processing. If you have any questions, please call> Very truly you r. s, GAS/b Enc. Strang, R.A . eel .~ ~/ _ _. a 1°a77T. ~. ~11Li q ,y gp - .._- _. __ p~_ ` mP gp~_G+w~r._ ~ _ rq ~, ~, ter, f ~'ty~ C-._J 1 Ni+'L- - - .a' Vii', '~~: ~ ~ p~yy~,~~ ryry V J 1 1 _ _ _ ..~ ,\MQ I ~ ~. 1 ~ z ~ ~ ~DS.cz rsoav Fn,wo. strz€t7." w;ur F~~~ _~, m OAK. j i LL! '~ ~t.'' _.___. 1 ~ M - OFF /_ ~,\ ~~-----L_~ ~~ / •~\L i ~ ~~ 2 t ' ~ `" ~~ L_ ~ L_s NQRTN PP4f2f5k# f?~fY£ i ~. Q1:K CD. Tl~Cl+1iA,Fi TDES{Ca1Nl~TEt)Ai ~; ;.T.C17~,8LOCK1 0 ,~ 2.~~C-t~EcT44N517.Eb'1?f~ FG MEMt SSA t_EV~L,.1.;~~,.V.D. ~' ~~i1. RT ~~ lfr~~ n TOWty QF 3t~UFNOLC)~'~~.~~`=" "Ati `°s\ ~ a n '°4~r r t t y ~ } .a,ye ~~ < f ~ r i ~a { } /4 ~~. ~ ~ ~ J J ~~ ~~~ y ~ < ~~,~,444 y. ~CAL~ -rtG'= I' tea. ~, ~_!- ~N PIKE s` ''r ~=M.~t~i.JME1~iT 6M i, 3 .. + '., --f ~ ,~ ~ ~' ~ ~e wP_a. t tC~se - _ s~eru~s ~. '~ TFtE [1•~.LtF -TITLE fN'5U NC£ Cpr9 ~`/~t2;CK ~~ Ti , -- ~~ Z r LtC~N56_U LAAi Sl1~t r 1 `" 'lELD 'S: EC::iJ.i ~ IUAic ~ UUMMe.N"l:, w .. '~ . ro ~ m ~ 1 ~ ~ . H "~ - - - y t l ' FOUNDATION I1st) ~~ I FOUNDATZOIJ (2nd) - ~ - 2. z o . ~ OUGH FRAME & P ~ , -PLUMBING ' Z ~ y 3. ~ r~ ItJSULATIOP! PER N. Y. '~ STATE ENERGY f/ K C,0 D E x - v FIIJAL ~ 30 p _ ~ 'nom ~ p 3 ADDITIOPIAL COMMENTS: x pp 6 .K ca ' x •- ro H H H O z e i J ~• ~ C7 9 Z' • r H "" x ~ o. m -a H 1?~22~ ~~~ ass-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ l ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [v]~FINAL REMARKS: ~ DATE ~~ INSPECTOR --~--r ~1F~JuYPd~osit~t~.4EBi~~9~Qll~i0. E~g~tmgdtal~ Room 219, Stony Srook, NY 11794 ~' Gt)u~r 1~- A , ~'rcct Q~o•~x lyia ~~ ~ ~`~ol~~ I~`{~ l~ R ~ ~ Dear ~~, Cj'~y~~ x/88 AMY 2 ~ 1988 1~` ,~~ f ~b d `" l.J~ ~ Henry G. Williams \ ~ Commlasioner s~m-~loo~- o~t'b~ -15 A r view has be n made of our pr posal to: ~,QY~CU~ d~C~ aZ@b~ + Qlt~i~~mSS ,~~e ~ ((~.~n~`l~i~~ . ~~~~or~ g b~ ~ c~ c~ n~tv 9"a~e o information you have submitted, the New York State Department of Environmental Conservation has determined that the parcel project is: _ Greater than 300' from inventoried tidal wetlands. 1l ~~Landward of a substantial man-made structure ~yY~C~\~ ~J~l~-l'1~(~ greater than 100' in length which was constructed prior to 9 20 77. Landward of the 10' above mean sea level elevation contour on a _ gradual, natural slope. _ Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) _ as a use not requiring a permit or notification letter of approval. Therefore,.fio permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of~your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further responsibility of agencies. advised that this letter does not relieve you of the obtaining any necessary permits or approvals from other Very truly yours, D puty Reg na~t Administrator FORM N0.3 TOtiVN OP SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL Pile No . .................... .......... Date . ~rR.~^:':".'°.'n:`1 aS ........, 19 `.a. $ . . .. m. o.^.,:., ~~ .................... . PI,FASE TAKE NOTICE that your application dated ..~.-4~^:~:'^~"!`'a..g.........., 198b. . .. for pcm~it to construct .. ....... +... ~ ..~~. '~i0.''..~o. ~.~ %^."~'~^'~~ • • . at location of Property ..~.~?.o S.... JJ.u.-.~Q-.~.. ~.0.a.,-<,~:.~,~:...y5,~-,nw.l;Q,~.%-........ . House No. Streot Nar+~lF+ County Tax Map No. l OUO Scctiou ... 4 ~ ~ ......Block .....0.1 ...... Lot . J ~ ......... . Subdivitiion ................. Piled Map No. ................ eLot No. ................ . is rcwrncd herewith and disapproved on the following grounds ..cFP:-.Xf ..w~-.~.~r~rv+. ~~. "~f.9• l- C~~...~.~.. ~;.,~ . ~9-a.h..~ 5.~-~ ..~..w.w"~,-~... a- .~~.~ a;V..~,..~ cQ.~-'I, .~.c~r~ `~.'i - t ~.. ,.. ~,mss?.;~..r;~,..C~:~:~,,..t~-~.-~.~ .~-..~,~,.~.:..-~..G3.~~- - Building Inspector RV 1/IIO FOrIM NO. 3 TOFVN OP SOUTIIOLD BUILDING DPiPARTMENT TOWN CLERIC'S OI~f ICE SOUTIIOLD, N.Y. NOTICE OP DISAPPROVALp~ File No . .................... .......... Date . ~-aJ~^: ~.°J~`1. aS ....... 19 g. $ . . To S.7 anaa~ A~, Sxl,~.a"q. R:~:A:.Q/ ..~':y ~' ~ . !1MA^a ann V' •~ PLf:ASE "TAKE NOTICE that your application dated . ~.-9~^^:wa"'~.,g..... , ...., 198 $.. . for rcmnt to construct .. ~`1>"v-~' '~.... ~c~." 1 ... . 1 .......~ ... ' 1 y .. ......... ....~ .............. 1t Location of 1 ro ~c,rt 1 (00 5 ,~, ~ Q~~~ Yo ', Nousc Nn. Street Harnlrt County "i'ax Map No. 1000 Section ..~. 4.1 ~...... Block .....4.1.......Lot . J~......... . Subdivision ................. Filyd Map No. ............. , .. Lot No. ................ . is returned herewith and disapproved on the following [;rounds .~.~.~CT....~4c~.rv. ???t.'1/.9• L Cz~,..~..'c,Q.~;.,1. ! u-~9-~..'J S ~-~ . ~..4.~~. a• .4'"~~.~ ct~.-c~ ,..G~.~.-~. t f,Q~-'I, .~.c~~ ~.l - t 1. Building Inspector nv vco . _ oo~~FFOCk~D~ HENRY P. SMITH '~ JOHN M. BREDEMEYER, III, President ~ '~ john Bednoski,.;Jr, p S ~ ALBERT KRUPSK[, JR„ Vice-President '~~~ ~ .~~~~ BOARD OF TOWN TRl15TEE5 TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 March 25, 1988 Mr. Garrett A. Strang Architect Main Road, P. O. Box 1412 Southold, New York 11971 Re: Mr. & Mrs. Bernard Kiernan Dear Mr. Strang: TELEPHONE (516) 765.1892 MAY Z 0 ~:-~:~s Pursuant to your request for a waiver of the Wetland Ordinance for the above referenced, please be advised that the Trustees have inspected the property on March 17, 1988. The Board has approved your request for a waiver for the construction of a deck, gazebo, and stairs landward of the bulkhead. The Board declared lead agency on the remainder of the application. Should you have any questions or concerns, please do not hesitate to contact this office at the telephone number listed above. Very truly ycurs, John M. Bredemeyer, III President Board of Town Trustees JMB:ip cc: Bldg. Dept. HENRY P, SMITH JOHN M. BREDEMEYER, III, President John Bednoski,.;Jr. ALBERT KRIIPSK(, JR.> Vice-President BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 ~ " .<~~' ;ts Southold, New York 1 1921 %""~(~=~`f` ` ~ ' ` " °'', "£~ _ ~ il~ ,l"~ March 25, 1988 ;,~~' Mr. Garrett A. Strang Architect Main Road, P. O. Box 1412 Southold, New York 11971 Re: Mr. & Mrs. Bernard Kiernan Dear Mr. Strang: TELEPHONE (516) 765.1892 ~~ r ,u ~' ~° ~fy~sS~. ~ i';~' ~'~ Pursuant to your request for a waiver of the Wetland Ordinance for the above referenced, please be advised that the Trustees have inspected the property on March 17, 1988. The Boa1~ has approved your request for a waiver for the construction of a deck, gazebo, and stairs landward of the bulkhead. The Board declared lead agency on the remainder of the application. Should you have any questions or concerns, please do not hesitate to contact this office at the telephone number listed above. Very truly yours, John M. Bredemeyer, III President ~~ °- Board of Town Trust~S ~:> JMB:ip cc: Bldg. ept. ~~~ r ~ , ~ ~ ~ ~ ~ ~~1~ ~~~k~.. ~-~ ~ ~~.~ ~ ~p 0 ~~~._ -~~..._m~. ~. ~ /~ Q~ _aR" ~' ~~ Southold fFTown Board of Appeals ., MAIN ROAD - 5TA'i'E ROAD 25 SOUTHOLD, L.I., MrNyY~ 71 ~~ p P f~E pl 1809 11 ,IU(1 ACTION OF THE ZONING BOARD OF APPE ~,~9 Appeal No. Applicatic TO: 3715 ebruary ze, Mr. Garrett A. Strang, Architect as Agent for BERNARD KIERNAN Main Road, Box 1412 Southold, NY 11971 _ ant("s)1 At a Meeting of the Zoning Board of Appeals held on Matey 121988, the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section IXl Request for Variance to the Zoning Ordinance Article XI_, Section 100-119.2(6) for Application of BERNARD KIERNAN. Variance to the Zoning Ordinance, Article XI, Section 100- 9. or permission to construct additions to dwelling and accessory structure(s) within 75 feet of ordinary high- water mark along Southold Bay. Location of Property: 1605 North Parish Drive, Southold, NY; _ County Tax Map Parcel No. 1000-71-1-15. WHEREAS, a public hearing was held an_d concluded on April 14, 1988 in the Matter of the Application of BERNARD KIERNAN under Appl. No. 3715; 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 on the north side of North Parish Drive with frontage (lot width) of 155.0 feet and total lot area of 29,760 sq. ft. 2. The subject premises is identified on the Suffolk County Tax Maps as District 1000, Section 71, Block 1, Lot 15. 3. The premises is improved with a two-story, single- family dwelling with attached garage as more particularly depicted by town assessment records and Site Plan prepared by Garrett A. Strang, Architect dated February 3, 1988. 4. By this application, appellant requests a Variance from the Provisions of Article XI, Section 100-119.2(6) of the Zoning Code for permission to construct raised deck with landing addition at 40 feet, accessory gazebo at 35 feet, and secondary grade-level construction at not less than 37 feet, all at the nearest point from the highwater mark along Southold Bay [see Site Plan Drawing #SP-1 dated (CONTINUED ON PAGE TWO) DATED: May 12, 1988. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) Page 2 - Appl. No. 3715 Matter of BERNARD KIERNAN Decision Rendered May 12, 1988 February 3, 1988, and Drawing A-1 dated March 8, 1988 for all dimensions, elevations, size and shape]. 5. Article XI, Section 100-119.2(6) requires all buildings and structures located on lots adjacent to tidal water bodies other than the Long Island Sound to be ',set back not less than seventy-five (75) feet from the Qrdinary highwater mark of such tidal water body, or not less than seventy-five (75) feet from the landward edge of the tidal wetland, whichever is the greater distance. 6. For the record, it is noted that the dwelling structure as exists is presently nonconforming with'an insufficient setback at 64 feet from the ordinary h#ghwater mark, and 50 feet from the existing bulkhead. 7. Also shown on the maps submitted hereunder are stairs and stairway landings proposed northerly of the deck additions which are deemed not within the purview of this Board and are subject to review and consideration by the Southold Town Trustees under Chapter 97 of the Code of the Town of Southold. 8. In considering this application, the Board finds and determines: (a) that the dwelling as exists has a nonconforming setback; (b) that the variance in relation to the existing nonconforming setbacks in the area ~s not substantial; (c) that there will not be an increase in population density by this variance and accordin ly',no undue burden on available governmental facilities; (d}q the grant of this variance, as conditionally noted below, will not produce a substantial detriment to adjoining properties; (e) the practical difficulties are unique to the property and are not personal in nature; (f) there is no other method feasible for appellants to pursue other than,a variance; (g) in view of the manner in which the djffi- culties arose and in consideration of all the above', factors, the interests of justice will be served by allowingl,the variance, with the following conditions. Accordingly, on motion by Mr. Douglass, seconded by Mr. Grigonis, it was RESOLVED, to GRANT a Variance under the Provisions of Article XI, Section 100-119.2(6) of the Zoning Code in the Matter of Appeal No. 3715 - BERNARD KIERNAN forlthe construction of a main deck, deck landing, gazebo(and deck construction at grade level),SUSJECT TO THE FOLLOWING CONDITIONS: 1. No structures be located closer than 25 feet to the outer edge of existing bulkhead; L. The deck landing (if raised) shall be not; closer than 25 feet to the outer edge of existing bulkhead; 3. The decks and landings remain open, unroofed and unenclosed [as proposed]; 4. Any and all lighting shall be shielded to, the property; 5. Ground area near and around piles for st irs mud _pry.~`~ be replanted to aid in the prevention of erosion; °- 6. All structures shall be built in a manne .,.~ prevent erosion. 7. Construction of stairs and stairway land ~-~~;.~-:. •; shall be built in accordance with Town Trustee and i ~v~ ~~: I~ ~'; ( requirements, and vegetation shall not be adversely'a ec e . Vote of the Board: Ayes: Messrs. Goehringer,, Grigonis, Douglass and Doyen. (Absent was: Member Sawicki.)', This resolution was duly adopted. * * *~ `G~1fAR~P-UU-EFfTtTIVG~~~;~~ ~~ 5~ , -~{S°S FORM N0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ... -rGMR ~-.°..., 19 B Approved... ~y-:~?..,19g~.PermitNo./.~.~a7.~t-. Disapproved a/c . ~'.'?: `r .1 ~.~..... ll t ~ . ................. . w~.--a G` ~%~ .3 7/S~ ~~~ .............. ~,:~~ . x....11 ~\~ (Building Inspector) •`• Received .......,19. ~~ FE8 I ~ APPLICATION FOR BUILDING PERMIT Date , ,February 8 Iy68 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 o~i 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 llepartment 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 d;,~molition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building cod ,housing code, and regulations, and to admit authorized inspectors on premises and in buildutg for necessary inspe io __ Signature of applicant, or name, if a corporation) Garrett A. Strang R.A, P.O.Box.1412 Sout~iold, N.Y. 1197.1 .... ................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ...........................................?>F'~hite~t........... ................................ Name of owner of premises ...Bernard & Carole Kiernan ................................................................ (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. Not Selected Yet Plumber's License No ~, ~~ ~~ Electrician's License No . ............ ... .... . ~~ ,~ ~~ Other Trade's License No . .................... . 1. Location of land on which proposed work will be done . ................................................ . ..,.,.~1v,~5 ,„.,.,,.North..Parish.Drive.., Southold .................................. House Number Street Hamlet County Tax Map No. 1000 Section .... ,071, , . , .. , , , , Block ....... ~ ~......... Lot ..... ,1.5 .......... . Subdivision ..................................... Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existingusrandoccupancy Single Family Dwelling +d1+"1le:i s;,f1$,^~'t; ........... ..... ~k(6s" k4`E'1+~ $9 r:P~":: Jd',`.:i3~t °(. qt ............ . b. Intended use and occupancy Same ::i+:'srcb~ ~~=9 .................................. :..:>,.1f t ~i~14~s:, .,r ±+rtfki7pN,;~i~ .. ......... . .... - r '• err r; t*a ~a+.,-a.~. 3 •~retge..e-a•iY0°a I 3. Nature of work (check which applicable): New iiuilding .....'..... Addition .... X .. , , Alteration ........ Repair ..... . ........ )~~emoval ..... , ........ Demolition ........ , .....Other Work ............ . $ 36, 000.00 (Description) 4. Estimated Cost ......... ........................... Fee ...................,................, ~! `' (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~n e , , , . , , . Number of dwelling units on each floor .............. . If garage, number of cars ... . . .................. . 6. If business~commercial or mixed occupancy, specify natures and extent of eac type of use ............. ~...... , 7. Dimensioris'~ ;f(CZ Isting, structures, if any: Front ..... ~ 6 ~. , .. , , ,Rear ... ~~ ........ , Depth .. 6 6 Height ;' . ~ ....... Number of Stories . ~ ~ ~ ~ • ~ • • ' ' ' ' Dimensio'rs f sa cture with alter,'ations or additions: Front E~ ~ • 9 Rear . 6 ~ ~~ • • Depth . ., . ,~. ~ .'~~, , Height . , ..... ~? . • • , Number of Stories , ~ .1.~ ~ ~ • ~ ~ • ~ • • 8. Dimensio ' f.entire new coNnstruct(gi~: Front ............... Rear . ~a.,.,.,.,_ ~~ll44FF~~ ..............Depth HPiaht „m~kmF 'Ct~,;AO 9. Size of to • ' oft":.~:... J,~.S 5:?°f..... Rear ........ 144.•.$ :....... Depth ..1.44•' -220..... , ... . 10. Date of Purchase ....... . 11. Zone or use district in whicl • ~ ' ' ' ' ' ' ' ' • • • • Name of Forme Owner ... . . . ........ . ,premises are situated ..... ~~ A,~~.' , R e s i d e n t i a 1 " " " " " " ' ... 12. Does proposed construction !violate any zoning law, ordinance or regulation: Yes ~ ~ ~ ~ • ' ' ' ' ' ' ' ' ' ' ...... ....................... B 14. Nameoof Owner o fpremisese s ~ ~ • • ~ ' ' ' Will excess fill be removed from premises: X Yes N •••• I„Kiernan, ,,,,,,,,,Address,Pla,inview N; Y. phone No. 433-0873 Name ofArchitebt $,trang„•,,,,,,,,,,,Address,Southol~d 765-5455•"~ Name of Contractor ..... .... ' ' ' ' ' ' ' ' ' • • • • • • • • Phone No . ... . ........ . . ...............Address ....................Phone No............... ~,. PLOT DIAGRAM Locate clearly and distinctly', all buildings, whether existing or proposed, and, indicate all setback dimensions fror property lines. Give street and block number or description according to deed, and show street names and indicate wtSethe interior or corner lot. SEE ATTACHED ! STATE OF NEW YORK CO[JNTYOF....Su,ff?olk,,,,l, S.S Garrett A . Strang , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ................... ',.......Architect.............. ~, (Contractor, agent, corporate officer, etc.) ~ • of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements co{~tained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manjrer set forth in the application filed therewith. Sworn to before me t is i 25 b ............ .~. ...day Hof .. ...., 19 Notary Public, ~. .~... . , , County--- Nowt Pu61b, StaAte'of Nwv York ...... . Na 46796061 ' _ QuelNted in Suffolk CoumY _~ (Signature of applicant)