HomeMy WebLinkAbout29600-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29959 Date: 01/13/04
THIS CERTIFIES that the building ADDITION
(aka 706 Brown St)
Location of Property: 375 BROWN ST GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 48 Block 3 Lot 22
Subdivision Filed Map No_ Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 19, 2003 pursuant to which
Building Permit No_ 29600-Z dated JULY 24, 2003
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 SECOND STORY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
PER ZBA #5305 DATED 6/5/03 .
The certificate is issued to EVERETT C & MELISSA J CORWIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1165460 11/24/03
PLUMBERS CERTIFICATION DATED 01/06/04 BERTSAND PLUMBING & HEAT
1
Autize Signature
Rev. 1/81 hor
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)
PERMIT NO. 29600 Z Date JULY 24, 2003
Permission is hereby granted to:
E CLARK CORWIN
706 BROWN ST
GREENPORT,NY 11944
for
CONSTRUCTION OF A SECOND FLOOR ADDITION TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR PER ZBA #5305; PRIOR TO 2003
at premises located at 375 BROWN ST GREENPORT
County Tax Map No. 473889 Section 048 Block 0003 Lot No. 022
pursuant to application dated JUNE 19, 2003 and approved by the
Building Inspector to expire on JANUARY 24, 2005 .
Fee $ 150 . 00
AI
Authorized Signature
C�
ORIGINAL
Rev. 5/8/02
jilt\fir Ri k=,4tJ
FORM NO.6
° TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 — 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted a 0� to the Building Inspec-
tor with the following;for new buildings or new use: i
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 equal).
3.Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957); Non-conforming uses, or buildings and "pre-existing"
land uses:
1.Accurate survey of property showing all property lines, streets,buildings and unusual natural or
topographic features.
2. 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 other pertinent informa-
tion required to prepare a certificate.
C. Fees: Additions $25 .00 POOLS $25 .00 ALTERATION $25 .00
1. Certificate of occupancy New Dwelling,$25.0.0, Accessory -$ 10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50 . 00
3. Copy of certificate of occupancy $ 5 . 00 , over 5 years $ 10 .00
4.Vacant Land C.O. $ 20 . 00
5.Updated C.O. $ 50 . 00 Date . . .j.�. . . .�. ® . . . . . . . . . .
New COns tructi on„� , Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . .
Location of Property . � P j . . rn !ri J. . . . . Ue ar.+. . . . . . . . . . . .
House No. y d � Srreet � } Hamlet
Owner or Owners of Property . . . . . . V . .I. . I�� � .i/� �.d . . . . . . . . . .
County Tax Map No. 1000 Section . . . .V. . . . . . . Block . . v, . . . . . . . . Lot. .;�. �. . . . . .
Subdivision . . . .j. . . . . .. . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . .Lot No. . . . . . . . . . . . . .
Permit No. ).'f.�?9 ate of Permit a.L(Q. Applicant . .
Health Dept. Approval . . . . . . . . . . . . . . . . . . . . . . ..Labor Dept. Approval
Underwriters Approval . . . . . . . . . . . . . . . . . .Planning Board Approval . . . . . . . . . . . . . . . . . . . . . .
Request for Temrary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . .✓\. . . . . . . . .. . . . .
Fee Submitted $ . . . :?!. . . . . . . . . . . . . . .
Construction on above described building and permij meets all applica fe codes and regulations.
A(p�pl�icant . p . . .`? UCAAL/-.��
. . . . . . . . . . . . . . . .
Rev.10-10-78 ti`''- .�. I Ci
06/1012003 10:16 6317659064 ZONINGAPPEALS$OARD PAGE 01
APPEALS BOARD MEMBERS �$11FFQ(+1'
�® �d� Southold Town HaII
t.ydia A.Tortora, Chairwoman 53095 Main Road
Gerard F.Goehringer to 7e P.O, Box 11.79
George Horning; `r) �. Southold,New York 11971-0959
Ruth D. Oliva y�! $a�! ZSA Fax(631)765.9064
Vincent Orlando Telephone(631)765-1809
http:ilsoutholdtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
June 10, 2003
By Regular Mail and Fax Transmission 477-2101
Mr, and Mrs. Everett Corwin
706 Brown Street
Greenport, NY 11944
Re: Appl. No. 5305 — Variance
Dear Mr. and Mr rwrn:
Enclosed please find a copy of the Zoning Board of Appeals determination
regarding the above application.
Please be sure to follow-up with the Building Department for the next step
in the zoning review and building permit application process. Before commencing
construction activities, other agency approval(s) would be necessary. An extra
copy of this determination should be :made available when submitting final
drawings and any other required documentation to the Building Department, This
will assist the Building Department in its final review process.
Thank you.
Very truly yours,
Linde a K w Iski
tolosure
Copy also furnished 6110103 to:
Building Department
=7 nv ZONINGAPPEALSBOARD PAGE 02
2PEAIS BOARD MEMBERS m Og>JpFO(X�,
Southold Town Hall
Lydia A. Tortora.Chairwoman 53095 Main Road
Gerard P. Goehringer 69 ae P.O. Box 11.79
George Horning 4 ' Southold,New York 11971-0959
Ruth D. Oliva ZBA Fax(631) 765-9064
Vincent Orlando Q� Telephone (631)765-1809
http://southoldtown.northfork
BOARD OF APPEALS RECEIVED "
TOWN OF SOUTHOLD 4,vo Rfx
FINDINGS, DELIBERATIONS AND DETERMINATION JUN 10 2003
MEETING OF JUNE 5, 2003 (:• Southold�1, 61 VvB,
Appl. No. 5305 — MELISSA CLARK CORWIN Town Clerk
Property Location: 375 Brown Street, Greenport; Parcel 1000-48-3-22.
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under
consideration in this application and determines that this review falls under the Type II
category of the State's List of Actions, without an adverse effect on the environment if
i
the project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's 5629.58 sq. ft. parcel has 50 ft.
frontage along the north side of Brown Street in Greenport. The property is improved
with a one-story frame house of approximately 735 sq. ft. in size, and detached
accessory garage in the northwest comer of the property, all as shown on the March 5,
2003 survey prepared by Joseph A. Ingegno, L.S.
BASIS OF APPLICATION: Building Department's November 26, 2002 Notice of
Disapproval, citing Sections 100-242A and 100-244, in its denial of a building permit to
construct a second-floor addition and alteration to the dwelling with a setback on a single
side yard at less than 10 feet and less than 25 feet for both side yards.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on May 15, 2003,
at which time written and oral evidence were presented. Based upon all testimony,
documentation, personal inspection of the property, and other evidence, the Zoning
Board finds the following facts to be true and relevant:
AREA VARIANCE RELIEF REQUESTED: Applicant wishes to construct a second-story
addition to her existing home, maintaining the existing easterly side yard at 4.6 feet at its
closest point. The westerly side yard is existing with variables at 10 feet at its closest
point and 15 feet to the west side of the foundation (exclusive of existing stoop or shed).
REASONS FOR BOARD ACTION: On the basis of testimony presented, material
submitted and personal inspections, the Board makes the following findings:
1. Grant of the relief requested will not produce an undesirable change in the character
of the neighborhood or a detriment to nearby properties. The applicant has proposed to
expand this one-story residence by adding a second story, with the same dimensions as
the existing footprint. The overall height of the building will be increased by eight feet,
raising it from 16 feet to approximately 24 feet in height. The neighborhood is a
_ bol rb;]�Ub4 qui rli iac,n�.rtiLanur.ru rr,aC ..�
Page 2—June 5,2003 V
Appl.No.5305—Melisss Coewin
48.-3-22 at Greenport
developed residential area with other nonconforming parcels and buildings of similar
size. The addition of a second floor to this dwelling will not adversely change the
character of the surrounding neighborhood.
2. The benefit sought by the applicant cannot be achieved by some method, feasible for
the applicant to pursue, other than an area variance. The applicant cannot create the
living space necessary for the family's needs without the construction allowed in this
variance.
3. The relief granted is not substantial. The expansion of the building will be over the
existing first floor footprint, and the total building height after completion of the new
construction will not exceed the height limitation allowed by the zoning code. The lot
coverage will remain (presently about 14%).
4. The difficulty has not been self-created. The lot and dwelling sizes are
nonconforming, and the applicant has chosen to increase its size in height rather than
expanding at the sides or rear.
5. No evidence has been submitted to suggest that the proposed additions will have an
adverse impact on physical or environmental conditions in the neighborhood. The lot is
located in a residentially developed neighborhood with numerous nonconforming
buildings, without any outstanding environmental issues or concerns.
6. Grant of the requested variance is the minimum action necessary and adequate to
enable the applicant to enjoy the benefit of a second-story addition, while preserving and
protecting the character of the neighborhood and the health, safety and welfare of the
community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the
balancing test under New York Town Law 267-8, motion was offered by Member
Goehringer, seconded by Member Tortora, and duly carried, to
GRANT the Variance as applied for and shown on the plan prepared by R & R
Home Improvement dated 10-18-02 and with a footprint shown on the March 5,
2003 survey prepared by Joseph A. Ingegno, L.S.
This action does not authorize or condone any current or future use, setback or other
feature of the subject property that may violate the Zoning Code, other than such uses,
,a 3—June 5,2003 .
hppi. No.5305—Melissa Corwin
48.-3-22 at Greenport
setbacks and other features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Tortora (Chairwoman), Goehringer and Orlando.
(Absent were Member Horning and Member Oliva.) This Resolution was duly adopted
(3-0)•
Lydia A ortora, Chairwoman—Approved for Filing
61 103
)�Q;o�FFui y
Town 1[all, 53095 Main Road y 5e Fax (5 16)765-1823
P. O. Box 1179 Telephone (516)765-1802
Soulhold,New Yoik 11971
` r ifff _
20
OFFICE OF THE BUILDING INSPECTOR 9
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: January 6 , 2004
Building Permit No . 29600-Z
Owner: Everett & Melissa Corwin
(please print)
Plumber. : Bertsand.Plumbing &-.-Heating, Inc.
(please print)
I certify that the solder used in the water supply system
contains less than 2/1-0 of 1% lead.
(/Plumbers Signature)
Sworn to before me this
6th day of January , 2`00
Notary Public, Suffolk County
L3fffln�LnrndnzPEjj nrPLJ M
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, IVY 10038
CERTIFIES THAT
ISO
Upon the application of upon premises owned by
G &S ELECTRICAL CONTR. MELISSA CORWIN 1
P.O. BOX 215 706 BROWN ST r7
SOUTHOLD, NY 1.1971, GREENPORT, NY 11944 5
Located at 706 BROWN ST GREENPORT, NY 11944
Application(dumber: 1165460 Certificate Number: 1165460 C
r5 Section: Block: Lot: Building Permit: BDC: NS11
5 Described as a Residential occupancy,wherein the premises electrical system consisting of
�5 electrical devices and wiring,described below, located inion the premises at:
5 Second Floor,Attic, 5
5
5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was
found to be in compliance therewith on the 24th Day of November,2003. 5
Name QTY Rate Rating Circuit Tyne
C5 Alarm and Emergency Equipment
C Sensor 1 0 Carbon Monoxide
5 Sensor 4 0 Smoke
Wiring and Devices
}C Receptacle 14 0 General Purpose
5 Switch 9 0 General Purpose - 5
Fixture 6 0 Incandescent 5
�5 Paddle Fan 3 0 5
Receptacle 1 0 GFCI
5 5
S' seal
I of I
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
I�n����rn��I�n�ls�u�rr��n��n�s���n��
Applicant( Date.
Owners Name: L.- ��i r� � :�� Reviewed
Architect/ Date
'Engineer: -14 1 Submitted
SCTM #: ��� �� z
District: 1 000 Section: 131ock: 3 Loc a�
Project L Subdivision
Name:
# Single 8 separate Required
ceruf-I lion: Yes/Na _
Rte, RN.
Ion+ng Distriq: tAbIl,ot siec: p "' - .Actual: '�1 Er@--� II_ot cuvcragc YropoxeJ_
Req. R Req
(I=ron(Yard Proposed: Proposcd: i, (Rear Yard Proposcd'_
Project Description: t0�j all,
� � �� J � �
AGENCWERMITS oL Permit
REOUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval: 03
Town Planning Board approval:
Flood Plane Elevation
Flood Zone:
Ofe
5 3 o_
ENERGY CODE CALCULATIONS CHAPTER 5 SECTION 501
Detached One and Two Family Design Criteria 5750 Degree Days
(For Non-Electric Heat) Zone 11B
For: 1 yerf // C�ar wen Per: C R —
$,own S/}ec _ . -
�1 te_. n 4 4t�i Dated: /® 8 701-
DESIGN CODE DESIGN CODE
SUBSYSTEM AREA °`U" "U" UA UA
LSA
Exterior Walls LI?Z/3 ®./D�t� 0.14
ty 8, �r
Ceiling Roof 6 g 0.030 0.031
Floor Over Unheated Space 0.05
Heated Stab On Grade 6.5
Unheated Slab On Grade 43
Basement Wall 0.1
Crawl Space Wall 0.06
NOTES: /O 9. / /3 .2 a
Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage
Building Envelope Systems to meet requirements of Section 501
The mechanical systems and equipment including:
HVAC Equipment,HVAC Systems,Duct Systems,Ventilation Systems and Insulation of Piping Systems.to meet
requirements of Section 503
Service Water Heating Systems&Equipment to meet requirements of Section 504
Electrical&Lighting Systems&Equipment to meet requirements of Section 505 0y
To the best of my knowledge, . t
belief, &professional judgement,
these plans are in compliance �� O ESSIVL4
with the code.
1
LAWRENCE M. TUTHILL
PROFESSIONAL ENGINEER
P.O. BOX 162
GREENPORT, N.Y. 11944
(631) 477-1652
July 24,2003
EVERETT&NIELISSA CORWIN
706 BROWN STREET
GREENPORT,NY 11944
To Whom it may Concern,
I inspected the improved sanitary system at the above premises. I certify that the
sanitary system meets the code for the second story addition.
incerely,
�.
Lawrence NL Tuthill,P.E.
r " �
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FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: November 26, 2002
TO: Melissa Clark (Corwin)
375 Brown Street
Greenport,NY 11944
Please take notice that your application dated November 25, 2002
For permit for a second floor addition and alteration to an existing single family dwelling at
Location of property: 375 Brown Street, Greenport,NY
County Tax Map No. 1000 - Section 48 Block 3 Lot 22
Is returned herewith and disapproved on the following grounds:
The second floor additions and alterations to an existing single-family dwelling, on a non-conforming
5,663 square foot lot in the Residential R-40 District, are not permitted pursuant to Article XXIV
Section 100-242A,which states;
"Nothing in this article shall be deemed to prevent the remodeling,reconstruction or enlargement
of a non-conforming building containing a conforming ase,provided that such action does not
create any new non-conformance or increase the degree of non-conformance with regard to the
regulations pertaining to such buildings."
The single-family dwelling has an existing single side yard setback of+/- 5.2 feet and a total side yard
setback of 19.2. That setback will be maintained as a result of the addition and alteration. Therefore,
the additions and alterations are not pursuant to Article XXIV Section 100-244B, which states that on
parcels, measuring less than 20,000 square feet in size, rewire a minimum single side yard setback of
10 feet and a total side yard setback of 25 feet.
Total lot coverage o + - ercent will be maintained.
A ignature
CC: file, Z.B.A.
Note to Applicant: Any change or deviation to the above referenced application may require
further review by the Southold Town Building Department.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUND TION 1 ST [ ] ROUGH PLBG.
[ ] FO DATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ]
FIREPLACEA CHIMNEY
REMARKS:
r
DATE INSPECTO
J Gam ® i
765-1802
BUILDING DEPT.
INSPECT!®N
[ ] FOUNDATION IST R GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS• C�
DATE INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST j ] ROUGH PLBG.
[ ] FOUNDATION 2ND j ] INSU
[ ] FRAMING INAL
[ ] FIREPLACE A CHIMN
REMARKS:
DATE I INSP
FIELD INSPECTION REPORT DATE COAMENTS
9
FOUNDATION(1ST) 3
�C
ern
FOUNDATION
z
_ o
ROUGH FRAMMG&
PLUMBING
s
s � �
INSULATION PER N.Y.
STATE ENERGY CODE
s
FINAL
ADDITIONAL COMMENTS
Z.
m.
H
vl x
ty
BOARD OF HEALTH
'• :^'.r».*tt J} 3 SETS 0F/PLANS �- • • -
FORM NO. 1 SURVEY . J1 .
•',: ,..i;8,=0.« h�R TOWN OF SOUTHOLD CHECK -
BUILDING DEPARTMENT SES M� . . . . . . . . . . . . .
ff
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971 CALL
TEL.: 765-1802
/q MAIL. T0 :
Examined . . . . . . . . . �✓. �y�3
Approved .. . . . . . . . . . .f '�Z�4( v,,-�Permit No. .a�
Disapproved
. .
—'Y 51ti
(Building Inspector) .
APPLICATION FOR BUILDING PERMIT2c70'2-
Date
'2-
Date . .C)C+:.3c) . . . . ..> .
Lo INSTRUCTIONS'
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with?
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 street
o� areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant}
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th¢
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o:
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc
admit authorized inspectors on premises and in building for necessary inspections.
R & R Builders, Inc.
. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
PO BOX 555, Greenport, NY 11944
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .
Name of owner of premises . . • Everett & Melissa Corwin
(as on the tax roll or latest deed)
If applic rs a corpo ure of duly authorized officer.
. . . . . . . . . . . .?v?t'-tea. .`. . . . . . .
( me and title o corporate officer)
ALL CO TRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . . . .1 3301•-HI• • • , , • , • , , .
Plumber's License No. • VanEtten Plumbing & Heating
Electrician's License No. - G & S Electric
. . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
706 Brown Street, Greenport
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . : . . . . . . . . . . . ..
House Number Street Hamlet
County Tax Map No. 1000 Section .48. . . . . . . . . . . . . . . Block . . . . 03. . . . . . . . . . . . Lot . . . . .??. . . . . . . . . . . .
Subdivision . . .N/A . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . .N!A . . . . . . . Lot . N/A. . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy • , , 1 . Family Residential. .
. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . .
b. Intended use and occupancya
F
1 mily. Res. . .idential. .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
X
3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . • . . . Alteration . . . . . . . . . .
Repair Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . .
(� (Description)
4. Estimated Cost . . . . . l�.���. `��. . . . . . . . . . . . . . Fee . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling,number of dwelling units . . . . . . .I. . . . . . . . Number of dwelling units on each floor . . . . I. . . . . . . . . . .
If garage, number of cars . . . . . . . . . . . . . . . .N.//^. . . . . . . . — . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . .
7. Dimensions of existing strictures,if any: Front . . . . .'>ti'. , . . . . . . Rear . . . .3�'. . . . . . . Depth . . . . . . . . . . . . .
Height )In'* ��. . . . . . . . . . .Number of Stories . . . . . . . .°. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions .. . . . . . . . . Rear . . . . . . . . . . .
Depth . . . . . . .2 y `. . . . . . . . . . . Height . . . . ...`.a. . . . . . . . . . . . . . Number of Stories . . . . . . .. . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . . . .3C%`. . . . . . . Rear . . . . . . 3.:.'. . . . . Depth
Height . . . . Z. 5.. . . . . . .Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9. Size of lot: Front . . -. , ' r. e:.f. . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which premises are situated . . . . . . _:' i .... . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: .. . . . .
13• Will lot be regraded . . N9. . . . . . . . . . . . . . . . . . . . .Will excess fill be removed from premises: Yes No
Everett Corwin . Address .?06 Brown St; • .Phone No. 477•=9474
14. Name of Owner of premises . . . . . . . . . . .Corwin . . . . . .
Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
R & R Builders, Inc;, Address PO Box 5' * ' Grptp}ioneNo. 477.;2600
Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . .
15. Is this property located within 300 feet of a nidal wetland? *Yes . . . . . No . .
*If yes, Southold Town Trustees Permit maybe required.
PLOT Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
SEE ATTACHED
STATE OF NEW YOR `. S.S
COUNTY OF . . . . . . . . . . . .
CZ \, .. LC .. �:f� , , • being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief;and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
oro-vt—
. . . . . . . . . .day of i( . . . . . . ,
•�- i
Notary Public, . . . . . . . Gqt County /
CHRISTIE FULL
Notary PdAX83195,State of New Yat . . . . . . . . . . . . . .
Na 4831950,SNfolk 31u�Q3 . . . . .
• comntissionEvh sMMY 7 (Slgnatu applicant)
SPEVEy o'F
22
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DpI'VIN G
G 1�L''_��p o i�' FILED D-CEM ER 1, 1909
FILE No. 369
SITUATED A
GREENP OR`s
LOT z TOWN OF BOO O W ®YORK
L07 63 I LOT 61 1 K COUNTY2
82"45'20" E 50.00' SUF(��AX No. loo;-48-03—
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4 to CHIMNEY
I STORY C ..a THE.
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HOUSE No.706 IFS,- 91 STANDARDS FOR TIYLE FA AND � ND
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ORSµ USE BY THE N
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Tq of A.VADO SHAYy RUN Tifils SurvsYg FOX 1
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AiiONt (63ti)727 2090 MAILING
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COMPANY. GDVf-R LENDING INSOFFICES LOCATED Riverhead, 43eW
LENDING INSI6NEES MS TARE NOT TRANSFERP, -E.
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SOU THOLD i OVVIN ,,ODE.
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PROVIDE ANTI SCxl n AVn iDR ALL PLUMB :, . ,,- 'E
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DEVICES AS TO PART. 9f2.b($) DATE: 9a 3B.P.ita-ykrz) '�
N.Y. STATE BUILDING CODE.
FEE: BY: P
-«' NOTIFY BUILDINra DEIRARTMENT AT
y; PLUMBER CERTIFIC.4 TInN 765-1802 8 AM TO 4 PM+ FOR THE
VIDE O�rT1'' ""' �DR F ON LEAD CON7FN' LIEU I+rE FOLLOWING INSPECTIONS:
PRC CERTIFICAI E OF OCCI IPA NCY 1. FOUNDATION - TWO REQUIRED
- EMERGENCY E'a?"� AS FOR POURED CONQRETE
REQUIRED BY PF7T. ' A OF FOR
USF_D IN MATER 2. ROUGH - FRAMINQ 8 PLUMBING
N.Y. STATE BUILDit:u CODE. SUPPLY SYSTEM CANNOT S. INSULATION
EXCEED 2/10 OF I%LEAD. 4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
PR^YfOESMOKE-DETECTING YORK STATE. NOT RESPONSIBLE FOR
4IARM D;:VICES DESIGN OR CONSTRUCTION ERRORS.
rs TD PA PT 7?1, COMPLY WITH ALL CODES OF of NEW
PRoPDS6o ADDITION A �--rF—P,A-fIorl 'rD --f HL : DTME', ID - Ib-62 NEW YORK STATE & TOW
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