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` FI FORK NOS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN SOUTHOLD, NLY. �°" BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 12002 Z Date ....1.1f..uzve��'.�.!gr.::4. ....::. ... Permission is hereby granted to: , ...�, �: ........................... ........ ...... . . ........................................ ............. to ... "Y.I. :%i.:+ .4: `........ ....... ofpremises located at .. ��..^ ... . . ............. :......................................................... ..................................... ca.!.. �7,�: .��..f-.� . ......... .r..`. 7. . .�C.�.:.�..�... I ................................................................................................................................................................. County Tax Map No. 1000 Section .... �/.... ..... Block .. ./........... Lot No. .. .s...�"" pursuant to application doted .....�7.�1. . 1..... .............. 19.�P, and approved by the Building Inspector. Fee $...,� �"'""`J..:.. r � .... .. . .... .... ... .... . .. . .. ... . . ............... Building Inspector Rev. 6/30/80 FIELD YNSPEICTION rDATE COMMENTS � • t� H Q _ FOUNDATION ( 1st) . C FOUNDATION ( 2nd ) 2 . ROUGH FRAME & PLUMBING H 3 . -3 INSULATION PER N . Y . y STATE ENERGY CODE x r t� FINAL i ADDITIONAL COMMENTS : 5,h H H H O - x ' r H x • "_ C7 CrJ y FORM NO. 1 ( .-�a ��( S-UYV0 C TOWN OF SOUTHOLD vn t f'a _BUILDING DEPARTMENT J � � f"' TOWN HALL SOUTHOLD, N.Y. 11971 / TEL.: 765-1802 Examined . /. 1. . . . . . ., 19 v Application No. J. ?. . . . . Approved ./.! /.�. . . . . . . .. l Permit No. .1 Disapproved a/c . . �,cC�ti..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date C/�?�-. . . 3 , 19 L INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. " No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy' shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe ns. � (Signature of applicant, or a e, if a orpor tion) ... . CC . . . . ! . . . . . Z,S`� c� o v T�a Z D . . Z. (Mailing address of applicant) State whether applicant is.owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . c-:. . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . .: G�cc-�?�t� ! . . . . . . . . . . . . . . . . . . . . . . . . . ... . (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. . . . . . . . . .H Y T Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . .. . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. .•. �.v?- i' �, �'Q,�2 . / . . . . . . . . . . . . S� S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .' 1. .. . . . . . . . . . . . . House Number G Street Hamlet a .County Tax Map No. 1000 Section . . . 7 . . . . . . . . . . Block .... . . . . . . . . . . . . . . . Lot . --X . . . . . . . . . . . r Subdivision . . . . . . . . ( . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a."Existing use and occupancy . . . ).e_ . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . .! �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c . 3. .-Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . Alteration . . . . . . . . . . ,s Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . .. .. . . . .o . .`. o . . . . . . . . . . . . . . . . . . . . . . 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 of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . a . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . ... . . . Height . . . . . ... . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . Rear . . . . . . . . . . . . . . ... . . . . . Depth . . . b . . . . ... . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 rom premises: Yes No 14. Name of Owner of premise's �� . . . . . . . . Address�5. 'v` �,Phone No. . . . . . . . . . . . . . . . . Name of Architect Address . . . . . . . . . . . Phone No. . . Name of Contractorb�. r 2% L.�V� �. . . . . . Address ° UT1�! E L �. �!�yPhone No.7,b;,i=.. c'S. .. . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. i aye �p ,.t P.•..•—.� �• !l�'?"`f--�"' � '•f` i, �''.,a F�' 'i r+i•"'�. .. i� c'�: •� } �7'..]xy 2 Y �y v% / C ;try,++y.•j, j,p ry ' STATE OF N OR S.S �' :�k �f ,ell COU gYY?OF � . �L�' ��, t +r_' d 1 •'3 • '• • • • • • • • • • . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of n ividual signing contract) above named. Heis the . . . . . . !t� . .�t . . . . . . . l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 fme this . . . . . . . `. ..�. . . . . . . . .day of. . . . , 19�a N tary Public, County y -- -- EIiZAflETFi .NN NEVILLE . NOTARY PUBLIC, state of New Yon (Signature of applicant) No. 52.8125850, Suffolk Co y Tarrn Expires March 30, 19� FORM NO. 1 C O �'� d-� S v Y Q e c, y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . /. � . . . . . ., 19 � Application No. ,�•0Q. qz . . . . . , 1� Approved ././ �. • • • • • • • . Permit No. • • • Disapproved a/c . . 160t (Building Inspector) APPLICATION FOR BUILDING PERMIT D � ��� �— Date L/.�.GL , 19 L INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe ns. (Signature of applicant, or a e, if a orpor tion) (Mailing address of applicant) State whether applicant is.owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . . • • • • • • • . . . . . . • • • • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) l� Builder's License No. . . . . . . . . . . Y. . . 171 . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . .�¢�.i�.�:?:7L. . . .�%Z, �]'Q/2. . . . . . . . . . . . . . 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4�C.. .r. . . . . .C L:A . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . e 7 . . . . . . . . . . Block . . . . . . . . . . . . . . . . Lot . ��. .-X . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . .!1 .4� 1. .6 . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.•-:;Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . / y. . °. . .. . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . . .© Aj. . . . . 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 of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . ... . . . . . . . . . . . . . Depth. . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . .,/. 6 N . . . . . . . . Will excess fill be rem ved rom premises: Yes No 14. Name of Owner of premises W M 1° ES Address ,S �,Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . Address . . . . . . . . . . . Phone No. . . . . . . . Name of Contractorb/3 L2% L,/� ,�}' Address ° v � D A. �yPhone No.7,b� 3 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. rrrr Loa STATE OF N ORI , /` c� ��1 ct °'alp 1. COU Y OF . SS Y-' f/t%li . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of n ividual signing contract) above named. Heis the . . . . . . �U . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 . . . . . . . . J/:5 I�.�. . . day of. . . , 19�a N tary Public, County ELIZABETH ANN NEVILLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOTARY PusLIC, State of New York (SlgnatUre'of appllcant) No: 52.8125850. Suffolk Cu y Term Expires March 30, 1 Fes.- FORM NO.3 TOWN OF SOUTHOLD _ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. = '' NOTICE OF DISAPPROVAL File No. Date . . . . . . . . . . . . . 19 To ft� ': +� �. . . . .F1.Y.�:�. . . . . . . . PLEASE TAKE NOTICE-that your application dated . . . . . . . . . /. :v r . . 3 r . „ 19 for permit.to construct ... 7% :D.N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at Location;of Property ..415.2 . . . . .So v.T -+ House No. Street. Harnlet 3. County.Tax Map No.'1000 Section . . . . ./:.. ti, . Block . . t . . . . . . . Lot .�A�. . . . . . . . s• 5uUdivisibn . . "'_., . . Filed Map No. '. . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . T . . : . .�. . . . . . . . . . . .� `f. . .7 . . . . . . r.�0. .-3.1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . .. . . . . . . . r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. • , Qom,,, AlAr'j J)'CAI inj �'a C►u,, .,ram- .". . . . . . . . . . .. . . . . . . . . . . . Building Inspector r- � RV 7/80 _ S NBC 000 K ,y r �s q Southold Town Board of Appeals MAIN ROAD - STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3030 Application •Dated September 1, 1982 TO: [Appellant (s) ] Mr. Robert L. Hyatt (for William & Margaret Jones,) P.O. Box 925 Southold, NY 11971 At a Meeting of the Zoning Board of Appeals held on September 30 , 1982 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 ! [X.] Request for Variance to the Zoning Ordinance Article III , Section 100-31 [ ] Request for The public hearing on this application was also held on September 30 , 1982 . Upon application of WILLIAM L. AND MARGARET JONES, c/o Robert L. Hyatt, Builder, Box 925 , Southold, NY for a Variance to the Zoning Ordi- nance , Article III, Section 100-31, Bulk Schedule, for permission to construct addition with reduced rearyard setback at premises known as 4525 South Harbor Road, Southold, NY; bounded .north by Fitzpatrick; east by W. Jones; south by McCook; west by South Harbor Road; County Tax Map Parcel No. 1000-87-1-6 .4 . The board made the following findings and determination: By this appeal , appellants seek permission to extend the rear of the existing one-family dwelling adding a 10 ' by 11' 6 " screened-in porch area, leaving a setback at its closest point with the rear property line at approximately 35 feet. Existing on the premises is a one-family dwelling with accessory storage building rearyard area. It is the opinion of the board that the unusual shape of this parcel lends itself to the difficulties involved. Accordingly, the board agrees with the reasoning of appellants. In considering this appeal, the board determines that the variance requested is not substantial; that the circumstances herein are unique and practical difficulties have been shown; that by allowing the variance no substantial detriment to adjoining properties would be created; that the difficulty cannot be obviated by a method feasible to appellant other than a variance ; that no adverse effects will be produced on available governmental facilities of any increased population; that the relief requested will be in harmony with and promote the general purposes of zoning; and that the interests of justice will be served by allowing the variances requested, as indicated below. On motion by Mr. Sawicki, seconded by Mr. Douglass, it was RESOLVED, that Appeal No. 3030, application for WILLIAM AND MARGARET JONES, be and hereby IS APPROVED AS APPLIED FOR. Vote of the Board : Ayes : Messrs. Goehringer, Doyen, Grigonis , Douglass and Sawicki . This resolution was unanimously adopted. DATED: October 18, 1982 . "CHAIRMAN, SOUTHOLD TO ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) �� 1 RECEIVED AND FILED BY THE SOUTHOLD TOW14 CLERK DATE Ib jq� �a-xouR 11 , ' Town Clerk, Town of S thold eta". dAi .5'.. r. . o �-� 0.-0, Act Q lAi 0 CIV 2 use 7• \ O q CQ:co _ AfO p r 5 •'. ��. rfion McCOOk \ ' SURVEY FOR WILLIAM L. JONES MARGARET' JONES�;?,� ' ; i SOUTH OLD TOWN OF SOUTHOLD �..... SUFF . CO., N.Y. ,..' Z ` GUkRA TEED TO t MONUMENT E {� .�. .y.� INTER-COUNTY TITLE GUARAA9�, ,.; �i _ AND MORTGAGE COMPANY ;t SCALE : 1 - 30 r PFcOFESSIbNA -tNGIN t AND t'- •;y.ti't7,. ' :`,` LAND SURVEYOR, At.Y.S. .NG.12845 RIVERHEAD, M.Y.