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Home My WebLink About29234-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CORRECTED CERTIFICATE OF OCCUPANCY No, Z-32460 Date, 07/13/07 THIS CERTIFIES that the building ADDITION Location of Property, 1630 THERESA (HOUSE NO.) County Tax Map No. 473889 Section 115 DR (STREET) Block 14 MATTITUCK (HAMLET) Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 2003 pursuant to which Building Permit No. 29234-Z dated MARCH 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 DECK AND ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #4572 DATED 6/11/98. THIS CERTIFICATE OF OCCUPANCY REPLACES COZ-30334 DATED 8/6/4. The certificate is issued to NICHOLAS A & EILEEN METHVEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-487810 05/06/99 PLUMBERS CERTIFICATION DATED N/A ~~~;; Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. CORRECTED BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25021 Z Date JULY 13, 1998 permission is hereby granted to: NICHOLAS A & WF METHVEN 1630 THERESA DR MATTITUCK,NY 11952 for : CONSTRUCT ADDITION TO AN EXISTING ONE FAMILY DWELLING AMD TO INC DECK AS APPLIED FOR PER ZBA 4572 DATED 6/11/98. at premises located at 1630 THERESA DR MATTI TUCK County Tax Map No. 473889 Section 115 pursuant to application dated N/A Block 0014 Lot No. 003 and approved by the Building Inspector to expire on JANUARY 13, 2000. Fee $ 75.00 ~4 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southald, N.Y. CORRECTED BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26811 Z Date SEPTEMBER 29, 2000 permission is hereby granted to: NICHOLAS A & WF METHVEN 1630 THERESA DR MATTITUCK,NY 11952 for : CONSTRUCT ADDITION TO AN EXISTING ONE FAMILY DWELLING. AMD TO INC DECK AS APPLIED FOR PER ZBA #4572 DATED 6/11/98. PERMIT REPLACES 25021. at premises located at 1630 THERESA DR MATTI TUCK County Tax Map No. 473889 Section 115 Block 0014 Lot No. 003 pursuant to application dated SEPTEMBER 29, 2000 and approved by the Building Inspector to expire on MARCH 29, 2002. Fee $ 75.00 ~~- Au 0 . ~d ~;ture ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. CORRECTED BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29234 Z Date MARCH 24, 2003 Permission is hereby granted to: NICHOLAS A & EILEEN METHVEN 1630 THERESA DR MATTITUCK,NY 11952 for : CONSTRUCT ADDITION TO AN EXISTING ONE FAMILY DWELLING. AMD TO INC DECK AS APPLIED FOR PER ZBA 4572 DATED 6/11/98. PERMIT REPLACES BP 26811. at premises located at 1630 THERESA DR MATTI TUCK County Tax Map No. 473889 Section 115 Block 0014 Lot No. 003 pursuant to application dated MARCH 24, 2003 and approved by the Building Inspector to expire on SEPTEMBER 24, 2004. Fee $ 150.00 . ' ~' ~i~~ ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 2/1 0 of I % lead. 5. Conunercial 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ]. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Date. 7-r~-b7 New Construction:~ Old or Pre-existing Building: J IP 30 --rf-.er e So q b t<.. House No. Street Owner or Owners of Property: N i cf, J.a s + t:. i Ie-en Suffolk County Tax Map No 1000, Section 1/5 Block (check one) rY\ ~J:fJfUt.c)( m e;:f.R:veA I tJ. Lot Hamlet Location of Property: 3 Subdivision Permit No. ;)~d 34-_Date of Permit:'> );}..LU 05 Filed Map. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted $N IA ~ Final Certificate: C!...orre c..f-ed c/o (check one) TOWN OF SOUTHOLD BUILDING D-=~RTMENT p.O,~X .~ i\...l~'~!lt ~~,...,,,.....,.,......,.....:.,,., Co .z= ?d'1.LRO FOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N-Y. CERTIFIC--~.TE OF OCCUP.~NCY No: Z-30334 Date: 08/06/04 THIS CERTIFIES t~at the buildin~ .ADDITION Location of Property: 1630 THERESA DR M_ATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Taxi, ap No. 473889 Section 115 Block 14 Lot 3 Su]m~]ivision Filed F~ap No. __ Lot No. __ conforms substantially to the Application for Building permit heretofore filed in this office dated MARCH 24, 2003 lm~rsuant to which Buildin9 Per. it No. 29234-Z dated ~CH 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #4572 DATED 6/11/98_ The certificate is issued to NICHOLAS A & EILEEN METHVEN (O~gER) of the aforesaid building. SUFFOLK COUAF~Y DEPARTMENT OF HEALTHAPPRO~L~L N/A ELE~-rKICAL CERTIFICA~ NO. N-487810 05/06/99 PLUMBERS CERTIFICATION DA'r~U3 N/A Rev- 1/81 PORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUII~DING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29234 Z Date FLARCH 24, 2003 Permission is hereby granted to: NICHOLAS A METHVEN & WF 1630 THERESA DR NLATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #4572 DATED 6/11/98. THIS PERMIT REPLACES BP#26811. at premises located at 1630 THERESA DR County Ta~ Map No. 473889 Section 115 Block pursuant to application dated MARCH 24, 2003 MATTITUCK 0014 Lot No. 003 and approved by the Building Inspector to expire on SEPTEMBER 24, Fee $ 2004. 0.00 ~'~herized Signature ORIGINAL Rev. 5/8/02 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. 25021 Z Date JTJLY 13, 1998 Permission is hereby granted to: NICHOLAS A & WF METHVEN 1630 THERESA DR MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ZBA#4572. at premises located at County Tax Map No. 473889 Section 115 pursuant to application dated N/A Building Inspector. 1630 THERESA DR Block M3kTTITucK 0014 Lot No. 003 and approved by the Fee $ 75.00 COPY Rev. 2/19/98 Form No. 6 TO;VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Bmlding Department wtth t~e tbltowmg!~ A. For new building or new ese: '~ ~- l. 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 o£ electrical installation from Board of Fire Undenvriters. 4_ Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5_ Commercial btfilding, industrial building, multiple residences and similar buildings and/nstallatiuns, a certificate of Code Compliance from m'chit¢ct or engineer responsible for the building. 6. Submit Plarming Board Approval of completed site plan requ'tremants. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property show4ng all property lines, streets, building and unusual natural o~ topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is deinexi, the Building Inspector shafi s~ate the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw'mnuing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate ofOcanpancy - Residential $15.00, Commercial $15.00 New Construction: Old or Pre-existing Building: House No. Owner or O~er~ ofProp~y: ~ ~. Suffo~ Cowry T~ Map No 1000, S~c~un Permit NOl~---~Z3 ¢ ~ Date of Permit. Health Dept. Approval: (check one) Street Hamlet - / Block /y A~li~m: ~ ~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (cheek one) Applicant Signaturq \ -, 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. 26811 Z Date SEPTEMBER 29, 2000 Permission is hereby granted to: NICHOLAS A & WF METHVEN 1630 THERESA DR MATTI TUCK NY 11952 1630 TH MILY for : CONSTRUCTION OF A DECK ADDITION TO DWELLING AS APPLIED FOR ZBA#4572. at premises located at DR MATTI TUCK County Tax Map No. 473889 Section Block 0014 Lot No. 003 pursuant to application dated SEPTEMBER 29, 2000 and approved by the Building Inspector. Fee $ 75.00 Authorized Signature COpy Rev. 2/19/98 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) 24, 2003 PERMIT NO. 29234 Z Date MARCH Permission is hereby granted to: NICHOLAS A METHVEN & WF 1630 THERESA DR MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #4572 DATED 6/11/98. THIS PERMIT REPLACES BP#26811. at premises located at 1630 THERESA DR MATTITUCK County Tax Map No. 473889 Section 115 Block 0014 Lot No. 003 pursuant to application dated MARCH 24, 2003 and approved by the Building Inspector to expire on SEPTEMBER 24, 2004. Fee $ 150.00 COpy / Rev. 5/8/02 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) \C~& d-q~s.~ 25021 Z Date JULY 13, 1998 PERMIT NO. Permission is hereby granted to: NICHOLAS A & WF METHVEN 1630 THERESA DR MATTITUCK,NY 11952 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ZBA#4572. at premises located at 1630 THERESA DR MATTI TUCK County Tax Map No. 473889 Section 115 Block 0014 Lot No. 003 pursuant to application dated N/A Building Inspector. and approved by the Fee $ 75.00 COpy Rev. 2/19/98 THE NEW YORK BOARD OF FIRE UNDERWRITERS .~ ~.~ ~, ~e?~¢~.~ MUREAU OF ELECTS,C~ ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date ~v 06 ~ 1999 Applicaaon No. o, fi~ !69628SS/98 N g8781~ THIS CERTIFIES THAT ~ ~. 25~2! o~ly tire e[ec~cal equipme.t as desc~ed be~w ~d i~t~o~ce~ by the appllc~t t~ed oH the ~ove appl~aMo. ~zumber fs in the premises of NI~{OLAS H~, 163~ THEREq=A DRY, ~ITU~K~ ~ in the following location; ~ Basement ~ 1st FL ~ 2nd Fl. O~ Sec~n z -D Bloc~- 4 Lot ~ was examined on [~ ~ · ~9-.9 and found to be in compliance with the National Elec~ical Code. DRYERS I FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. COOKING DECKS OVENS DiSH WASHERS EXHAUST FANS MULTI-OUTLET I UNIT HEATERS DIMMERS SYSTEMS NO. OF FEET SE R~ICE ~ISC~NNECT $ E R V I C E OTHER APPARATUS: PAQDLE F32~E - 2 ~-~W 20 CIRCUIT ~i~.TN DZSTRLBb~TXON-i G.F.C.I:-2'- pER 0 OF CC. COND. N°. OF HI-LEG TH~=A_S J. 9ALKA BOX 39 }/~J-N ROM AQb~EEO'GL~, }~' ~ i!931-O~39 GENERAL MANAGER This certificate must not be altered in any manner; return fo the orflce of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Homing ,~outhold Town Hall New York 11971 ~~~~ephone (516) 76>-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION REGULAR MEETING OF JUNE 23, 1998 Appl. No. 4572 - NICHOLAS METHVAN PARCEL 1000-115-14-3 STREET & LOCALITY: 1630 Theresa Drive, Mattituek~' DATE OF PUBLIC HEA~ING5 June 11, 1998 FINDINGS OF FACT PROPERTy FACTS/DESCRIPTION: The above-identified property is located on the south side of Theresa Drive, Mattituck, and contains a total ar~a of approximately 24,796 sq. ft. The December 21, 1993 survey map submitted under this application shows that the subject premi.~es is improved with a one-story frame dwelling and accessory tennis court structure in the rear yard. BASIS OF APPEAL: Lot Building Inspector's March · Disapproval. coverage variances as stated in the 19, 1998 and April 16, 1998 Notices of AREA VARIANCE RELIEF REQUESTED BY APPLICANT: The variance requested by applicant is fox- a total lot coverage of 6857 sq. ft. The allowable lot coverage is 20% of 24,798 sq. ft., or 4,960+- sq. ft., although the Notice of Disapproval indicates a lot size of 24,908 sq. ft., of which 20% is 4,982 sq. ft.. Proposed are an 14 x 16 ft. dwelling addition and 16 x 24 ft. unroofed deck addition, also at the real- of dwelling. The requested lot coverage is 224 additional for the dwelling addition, and 384 sq. ft. for the deck addition, for a total of 608 sq. ft. The total lot coverage is 27.5%. REASONS FOR BOARD ACTION~ DESCRIBED BELOW: (1) The granting of the area variance will not produce an undesirable change in character of neighborhood or a detriment to nearby properties because the new deck addition will be located in the rear yard. (2) The benefit sought by the applicant cannot be achieved by some method, feasible for applicant to pursue, other than au area varisnee because the applicant has located a tennis court on his property which is figured into the lot coverage but does not place the same burden on the land as a house. Applicant would not be able to build au attached deck with any usable depth without a variance. (3) The requested area variance is not substantial. (4) The proposed variance will not hove an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because the new deck addition will b~ located in the rear yard. (5) The difficulty is se]f-created. In c~nsidering this application, the Board deems thi.~ action to be the minimum necessary and adequate, and at the same time preserves and protects the character of the neighborhood, and the health, safety, we]fare of the community. RESOLUTION/ACTION: On motion by Chalrm~u Goehringer, seconded by Member Horning, it was RESOLVED, to GRANT the variance as applied for, subject to the condition that the DECK REMAIN OPEN and UNROOFED (as proposed). VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER, DINIZIO, TORTORA, AND HORNING. NO: MEMBER COLLINS. THIS RESOLUTION WAS DU (4-1). · / ..~ARD P. GOEHRINGER,~ CHAm~IAN *********** // Approved 115-14-3 ~ Dear Southold Town Bldg Dept., I would like to reopen my Bldg Permit #2502 lz that ran past the allocated time Frame due to physical problems. Shacerely, Nicholas Methven OCCU, ~.i,~C3{ OR · · 785..1~02 4. FINAL ALL CON~ THE RE~U~EM~ M ~ N.Y. CODES. N~. RES~NSlB~ DESIGN OR CON~ USE IS UNLAWFUL· WITHO UT CERTIFI·CATE OF OCCUPANCY VORM NO. 3 ToWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N_Y_ NOTICE OF DISAPPROVAL · Aquebo~e.,. New. ~ork..LLg':LI ............. PLEASE TAK5 NOTICE that your application dated ..-F.e?.-rJ~...r~-.2-7. ...... 19.9.8.._. Location of Property ....... 1.6.3.0. .......... ..T~.e.r.e.s~a..D.r... ........ .M.a.t.t.i_t.~.c.k. House No. Street Hamlet County'Tax Map No. 1000 - Section ...!!5- ..... BLOCK ..]?. ....... LOT .. Subdivision ............................... Filed Map No ...... ....Lot No is returned herewith and disapproved on the following grounds additional 224 square feet bringing the total lot coverage to 6473 square feet or ....A.c~t.ip_n. re~ired ~31 the Zoning Board of AEEeals. BUI~ I]~ INSPECTOR RV 1/80 765-1802 BUILDING DEPT. [ 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ]FRAMING [ ]FINAL~ [ ] FIREPLACE~.~~=N~ ~× ~__ ~ REMARKS: ~J~:; ~? ~i i INSPECTOR BUILDING DEPT. NSPECTION [~'FOUNDATIOH 15T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ,~~__ARKS: 765-1802 BUILDING DEPT. INSPECTION [ ~ FRAMING [ ] FINAL [ ] REMARKS: '[ ,., FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2NO [ ].~H PLBG. [ ~ INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY DATE /~/~///~ ~ INSPECTOR ~ . 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS, [ ] ROUGH PLBG. [ ' I~NSULATION ] FINAL 765-1802 BUILDING DEP~ INSPECTION [ ] FOUNDATION 1ST [ ] ROU~..PLBG. [ ] FOUNDATION 2ND [ ]~.~I~LATION [ ] FRAMING [ ~]~FINAL [ ] FIREPLACE & CHIMNEY [ REMARKS: ] FIRE SAFETY INSPECTION DATE ~/~/~? ~ INSPECTOR ~,~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG, [ ]FOUNDATION 2ND [ ]l~~N [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR 7654802 BUILDING DEPT. INSPECTION [ I FOUNDATIO~ '~S? [ I ROUGH PLi~G, FOUNDATION 2~ [ ] IN/S~LATION DATE INSPECTOR :OUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING' Z INSULATION PER N. STATE ENEROY CODE FINAL POl~Ul NO- I TO~N OF SOUT1]OLD BUII,DING DE PA RTPIF~ I?IT 'rOI-IN RALL SOUTIIO[.D, N.Y. 11971 TEL: 765- lB02 ~ APPLICATION FOR BUILDING PERNI'F INSTRUCTIONS BOARD OF HEALTtl ............... 3 SETS OF PLANS ............... SURVEY ...... ~ C. A1ECK ....... ~ .... :~ .... .~*x - 'm' ' ' ~ { ~ ~ I ~'~ lj CALL .. ~ . ~.~.~ .... a. ']his application ntm~ be leOr~l~tely 151Tiled in by t~gr~rirer or in ink and ~d~ultted to tim Building Inspector 3 sets o[ plans, accurate plot plan to scale. Fee accord|og to schedtfl.e. b. Plot pi_an ~hc~ing l°eation of lot and of buildings on premises, re[atlonship to ad]o~nlng premises or Ixd)lic streets or area~, '.'lad giving a tie, ailed de~crlptlon of layc~lt of proDerty llllSt I~ dc~r~on o~ tl~ dlagr~n ii,ich in l~'lrt of this application. c. 'n,e ~ovk co~ur~ fly kl~i~%~Plication my not be ecuraeeced l~Fore is~uanc6 of Building ?emlt. d. Upon app~val of this application, tbe ltuiIdlng Inspector uill is~t~ a Building Permit to the applicant. ~lCll permi~ M:~ll be.kept on tt~ premises available for inspection thro:gho~:t the i~ork. e. :No I~ilding '~tmli be ocCUPied or used £n ~4mle or in part for any purpose ~dmtever tmtll a Certificate o~ Occupancy shall h,av~ .b~n granted by the P~ilditlg Inspector. A['FIelCATICIq IS tEEBY [lfiIF~ to the Ik~i]ding Departm2nt for flu, issaaance of a Boilding Permit parmmnt to the Ikdlding Zone Ordi~ of the Tou/n of S(~thold, Suffolk County~ Ne~ York, and other applicable la~as, Ordhmuces or 1~. gula~zifns~ [or tim eonstnmtlon of h~ildings, mldltlons nr alterations, or for t~,u~al or demalition, as herein descril.~l, ltm atspl~cant agrees to cc~ply ~ith ali applleable la~s, ordlnasce~, N~ildlng code, h~aslng code, and ~egulati~s', ~mfl to ~mit mthori~t inspectors c~ pr~nlses and in beilding for necessary in.qpeetlon~. (Sigr~ture of applicant, or nam, if a corporation) At.z=...q. (Mailing address o[ applicant) Sta£e wbettmr applicant ia (~aer, lessee, agent; arddtect, engineer,' general contractor, electrician, pluaber or Ndhlet. Nam of oaner of pr~mises = ..... .~../**C~.,/7[.O_.O..~**~....m~.. ~?._~..Z~**_~J~.... **~?...~**.~ ..................................... (as o~ tim t~ toll or latest deed) if aplflicant is a corl~ration, signature of duly anti~yized b~fleer. title of corporate officer) I'lt~bers License ~ Otlmr Trade's License Ixlo ..................... l,gcation laed Ilonse lt~be r Street ll~nlet Countlt ?axMap [slo. 1000 ~eetion .... 1.~..ff. ...... Bl~k ...... ~.~ ...... l~t ..... ~. ........ (~) 3. P;~tt,~e ~f va[k (dmck ~hlch appTicable): ~ l~dlding.. .... : .... ~iti~ ...~ ..... AIteeation .......... I~l~ir ............ ~a[ ............. l~mliti~l .. ........... Odmr I~ (~ripti~) 4. Est i.at~l ~st ...... ~.~. L~ .~ ...... f~ .............................................. (to l~ l~id ~ filing this a~l. im~ti~) / · 5. If ~[~lling, ~d~r of ~lli~ units ........... lhdmr of &rolling traits ~ e~ flmr ................ If gnrage, ~dmr of car~ - ~ fi. l~ I*mhmsa, ~mrcial or mi~l'~mqm[~, s[~ei~ mture md ~tent of ead~ ty~ of u~ ...................... 7. lfi,~nsi~,s o[ ~iating ~tnrta,res, if any: l~rmt ....... ~.[ .... ~ar .... ~.} ...... [kpth .... ~.¢ ....... I~i~tt .......... ~. ........... ~dmr o~ Stories ....... .ff ............. Diue.M~s of sam stnrtur~ ~ith alteratim~ ar ~Mitions: Front ..... ~.~ .... ~ar .... ~. ..... l~pth ........ Z~ ...... ;. l~i~,r ....... ~_~__. ...... ~,,Imr of Stories ....... ~ ....... t~.m,,~.~i=,~ of ~,~i~ ,~ ~,~.i~,= F~,,,r ....... J.g ....... ~ ..... tg ....... mpa, ~-..!~. ....... ~i~,~ .......... t ~-~ .......... ~.,~ o~ s~o~i~ .......... Z ......... 9_ Si~ of lot: F~t /0~ t /~g .................... ~r .......... mpth ...... ~ff~.( ...... IO_ Ihle o~ hlrd,a~ ./~Z~. ..... ~ of For,mr ~r .... ~ff_~. .... ~.~ ....... II. ~ or u~ district in ~id, prmi~s am si~t~ ................ ]~Z~_~A~ ......................... 12. ~ propel m~t~tim violate any m~ing I~, ordinate or regulatim: ......... ~ .......... 13. Uill lot I~ regra~.... ............. ~O ... ~ill ~esa fill I~ rm~ ~m ~ani~8: ~/. m 14_ ~ea oE (~r og p~i~s .~.~~ .... &klre~a ........... ~.~.~,.. 1~ ~ .............. ~m o~ ~rddt~t: .................................... ~ress .............................. R~ ~ .............. 15_ la thi~ pm~ry ~itl~in ~ [~.o~ a tirhl ~tland~ * ~ .......... ~ ....~.~.. ~lle~l PI.OT I}IAGRAH Iozate clearly and distinctly all buildings, ul}edmr existing or proi~l, and irKlicate all set-l~ck dia~_~nsions frcEn propel'fy li~ea. 6i~ street aorl block r~dmr or description ac£ording to deed, aid elm street ms ami indicate s~)rn, de[ll~a nod .~tys Lhat he ia the appl Jc~ml. ((~tractor, nge.t,-corporate o[fiee'r, etc.) of said (~r or c~aKqrs, mKI is duly authorized tO |~rform or have i~rli)rnlml lhe .'~i¢1 ~aark and to nE~ke and file this appl icatiou; that att staLeuents c~mtained in this npplicatio, are tn~e to dm best ol~-his kt~ledge and I~l. Jef~ ~i~l that the ~ik ~ill I)e perfonned in the manner .set ro£Lh in Lhe appl. ication filed d~are~ith. (Si[pmlx. e ()f Apl)lica[it) - ~a J