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HomeMy WebLinkAbout30339-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30518 Date: 10/26/04 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 275 OAK ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 42 Block 1 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 2004 pursuant to which Building Permit No. 30339-Z dated MAY 19, 2004 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 ALTERATIONS & ADDITIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #5504 . The certificate is issued to EVERETT E CORWIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2016734 10/04/04 PLUMBERS CERTIFICATION DATED 10/22/04 ROBERT VANETTEN PLUMBING O /,O�K T ori ed Si nature Rev. 1/81 APPEALS BOARD MEMBERS p� �'pG Southold Town Hall Ruth D. Oliva, Chairwoman �� 53095 Main Road Gerard P. Goehringer y = P.O. Box 1179 Lydia A. Tortora • Southold,NY 11971-0959 Vincent Orlando Tel. (631) 765-1809 James Dinizio,Jr. l �a Fax (631)765-9064 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF MAY 6, 2004 ZBA#5504. EVERETT and MARILYN CORWIN Property Location: 217 Oak Street, Greenport; CTM 42-1-30. 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 11 category of the State's List of Actions, without an adverse effect on the environment if the project is implemented as planned. PROPERTY FACTS/DESCRIPTION: The applicant's 6,000 sq. ft. lot has 40 ft. frontage along the south side of Oak Street and lot depth of 150 feet. The property is improved with an existing two- story house and detached garage, as shown on the December 10, 971 survey prepared by VanTuyl & Son. Also existing is a deck at the rear of the house, shown on applicant's site sketch (with a ZBA date-stamp of March 1, 2004). Bpi OF APPLICATION: Building Department's February 6, 2004 Notice of Disapproval, amended ND March 29, 2004, citing Code Sections 100-242A and 100-244, in its denial of a building permit application concerning a second-story addition to the existing one-family dwelling, which addition which will be less than 35 feet from the front lot line, less than 10 feet on one side yard, and less than 25 feet for combined side yards. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on April 22, 2004, 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 full second-floor addition over the existing one-story dwelling shown on the plans prepared by M. Hand dated February 3, 2004. The relief request is to build the second-floor, maintaining the existing side yard setbacks of 4 ft. on the east and 13 feet on the west, for total side yards of 17 feet, and maintaining the existing front yard at 24 feet. REASONS FOR BOARD ACTION: On the basis of testimony presented, materials 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's house is one of only a few single- , Page 2—May 6,2004 ZBA No.5504-EVERETT and MARILYN CORWIN CTM 42-1-30 at Greenport story houses left in the Oak Street neighborhood, which consists mainly of two-story houses. The setbacks will remain unchanged, the west side yard at 4 feet, the front yard at 24 feet, the east side of 13+- feet, and 24 ft. front setback, as shown on the December 10, 1971 survey prepared by VanTuyl & Son. 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's lot is long and narrow, which leaves the side yards with little or no room for expansion, except as requested by applicant to expand by building within the existing one-story footprint. 3. The variance granted herein is substantial with a 60% reduction of the code required single side yard setback of 10 feet, and 32% reduction of the code required 25 ft. total side yards and code required 35 ft. front yard. 4. The difficulty was self-created when the additions were planned without conformity to the code's setback requirements. 5. No evidence has been submitted to suggest that a variance in this community of second-story homes will have an adverse impact on the physical or environmental conditions in the neighborhood. 6. Grant of this relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of an 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 267-13, motion was offered by Member Dinizio, seconded by Chairwoman Oliva, and duly carried, to GRANT the variance as applied for, as shown on the plan prepared by M. Hand dated February 3, 2004 and December 10, 1971 survey prepared by VanTuyl & Son. 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, setbacks and other features as are expressly addressed in this action. Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, and Dinizio. (Members Tortora and Orlando were absent.) This Resolti n was duly,ndop( Ruth D. Oliva, Chairwoman 5/11/04 Approved for Filing ® [1�rJ�CJMM1C1�Gl�Gf[1�[.I�C1�[.t[1�[1�[.f[J�C1�G1�ClC1CJ�[J�Cn[.I�C1�C1Cf[1[.1�C1�[1� C1�[J�[1�CJ�G1� 1CJS CJS GnLI�(�r�Clr�.lc�ICI�[PG1�J [0, 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 S ERS 5 BUREAU OF ELECTRICITY 5 S40 FULTON STREET - NEW YORK, NY 10038 c� SCERTIFIES THAT 5 5 SS SUpon the application of upon premises owned by S 5 SJIM SAGE ELEC. INC. EVERETT CORWIN 5 P.O. BOX 38 217 OAK ST 5 5 GREENPORT, NY 11944-0038, GREENPORT, NY 11944 S S c �j Located at 217 OAK ST GREENPORT, NY 11944 5 S 5 5 Application Number: 2016734 Certificate Number: 2016734 5 5 S SSection: Block: Lot: Building Permit: 3 d33 7 BDC: NS37 5 5 Residential 600-1199 square ft. Described as a q occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor, Second Floor,Outside,Attic, C-1 5 rj A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other S authority having jurisdiction, and found to be,In compliance therewith on the 4th Day of October,2004. 5 Name QTY Rate Rating Circuit Type 5 S Miscellaneous service and second floor L+ addition S 5 Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide S Sensor 7 0 Smoke SAppliances and Accessories 5 Exhaust Fan 1 0 F.H.P. 5 5 Hydro Massage Tub(Therapeutic 1 0 5 Wiring and Devices S Outlet 12 0 Fixture Fixture 12 0 Incandescent Outlet 49 0 General Purpose 5 Receptacle 26 0 General Purpose 5 Switch 25 0 General Purpose S 5 Paddle Fan 4 0 Receptacle 1 0 GFCI seal 5 5 Service 5 Continued on Next Page 1 of 2 S 5 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 MEN SBY THIS CERTIFICATE OF COMPLIANCE THE 5 5 ,NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY S S40 FULTON STREET — NEW YORK, NY 10038 5 SCERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by c� 5 JIM SAGE ELEC. INC. EVERETT ORWIN S S P.O. BOX 38 217 OA T S5 5 GREENPORT, NY 11944-0038, GREENPORT, NY 11944 S S 5 Located at 217 OAK ST GREENPORT, NY 11944 5 5 r5j Application Number: 2016734 Certificate Number: 2016734 5 5 Section: Block: Lot: Building Permit: I BDC: NS37 5 Cj Residential 600-1199 square ft. Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Basement,First Floor,Second Floor,Outside,Attic, C SCj A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Adminiy�tratign or other 4th OctlVer,2004. 5 authority having jurisdiction, and found to be in c mpliance therew�h on thf, Day of 5 Name QTY to Rating ircuit �e Miscellaneous 5 service and second floor 5 5 addition SAlarm and Emergency Equipment S SSensor 2 0 Carbon Monoxide 5 Sensor 7 0 Smoke 'L r5J Appliances and Accessories 57Cj SExhaust Fan 1 0 F.H.P. 5 5 Hydro Massage Tub(Therapeutic 1 0 Ca Wiring and Devices Outlet 12 0 Fixture 5 5 Fixture 12 0 Incandescent Outlet 49 0 General Purpose Receptacle 26 0 General Purpose 5 5 Switch 25 0 General Purpose 5 Paddle Fan 4 0 5 Receptacle 1 0 GFCI teal �5 Service c� 5 Continued on Next Page 1 of 2 5 5 S cj This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. �j s 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 S NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY cS 5 40 FULTON STREET — NEW YORK, NY 10038 S S 5 5 CERTIFIES THAT S 5 S SUpon the application of upon premises owned by JIM SAGE 5 5 5 8 217 OAKT LEC. INC. ORW IN P.O. OX 3 c5 5 GREENPORT, NY 11944-0038, GREENPORT, NY 11944 5 S 5 5 Located at 217 OAK ST GREENPORT, NY 11944 5 5 Application Number: 2016734 Certificate Number: 2016734 5 5 Section: Block: Lot: Building Permit: BDC: NS37 5 5 Residential 600-1199 square ft.Described as a occupancy, wherein the premises electrical system consisting of Selectrical devices and wiring, described below, located in/on the premises at: SBasement,First Floor,Second Floor,Outside,Attic, 5 rj A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard Spromulgated by the State of New York, Department of State Code Enforcement and Administration or other authority having jurisdiction, and found to be in compliance therewith on the 4th Day of October,2004. 5 Name OTY Rate Baling Circuit T32e S 5 1 Phase 3W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 5 Meters: I S S 5 5 5 5 5 5 5 5 55 5 5 5 - S S seal S 2 of 2 5 5 5 5 5 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 0 Town Hall, 53095 Main Road Fax(631) 765-9502. P.O. Box 1179 Telephone-(631) 765-180 Southold,New York 11971-0959 f0� BUII,DING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: - l "- ��--- - -- Building Permit No. 1-5 d 33 7 Owner: n _ _(Please print) Plumber; �ob _ T _-Va rIT`71mo Tease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this 4 day of_ 20Q_.1 Notary Public, my JANET E.STAPLES Notary Publicof New York No. StatebWO 31,2QQ� Form No.6 TOWN OF SOUTHOLD • BUILDING DEPARTMENT TOWN HALL 22 20011 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 2/10 of 1%lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and 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, Swimming 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, Commercial$15.00 Date. / New Construction:_ Old or Pre-existing Building: (check one) ,P ?r Location of Property:20 0,4A ,._.��-t 21t e�4-f House No. Street ^T Hamlet Owner or Owners of Property: ' Suffolk County Tax Map No 1000, Section 09,Z Block wV Lot 03 6 Subdivision Filed Map. Lot: Permit No. 3433 9 Date of Permit. �" / Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate:�_ (check one) Fee Submitted: $ G..c, plicant Signature (0 3a51� 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. 30339 Z Date MAY 19, 2004 Permission is hereby granted to: EVERETT E CORWIN 217 OAK ST GREENPORT,NY 11944 for ALTERATIONS & ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER ZBA #5504 at premises located at 275 OAK ST GREENPORT County Tax Map No. 473889 Section 042 Block 0001 Lot No. 030 pursuant to application dated MAY 13 , 2004 and approved by the Building Inspector to expire on NOVEMBER 19, 2005 . Fee $ 306 . 60 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD PROPERTY RECORD CARD M -q OWNER STREET VILLAGE DIST. SUB.v/ LOT ',11*,k. /Y 0 da j U nal .A. FT9R OWNER N E ACR. S W TYPE OF BUILDING ES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 2 71; 3 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre 'illable I 'illable 2. illable 3 /oodland wompland FRONTAGE ON WATER rushland FRONTAGE ON ROAD -2 louse Plot DEPTH BULKHEAD oto I DOCK WIN ME '�"'� a� �, ■ ■■■- Ili■■I�■■■■■■■■■■■■■■■ INN■ ■■■It ■■■■■■ ■■■It■■■■■■■■■■■■■■■ m■mm■■■ ■■■In■■■■■■■■■■■■■■■ ■■■■■■■■■■■It■■■■■■■■■■■■MEN A _ ■m■mm■■■■■l�■■■■■■■■■■■■■■■ lo■■■■■■ ■!'�■■■■■■■■■■■■■■■■■ 4.. :.. ■■■■■■■ ■■■■■■■■■■■■■■■■NNE ■■loom■■ ■■■■■■■■■■■■■■■■■■■ ■■■■■■■ ■■■■■■■■■■■■■■■■■■■ i •• Dormer Driveway BUIL I 1 J r JL Applicant/ Date Owners Name: a TuJi Reviewed: Architect/ \ Date Engineer: _ V �JaJ ' Submitted: / SCTM #: �/ District: 1.000 Section: T�- 13 lock: 1 Lot: a Project / Subdivision Location: _� � ._ Name: Sin&le& separate Required iy► certification: Yes/No �l Req. '-- 7 l — Zoning District: _ (l,ot sizer > � Actt5L J j— ---- l 11-0 coverage Propowd l Req. Rcq. �°'� tl�ronl Yard Proposed: J (Side Yard (� eq Proposed: J (Rear Yard Proposed- J Project Description: AGENC)WERMITS Permit . U D F V +W N.A. NO YES Number ` .t„n6�c,�g Suffolk County Health c U New York State D. E. C. Town Trustees Town Zoning Board approval: / Town Planning Board approval: y� Flood Plane Elevation??? Flood Zone: . /V � Q NOt -S: FORM NO. 3 NOTICE OF DISAPPROVAL DATE: February 6, 2004 TO: Marilyn Corwin 217 Oak Street Greenport,NY 11944 Please take notice that your application dated February 5,2004 for a second story addition to an existing single family dwelling at Location of property 217 Oak Street, Greenport,NY County Tax Map No. 1000 - Section 42 Block 1 Lot 30 Is returned herewith and disapproved on the following grounds: The proposed addition to a non-conforming single family dwelling, on a non-conforming 8712 square foot parcel in the R-40 District is 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 use,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 site plan indicates side yard setbacks of 4'feet & 13'feet respectively; 17' total side yard setback. The proposed addition is not permitted pursuant to Article XXVI Section 100-244 which states that conforming R40 lots measuring less than 20,000 sq. ft. require a minimum side yard setback of 10'feet and a total setback of 25'feet. The front yard setback indicates a distance of 24'feet. The required minimum front yard setback is 35'feet. Total lot coverage is less than 20 percent,. r'ju, Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require additional review from the Southold Town Building Department. TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL DATE; February 6, 2004 Amended: 3/29/04 TO Marilyn Corwin 217 Oak Street Greenport, NY 11944 Please take notice that your application dated February 5, 2004 For permit for a second story addition to a one family dwelling Location of property 217 Oak Street, Greenport,NY County Tax Map No. 1000 - Section 42 Block 1 Lot 30 Subdivision Filed Map # Lot# Is returned herewith and disapproved on the following grounds: Proposed addition to a non-conforming single family dwelling, on a non-confirming 8,712 square foot parcel in the Residential R40 District, is 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 use, 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." Pursuant to the ZBA's interpretation in Walz#5039, such addition will constitute an increase in the degree of nonconformance. This Notice of Disapproval was amended March 29,2004 to make clarifications. The site plan indicates side yard setbacks of 4'feet& 13'feet respectively; 17' total side yard setback. The proposed addition is no permitted pursunt to Article XXVI Section 100-244 which states that conforming R40 lots, measuring less than 20,000 sq.ft. require a min. side yad. Setback of 10' & a total setback of 25'. The front yard setback indicates a distance of 24'. The required min. front yard setback is 35'. E�--- ---- -----`=" ----- Authorized Signature )20 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ wflROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [✓FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ j FIRE SAFETY INSPECTION REMARKS: RIC ol LvL 's DATE INSPECTOR- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE 8. CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE a INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION l REMARKS: 62 DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [7] FINA( OUGH PLBG. ] FOUNDATION 2ND [ NSU] FRAMING [ Q-� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: Co r DATE t164-110 INSPECTOR �J FIELD INSPECTION REPORT DATE COMMENTS U} FOUNDATION(1ST) -------------------------------- '?n FOUNDATION(2ND) IL }� o C 0WE • 1 � H ROUGH FRAMING& PLUMBING r7 .� ©' r �n r INSULATION PER N.Y. STATE ENERGY CODE 'J FINAL ADDITIONAL COMMENTS _a Z m _ s � x r \ H .. d b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DETARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. 3 �� Check Septic Form N.Y.S.D.E.C. Trustees Examined h ,20O Contact: Approved J ,20 O Mail to:,-217 Uifk _ 6/� - �CL-,4/ Disapproved a/c � 6—A"/ � Phone: Cp 7 77 Expiration 200 Building Inspector APPI I ATION FOR BUILDING PERMIT _ M t3 zeo Date ° s , 20 INSTRUCTIONS a. This Oplioation MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, acou=4-plot plan to scale.r-6eA rding to schedule. b. Plot ptart�howing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. 4 f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 inspections. (Si ature of applicant or name,if a corporation) (Mailing address of ap icant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder f1 i Name of owner of premises L�(/e/� s ,�7�'-f/�•� � ce�AeW 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) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. _ 1. Location of land on which proposed work will be done: House Number Street Hamlet 'l County Tax Map No. 1000 Section qq- Block Lot�hw Subdivision Filed Map No. ' A€ (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 � �� P aIL"f, 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �� O 6 y Fee e aid on filing this application) 5. If dwelling, number of dwelling units Nu 44W'Q4 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 I-W 8. Dimensions of entire new construction: Front Rear D�' Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase /�72 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? YES NO M 13. Will lot be re-graded? YES NO Will excess filAl/be removed from premises? YES NO 14. Names of Owner of premises � ��A,*2tr(,)Address 0-"2 °mak Phone No. Name of Architect - Address E}v -- Phone No Name of Contractor �iNti< Gd4,�6iMc , Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) / j7alet'-6 ��if/i'�/ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 6(j-u C—/C-- (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. Swpro before me this day of �Q rJV��'(`' 200 Public Signature of ApplicantBoro�otary J.DOM Notary Public,State of NewyA No.O1D06095328,Suffolk �h► Term Expires Jury 7,20 OA '2 K_ � C I 1L IMF OPVQFLV-IY A2b0.0 IPPROVAL �U V VM-D FbR 5 20 51)LT 14 rV �.4' `i1TUdTE L1T 1 i tiro YbkVH Or 4OUTI-Mn 0 o LDNL.RL. i d _ ► i �� i I t - w LLT MU/AF5C V5 L5P6\4H ¢I FI rL Tp , IKCi<I ) 6 ; •;edit;rrrti'tntnrlittiro `yiUP��IVIyI�N /ALN 6P 1 STATE di= - 1 `d 7 r� t t11r.` rrlrt.7lhnblct�l'rl.,Iitt TIIUTA�LI �. ��IG , �71�.,r F_ILECj IN r�u �ut=r �t`o t.V` r_a u`N' T YQ�. d j !� I F--• �1 ropl,,n of ft 9 PPirvey MNI lint hnRrin¢ `'4l - I G E A`? &fb {y d Cj rJ !> > l V- thi lend stir 9yor's Inkod Reit tr. 1 emhnssed se 1$half not he oonaidorad �p iL 1 1 �U t1i to be a valid ue copy. -S �• c� L O { NP - � � I fyurmntees In cared hr'reen$ls::!I rnA �J y only to tire per on for whom the rnrv:-.1' is:prci tared,an on hla behalf to tir a 1 r ' J L L N i '-) (j /iltc company,g "trimental agerry rigid to � t:.ratuifl inslNuti Ifsted hnrnon inrl 7 tr ihs assigneaR f the lending)inA- V tai0w.Guarente?., are not tratisfrtmWe T u,atd.4tional i.9atita tions or auto•-mirPM • nwner6 LWLV'AWTGUP TO TLIE TITLE (;UAV&WTEF 6O/APAl1Y TO TIRE U.", la GSL. n 701 r tt AWE &t?/AIQ11iTP-&TI6N 40.0 10.0 0- W-M PIPE ( `'UevEY�T� 1�ELE�I\t3EIZ ZD , t971 LOT '16 I.IGEN*Eh L&Nd yLJVVc-Yotzs 6-T V-E E N PD 1t'_.T , NEW Yalzk A�j' 15• U., ,� 15._U.. _o ' a' 5' 5 7" 4 CERTIFICAT nn, r T, c NAILING & CON11L NS " _, 'tR F'T CIRDFF. -C�-_ — ILII ,,P a> ,rI, wT P I u.,lc Fla. LLIw ,;anFF _ 0( ,,.FANCY OR Q o No0 _ =IRFRI'IIII I ;°;`I = - E IS UNLAWFUL USE o I WITHOUT CERTIFICATE OF OCCUPANCY LJ - - z } �D,TFD .,� r„ ���� D, „ - - --- — - - - _ _ 'UNDERWRITERSCERTIFICATE z '0 - - - �� a' ;,H ,)IyiiDF, REQUIRED { ;------------------------'------------------- 1 j - ` ,cl �_ !I�� - DA S a z a lz _____ - APPROVED NOTED T_ TE. B.P b o.i 9 Q FEE:�O BY: D_ N (J \ ; „ - NOTIFY BUILDING DEPARTMENT AT O EXISTING FOUNDATION " '�' �'x" ""' ' 765-1802 8A TO GPM FOR THE Ln1U ASA tD I , u„xTn,l � � L — ` , ” "" °' FOLLOWING INSPECTIONS: I - rT �yi,la i ,l — ____ -____- --- r I. FOUNDATION - TWO REQUIRED - i � - _ FOR POURED CONCRETE 2. ROUGH - FRAMING 8 PLUMBING — „ r�YVY-� - ' i - .ryT 9t�Y--9Yrt Yv1__— __— __— _ ua,TaLL In,ITali -� 3. INSULATION µ, a Ia, ^x uasl ALI 4. FINAL - CONSTRUCTION MUST �o BE COMPLETE FOR C.O. vuST ---------------------- ALLONSTRUCTION S HALL MEET THE 1, �__________________ r— - - _____ --_�� ('i i_=;i•;,_ ivl_ - REQUIREMENTS OF THE CODES OF NEW �_ `Y ----------- / YORK STATE. NOT RESPONSIBLE FOR a r Ji 'I„ P DESIGN OR CONSTRUCTION ERRORS :E x ¢ 0 MEETLY THE REQUIREMENTS OF TH _���` IF i II, ui,�o. l t,u CODES Y E x. Z � ��_ OF ORKSTATE. r a b n.�._, a„;.0 ,,, I [._ or_ wior, nATHeaun;I / 0 \rose _�” � �;,,:,I-�-,e �y _ II_-_______ rllll�jl'�'I'll'lIW ---- �Td , a — EFSIO� NI411 Ipl 16F .TAM'S L rn,L W/ R411111b AB6VF COMPL', — NEW YORK g r CODES F w H �. EXISTING 'o'� A t & TOWN E f - FOUNDATION ( ) / COsREQUIHECAN� cON�ITION w Sol TOWN ZSA l SOUTHOLD TOWN PLANNING 1Z r ' — I rO... 0 OTOWN RUSTSS r� w RETAIN STORM WATER RUN F 0 PURSUANT TO SECTION 45-10 OF THE TOWN CODE. � FLOOD ZO]� � ---------- -------------------------------- COMPLY WITH CHAPTE "464 , sm1 p FLOOD DAMAGE PREVENTIO FOUNDATION PLAN PLUMBING SOUTHOLDTOWN CODE. ALL PLUMBING WASTE _ &WATER LINES NEED A M E N D M E N T TESTING BEFORE COVERING SMOKE/FIRE ALARMS - PLUMBER CERTIFICATION IAaI� ADDED IN FORp ON LEAD CONTENT 8EFORE \ A FOUNDATION AND 'IST FLOOR 1 ST. FLOOR PLAN CERTIFICA TE OF OCCLIPA NO Y (2ND FLOOR AS PCR PLAN) SOLDER USED IN WATER o. r -EL1T -no I_ 1% LEAD. I A �. _ 15._0. ❑ n o 4 3Pf1 FI,TW [9 Ip p"1 , 1T 'o FI LONL IIB - — -_ - - ❑ 0 O ❑ RUF Prrtruln GLCI - Z 1 :rP, PT IEoWIT _ _ —_ _ _ — irc,TmL O_ -- z 0 C71— aolrm �c I 'Uuar ur ulvneH an ON 'NI) n v -- f•'rl—'�"iAl� lel _- Y O I — LIJ �� xr � Q > N EXISTING FOUNDATION ;III,I,11 1^ I , ,I 1 11 11 1 I TAII I - "- /,Y,A TVI m - - (4rT- / 11ntm__ ( IN TnLL IN o a ' r ' [_ f^1 F�9/IBJ 7/ A IM f- ---- r -- --------------------------- --_- r o a -- --1111 In W Illei II - , IIAAIII (I' UL III Io _ - " 111111EF' 6PliHtlll M) _O N nu.I .A Imo mu ---T- I"I oil Ask I .II II��IIII� I vl I , - POST WAIL MIDIRiM— — — — - — - — - I/ LVL i W/ HoI II`If AIlI IVr � B • EXISTING FOUNDATION u W110 I -J;ll" MIM-1 E�Lra(•"OL--- � � z , I I I I w I 12 ) -------------------------------------------------------- I I I - -----------------=----------------------------------- TObP FOUNDATION PLAN AMENDMENT ^\ SMOKEIRE FOR MSADDE --{ A �j FOUNDATION AND IST FLOOR 1ST. FLOOR PLAN u ❑ (2ND FLOOR AS PER PLAN) a � a i 13 31 o j _—_ ,. )u�PHrauul re.l = 1I10'•� LU- — C)z _u1 ,alc a nEXI rrnlulr mH(') I � - CLl uP ul lnFm a.H ofl gun n LU 0 (.HIxaZ Q 11> - n 11l11 I Wil IHl� k, LIIJI llil,[Ilo r — -- — — - � E.�f��III m�,rall. 111111 IAII II�III,I I 'LLILII L, IIAN�,II _ -�M I R I . . I �; Ar _` BEDROOM �+3 a=�t++tr--EYP rvr_ —_ p msrnu 111'TAI Ica) �;� I-I) 1XI III TWI r -- I^'I I--✓ren-7/H Im _ � t w Pn�,r-- — — li � (") 1-1/11n-7/9 1 vI --_ - -_--_ F L �- _ 12'-0 O I¢a u•r of uunl �' / N nn I 111 Ing UIiI I IANI�IR .�IIL111�L-- r wrl) ,n W # movlm- IIRR rlHf1FP HnrnauLIH) C� _ - = I- HIIII IN L l IIAIIl�111 �Ir, i(] - Arrc uP In Q' -TAINS a uln n Iml /a 1 carne r,r ( 1 8 N - _ �Ilulllll� I II cd j F' i - -�_ ,a.l �1�-L4_11_ZS.Lv_c- _� .�_� POSI � __—. _.- _ _ __ _ ________ ___ _ __ __ `I LLC3n - 1 IIJSIALL 1=("_ WNI nlJffl " rAIRL ^1 -:/�I"P-,/'I IN W/ I:all wIAIb ARUVF — L � - To / Ln N Hl -7/1 W1100- Iy; BEDROOM BEDROOM z °o a w N, o 9 8 n - soPr, 7o lr. ti 2ND. FLOOR PLAN IST. FLOOR PLAN o CNw p I O 12 I nl II I I N m rI z u. z °xh rr ��w^.a Iry v � oU) j= LEJQU o � oz Q z I�— w m O U N m � U I U Id _ m Aa r PVATF U n FAITHL 1?'115TING � 1ST. FLOOR { � � o u O MR O Y Q O - O N I � FxsTIN1ry l EauNonTlo N 1 PHAIT NI0FI1JG -- FFLT III.IDFRI A ,r.IT Ir PI' CCY IA ATHIN6 �' 10 PICOF ��- ® .- `VAFR MI[;LC �EIIIN� II -' I' SECTION 313 '..H SIR HA Rl[t IIJSOLA IION _ ! h _ VIN�tl RRIN6 - 11Yp: I/- RATHIIPR - - / " ..I II_ATI IIDI`J r,S .�i _.v_ U b"OC "Xi ' rIIGS Gul _ NIIHJ It-],H' WullfJ-I FI WUlll'VI W Rt', INSULATION - -- r„ V li- 9 ROOFRn ^•u _� O EXIS LING, 1 ST. FLOOR FRAMING ATTIC _ i o Z a M - O C u 0 2 V' � m Z li Z O uvi � O W _ U Z W _ 11l L W < 0 Q ( o d '•iIZ r, lAY .t t _ r - _ l f A Q i W .'A n )� A I - -F _ 0-4 A ll A n� T .l A A - _ _ -I L A ��� I- _ W :Arl � ill AA11 0/ � A A A • l I -� ( I ( V I I I I 1 l I I , P AI ,, n A SFA A A il .f A A A d A A A A .. .l A n A A A n A d A n n n A f 1 f I f I I 1 1 1 1 1 1 1 r F 1 1 1 A A n n n ll - � ! l A ttl C P F A 1' A A T ld I' A d A A A T A A T A '� \ I � - FA rl IIII Illrrll rl A' Y. .I Alli F .� AA .I IfA + I AA dA n , A A n n i A A A A A A n l A l l n A , A -rer mn-e ao 1 ,1 F 1 Inl ! 1 f f 1 I l - _-ld •. 1lAA I' A A, AA 'k k) A . . A. r'-A A1 'Ir A �F -nd lln� l nd� ,l A �Ad nA nnlA�,� ICA ) YAA' } ArI 11 A AA AA II A_,A IIF A kA11. X — ry M m Ln FRONT ELEVATION REAR ELEVATION �- -- — u W. 0 W.0 Cu c�a C , .a' �tlareya tDNA LLo w U .f. R tail o � II - - — IW — O 0 Y � Cf 6 lu - - - - - - _ _ -- - --- --_ - --- - _ - ---- - - a W UJ Cry -RN ------ �� - PF T Q LEFT ELEVATION s Z Fi- N L� L � rl - Fr \ l J I LF7� RIGHT- ELEVATION a