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~.~ ~ ~ / ~ 'F~.~-.-~TOWH OF $OUTHOLD, NEW YORK
APPEAL FROM DECiSiON OF BUiLDinG ~NSPEC'rOR APPEAL NO.
DATE ..5"~.~....L.?....
........................... Street and Number
__ Name of~ Appellant
...... ............................................... ....
Municipality State
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT NO. ~ /''j ~'- ')~"-' DATED ~ / .~, ~- ~
WHEREBY THE BUILDING INSPECTOR DENIED TO
of ~....:f~...~....~.. ...... ~.~.....-.~...j..~.. ...... ~...~. ........ ~: ..~..: ..........
Str~e~et ag~ Numl~e~ Municipality State
(~t
PERMIT TO USE ~, ~,~' ~..,~'~-
( ) PERMIT FOR OCCUPANCY-
( )
Street L~se District on Zoning Map
Map Iqo. Lot N .
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
3. TYPE OF APPEAL Appeal is made herewith for
(/~ A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VARIANCE du,e to lack of access (State of New York Town Law Chap. 62 C6ns. Laws
Art. 16 Sec. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal ~ (has not) been made with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for a sp,ecial permit
( ) request for a variance
and was made in Appeal No ................................. Dated ......................................................................
REASON FOR APPEAL
( ) A Variance to Section 280A Subsection 3
(~ A Variance to the Zoning Ordinance
( )
is requested for the reason that& (~,~.~[/~=~
(Continue on other side)
l~orm ZB~
REASON FOR APPEAL Continued
1. STRICT APPLICATION OF THE ORDINANCE would produce UNDUE HARDSHIP because~
2. The hardship created ~s UNIQUE ~nd is not shared by all properties alike in the immediete
vicinity of this property and in this use district Because ~ ~~ ~
3. The Variance would obse~e the sp rt of the Ordinance and~OULD NOT CHANGE THE
~- CHARACT[R~~ OF~TH[ D[STRi CT~ becouse~ - ~ ~~ ~~. ~~~~~[
STATE OF NEW__YORK ) ss ...... ~..~ ' '~.~..
COUNTY OF~~-~ ~~' ::'"
Sworn to this ...............
o ........... .......
Notary Public
52-0367800
FOR~! NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERICS OFFICE
SOUTHOLD, N. Y.
NOTIC~ OF DISAPPROVAL
. ~<~,~..~. ~..~,..z~ .......... ~. ~.. ~. ~...~ ........
PLEASE TAKE NOTICE that your application dated .................. ~).: 19..~
for permit to constructX~,A~,~,....~..~-~¢~,~..at the premises iocated at
M ~ p ~,X,... ;. ~,, :~:~;: ...... Bbd< ........... ~....:% ................. Lo~ ........... ~....~. ..................
is
~ ~_.: _ 'J .: _ d~sapproved on the Eohow~ng grounds ....
...... ~.~..~,,;-~,.,:,, ......... :.~-..~ ...... ~ ~.../. ........................ .......... :.. ..................................
, FORNI NO. 1 '
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Approved .............. : ....... ~ ............. 19..~'~'...-'~eermit-- No ......... ~~_~
Disapproved a/c~..~ ....~~'~......~....~........~.._z..~..~...
APPLICATION FOR BUILDING PERMIT
................................
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 location.
c. The work coYered 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
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in p art for any pukpose 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 a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
~ature of a~~me, i~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
of land which propo~L~ work ~il. be done_,~-Map No: __.-__.~.. LOt N°. Z.
1.
Location
street and
2.State existing use and occupancy of Premises and intended use and bccupancy of proposed construction:
a. Existing use and occupancy ...... i~, ~...~.~'..~z C¢~ ........~.~.....~..,,~2 ~_~;~ ..............................................................................
b. Intended use and occuPancy.....~t~./..~..~..~.~'Z2.~ .......................................................... /
3. Nature of work (check which apphcable): New Building .................... Adb,don .......... Alteration ....................
Repair ................... .Re, oval .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ........ '~...'~'../..<:2..~.~....,...: .......................... Fee .......................................................... i ...............................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ................................ Number of dwelling units on each f oar ............................
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 ......... ~.~..~...z'.. .... Rear.: ....... ..~P. ..... ~ . Depth ..... ~../.......~. ....
Height ........ ,,~'...,~...]...' Number of Stories ......../.. ..................
9. Size of lot: Front ........ .~..~)...~....../'Rear ............... ./..~.3...~. Depth ............ ~.~..../
10. Date of Purchase ........................................................ Name' of Forme~Owner ...... ~...:.~...~...~..~~/
11. Zone or use district in which premises are situated .................... ...~....~.~...¢~..d...' .~...~'....~.'..~.~.~ .~.../' .....
12. Does proposed construction violate any zoning law, ordinance or regulation~ ..................................
..................
']3. Name of Owner of premises. . NO .... ~...~...~:?~
Name of Architect ................................................... ./....Address ........................................... Phone NO .....................
Name of Contractor .................................................... Address ............................................ Phone NO .....................
PLOT DIAGRAM
Locate cleariy and distinctly all buildings; whether existing or proposed,- and indicate all set-back dimensions from
property lines. Give street and block numbers or descr pt on according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW ~R~
co. T o,
.................................. ~~.~~being duly sworn, deposes and says that he is the applicant
(Name of i~vrduaJ-signing a~?~n~-~ ' .
above named He is t~e
(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 ~o the best of his knowledge and belief;
and that the work will be performed in the manner set forth in the application filed therewith.
,. ~." ':.IJ -. '..Il$W-~
......oII
8epteaber 27, 1958
The Ton Board
'1'... Cl.rk', Offia.
Southold, I.. York
G.ntl...nl
Pl.... arran,. to ie.u. a oheok in the dout ot 115.00 to
Otto Linderwarer, Horton', Poat, Southold, I.. York, repreeentinc
retund ot tee paid on Appeal 10. 103, dated Sept8llber 19, 1958.
Mr. Llnderwa:rer h.. withdran hie applioation and DO publication
wa. _de or th1e application.
Your. ver;r truly,
Robert 1. Gl11hple, Jr.
Chairwan, Soutbold Town Board
or Appeal.
R1GJrlglll
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