HomeMy WebLinkAbout30035-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30846 Date: 04/06/05
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 1295 ROBINSON LA PECONIC
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 98 Block 5 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 21, 2004 pursuant to which
Building Permit No. 30035-Z dated JANUARY 26, 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 "AS BUILT" ADDITIONS & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5364 DATED 12/04/03 .
The certificate is issued to CONNIE LOU BOCKLET
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2047723 03/30/05
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
F orm No.4,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 �� N �• ^
20 N
APPLICATION FOR CERTIFICATE OF OCCUPANCY
o =�
This application must be filled in by typewTiter or ink and submitted to the Building Department witl�-the fol
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. Swom 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
I. 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 qq
Q me �� Date. eG
New Construction: ' r e qq•nk /,
,/L 'Old or Pre-existing Building: (/beck on
Location of Property:—*IA9,Sr 4,916t.Serx"
House Noe Street Q ` Hamlet
Owner or Owners of Property: &AJ d 12 �F
i
Suffolk County Tax Map No 1000,Section Block 6 S Lot 63
Subdivision Filed Map. ,3y3y/� Lot: / �—
Permit No. Date of Permit. Applicant: ////Zg, ( 'o���r i f Mw Aek !�Y
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
(� �•p a C/ Applicant Signature
CO 1� 3() y�
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. 30035 Z Date JANUARY 26 , 2004
Permission is hereby granted to :
CHARLES & WF BOCKLET
APT# 518
GARDEN CITY,NY 11530
for
AS BUILT ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR PER ZBA WITH FLOOD PERMIT AS APPLIED FOR
at premises located at 1295 ROBINSON LA PECONIC
County Tax Map No. 473889 Section 098 Block 0005 Lot No. 002
pursuant to application dated JANUARY 21, 2004 and approved by the
Building Inspector to expire on JULY26, 200
Fee $ 400 . 00
i
ut o ' zed Signature
ORIGINAL
Rev. 5/8/02
O r�cP rJ�rJrJ�rSrJr�iJ�rPrJ�rJ�rJ@n cnrJ�rJ�rJ o
5 BY THIS CERTIFICATE OF COMPLIANCE THE S
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY CS
55 40 FULTON STREET — NEW YORK, NY 10038 5
S CERTIFIES THAT 5
Upon the application of upon premises owned by
5 GLEN'S ELECTRIC OF L.I. INC CHARLES BOCKLET 5
5 P.O. BOX 1304 1295 ROBINSON LANE 5
JAMESPORT, NY 11947, PECON IC, NY 11958
C 5
Located at 1295 ROBINSON LANE PECONIC, NY 11958
5 Application Number: 2047723 Certificate Number: 2047723 5
e c5
Section: Block: Lot: Building Permit: BDC: ns11 c5
5 Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at: 55
5 First Floor,Porch/Deck,
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 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 �5
5 authority having jurisdiction, and found to be in compliance therewith on the 30th Day of March, 2005. 5
5 Name OTY Rate Ratine Circuit Tvoe 5
Miscellaneous
5 5 enclosed porch-as built'2002' S
5 Wiring and Devices 5
Outlet 2 0 Fixture
Fixture 2 0 Incandescent 5
5 Outlet 7 0 General Purpose 5
55 Receptacle 5 0 General Purpose
Switch 5 0 General Purpose C
SReceptacle 1 0 30 amp Air Conditioner 5
5 Paddle Fan 1 0 5
5 Receptacle 1 0 GFCI
5 An as built visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is CL+]
5 believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5
5 5
seal
5
5
5 1 of 1 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.
I 5
5
1111 C cralmowl ME O
3�3s
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUG PLBG.
[ ] FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: Il
DATE 113WOZ INSPECTOR
*�OF SOUJyo*
x
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE 3 '�S-oS INSPECTOR '
JAMESJ. DEERKOSKI, P.E. ---
260 Deer Drive i3
Mattituck, N.Y. 119.52
(631) 298-7116
To: Town of Soudiold
Re. StrappitiWFraniing Inspection
Bocklet
1295 Robinson La.
Peconic, NY
Permit# 30035Z
To Whorn It May Concern:
This letter certifies that all wind strapping on the above mentioned project is in tact, and
meets all state and local building codes. A Fraining Inspection was also perforued on dus
Structure, and all fraining was done correctly and also meets all state and local building
codes. Any questions please feel free to call.
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APPEALS BOARD MEMBERS �►FFO(,rc
h�0� Southold Town Hall
Lydia A. Tortora. 53095 Main Road
Gerard P. Goehringer w Z P.O. Box 1179
George Horning O .j. Southold,New York 11971-0959
Ruth D. Oliva ChairwomanO ZBA Fax(631)765-9064
Vincent Orlando * �a Telephone (631)765-1809
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION r n
MEETING OF DECEMBER 4, 2003 SAN 2
Appl. No. 5364 - CHARLES BOCKLET
Property Location: 1295 Robinson Lane, Peconic (combined CTM 98-5-2, 3 and 4).
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 the project is implemented
as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's property consists of Lot 10 and 1 on the Map
of Peconic Bay Oaks for a combined area of 2.6169 acres, improved with two single-family
residences, as shown on the survey map dated October 23, 1991, revised November 11, 2003 by
Peconic Surveyors, P.C. Also existing on the property is a 48.3 x 24.3' accessory garage 6.4 feet
from the easterly property line near the circular driveway.
BASIS OF APPLICATION: Building Department's April 14, 2003 Notice of Disapproval, amended
July 14, 2003, citing Section 100-30A.3, in its denial of a building permit application for new
construction at less than 50 feet from the rear lot line.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on August 21, 2003 and
November 20, 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's original request was for approval of two as-
built porch areas at the east side of the dwelling, as shown on the architectural site plan (SP-1)
dated 4-4-03, revised 7-16-03 by Garrett A. Strang, R.A. at 32+- feet from the rear (easterly)
property line, at its closest points.
ADDITIONAL INFORMATION:AMENDED RELIEF: During the August 21, 2003 public hearing, the
applicant's architect was asked questions pertaining to whether one of the porch areas had a C.O.,
and which area was existing and what area of construction was proposed as new. Opposing the
application was an adjacent landowner to the east who raised concerns about possible easement
restrictions. In order to allow time for the information to be submitted in behalf of the applicant, the
hearing was adjourned to November 20, 2003. During the November 20, 2003 public hearing, the
record was clarified, that the enclosed porch had a Certificate of Occupancy was no longer desired
by applicant in this variance request, and that only the roofed over deck area (8' x 20.8') required a
setback variance 32+- ft. setback from the rear lot line, shown on the 7-16-03 revised site plan
Age 2—December 4, 2003
Appl. No. 5264—Charles Bocklet
98-5-2,3,4 at Peconic
prepared by Garrett Strang, R.A., and 33+-ft. from the rear lot line shown on the Peconic Surveyors,
P.C. survey dated October 23, 1991, revised November 11, 2003. Also submitted for the record
were title insurance reports prepared by Stewart Title Insurance Company September 17, 2003 for
the applicant's property.
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 agent for the applicant indicated that he
constructed the (as built) open, roofed porch at the east side of the main dwelling facing Great
Peconic Bay. The porch is a balance of the open porches on both sides of this home. The
applicant's agent confirmed the porch will always remain open, except for the roof.
2. The benefit sought by the applicant cannot be achieved by some method, feasible for the
applicant to pursue, other than an area variance. One side of the home faces the public road which
places the porch on the opposite side closer to a rear yard by code definition. The dwelling has
existed for many years in its present location. If the street were at the north side of the home, the
addition would be in a side yard.
3. The variance granted herein is substantial, representing an 18+- ft. reduction from the code-
required 50 feet to 32+-feet.
4. The difficulty was self-created in that the construction was done without a permit and the
applicant was probably unaware of the closeness to the rear lot line.
5. No evidence has been submitted to suggest that the relief granted will have an adverse impact
on the physical or environmental conditions in the neighborhood.
6. Grant of the relief is the minimum action necessary and adequate to enable the applicant to enjoy
the benefit of an open porch 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 Goehringer, seconded by
Chairwoman Oliva, and duly carried, to
GRANT the variance as applied for on this lot with combined CTM 98-5-2,3,4, shown on the
Peconic Surveyors, P.C. survey dated October 23, 1991, revised November 11, 2003, and
shown on the 7-16-03 revised site plan prepared by Garrett A. Strang, R.A.
Pegg 3—December 4, 2003
Appl. No. 5264—Charles Bocklet
98-5-2,3,4 at Peconic
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, Tortora, and Orlando (Vice
Chairman). Absent was Member Horn' �Thi�bso on a$ duly adopted (4-0).
Q
Ruth D. Oliva7 Chairwoman 1k /04
Approved for Filing
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• , jV717•1!4 T. TERRY 1�= rte+ .`� I��„n H:dl. 511195 Alam
r ... '=•. P.O. nos 117()
' TDRIN CLERK �7 � , Sa�diold. Nc . burl; I I
1 l;
REGISTRAR Or v1TN. STATISTICS Fra ,S l 0 7Ac.I t
MARRIAGE OFFla:R TdcRliunr• I S I x., 1x,55,.11
RECORUSMANAGEMENT OFFICER 01 ?s 1
FREEDOM OF INFOR-MAnON OFFICER `
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE
SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993 :
RESOLVED that the Town Board of the Town of Southold hereby adopts
two (2) new forms to be used under the Flood Damage Prevent regulations J
of the Code of the Town of Southold: "Floodplain Development Permit
Application” (FDP(93 ) ] , and "Certificate of Compliance for Development in
Special Flood Hazard Area (C/C(93) ) .
- 71
J 1!I
BZV. 05 c
TOWN OF SO',1-(110LD
i��h"
Southold Town Clerk
August 25 , 1993
APPLICATION s
PAGE I of 4
TOWN OF SOUTHOLD
FLOODPLAIN DEVELOPMENT PERMIT APPLICATION
This form is to be filled out in duplicate.
SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sien)'
1. No work may start until a permit is issued.
2 The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
4. Development shall not be used or occupied until a Certificate of Compliance is issued.
5. The permit will expire if no work is commenced within six mooths of issuance.
6. Applicant it hereby informed that other permits may be required to fulfill local,state and federal regulatory
requirements.
7. Applicant hereby gives coo=t to the Local Administrator or his/her representative to make reasonable
inspections required to verify compliance.
8. I,THE APPLICANT,CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO
THIS APPLICATION ARE,TO THE BES/TJ OF MY KNOWLEDGE,TRUE AND ACCURATE.
(APPLICANTS SIGNATURE) /OV - GL/lNr.— DATE �Z
SECTION 2: PROPOSED DEVELOPMENT ffo be completed by APPLICANT)
NAME ADDRESS TELEPHONE
APPLICANT _
ENGINE 1
Z D -Ao -e le* SP- S•f til✓
PROJECT LOCATION:
• To avoid delay in processing the application, please provide enough information to easily identify the project
location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the
diseanec to the nearest intersecting road or well-known landmark A sketch attached to this application showing
the project location would be belpfvl.
FDP(93 )
APPLICATION _
PAGE 2OF4
DESCRIPTION OF WORK (Check all appbcable boxes)
A. STRUCTURAL DEVELOPMENT
ACTIVrrY STRUCTURE TYPE
0 New Structure O Residential (1-4 Family)
ddition 0 Residential (More than 4 Family)
Alteration 0 Noo-residenual (Floodproofmg? 0 Yes)
O Relocation 0 Combined Use (Residenual & Commercial)
0 DemoGtioo P 0 Manufactured (Mobilo) Home (In Manu-
• Replacement factured Home Park? 0 Yes)
ESTIMATED COST OF PROJECT S
B. OTHER DEVELOPMENT ACTIVITIES:
0 Fill 0 Mining O Drilling O Grading N
0 Excavation (Except for Structural Development Checked Above)
- 0 Watercourse Alteration (Including Dredging and Charrnel Modifications) , +
0 Drainage Improvements (Including Culvert Work)
0 Road, Street or Bridge Construction
O Subdivision (New or Expansioo) .
0 Individual Water or Sewer System
0 Other (Please Specify)
After completing SECTION 2, APPLICANT should submit form to Local Administrator for review-
SECTION 3• FLOODPLAIN DETERMINATION fro be completed by LOCAL ADMINISTRATOR)
The proposed development is located on FIRM Panel No. Dated
The Proposed Development:
0 Is FM located in a Special Flood Hazard Area (Notify the applicant that the application
review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED).
0 Is located in a Spccial Flood Hazard Area.
FIRM zone designation is
100-Year flood elevation al the site is: R. NGVD (MSL)
0 Uoavailablc
O The proposed development is located to a (loodway.
FBR,t Pancl No. Dated
0 See Section 4 (or additional instruction:
SIGNED DATE
.r
i
APPLICATION 4
PAGE ] OF 4
SECTION 4: ADDITIONAL INFORMATION REQUIRED (To he completed by LOCALADMINISTRATOR)
The applicant must submit the documents checked below before the apphcatian can be processed:
0 A site plan showing lbc location of all existing structures, water bodies, adjacent roads, lot
dimensions and proposed development.
❑ Development plans,drawn to scale, and speciftcatiprts,including where applicable:details for
anchoring structures, proposed elevation of lowest Boor(including basement), types of water
resistant materials used below the first Boor, details of Boodproofmg of utikics located below
the fust Boor and details of enclosures below the first Boor.
Also
0 Subdivision or other development plans (If the subdivision or other development exceeds 50
lots or 5 acres,whichever is the lesser, the applicant must provide 100-year flood elevations
if they are not otherwise available).
❑ Plans showing the extent of watercourse relocation and/or landform alterations.
0 Top of new fill elevation Ft. NGVD (MSL).
0 Floodproofmg protection level (non-residential only) Ft:NGVD (MSL). For
Boodproofc l structures, appBcant must attach certification from registered engineer or
architect. '
0 Certifi=•itioa from a registered engineer that the proposed activity, in a regulatory Boodway
will act result in any increase in the height of the 100-year flood. A copy of all data and
calculations supporting this (Lading mast also be submitted-
0 Other,
SECTION 5• PERMIT DETERMINATION [To be completed by LOCAL ADA1INISTRATORI
I have determined that the proposed activity. A. 0 Is
B. 0 Is not
in conformance with provisions of Local Law # 19 . The permit is issued subject to the conditions
attached to and made pan of this permit.
SIGNED DATE
If BOX A is checked the Local Administrator may issue. a Dcveloprnco( Permit upon payment of designated
fee.
If BOX B is checked, the Local Admirustrawr will provide a wTitten summary of deficiencies. Applicant may
revise and resubmit an application to the Local .Administrator or may request a hearing from the Board of
Appeals.
APPLICATION a _
PAGE a OF n
.APPEA-I-S. Appealed to Board of Appeals? O Ycs ❑ No
Hearing date:
Appeals Board Decision --- Approved? O Yes ❑ No
Conditions
SECTION 6• AS-BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance
is i ued
The following information must be provided for project structures. This section must be completed by a
registered professional engineer or a licensed land surveyor (or attach a certification to this application).
Complete 1 or 2 below.
1. Actual (As-Built) Elevation of the top of the lowest Boor, including basement (in Coastal High Hazard
Area bottom of lowest structural member of the lowest floor, excluding piling and columns) is:
Ff. NGVD (MSL).
L Actual (As-Built) Elevation of floodproofng protection is FT. NGVD (MSL).
NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant.
SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR)
The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to
ensure compliance with the community's local law for flood damage prevention.
INSPE=CTIONS: DATE BY DEFICIENCIES? O YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
DATE BY DEFICIENCIES? ❑ YES ❑ NO
SECTION 8: CERTIFICATE OF OMPLIAN E o be completed by LOCAL ADhtINISTRATORI
Certificate of Compliance issued: DATE BY:
Attachment B
SAMPLE
CERTIFICATE OF COMPLIANCE
for Development in a Special Flood Hazard Area
,r r
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
FOR DEVELOPMENT W A SPECIAL FLOOD HAI-UW AREA
(OWNER MUST RETAIN THIS CERTIFICATE)
PREMISES LOCATED AT: PERMIT NO.
PERMIT DATE
OWNERS NAME AND ADDRESS: CHECK ONE:
0 NEW BUILDING
0 E7CISTING BUILDING
0 VACANT LAND
THE LOCAL ADMINISTRATOR IS TO COMPLETE A OR B. BELOW:
A. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW #_, 19
SIGNED: DATED:
B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF
LOCAL LAW # 19_, AS MODIFIED BY VARIANCE # ,
DATED
SIGNED: DATED:
C /C ( 93)
� r
r
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: April 14, 2003
AMENDED: July 14,2003
AMENDED: July 17,2003
TO: Garrett Strang A/C Bocklet
1230 Traveler Street
Southold, NY 11971
Please take notice that your application dated April 4, 2003
For permit to make additions/alterations to an existing single family dwelling at
Location of property: 1295 Robinson Road, Peconic
County Tax Map No. 1000 - Section 98 Block 5 Lot 2
Is returned herewith and disapproved on the following grounds:
The proposed addition/alteration to this existing single family dwelling, on a conforming 72,892
square foot lot in the Residential R-40 District, is not permitted pursuant to Article IIIA, Section 100-
30.A.3, which states,
"No building or premises shall be used and no building or part thereof shall be erected or
altered in the Residential R-40 District unless the same conforms to the requirements of the
Bulk Schedule and of the Parking Schedule, with the same force and effect as if such
regulations were set forth herein in full."
Bulk Schedule requires a rear yard setback of 50 feet. Following the proposed construction, the rear
Yard setback will be +/- 32 feet.
Total lot coverage, following the proposed construction, is 16.67 percent.
Regardless of whether or not the adjoining lots, SCTM# 98-5-3. 98-5-4, have merged with the above
referenced property, the building department will continue to consider this particular lot single and
separate un ' er search proves otherwise. The above referenced lot is conforming in this zone
and wQaffnot. its if mere with the adioining lots. No work is being proposed on the undersized lots
and erefore r sue.
Aut 6rizeh Signatu
This Notice of Disapproval was amended on July 14, 2003 to clarify the merger of these three
referenced lots.
This Notice of Disapproval was amended on July 17, to clarify the merger issue.
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: April 14, 2003
TO: Garrett Strange A/C Bocklet
1230 Traveler Street
Southold, NY 11971
Please take notice that your application dated April 4, 2003
For to make additions and alterations to an existing single family dwelling at
Location of property 1295 Robinson Road, Peconic
County Tax Map No. 1000 - Section 98 Block 5 Lot 2
Is returned herewith and disapproved on the following grounds:
The proposed addition/alteration to a non-conforming single family dwelling, on a conforming 113,992
square foot parcel in the R-40 District, is not permitted pursuant to Article IIIA, Section 100-30.A.3,
which states,
"No building or premises shall be used and no building or part thereof shall be erected or
altered in the Residential R-40 District unless the same conforms to the requirements of the
Bulk Schedule and of the Parking Schedule, with the same force and effect as if such
regulations were set forth herein in full."
Bulk Schedule requires a rear yard setback of 50 feet. Following the proposed construction the rear
yard setback will be+/- 32 feet.
Total lot cover ing the proposed construction is +/- 11 percent.
S' a e
CC: file, Z.B.A.
Note to Applicant: Any change or deviation to the above referenced application may require
additional review from the Southold Town Building Department.
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: April 14, 2003
AMENDED: July 14, 2003
TO: Garrett Strang A/C Bocklet
1230 Traveler Street
Southold, NY 11971
Please take notice that your application dated April 4, 2003
For permit to make additions/alterations to an existing single family dwelling at
Location of property: 1295 Robinson Road, Peconic
County Tax Map No. 1000 - Section 98 Block 5 Lot 2, 3 &4
Is returned herewith and disapproved on the following grounds:
The proposed addition/alteration to this existing single family dwelling, on a conforming 113,992
square foot lot in the Residential R-40 District, is not permitted pursuant to Article IIIA, Section 100-
30.A.3, which states,
"No building or premises shall be used and no building or part thereof shall be erected or
altered in the Residential R-40 District unless the same conforms to the requirements of the
Bulk Schedule and of the Parking Schedule, with the same force and effect as if such
regulations were set forth herein in full."
Bulk Schedule requires a rear yard setback of 50 feet. Following the proposed construction, the rear
Yard setback will be +/- 32 percent.
The entire lot measures 113,992, as a result of the mercer of lots 2, 1 & 10.
Total lot coverage, following the proposed construction, is 11 percent.
Thi oti a of Dis as amended on January 21 2003 to correct errors in lot covaera e
cafealati6ns ow-15e-halt ow-15e-haltoulre Building Department.
thoriz Signat
Thisotice of Disapproval was amended on July 14, 2003 to clarify the merger of these three
referenced lots.
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
Fh 1 WaF�e , w.Jl fix.} 1" La+ tpi, t?9i
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Town of gnUTROLA mew rose DATE 17,�',�,9 '79
ACTION OF 198 ZONNG BUAILD OF APPUW
Appy,No, 2634 Dated October 10, 1979
., ACTION OF THE ZONING BOARD OF APPZAW O8 TIM TOWN OF SOUMOLD
To Gwynne Construction Corp. (Richard P. Lark, Esq. Appellant
163A Montauk Hgwy West Main Road
Hampton Bays, NY 11946 Cutchogue, NY 11935) -
at meeting of the Zoning Boma of Apysie an November 15, 1979, the appad
.nine considered and the action 4idfeakd below wax taken an low 1
. . ( ) Requat for variance dun to Link of ateese to propert,
( ) Request for g apeCW azeeptlan under the Zoning Ordteauee
Requeet for a varlanes to the Zoning Ordinance Art. V'17: 0100-70
1. SAMPROC93101101MIUBy resolution of the Board It was detatmined that a weds( axoWift ( ) be
graatad ( ) be dented pursuant to Article ____section .-_-_....._ subsection paragraph
. .. ._._..._._.:..
Of the Zoning Ordinance and the dedalon of the Building Iuspeotor C ) tx reverrd ( ) be
camnrmed became 2:25 k.9}, . (R.S,x.l Upon application of.Gwynne Construe-
tion Corp., i,63A Xontauk Highway West, Hampton Bays, New York for a
Variance to the Zoning.Ordinance, Article VTT, Section 100-70 for
permission to change use to include residential use in B-1 Zone.
. Location of property. 6355 Main Road, Laurel., New York; bounded
north by Mattituck Holding Co., south by Masten, east by Main Road,
west by Long island Railroad. .
(SHEREVERSE) .
Y. VAnraw,m By rneWfon of the Board it wns determined that
(a) SWd application of the Ordlnanee(would) (would not). produce Practical difficulties or unnecewry
.hardattip heeamse .
.GSEH REVERSE) .
(b) The hatAblp created (hr) (4 int) ualpue and (would) (would not) he alui ed by all propm'tim
alike in the immediate vltlulb of thio properly and in the acme use dieb*t b enemne, .
(SEE REVERSE)
(o) The-va:Laee (does) (does int) observe the aPira of the Ordlnaace and (would) (would not)
change the character of the dhar4t because
[SEE ROVERSE)
and therefore, it was a¢ther determined that the requested mlere ( ) be granted ( 7 be denied and
that the Previous ded0ona of the Building INpector( ) be emdhmed ( )be raverved.
;k
APPROVED
ZONINO BOARD OF APPBAW
MAIN(ZBa
A� )//C�Chairmal Board M A eats
x.
/ :ter .investigation and inspection, '�tie Board finds that the
app scant requests permission to use the model home living area
for residential use and to utilize the two-car garage as' s showroom-
office space, and the garage at the rear of the property for storage
of hfs products. The Board does agree with the reasoning of the
applicant.
The Board finds that strict application of the Ordinance would
produce-practical difficulties or unnecessary hardship; the hardship
created is unique and would not be shared by all the properties
alike in the immediate vicinity of the property and in the same use
district; and the variance will not change the character of the
neighborhood and will observe the spirit of the Ordinance.
On motion made by Mr. Grigonis, seconded by Mr. Douglass, it
was
RESOLVED', that the applicant, GWYNNE CONSTRUCTION CORP., 163A
Montauk Highway West, Bampton Bays, New York, be GRANTED a Variance
to the Zoning Ordinance, Article VII, Section 100-70 for permission
to change use to include residential use in B-1 Zone, SUBJECT TO .-
THE FOLLOWING CONDITIONS:
(1) That any business conducted on the premises shall be con-
ducted by the person(s). residing in the dwelling on the premises;
(2) . :Approval of the Suffolk County Planning Commission'.
"tion of property: 6355 Main Road, Laurel, New York; -
bounded north by Mattituck Colding Co., south by Maston, east
by Main Road, west by Long Island Railroad.
Vote of the Board: Ayes: Messrs. Douglass, Grigonis, Doyen.
and. Tuthill. :. • .
.-_::s�-...�,„�q.,.,....,,.e,,.,.a„�,�. ;.� ; n, sin!-++r+9•s�'�`�
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TOWN OF SOUTHOLD,NEW YORK
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2654 Dated 12-6-79
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
Mr. Charles Bocklet (by Peter Stoutenburgh as agent,
TO 72 Fourth Street Greenport, NY 11944) Appellant
Garden City, NY 11530
at'a meeting of the Zoning Board of Appeals on December 27, 1979, the appeal
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property pursuant to
(X) Request for a special exception under the Zoning Ordinance
Art. III, Section 100-30A.
1.• .By resolution of the Board it was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article .................. Section Subsection .................... paragraph
.........._....._ of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be
confirmed became 5:40 P.M. Application of.CHARLES BOCKLET (by Peter
$tOutenburgh) , 72 Fourth Street, Garden City, New York 11530, for
a :Special Exception to the Zoning Ordinance for permission to estab-
lish second residence dwelling on lot, Article III, Section 100-30A.
Location of property: Robinson Lane, Peconic, New York; bounded
north by Suskevich, east by Wood, south by Hog Neck Bay, west by
Robinson Lane. -
l (SBE REVERSE) .
1. DW93MUNUMBy resolution of the Board it was determined that
(al Strict application of the Ordinance (would) (would not) produce practical difficulties ce unnecessary
"h(p became
(SEE REVERSE)
(bI The hardship tented (is) (is not) unique and (would) (would not) be shared by all properties
alike to the hmnediate vicinity of this property and in the same use district because
(SEE REVERSE)-
(c): The variance (don) (does not) observe the spirit of the Ordinance and (would) (would not)
change the character of the district because
(SEE REVERSE)
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Bunding Impactor( ) be confirmed ( ) be reversed.
I
I
ZONING BOARD OF APPEALS
FO*M ZB4 -
I
After investigation and inspection, the Board finds that the
applicant has requested permission to convert the barn on the
dwelling-house premises into a yearround caretaker's home. The
applicant has agreed to include the adjoining parcel, known as
Subdivision Lot 1 of "Peconic Bay Qaks," with the 1.8-acre parcel
to allow for the 80,000 square-foot requirement for two dwellings.
The Board agrees with the reasoning of the applicant.
The Board finds that the circumstances present in this case
.are unique, and that strict application of the ordinance would
produce practical difficulties or unnecessary hardship. The
Board believes that the granting of this special exception will
not change the character of the neighborhood and will observe the
spirit of the zoning ordinance.
On motion made by Mr. Douglass, seconded by Mr. Grigonis, it
was
RESOLVED, that CHARLES R. BOCKLET,_J2 Fourth Street, Garden
City, New York 11530, (by Peter Stoutenburgh as agent) , BE GRANTED
permission to establish a second residence as applied for, SUBJECT
TO THE FOLLOWING CONDITIONS:
1. That Subdivision Lot No. 1 of "Peconic Bay Oaks" is deemed
to be part of the second-dwelling complex and shall not be used
for the construction thereon of any further dwellings.
2. That approval and/or recommendations of the Suffolk County
Planning Commission be obtained, pursuant to Section 1331 of the
Suffolk County Charter.
3. That the applicant obtain approval of the Site Plan from
the Southold Town Planning Board,. pursuant to Article III, Section
100-30.
Location of property: Robinson Lane, Peconic; bounded north - -
by Suskevich, east by Wood, south by Hog Neck Bay, west by Robin-
. - son Lane. - County Tax Map Item No. IOOD-98-5-2 and 1000-98-5-3.
.Vote of the Board: Ayes: Messrs. Douglass, Grigonis and
Doyen. Absent: Messr. Tuthill.
' _^P^^na'sn'q`%,TkFPT.^`!, kF '`''.yin"'°q{�rT2.Rvrt T'yi"SOCII. .'.�'mnemT'.uAi4�1M111'.n.{yApmw'.T.C3Prsvrn�.y.,..f� .e--. +t.Ja-.
-k
i. NOTICE OF HEARINGS
IfPursuant to Town Law Section 267 and Provisions of the Amended
Building Zone Ordinance of Southold Town, New York, Public
Hearings will be held by the Zoning Board of Appeals, Town
Hall, Main Road, Southold, New York, Thursday, December 27, 1979
on the following:
IIII 7:50 P.M. Application of Y & C HOLDING CORP. , 142-17 38th
Avenue, Flushing, New York (Abigail A. Wickham, Esq.) for a
Variance for approval of access in accordance with Town Law
Section 280A. Location of property: right-of-way on the
northerly side of County Road 27; hounded north by L..I. Sound,
west by Troyano and McGunnigle, south by McGunnigle and Ebeling,
east by Wicks.
8:00 P.M. Application of GUNTER MORCHEL, Main Road, Mattituck,
New York for a Variance to the Zoning Ordinance, Article III,
Section'.IGD-32 for permission to construct fence over four feet
high in front yard. Location of property: Nassau Point
Amended Map A, Map #156, Lots 18 and part of 17, bounded north
by Old Menhad en Road, east by Peconic Bay, south by Case, west
by Nassau Point Road.
8:10 P.M. Application of GUNTER MORCHEL, Main Road, Mattituc%,
New York for a Variance to the Zoning Ordina'nce, Article III,
Section 100-35 for permission to construct fence (accessory) in
front yard. Location of property: Nassau Point Amended Map A,
Map #156, Lots 18 and part of 17; bounded north by Old Menhaden
Road, east by Peconic Bay, south by Case, west by Nassau Point
Road.
8:25 P.M. Application of JAMES REALE (by Peter Stoutenburqh) ,
Skunk Lane, Cutchogue, New York for a Variance to the Zoning
Ordinance, Article 111, Section 100-32 for permission to con-
struct accessory building in side yard. Location of property:
7845 Skunk Lane, Cutchogue, New York; bounded north by Prieman
X+R!'P�+.'i
Legal Notice of Hearings -2- December 27, 1979 meeting
Southold TDWn ;Bbard of Appeals
and Cordes, east by Keller, south by Skunk Lane, west by Petrucci.
8:40 P.M. Application of CHARLES BOCKLET (by Peter Stoutenbur h
72 Fourth Street, Garden Cit , New York for a Special Exce tion
to the Zonin Ordinance for permission to establish second•-reside e
on same o ,
dwelling/ Article III, Section 100-30A. Location of property:
Robinson Lane, Peconic, New York; bounded north by Suskevich,
east by Wood, south by Hog Neck Bay, west by Robinson Lane.
8:55 P.M. . Application of JOHN R. DEMPSEY (North Fork Equities, -
Inc. for Diane Gazza) , North Road, 'Southold, New York for a.
Variance to the Zoning Ordinance, Article III, Section 100-30
for permission to obtain Certificate of Occupancy with insuffi-
cient frontyard setback. Location of property: Cedar Beach .
Road, Southold, New York, known and designated as part of Lots
No. 21, 22, 23, and 24 on Map No. 90 of Cedar Beach Park.
t 9:10 P.M. Application of STEPHEN J. PERRICONE and PENELOPE
KOUSOUROS, 7470 Sound Avenue, Mattituck, New York, for a Variance
to the Zoning Ordinance, Article VI, Section 100-60 for permission
to establish a disco bar with dancing. Location of property: _
Sound Avenue, Mattituck, New York; bounded north by Sound Avenue,
east by Sepko, south and west by Meglio. -
BY ORDER OF .THE SOUTHOLD TOWN BOARD OF APPEALS
----------------------------------------------------------------
Instructions for the Suffolk Times and Long Island Traveler
Watchman for publication:
Please publish once, December 13, 1979 and forward seven (7)
jaffidavits of publication to: Southold Town Board of Appeals,
( Main Road, Southold, New York 11971, on or before December 17, 197D.
Copies mailed to: '
( Abigail A. Wickham, Esq. for Y & C Holding Corp.
f Mr. Gunter Morchel, Main Road, Mattituck, NY 11952.
IIMr. Peter Stoutenburgh for James Reale and Charles Bocklet
Mr. James Reale, Skunk Lane, Cutchogue, NY 11935.
I�Mr. Charles Booklet, 72 Fourth Street, Garden City, NY 11530.
I( Mr. John R. Dempsey, North Fork Equities for Diane Gazza, Southold.
Mr. Stephen J. Perricone & Ms. Penelope Kousouros, Mattituck.
I
TOWN OF BOUTNOLD, NEW YORK r�[
APPLICATION FOR SPECIAL EXCEPTION APPLICATION NO.oZ6S-
DATE/oZ7..6�. 9
TO THE ZONING BOARD OF APPEALS, SOUTHOL.D,N. Y.
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State
hwebY aPAb to THE ZONING BOARD OF APPEALS for a SPECIAL. EXCEPTION le eocordanee wlfh the
ZONING ORDINANCE ARTICLE SECTION
PBS=ON
3'HE SPECIAL EXCEPTION IS REQUESTED BECAUSE
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EUZABETN ANN KUILLE
N9TAEN Mom SRfe of New Ymk
No. 525125859, Suffolk faWg1L
Tem EN9Nee NKcA 30,I
FORM ZBE
FORK N0. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL 9
F1 ../G/.. ...../...................
'le�N�o. ................................................................ Date ..........cAI b
..................
/...e.........
'PLEASE TAKE NOTICE that your application dated A4Ljs4E ...4 7
'orpermit to constructz G........ . ...at the premises located at ....................................
............. strait I �Cx,r ,c U
op /aa o�09�........... Block .............Q..`—'"........................ Lot ............Q. .Z....................... is
etumed herewith and disapproved on the following grounds . L..�...LS..�tJ.GA .f.'iP...1.
..--.. .......................
...........A97..[..... ...... oQ-.3d........ ... .:.................................................
........................... ... ..
Building Inspector
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.
ACTION OF THE ZONVW BOARD OF AFFRALS
I
Appeal No. 2834'bY.. applicationDared:'way 15; 1981
ACTION OF TIE ZONING BOARD OF AFF&US OF THE TOWN'OF SOUTHOLD I
To CAas1es,Bogk1,et. A.ppelnnt
. .. f29g 'R61b��n>4oia kane
N a auloting.af the Zoning HoaM of Appeals m June l l, 1981 tae appeal
was emaideoad and the soil"tndim ed below was.taken on yoga
( ')'Request for variance due'.to lack of seceas to properly .
( ) Request for a special elrasption under.the Zoning Ordlasnes .
(X) Request for a variance to the Zonhlg Otdh=m Art. I22,.*SeC. 100^-32
1
granted ( ) be dented purroaut to Artkle ....Section _.............. Subsection ------- paragraph .
...__. —. of the Zontvg Ordinsom and the deeidon of the Buflding pupecke ( ) be reversed ( .) be
confirmed beceuea Public Hearingt 6/11/81: 9:15 .P.M. Application of
Charles Booklet-, 1295 Robinson Lane, Peconic, NY, (by Peter R.
StouteRbturgh.as agent) for a Variance to the Zoning Ordinance, Art. .
II2, Sec. 100-32 for permission to construct swimming.pool with
fence in front (and/or sideyard) area at 1295 Robinson Lane,
Peconic, NY; bounded north by .Suskevich; west by.Robinson Lane
and McQueen; south by the� bay;.east byi Wood; County Tax.Map Item
No. 1000-98-5-2, 3, 4. .
/ (SEE REVERSE SIDE) - ..
9. VAHIANCR.By reaolutim of Ore Hoard it was determined that `
(a) Strict applkation of the Ordinance(would) (would eat) produce practkal dtdOorldes or umaomuM
hardship bemuse .. .
(SEE REVERSE SIDE')
.(b) The hardabip created ()a) (b not) unkoe and.twoald) (would not) be shared by au pvperUm
allke in the mlmealate vicinity at 942 property and In the/awe use dhdrM beoanai .
(SEE REVERSE SIDE) . . .. .
(o) The varOnce-(does) (dm.mt) observe the spirit of the Ordininea and (would) (would'not) .
change the ebaractft'of the district bemwe .
(SEE REVERSE SIDE)
and therefore, n was further debmvdned that the requested vaetanm ( ) be granted.(' ) be decled and
that the previous daelatoee of We Huliding Inspertor( ) be CGO lrwed ( ).be reversed.
CG: lk 20NMG bOARb of APPEALS
FORM Zea
r
F
After investigation and personal inspection, the Board finds
an&.determines. as follows;
� By this appeal, appellant seeks .permission to construct a
swimmingpool with four-foot high fence ih the front and aide yard
areas, with a minimum setback from the westerly property line of.
15 feet. The premises in question is located at the southerly
end.of Robinson Lane', Peconic and contains an area of approximately
; .
80,000.aquare feet.. The premises areimproved with a 1-} story
frame house and accessory buildings. The Board does agree with
reasoningof the applicant.
.The Board finds that the relief requested is not substantial
in relation to the Code requirements; . that the relief would not
change, the.character of the neighborhood; that no adverse effect
oi411 be..produced on available governmental facilities of any in-
creased populations that the hardship.or practical difficulty is
unique and not self-imposed; and that the interests of justice
j . wili be served by granting the relief as requested.
( on motion by Mr. Grigonis, seconded by Mr. Sawicki, it was
RESOLVED, that Charles �Bocklet, 1295 Robinson Lane, Peconic,
NY be. ra. d evariance to the zoning. ordinance, Article III,
Section I00-32 for permission to construct swimningpool with .
fence in the front and side yard. areas as applied for in Appeal
. No. 2534 and SUB&kCT %T00. THE FOLLOWING CONDITIONS:
(1) That the structures be located not closer than 15 feet
from the westerly property line;
i
i
(2) That. this matter be referred to the Suffolk County
Planning Commission pursuant to the rules and regulations of
the Suffolk County Charter.
Vote of the Board: Ayes: Messrs. Doyen, Douglass, Goehringer,
Sawicki and Grigonis.
APPROVED
/ f P :
Ch*mm Board of A Is. 94
RECEIVED AND FILED BY
THE SOUTHOLD TOWN CLERK
DATRI?lA/e-) HOUR1,0.,,5014.0k
Town C.Ierk, Town of !d
1
FIELD INSPECTION REPORT DATE COMMENTS
O �
FOUNDATION(IST)
xt
--------------------------------------
FOUNDATION
---------------------------------FOUNDATION(2ND) - m
z
/peed-f'E
U�
ROUGH FRAMING& — -- - --- --- - - m
PLUMBING
rn
INSULATION PER N.Y. — -- - - -
STATE ENERGY CODEIle
----- -- ---__--_--__--___
ry
FINAL
ADDITIONAL COMMENTS
- 0
rn
--- - ---- -------
- - x
v
- - m
TOWN OF SQUTHOLD BUILLrr1G PERMIT APPLICATION CHECKLIST
BUILDfNG DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 seta of Building Plans
TEL: 765-1802 Survey
PERMIT NO. Chock
--- - - Septic Form
N.Y.S.D.E.C.
,,/ Trustees
Examined 1126 20 f Contact:
Approved I 26 620 7 Mail to:
Disapproved a/c
r 6 Phone:
DISAPMAL
APPLICATION FOR BUILDING PERMIT
,,//
Date JVP,e 1 L- 3 200
J 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 locationoflot and of buildings-m 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 wor1L
e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy
is issued 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 inspections.
y ,,(Signature of applicant or name,if a corporation)
O t�yc
14/ Z 9LTi ffo 4,.D 6ti
(Mailing address of applicant) I
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
�)). - Q GH 17—eCT nJT
Name of owner of premises L-N p 2 L 6s + Co Nn/1 G Z-OJ -AoC Ae4.E T
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
.v/4
(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:
1296 IeOBiaSc,.i L.c ^4C iG.
House Number Street Hamlet
County Tax Map No. 1000 Section �� Block 0 -7-- Lot O 2
Subdivision 7eeCoN i c AV 0A4S Filed Map No. 3 Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Smjr[f rAn 1 �'j 2Es/AE v ct
b. Intended use and occupancy SAME
3. Nature of work(check which applicable):New Building Addition X Alteration X
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost $ 6 od 00 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. AJ IA
7. Dimensions "umber
if any: Front //o Rear //0 Depth 5E G
Height of Stories Z
Dimensions of same structure with alterations or additions: Front / / Rear
Depth 5 S Height 2-e Number of Stories.
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front A/ foo Rear S /9B 2.T Depth E• 2 (c.8D
10. Date of Purchase 9!v Name of Former Owner y NICf,Jo w A/
11. Zone or use district in which premises are situated
!'D
12. Does proposed construction violate any zoning law, ordinance or regulation: YE S
13. Will lot be re-graded AJ V Will excess fill be removed from premises: YESIO
47S-Coc.aaANd- RO.
14. Names of Owner ofpprreemm�rse91LCxZE? Address bVeHAn Phone Nos"AB- 259426-1-
Name of Architect �re'.g.✓� Address�� � Phone No 631-7e-r-,rv--r
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland? *YES 14 NO
• IF YES, SOUTHOLD TOWN TRUSTEES 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:
COTJNTY O n) oLL
t�pL&7r- N• 2T2 d AJG being duly sworn deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the 4ecH-i7-dFe-7'1)Aq GF✓r
(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
�2 a day of A P'2 20 03
_Ile, -v
Notary Public OF Signature of Applicant
Barbara h. Strang
NOTARY PUBLIC, New York
No. 4730095
Qualified - Suffolk County
comm. Expires July 31 ,
BUILDING PERMIT EXAMINER CHECKLIST
DATE REVIEWED: L_ :l 1/03
APPLICANT: �_ � DATE SUBMITTED: _J_/jL/03
SCTM#DISTRICT: 1,000, SECTION:, BLOCK: T , LOT: 2— SUBDIVISION:
ADDRESS: /�'►S i►4 w:a� CITY, ZONING DISTRICT: 1-`IkONFORMING?
BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y OR N
BP -Z/C/0 Z- , INFO oe_/BP -Z/C/0 Z- , INFO
BP -Z/C/0 Z- , INFO /BP -Z/C/0 Z- , INFO
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/
REQ. LOT SIZE: /_ACT. LOT SIZE: yip REQ. LOT COV..A_�. ACT. LOT COV.
REQ. FRONT 5'o PROP. FRONT / REQ SIDE Lyq:r ACT. SIDE--/
REQ. REAR J?) PROP. REAR Ow�RA REHEIGHT PROP. HEIGHT
PROJECT DESCRIPTION: 0&7- A l9�
ESTIMATED PROJECT COST: 6Ak.. ARCHITEC
WATER FRONT? , DESCRIPTION: L4(e- y–PANEL # FLOOD ZONE:
APPROVALS REQUIRED/
SUFFOLK COUNTY HEALTH DEPT: YES o1-7(BED#): DTE: / /_ PERMIT#:
TOWN SEPTIC RECEIPT: Y o
NEW YORK STATED YES °f(D DTE: PERMIT#:
SOUTHOLD TOWN TRUSTEES: �EDTE__/__/ PERMIT#:
TOWN ZONING BOARD APPROVA YES DTE: " /_ PERMIT#:
T,6WN PLAN. BOARD APPROVAL: Y , DTE: _ ' / / PERMIT#:
TOWN HISTORICAL PRE (SPLIA): YESca
NEW YORK STATE CODE COMPLIANCE (SEEPAGE 2 YEor NO
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: l n/) SF FEE FEE FEE
1. ( —SF)- ( SF)= SF X $ =$ +$ +$ _$
2. ( SF)- ( SF)= SF X $ _$ +$ +$ _$
3. ( —SF)- ( SF)= SF X $—=$—+$—+$—= $
FINAL TOTAL: $ �3oU
. o0
66
DISAPPROVAL
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SITE DATA G
SITE AREA 2.62 ACRES - 113,992 50. FT. I I I 1
TAX MAP # 1000-98 -06-02, 03604 6G/� �E- : 1" _ .ao•
FILED MAP DATA MAP OF PECONIC BAY OAKS
FILED OCTOBER 18, 1961 AS #3434
PECONIC,TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
ZONING 40/RESIDENTIAL
NOTE :
THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM
FLOOD ZONE "W""AE"(el. 8(, "VE"(el. 6) A SURVEY MADE BY PECONIC SURVEYORS, P.C., LICENSED LAND
SURVEYORS, SOUTHOLD, NEW YORK, DATED: OCTOBER 23, 1991
WATER SUPPLY PRIVATE WELL
s�_ --
ry r
✓ GARRETT A . STRAND � L �-T-
EXISTING
USE � r�rceJl n s,,�,°� �� f
SINGLE FAMILY DWELLING � ;Lrt" \�
PROPOSED SINGLE FAMILY DWELLING0 •a ocenmi Z� 5 P�db 1 F 1 5v 1-1 L� A F
• .'" architect
OWNER CHARLES 6 CONNIE LOU BOCKLET A ) w 1 LD nevlseo on wiHc .e
476 COCHRANE ROAD 1230 Traveler Street Southold N.Y. 11971 � .E
DURHAM, NY 12422 J?qTi 631 - 765 - 5455 ox.w"ev •yam
PROJECT "9 P-:f,: I D F
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.USE THE FOLLOWING-At-''PROVED" USP METAL CONNECTORS FOR PROPER WIND RESISTANT # (FOOD CONSTRUCTION. FOLLOW 'MANIFACTLI RECOMMENDED INSTALLATION',INSTRUCTIONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACITY. E, o' WC
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2ND Tq%0 ANCHOR PLATES OF T FLOOR CONNECT THROUGH ALLOPENING9 ' LSTA12 X11-111"x[4'20SaSTRAP Al'P YTO EACH JACK STUD RpOF 4STA24 1-11fM24'20ge STRAP APPLYOVER RIDGETO EACH RAFTER 2x0-2x8 LS20 1 a.BLOPE HANDER pPPtYTO EACH RAFTER ILEDGER JOISTDIRECTION WITH t2)JOISTS UNDER WALL,
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