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HomeMy WebLinkAboutQuintieri, Edward Albert J. Krupski, President James King, Vice.President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD May 10, 2000 Mr. Edward Quintieri 480 North Riley Ave. Mattituck, NY 11952 RE: SCTM#122-3-34.1 Dear Mr. Quintieri: The Southold Town Board of Trustees reviewed the site plan dated January 12, 2000 and received in our office on March 10, 2000 and determined that the constrution of a first and second-story addition to existing residence to be out of the Wetland jurisdiction, under Chapter 97 of the Town Wetland Code. However, any activity within 75' of the Wetland line would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, ~0 /~~.~. Albert J. Krupski, Jr. President, Board of Trustees AJK/lms .FORM NO. I TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF HEALTH .......... 3 SETS OF PLANS .......... SURVEy................... CHECK .................... SEPTIC FORM .............. ...................................................... NOTIFY: CAL8twEl1P. . Qv.I.'..:-r~~. "i ~IL TO:~.C).~:....) ..U~.:m~.n~.~ ....5\~~."i!~nY:. I J ~ -:, . 3 <{.. / Exanined. . . . . . . . . . . . . . . . ., 20.... Approved................., Permit lb. ... ............. Disapproved alc .................................. .................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date.......3 .\3.., 21 a. '!his applicatioo DUSt beooq>letely filled in by typewriter or in ink and sul>nitted to the Building Inspe 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. PIo.t plan showing locatioo of lot and of buildings 00 pranises, relstionship to adjoining prEmises or p.lb. streets or areas, and giving a detailed descriptioo of layout of property DUSt be dra.m 00 the disgr... which is pa this applicatioo. c. The "",rk covered by this applicatioo I'D)' not be ro"u",uced before issuance of Building Permit. d. Upon approval of this applicatioo, the Building. Inspector will issue a Building Permit to the applicant. permit shall be kept 00 the pranises available for inspectioo thrDl.l8l>out the "",rk. e. lb building shall be occupied or used in ..nole or in part for any p.rrpose """tever until a Certificate of crn'P""CY shall have been grant<;<! by the Building Inspector. APPLICATIrn IS IEREIlY MAIl! to the Building Ilepanment for the issuance of a Building Permi t pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Ihmty, New York, and other applicable Laws, Ordinances ox Regulations, for the coostrnctioo of buildings, additions or alterations, or for reIOI/'al or dennlition, as herein described. The applicant agrees to ooq>ly with all applicable laws, ordinances, building code, housing code, and """~i~. "" m ..., _i_ - 00 -- ... io 0t'". ~. ~ :::i: qqq (Signature of app 'cant, Kr naue, if a rorporati .~..~...1:..':~..VAIk..yj)m.~~ (Mailing address of applicant) '1"1<;2: State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plwber or b ....... .O.WY'?>..E.............. ........................................... ..................................... , NaIE of owner of prEmises " ~~.'(-!.~-:v.. .Qv.1M:5:.\%-:s..l.....................!....................... (as on the tax roll or latest deed) If applicant is a corporatioo, signature of duly wthori2ed officer. .' ........................................................... (NaIE and tit Ie of COrporate officer) Builders License lb. PluItlers Liceose No. ............................. .......................... ::.:.::::~:.::::::::::::::::::: ,1/_ 0 '(;( G, , ~ I. Location of land 00 Which ~ work will be done..~......:.....~.~.~~....~................ ........:Y.Y.1 A:::;5 -'. -:)..v. ~.t.... W.YJ.... ~ t ~ ~ k................................................ \bJse Nwber Street llanJ.et County Tax ~ lb. IlXXl Sectioo ..\:?:-~....... Block ...~......... wt ..:::i.3.,.~.y. SuIxIivision ...................................... Filed ~ lb. ............... Lot ............... . (NaIE) T.~'1o;""'.'1 .'1'"'''' ? State existing use and nrn'P""CY of pranises and intended use and 0CCUJi"'DCY ~'PYi~~~ ~trug,~i'iia;'J>1 xiating use and 0C0Jpa0cy ......D.Hk.~~.l.<.-.!-:'1..s:;:~.<?-.YY.l.e...~r~~l'::.y~.l..... "1 ~ -~",..,"G~l'..~'ii'".~I;,.."... Intended use and 0C0Jpa0cy ......e~~...<;:f.-~.\h-~..:t...9.~.t:-....~..J.~~).~~~...... ... U" __", \'-"1lC'U'\. WlIIUI il6I?PlICalJlen l'eW ~11ding .. or..... Addition .V......... Alteration .......... r ............ Remval . ............ D3mlition .. .v... ..... Other Work . ...... ..... ...................... (Description) lilted Cost . .lCOp.DQll........... fee ............................ ~................. (to be paid on filing this awlication) ....Iling, rud>er of dwelling .utits .1.......... tuJber of dwelling units on each floor ...t:-I:'j!'\....... lrage, lUlber of cars.... ..3.............................. I ""iness, <:anrercial or miJ<ed occupancy. specify nature and extent of each ~ of use.....~.. .f).......... nsions of existing structures. if any: Front~~~:-.\\~~..... Rear .I.~.:.}.!..... Depth l:,.!.~-:-..).!.I..... l"2I~"I--' \ ht .. .;/... tJ............... lbd>er of Stories ... .l............ . ... r ' -q /I nsions of sate stmcture with alterations or additions: Front..!-it>.. :.C:?.... Rear.!:3........... I' r-;L'-{) II ..... ''''''''''-0 n-'_ f . '"""? ,....~.u.. ......... Hel6J,t .....-:::JL.t..........l. l'U1Ul:T 0 StorIes .....~...... I , \ 1 .... '(/1$' I .' . '-'t ~() - 0-0 ,ns'ons of entue new constructlon: Front.. ..7........... Rear .l:':l..'?l...... Depth . ............ -Z ,,' - D /J .' 'z:- ;ht . ...)~................... ~r of Stones............ i........ ) ,of lot: Front .\l:::G..,~........ Rear ..1.1.:f.5....~S<... Depth ..1~..5..'.9....... e of Purdlase .. Ii?! ~.~........... lUre of Fo~r O.mer ......................:................. e or u.se district in Wlid1 pranises are s:itllatro ..0.0.................................................................. 's proposed constructioo violate any zoning law. ordinance or regulation: .... M~............... ,1 Jot be regraded .... ~ .. .. . . .... wi 11 excess fill be remved fran ~;\,s: YES t. ~ "'s of O.mer of premises~~v.-.~U>.G<-\.d'<vJ.\~ress %C'.t:J.'.~~.~~~~~ lb. ~~~!]Y. '" of Architect.............. ...................... Address.............................. !'bone lb. .............. lie of Contractor.................................... Address.;/"...........................!'bone lb. , u1is property within 300 feet of a tidal ""tland? .. YES ..v....... Rl.......... *IF YES, &UIKLD TlU'l mJSIl;K'l l'ElMIT MIIY BERFQJlRED. .............. PLOT DIAGRAM ocate clearly and distinctly all buildings, """ther existing or proposed, and indicate all set-back diroensions :>perty lines. Give street and block IUlbeT or description according to deed, and show street nmes and indicate interior or corneT lot. a' I'HI YIlRK, ((Jo" ..~C.J.r.0!.t.,-.~<..... 55 R.,'b~~~~..Q.c,..n.q-:!.I,~..I..............being duly S\OOm, deposes aoo says that he of indi.vidual ~ignillg contract) , nmed. is UIe applicant , the .......... D.~ Y.~........................'"'''''''''''''''''''''''''''''''''''''''''''''''' (Contractor, ngent, corporate officer, etc.) lid <>omer or """"rs, ROO is duly authorized to perfonn or have perfonred UIe said work and to mke and file this ication; that. .all staterents contained in this application are true to the best of his knooIledge and belief; aoo the work wi II lie perfoTlTe(\ in tile mnneT ""t forth in the application filed therewith. n to before m? thi.s 8Lt~ .eo ..... .~.L .... (Signature of Applicant) -.. ...? r:<?l....... .day of /:1&.~....... '~9.R.<?.. otary Public . .~. .J:::':?J.~... 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