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Home My WebLink About21590-Z 1. IIlJA7E II I COMMENTS ..,,~ g; ~ :;: '-\1 H ~ ~ "I c'LD ~ .l: 2C710:J . .... 1/1' FOUNDATION (1st) -----'- ~ PLUMBING' ~t!1 z "- :' '\ ~ ~ ~ CI> ~ >-i ~ '" '" ~ '" , , >-i , .~~ >-i FOUNDATION (2nd) 2 . ROUGH FRAME & 3. INSULATION PER N. Y. STATE ENERGY CODE 4. , ' ~1 (,,~~ ~i~ :'9\ ~ ~ FINAL ADDITIONAL COMMENTS: \iVI rfj1,- ~O~rJ S() rV~ :r1G--Po~ , Cc"-<\ b-e--:::=-f'\S~dJ '~ rSf ~ 1 . , , E,~ H " ~ ,~ >-i "l: 8 Vi z " . I 'x ~...... ~~ t:I~ ,'" .." >-i ~ ,:l4; 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) N~ 21590 Z Date ./3/;.2..........................................., 19.9.4... Permission Is hereby granted to: ~~..r;:.~d4........~/...... ..1.(2....~.....Z?dd,.................................. _ -/.G~m .,~Z,/L02.i . . A b' to~~~... " r~ ~~.....~A(,.~~ ............................................................"",..,,,.............................................................."."......................... ..........,..............................................................,........................................................,,,,............................ ..."..............................................................................."..........................."...,......".....................,...,''''''',. ......................................... ,.......................................................'7)jj..................................................... at premises located at....I.-:.7...~..q.~..~!..................................................... ............................................................~~......................................................................... County Tax Map No. 1000 Section .....:../r.......... Block ..........~......... Lot No. ....~.ft.1!........ pursuant to appllcafton dClted .......~~............................... 19..9~...., and approved bylhe Building Inspector. Fee $0'"~.... ~rJ~~............. Rev. 6/30/80 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 27, 1995 Mr. Anthony Spinello 42 Maple Drive Great Neck, NY 11021 Re: Building Permit #21590-Z Premises: 1960 Youngs Road, Orient Suff. Co. Tax Map #1000-18-2-37.4 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Print Key Output 5738SS1 V2R3MO 931217 SOUTHOLD page 1 12/27/95 09:52:08 Display Device User ... X5 CLAIRET 473889 SOUTHOLD DATE : 12/27/95 ROLL SEC TAXABLE TOTAL RES SITE TOTAL COM SITE ACCT NO 01 .======== ====== ASSESSMENT DATA =========== I * *CURRENT* * RES PERCENT lLANO 600 **TAXABLE** !TOTAL 4,000 COUNTY **PRIOR** TOWN lLANO 600 SCHOOL I TOTAL 4,000 ==DIMENSIONS ===!======= SALES INFORMATION ================================== ACRES .29 IBOOK 1 SALE DATE 00/00/00 1 PAGE 00071 PR OWNER =======TOTAL EXEMPTIONS 0 =============1== TOTAL SPECIAL DISTRICTS 5 ===== CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE IFD025 IPK065 !OM060 IWW020 F3=NEXT EXEMPT/SPEC F6=GO TO INVENTORY F9=GO TO XREF NYSRPS ASSESSMENT INQUIRY SCHOOL OYSTER PONDS SCH PRCLS SEASONAL RES 18.-2-37.4 1960 YOUNGS RD = OWNER & MAILING INFO ===I=MISC SPINELLO ANTHONY G & WF IRS-SS 42 MAPLE DRIVE I 1 GREAT NECK NY 11021 ! BANK 4,000 4,000 4,000 F1=NEXT PARCEL 75.10- 03-013 F4=PREV EXEMPT/SPEC Fl O=GO TO MENU FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD ... r 8/':::>'10.:0- LfJrJ 0- /Y-2 -37. V TOWN OF SOUTHOLD OWNER --- - - '- -.l1NI DNY E. SPIN.<LLo FORMER OWNER ~ II./:f. c;/ RES. f?LES C. bRL r<?OI 4. VJr SEAS. JGO VL. FARM LAND IMP. 66tJ bDO AGE NEW 'FARM BUILDING CONDITION NORMAL BELOW ABOVE Acre Value Per Acre VoIue 'Tillable Woodland Meadowland. House Plot --iIiiiiiI- 'Total DOCK ~ ~ ~ . . /11 --.f PROPERTY RECORD CARD VILLAGE + ---- ---...---.... ----- -- -- - -_.._~. "--- .. DIST. SUB. 2 De..rcJ ~CJ1 j. TYPE OF BUILDING ^ e <>..... C~. cl LOT Or/c)! f- E C,Br6!/j:t W COMM. J7'r- ) CB. .. j..Q:': ~ ,~ 1\ ---, . .,-"--- ~ ~: ". _I""']' I M. BI(l-g. b ~D l( /7 '. Extension,., !C,( /-;:: 'I,3.~ / ~ s+/ I 'f~.~ 'I ..D 3,,-0 -:- / R L. Extension. r: / ::. A/I.:.: : / f 2. / 9"" ~.? ~- ~ ::2593 Extensiori ..:~ ) 'i r.J I 31 Porch I J '/ 2- 0 (; C> .~I~_'l'(' i ~c.J:;..... 1/0'('10,,; lec' Breezeway : .... ..., .t)' _ Garage Patio O. B. ~ COLOR 1/./ I / / '[ ----f-- -~ --f-- 1- i I I , I i 1.1; 6 <6 ' ~.>S 'b~3 '2> :3 3 5"7 r 1- - --j I I .-+ I I -----1 -- E" i I '-t---~ -"', -r --..'---., .. ~ ! I I --- t- ------I..--T ' {i I '('/ll '" 'J! I' . I I 'EF! -+ i I , I --Li , I Foundation ; Basement (~ I~/;) , '0 Ext, Walls r~].1 :'i(;' ' IFire Place !Type Roof 1 ,Recreation Roam , J _~..,~ Dormer , I -J-- I , I Total rIo -7-'C-.-__ /J '-7J. le7. -;; -~ -~...,.\ -V ""--1."''''''1 ~ TRIM 1/-'; /, :' -, --+ ~T~ -- I 11---++.+] .-i-.1J-_. i I i i : i i-I I , i i i I I 1 .-- --t- ' 1 '/' i L' I: 1<1 r:.. '/ IS ''1:. ,I II .l---L-LW .~ I !!.. 'j II ,---...j_.J. J : -~ . h-r' i I I I I I I '-LH I?::> '! 13' '. 'I I ; I I -~, I " -L -- "I' I" f ~I I +1' f-t+--:=r..:-i-I -- -1'--- I'! I I l--' , I I i 1"':"-; I 1 I : i I I 1 1----;--t+ T . 1'1 :'jjj:, , I!! i '-l-.Li i !! ,I i , / Q . 1 ,I~\ -.,/ I Dinette I 11/ I I" i ~ lR. I lOR. I , IBR. -i--- , : S:'!-" B i' I ,~. Bath Floors Interior Finish 1./," }'/' Heat /</C Reams 1 st Floor Roams 2nd Floor Drivewoy .-.J . j .....:. . ( ...-, .. " BOA~O or HE^LTH ....... .----3 SETS or PL.\:IS ....... SURVEy...;............ --=-.CIICCK ................. SEPTIC FonM _.......... J7t. /-cfcf-!...fl~ ::0-' FY : c;f ~J).J HAIL ~~ .17::::~.i~d'-:r.-1\.. . f:~ .~/.H . I-J. -8~ .. .)j" 110 c#-I / FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 TEL.: 765,1802 ExaminCd}?A:?.........,199.3 . . I Approvcd . . . ~a . . . . . . ., I sf.3 Pcrmit No.~I-?f.C?.p Disapprovcd: a/c ................................:.... ......:.....................~~aQ:..... . (JJ'l111dlJ1~;~cctor:. APPLICATION FOR BUILDING PERMIT Date . . . ~ . . . ; . . . . . . . . . ., 19 . INSTRUCTIONS ~ a. This application must be completely filled.l'n by typewriter or in ink and submitted to the Building Inspector, witt ~ets of plans, accurate plot plan to scale. Fee according to schedule. . i b. Plot plan showin" location of lot and of buildings on premises, relationship to adjoining premises or public stre( ~. ~ . or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. ' 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 issued a Building Permit to the applicant. Such perm 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 whatever until a Certificate of Occupant 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 n Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances ( Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in bUilding for necessary i~ctions. . A . .... . . .....1 .. - (Signa e of appli t, orname, if a corporation) fl.7,.~ t:L?fh.. P.YJ~~.... .r;;I:~ .N~N't; /!:'.~!. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. D",,,,,c.v . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . . . , . . . . . . . . . . '.. . . . . . . . . . . . . . . . . . . . . . . '. . . . . . . . ~ , . ~ . . . . . . . . . . . . , Name of owner of premises . /::* .~ .f ~?~J . . . r;:.. .~: i~'~;a~' ;o'li ~~ i~t~~; d~e'ci)' . . ~ . . . . . . . . . .'. .. . . . .. . . . If applicant is a corporation, signature of duly authoriied. officer: . . . ~ . . . . . . . . . . . . . . . . . . . .0. . . . . . . . . . . . . . . . . . . . .. . . '(Nl$'ilrillllli-tj~.orate officer) (-;>>;.f9:J~~ . ',. ". Builder's License No. ......................... Plumber's License No. ..... .... " . . . . . :. . . . .... : "IMMEDIA TEL V" ENCLOSE POOL TO CODE UPON COMPLETIO.~ BEFORE 'WATER Electrician's License No. ...................... Other Trade's License No. ..................... I. Location of land on which proposed work will be done. ................................................. ... )Jb.D... :........... .Y<?~~!... .r.~.~~:........ .Q.v:~'~:'d......... ..... ~.............. House Number Street Hamlet County Tax Map No. 1000 Scction ...: - .-.1<8......... Block Z- ................ .. Lot. .'3.7. '. i. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .". . . . . . . : . . . . .'. Filed Map No. .............. Lot............... . (Name). .' ~. State existing Use a!'d occupancy of premises and intended Use and occupancy of proposed construction: a. Existing use and OCcupancy. . . .. . f.~!'Y'!",.<:V: . . . H.o.,>:-J,t;.. . . . .~ " . . . . .. . '" . . . .. . .. ..... .... . . '" . b. Intended use and occupancy' ......s. ':'-.~ ":'Y~.I<'. .. ...H~,:,,!:c;....... .'.......... ..................... - , .,:~ ,- ,3. Nature of work (check which applicable): New Building ,'... . . . . . Addition.. . . . . . . " Alteration ........ Repair .............. Removal............ .. Demolition ....:......... Other Work . ,~)~q 1'1"-. . .~ :)....""'.&' ,,"',........,-.1 d:c), ',. ,,' 'd7P (Description) 4. Estimated Cost. . . . . . jJ . :?~~ . . ~ . ... . . . . . . . . . . . . . . . . . Fee. " . ~ r . . . . , , , . . . . . . . .... ". "0 ....... ' . (to be paid on filing this application) 5. If dwelling, number of dwelling units ..?! ';oj!"'. !~.":": l:s Number of dwelling units on each floor. '. , . . . . . . . . . , ' ' If g:irage, number of cars .....,.,......,.......,..,...,........,....................,.........., 6. If business, commercial or mixed occupancy, specify nature and extent ofcach type of use ,.................., 7. Dimensions of existing structures, if any: Front. . . . . . . . . . . . . . . Rear ....,......... Depth.............. Height ............... Number of Stories. . . . . . . ' . . . . . . , . . . . . . . . . . . . " . . , . . . . , . , . . ." . . . . '" . Dimensions of s3me structure with alterations or additions: Front .....,........... Rear.............:.:: Depth. . . . ~ . '. . . . . . . . . . . . . . . . Height . . . . . . . . . . .. . . . , . . . , .. . . Num ber of Stories. . . . . . . . . . . ; . . . . . . . . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . " Rear...,....,..,... Depth .............. Height ............... Number of Stories. . . ~. .. . . . . .. . . . . . . . .. . . . . . . , , . , . . . . , . .. . , . . ' '. " ", ., qo f''''' 'i'D / (} '1.. '" . >. SIze of lot: hont ... ........ . . . .' J. . . . . . . . . .. Rear...................... Depth ... ................. 10. Date of Purchase ....W Yt."". . . ('17.7. .. .... ...... Name of former Owner . C;; 5 I Q-y,,;QJ'. ....... .. ........ I I. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . . ~ . ' . . . . . 12. Docs proposed construction violate any zoning law, ordinance or regulation: .. N.-. . . . . . . . , . . . . . . . . . . . . . . . . . ' 13. Will lot be regraded ...... .lY.'" . . . . . . . . . . . . . . , . . Will excess fill be removed from premises: Yes' ~ 14. Name of Owner of premises ..... . . . . . . . . . . . . . . . Address . . . . . . . . .. . . . . . . . . . Phone No. ..............., Name of Architect .. . . . . . . . . . . . .' . . . . . . . . . . . . . Address . . . . . . . .. . . . . . . . . . . Phone No. .... . . . . . . .'. . . ' . . . . , Name of Contractor . .... . ..... ............... Address................. . " Phone No. ............ .:.., IS. Is this property within 300 feet of a tidal wetland? *yes........ No..~.... ~ ' *If yes, Southold Town Trustees Permit may be required. , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ' , ' . I ' , ,J~!~..P As NOT~D ~ DATE~ap.# ~Q.r FEE',~,~y: ' NcniEv BUILi5I~G~EPAR'f., ' AT 765-1802 SAM 4 PMFOR THE FOLLOWING INSPE IONS:' 1. ,FOUNDATION .' TWO lilEOUIRED FOR POURED CCNCI1ETE \ ~ 2, ROUGH.' FRAMING & PLUMBING"':'" 3, INSULATION 4. FINAL. .' CONSTRUCTION MUST BE COMPLETE F~A C.O. ' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.V. STATE CONSTRUCTION & ENERGY CODES. NOT REISPONSIBLE FOR DESIGN OR CONST\UCTION ERRORS E ' , "'MM TO CODE ENCLO~l8~~LET\O.~ U:~~ORE "WATER I (,. ~TATEOfNEWYORK.S.S -1 _ ,OUNTY OF f................. ~ - qUI . . . Ill:-.. +1:1 !'>.~"" . , C:. . . ~ .i.~.e. .f /.', . " . . . . . . " being duly sworn, deposes and says that he is the applicant (Nallle sf individuar-sik9ing contract) bove named. , ' b w Vle V . '. , e 1S the. .. . . . . . . .. . . . . .. . .. . . . . . . . . . . . . . , , . . . . . , , . . . . , . . . . . , . . . . . . . . . . . . " . . . . . . , .'. . , , . . . . , . , . . . ' , (Contractor, agent, corporate officer, etc.) r said owner Or owners, and is duly authorized to perform or have performed the said work and to make and file this 'plication: that all statements contained in this application are true to the best of his knOWledge and belief; and that the ark will be performed in the manner set forth in the application filed therewith. ' >,'om to before lIle this '!OU.W5J f:.... G. c.\) , i'l\~C" O.Ti.. OCCU .. ~"~!'ih , ..' I'~\l\ d"l. ~. -,('f \, \ l"f.' \.;~. ,'!:;;'dflt,d ~.t~" Gt.~"\"~' 'l~riH\I\..' \....Uf'I-\W~~ Of OC'-' ___ --.- -- ----- \ \ I( I b-a; {1(4 U--" IERICERllf~TE. "iiEQuIRED >-=-J . . . . . . ~,/J(~ . . . . . . ,'. , .day of. . ~.~. . .. . . . .. 19 .~ " , P b'l' , ,J. ,f /"'--{.~ Hary u IC, ... ...",~...... ......... '" , *lLL(~ (; ec.;:.'fJ.>'--/ , UNDA J. COOPER N~:''X:mi~3 StSte of New York Term EXPires 0 . Suffolk County Q, /. ecember 31; 19..:2"Y County ~ _ , ~ - ..............:.~.........,'~.... , , (SI~ature of applicant) '..-:.. . .- . ... ..... ..... .:. ..~~L~> .d1f2.~~.... 'MtVlr~~TO CODE APPLICATION FOR BUILDING PERMIT EN~~<6N COMPLETIO,~ , BEFORE'~ATER BOA~D OF H~^LTH ....... __3 S~TS OF PL.\:IS ....... _' SURVEY ....................., .-----cUCCK ...... _ . _ . . . . . . . . , S~rTIC ron:1 _.......... .311.. /crd-U;t,i I:O-'F"': 61. ~J) J HA IL ~~ .l7:,:::~" r?d';{:' 1\. . . -t:~ .~m . iJ/.. ~~ ...J)..L I/Od/ /' FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 '1 ~ TEL.: 765.180~ Exal1lined}j.~!....... ..., 199.-? , . . ' Approved.. .fa......., I~ Permit Nci.%)'/~C?.-? Disapproved alc ..................................... Date . . . ~ . . . ; . . . . . . . . . ., 19 . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. ,~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stree ~r areas, and giving a detailed description of layout of property must be drawn on the diagram, which is part of this appl cation. . 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 issued a Building Permit to the applicant. Such perm 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 whatever until a Certificate of Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in building for neces~~~. ~c~~A. .. - (~~ of appli t, or name, if a corporation) 1.7.-: /1.1fk.. p.YJy~.... .~I:~.N~ N:'t~ /!.':~!, , (Mailing address of applicant) State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician, plumber or builder, . . . . . .0. ':'.'Y).r-Y:.. . .. .. . : ... . .. .'. . . . . ~ .. . . . . . . . .. . ... . . .. .'. . . .. . .. .. . . . .'. . . . . . . '" .,... ............. Nanle of owner of premises . :.fr..": f~?~J" .r;:.. ..;5c&~:n~~ia~';o'li ~~i;t~~t'd~~d)"':"""'" ............. If applicant is a corporation, signature of duly authorized officer.' . ....... .............. ",'" ". .......... ...... (Name and title of corporate officer) Builder's License No. ......................... O\~lE\..~~' "\N\ N\ E pOO\. TO \%~ EtlC\..O~~ CO,,^P\.~f.R" U~~fORE '''I'IA . Plumber's License No. ............. .,:........: Electrician's License No. ...................... Other Trade's License No. ...."................ I. Location of land on which proposed work will b~ 'done. ................................................. ... )Jb.O................. .Yl?~~!... .~~.~~......... .Q.v:~'~.",:f.......... .... ~............: House Number Street Hamlet County Tax Map No. 1000 Section ...:. .-.1.$........ Block Z- .... .............. Lot. ."3.1.: 'i. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . : . . . . .". Filed Map No. .............. Lot............... . (N.me) . 2, State existing use and occupancy of premises and intended Use and occupancy of proposed construction: a. Existing use and occupancy. . . . . . f.~!"<'!",.~V:.. . H.o.~J.t;.. . . . .... . . . . . . . . ... . . . . . .. . .. . . . ... '" . " . b. Intended use and occupancy ......s: ':".~ ":')~."'... ...H~,:,,!'.,:....... ...... ..... ...................... .--' .- ,3. Nature of work (check which applicable): New Building... .. . . . . . Addition.. . . . . . . " Alteration ........ Repair .............. Removal.............. Demolition ....;......... OtherWork..IJ-)~"v~..~.": :)1'"0",.&. r""""3~J t.bO}..... "', 'd'? (Desuiption) 4. Estimated Cost...... JJ.. f>.t!!..~. ... ..... ...... .. .. . Fee. .... .4J!.". . . ... . .... '" . . .... ...... ' (to be paid on filing this application) 5. If dwelling, number of dwelling units .~! ':1JI,,;. I....v-:! 1:J Number of dwelling units on each floor. . . . . . . . . . . . . . If garage, number of cars ................................................................ 6. If business, commercial or mixed OCCupancy, specify nature and extent oreach 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. . . . . . . . . . . . . .; Rear............... Depth .............. Height ............... Number of Stories. . . '-". .. . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . >. Sizeoflot:hont ....."..9.o..f.3'........:.. Rear.....~~............... Depth ...t.o.::-......::'..... 10. Date of Purchase ....<J lA.'1e . . . ('17.7. . . .. . . . . . . .. Name of Former Owner . G $/4o""&J'. . . . . . . . . . . . . . . . . . I I. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .. N.;'. . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded ....... ..'Y.... . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes C@ 14. Name of Owner of premises .. . . . . . . . . . . . . . . . . . . Address ............ . . . . . . . Phone No. .............. Name of Architect .........,....,............. Address . . . . . . . . . . . . . . . . . . .' Phone No. ...........'... Name of Contractor. . . . . . . . . . . . . . . . . . . . . . . . . . Address. . . . . . . . . . . . .. . . . . . . Phone No. .............. . 15.' Is this property within 300 feet of a tidal wetland? *yes........ No..~.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set.back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether in terior or corner lot. , , . . I . ~. VEDASNOT~D ~ DATE: ~Jap. # eYS'?t:J 7,' FEE ,'3 ~BY:~ OCCUPANCY l)~ ~!~~o~ ~'A~G,j~~~T~~ USE' mH ~,WHlt FOLLOWiNG INSP~ct-;ONS:' ",oTHOUl Cf.I\ilfICATE 1, FOUNDATION . TWO IilEQUIRED nl, . O""'UPANCY , __ FOR POURED CONCf\ETE \ ~ Of 1"-"_ _ ---' '2. ROUGH - FRAMING & PLUMBING-- 3. INSULATION 4, FINAL.. CONSTRUCTION MUST BE COMPLETE F()R C.O. ' ALL CONSTRUCTION SHAll MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION 8. ENERGY CODES. NOT RE/>PONSIBLE FOR DESIGN OR CONS1UCTION ERRORS . , \A. TEL"" "\MMEO L TO COOE ENCL9,SJ l8~I'LETJ~!:' I U:EfORE "WAT ~TATEOFNEWYORK, S.S '_ _OUNTY OF f . . . . . . . . . . . . . . . . ~ - 4 u, . . . .11 ~ +Y.1 ~.~I-'\ . . c: . . . ~ .I. V:- .f:...f I.'. . .. . . . . . . .. being dUly sworn, deposes and says that he is the applicant (Name ef individua15il0ing contract) boye named. . DwV\ev, " , Ie lS the. .. . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this "plication; that all statements contained in this application are true tO,the best of his knOWledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. ' worn to before me this 'j <> U. "'5 J' ~..a.& \ \ I( I bt: \ I 1'1' -J "/i! , ,"'" i"\1'" eIVCi: Ui",' 1'" , JIil =-=-J ...... ~.rJ<<'-;......... .day of. .~~........,]9.~ }'tary Public, ......: ..~fy, . . . . . . . . . . . . . ~tL<(, r; ~of.V'--/ . \ UNOA J. COOPeR ~ry Public, Stele of N_ Yorl< o. 4822563 Suffolk Cou Term Expires ae;,ember 31, 1 ~ coun:~...~:.~...........~.... , (S~ature of applIcant)