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APPEALS BOARD MEMBERS
Ruth D. Oliva, Chairwoman
Gerard P. Goehringer
James Dinizio, Jf.
Michael A. Simon
Leslie Kanes Weisman
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Mailing Address:
Southold Town Hall
53095 Main Road' P.O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex /First Floor, North Fork Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
http://southoldtown.northfork.net
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809' Fax (631) 765-9064
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FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF OCTOBER 5, 2006
ZB File No. 5954 - Frank Orito
Property Location: 2420 Stars Road, East Marion
CTM 22-2-18
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 20,459 square foot parcel is improved with a single-
family, two-story dwelling with garage, as shown on the January 14, 2002 survey prepared by Joseph A.
Ingegno, amended September 21, 2005.
BASIS OF APPLICATION: Request for a Variance under Section 100-244, based on the Building Inspector's
June 9, 2006 Notice of Disapproval concerning a proposed addition to the existing dwelling which will be less
than 50 feet from the rear lot line. The Notice of Disapproval states that the addition will be approximately 30
feet from the rear yard iot iine.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on September 28, 2006, 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: The applicant wishes to add an unheated, one-story 12' x 16' glass
and screen sunroom addition in a location 31 feet from the rear property line.
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 variance will not produce an undesirable change in the character of the neighborhood or a
detriment to nearby properties. The applicant wishes to construct a glass and screen sunroom which will be
located ~lt the southeast side of the dwelling in the vicinity of an existing deck. The setback of the new
construction is requested at 31 feet from the rear lot line, which is slightly greater than the nonconforming
setback of the dwelling that exists.
2. The I>enefit sought by the applicant cannot be achieved by some method, feasible for the applicant to
pursue, other than an area variance because the house has been existing with a 30 ft. rear yard setback since
it was built, and an expansion of a nonconforming setback may not be obtained without a variance.
3. The variance granted herein Is not substantial. Construction of a sunroom will not decrease the existing
Page 2 - October 5, 2006
ZB File No. 5954 - Frank Orito
CTM No. 22-2-18
.
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3D-foot mar setback, although it will extend the house on one side, where a small entry and the owner's
garden alre now. The remaining side yard will be substantially greater than the code minimum requirement of
20 feel.
4. The difficulty has been self-created in that the original building was built with a 30 fl. rear yard setback.
5. No evidence has been submitted to suggest that a variance in this residential community will have an
adverse impact on the physical or environmental conditions in the neighborhood. The lot coverage is noted at
less than 18.5 percent for all building area, and the sunroom will be a single-story unheated addition replacing
an outside step area.
6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy
the benefit of a glass and screen enclosed sunroom, 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 Yorl\ Town Law 267-B, motion was offered by Member Simon, seconded by Chairwoman Oliva, and duly
carried, to
GRANT the variance as applied for, as shown on site and construction diagrams prepared 4/17/06 by
John A. Barbiere Architects & Associates, A.IA
Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams
or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This
action do"s 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.
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not
increase the degree of nonconformity.
Vote of the Board: Ayes: Members Oliva (Chairwoman), Goehringer, Dinizio, Simon. Absent was Member
Weisman. This Resolution was duly adoPJedf4-0). ( I '
~..-Q, N. ciJ~
Ruth D. Oliva 10/30/06
Approved for Filing
SU,VEY OF
LOT 25
MAP OF
STARS MANOR
FlU: No. 38M FILED SEPTEWBER 19. 1963
SITUATED AT
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-22-02-18
SCALE 1"=40'
JANUARY 14, 2002
OCTOBER 7. 2003 ADDED PROPOSED HOUSE
APRIL 1. 2004 REVISED PROPOSED HOUSE
JULY 13. 2004 FOUNDATION LOCATION
SEPTEMBER 21. 2005 FINAL SURVEY
AREA = 20,459.03 sq. fl.
0.470 ac.
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NCIwt. EASEMENTS OF REtOlD. IF
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N.Y.S. Uc. No. 49688
Jo ph A" Ingegno
Land Surveyor
rrtle SuIW')'3 - ~ - sa. PfoM - Construction Layout
PHOME (631 )727-2090
OffiCES LOCA1ED AT
322 R(WI)I(E AVENUE
RM'RHEAD. New YorII. 11901
Fax (aJt)727-1727
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LEGAL NOTICE
SOUTHOLD TOWN ZONING BOARD OF APPEALS
THURSDAY, SEPTEMBER 28, 2006
PUBLIC HEARING
NOTICE IS HEREBY GIVEN, pursuant to Section 267 of the Town Law and Chapter 100
(Zoning), Code of the Town of Southold, the following public hearing will be held by the SOUTH OLD
TOWN ZONING BOARD OF APPEALS at the Town Hall, 53095 Main Road, P.O. Box 1179, Southold,
New Yor~; 11971-0959, on THURSDAY. SEPTEMBER 28.2006:
9;40 A.M. FRANK ORITO #5954. Request for a Variance under Section 100-244, based on the
Building Inspector's June 9, 2006 Notice of Disapproval concerning a proposed addition to the
e:dsting dwelling which will be less than 50 feet from the rear lot line, at 2420 Stars Road, East
Marion; CTM 22-2-18.
The Board of Appeals will hear all persons, or their representatives, desiring to be heard at each
hearing, and/or desiring to submit written statements before the conclusion of each hearing. Each
hearing will not start earlier than designated above. Files are available for review during regular
business hours and prior to the day of the hearing If you have questions, please do not hesitate to
contact our office at (631) 765-1809, or by email: Linda.Kowalski@Town.Southold.ny.us.
Dated: September 5, 2006.
ZONING BOARD OF APPEALS
RUTH D. OLIVA, CHAIRWOMAN
By Linda Kowalski
-.....
#8037
SEP 1 9 1.006
STATE OF NEW YORK)
)SS:
COUNTY OF SUFFOLK)
Dina Mac Donald of Mattituck, in said county, being duly sworn,
says that he/she is Principal clerk of THE SUFFOLK TIMES, a weekly
newspaper, published at Mattituck, in the Town of Southold, County of Suffolk
and State of New York, and that the Notice of which the annexed is a printed
copy, has been regularly published in said Newspaper once each week for
-Lweek(s), successively, commencing on the ---1Lday of Seotember,
2006.
Sworn to before me this
2006
~~~(Q('~O~
Principal Clerk
day of ~
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~VOL~
. E OF New YORK
NOTARY PUBLIC-STAT. ",
. NO.Ol.V06105-jt\U
QualifIed In su1folk COIJ;:Y 2008
commIssIon Explf8S FebrualY ,
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SEP I 9 2006
LEGAL NonCE
PUBLIC HEARINGS
SOUfHOLD TOWN
ZONING BOAlID OF ApPEALS
nIURSDAY.SEPTEMBER 28;2006
NOTICE IS HEREBY GIVEN,pur-
suant to Section 267 of the TownLiw
and Zoning Code Chapter 100 (renum-
bered chapter 280). Code of the Town of
Southold,the following public hearings
willbeheld ~y,!Jle SOI..fI1:lQl;I)TOWN
ZON'IN(J,~Q~:Of.AJ:>p~at
the Town mill; 53095 Main'Road, P.O
80)1.-1179, Southold, New York 11971-
0959, on nruRSDAYj,SEPlEMBER
28,2006:
9::3pA.M"HPWARD S. a~d VAL-
ERIEMI~L,SEN #59?? "Ryquest
for a Variance und"6: Sectioiis lOO-242A
(ZBA Interpretation 'No. 5039 in the
Walz Application) and, 10l}-244. based
on the Building Inspector's August 1,
2006 No.lice of Disapproval concerning
a proposed addition' and alterations to
the e::<:isting dwellirig which will increase
the degree ofnoncomonnllnce when \0.
caled less, tAa.U 3~, feetfrom l,h~ front lot
line, at 860 Rabbit Lane, East Marion';
CTM31-18-11k.,"'.' ,,:'
?:35 AM. EDMUND). and MAR-
GUERITE 'GIORDANO #5950. Re-
queSII?raYaIiafl~, under ~ec~ion l()O-
244, blised on tbeBuilding Inspector's
August 4, ZOOft'l'lotice of Disapproval
concerning a proposed addition IInd ai-
Ie' ' . b.a
j
,
1 .~
tor's June 9,2006 Notice of D~pproval
c' ,:tibritp',tl;1e
,
teratio,J;1frt~ jh,g,'e1tisJM!g,4w~Si,:an.d
relpcatiqn,~tlP,!-' ~~~,~qt:;J;,utt,~1i
shed ,stn!ffltt~,'IJW,fi .
wiUqe!,eS8
rys~"
yard,ra reai'
yiiril"ilt''71Y€JWf\V06d1Dl'iVe;"SOiitl'itlfiF'
cn490,QZ., '" ,', "",', " '
9:50 A.M. PECON1CBAY MATE-
RIALS' #5940." 'Request: fora~peclal
Exception urider' ZOning code Section
l00-81B(-;!)'.tt>'corivert the eXisting use
liom a landscape oorttractor's yard<afJ-
proved under ZBA No. 5365, to a: con-
tractor's busiriess andyard,at260 Cox
Neck Road. Mattituck; CIl',1 113,14"10.
-~
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10:00-' A::M. JI' .. V. MtCUE
#5-799. ReqJ,lest fo <1anee 'imiier
Section.100c33,bast. ,the'~'
Inspeetoilf's Aupt 17, 2006 '~, ~
Disapproval conCerning"'a ,proposed
swimming pool in a yard other thaD4i!M~,j(i
requiredrearyard,at2S0AnglenR?fl,'il;!:
(and unimproved right-of-way known
as Meadow Lane), Greenp<'>rt;' crM
36-2-20.1.
10:05 AM. CUTCHOGUE-NEW
St.lFFOLK FREE LIBRARY #5945'.
Request for a Variance under Sections
1oo-242A (based on ZBA interpreta-
tion No; 5039 in the Walz ApplicatiO~)
I and l00:>2#;bBsed"dn',the Building In-
sp~r's,iulY,14;~"No_~~ ?:fD.isap-
provatCO~~niin~'Ii''Pt~:~tion
and alterations,~,Iip"te~g'library
buildingforthereallOn'thatthere~il1be
an increase in the'd~gree of nonCQnfor-
mance whenlQCated aJless thaI)..40 feet
liom the.teat lof line; ,at, 27550 Main
Road; Cutchogue;CTM:109.6-2.
10:10 AM. DAVID SCIACcmTA~
NO #5953. Request for a Variance un-
der Sectionloo-33, based on the Build"
iug Iuspector:sJ\Ily 21,~006 Notice of
Disapproval ooncernlng a proposed
swimming pool in a side yard aild with
a setback at less than 20feetliom any
lot line, at 755 Harbor Lane, Cutchogue;
elM 97-6-8.
10:15 A.M. THOMAS E. and HEL-
EN K. FOX #5952. Request for a Vari-
ance. under ~tW~.llX1;Z44'~b~~ .on
the. Building- Iiispedor's Tune 5, 2006
Notice of Pis,approVal cqncerning.a
proposed deck addition at less than 35
feet fi;om thefronl lot line, at 365 Free"
manRoad;Mattltuck;(.TM 139-3-38.
10:30 AM. HOUSE OF DAIGE
#5926. This is an Appeal: (1) request-
ing a detennination that will"recognizea
6,000 squan: footlot for the purpose of
addirig a single~family dwelling, instead
of its present wning restrictions applied
for (by a prior owner) and granted Sep-
tembe( 29, 1969 under Appeal No. 1290.
The application dated. 1969 request-
ingasplitoftheproperty,allowillgthe
6,000 square foot portion to be used as
a garage, as an accessory to their home
across the strcet, and: with the remain-
ing portionof ~e land (adjacellt gwell.
ing no"" orfoJ'Dierly,of;Hoffiuan :,CrM
Parcel5"2-3-14:f:);-and tz)ba$ed on
the Building Inspector's May 30, 2006
Notice of Di~PJ?rov~, ,Y'f1u""sting a
proposeddwellmg, after removal of the
e~isting garage, at less than thecode-re-
quired 25 ft. minimum side yMd setback.'
Location of Property: 1195 Ruch Lane,
Greenport; crM 52'3-13.
10:35 A.M. DAVID G. HOFFMAN
#5927. Request Ior.a Variance.under
SeCtion 100-33, based on the Building
Inspector's June 7, 2006 amended No-
tice of Disapproval Concerning a pro-
posed accesSory garage in a front yard
instead of the code-required rear yard,
at 1275 Ruch Lane, Greenport;-CTM
52-3.14.1.
10:45 AM.. GLENN andKRISTAN
BURLINGAME #5942: Request for
Variances under Sections lOO.242Aj
and 100-244, based on the Bullding
Inspector'sJuly 3,2006 Notice of Disap-
proval concerning additions to the ex-
. is~in& s~gle-fa.1!ljly dWflJ.linl!,!"JriC,b will
-,.: 'tricre~' 9l~'degi'eb-\)tntfn~'~61iii~q;,
. (inrerpre~ ul?-der :Z~N~,5Q~t,iti,
.
of
bi'pllri;'fQ?'
for.pubJii:j
1500JiI~"
Oteettp6l;t;'€tI'M,3S11i25>
A Notice,of.D\SappJ9.Val'wasissued,
~ch:9,'7!Xl6_Pytlu:B\J~W.~~oii
~dil:a~}!.$pee~1 ~pti~Il,al'pIoYar
isreq~~,fiop:i tb.~;;~B9lfdot;
AppeijS".8J;1lf ~!te,~,P~.,lH?Pro"'a1 ,rei\;
qurred"fi6in~~']>[a'rii1mg BOard til1de~'
se<:ti6lYroo;.3l;BtI'6);'..;
ll:ooA.M. (Reserve~.forP~carr:ied
liomlasthearingcalendiu'): K.'G-ARlP-
IAN #5931
11:ll5A.M. MARGARETTRAVIS
RADAC1NSKl#5943. 'Request for a
Variance under Section 100..231; based
on the. Building Inspector's,July 10,
2006 Notice of Disapproval Concern-
ing a pr~posed.fe.n~ ~hi.~~..:,,::i~1 ~:~~,~~
:~i
ti.oii~ba~~ljl'C\l@l.iIll (a) for-the~~t'
pr;vtite al(Ce~Ol1'musil;-",9f~0Jlj,~~
bathtOOtn1l'1nt'rela~music :ipd.~ '
rodIn ll'ctivitl.es; an~' dOt lIS'a . dwelling;
(b)-;ft'ir-W~I1I'1i811tt e~CeAA~g.the';.code\
limitation of18 (eet, and with a setback
at leSs than 10 feet the properly line.
LoeationofProperty:. 31605 c.R. 48;
Southold;CI'M 74.1c23.
1:15 P.M. (Reseived,for Pli carried
from last hearing calendar): J. SHACK
-#5933.
1:30 P.M, KENNETIl, G;LASS and
LAURIE RAFKlN,#5951.. Request for
a Variance under section 100-244, based
on the Building Inspector's July 31,2006
Amended Notice of Disapproval con-
cerning a proposed deck addition with
hot-tub, which will exceed the, maxi-
mum permitted lot coverage limitation
of 20%; at 1710 Minnehaha Boulevard,
Southold; CIM 87.3-52.
1.:40 P.M. JOJ;! BAJ)\DAand LOR-.
RAINE BAJADA #5944, Request for
either Plan A or Plan B. Variances are
:AAu~te4',q~d,er~9ii$';1!1t~31,~,../u.ld
l@244.:.~',oi;~~BJiij~::\riS~
tor's May, 9.:lQ06!"!9.tic.e 9f Qisapproval
concerning theproposed4e\ll()~t_wnof
the existing nonconforni!iigl.-15uilding'
and to construct a new n~~conformirig
(second) dwelling. The re,~ns stated
in the disapprova1...are ~Jillder Zon,
ing Code Section 100-3~ only one
dwelling is permitted on each lot, and
Section 100-244 requires' a' minimum
~ingle side yard at 15 feet. . Location of
Property: 7972 Peconic Bay Boulevard,
Laurel; crM 126.11-16.
1:50 P.M. JOHN DILLER -#5884.
Request fOt~Varian~sundet Sections
l00-239.4B"~d loo~~, basedon.the
Building~,i:t~r'~Fe~ruary. 8;, 2006
Noticeo.f:Pisapproval' statingtbat ~the
proposed 'new dwelling construction' is
not. permitted when a single .side ratd is
less than 1-5 feet; totalside'yan:1s are less
than 35 feet,and'setback 'is less than75
feet t(l tl:l,e,~ulkh~~,LoCationof Prop,.
erty: 6O:(3feat pt'i(:onie Bay'Bou1e~d,
Laurel.:~~~Z4;2~/: .
2:00 PJ1-, ,,' 'FlsHE~' ,ISLAND
WINDS~",FROPERTIES,: LLC
and ROsAL~':I>~S'-X)I,.I:.#~8M,
RequestfM, aSpecialEXCeptioil under
Article III. Seetiolt tOO'- 31B. sub-section
13 of the Zoning Code to establish Ac-
cessoryAparunent;to establish an Ac-
cessory Apartmentin the existingdwell-
ing located'atl&77 Beathulie'Avenue,
Fishers Island; CI'M 1000-9-11-9.3.
2:1O.P.M. ,GREG and DEBORAH
DICKERSON #5961. Request for a
Variance under Section 100-244, based
un the Building Inspector'S August 22,
2006 Amended Notice of Disapproval
concerning, a propq~.d ga{age addil,ion
and second-Ooor addition with a setback
at less than the a;>4e"required minimum
of 10 feet on one side and' iYfeet ob. the
othJr sidAresultin8-inarequir~ com-
bined side yard total at 25.feet,.and pro,
posed porch additiQIl at less than. 35 feet
~Iief
aVail-
; J>\LSi~
6fthe
hearing. Ifyoo. p~
do not hesitate to. -contact our office
at, (63P 7~5;1809"~0I,by,~,jI:Linda'
Kowaiitl@1:&Wri.Soulli'd)([n)r;~ .'
Dated: ;sePte~b~, '12; 2906:' ,.'
ZONINQB'OJ{RO'OF'APPEALS
RUTH D. 'OCI\TA~'CHAIRWOMAN
By Linda Kowalski
8037.1T9/14
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FORM NO.3
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
t-\
l\S
iP76
NOTICE OF DISAPPROV "1"
DATE: June 9, 2006
To: Redwin Industries for
Frank Orito Revoc. Trust
1603 Lakeland Ave.
Bohemia, NY 11716
Please take notice that your application dated JWle 5, 2006
For a permit for a sunroom addition to a single family dwelling, at
Location of property: 2420 Stars Road, E. Marion, NY
County Tax Map No. 1000 - Section 22 Block 2 Lot 18
Is returned herewith and disapproved on the following gronnds:
The proposed construction of an addition to a single family dwelling on a non-
conforming, 20.459sq. ft. parcel, is not oermitted pursuant to Article XXIV Section 100-
244, which states:
" This section is intended to provide minimwn standards for granting of a building permit
for the principal buildings onots which are recognized by the town nnder 100-24, are
non-conforming aFi.d have not merged pursuant to 100-25. "
Lots measuring between 20,000 and 39,999 require a minimwn rear yard setback of 50'.
The survev indicates a rear vard setback of approximately 30'.
d4~ CJJ.~
I Authorized Signature
,
APPLICATION T~.UTHOLD TOWN ZONIN.. OF APPEALS
~For Office Use Only
Fee: $,' 5""0 Filed By: fVv.. Date Assigned/Assignment No. .:s-9..1- 'f
-f Jiu'/ 'fu /d'1/p'106 Tc'f,J AUf; i 5 Z006
Office Notes:
f--.
Parcel Location: House No.;).,",~D Street~fuf<) KOQ d Hamlet j;. t"Y\u..ri 0(\
SCTM 1000 Section~B1ock J.Lot(s) If( Lot Size~{).459.(J 3Z! District
Mailing
Address:
I (WE) APPE1L ~HF: WRITTEN DETERMINA nON OF THE BUILDING INSPECTOR
DATED: I ~ ~ 0 It for S lA." (LO 0 rn.
r ~ ~ I<. O/<1--I-D
"ROQd
ApplieantIOwner(s):
d4~o
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II:: . rn4ri QYI
;V /A-
t
In~
TeleplllOneJo3 \ - '.Fl'l-J - (J (p 0 3
Fax:
NOTE: Uapplicant is not the owner, state below if applicant is owner's attorney, agent, architect, builder, contract vendee, etc.
'R.-eli Wlf\
1&03 LA-l<.eLrrfld
Telephone: & 3/- 5(Pry - 5 '5 ~ ~
Authorized Representative:
.::r: (\ du. ~ t-r.) -e S -:x:: nc.
.
A-II f.. , ''''Eo he Y"Yli a.. ( n t-
Fax: (P3/ 5&,7 - & /1./1
AddrE'ss:
Please specify who you wish correspondence to be mailed to, from the above listed names:
o ApplicantIOwner(s) )rAuthorized Representative 0 Other:
WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED ~q to""
FOR:
.,n;uilding Permit
o Certificate of Occupancy 0 Pre-Certificate of Occupancy
o Change of Use
o Permit for As-Built Construction
o
Other:
Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Suhsection and paragraph
of Zoniug Ordinance by numbers. Do nol quole lite code.
Article X X I r Section 100- ;J.<lt./ Subsection
Type of Appeal. An Appeal is made for:
)l(A Variance to the Zoning Code or Zoning Map.
o A Variance due to lack of access required by New York Town Law-Section 280-A,
D Interpretation of the Town Code, Article Section
o Reversal or Other
A prior appeal D has D has not been made with respect to this property UNDER Appeal
No. __Year (for cnrrent and all prior owners ).
,
Name ofowners:_FIl~fU' tv . eeal No.
REASONS FOR APPEAL (additional sheets mav be used with avvlicant's sil!nature):
AREA VARIANCE REASONS:
(1) An undesirable change will not be produced in the CHARACTER of the neighborhood or a
detriment to nearby properties if granted, because: ---If, e S-u-n IC~ / .s f1 e 8'fIJ e.ft 'eal 1
fl lOl~il7j
(2) The benefit sought by the applicant CANNOT be achieved by some method feasible for the
applicant to pursue, other than an area variance, because:
(3) The amount of relief reqnested is not substantial because:
(4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the neighborhood or district because: 1'1 I. . ,'J /
~l a...dd
~.~
(5) Hos the alleged difficnlty been self-created? ( )Yes, or ~o. Does this variance involve as-bnilt
construction or activity? ( ) Yes, or ( ) No.
This i:; the MINIMUM that is necessary and adeqnate, and at the same time preserve and protect the
charader of the neighborhood and the health, safety, and welfare of the community.
Signature of
(Agent must subml written Authorization from Owner)
Sworn to befo e me this
.::C,7 7,20~. .
/U~-c.C- ~
Notal)! Public
CLARA l. GARVEY
No. 4699974
Notary Public. State of New York
Qualified in Suffolk County () ~
lIy Commission Expires 1l/30/20_ /
p!(
FORMER OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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STREET 3
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VILLAGE
DIST.
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TYPE OF BUILDING
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RES, -t-1 V
LAND
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TOTAL
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COMM. CB. MISe.
Mkt. Value
AGl':
DATE
REMARKS
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300
1'3:.Do 0 500 P"",-
NEW
FARM
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Tillable J
Tillable 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
I DOCK
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. 7
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House Plot
Total
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ExtensiGn
Extension
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Extension
Porch
Porch
Breezeway
Go rage
Patio
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Total
?,~ ti':)l/t;> Foundation OL, Both 3~ Dinette
Bosement ~ Floors K. ,/
? 2.;: 27[', r::,-. Ext. Wolls .rIN~\"I..~ Interior Finish LR. 7
Fire Place , Heat /
'leE. DR.
Type Roof Rooms 1 st Floor BR. I
lOa 2Jf-O Recreation Roon Rooms 2nd Floo FIN. B.
,
Dormer ~S 1(2
Driveway &::-ev' /
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TOWN OF SOUTHOLD
BUILDING DlB:PARTMENT
TOWN FALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSoutholdl
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO.
,.
Examined .' 20_
Approved_. .20_
Disapproved aJC~~__
;,;
"" ..,""
"..:r~.}!AI'l ;':;; \:.,'~
.';...\itY.
Mail 10:
Expiration _..
,20__
Phone 5/("1- S~ '7 ~
Building Inspector
APPLICATION FOR BUILDING PERMIT
"ju~, 5 fJlP
Date
,20_
\ INSTRUCTIONS
. I
a. This appiicatio"riMtJsr~ completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets oLplafls-,atcllrate plot plan to scale. Fee according to schedule. .
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no z.oning'amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize,' in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance ofa 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, housi~ode, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspection~ :t.~d'~-; ~ :Z:-.vc..
Ncllary~Wa=!I"Newllllk ~ , ~... ~~
& No.OIAL6l22330 (Signature plicant or name, if a corporatiGb)
Q~al!fied in SUff~k CoU~.Qj
ir:':'ssrr.~r20s.;; II I(,DI'AJ{cJ..J19~" 4v. K?-:A?M
~~ 5.30(.., (Mailingaddressofap~)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
-Ht;'MIE );/'1 ~ R<:>Vf: M~ 1iI C J4/1 12..~<::-r;t:-
Name of owner of premises Ole /7D !i./JIV)( -:I(.fl/oa. 7/iu,,'l
(As on the tax roll or latest deed)
If ap~t is a co :0'~ature of duly' thClrized officer
~fu-< ~- ~-v' T
(Name aD:; title of corporate officer)
Builders License\jo./O~~ H:L (J'VFF"tJl./l (!r./ 41'1' TMPRe.n.fo/l';JIl-f)
Plumbers License No.
Ekctricians License No.
Other Trade's Lic'~nse No.
1. Loc'}tion of land on which proposed work will be done:
.2./f.2(J A;,AJt5 /(b.
House Number Street
Gttlf$i I1AHIOK,
Hamlet
/'(. '/ .
County Tax Map No. 1000
Subdivision .::ir AI oS
(Name)
Section 72..:LiiS
M A"'4~
Block ~ .
Filed Map No..18 " ~
Lot
Lot
IS
:t.5
2. State existing use and occupancy of premises and intended use and occupancy ofpr,oposed construction:
a. Existing use and occupancy ,
~;:r" I~ "^ Ik " "r-:
b. IntendeduseandoccuPimcyhIjUb ill/fj'i..4/l!P }u,W""'/ 11 rR~Mt: ';;;vN ~(/~
"[;UO..'1"' 0 VI LDIN' (JIJ.J>IIf
3. Nature of work (check which applicable): New Building Addition y' Alteration
Repair Removal Demolition Other Work
4. Estimated Cost
~/P,1Pt::10
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
..
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Dimensions of same structure with alterations or additions: Front' Rear
Depth , Height ',' . Number of Stories
Rear
Depth
9. Size oflot: Front
8. Dimensions of entire new construction: Front
Height 0/' 10 7" Number of Stories
I J
/ 90 Rear 19-0
. ':l~;jLUlti';)~ 'ti;!, :.<f: ; ':~~',', '--;0
" '.:, < "...1'.
Name of Former Owner
:;,'4',1:/. j;,I\:;;;~: I~{.;.;;:"I,; ,~i>-'.'l .~",'rlX
C1Il:lOfAM frrlli
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES~ N~V
,.' IIf
I
Rear
Depth
Jiiljiltf
, ,
Depth ,I,r;,~ ' 2.-.3 ,
10. Date of Purchase
13. Will lot be re-graded? YES_NO v Will excess fill be removed from premises? YES NO
OR.1o Film/< RG'/. titv$1" -n e.r/p/t.flJ/ - J 3
14. Names of Owner of premises I Address341l.tI S'ft4R, .('"'D. .fJ.!0J}f No.6!'- '171- Ow/)
Name of Architect]l'. p /.$1 ~/lJ Addrd!s"S'BRW.J~' 1"10;" ~one N~J I~ ~'1' I J01
Name of Contractor R~[)INIIV 1."'0. Addresslt.D1 t . W "Phone No.I,)I-SIJ 1-5"571
/!JD li."1'Il, .
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ...---
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO y
* IF YES, D.E.C. PERMI!S 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:
COUNTYOF~
~....:... being duly sworn, deposes and says that (s)he is the applicant
(Name of' dividual signing contract) above named,
(S)He is the
CAROlWf AI.I!N
Notary Public, ~!1te 01 New'lbrtl
N, .(\L61 ":_30
Qualtlie~ ir ~ullolk County rA
'ssion I:.xpires Feb. 7, 20,""",,",
s/JJak.
.
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