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Page - Minutes
Regular Meeting - July 27,2006
Southold Town Zoning Board of Appeals
* * *
RESOLUTION ADOPTED: Motion was offered by Chairwoman Oliva, seconded by
Member Goehringer, and duly carried,
To confirm ZBA Application #5903 WITHDRAWN in the Matter of Allan and
Ellen Wexler, as requested in the applicants' July 12, 2006 letter, received by the
ZBA July 14, 2006.
The applicant's have indicated in their July 12, 2006 letter that they are going to
pursue other options that better fit their situation.
Vote ofthe Board: Ayes: Members Oliva (Chairwoman), Goehringer, Dinizio,
Simon and Weisman. This Resolution was duly adopted (5-0).
* * *
5 -fp.-ev /
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Linda K
Zoning Board of Appeals
Southold Town
Allan Wexler
10900 North Bayview Rd
Southold NY 11971
JUl 1 4 Z006
~ 5"qt~
July 12, 2006
Dear Linda Kowalski
Please withdraw our application, case #5903, for a variance for the accessory buildings to
be in front and to the side of the house.
We are going to pursue other options that better fit our situation.
Thank you ~ uJ.IVX 6-K-
Allan and Ellen Wexler
APPLICATION TWE SOUTHOLD TOWN ZONING
f{f() For Office Use Only
Fee: $ ,." Filed By: Date Assigned/Assignment No.
Office Notes:
LS
Parcel Location: HouseNo.IO~OOStreetNorti-- P,/J"lIJ,,fUJ pJ Hamlet SZ;iIH~i~;;l
SCTM 1000 SectionrrBloc~Lot(s) '5?,! Lot Size 36 g 3 L Zone District r1 C-
I (WE) APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INS~ECTOR
DATED: ~for {>{'(h)i t t,l CDVl.s;u-UCr t:f (thj/Po 7ri.m.t] Jwp/r,'if
ApplicanUOwner(s): /1//(1/11 a,nJ C;/!;/III LJJr,x/e R
Mailing --, T
Address: \50$ W..eS 2()~ 'ST
(2.I~)1.?1 7'175 vl"lll ;;-1111"/0
Telephone: <;'ll"" "'12-"/: "31 7^ S 932-1
I
rvye NY ,!(tV!/
Fax: (212) 6"07- 1'17(
NOTE: Ifapplicant is not the owner, state below if applicant is owner's attorney, agent, architect, huilder, contract vendee, etc.
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Please specify who you wish correspondence to be mailed to, from the above listed names:
j(APPlicant/Owner(s) 0 Authorized Representative 0 Other:
WHEREBY THE BUILDING INSPECTOR DENIED AN APPLICATION DATED'; vI" ( I
FOR: !
Authorized Representative:
Address:
Telephone:
Fax:
~Building Permit
o Certificate of Occupancy 0 Pre-Certificate of Occupancy
o Change of Use
o Permit for As-Built Construction
o
/7 2ot) P
j
Other:
Provision of the Zoning Ordinance Appealed. Indicate Article, Section, Subsection and paragraph
of Zoning Ordinance by numbers. Do not quote the code.
Article----!IT Section 100- 3 3 Subsection
Type of Appeal. An Appeal is made for:
jl(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 Sectiou
D Reversal or Other
A prior appeal D has ~as not been made with respect to this property UNDER Appeal
No. _Year (for current and all prior owners ).
NameofOwners:~ ?tVi.d <7!lpVl W-ex teJL ___ Appeal No.
REASONS FOR APPEAL (additional sheets mar be used with aDDlicant's siEmatureJ:
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:
It will bPV)e(1t +1A.e ht'i"lv.bovf.1ood 6pwu..s.e fiAt' Ju"Ai.o l.{)'\\
Set bctd:'(:oWl if.1~ Sfu'eT bu~J by ti<e- LOlX,c!.s,
)
(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:
The. Vlouse {?lil\ MDT be. blA il+ iV\rvoviT of The., aCCClSSOY;
~,\fl1V\4 beLo.v.se 1115 vt'V'1 C /t><;e To -the.- rooc{ ,
(3) The amount of relief requested is not substantial because:
I~ wil\ ~eH t the. he.-1 suborhooJ .-(t;y ~ IAOVSe.-f6 k
Set be t: <{VOIM t~ Y oad) o"T of 'Si~Vtt,
(4) The variance will NOT have an adverse effect or impact on the physical or environmental conditions
in the neighborh.ood or district because: 1 ,- I '
\.,.L\q tl if elf 0 V I Vl1 V\A.D~, t of -he. ~Do5; tNeS tll/lcJ T/tie hous.c W61l-T
be -:5<<iA {YDWI ~ V-oaL:~ ())hl{~ tewfds -rke- t"Io1U)'(DVVlt''lf J' tJ-.e.-
. 'to.e,~i.-lborhDt'>J.
(5) Has the alleged difficulty been self-created? ( )Yes, or ~o. Does this variance involve as-built
construction or activity? 9<l Yes, or ( ) No. t~. .
This is the MINIMUM that is necessary and adequate, and at the same time preserve and protect the
character of the neighborhood and the health, safety, and welfare of the community.
k
Check this box ( ) IF A USE VARIANCE IS BEING REQUESTED, AND PLEASE COMPLETE THE
ATTACHED USE VARIANCE SHEET: (Please be sure to consult your attorney.)
c~i0'-k~
Signature of Appellant
(Agent must submit written Authorization from Owner)
fore me this b
20~
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ADRIENNE JATTA
NoIaly Public, State 01 New'tlt
NO.01JA6127964
Cua/ffled in New Vorl< CounIy
Commlooion Expirea ..u.. 8. 200lI
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JUN 5 2006
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--,~. ""-'~"",~".,",'-" ONING BOARD OF APPEALS
Cotl-a")e. Lol\ve..rS,\'l>N fVu ~~ w)~UA ~ 4>/5"/D&(iP
Future Us~: Unheated Accessory Storage Building
Wexler ~ 10900 North Bayview Road
~1I.hnl.l /lJ.",,u Vnr\, 11Q71
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LEGAL NOTICE
SOUTHOLD TOWN ZONING BOARD OF APPEALS
THURSDAY, JUNE 22, 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 York 11971-0959, on THURSDAY. JUNE 22. 2006:
11:35 A.M. ALLAN and ELLEN WEXLER #5903. Request for a Variance under Section 100-33,
based on the Building Inspector's April 19, 2006 Notice of Disapproval concerning a proposed
conversion of an existing unheated seasonal cottage to an accessory building, to remain in its
present location, and to construct a new dwelling which places accessory buildings in yards
other than the code required rear yard, at 10900 North Bayview Road, Southold; CTM 79-8-
18.1.
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 in the Office of the Zoning
Board of Appeals during regular business hours and prior to the day of the hearing. If you have
questions, please do not hesitate to contact our office (631) 765-1809, or
linda.kowalski@town.southold.ny.us.
Dated: June 1, 2006.
ZONING BOARD OF APPEALS
RUTH D. OLIVA, CHAIRWOMAN
By Linda Kowalski
.
.
#7912
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
1 week(s), successively, comm cing on the 8th day 0 June, 2006.
\
Sworn to before me this
2006
9
day of ~
VOUvUJ{~{'
CHRISl A V LI S
NOTARI PUBLIC-STATE OF NEW YORK
No.Ol-V06105050
,'uQllfled In Suffolk County
",-;r.' !ll$lon Expires February 28. 2006
~
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LEGALS...
From pagH 33A
L"~AL N\ypC" .,.. .
sournOLD mIDi ioNiNG
BOARD OF ~~,E~~.
THURSDAY, roNE :ti, 2006
PUBLIC HEARINGS
NonCE IS IIEREBY GIVEN,pur-
suant to S_G~tion 267 of the Town Law
and Chapter 100 (Zoning), Code of the
Town of Southold, the 'following public
hearings will be held by tb,t: ~qUTH-
OLD TOWN ZONING BOARDcOF
APPEALS at the Town -Hall, 53095
Main Road, P.O. Box 1179, Southold,
New York 11971-0959, on THURSDAY,
JUNE 22,2006.0
. 9:50 A.M.':i>HIl~IPMA.s'tIA #5899.
Reqvest for a Varianct:_uri4er Section
100-244, based on tbeBuilding Inspec-
tor's February 13,2006 Notice of Disap-
proval concerning a propo~~ ;ad4ition
at less than 35 feet ITam the'front lot
line and less than 10 feel on _~ single ,
side yard, at 630 L'lkc Dfive~SdutlJ,ofd;
C1M 80-4-7.5. - ,
10:00 AM ALEXANDER SUT-
TON and TRACY SlJTrON #5tl98.
Request for .a Variance' under Section
100-244, based on the Building Inspec-
tor's April 4,2006 !'\otice of Disapprov-
al concerning proposed additions with
alterations to the existing dwelling and
construction ,of a new garage, in exceSs
of the 20% eode)jmitation for lol cCiv-
erage,at3:?5 Hoitoll'~:Lane, Soulhold~
Cl1vl63Sn7'.:
1010 kM.>9AI<L SCHULTflEIS,
SR., Individually and as Trustee for
CARl-H. SCHULTHEIS, JR. -If5~18:-A.
Request for a LofWiliver\lnder'S,e(;tiqn
100-26 to unmerge a VAcant land area of
21,892 square feet (CTtvf l000~1l,8-3~5)
from an adjacent land area of 40,898
sqlpre, fed. (q~. ..~1*~~~9);p~~~4:< pIl
the . Building Inspector'k(J.lOt9r,~r}7,
2005 Notice of Disapproval' pllrsu-
ant to Section 100-25, detenninitig th'e
propcrties have becn merged. Location
of Property: nOs Bayberry Road and
Bayberry Lane, CUlchogue, contaiIiing
58.911 square feel as merged. Zone
District: R-40 Residential.
.
.'-:'
10000 }\,M. MARIO and JOAN
SOOt<l1NO'#5900. Request for a Vari-
ance un:der:S~lOti911_1()()~2.~, based on
the B\illdfj}ilifsPM~dt!g Aiprll 17,2006
Not,i~ {}fT)~~app~oval. concerning pro-
posed adctitlons\vith alterations to the
existing 4~~;m~p.~~.which ..new_construc-
tion will ext~ed- the' cod~ limitation of
20% kit cbvet,age, at 450 Bay Road, Cu-
tchogue; CTM 116~1.-18.
10:40 A:.M~:-;.,<;:LEM. CHARNEWS,
O".mer... (5)>9tract Vendees:. Shannon
Goldmau.'>a,n.!i De,borah McKe,and)
#5887. LoCation of Property: 8605
,Soundview Avenue, ~uth~ld. Based on
an: application :~qbrtritte;~tto .the:. Build-
iIW Inspect9f:.flti,d his_:Ma~ch 3112p06
Np~c~?fD' , Y<4~~JiiGl1__~ta~es,~hat
(..;,t~~P~?pt;. ted'iti~iW:'J}~Q__~Yle
Oistrict, , (97 p88 ~quar~ feet
combinepUfSuanttO'Section
100-25 anclJp-e,propqs~ddwellingdoes
~ot meettf!1_ec.fler~:ql1ir~d~,iJllum of
40 feet;:ii'Qth'ih~--ff::'nt"lot.line,The ap-
plicant.S~~%teW '., .' . '
(1)-a~f)Vaiver: to Unmerge under
SectioIi. "H){)-26. concerning properties
consistiilg.of:23,277 square fect for
CTIvf59;t)J:27,,2'and 73,811 square fect
for CTM 5-?~?;27.3; and
(2) lf~}Vaiver-is granted to unmerge
the propenies, then a setback variance
is reques~ed undcr S~ction lOO-244 to
l{)catea"B~{)posed n~,dwelling at less
than 40 feetfiom the#<mt lot line. after
removal of the existing'j;gucturc.
1Q:55 A,M.... STEP~N ,and JOAN
LA1'HAM"#5904. Reqllestfor a Vari-
anceuridet Sections lob,~24~ (refer-
riIlg to f.~A .gtle 5039 \V-&,li'Jpte. re-
ta~'on/'.,~~ea.ll2iF+OO2)' ',-
ba!le~\i)~:~l}~",'Ilui-Id:ing
12; 2ong',;4ilil~n~ed:N .., '.' .' ap'~
proynl co.n~~~ 'a-proposed:a~dition
withalt~tatW~sto-thp existing dwelling,
which Im;a~mi'qonstit1;1tes. an increase
i~.tbe f<)OR~~J~P.~fl
lQ ,. -' .t;Ai~i~Jlt?;~€!~
pi, ...... is.R{}ad,So~~h-
or, C 9.1. '
lJ :05.t\-J,1~EEONARDO PAROLI
#5901. E:.eCj,1J:l%:t for a Variance 'under
Section 1.()()L'}lA{l),based on th€ Build-
ing In,~pect~'s March 27, 2006 Notice
of Disapproval concerning an as-built
.
accessory building (pool. house acces-
sory llse).'The rt:asol1 stated-for dil'{ip-
proval is that the as-built construction
constitutes a seconddwelling:t1se.. TIie
original building periliit wasissued'No-
vember 15,2004 for an unheated aCCf~S-
sory Sloni.gc structure (BP #30770), mid
the applit~nt reqIicstsan..amendmi:nt
to include heat and otllyr modi.fication.s
forplIirribing and related: Lo.cationbf
Property: 525 Orchard Street. Orient;
crM 25-2-20.11.
11:20 A.M. ROBERT and JACKIE
SULLIVAN #5902. Request for aV~ri-
afice under Section lOO-242A (refer-
ring to. ZBA Interpretation No. 5039
datcd 1/24/02) and 100-244, based on
the/.B:uilding J~pectqr's't\pril.7~,?S)()ii
Nq~ce:of,I>,i~,<l~rgv~1'c~ns~pUfi~~':prq7
posed additions and altenitio~t to't~e
existing dwelling, ",hith' constitutes .an
increase in the degree.of'nonconfor-
mance when located less than 15 feet
from a single side yard and less than
35'fect forhoth side yards combined,
at 27.1 5 Nassau Point. Road, Cutcl1oguc:
crM 104-13c8.
11:35 kM. ALL,ANan9-EL-LEN
WEXLER #5903. Request for a Vari
ance under Section 100-33, based on
the .~l!ild~g.T~sp'ectqr~s.Al\prill.9' 20?6
N?ti~e.. ...of,'-::J?~saIYr<?Xllr;:tq~F1~ip~..:,a
proposed conversion. Qfan '..existing
unheated seasonal cottage to an acces-
sory building; to remain, in its present
19:ati()n~. ~?,.d~9, c:?~strl,lS_~ a.pl;:\V,9:(e:11~
in~,,~hi(;h:,pl,~lceS"ll.c1:~;~~~ry"9@~ii~'pt
yartls' other 'than the'(X)oe'teqtiired'l'ear
yard,. at 10900 North Bayview Road.
Southold; elM 79-8-18.1.
11 :45 AM; JAMES FITZGERALD
#~?():i,R{:9,-\est f~J-aY~-~ia'J:lqellll(i,er
Section. l00-Z3t'bas~:9n"tlie:'-ijtiildiflg
IllS~ector's February~3;~()06 Notice of
Disapproval, upd~t,ed .AP~il 24, ip06,
concer[liIl?fenceifi a Jr91}t x~rd ~t,a
Might:J~,~(\~J:li9-g..:tJ1~.f~e~Y.mi~H(!n;'9:f-
'sjj{'{~:~tri(RQ,...Q~k~'~~\.~;:m~~4
ters Drive,Cutd)Qgue;CTIvf 'l04-S-2.p.
11 :50 A.M. RA1iPH:.an.~ CAR~~
LA CONSTANTINO #5908. Requ~st
for a Variance under'Section 1:00-33,
based on the Building lIispector'sMay
9,2006 Notice of DiRapproval con:cern.
iug a proposed swimming pool in a yard
other than.e,~~tt~:r~,yat:d.,
at 21<15 Bt""'" Mill,""" _ VIew
drive and Soutfi. View lDrive, . Orient;
CIM 13-1-8.
The_Board of~~ppeals will'hear.all
peJ,"Sons, or th~~r:,~Pt~.~llt~~y~,'. (le!rlr~
ing to: ~h~t~d.at~a~:q,J\e~g,:8'Q.(j/9r
de~iring. to .su~JJli~c~tten. sta:~,91ent;s
before the conclusion ,'Qf eac1i:~;~ea~g.
Eaqh. bearing. wiiInot_$tart.~r!ler't1lliii-
designat~.~pove:, . Files ,are;J.v,a~.<lble in
the. Officeot' the Zomngad~~::9tf'\-g-
peals duringregular_bllsill<e.sShouis;and
prior-to the day of ,the hearing. If you
havequestions,plea~do' nothesitatc
to conta'it ourpfticeJ631) 765"1809, .or
linda.k()~alski@t()\vn.southQld."(lY.iIs.
Dated: June 6, 2006.
ZONING BOARD OF APPEALS
RUm D OLIVA, CHAIRWOMAN
By Linda Kowalski
7912~IT 6/8
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.
.
FORM NO.3
RECEIVED
JUN 1 2006
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTH OLD, NY
NOTICE OF DISAPROV AL
ZONiNG SOARD OF APPEALS
Date: April 19, 2006
Punended:June 1,2006
To: Allan Wexler
305 W. 20th St. IA
New York, NY 10011
Please take notice that your application dated April 17, 2006
For permit for construction of a single family dwelling at
Location of property at 10900 No. Bayview Rd., Southold, NY
County Tax Map No. 1000- Section 79 Block 8 Lot 18.1
Is returned herewith and disapproved on the following grounds:
The proposed construction ofa single family dwelling, on a conforming 166,904 sq. ft.
lot in the AC Zone is not permitted pursuant to Article III Section 100-33, which states:
" In the AC District... accessory buildings and structures or other accessory uses
shall be located in the required rear yard. . . "
The survey for this lot indicates that upon construction of the new dwelling, an existing
accessory garage and shed, as well as a proposed screened gazebo will be located in
the side yard & an accessory storage building will be located in the front yard.
..~~
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Aut onzed 19nature
~i'n
-
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TOWN OF SOUTHOLD PROPlRTYIICORD CARD
o 0,/70
tJ ft
NJ, , e.-tJ
S L:J W-~'.1 /
~"", .' " .... .....
..,~;.~.~",_N fc~-i.~ ,":<_',,:,.J' '- ,. .~., ".f
P1\RM COMM. CB. 'MISe. Mkt. Value
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-
QW4l.IfR
VILLAGE
DIST.
SUB.
LOT
~. .
FORMER OWNER
J
/
I
$-:'( ,..
RES.
LAND
SEAS. . "'16
--'>c- 0
IMP.
VL.
--
TOTAL
DATE
REMARKS
>l-c;~OCD
/97:0
NEW
FARM
NORMAL
BELOW
ABOVE
Value
Acre
Value Per
Acre
--
Tillable
Tillable 2
Tillable 3
Waadland
Swampland
Brushland
FRONT AI.oE UN wAfER
17 r' ">7 ..C-t... ~
17S' t.i ~~ :.
6 C>-U -
. .
+ ....a.-..-.~..~{.-/..../::t;;;,;.,r:.,<"'---..<"','::~ P-" .j\...~.rt:c.d.
,
w_
FRONTAGE ON ROAD
DEPTH
BULKHEAD
J +" (> 0 1- fen> J..,..., :Z",
'\ '
/(,.ou )
I"'~
~
House Plat
--
:.f /~.t:. >
<----
.3! 0 ()
"T'_-,-_I
r\f"\rv
v -
-
I
: -
i
[ -
I -
I , ,II
rv ~.
, ~
, ...
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79-8-18,1 2/04 I
.. .
-L
M. Bldg. ~ )( )../{: Lf .f ,1 , '1rJ -- Foundation po? S-r Both Vv' Dinette
.-
Extension (of) .3,eD / ,/ " Basement /lid Floors 'FIt( K. -
'---"'"
Extension Ext. Walls t:VJ.f .IA Interior Finish Z LR.
Extension Fire Place IV.?> Heat NtJ DR.
I~ J/~ Type Roof G't-1-b/c Rooms 1st Floor BR.
Porch / /6 I J~... (!!f) II .,' I _-~ Recreation Room Roams 2nd Floor FIN. B.
~ I
(oi) -,
~ 9x /0-"'- CJo ,~ 2-3 Dormer
Breezew~ - Driveway
Garage rQ1 ~f X.35' =- y'tO I
. )( /0 =-.30
Patio /0 x {:/);: ,'tV ...}4/D /- /4/0
1(/0 >f 10 - ~...v /,
. O. B. Jf' x 10 - %~
'" X /0 = D
. -,- ._. .-- . J "PI/,-y /
Total
, / 7 I II
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.
PERMIT NO.
BUILDIN"MIT 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:
Mail to: 1f111l11 {j)ex~
lAkti/ JU'(I('/.. :,os u.Jes+ 2"'tVJ :;;r / ~1C 7-r fool,
Phone: 71'7 'ff'1717,;
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
.
Examined
Approved
Disapproved ale
,20~
,20
Iff,yfr, p:/
. I
Expiration
,20~
Building Inspector
JR 17
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
DateA-pr-1I~ 7 .
/
,20~
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate 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 zoning 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 of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, 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, ordinanc.es, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
~s
W~& t- 20'fVl <;t. N fC NY /07; 1/
(Mailing address of applicant I
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OWilQh)
Name of owner of premises '2 II f 1II t::lll\d A L\t1--0 We X Lvz)
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location ofland on which proposed work will be done:
to 'tOO Nl>f'-H1 &'yU)fuJ ~
House Number Street
SouU~~
Hamlet
County Tax Map NO.1 000 Section
Subdivision
79
Block D cP
Filed Map No.
'j!1r,t.
Lot
Lot
/<P. /
(Name)
2. State existing use and occupancy ot premises and intended use and occupant" Jfproposed construction:
a. Existing use and occupancy nil JiI -e '<I c :ii VI l(
OMf' In ~ (0 v-tit~
3. Nature of work (check which applicable): New Building X Addition
Repair Removal Demolition' Other Work
4. Estimated Cost $ ~{JO} 000 Fee
b. Intended use and occupancy
Alteration
(Description)
5. If dwelling, number of dwelling units
If garage, number of cars
o nf-,
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, 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
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire Df,w ~onstruction: Front JIG, -it Rear 5 b j:t
Height d ;:l ~ Number of Stories +w 0
9. Size oflol: Fr6m '3, II' (J.~ Rear Depth -
10. Date of Purchase Se.p1 2M / Name of Former Owner t~~
II. Zone or use district in which premises are situated ( ~ ~ J
Rear
Depth 60~
fr;~
.
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
- -
?
13. Will lot be re-graded? YES_NO \j Will excess fill be removed from premises? YES_ NO_
t rJ-f /ooll_-'ltWi",-t..,-'llJJtil T~ 19t
14. Names of Owner of premises zllevd Alia", W~Address ~~ lik<Jt c/)'ftlfJ Nt Phone No. 2-12 Qf"f 7175
Name of Architect Address Phone No
Name of Contractor Address Phone No.
4l- 'l\D1:P: OW~ cd,lI be.. /'IVi!/\{ <l-1It fwPU"tt-j d"U/I1'"(" -~. ....... 76S- 13~/. cell' '1/7 '19'1/.,61
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_
* IF YES, D.E.C. 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:
COUNTY OF SJfCOL/(.,)
AI (AV\ W
(Name of individual si
(S)He is the
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 ~
. day of \
20~
~If- Lly{
Signature of Applicant
MELANIE DOROSKI
NOTARY PUBLIC, State of New'lllrll
No, 01004634870
Qualified in Suffolk County",,^?\)
Commission Expires September 30.awt::>
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SEE SEC. NO. G88
PlIOP{RTI!:S NOTICE 8 COUNTY OF SUFFOLK @ K .n m
Dl5TPICT", E
nn r.lAINTENANCE,ALTEIlATION,SALEOR .* 1. Reel Property ) ox Service Agency y
DlSTfflBUTIONQFANYPORTIONOFTHE ': ~ COlJ'ltyCenter R1Yer~NY 11901 m m
SISFOLKCOUNTYTAXlolAPISPROHIBITED .. SCAlt IN FEET, "
'ITHOllTrRITTENPERMtSSIONOFTHE lG' ~ m 1&11 A
REAL PRCJI>E~TY TAX SfRVICE ACHICY. P ...
1000
SOUTHOLO
CONVERSION DAlE: Doc. ~O, ..,.
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SECTION NO
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PROPERTY I.lAP