HomeMy WebLinkAbout32404-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32161
Date: 01/25/07
THIS CERTIFIES that the building
ACCESSORY
Location of Property: 800 VILLAGE
(HOUSE NO.)
County Tax Map No. 473889 Section 25
LA
(STREET)
Block 1
ORIENT
(HAMLET)
Lot 15
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 8, 2006 pursuant to which
Building Permit No. 32404-Z
dated
OCTOBER 4, 2006
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 RELOCATION OF AN EXISTING ACCESSORY BARN AS APPLIED FOR.
The certificate is issued to SAHET LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
',.'1\ 29.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. 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. Sworn statement from plumber certiJying that the solder used in system contains less than 2/10 of I % 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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and a 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
1. 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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
'7\" ()!'J
House No.
Old or Pre-existing Building:
0/Dctc;e-
Street
Date. //- :)")-o?
,/ (check one)
New Construction:
Location of Property:
/~AJE"
OR/.9JT
Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
2s
Block
01
Lot
IS'"
Subdivision
Permit No. c:3 '2 4n4
Health Dept. Approval:
Planning Board Approval:
Date of Permit.
Filed Map.
Applicant:---'>,.-r;, NAJ
Lot:
AlA
AJA
Underwriters Approval:
::r ~~ RE.
j}A,
Final Certificate:
/" (check one)
Request for: Temporary Certificate
Fee Submitted: $ 2~ OC>
tA.a-c. 7/7~ "};
CO~3:2IGr
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.
32404 Z
Date OCTOBER
4, 2006
permission is hereby granted to:
SARET LLC
PO BOX 426
HYANNISPORT,MA 02647
for :
RELOCATION OF AN EXISTING ACCESSORY BARN AS APPLIED FOR PER
LANDMARKS PRESERVATION COMMISSION
at premises located at
800 VILLAGE LA
ORIENT
County Tax Map No. 473889 Section 025
Block 0001
Lot No. 015
pursuant to application dated SEPTEMBER 8, 2006 and approved by the
Building Inspector to expire on APRIL 4, 2008.
Fee $
75.00
~ eJ,'L
Authorized Signature
ORIGINAL
Rev. 5/8/02
Telephone (631) 765-1800
Fax (631) 765-6145
Town Hall, 53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
SOUTHOLD TOWN
LANDMARK PRESERVATION COMMISSION
CERTIFICATE OF COMPLETION
January 24,2007
Susan & Thomas Dudley
PO Box 426
Hyannis Port, MA 02647
This letter is to certify that you have completed your project to the satisfaction of the
Southold Town Landmarks Preservation Commission in accordance with your
Administrative Permit, issued on October 4, 2006.
Should you have any questions feel free to contact me at the number above.
Damon Peter Rallis I
Administrative Assistant
Southold Town Landmarks Preservation Commission'
'-
:2'5 - / - I 5'
Condon Engineering, P.C.
New York State Licensed Professional Engineers
1755 Sigsbee Road
Matlituck, New York 11952
-- --:-'631-298-1986
" Fax 631-298-2651
January 8, 2007
JAN \ 2. 07
ML Michael verity
Principal Building Inspector
Southold Town Building Department
54375 Main Road
Southold, New York 11971
,----'
Re : Barn at 800 Village Lane, Orient, New York - Permit # 32404
Dear ML Verity:
I inspected the new foundation installed for the barn at 800 Village Lane in Orient, New York. The
foundation was found installed in accord and found it to be constructed in accordance with the
plans prepared by this office and to be in conformance with the New York State Building Code.
If you have any questions, please call me at 298-1986.
Yours truly,
}LY-tJrc
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[~NAL~
[ ] FIRE ~ETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
~-
'i
DATE
INSPECTOR
.
3).-~~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISlANT CONSTRUCTION
/1-) '--
REMARKS: ~.
7D
Q;;) .
[ ] ROUGH PLBG.
[ ] IN~l'ION
[~NAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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1.7 k.
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DATE (1p(i1
(
INSPECTOR
"
FIELD INSPECTION REPORT
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PERN. Y.
STATE ENERGY CODE
FINAL
-'
DATE
COMMENTS
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ADDITIONAL COMMENTS
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0- / - /s TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
OD
VILLAGE DIST. SUB. LOT
Unt'YJ! ESe..
E J ACR.
V. L [fA- 0.\"'9
W TYPE OF BUILDING
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FARM COMM, CB, MISe. Mkt, Value
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RES. .A./ () SEAS. VL.
LAND
REMARKS
IMP.
TOTAL
DATE
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/3 ",.-<>
.T LLL '"
AGE
BUILDING CONDITION
............
NEW
FARM
NORMAL
ABOVE
C L c1 U ~ J-'--lC6)(
l-\\-~~
BELOW
Value Per
Acre
Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woadland
Swampland
Brushland
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
/-i.-s. 9/ (;;) g ~ '7 (, ~
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Hause Plat
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DOCK
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M. Bldg. ~ of7A<'---1 Foundation S'fa" <t Both ( Dinette
14> >( J.. {"'- - :5tr7t> 1 llO ! 2 S' b
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Extension I"]..XII-~/'i;} ,_.~ 17 j' 'foR Basement Floors IN;do l~ii.JJ K.
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Extension 'I'l /0"'" ,t'6 J Ext. Walls ;9-r, JA/II'q!e.J Interior Finish P)..[fe... LR.
,
Extension Fire Ploce OJ7e. Heat ? DR.
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Type Roof Ii ,'~ Rooms 1st Floor , BR.
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Porch ..j-x. I \( ::.. <j'i) I...>' ).'-" Recreotion Room MJ1~ Rooms 2nd Floor ? FiN. B,
Porch Dormer /VD'1f.
Breezeway Drivewoy ,
Garoge i
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.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL' .
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www, northfork.netJSoutholdl PERMIT NO,
Examined
Approved
Disapproved ale
Expiration
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
.J,2 'i 0 rf t:::- Check
Septic Fonn
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
~
<0
0\,0
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APPLICATION FOR BUILDING PERMIT
" \J
Date
9-~
,20~
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 location of lot 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 ofBnilding 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 rio 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, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
~~co~mtion)
nS'$" ~4~fic; ~ ,amrr~ IJCf!i.2-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~~ ~G,.;z.,
Name of owner of premises 5"tJ~A,O ".0:::> J::>uDl.6y fjjoH\4:>
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
~...,o Via.A4ti LA~6
House Number Street
County Tax Map No. 1000 Section 2.!$""
Subdivision
O,e,Gdr
Hamlet
Block t:)/
Filed Map No.
Lot . /~
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construetion:
a. Existing use and occupancy J3.+RJ.J ~ :>'-~IO'"
b. Intended use and occupancy
BAR/J- s-ro~~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration X
(Description)
4. Estimated Cost
$ ,"5;=
Fee
5. If dwelling, number of dwelling units ,U.,1
If garage, number of cars ,,(/14
(To be paid on filing this application)
Number of dwelling units on each floor AJA
6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. AJ,f,
7. Dimensions of existing structures, ifany: Front //-1'-1"" Rear /b-:"'I'/
Height /7 ,/ Number of Stories /
Dimensions of same structure with alterations or additions: Front / b" <1'
Depth 2-11s-1/ Height F?" Number of Stories
Depth 24{5 N
~
Rear /~ ".-;1/
/
Depth
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size oflot: Front (.s~ ,S;) Rear 6'Z's 1"iS )
Rear
Depth
)
12.1;;", q I
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO X.
13. Will lot be re-graded? YES_NO -X.. Will excess fill be removed from premises? YES_NO_
S~ J..J:>UVlSY 1.'0. f30J1. 4 '2.6.
14. Names ofQ~~ premises -n/..,.u..!$ Addressl1'~ Fhm (t... &,.r,I>hone No.
Name of ~ ::rOI'.u:r~. I'€ Address I ~~",~~"'61!11!f o,l.D Phone No Z'N- l%t:,
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? .YES _ NO L
· 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 L
· IF YES, D.E.C. PERMITS MAYBE 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 Q~:ffo/~
~/;;......,u J" /-rll J~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
.-ue is the
;(c'P4.J7"
(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.
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SURVEY OF PROPERTY
A T ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y
1000-'25-01-15
SCALE: 1. 20'
JUNE 28, 2006
OCTOBER 2J. 2006 (FOUNDA TlON LOCA TlON)
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ANY AL TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLA TlON
OF SECTION 72090F THE NEW YORK STA TE EOUCA TlDN LA W.
EXCEPT AS PER SECTION 7209-SUBDIVlSlON 2. ALL CERTlFlCA TIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
ItHOSE SIGNA TURE APPEARS HEREON.
--
49518
-1797
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
ADMINISTRATIVE PERMIT
Applicant: Kenneth Strackan for SAHET LLC
Date of Receipt of Application: September 28,2006
SCTM#: 25-1-15
Project Location: 800 Village Lane, Orient
Date of Resolution/Issuance: October 4, 2006
Reviewed by: Commissioner James Garretson
Project Description: Relocate existing accessory barn structure on new foundation as
per plans drawn by John Condon, PE, October 4,2006,
Findings: The project meets all the requirements for issuance of an Administrative
Permit set forth in Chapter 170 of the Southold Town Code. The issuance of an
Administrative Permit allows for the operations as described in the application received
on September 28, 2006 and plans drawn by John Condon, PE, October 4,2006.
Special Conditions: No additional work permitted beyond the scope of that outlined in
the above referenced application,
If the proposed activities do not meet the requirements for issuance of an Administrative
Permit set forth in the Southold Town Code, a Certificate of Appropriateness will be
required.
a determination from any other agency,
Damon Ralli
Administrative Assis an
Landmarks Preservation Commission
*Certificate of Compliance required before c.o.
r
APPLICANT/AGENTfREPRESENTATfVE
TRANSACTIONAL DISCLOSURE FORM
T~ Ta~ of SauthaM:s ('.ode ~fEthi~ arohibits conflicts of interest nn lbe '?'lrt anaw~':::"all: ~,::;.~~n= a~
this form IS to orovide infannatiao whicb CaD alert the town of nossibIe conflicts of inte . r n
neN'C1carv to avoid same,
YOUR NAME: f'T.Lr./ CH',#r/ I<. e"v;r'~r.y r-1
(Last name, rust name, middle initial, unless you are applying in the name of
someone else or other entity t such as a company. If so. indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all !bat apply.)
Tax gdevaoce
Variance
Cban8e of ZollO
Approval of plat
Exemption from plat or official map
Other
(If "Other", name the activity.)
Building
Trustee
Coastal Erosion
Mooring
Planning
"-.4,v,p "'-r '*''''- -<
Do YOIl personally (or tbrough your company, spouse, sibling, parent. or child) have a relationship with any officer or employee
of the Town of Southald? "Relatiooship" includes by blood, marriage, or bosioess inieres!. "Business interest" means a busioess,
including a pnrtnership, in which the town officer or employee has even a partial owuership of (or employment by) a corporation
in which the town officer or employee owns more than 5% of the shares.
YES
NO
.......---
If you answered "YES". complete the balance of this fonn and date and sign where indicated.
Name of person employed by lbe Town of Soutbold
Title or position oithat person
Describe the relatiaoship between yourself (the applicantlagenVrepresentative) and the lawn ollicer or employee. Either check
the appropriate line A) tbrough D) and/or describe in the apace provided.
The town officer or employee or his or ber apoose, sibling, parent. or child is (cbeck all tbat apply):
_A) the owner of greatertban 5% of the shares of the corpornte stock of the applicant
(when tbe applicant is a corpomtion);
_B) the legal or beneficial owner of any interest in a non-corporate entity (when the
applicant is not a corporntion);
_ C) an officer, di1ector, partner, or employee of the applicant; or
_D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
A c,..&r/ .-,-
FormTS 1
Submitted this z.P day of -P~
Signature ~ t'2.--...
Print Name J -.....
200~
-~
...........
BED AND SWORN TO BEFORE Mi
DAY OF
.... Pub! slawm.. Yalll
No. 0 WA6140k4C048~
n Suffol .
CammIssIOll Ellplrel January
NOTARY PUBLIC
TOWN OF SOUTHOLD HISTORIC PRESERVATION
APPLICATION
Meetings are on the third Tuesday of the month at 3:00 pm in Town Hall, 53095
Main Road, Southold, NY.
All applications must have a representative at the hearing in order to be re-
viewed.
Questions? Call Historic Preservation Commission (631) 765-1800.
Date: j/ U;/O ...
Property Address:
FO'"
r/......~ /9o..L ~r9,.....L o~ /L:/"'"''T
Owners Name:
. F".f".A'/"'"'
/"" D,,?/'P.S"
Sections of local laws authorizing review by the Historic Preservation Commis-
sion of proposed work on designated town landmark properties are in Chapter 56
ofthe Southold Town Code.
Categories of Proposed Work
ErR€Pair 0 Storm Windows & Doors
o Alteration 0 Additions & other
o Painting new construction
o Roofing
o Signs
Please attach a detailed description of the proposed work to the application. At
the earliest stage of planning of the proposed work, the applicant should contact
the Chairman or Secretary of the Commission in order to establish a dialogue of
the proposed work.
I understand and agree that no work on this request shall commence until written
approval has been given by the Building Inspector if a Building Permit is required.
Owner's Signature:
,z:- t2 .r t::'
c:r'"
.r
Note: Applicants should review Commission Standards before planning work to
insure that the application conforms to these requirements.
,
1. APPLICANT
Name:
,IC'&,.,.""'c r ~
f "''<-,19 ~ -'9,v
Address:
~o.
/""f
0,,< /E,r'" T ,/1/, r-
/1 J J?
Telephone/email/fax:
C. ':J I
7'2:1 ;;l-7/(P
2. PROPERTY
Owner's Name:
..s v of -? /"" -r /f d~ /9- r
Address:
l?o~ v~L-A ~ 1/
Telephone/e-mall/fax:
Tax Map Number:
.<-~_ ,x::::
~J-I-/~
Date Acquired by Current Owner:
Status: Local Landmark (-}-In Local Landmark District (TOn National Historic
Register or in NHR Dist. ( )
Use: Current:
Proposed:
S ToA:. ,,;c,/L
..r _-"" k:
3. PROPOSED WORK
Scope of Work:
.,A/L,v
r a v-v ,p -<P .,... /' () .;oJ
Reason for Work:
CQ#rC?~/'r//Vv r(;)
c.,,,,,E
~o 7TLP' J'v.P~~ 7".f
Architect/Engineer: :;JON/" Cl?/""P'B,v
Contractor: /< r /"'" J r /C.A C /7'.&"v
Construction Schedule:
/9J /1 ,.
FOR LPC USE ONLY
I have reviewed the enclosed application and determined the following action to be taken:
Exempt____ ~
Administrative Permit Required____
Si
FORM NO.3
NOTICE OF DISAPPROVAL
DATE: September 20,2006
TO: Condon Engineering ale S.A.H.E.T. LLC
1755 Sigsbee Road
Mattituck, NY 11952
Please take notice that your application dated September 8, 2006
For permit to relocate an existin(( accessorv barn at
Location of property: 800 Village Lane. Orient
County Tax Map No.1 000 - Section 25
Block 1
Lot~
Is returned herewith and disapproved on the following grounds:
. The proposed relocation. on a non-conforming 7361 square foot lot in the Residential R-40 District,
are not permitted without review and approval by the Southold Town Landmarks Preservation
Commission because the propertv is listed on either the Southold Town, New York State and/or the
National Registers of Historic Places and requires review bv the Southold Town Landmarks
Preservation Commission.
If the requirements of the town code, pertaining to Landmarks (Local Law No. 22) are met. a
Certificate of Appropriateness (C of A) will be issued. The C of A is required before a Building Permit
will be approved. Information about the requirements for applying for a C of A is available at the
informatio unter in the Buildin De artment.
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.
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M. Bldg. .1.~ , :l.~D Foundation SAu" ~ Both ( Dinette
2-C >(l.S - .s-o-t> I' S-O
Extension I~ . ~ '-IDR Basement !J~ v f- Floors 'w;J 0 1l,....J,.t K.
12- X IIn ~ /<;fi 2-~...... 17j
Extension '-h 10 ~ '-16 f Ext. Walls & J)/II~',1~ I nterior Finish . P/J. J'fr,-- LR.
.
Extension Fire Place Orle. Heat ? DR.
,
Type Roof lI,~ Rooms 1 st Floor ' ( BR.
Porch $'5< I ~ ~/) )~ Recreation Room ;Yo Il~ Rooms 2nd Floor '1 FIN. B.
::. lot-- ,
Porch Dormer /VC"I{
.'
Breezeway Driveway ,
Garage L
Patio
O. B.
Total Ii.. ~ ('J v' .
--..~~
~.
-"
"7'1)..
/1-?r"/
~'
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