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Home My WebLink About32660-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 01/25/07 No: Z-32162 THIS CERTIFIES that the building ADDITION Location of Property: 1115 SOUTH (HOUSE NO.) County Tax Map No. 473889 Section 13 VIEW DR (STREET) Block 3 ORIENT (HAMLET) Lot 4 Filed Map No. Lot No. Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2007 pursuant to which Building Permit No. 32660-Z dated JANUARY 22, 2007 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #2447 DATED 1/22/77. The certificate is issued to BEATRICE E EASTMAN (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,- JANZA APPLICATION FOR CERTIFICATE OF OCCUP t:~~~, __. ..----J 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 certifying that the solder used in system contains less than 2/1 0 of 1 % 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 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 I. 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date.~ ~lj!() '7 l/ New Construction: Old or Pre-existing Building: ~ )fh,Jirl. Street ;)~\!'-..- (check one) ~\' \c. n\- Hamlet Location of Property: ---1 \ \ S House No. Owner or Owners of Property: f;u.-J-Mn....v--.. , Suffolk County Tax Map No 1000, Section () \3> Block ~ :::, Lot Oci---l Subdivision Permit No. ,;;~ (&0 Filed Map. Date ofPermit'J4J.~.1()1f Applicant: tec.--h Ie <"" Underwriters Approval: Lot: bJ-fI/I""'!'../ J(.:,<.Q.1L- 7' ~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~S,()C:) c;,.u ~ 3d, b,:;L ~c Ind.? Final Certificate: (check one) ~~ 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. 32660 Z Date JANUARY 22, 2007 permission is hereby granted to: BEATRICE E EASTMAN 620 KING AVE BRONX,NY 10464 for : BUILD AN ADDITION ON EXISTING DWELLING (APPROVED BY ZBA). THIS PERMIT REPLACES BP 9048. at premises located at 1115 SOUTH VIEW DR ORIENT County Tax Map No. 473889 Section 013 Block 0003 Lot No. 004 pursuant to application dated JANUARY 22, 2007 and approved by the Building Inspector to expire on JULY Fee $ 200.00 22, 2008. ~- ~ --------- I ORIGINAL Rev. 5/8/02 ~", ','-"', TOWN OF SOtJ'nlOLD, NEW YORK DATE ......f..~?_~._.;L7, 197. AcnON 01' THE ZONING BOARD OF Al'l'EALS Appeal No. 2247 naUd Januar~ 22, 1977 ACTION 01" THE ZONING BOARD OF APPEALS OF THE TOWN OF SOlJTROLD Beatrioe Eastman Sout.hview'Orive Orient" NY (Irving L. Price. Jr.. Esq.t Appellant To iatameet~ot'theZ~BoardotAPpelll8on February 17,'1977 I was coElBldered and the i,,;:tiQIl 1ndicated. be10w was td<<m on ,.our ( ) Bequest. for variance due to liltk ot accellll ~ proplllliy ( ) Request till' B Bpf!Cial exception un~ the Zonlng Ord.iriance (X) Req~ tor a variance to tbe Zoulq; Ordinance 1he appeal 1. SPECIAL EXCEPTION. By resolution of the Baud it wa& determined that, a special ex.ception ( ) be I granted ( ) be denied pursuallt to Arliele ................;... SecUlln ...._............. Subsection paragraph : .................... (it the z,;,o.\.ng Of'li\J:lance and the deC:1sl.on ot thl!; Buildln:' Inspector ( ) be reversed ( ) be i contlrmed beeauso 9:15 P.M. {E.S.T.'} upon application of Beatrice-Eastman, Brown1s Hills, Southview Drive, orient, New York for a variance in accordance with the Zoning Ordinance, Article 'III, Section 100-30 and Bulk Schedule for permission to construct addition with insuffi- cient setback. Location of property: west side Southview Drive, Orient, New York, bounded on the north by E. DeMaria~ east by South- view Drivel south by t. Bondarchuk, west by now or formerly Tuthill and Dyer. 2. V ARlANCE. By resolution Of the Board it wa& dO!larmined that (II) Strict IIppllcation (it the Ordinnnce (would) (would not) produce practi~al di!flculties or UIlIlecCll3aI'Y hardship because SEE REVERSE (b) ..the bard.d1.i,p created (Is) (b not) unique Ilnd (would) (would not) be shared by ill propertlea altka In Ow immediate ~e1nity of this property and in the same \l5e di5trict because SEE REVERSE (c) The vuiance (does) (dlle3 not) observe the spirlt of the Ordinance and (would) chante the character of the dktdct beciiu.se (would not) SEE REVERSE; lInd therefore, it w;u turlber determJned that the rell.uei:I.M variance ( ) be &ranted ( ) bl:! denied end tbat the previous deci5.ions of the BuHdIng I1\$flector ( ) be contJrmed ( ) be reversed.. SEE REVERSE ZONING BOARD OF APPEALS FOl'tM ZB4 After investigation and inspection, the Board finds that the applicant requests permission to construct addition with in- sufficient setback, west side Southview Drive, orient, New York. The findings of the Board are that the Board is in agreement with the reasoning of the applicant. The Board finds that strict application of the Ordinance would produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance will not change the character of the neighborhood, and will observe the spirit of the Ordinance. - THEREFORE IT WAS RESOLVED, Beatrice Eastman, Southview Drive, Brown's Hills, Orient, New York be GRANTED permission to oonstruct addition with insufficient setback, west side South- view Drive, Orient, NeW'York, as applied for,. vote of the Board: Ayes: - Messrs; Gillispie, Hulse, Grigonis. . ,__,_~~S";"""':'~-'.~-'~--:~'.'~'<- FORM NO. Z TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED> N<! 9048 z Date ............................,.........U......., 19...." Permission is hereby granted to: ............. ......,........WCJ...........1r ...... ..........o.r.tea................;........................................ .................................................................................. to lU14...... ''''1 Uoa......uieUq..4wUu,............(...ppa...._....... ""rd.) ..................................,..............................-.................................................................................................. at premises located at ............Iin.D-tft,......................W...................................... ...........................................................'.Of.t...t...... ..........................................:..................................... .................................................................................................................................................................... pursuant to application dated ..................................2.1............., 19...", and approved by the Building Inspector. Fee $lflll...fL........ II - ..........~r"t~~l........., ~.~"-_:o.;,;,___ ."", .I I I . " ,. ~> "4 " '" ',,,, - 0,.' De6elllber4~ 1980. ."i Dt,voeandHe.rr-is Bldrs . Ol"c11iird'St,.reet, Oi'i ent iN $i.'Y ork 11957.; Dear 811'81" ;., .:; ",,->-,. /-$ ,_. . "- Re: Beatri.ce~'E $6BtIlI!!Uf" South View1,)rfve, .aden'\; r' ,NewYor:.k . BP#: 90'-+,8':;1, . .,'~ '.' -_-__;......_~-'-..:..,..;..--~---.r...-.-.: '. ,/!. .:t .. , ..~,.;:.,'f.':j.; ,r", '.~",;(i ,.... . Plea,aehe.edvis ad that we have been , unable. to . ,.''j;..,., contact .the. aPove capt1pnedregerd1ng a firl~ 'inSp,eo'tiM ).,.,. -, -', ..... .., , fore, Certificate of Oc:~upancy. Please contact them and advise us when we may make this 1nspe-eti6n. .'. '.' ,"'l.~: 'Ttoustingyou will give this matter r??r.. e/;lrliest attellt.ion, I remain . I ~~,~~rol(i// ~ George a.:FJ,sller Senior Bui:l.4ihg Inspector '" .' ,. .qHF: jkd .'~ " },' ,---, ",' ~Mr;o.r- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONS11lUCTION [ ] ROUGH PLBG. [ ] ~ATION [ ...(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS \J.J.." FOUNDATION (1ST) f~ O::i (\J"" ------------~----------------------- ':.Y FOUNDATION (2ND) ~~ :z 9 - ,.- ~'" r.r, ..., ROUGH FRAMING & [;i i"l PLUMBING ..., Cd' , ~ ~ L ~ INSULATION PER N. Y. R5 STATE ENERGY CODE 0 f FINAL ,ADDmONAL COMMENTS i:J) to 3 ; ~ z r {; ", , i"l -.J~ ,'l~ y..., . I - cO I <>\ :z , :I: i"l ~ L-5! ..- ~ J>~ w ~~ .... \ , \... , " . .. D::f c::.;' v N , .,..,.,""'V: J .....~ .J..Z;J '':;'''l_ ." ~ _0#-':; .', '-,,') '" ~~.:..:.- .~~_.- ----.'/ / / _.~:--~. - ..:". <...'> " " \~J , . / , -. ~"', "-, /\ \ ~ '.,[1 CD :J \ " ':l '. ". ..::-.. '~- " ~\ ,', . J_~ 'f' v ~,., .\ ":.... .' \S'-, ".~ -'-" tt ~~ \ r...:':r " ''1,' ". , 'j,.' ... "'...... I,. .,\. .{ ,. I'~ I '... . :.........~'" ,/. .;; J;~ I "- "'-; . _\, t~ 1* Ii' _.___.:'4';y"~:.,.. ~ ~(~~:-,~i'::::~ ,'--. ,. ~j- ::::- t:; -tl.Loog '._, ) .' .' ,. , , ". 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I( ~ I ~ ':J e.- f'-' ~ ~ ~ ~ . ~ .. (1// .5-, ;?rf 0,> FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD, N. Y. ORDER TO REMEDY VIOLATION Date ................~.o.v:~~~.~~............., 19.~.?.. TO ..........!?f;1.y9.x...9.9J.:l:1'i.1t.rg.c;.tJ.R!).......~!..9...l?f;1.yer ly Ea stman (awner or authorized agent of ownerl Orchard Street ................. Op.i.en.t ~..;W ~y, ~................................... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ART. XIV ............................................ Other Applicable Laws, Ordinances'ar Regulatians at premises hereinafter described in that ..........~\l,~J.sU.l}g,..r..f;1.f.!1:1Jj{...#...9.Q4.8.Z............................. (state character of violation) ..?: ~ ~.~~..........~.? !.?).!. 7.~...... R: ~ .f?.. ~.l!;P.J. r..l?s! .'...... "f. R\l,.. .~.:r.~... :r..~.(:nJJ l:.~.~...1< 9... /l.J:J.Il ~y:...f. Q r...f!...... new permit, .................................................................................................................................................................... in violation of .. ........~~.? .:.!. Q.9.::.:.4~.~.... .......... ...................................... ........ ............ ...... ........ ........... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and ta remedy the conditions above mentioned forthwith on or before the ....................!.g.t.h......................................... day of ..............;O'~.y.!lmtl~.r....................., 19..S.Q.. The oremises to which this ORDER TO REMEDY VIOLATION refers are situated ot . l-.-...y~...~..('...d2~7.....County of Suffolk, New York. Failure to remedy the conditions afaresaid and to camply with the applicable provisians af law may constitute an affense punishable by fine ar imprisonment or bath. '7 /(fJ,j - /.:7-:7- Y TOWN OF SOUTHOLD PIlOPERTY RECORD CARD / TLOT ! ,/ .. ,.. ,.: _ ____ F~=-ET____ ---I VILLAGE --~fSTRICT I SUB. f1; -:l/~ . " ~tf.A_~ -'- E __ E~i:~:z_<t....-_~_ __"'.r ,i"ffe ~_ U\.-t v' ~__I__/_;~"" -- [' _ n_n__J__~~:::___J_i_________ ~~__ . FORMER OWNER iN ~. I II JA . IE/AI._-_' /', i ACREAGE I / I I:- '- L. C '. Ui! /Y/d ... , a 'If Ie' .: / u e. '.I. IJ P- '/ t' I I . l) . IS - I w . i TYPE OF BUILDING "_~~_.____ ______..___~._______ __~.!__--L~~~.L._.~___~~__L__.~~___ ________..__--'-____.._ _.__._______._.._________ ---- ----------~; --- _.._.n.... . .---,------.--..----.--1.---.---- ,--' - COMM. IND. . CB. MISe. ! Est. Mkt. Value i , I -------;-------~- r '-.'" ...: t- -- ~ :; - / - . -' .~-~ :: ,.. ,:. / ~J.:. ; j .....__...J. '..' ~.,- I . /1 i1 /, .:/;-;-------:.-----;;-- ~~ Q~ y-Jz p- . "< --; 7!) ~~- _!~"':/_-i--:":',L'-~-,:~:----'~.{_-~-LU?~~ /if:I_._(/.' //_/ v' ,~ ..' i' -' OWNER ;...,:J .;:.$ . SEAS.---- --'I VL I ~ARM . I I IMP-T-TCHAL I I I ----l /7 g~- J-_,3'OL-- 1./(0) .-..~ ------ __-,-__'_ _~___+_ _._._~______~_____ u':-=+.-;._ _L.? , I "; , ' ;. .~ ., i :,. ! ,/ ". ~~ Z:,:;-I F,,-"i Sf 6 or~/3; -~;J ~At I~~~~:~::ON_~~:~ Tillable 1 I --------------,.-... 1 Tillable 2 . , ___.________._n.j_._ _ . . Tillable 3 I ~ _ Woodlond__.~ -=~~-=~~~~-~~~- _ . _~~~~~~~_--~~ - Swampland __-~==~~J~~-=~~~=_~-~ -===~-_=--_-- House Plot ..::i-t---..----~--.llu .........~.. ~.~. .~__. .- .------' Tatal RES. ':2/0 LAND DATE REMARKS ~ ~-- ,/ -) ,"-. . ._---~--. -. -,-;/ 1~1' v i,J, ",' V ./ - J..- - / J ,-,t./.:,i ---- ---- n..-__________-----r--- 1"'- FRONTAGE ON WATER FRONTAGE ON ROAD ___'0_ __..L___._____ .__ .._....,"____." tBU=~~~D _. i DOCK t---- _______u ! -1- _ _______~___.J_____._____ ____ I I ---..._-----_._.~------_.._--_..,._-- Brushlond .. .-- --- -------- -.- '-'-- --------------.-------------- ~' I -...;'If ,t ~l , '<i ,,;,'t.} .- ."j '. ~ /,' I / / ve ' ~~ It' f?--.. -'''I .,~ I') Ji'1""-L~";;-' ' ,./ .,~~~-~ !U F?- ~ .'" . 1,:'1 ~; .... 1-P --< I" l- I .., , ; I~ I . 2i) , X 3" ]AD I _7 k ~. . . /' ,1" li;:..// r I .---.... , . IV;!. "~' (j ..~!Idg._._ _ OJ. X.)_~ ~ Extension i<~l( Floors .s.N~ d . . j{Q;;T Extension />7'(-B z. I /(2' ~ "a " ./~ J3z.? Foundation / A p1.5 :I'll f3~ Basement 2'/9(, Ext. Walls ;)l-;; /~ 90 Fire Place -1- Bath ,I) , Interior Finish Extension ! Heat ;::"L:;,.' '-;';;: 1'- j- /. Porch Roof Type Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Garage ____ ___.L____ Driveway Dormer O. B. <// 1 ~ c;' J) DE rACt+ 0/:>. ~ /17 YC'I':N 0" SOUH:CLD ~ ;B LUIUHHG fiE..AlCTI:.un I TOWN (;lm;:r~'s (WHeE ;CUi rIOLP, N. Y. r~) .t.or:..1~: 1<Q. 1 7r or- 0,-<: G:l .-:r ?:h;r --;z ".ntA /1<'1- / Examined Ji,c ;J ( 7C ......................................... 19........ ......rP1......2..~......... 19.?2 Permit No. ..r.. q.. /1t.?:: ...... Application 90 l( r No. ............................~ ~ ~'" Approved Disapproved a/c ....... ). \J :,P[UCl.TIO!{ [Or.. ~U[lni~G ,::rUl,IT '" ...... Date .../4/::.1........................... 192.&1 INSTRUCTlm~s ~ ~ a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Buildin! Inspector. with 3 sets of plar,s. accurate plat 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 01 areas. and giving 0 detailed dc,scription of layout of property must be drown on the diagram which is port of this apPlicoti~' c. The work covered by this application moy not be commenced before issuance of Building Permit. d. Upon approval of this application. the Building Inspector will issue 0 Building Permit to the applicant. Such per 't sholl be kept on the premises availGble for inspection throughout the work. e. No building sholl be ocwpied Or used in whole or in part far any purpose whatever until a Certificate of Occupancy shall hove been gronted by the Building Inspector. ~ APPLICATION IS HEREBY Mt,DE to the Building Deportment for the issuance of a Building Permit pursuant to ~'l 8uilding Zone Ordinance of the Town of Southold. Suffolk County. New York. and other applicable Lows, Ordinonces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to com?ly with all applicable 1011'S. ordinances, b. u.ildin..g code. hO'15ing code, and regulations, andf admit authorized inspectors on pre,nises Clnd in buildings for necessary inspections. .........../~f.<..[!.f-~n....................................................' (Signature of applicant, or nome, if a corporation) 0(\ c" l( , I') ,...--/ .... fI ._ .: ____- N .,: tJ..... ;:. I......... .c..'~. (.(..;;..,................................... ~ (Address of applicant) ~ general c~ntractor. electrician, plumber or bUilde~ Slate whether applicant is o\'/ner, r~-:'_.sce, agent, architect, engineer, 'J 'IL' I).. () ....; ...........1..).(... ..::..._.'.....~.,...........:...'...'....;...................................."................................................................................................. N f. f " '. ~ ',. <'< -/ ceJ/Sy;:/,//,i-,) 'onle 0 O\~ ner 0 preml_es.. .... .... ..,., ........................~............ ../................... ..................... ...... ..... ,.. ......... ... ..... ............ ......... If appliccnt is a corporate, s:gno~ute of duly authorized officer. (Name and title of ccrparcte officer) ~ Builder's License No. .......!,'. .',....... .C....:..<.-.. ....~,,-.l..~.:;..)~...... F.leci rkian's License t'.!0. . . J .'... < ".i,:. ....... .,;:/~/..(.-.l.: ;:}J...... ...... ........J .../:.\.L....... Plumber's License No. Otho::r Trade's License t..Jo. " N L (''.:' C' (--- 1. Location of land on Wil;Jl [:'1- ":,cd work will be done. IVlCPO.: . ..................................... ot No. .........:'.............. Slrc2t and f'.Jurnber ....... i..' .... ...'~.,/:;....!..-.:.\....'. ....'.....;'./.'. i..':. .~.... ...~.~..":--.j~...:::~.i..~~~......... ...... ........)~:~~: !.-rr!...::.().............. Municipality 2. Stote existing use and v':CUP":':,-ICY of rJrernises and i11~ended use and occL;poncy of proposed construction: Q. Exisiting use and UCC'.';:"':"';cy .. ....... .....$:..:-.....;';..':...';... ...';' .r....... ........ ...... ...... .................. ...._. ... ............... ................... b. Intended use and OCcupo:,cy ..........I;..!.:.!.::..........::.c.....y:..c:::..f.~.......................................................... lJ 1 ~ I" ~ .~ .. ~ 3. No1ure of work (check which c.Fi~>!i(oblc). New Building' .................. Ad, ,Ion !.. ~ . . ..... i\Hcrotion Repair .................. Removal Demolitior .................... Other Work .......... 8. (Description) Esti mot cd Cost .......... ...lie;. c.Y: ,~: ............................. .Fee ................................... ....................................................... (ta be paid on filing this opplication) If dwelling, number of dwelling units .............../............Nl1ll1bcr of dwelling units on each floor ...f..................... f /. '1;1. If garage, number 0 cors ............~...... ......................................................................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimer'sions of existing structures, if any: Front ............((<;2.......... Rear .........<f.C................. Depth .;,s,.?I............. I':eight ..../[.~............ Number of Stories ........1..:1.................................................................................................. Din:ensions of same structure with alterations or additions: Front "....t.~.(~...................... Rear .././.'.................... '7 . I. ~ . f' 1...- Depth .......,.~.o................. Height ........ .(................Nu,nber of Stones ....... ..../................... D. . f t' ,. t' F t ') /', R. } ( D th >' (o, ImenSlons 0 en Ire new conSlruc Ion: fon ...................~................ cor .......<....:............... ep .....~......-"........... 11eight ..../0.......... Number of Stories ........./......... .............................................................................................. Size of lot: Front ........j(:..f~.~................................ Rear .....I.(J~.~........................ Depth ...d~.o................... / <' If .) .' . - . j Date of Purchase ..............t.....~.C~.............................Ncme of Former Owner ...I...J..:..:.);::./.~.X...!..\).~...................... Z d. . t . I . I . . d /). \'/.1..,..." ('/"" / . one or use lstnc In W1IC 1 premIses ore sItuate ..............!...f...... Ir.-::-:-r.. .......,.:-.-........................................................ Does proposed construction violate any zoning law, ordinGnce or regulation: ........./......'..r:..................................... Will lot be regraded ........!,.,~..0.......... Will excess fill be removed from premises: ( ) Yes ((') Na " fa f . ,1(c 'j'7 /./7!if'/"'<1..~1 Add C")/I-' ...,.. Ph N I....allle 0 wner 0 prenllses ..f.). ..l..\...:'.........t......(.,..t.:..:../.......... ress .....:;.<...b..:".\-...(........... one o. ...................... .__~ ) ',' ..) /" _, , . fl____- Nome of Architect ......~.....~..:c'yi),....U:,..~:1.:!.,,(.I\:........... Address ...(~(.,(L.:.,,'.L.......... Phone No. ...................... t--iome of Contractor ....J).C.C.;\.L~.......<.,\:.;'r................ Address ....C/,(,(...:'.',-),[....... Phone No. ).~..L~.~.>..r:. PLOT DIAGRAM 4. 5. 6. 7. 9. 10. 11. 12 13. 14. 'ocCite clearly and distinctly all buildings, whetner existing or praposed, and indicate all set.bock dimensions from ,-ty lines. Give street and block number or description occording to deed, and show street nomes and indicate ,cr ir~,terior or c.orner lot. / , , I / / I I / / / ! ~ fJ ,1/ j ) ,... ..J. < I I ., :"'\ .~ ,.; " "~J ", - -.... /;,. v (". ,~ '" ~-0 ~--) " ,'J ~ . "~"'" " ~ ~ , \:: ~ \ .~ \'- -,J ....~) J "", J' 'OJ r-..... ....". 6.)' " ,------- Yo ._,~ i-./..~~-/tr/,:\(.. ~ / . .' "Y: . I .l._____ _ _.___.._ ~f ,~I , '.j (t.~,,/" --- (, (,~ , '-'/f?/ /11/01\1 ~l /l"" - . '> r. I .::> ~ j71......."" , ':?.L) .~ " (,_.\_-) (J '~ ~ '.J !{,<( i~ -............. _...:- /'/ f 5T A,rE_?F NE"'1 "YO~K, 1 SS COUNI '.{. OE~..,~..~,................i ............L:.(.~I.~(.~.t~r...:(..~..l)~::.-..C.';.!.t;;~.":............................being duly sworn, dcpo~es and _cys th::;t he is the a;;plico!11 (Name of individual signing contract) above named. He is the ............. ~.~>':::'.~<>/ (. ?~, (,.................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perforll1 or have performed the said work Gnd to make and file this application; that 011 statements containEd in this opplicction are true to the best of his knc\'/kdge and belief; and thOT the work will be performed in th" manner set forth in tne o?plication filed therewith. Sworntto q?fore me this _l;'" "-, ........................ doy of .................;...(......../............., 19...... Nolary Public, ........./..................................:.:....... County . . . . } / -; I '1 ......./<; ...l.~.c ..~.':.), .1......... ... . ...........-................- (Signot.!:!:l~' c..(-Oi-.;.:;!i~.c:d) --_..- lU::,<-Hi f,!:;; NOT' f.'\ rl jt' '~I \~I r;,' ;;['J1Ut :)1.'\ I Y~;i<. . I'OBM NO. 1 . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E . d ~ c- d I 1971i Application No. 'f..f..YC.............. ~::~:: ::::::::r~:::;::~::::::: 1921 Permit No. ..f.e.ft.~.......... Disopproved ....................... . ...(B.~.i.id.i;,g..~t............................... APPLICATION FOR BUILDING PERMIT Date ..../Z!?t..........................., 19.2.6... INSTRUCTIONS a. This application must be completely filled in by typewriter 0< in ink and submitted in triplicate to the Building Inspector, with 3 sets of pions, accurate plat 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 01 areas, and giving a detailed description of layout of property must be drawn on the diagrom which is part of this application. 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 permit shall be kept on the premises available far 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 Occupancy 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 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 opplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ta admit authorized inspectors on premises and in buildings for necessary inspections. ...........!l4s;..flL............................................. (Signature of applicant, or name, if a corporation) ...Qtc~!f.1:?({.... !..L.... ..<<.(.rf.-:l.L........ ......... ............. ... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,...........!J.J.!..~.{J.C;~1?.........~~................................................................................................................................... Name of owner of premises ...&.ef:(f:.,.?......r;;;.tf.:f..t.!-:.f.f(-;.:!:.I................................. ................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) B 'Id 'L' N {)r L)(1~ C',,, \ ~ UI er S Icense o. ....... .~.............-;..............~'K..-'....... Plumber's License No. ...1J.I.tt:E.:......,;:If/..<:.f..llJ.{...... Electrician's License No. .f?1.'c.J!:,.......{).(.)tdJ.......... Other Trade's License No. .............................................. ---- 1. Location of land an which proposed work will be done. Map No.: ........................................ Lot No. .'?R..'?.............. Street and Number .. .....r..C.L!.7..f/...l!i..Q.J.....P.l( II.E:.. ....0./.,(' S.~ :C......... .............. J.<'.,)'C~~~A1.............. Municipality 2. State existing use and occupancy of premises and in;ended use and occupancy of proposed construction: a. Exisiting use and occupancy ..............eCU'?!;::..j:1.7..~L,..................................................................................... b. Intended use and occupancy ...........l?cD:/?~::d.7.r.1.<-c.....~c2.c!..~................................................... 8. Nature af work (check which 'IiCable): New Building' .................. A.an ....(.......... Alteration ............,. Repair .................. Removal.................. Demolitioc..........,.......... Other Work ................................................ .... ~ _ (Description) Esti mated Cost .......... .../K;.>?'Q hi. ............................ .Fee . ./,................ ....... .... ..................................... ................... (to be paid on filing this application) If dwelling, number of dwelling units ...............(............Number of dwelling units on each floor .../...................... If garage, number of cars ..........1.:-:\/.11:........................................................................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Frant ............~f.Q........... Rear .........~.Q................. Depth .::?$(............. Height ....//{,.:............ Number af Stories ........1..:1................................................................................................. Dimensions of same structure with alterations or additions: Front ......6.9:...................... Rear ..6..6.................... Depth ........3.0................ Height ........!.IS...............Number of Stories .......1..2::................ Dimensions of entire new construction: Front ..............2.0............... Rear ......,2.6............... Depth ...~.9............. Height ..../6.......... Number of Stories ........./.......................................................................................................... Size of lot: Front ........./.<E?.'.r~................................... Rear .....I..6L....................... Depth ..1..2.0................... Date of Purchase ........./.'9....6.O'.............................Name of Former Owner .../!.Qfk:.~z:.-!.-.(!.-Y...................... Zone or use district in which premises are situated ..............&.>.ItJr:;;--;Y..C(,~~...................................................... Does proposed construction violate any zoning law, ordinance or regulation: .......1./.0...Q..................................... Will lot be regraded ........~..9........... Will excess fill be removed from premises: ( ) Yes ( ~o Nome of Owner of premises .../3.r;:.t./t;;L!..7......M!.1..of!~~d.. Address ....9..f.I.{f;(..J.1C....... Phone No. ...................... Nome of Architect ......9.:?G.9.<:!.o......aC1?.I.f:!.(t:........... Address ...o.t..a;;.;:-).L....... Phone No. ...................... NOllle of Controctor ....f).c...J.0.~......9.c9c-J.L.............. Address ....Ql.,{.(:,(,..,'t.L...... Phone No. .)..i(..J..-.~.;;:!?!\. PLOT DIAGRAM 3. 4. 5. 6. 7. 9. 10. 11. 12. 13. 14. Locate clearly ond distinctly 011 buildings, whether existing or proposed, ond indicate 011 set-back dimensions from property lines. Give street ond block number or description occording to deed, and show street names and indicate whether interior or corner lot. / / ~ '-to ~ 6S ......... l ~~ ~~ \u ) l'~\ \...... "-~ ''.j -o{ ~" -;) -'" '" :J .V l/1 v "'-' ~ (01 /"" 66~S <211 f1f'1I//0~ ~ "Yi /<:7" X./'1;/G/ / , '/ , / /, / , I 3<; ~. 6..[( ( ~ ~ ':<'6 rJc:0 <) (' :.\3 fY ) () J'-- -~/ i.r 26'0Th9F M~Y1tyO~~................JS.S ............lo.8c:.e:t.::"....C......O'C.(/QC............................being duly sworn, deposes and says that he is the applican. (Name of individual signing contrad) abave named. He is the ............. ~<.~"::!.!.?1.~. [c;.,'. C............ .................................................... ........ ............. .... ............ .............................. (Contractor, agent, corporate afficer, etc.) of said owner or owners, and is duly autharized to perform or have perfarmed 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 t1-,OT the work will be performed in the manner set forth in the application filed therewith. SWQtrijolQl'fore me this ..L,) -7 ( ........................ day of ........-:...,...j..F;...;.I\............' 19....... ~e a IJ /(.../ . Natary 'Public,~",,,,,/,,,,,,, .......c. ../.... ..... ...: .......;.. County ........f...:.r. .... .r....'...~j:Lru.::......~:............... ..... .... ............ ~_/ c.'..... I.. ..../. I , (~T applicant) 'L' \lj'lB~T\i ,r"t~r,; NfViUt :,1 [. f """I Y", ~ NOT,',RY DUi.;. \(', '~t,1~r n. ,\. ." r~~';n~\~;:~:rf'S 1-,",0[,-:,1 Ie