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HomeMy WebLinkAbout32625-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32171 Date: 01/31/07 THIS CERTIFIES that the building ATERATION Location of Property: 6370 GREAT (HOUSE NO.) County Tax Map No. 473889 Section 128 PECONIC BAY BLVD (STREET) Block ~ Lot 2 LAUREL (HAMLET) SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 29, 2006 pursuant to which Building Permit No. 32625-Z dated JANUARY 9, 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 ALTER & RECONSTRUCT AN EXISTING ENTRY WAY STOOP AS APPLIED FOR. The certificate is issued to HELEN A COSTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED ~~~ Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r .-..'- ..-\ --,-::-",-'" "" r< \ \; . ( 1'- \\ :'" ~ ' q u _ - " '\ ..--~- " Jf1.N3\r7\ j 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 certifying that the solder used in system contains less than 2/1 0 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 I 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.~0, 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 I~01 (check one) Date. 1.,~10 House No. Old or Pre-existing Building: 'Peeonlc 1lo..y Blllor' Street ~\ en A C o~'T -e.Y 1:1. f' ,/ New Construction: Location of Property: 1-4 l( re} Hamlet Owner or Owners of Property: ootJ .;z. Suffolk County Tax Map No 1000, Section Block Permit No. 3.:l 1,2. 5" Z Date of Permit. Filed Map. 12. - f. q -Ol..Applicant: Lot ~ 0 ;;),) Lot: r\.e.\~ ft CosT-e.r- Subdivision Health Dept. Approval: - Underwriters Approval: '-- Planning Board Approval: .-- Request for: Temporary Certificate Fee Submitted: $ ~ ;J.f !Z. Final Certificate: .J (check one) /~a~ Applicant Signature ~. 7/753 QO~32JTI 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. 32625 Z Date JANUARY 9, 2007 Permission is hereby granted to: HELEN A COSTER PO BOX 533 LAUREL, NY 11948 for : ALTER AND RECONSTRUCT AN EXISTING ENTRY WAY STOOP .REMOVE BILCO DOORS AS APPLIED FOR. REPLACES BP# 22710 at premises located at 6370 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 128 Block 0002 Lot No. 002 pursuant to application dated DECEMBER 29, 2006 and approved by the Building Inspector to expire on JULY 9, 2008. Fee $ 150.00 .~..~ Authorized Signature ORIGINAL Rev. 5/8/02 3 'J-b ~s Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSlRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION t,><1 FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON DATE I ~ I '1". () 1 INSPECTOR ~~~6-,- !!w~~_!~~~~~!!Q~=~~~2~!_____==__=_l~~~=1=_=_===================~2~~~====__==_=====_=_~ n II I n " II n II ~ i n I ~ ! II I II H I i II FOUNDATION (2ND) D II ==================================t=====t================================================= II n II I II II FOUNDATION - ( 1ST) --- --- ROUGn FRAME & PLUMBING I I n i Ii II .:i ===========================-======~=====~===========================-===================== i I i ~ n ~ i I I H II n I ~ ===============-============lH7r=;'==J===p;'-;=:I~=~rr~=::=.~;;:~Ok==, I ..I~ af;r J.JJ-.c.V ~ ~ 7'/...;> II . ~ II II II II II i II " INSULATION PER N. Y. STATE ENERGY II I CODE FINAL I =-=-===-========-=-==---=____=====A~===l======_=-===__=======_===___=_===~=~=_===_==_==== ADDITIONAL COMMENTS: ========------==------==-=-~-=---====---~==========-========-==========-=~==========-== \.)-J I~ .. c:: en t'l ~ ~ :z:O:S-- Ou-. ~ ~ ~ ~l I-l~ ~ <. "- !f (" o ~~ ~ ~, ~ j t'l ~~ ~~ ::l~ ?ilvv ~ ..~ ~~ t'l ~ /D ~t FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENI TOWN HAll SOUTH OLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 22710 Z Date ..............~/?........................... 19..9.{ Permission Is hereby granted to: . ...4I/I/.~......L....~~..... /('?'... ...I?.a.. .49:r...... .?#..?... ................. ... .................... ...~~.?.........~~....../I?/"/!.............. . , to ....d.~.........&aI.......~~~~-=.......dZrL..."~..o.~.,, ~L.o/~......~!!:........~C.........................,...;,..............d~....~ ~..............~?...~?..........~~€)............d~..~.................................................. ::.:.:==:~;~2EJ~z~~::~r ...................................................................~Ift(f;,L................................................................~ ,I,1.f' d"L 072.: County Tax Map No. 1000 Secflon ......................... Block .......................... Lot No. ............................ pursuant to appllcaflon dated ..........~~........................... 19....~. and approved by the Building Inspector. F~$.....74::~......, N ~ ~~~i~mm Rev. 6/30/80 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 December 27th, 2006 William F. Coster III P.O. Box 533 Laurel, N.Y. 11948 RE: 6370 Great Peconic Bay Blvd. (alteration existing stoop) SCTM# 128 2 2 Dear Mr.Coster, Please be advised that your Building Permit #22710 issued April 28th, 1995 has expired. According to the Code of the Town of South old, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P.O. Box 1179 Southold, New Yodc 11971 Telephone (5 16) 7~5-1892 Fax (516) 765-.823 BOARD OF TOWN TRUSTEES TOWN OF SOU1HOLD April 5, 1995 Mr. William F. Coster, III P.O. Box 533 Laurel, NY 11948 Re: SCTM #128-2-2 Dear Mr. Coster, According to the information and the copy of the survey submitted on April 5, 1995, the Southold Town Board of Trustees have found this project out of our jurisdiction under the Town Wetlands Ordinance. If you have any questions, please call our office. Yours truly, a,/v.4 ~ ~. 9. Albert J. Krupski, Jr. President, Board of Trustees AJK/djh ~ . ..j UNATHOR1ZED ALTERATION OR ADOmON TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SUFNEYOR'S INKED SEAL. OR EMBOSSED SEAL. SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONl,( TO THE PERSON FOR WHOW THE SURVEY IS PREPARED, AND ON HIS BEHAlf TO THE TITLE COMPANY, GOVERN~ENTAl AGENCY AND lENJ;r~G INSTITUTION USTED H.EREON. AND ~O i-he.. ~GNEES ~- ,I1E lE.hOlNG INSTI- n.mON. GUARANTEES ARE NOT 'TRANSFERABLE. THE EXISTANCE or RIGHT or WAYS AND/OR EASEloIENTS or RECORD. Ir ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR mu: SURVEYS AS ESTABUSHED BY THE L1AL.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND Trru. ASSOCIATION. N.V.S. Lie. No. 49668 oseph Land A. Ingegno Surveyor 'rveys - Subdivisions - Site Pions Construction Layout .16)727-2090 Fax (516)722-5093 MAILING ADDRESS ~-1L BrnL..1 LOCATED AT lion Square ~ '.. f' 9\'tll tll't'l ~'Z ';I;l'Z'Z tll't'l:--.... ~~o ~.....:--.... . ~ t/l';C. 't'I ';C.t/l 't'It/l t/l t/l IN , i' ri i r-fL~,__~J _~z U! ,'. . "'\ . FORM NO.1 BOARO Of HEALTH ........ ] SETS OF PLANS ........ SURVEY.....__.......... CIlECK .................. ~:::::: rOR~/~l'~ '[~~S) CALl. 1?J........ ~W. . . HAIL TO: .. -5. TOWN OF SOUTHOLD BUiLDING DEPARTMENT: TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 ....~,__... __"T ..,_,_.~.__.~_._. ____., ;,d. :::". ":~:)';-i TC;"\' ('f: ,cr: !Tf.t''";: :~' EX:;i~~d .. . .:/%ff... .., 19 ~r Approved. " .5:y:7.r:... . .,1;1,( Permit No. -?~?//?t:;. . Dis3pproved 3/C ............................ . . . . : . . . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. . ............................... ...~#;>t.i........ APPLICATION FOR BUILDING PERMIT Date. . . .. . . . ; . . . . . . . . . ., 19. . INSTRUcri,ONS I a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. . b. Plot plan ShOWing location of lot and of buildings on premises, relationship to adjoining premises or public street , or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appL ~fu~ . . . c. . The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the work. e. No bUilding shall be occupied. Or used in whole or iIi part for any purpose whatever until a Certificate of Occupanc: shall have been granted t.y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fo~ the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0 Regulations, feft 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 te admit authorized inspectors on premises and.in building for neces~~~. i.n~.r::~~ . . . ... . . .. . . .. . . . . . . . . . . (Signature of applicant, or name, if a corporation) .. PO: R~. ~~~: .?-.~~~.e;'.,. ~). .I.I~~~.;....... (Mailing address of applicant) .. State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician, plumber or builder. . 0 tv NGlZ. . t~:r. ::,,~fl;i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1>. .'" t ~:'~ -_~- '-;.0 . . . . . . . . N,m, of o.""f ,.m;,,, .H"'tN ~... /";~ . ""IJ>(:;~~';h,;;;::;;;[_~:;j/Oi- if applicant is a corporation, signature of duly authorized officer. ~ / II'(: ',/ , 7~ NOnFY BUILDING DEPARTMENT AT 788.1802 8 NA TO 4 PM fOR THI! FOLLOWING INSl'EC11ONS: 1. FOUNDATION. TWO'REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING . PLUMBING 3. iNSULA1lON. . . . 4 FINAL . CONSTRUCTION MUST . BE COMPLETE FOR C.O. ALL CONSTRUCTION .SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION . ENERGY CODES. NOT RESPONSIBLE FOR 1. Loc3tion of land on which proposed work will bedone. .:........."...... DESlGN'OIl'CONSlltUcmoN, ERRORS., . . ~.~?!? .. . ., . . . . . .. . . . . . . .Pt:':0?~I~. .~fl:1. . ~.l:-~~..:. . . . . . . . . ,I.., (})J.12..8... . . ~ i. P.9.Y.8. . . . . . . . . .. . . .. House Number Street Hamlet ...... ... ................... ....... ............ (Name and title of corporate officlJCCUPANCY OR Builder~s License No. .............. -USE 'IS 'UNLAWFUL Plumber's License No. ........,.... WITHOUT CERTIFICATE Electrician's License No. ........... .OF.-OCCUPANCY Other Trade's License No. ....,.............,.. County Tax M3p No. 1000 Section ...:. .I.~.3: . . .. . . " Block '" ./?'l:-. . . , . . . : . " Lot.. ~ ~. . . . . . . . . . . . . Subdivision........,... fY~{..... ,.....,.,.. ,. Filed Map No, . .~........,. Lot........,...... . (Name) . 2, St3te existing Use and occup3ncy of premises and intendcd use 3nd OCCup3ncy of proposed construction: a. Existing use and occupancy... .f~l,~I!'T~.. ~~~I,?~.~e;.,............... 'W',',. ".1".............., b. Intended use and occupancy ~,ff/.1 rf. i\t~ ..,-' (; . . . .. YllA!~" : . . . . . . . ',.' . . . . . . . . " . . ',' . . . . . . . . . . . . . . '~,'f!'l Y'l.>-':~~;:,\':' ~~-:"~: ',;:~~~:r-'. '~,'~_~ . . . . . . . . <j', ,3. Nature of work (check which applicable): New Building . ~........ Addition.......... Alteration r.':'.;'..:.. Repair .............. Removal.............. Demolition ....:.......... OtW~~................ 4. Estimated Cost '. . ~ 1. PP? j;, . . . . Fee.. . . . . . . . . . . . . . . . .. . . . . . . . . .e~~~I~~I~~~ . . (to be paid on filing this application) 5. If dwelling. number of dwelling units'. . . . Qi'!.l( . . . . ". Number oj' dwelling units Oil each floor. . . ."7'. . . . . . . . . . . . If garage. number of cars ............... ~. . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . 6. If business. commercial or mi.xed occupancy. specify nature and cxt':nt of.each type of use. . . . . :7. . . . . . . . . . . . . . 7. Dimensions of existing structures. if any: Front. . . . . . . : . . . . . . . Rear ............,. Depth......,.,.,.,.. Height ............... Number of Stories. . . , . : . . . . , , . , , . . . , .'. . . .. , . . . , . . , . . . . . . . . . . . . . . . , . . . . . , . . Dimensions of same structure with alterations or additions: Front ...,.,....,...... Rear...............,.. Depth....., .........,......., Height......, ~ ,.:. .......,..; Number of Stories......... .'.;. i;........ 8. Dimensions of entire new construction: Front. . , , . ." . . . , . . .: Rear............... Depth .......:.,..... .Height ...:........... Number of Stories. . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . .'.;-. . . . . . , . . . 9. Size of lot: Front.. . . . .. .. , '.1 . . .. . ..: .. Rear........."..,;.... ~ ... Depth ........... ~ .. .. . .. .. . 10. Date of Purchase J:1I1-:j.. .I~~:!:. . .. . .. .... . .. . '" Name of Former Owner ,..,... .1:I~CTV<i'~. . . .... , .... 11. Zone or use district in which premises are situated.. . ~~.'.. . ...... . . . . . , ... . . .. . . .... .. ::....... 12. Does proposed construction violate any zoning law. ordinance or regulation: . .I')1P,. . . .. . ......~... . .. ........ 13. WilII6t be regraded ...... .hlP. . . . . , . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~ .fl~ . r.pe~'!-l\;'.rr: . Address. .: . . . .. .. . . . . . . . . . Phone No. .... . . . . . . . .. . . . . "fo. -j...f. Name of Architect . SeJ::. B ~uJ ,of.lffTll:(/1-tiQ. . Address . . . . . . . . . . . . . . . . . . . Phone No. . .. . . . . .. ..i. .. . Name of Contractor . . . . . . . . . . , , . . . . . . . . . . . . . . Address ... . . . . . . . . . : . . . . . . Phone No. ................'. 15.' l.s this property within 300 feet of a tidal wetland? *Yes........ No......... *If yes,' Southold Town Trustees Permit may. .be required. . . . PLOT DIAGRAM Locate clearly and distinctly all buildings. whether existing or proposed. and. indicate all set.back dimensions from property lines. Give street and block number or description according to deed. and show street names and indicate whether interior or corner lot. SEe A1'T'A-c../-h;!) Co Pi Or. ~F'-OV-r <5u(J..vt:'~ . .' III L.:i.JI: frrv'T.,11 &Iu~i U/1SO;JfCj CQNsr~,1(.1IoJ - ((fMO"~ .811<.0 DWe. /.l'>-I.l> '8t-....... "P .,. .-f<.'1> V 'I' 0'/ t;:-"""1b7lHIil.. Ct,U-/I1l.o ~"N'/7Vt-N~ ,.....1:> f'iII'- . C9.f.I.I#J((/S( '8-v/L/)t:n..,:? ~ Rt::~~ s.~op. . ~~v~ In-ISTltJ&- (.u 1..H:)(l<-0 ANi:> '"PoO~ -:- '. (2.!:""(h...~ w,'T'tl DvvB1-11" 2.:j.n-.~b.t:'1l- It1'<I1> . ~/t::"'1'7\-It1VW ~O/1- lurri-\ \.'2.) I'S,D€" L.1Gl-rl7>~ cvr l3~ovt:;'jt..I-l...Mo-. CCo!!>lo4gnc:.) 'P>e-~t' ~ f'T8lL Olj~ " ~~"e- L~ o~~/r' . " ~-i', ;. ~D au WINDDW D .' ',,~,-~?~ '3~:'>;~:~~\ ,...... ~I"I;~ .._~,...__... .... '.. ,;t:..-i: "11, )' k R".--(JLIt-<-t . I' 1> i " . STWf' . ,,~,. ~ .-<' (d.,f.+ i' r-(A "i>o-.J~':/ ->c:c; TI /01 '- \:)1S.C.~/PnO~ D F L\J D~ - ~ ;;.' .'~ ;i., H,."t J.' ,~-;. ~' '.:.. {,' " ~ 1 <.': ~~~TJr~~*~~~. [.k~. S.S . ' . . , .w. \' ,t ( .l.Q~', '~"'Co.s* ( .....-1 t( '. : ;. , 'b-eihg duly sworn, deposes and says that he is the applicant ' (~a,me o~ind,i.vip.ua),slgning contract) lbove named..... , " ',' /.. .. .. , , i., " . f'-..r ,,,\..., ,,{' . 'Ie is the. . . . ..' . . . . . . . . . .l.-!.~ ~\-X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . , . . . . . . . . . . . . , . . . . . . . . , (Contractor, agent, corporate officer. etc.) )f said owner or owners. and is duly authorized to perform or have performed the said work and to make and file this Ipplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the .vork will be performed in the manner set forth in the application filed therewith. . ;worn to before me ttk / ......... "~9'/ .... .dael;..... '" .. L ./.. ....191> ~otary Public .... .L;~.. ... ..,. County : \ (Signature of applicant) . CtAIM l. GlEW IIOI'AllY PUBLIC. Slate of New YorlI No. 487950S Qualified in Suffolk County ,~(. CommiSSIOn bplles DecemlIe< 8. 1~ 't' !~'tl' IMP. DATE~i (HiD 0. i1t:J ...... S3 (J 0 (p (. 00 NORMAL BUILDING CONDITION BELOW ";.,....a;t"'.~,,, .' -...."r".,,"".' 1,1\,'.,. , < .t~'~~m,:if :'f, '-: :'~',-,--;, ;;I'*j' ,,;~'~~';~<"/11'i \\j~;~t.';,J:,)- .,~-: ,.~ '-"~,, ~-;; :":'~':;:~;";::"~:d.., >..~~t..Q:; ;:"'kf~ t>-;: ,~~'~;~;;"'_:')-~:':' "-::ljJ::J 'JtF:,f't>,;;,/f.~.,: .j<ji'~::~i'~:' ,~_:,{". '.,~~~nm:'~'~ft:.'~;".r~.~ .,.# '-,'n" _', '" i~;;~~.,4,!fJ.,~~,.",.:. I . '" i ,..~iil/)il#t,,:'. ,- EL~'~,:r~'~~~'~;"';~l~>c,t:r;~t'; :i;~"~ . ",.,. '''.fi:::\,.iJ!:t~t .", I I \ ' ::;'.,.. Acre Value Per Acre ; ,.l:', .-,'. - -.. , ,: '_ '"""",,r,;_ )\'>'>:. ',' ."......,~..;.."<r..---~~,-...'~_'"",v'~~, ~',.l. :",; :,:,~l -~; "!-','r~,1"::~::;{.;';:.;.r ,::; . '11'bl i'I'" i .1 a ,e,f "i'; ;nllable.2 .;, ;~;;;'f:~:~~~~_:;.;,t~~;:~v <f f,. . '~:'~'~'. ,'-" ~,'i;',. " y:';., _. . ;;'.,':':'t':.J,>.-~:. ..,.'c: ,- , , '.: / " l, ., , ,. '~f'"i _ ,:_~'" ,,__....~~.' :'.~,J...,',.~'.~~_.,,'..~~.~.:,.;'~.'......";,-',_'...~,....\.....-',..- . ",..'r~/-.;:;.~~'.;:.':~~>1f~;.: - '~- ~,~~.c;,r :__'._.::.-- I j-' ,'-1 'r-...., '\,; " ~.- . ~. ..l.- -- '-~........ [;.II i;.;' \)-' "'''0': ~ "- I ..f'>' d..:d::. ',./ ',/Jya_.. ..5""'Z---..I!f!I;..-~7 '~i __~,//~,~.~:.. '/, // ,//rp . 11lM';V"f'~ FRONTAGE ON WATER FRONTAGE ON ROAD " DEPTH " DOCK ,:~; , .., >~- ~~~ BULKHEAD l,t~1';~-;:.\':"\."': ..,' '.' - .':: . , - iJ< ",;>I:', '--. 1,.1"'--":,:-': .,''': "If ,'", ';-.;~":" "i':'> , ~ , ~~"....."...~...I<NVJi.it>,-<.___",..:'_"", >" ......" ' 'i_r. i!.:...t.:,<"..~:,~I!',~~',t'" ~"'~, .Ii: 1'~ , ,* ,"~ ...~ ,'.".,';'~ .. " :,:,",,' '.~i~~~4t~fji6;*~:<t!\'~'1i~~~~' ~+:;";"'~'~'::"?;~, ,~t~~- ''~f:~.~~',,:':.,,~?~~1 > ':'{}"";" ~.. '. " ,04~ ;:'~'" ..~ ,..; " " . . ... "tift" '"",,' "",--".".",:""." ,"," ""', " '~i'S~'(:'i',"':~~ ,', 9'~.ft.:'i:i'-' 'i;:C,\,""~;"::';'>-" 'Y'" _ ' .... , .. In . /r..y i I-- (\, ~ '. I~ -~ . , lilY II ,~ .... J~ . u,1( ~il - \.; ~:~ :.-A~"fi """:~"'''> )~i .;;l~~~~i'Y" ~(}<;~ .~...'X,~~ ~!\ i'COLOR? ." ~_}:?l'~ ~" .' I~: \':, ,4J~/'.j::"': . TRIM: ....1. " :~\' '~+ ~', ;fir: 'Vf~.f'; , ~'!. ,.,. ,..... :~J.rk'::i4~~-~'J, ,_.~'iI..,.. ::~~: -. ~~i-.,': . :"'-'1' ~ ~,A~ q ~ '-,1'- <~~ .. ~ ,~~ ," 'ii~ ;;1 ;'_.. .....llt~ ~~;?~~~. c' '" . " - . , - '- :r~ - . ,~ ',' ,,- 'i' ' ,,, . M. Bld9~;; ~sry;;~~ ~,\";>"::r ~4~.;J;{31..r:;t':l Foundotion ';it- (>./' A~. ~c'-,-; Extension~i J:L.:'/~ 'TF .;,t'~":i" ~'.~ "~e.-=J,flff;i,r.'~ .' feasement'~.,.",",c",'P~" Extensiori~: ~~j', -i:~'i'~;?:' Ext. wolIs~~w,,;i/! A;R~ii\(~t;i . ,,,,;.tm\,!,,'''''j.l&!l'A'~'''~N'Iii1j'l'',''<;:~{J''''-'_,~i,I' [......''''....... . PI" ;Oc 'Co Exte~slon~, ~~.l~f!!(,~-~;~~\~~.!;f',~+:~{~::r-:\~.~.".~'...r~Jtn }r.;rr~."-' ('~<-.~;.o: Fire ace. IO~_ j'. "..r...i~t..,~~..~~k""\titi"i~":.;;'.'rj":'...".t)....;, .::'I,,?.j ':"....... . I.<>II-;'..I!...",!'{.;?' 1<--'" ~";..~:,,' "-"I.~~'.~"";'~r,::;il~;\~'~::/"'~',' ',--~." <,-' ~,' '.-;"'~ ~..l''f Type Roof I .r.W-+/;,tZJ <'~" Porch!~" ..!tQk):\<<'fl;.nC:"~~~n :;:':':~tl ; s, 0 Recreation Roon ;}:.;f.:~~,:~;;t Fh"_~"" . ":;i:,.t.;;;~'iIi1. ill:'''"'''"'' ""I!!lli'j;" '."..", ......... Porch .,--ti~~~\, _, >' ' ': ,;';; .1~':fi"'i[~,7fi~.::. '~~r~1'-'i:>;. '. "':"~;l1~-~f.(~ Dormer' "\':i' - . ,f::" i ,~-~':j BreezewOY~1'~~,~~~!)~'~J,~:q\,:;iAi' W'i~:ij\,;:: ~ Orlvewoy,,i\;.; ':r~;:,;'};'" Garoge:':~ I ;l~!I'" '-I; / I:I;';rf:t.!';'#:2J~ ;i~~''i. r-il).J' I;/.";":'~r' <,.. .. ':';l'~~';' . ~ ..... ,... \fiIll"""""'- ,,=..~,",~.lr. -~.. ".:;'il:M~~.., I'~",,. ''''''~I'ilI\li.''''\''.' Patio:~ ._.~,..;::. ...... ,,-,.I; ,~'t... ~ ~ f.' ~";f.~>>'!:" I ,.c,'1-.-!'t,";':-1!. I It!i'--!_~'c-:-:W::~' Ij~,:, ';~-'~.lf':;rt:'~\ . . ~~. '..I~i\"'iMI;ri.;.l ". ~.,... ~.."..,,,.l'" ...>L""'.' __ ' , ..,. ~.'.'....'. """",",~:...".-;.....,.',~:.',.':~..:: 5;.~,/ ,-:;Il,':".':."; \:~"l;..;~..:.':.-~.'-.:..:..; O>B.~:".;of,/__~"'1 ,.,". ~~ .'t!, '._~.~_:"~' )'" ';':,~f,__,. ,'" ," ........... ", --"" ," ._ ", ...." ",,-- ''', . .:..-...1i':<':~.~"~;:;'" _...-~ Totaf", ~~\.;; _, ,,_ ,,: '. " "1.f1::;\I';'I!~t~( 11#~+,~11 ,~:~~;r:)~/'~~~':.i~:,~~:::. " , ~y .. ;1. , lit< . ;*;:,:',Ai. '. , i,..o" .~~ ~~ ,". .. " I. ,. Ir;.' Both /y./ P;/(.c.. .)~ Htw, Floors Interior Finish Heat Rooms 1 st F loar Rooms 2nd Floor . . :1_, ,. .. \') ~:Al' ..,'( i( o;":';q ".; <- .: '." ," .... ',-;:-:,,". , ~ Oi nette K. LR: DR. BR. FIN. B. . . ;c-. ~ ;; ,';'--'. .. M'" '1'.J~"',j\;,* ", ::'7C:t"'(:i ;,,:~JF~Jr:, . I't . J..m, I ::, iT " ~ \1, '. ,~. /0: :'fh t, .'tJ "1, iilill .~j ~:_)>fl1 .~ ':;,~ .1. ~~ ~: ~. .' '., .. '~~r :....,. ,w:, ;': tt- ". ;"i;~' '/. r' . ,i"~k~"'~' ",.~. ,.-\,.t,;":!--(I., "',,!:,,'\..', -.... .,;,~ "',!. ';::'-'\~t~~l~"\~l;(~rlt~ 1 "'!:a" "11 .-::- ' : .,.,...~11:.." . ,~'''~ '.' ,"_;l' '4'~:"<: 'i,;:,e--r. .,.';,~ "', iV~,;-, ,~ <. ,,;-- :,,'-..','-\.,; ','': If ~';.\f[S>ft ~ >r.~: .-"#f~ ',,-.,,:,It,r +.,.".~ .1 "."","" ! .':~"t".~ -{":'k~..,~;~t~1:~'~i.,:,-,. " ...,,~;.,~~. ~:. !l~': //" .., ~!j.."i. ~,~'~, ~'t!',(""t"'; ,: :l1:.~ ~,~' _ J') )1'~Yr. '"-' .:-<< ,'~:~~ ";.,:,';'~ - . " . . ".. , '" ;'; 'h'>,l''; ";', Ir;~O'j\ j I U'I I ,-.- -. ~ . '-~--' ; \ ~(;:;::;-j I i,e,\ rr-:l ~ ~-u 1 \r.=:=l{ i \ :;Sl \ i~~~ . . . . . . . . . . . . . .., .. .................'..................... lJeptll ...................... 10. Date of Purchase .~1l4. ,l~i}.q..,.." ........... Name of Fonner Owner....... .11~'-t-VtlJ~.........,.. II. Zone or use district in which premises are situated. . . i2.r;!;.1.~ .'. . . . . . ., , . . . . . , . . . . . . . . . . . . . . . : : . : . . , . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . .1')10. . . . . . . . . . . . . ~ . . . . , . . . . . . . . . 13. Will lot be regraded ....,. .hII'. . , . . . , . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~ ,tl~ . WP+',",I\:",rr: . Address. .. . . . " " . . . , . . , . . Phone No. .... . . . . . . . ; . . . . 1-f.-f. Name of Architect. Se:13:. B i3hc.4. oof.{7TT?I:tfbrO.. Address.. .. " . .. . .... .. . . . Phone No. ...........'.... Name of Contractor . . . . . , , . . . . , , . . . , . . . . . . , . . Address . . . . . , . . . . . . ; . . . . . . Phone No. ..........:.... 15.' I,s this property within 300 feet of a tidal wetland? *Yes........ No......... . *If yes,' Southold Town Trustees Permit may be required. ' .' , PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines, Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. SEE' ,4n7\-c-IM Co Pi osr 12iCGOV, Su(2 vt:'-<i , .' I', J_~'iJ-(tr\-r.111 (..,-tt"1.J ui/SC1.J1t'l C(lNSTf!-lX-T),jJ- f?~oIl6 BIl.<:;oDW.f./N.t> tH,o,x'vP y, :1'V1>#' V" , '" ~,..r..12,O"- c".....M1.- 1:....11vr'"~ ~D ~ C9.f.IJIJI?/Sf' B1J/I./)t:IL,/ ~ Rt:"-Pl..J'\-<-~ 'SIbDP 1<~v~ ~lsTliJir (.u't.Jt>Ol<.> !\NO:> -:poD.... - . Q.t-i7~ w.nl D1>vt3L-'" J,."j.\~.~t:>,:'ll... /'rNO ~'I::"'"l""I\,JtlVW poot1- tviTl' \.2..) ('SIDE' LINfT'So~ cvr ~OVI::-.z..I-lA-M,o. LCo!!olo4e,...,,,) \ ~ 'Be-f02-f_ ~yrBt- . L~ o ~i:PIft>Jlr . ~~..~ fw. ",'w \ D ~o Oil - ~.,.",...... ..~ ~I ~-o 1> rz, kR..';pt.,+~. I' 1>' J I STATE OFNEW YORK, .S S COUNTY OF . . . . . . . . . . . , . . . .. ' ' 5t:-rr TI ~ fr1..f\ '/' /o.{1I ";,f)o.Jft1,..':I ~l"'C-~IPnO,.J 0 F I-'J o/LJ': - ~. ........................... ...... ............. .... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) Ibove named. 'Ie is the, .', . '. _, . . . , , . , , . , . . . , . . . . , , . , . , .. " .. , . , . , . . . .' .. . . , . , , . , , . - ~_'_""'_<"_!,''-~ '''~~'''_''"''','''''"''''_''''''''_'''_''''''''''''''''_';;_'''''''''''''''_.'> ,,'_-''''''~_~~''''-''C.'' ,.-,' _~-; -. I .=-- :_}L'=U ~- _It - ----~ - ~ _ ~_u _ "I . I ,I r' I Lr--' ,Ii j' cuuum-: .----_.-.._----- .- FLOOR. PLAN ; i i I , , , I , I , i ! i j j II ! I i I I I II II lL r - - I-----'-----u L- _ ___ ____,_..__._.._..._ i -- ; hl_"~ , 'I I I'.,'l' =--r-,,' r,"~=~: [. . I ~, ': l~l: '[]' , ,'. '" I " . l' 'I ll~Li IDi ,,__! I __+ _ '" ....;...;-::r.::_. 1 t . , , ~ r'~~1'T-"""'J"~--~"'-'''''1 ' / ~~-~;;.~;.~~~~' ~--- '~C--'" - ,___,_____________"h_hh _.., NILLlAM COSTER ELEVATION IDEA "2" v W ENTRANCES WARRFN A, SAMBACH sn '-'-~'>....~...~ r;~ ...-51995 I