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SITE PLAN USE DETERMINA ' ~ [E ~ WJ [E ~n :
Initial Determination U
MAY 1 7 2004
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FOR INTERNAL USE ONLY
Date: 5/ \::2..,)+
Southold Town
Planning Boarrl
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Request: 0
C3\) \1 ?mt" .I(\'1- <S~{h 6' .
(Note: Copy of Building Permit Application arid supporting documentation as to
proposed use or uses should be submitted.)
Initial Determination as to whether use is permitted: 0 ko ( J\ pormmo g.()
Initial Determination as to whether site plan is required: ~d{J .plow- j.ll ~lI~
sign;
Planning Department Referral: j
;. Date Sent: Date Rece;;ed: ~j /101
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Signature of Planning Dept. Staff Reviewer
. Final Determination
Date:
Decision:
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Signature of Building Inspector
J
SANDPA SIKORSKI
WILLI~ KE~.LY dl . 5"546/21'
p;lO. B~ 1680 ' "'
SOUTHOL'D, NY 1971 , ~ 20
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The Muon that destroys tts sod destroys Itself
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5856
. APPLICA nON CHECKLIST
need the following, before applying?
of Health
)f Building Plans
ng Board approval
':021.1,0Sl,bl,l:
bl. 000"l~
Form
D.E. C.
:s
THE SUFFOLK COUNTY NATIONAL BANK
~S+~tft?t8UE, NEW YOAK11935
For
Phone:
Expiration ,20_
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~\<.., ~ ',~ \ 320M :,j APPLICATIONFORBUlLDINGPERMIT
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Building Inspector
INSTRUCTIONS
,20E5:L
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 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.
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 So'ithold, 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.
'ED. Bq{ I b9D.&::::u-rJ-lri () Al.Y
(Mailing address of applicant)
State whether applicant is owner, lesse~chitect, engineer, general contractor, electrician, plumber or builder
k1r/J 1A.A :;, ~ j , { .
N.'Of owner of premises r;vbt7Ltb ('fA! \U~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
_ JN~e..an~ title of corporate_offic;ex) _ _ _
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2.1Stat=xistip...g use and occupancy of Rremises and intended use and occupancy of proposed con~~n:
a.'" Existing use and occupancy .Jt\~
b. Intended use and occupancy Mf1Za::lUf!AL. rL\)~ ~7/)~ fi.....
"ature of work (check which applicable): New Building ~ Addition Alteration
Repair emoval Demolition Other Work
4. Estimated Cost
C:=O ,
(Description)
Fee
5. If dwelling, number of dwelling units -
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specifY na~nd extent of each type of use.
,-.
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
-
8. Dimensions of entire new construction: Front 42-
Height /_'2-' t... 1/ Number of Stories----1
~~CJ. I Rear &7/ I I
9. Size oflot: Front ;;:20:1 d ~~
10. Date of Purchase Ob/I'5jDI_NameofFormer Owner
.one or use district in which premises are situated A L
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X
13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_NO K-
14. N=" ofOwn& OfP,~mises~ ddress 6O..nU~ Phone No.
Name of Architect A~_ _ Address 1'1 nut LJt:- Phone No 7~-'-JtJIA
Name ofContractorM ddress ..: '___ __ Phone No. -&-l-4D6b
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO X-
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY l\E jillQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO---X.
* IF YES, D.E.e. PERMITS MAY BE REQUIRED.
Rear ~ Depth?55
Depth 7t16 I
Ckou,/:.. .( DAl \L.trAJ
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
1.7. If elevation at any point on property is at 10 feet OJ below, must provide torographical data on survey.
STATE OF NEW YORK)
COUNTY of1d'1b(N:
..Ir, J::r4N\ ~. ~~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named~
(S)He is the At.t~
(Contractor, Agent, Corporate Officer, etc.)
----~- -- -
63, -1~1. 5
2325 HORTON LA
= OWNER & MAILING INFO
CONWAY GEORGE T
.' TRUSTEE
5 BOOTH ROAD
SOUTHOLD NY 11971
DATE: OS/20/2004
ROLL SEC TAXABLE
TOTAL RES SITE
TOTAL COM SITE
ACCT NO 08
===I=MISC 1======== ====== ASSESSMENT DATA ===========
IRS-SS I **CURRENT** RES PERCENT
I 1 I LAND 1,100 **TAXABLE**
I BANK ITOTAL 1,200 COUNTY
**PRIOR** TOWN
I I LAND 1,100 SCHOOL
I I TOTAL 1,200
==DIMENSIONS ===1======= SALES INFORMATION ==================================
ACRES 8.58 IBOOK 12149 SALE DATE 06/13/01 SALE PRICE
IPAGE 257 PR OWNER CONWAY GEORGE T
=======TOTAL EXEMPTIONS 0 =============1== TOTAL SPECIAL DISTRICTS 4 =====
CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE
IFD028
IPK070
IWW020
I SWO 11
F3=NEXT EXEMPT/SPEC
F6=GO TO INVENTORY F9=GO TO XREF
4138f!9 SOUTHOLD
NYSRPS ASSESSMENT INQUIRY
SCHOOL SOUTHOLD SCHOOL
PRCLS 129 LAND RIGHTS
1,200
1,200
1,200
1
F1=NEXT PARCEL
75.10- 03-050
F4=PREV EXEMPT/SPEC
Fl O=GO TO MENU
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COLUMN PLAN L
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o - 3-2"x6" LAMINATED COLUMNLOCATIC
~ - 3-2"x6" LAMINATED COLUMN LOCATIC
SPLICE STIFFENER
II - 3-2"x6i' LAMINATED STiJBCOLUMN L(
. ~ HEADEf{ED .TRU$S/RA,FTER.LOCATIQN
m - 306B9"'-LITE FLAT StAB FISERSTfitL
. rn -(2) 4072. M,.PAL cLAbb.iJTCH bOORS
(}) - (2) 12'x8'SINGLESLl6[NG ALUMASiU
o 15'x14' DOUBLE SLIDiNG ALUMASTEEL
o - 21'x14' DOUBLE SLIDING ALUMASTEEL
(a) 3065 SKYlITES. ((2) W/VAPOR RE
1/2" HEAVY DUTY THERMAX (24'x24'
81M BASE ANCHORS
3/4" OSB DOUBLE SHEARWALL (SEE [
7/16" OSB SHEARWALL (SEE DETAILS
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11'-101/2"
11'-10 1/2"
LEAN- TO COLUMN LOCATION DIM'S
118"(,1 - 18" DIAMETER FOOTING wi
: 8" THICK READI..,MIX CONCRETE .PAD.
: PLACE A MINIMUM OF 8" READI-MIX
, CONCRETE AROUND COLUMNS WHEN
! SETTl:JG.
J22"iil - 22" DIAMETER FOOTING wi
1 "g" THICK READI-MIX CONCRETE PAD,
PLACE A MINIMUM OF 8" READI-MIX
CONCRETE AROUND COLUMNS WHEN
SETTING.
24" DIAMETER FOOTING wi
10'" THICK READI-MIXCON~RETE PAD.
PLACE A MINIMUM OF 8" ifEADI-MIX
CONCRETE AROUND COLUMNS WHEN
I SETTING. .
26"(,1 - 26" DIAMETER FOOTING WI
I 10" THICK READI-MIX CONCRETE PAD.
I PLACE A MINIMUM OF a" READI-MIX
)' CONCRETE AROUND COLUMNS WHEN
SETTING.
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UNIT SYMBOL WIDTH
FROM LEGEND
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11'-5"
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7'-6"
7'-6"
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7;-6" 7'-6"
7'-6"
7'-41/2"
EAST SIDEWALL COLUMN LOCATION DIM'S
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LASER FICHE FORM
Planning Board Site Plans and Amended Site Plans
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SPFile Type:
Proiect Type: Site Plans
Status: Incomplete Application - In Active
SCTM#: 1000-63.-1-1.5
Proiect Name: Conway. Georqe
Address: 2325 Horton Lane. Southold
Hamlet: South old
Applicant Name: Georqe Conway
Owner Name: Georqe Conway
Zone 1: A-C
Approval Date: N/rt
SCANNED
MAR 2 0 2007
Records Management
OPTIONAL ADDITIONAL INFORMATION
A date indicates that we have received the related information
End SP Date:
Zone 2:
Location:
SC Filinq Date:
C and R's :
Home Assoc:
Rand M Aqreement:
Zone 3:
SCAN Date: