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TOWN OF SOUTHOW', NEW YORK
APPLICATION roR SPECIAL EXCEPTJjQiN
APPLICATION NO.
DATE ........................................
TO THE ZONING BOARD OF APPEALS, SOUTHOLD, N. Y.
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hiereby apply to THE ZlONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance wi,th the
ZONING ORDINANCE ARTICLE -' \J SECTION ~ 0 is''"'
SUiBSElCTION A
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THE SPECIAL EXCEPTION IS REQUESTED BECAUSE; \ Y ..Li.....Cf _1: ~ e./U
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Sworn to thy. '.........;;;l.~,................~nd"aYi'Of:f:. .......j..k....,....L........, 19....0...1.......
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Notary Public
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FORM NO. 1
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ........................................, 19........
Application No. ............................
Approved ........................................, 19........ Permit No. ............................
Disapproved of c ..... ........................ ................................................ .................
........................................................... ...........................................................
,......................n........................................................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ............................................................. 19..........
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving a detailed description of layout of property must be drawn on the diagram 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 for inspection throughout the progress of 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, Ordinonces or
Regulations, for the construction of buildings, odditions or alterations, or for removal or demolition, os herein described.
The applicant cgrees to comply with all applicable laws, ordinances, building code o.nd regulations.
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(Signature of o~icant, or name, if a corporation)
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(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor,
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electrician, plumber or builder.
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If ap~' nC%' a corpor ,signature of duly aut~or' d officer.
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(Name and title of corporate officer)
1. Location of land on ~h proposed work will be done. Map No: ........................................ Lot No.: ........................
Street and Number .. .I.?-:'::'f.~. .':-.~~.... / .~.<:.~_...............................................................................
Municipality .......................
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy.............................. ... .... ............ ............... ...... .............. .... ............. ..............................
b. Intended use and occupancy .................................................................................................................................
3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ..................
Repair .................. Removal.................. Demolition.................. Other Work (Describe) ........................................
4.
Estimated Cast ........................................................... .Fee ..........................................................................................
(to be paid an filing this application)
If dwelling, number of dwelling units ............................Number of dwelling units an each floor ............................
If garage, number of cars ........... ....... ....... ........ ............................................................................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ Number of Stories .......................... ......................... ....................................................... .......
Dimensions of same structure with alterations or additions: Frant .................................... Rear ............................
Depth ................................ Height ...................... .....Number of Stories ................................
Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... Number of Stories ............................................................................................. ........................
Size of lot: Front ............................ Rear .................................... Depth ................................
Date of Purchase ........................................................Name of Former Owner ........................................................
Zone or use district in which premises are situated .....................................................................................................
Does proposed construction violate any zoning law, ordinance or regulation? .................".........................................
Name of Owner of premis~!h.v:WA""Thh.~I'Z......AddressMt9.tt(r."".~.I(.................. Phone No. ....................
Name of Architect ............................................. ........Address ............................................ Phone No.
5.
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11.
12
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Name of Contractor ................................
........Address ............. .............................. Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or praposed, and indicate all set-back dimensions from
property lines. Give street and black number or description according to deed, and show street names and indicate
whether interior or corner lot.
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~TATE OF NEW~~RJ<.,.C_ 1S.S.
~OUNTY OF ...:::.:~:.j:.l...~A........i
............Q.!rl:f\.fN.e..C........//8.!.!:..!)/:.//S:(;,l:I... ......being duly swam, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ....... ......[!;.(tJ;.. Jl:'f.I\d:......r..?J.........c::..: ...?!tl!.y...I2.T.Pf.f:.C!:..r.1/..y.(:(',................. ...........
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove 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.
Swor.n to bifore me this fil .".'/~
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......:).L........... day 0 ;;..... .1;k:..rIr.......H.., 19.0..)..... '..J2:.......~..c:;.~<::~~4!.-!::f::>!-:!:-.:..':::":.'=
Notary Public, "..~~.,{:i...14yM{I....". County (Signature of applicant)
LEGAL 1l0000JCB
ilOTIal or HB1lJtDGS
Pul'8W1Rt to Sect.ion 267 of the Town Law en4 the prov1alons
of the 1uHndll4 au1l41nq Zone Or4i...llCe of the Town of southold.
Suffolk Count.y. 1If_ Vork, public hear1nqa will be held by the
Zon1n9 Board of Appeals of the Town of Sout1\ol4. at the Town
Off1c:e, Main a_<1. Southolcl. New York. on hpt4ltllber 16, 1965.
on the following appealJl:
7:30 P.M. (I. D.S.T.). Upc:m applicat.ion of Arnol4 Lenon.
ale of Anthony 8ong1oYanni end Vito Cecchini, Southold, IIew York,
for a vuienc:e in acc::or<!laDce with the Zonin9 Ord1IU1fteO, Art.icle
Ill, Section 303, and Art;1c:le X, Sect.ion lOOOA. for pel'lll1881on
to divide lot.s with insufficient frontage. Location of property I
Lake Drive-Kennys Road sect.ion. SOUthold, N_ York, bounded north
by Lake Drive, e..t by ~.lex 01'1', south by Great 1'oftCl, west. by
JI F. DuPont.
7:45 P.M. (B.D.8.T.), UrA)ft applicat.ion of rrederic P. Rich.
il.ttorney for the Estate of Charles ,. KrAllleI'. Mil in Road. Southold.
New York. for a varianee in ac:eordalK!4 with the 'iJonin9 Ordinane~.
Article III, Section 303, and Article X, Section lOOOA, for
permis.ion to divide a lot with insufficient fronta<;liI 8n".1 area.
Locat.ion of pzoopertYI Main Road and Ke<:hanic: Street, sou thol J. ,
New York, bounded north by Main Jtoac::l, e..t. by l!lothman, lJOuth by
oUuilr landa of f\x8lMlr, ..,.st by MeCh4niC Street.
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8:00 P.M. (B.D.S.T.'. Upon application of C~.r.nce vrnoeu..n.
P.1lttt\street. ,.~1tUc:K' N_ ~rk. for a spec~l exc.p~1or in
accor~nce ",{th tl~ Zon1n9 or~anc., ArUl;l. lV. s.cu~ 400.
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I Sul:l8ect1_~ (II) . to\~r.ct ~ off-p~i8.. i
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dir.cU~ ad'nrt.i8inq tgn. Loe.t:~' of property'l\ Lan~ of
jaout.ch.i Bata MAin acad. ~t1tUCk/'~~ York. bou~'~~ ~~rth by
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beve e8ros. and 0 re, e.st J... CrMk}.lIouth by oth.r land
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of 8autcher:. west by Main ftOild.
Any person ~s1rin9 to be heard on the above applications
should appear at. the t;i,me and place above spec:Uied.
DAftDt Uept-ml'>9r J. 1965, BY ORDD OF THB Sotr1'HOt.D
'roWlI aGAlU) or APPBAl..S
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~E PtlBLlSH OIICS. SBP'1'BHBEJl 9. 1965. .UlI) l"OIlWAlU> J'0fJJl (4)
i'nlDAV1'1'S or PUBLICA'rlOflt 'l'0 '1'1lE aoAItD or APP&AUI. MAD ROAD.
! SOU'n1OLD. OW YOIlK.
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Copies _Had to the followinq on S.pt~r 3, 1%5:
The Suffolk Times
':he Lon'll Island '1'raveler-Matt1tl.ldt Ifatch_
~X1lold Larson
Preder1dt P. R1dl
Clarence VanDeu.en