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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/31/07
No: Z-32572
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 1855
(HOUSE NO.)
County Tax Map No. 473889 Section 107
WESTVIEW DR
(STREET)
Block 7
MATTI TUCK
(HAMLET)
Lot 6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 12, 2006 pursuant to which
Building Permit No. 32553-Z
dated
DECEMBER 6, 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 2ND STORY ADDITION, NEW DECK ADDITION & ALTERATIONS TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5969
DATED 11/9/06.
The certificate is issued to JOSEPH & BARBARA ISABELLA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-06-0046
08/24/07
ELECTRICAL CERTIFICATE NO.
115276C
06/29/07
PLUMBERS CERTIFICATION DATED
06/27/07 PECONIC PLUMBING & HEAT.
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uthorized Signature
Rev. 1/81
08/27/2007 09:49
516-766-7934
sruTH SIDE HS
PAGE 03/05
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FQt'\n N9. ()
TOWN OF SOUTHOL.D
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLlCA nON FOR CERTIFTCA TE OF OCCUPANC\'
This applre~ti()l1 must. be filled in by t.ypewriter or ink and submitted to the Building Department with the following:
A. F\)( new building or new use:
I, Final survey of property with aCCurate loeation of all buildings. property lines, streets. ,,,,d unusual natl>ral or
topograp.hic features,
2. Final Approval from Healtb Depl. of water supply and sewe(aglXlisposal (S-9 fonn}.
3, Approval ofeleetJical in.stallation from Board of Fire Underwriters,
4, SWom slaternenl from plumber certifying thatthe solder IlSed in sysl em contains less than 2/1 0 of I % lead.
5, Conutlcrcial building,. industrial building, multiple tesidroc.es and simil aT buildings and installations, a certificate
of Code Complianee from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed sile plan requirements.
B. For exi.ting buildings (prior to April 9, 1957) non-conforming uses, or buildillgS ADd "pre-existing" land uses:
1, Accurate survey of property showing all property lines, streets, buildin!'; and lUlUsual n.tural or topographic
features,
2. A properly completed application and consent 10 insp...ct signed by tlle applicant.lf a Certificate of Occupancy i.
denied; the Building Inspector shall .Iate the reason,< therefor in writin)! 10 Ihe applicant.
c. Fcc.
1. Ce,tifiealc of Occupancy. New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming 1'00] $25.00. Accessory building $25.00, Additiom to .ccessory building $25.00, Businesses $50.00,
2, CertJ ficate of Occ.tlpaney on Pre-existing Building _ $100,00
3. Copy "I' CeJ1ificatc of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporar)' Certificate of Occupancy - Rc.5idential $15.00. Commercial $]5.00
ff'<2ff-{)7
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New Comtruction: ~...__ Old or Pre-existing Building-: . _.. _ (check one)
Loc.tionofh<,'p<wty: _ /[-S's-:, If/LS-Iv;.ew ?'r;'v.(, ~ !';f;( C/
House No, Street '
\TOJ~/,/ _ 2S4.4L__,
I
::::~:~:):ntYZ;~::~l:2S~~~rl ~ ,_:ill::kMa;~OO 7. ~::_..~o L
Perm;1 No,;?? 5',)'32 Date or;:ermit.~~ Applicant:__. ..
H..lth DepL Approv"/; ---.f'~s;,~.,~ _-.,__lJnderwriters Approval: 4 ~A ?
Plaruling Board Approval: , _~. _
Date.
Haml'"
O\\'t1.cr or Owners (':If PrOpetly:
Final Certificate: _Y_ (check <?ne)
R cqucst for; Temporary Celti fJ c~t~ __ ,_
Pee Suhmil1ed; $ . ,;?5..~
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Cd-z. 3;1572
Applicant Signature~ . /
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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.
32553 Z
Date DECEMBER
6, 2006
permission is hereby granted to:
JOSEPH ISABELLA
49 DARTMOUTH STREET
ROCKVILLE CENTRE,NY 11970
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR PER ZBA, TRUSTEES AND DEC
1855 WESTVIEW DR
MATTI TUCK
at premises located at
County Tax Map No. 473889 Section 107
Block 0007
Lot No. 006
pursuant to application dated JULY
12, 2006 and approved by the
Building Inspector to expire on JUNE
6,2008.
Fee $
336.00
I
L-
ORIGINAL
Rev. 5/8/02
Electrical Inspection Certificate
Issue Date
6/29/07
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue. New York 11772
(631) ~2
Application
115276C
Issued To:
Street:
Village:
Section:
Mr. Joseph Isabella
1855 West View Drive
Mattituck
107
Block: 0007
Zip: 11952
Lot: 006
Town: Southold
Contractor: Kevco Electrical Contr. Corporation Lic. # 32431ME
Was examined and found to be in compliance with the National Eleclrical Code.
U Commercial D NV Defects D Pool 00 1st Floor 00 Indoor 00 Basement LJ Hot Tub
IKI Residential [1 Del Garage IKI Attic IKI 2nd Aoor IXJ Outdoor [j] AddItion D Survey
--- .- -------
Switches Receplac/es Fixtures GFI Heaters AlC Fans
21 36 15 12 1 12
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
1/20a 1 20 1 30 1 40 1/20a
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
X 4 7
Meter Amps Phase UG/OH Jacuzzi Television CO Detector
/Ixl 2
Bldg. Permit: 32553
Other Equipment
,-- _0_ _0_
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President
Rough Inspection: 0312112007
Inspector: John Me Mahon III
Rnallnspection: 0612712007
Inspector: John Me Mahon III
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
Town Hall, 53095 Main Road
P.O. Box 1179
Soulhold, New York 11971-0959
~.
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: ~/';;J7 / ~ 7
Building Permit No. 3;:l S ~ 3 Z
Owner: .J" s u Pl4. 1$ "" \pel-l... Po
(please print)
Plumber: 'PecoYl 1('_ W!-f
/' (please print)
L.,C'o~e-:f. 3e<r-r'f::f,.z
I certifY that the solder used in the water suPpJy system contains less than 2/10 of I %
lead.
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bers Sign~
. "7/' /7/
Sworn to before me this~
'i of JVN~ , 2~s,L
U LC-~ tA &~,
Notary Public, ~ () \ Ie County
'l\CKll. LOPER
Notary Public, Slat. of New York
No.OIL06070081
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....
APPEAL,S BOARD MEMBERS
~utli D. Oliva, Chairwoman
Gerard P. Goehringer
James Dinizio, Jr.
Michael A. Simon
Leslie Kanes Weisman
Mailing Address:
Southold Town Hall
53095 Main Road' P.O. Box 1179
Southold, NY 11971-0959
Office Location:
Town Annex /First Floor, North Fork Bank
54375 Main Road (at Youngs Avenue)
Southold, NY 11971
http://southoldtown.northfork.net
ZONING BOARD OF APPEALS
TOWN OF SOUTHOLD
Tel. (631) 765-1809' Fax (631) 765-9064
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF NOVEMBER 9, 2006
ZB File No. 5969 - Joseph and Barbara Isabella
Property Location: 1855 Westview Drive, Mattituck
CTM 107-7-6
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type II category of the State's List of Actions,
without further steps under SEQRA.
PROPERTY FACTS/DESCRIPTION: The applicant's 13,559.11 sq. ft. non-conforming lot is located in R-40
Zone with 75' along Westview Drive and lot depth of 167.31 feet along the southerly property line. The
property Is improved with a single-family, one-story, as shown on June 17,2002 survey amended January 12,
2006 by Joseph A. Ingegno, Land Surveyor.
BASIS OF APPLICATION: Based on the applicants' request for a building permit to construct additions and
alterations to the existing dwelling, and the Building Inspector's Juiy 17, 2006 Notice of Disapproval citing
Sections 280-122 (100-242A, ZBA Interpretation No. 5039) and 280-124 (100-244), variances are requested
for a new second-story addition over the existing first floor of the dwelling, and deck additions, which new
construction will constitute an increase in the degree of nonconformance when located less than 10 feet on a
single side yard. It is also noted in the Building Inspector's letter dated September 6, 2006 in response to
inquiry by the ZBA, that the 71.6 ft. setback to the bulkhead along the neighbor's property line will not require
an appeal to the ZBA for a variance and stating that an amended Notice of Disapproval is not required.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on October 26, 2006, at which time
written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of
the property, and other evidence, the Zoning Board finds the following facts to be true and relevant:
AREA VARIANCE RELIEF REQUESTED: The applicant wishes to construct a second-story addition over the
existing first floor of the dwelling and to construct a new deck portions of which are proposed at less than a
minimum 10 ft. single side yard setback.
~------RERSeNs-fflftij()ARD ACTIOI~. Orl11Te1Jasls of resllmony presemea, materials submitted and personal
inspections, the Board makes the following findings:
1. Grant of the variance will not produce an undesirable change in the character of the neighborhood or a
detriment to nearby properties. The property size is less than 14,000 square feet and the new construction will
be for a second-story over the existing first-floor of the home, and new deck construction after removai of the
existing deck.
Page 2- November g. 2006
.ZB File No. 5969 - Joseph & Barbara Isabella
CTM No. 107-7-6
2. The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to
pursue, other than an area variance. This 13,559 sq. ft. parcel has frontage along a waterway with +/-4.400
square feet of area that may not be disturbed and is protected as a buffer between the house and the high
water mark. The remainder of the property is covered by a new sanitary system (proposed), an abandoned
sanitary system, septic tank, dwelling with walkways, deck and stoops, underground water service, and
numerous drywells, which makes it difficult to expand the house otherwise.
3. The variance granted herein is not substantial, resulting in a side yard setback at 9.3 feet instead of the
code required 10 feet.
4. The difficuity has not been self-created.
5. No evidence has been submitted to suggest that a variance in this residential community will have an
adverse impact on the physical or environmental conditions in the neighborhood. The applicant has obtained,
or is in the process, of obtaining approvals under the wetland codes of the Town, County, and State.
6. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy
the benefit of a deck and second-story addition over the existing dwelling, while preserving and protecting the
character of the neighborhood and the health, safety and welfare of the community.
RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under
New York Town Law 267-B, motion was offered by Member Dlnizlo, seconded by Member Oliva, and duly
carried, to
GRANT the variance as applied for, as shown on the June 17, 2002 survey prepared by Joseph A.
Ingegno, amended January 12, 2006, and shown on the March 14,2005 diagrams prepared by Penny
Lumber (pages 1-10 of 2676), subject to the following Condition:
That the side yard to the south remain open and unobstructed.
Any deviation from the variance given such as extensions, or demolitions which are not shown on the applicant's diagrams
or survey site maps, are not authorized under this application when involving nonconformities under the zoning code. This
action does not authorize or condone any current or future use, setback or other feature of the subject property that may
violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action.
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not
increase the degree of nonconformity.
Vote of the Board: Ayes: Members Oliv
Resolution was duly adopted (5-0).
hairwoman), Goehringer, Dinizio, Simon, and Weisman. This
Ruth D. Oliva, Chairwoman 11/17/06
Approved for Filing
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0236C
Date: August 10, 2007
THIS CERTIFIES that the construct a second stOry addition, remove/replace deck & walk
with new deck & two sets of stairs, and upgraded sanitary svstem
At 1855 Westview Drive, Mattituck, New York
Suffolk County Tax Map # 107-7-6
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 09/28/05 pursuant to which Trustees Permit # 6222 Dated 10119/05.
Was issued, and conforms to all ofthe requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is for the construction of a second stOry addition, remove/replace deck & walk with new deck &
two sets of stairs, and upgraded sanitary svstem.
The certificate is issued to Barbara & Joseph Isabella owner of the
aforesaid property.
r-G<~
Authorized Signature
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
PERMIT
EFFECTIVE DATE
March 23, 2006
EXPIRATION DATE(S)
DEC PERMIT NUMBER
1-4738-03077100007
FACILITY/PROGRAM NUMBER(S)
.
Under the Environmental
Conservation Law
March 23, 2011
TYPE OF PERMIT. New 0 Renewal 0 Modification. Permit to Construct 0 Permit to Operate
o Article 15, Title 5: Protection of Waters
o Article 17, Titles 7, 8: SPDES
o Article 27, Title 9; 6NYCRR 373:
Hazardous Waste Management
o Article 15, Title 15: Water Supply
o Article 19: Air Pollution Control
o Article 34: Coastal Erosion
Management
o Article 15, Title 15: Water Transport
o Article 23, Title 27: Mined Land
Reclamation
o Article 36: Floodplain Management
o Article 15, Title 15: Long Island Wells
o Article 24: Freshwater Wetlands
o Articles 1, 3, 17, 19, 27,37; 6NYCRR
380: Radiation Control
o Article 15. Title 27: Wild, Scenic and
Recreational Rivers
. Article 25: Tidal Wetlands
o 6NYCRR 608: Water Quality Certifica-
o Article 27. Title 7; 6NYCRR 360:
S I'dW M t
tion 01 aste anaaemen
PERMIT ISSUED TO TELEPHONE NUMBER
Joseph Isabella (516) 764-1054
ADDRESS OF PERMITTEE
49 Dartmouth Street, Rockville Centre, NY 11570
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
EnConsultants, Inc., 1319 North Sea Road, Southampton, NY 11968 (631) 283-6360
NAME AND ADDRESS OF PROJECT/FACILITY
Isabella DropertV. 1855 Westview Drive, Mattituck SCTM # 1000-107-7-6
COUNTY TOWN WATERCOURSE NYTM COORDINATES
Suffoik South old Mattituck Creek
DESCRIPTION OF AUTHORIZED ACTIVITY:
Construct second story addition to existing single family dwelling, remove existing deck, stoop and walk, install decks,
steps and porch, abandon existing septic system and install new septic system. All work must be done in accordance
with the attached plans stamped NYSDEC approved on 3/23/06.
By acceptance of this permit. the permittee agrees that the permit is contingent upon strict compliance with the ECL, all
applicable regulations, the Generai Conditions specified (see page 2 & 3) and any Special Conditions included as part of
this permit.
PERMIT ADMINISTRATOR:
ADDRESS
~
Brook, NY 11790-2356
Mark Carrara
March 23, 2006
Page 1 of 4
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0237C
Date: August 10, 2007
THIS CERTIFIES that the existing bulkhead, construction of a fixed dock, fixed catwalk,
hinged ramp, float, and steps to beach
At 1855 Westview Drive, Mattituck, New York
Suffolk County Tax Map # 107-7-6
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 09/09/02 pursuant to which Trustees Permit # 5626 Dated 09/25/02.
Was issued, and conforms to all of the requirements and conditions of the applicable
provisions of law, The project for which this certificate is being issued
is for the existing bulkhead, construction of a fixed dock, fixed catwalk, hinged ramp, float, and
steps to beach.
The certificate is issued to Barbara & Joseph Isabella owner of the
aforesaid property.
(~o?~
Authorized Signature
):7--SS 3 z...
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: _ II~ ~
L.L- 01- ~
DATE
7'-71-07
INSPECTOR ~~
';?-S""S3 7'
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
..
DATE 6 --;;...r -tJ 7
3;;LSS3~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[;q FOUNDATION 1 ST [ ] ROUGH PLBG.
7iFOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
~~
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DATE I'd- ~ 9-10- 06
INSPECTOR ~ ~
3J.SS3 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS~
4AA.J or- r;L
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DATE
7-> - 0 7
INSPECTOR ~~
Date: March 15,2007
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of South old Building Dept.
1 0
-.- ._,
r
Framing! Strapping/ Plumbing Inspections
IsabeUa
1855 Westview Dr.
Mattituck, NY 11952
Permit#32553
To Whom It May Concern:
MAR , 5 2007
After a Framing, Strapping, Plumbing inspection was preformed on the above mentioned
property, it is deemed that aU work performed was completed to plans and meets aU state
and local codes. A pressure test was also performed on the entire plumbing system.
Any other questions please call.
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James ,h. ~oski
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Date: February 13, 2007
JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of Southold Building Dept.
Framing! Strapping Inspections
Isabella
1855 Westview Ave.
Mattituck, NY 11952
Permit#32553
To Whom It May Concern:
After a Framing and Strapping inspection was preformed on the above mentioned
property, it is deemed that all work performed was completed to plans and meets all state
and local codes. Any other questions please call.
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JAMES J. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. 11952
(631) 298-7116
To: Town of South old Building Dept.
Date: March 23, 2007
Re: Insulation Inspection
Isabella
1855 West View Dr.
Mattituck, NY 11952
Permit #32553
To Whom It May Concern:
After an Insulation inspection was performed on the above property, it is deemed that all
Insulation was installed correctly, and meets all building codes. Any other questions
please call.
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Jarnei~eerkoski
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Date: December 6, 2006
JAMES 1. DEERKOSKI, P.E.
260 Deer Drive
Mattituck, N.Y. Il952
(631) 298-7Il6
IJEC . 2pr"
To: Town of South old Building Dept.
Re: Not A Story
Isabella
1855 Westview Dr
Mattituck, NY 11952
To Whom It May Concern:
After a elevation study was performed on the above mentioned structure, it is deemed
that the basement (Is Not A Story) since the average height out of the ground is less than
6' -0". Any other questions please call.
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FOUNDATION (1ST)
COMMENTS
FIELD INSPECTION REPORT DATE
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FOUNDATION (2ND)
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INSULATION PERN. Y.
STATE ENERGY CODE
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PERMIT NO.
:S~9h;36
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the f~, before applying?
Board of Health /'
4 sets of Building Plans /'
Plannin~d approval
Survey
Check-rt I '!,T1
Sepl1c Form __
NYS,D-E-C, ,/
Trustees ./
Contact:
Mail to: LAI1Il~/ L/~
.
TOWN OF SOUTHOLD
BUILDING DEPARTMEN:f
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southofiir
NOV 2 1 20CB
Approved
Disapproved alc
Examined
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''_'~_,2LC)__1APPLICA TION FOR BUILDING PERMIT
Date 7//;;).
,20 0 (P
INSTRUCTIONS
a, This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale, Fee according to schedule,
b, Plot plan showing location oflot 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 ofthe 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,
'- \ oS <> C"I-<-~ C t.> A f .
(Signature of aPl?liyant or name, if a corporation)
t>o ~. -/ '-t'3.'(
J A.....~ ~P""/Ll, N.Y 111<17
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
o c:;: 'H--F; P-A- L <:-o..=< ,q.,... ~ /L -
corporation
Name of owner of premises
(Name and title of corporate
Builders License No, ~ '1 ~ 0 ~I
Plumbers License No. 7 u 7,1/i
Electricians License No,
Other Trade's License No.
I. Location of land on which proposed work will be done:
J'il5S tv~lnt7u..1 DR
House Number Street
M A-ITZl I/o::.. t=-
Hamlet
\--l.'{ _
\ I ctS .)..,
!.,: ........ ~
',","
.'
"-9
County Tax Map No. 1000 Section /07
Subdivision -g rt" ...... .: tJ- ,;;. ....."" ~ j,
(Name)
Block 07
Filed Map No.
~t oC,'
fLot
:,"
-
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy (;) l'{ e: ~,=>~...L V j}~;~T>~ N~~
b. Intended use and occupancy 0 r--{ E- ~ A.... .L-'-{ -;< is s-,l">~>-<-,,-E.
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
../
Alteration /
;217t:),,,,, eJ
(Description)
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units :8
If garage, number of cars / C- A 12-
(To be paid on filing this application)
Number of dwelling units on each floor ~
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front 3Q' (l" Rear 3q' H" Depth,25 "IIi- 'I
Height /7 ' Number of Stories I sqpfJ- Y
Dimensions of same structure with alterations or additions: Front 301 II .\ Rear 34:1 I ( I ,
Depth '3,' s I I Height .3 0 l Number of Stories ..;).
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
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 ~
13. Will lot be re-graded? YES_NO / Will excess fill be removed from premises? YES_NO /
.Jo;:~'i1"A""'''''~ 'fer j)...~,..,,":<H sT
14. Names ofO~er of premises I' !>Pb.:(..LA. Address ~""""'LL.& c:.e_...~ Phone No.5/~-76-L/-I:!~
Name of Architect"l~....o!'<;' v..~ 1<.", "'" ( Address j)e;"j{ 1M - Mt.:WT,,"'i?~ne No 77</- :7 3 ~ b
Name of Contractor L..\.5 0 c....\L~ Address "1:':::~-::. Phon~o.t:. 1I- t.j<:;5 -Lff?Sd-...
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ./ NO
) * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMIT~ Y BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES LNo_
* IF YES, D.E.C. PERMITS MAY BE 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 )
L ~I>.\~c;..~ L, ~ tJ ~ ~ ;p fLE.> being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the c,~..."-/I..l. C-",,:::c~,,~,p_
(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.
20~
~ - -~~;;t ;L- --
~ Signature of A#!llicant
Public
BONNIE SKI
Nolary Public, State Of New \\lit
No.0I006095328,Suffol~n\r
Term Expires July 7, 20 ~
/000 -
OWNER
_ t'-
TOWN OF SOUTHOLD PROPERTY RECORD CARD
M-/Y
~
FORMER OWNER
Gaebel
FARM
LAND
IMP.
TOTAL
DATE
ht9 0
00
00
AGE
BUILDING CONDITION,
NEW
FARM
NORMAL
BELOW
ABOVE
Value Per
Acre
Value
Acre
Tillable 1
Tillable 2
fjllable 3
Naadland
;wampland
3rushland
:-lause Plat
~
r'_
fatal
==
--
VILLAGE
DIST.
SUB.
LOT
I ~. -t'FI
j .. ,A ,.{t. ~ t
. tit . - - ( . k ('
E 1t.iM-:?t:...,.~ k
w,
I
9
~cc. .
ACR.yy
TY~E OF BUILDING lA, j ~
U/l~ S; 0;- fV&4Q / f-~M
R t ror.le?:"
19;~'-
I .f; Q ~~'~:.~~.
-= -'
COMM. CB. MISe. Mkt. Value
REMARKS
t/rio dO 0
~
.(AShliJ~ Co ~N1 Y
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
1j-"/
7J
s-r
c... #.,2,7. - k Co
DOCK
...,
,"~
....-, --,;,
"
::.'=
"f~;~I<':"I\~:
, ",. -/ .."
".", .J.l'/
"
<
,
- - --"
~~~;;~~~~~:. ~ --'~,
,s-' ~~' "--'<.
107.-7-6 3/06
./,....;,~J:y
M:.JlJ:i'~'
it, xYo"/O<!o
Extension
Extension
Extension
Porch
Porch
Breezewoy
Garage
~~?~ f' X IS - 120
o. B.
Total
}
\ " ;'\ f,v
LOR
<tJro/
, ad.
iM
'7~
"
I
3 ~ :3 3 ~'6 Foundation
:?-s
Basement
Ext. Wolls
Fire Place
~ ype Roof
fl,ecreation Room
pormer
Driveway
3D
2.f/fJ /
". I
11>' III ri/
,.....'
~ ~b
.
.
IlJl
. fU
PO<l;-;~ Both j 1/'4 Dinette
...ni-
h/I Floors OaK K.
V1160d J'A. Interior Finish S)"I[OCI( LR.
NtJt1e Heat I R. g II.I.V. DR.
Gd..bJe Rooms 1st Floor BR.
Rooms 2nd Floor FIN. B