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Home My WebLink About33053-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33081 Date: 06/09/08 THIS CERTIFIES that the building ALTERATION Location of Property: 9680 NORTH (HOUSE NO.) County Tax Map No. 473889 Section 79 BAYVIEW RD (STREET) Block 8 SOUTHOLD (HAMLET) Lot 13. I Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 2007 pursuant to which Building Permit No. 33053-Z dated JUNE 6, 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 ALTERATION TO AN EXISTING ONE FAMILY DWELLING FOR A BED AND BREAKFAST AS APPLIED FOR PER ZBA # 5991 DATED 1/25/7. The certificate is issued to RUSSELL A PELLICANO & ANO TR. (OWNER) of the aforesaid building. SUFFOLK COUl!lTY DEPAR'l'MENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3029336 04/29/08 PLUMBERS CERTIFICATION DATED 06/03/08 J ZEE'S PLUMBING & HEAT Rev. 1/81 r-::~ :s ~--.._--+- Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 , 3 i. ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Tlus application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For ue", building or new use: I. Fmal 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 fonn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of! % lead. 5. Conunercial 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 properiy 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 dwellinQ' $25.00, Swinuning 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 Celtiftcate of Occupancy - $50.00 5. TelllpOI"'y Celtl ocate of Occupancy - Residential $15.00, Conunercial $15.00 Date. sJ;;,,1,f: New Construction v Old or Pre-existing Building: .."fIll (check one) Localion ofPropeliy: Q6ao House No N. 13 Ai vr-eW K~ Street Sou l7r"'o <-11 Hamlet Owner or Owners of Property: _'i~\)1"~ ( ( Suffolk CO\l1\ty Tax Map No 1000, Section A, Pel ( I c.fifY'::> 7t? - Pt..o~ee ~"'''-t'e,9-;Y'.;> Block t'i? _____ Lot /3./ Subcli\ilSIOn Filed Map Lot Permit No J~ oS-~~__ Date of Pen nil. Applicanl.________ __ Underwriters Approval: -LO Z 'i~ Health Oepl. Apploval. Planning Board Approval. Request for TCl11pornry Celiificatc _ Final Certificate V (check one) Fee Submitted. $ _-?5< (MI CZJ~ 33081 rzc 7Yl/3 I w~ App 'cant Signature ------- Town Hall, 53095 Main Road P. O. Box 1179 Soulhokl, New Yolll 11971 Fax (516)765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE: blj/c? Building Permit No. -33 oS '3 -2: Owner: r<-"}~L(I f-it!.t IIC~"-ro' (please print) Plumber: J _Lu '5 p-; H (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. DEBORAH H. VANDUZER NoIaIy Public. StIlI III N8Ir llIIk No. OlVA&186177 fluIIIliedInSulllllllCallllr. Commis!lon ElqRs ApcI28,}o12 fJ;0~Jl LJ4r- Sworn to ?d- before me this day of JL<.t0-L- Notary Public, Set ffi! ( ..... , ~or ----- ." -.---.--.- - r' County 6 !I ~ \ ! ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ Application Number: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = Wiring and Devices F.!I Outlet ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I!I~ I!I.I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 . ,.... \ 1,).~tf~ -" CERTIFIES THAT Upon the application of upon premises owned by RUSSELL PELLICANO 9680 N BA YVIEW RD SOUTHOLD, NY 11971 RUSSELL PELLICANO 9680 N BAYVIEW RD SOUTHOLD, NY 11971 9680 N BAYVIEW RD SOUTHOLD. NY 11971 3029336 Certificate Number: 3029336 Section: Block: Lot: Building per330 53 BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 29th Day of April,2008. Name OTY Rate Ratin. Circuit ~ Alarm and Emergency Equipment Sensor Appliances and Accessories Exhaust Fan Panels 1 0 2 0 60 10 19 0 19 0 59 0 36 0 37 0 3 0 13 0 It CarMon/Smoke F.H.P. Fixture Incandescent General Purpose General Purpose General Purpose GFCI Fixture Outlet Receptacle Switch Receptacle Lighting track seal I of I ~~~I!I 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. 33053 Z Date JUNE 6, 2007 Permission is hereby granted to: RUSSELL A PELLICANO 9680 NORTH BAYVIEW ROAD SOUTHOLD,NY 11971 for : ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 9680 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0008 Lot No. 013.001 pursuant to application dated JUNE 4, 2007 and approved by the Building Inspector to expire on DECEMBER 6, 2008. Fee $ 200.00 ,jL/~ QIL / Authorized Signature ORIGINAL Rev. 5/8/02 ~.... .J>PEALS BOARD MEMBERS Ruth D. Oliva, Chairwoman Gerard P. Goehringer James Dinizio. Jr. ChaiznBJ Michael A. Simon Leslie Kanes Weisman hup:l/southoldtown.northfork.nel ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809. Fax (631) 765-9064 Mailinll Address: Southold Town HaU 53095 Main Road. P.O. Box 1179 Southald. NY 11971-0959 Office Location: Town Annex 1r1l'8t Roor, North Farle Bank 54375 Main Road (at Youngs Avenue) Southold. NY 1197l FINDINGS,IDEI,JI3ERATlONS AND DETERMINATION MEETING OF JANUARY 25, 2007 ZBA Ref. 5991 - RUSSELL and FLORENCE PELLICANO, Owners and Applicants J LocatIon of Property: 9680 North Bayvlew Road, Southold eTM Parcel 79-8-1~ REQUEST MADE BY APPUCANT: This Is a request for a Special exception under Article III. Section 280-13B of the Southold Town Zoning Code. Applicant/Owners propose to establli1t,~_ a Bed and Breakfast use as an acc:essory use In their home, Incidental to their occupancy and residence In the existlng slngle-famlly dwelling, with up to four (4) guest rooms for lodging and servIng of breakfast to not more than ten (10) casual, transient roomers. PROPERTY DESCRIPTION: The applicant's property consists of 11.31 acres and Is Improved with a two-story, slngle.famlly dwelling and accessory shed as shown on the 3/13/97 survey prepared by Kenneth H. Beckman, L.C. FINDINGS OF FACT The Zoning Board of Appeals held a public hearing on this application on January 25, 2007, at which time written and oral evidence was presentad. Bued upon all tsstimony, documentation, personal inspection of the property and the area, and other evidence, the Zoning Board finds the following facts to be true and relevant. REASONS FOR BOARD ACTION. DESCRIBED BELOW: Based on the testimony and record before the Board and parsonallnspectlon, the Board makes the follOWing findings: 1. Russell and Florence Pellicano, the applicants herein, have owned and resided In the subject property aince obtaining a CO from the Town of Southold on 7/02103. They originally designed their home wtth the Intention of completing the unfinIshed space over their four. car attached garage In order to operate a Bed-end-Breakfast facility In the future. They will continue to occupy the dwalllng as a prlnclpel reaidence wh!le operetlng the proposed B&B w!IJeh wit! consIst of four Guest rooms (SectIon 280-4 of the code permits no more than 5 With a maximum of 10 casual and transIent roomers). ,The Bed-end-Breakfast use is clearly s~bordinate to the DrInclpal use of the dwelling. --'.________,,- 2. The Bed-end Breakfast, as applied for, Is reasonable In relation to the District in which it Is locatad, adjacent use districts, and nearby and adjacent resIdential uses. The applicants' subject parcel conalate of 11.31 acres In the A.c Agrlcultural.conservatlon Zone District which affords them more than ample on-site perking for the proposed four guest rooms. Their dwelling la acc:eased through a long private gravel drive off of North Bayvlew Road. Other properties that uee the drive are owned by the Pellicano's daughters. The proposed Bed-and-Breakfast will be Iocatad within the building envelope of the existing two story / / ..".... . . / / / ., Page 2 - January 25, 2007 8A File 5991 (8&8) - R. and F. Pellicano elM 19.-8-13.t dwelling and attached garage and there is no visual evidence of its presence from the exterior. 3. This special exception use will not prevent orderly and reasonable uses proposed or existing in adjacent use districts. The property to the West of the applicant's property is "imil.u ill. ..~'" a\\f't ttlllMlohbfl(S dV<<lllinq is silt !lack 't5(l'frQm th~tlUliQlnln.lp)Jqperty line, The property boundary Is heavily wooded which will provide both visual privacy and noise abatement between the two properties. 4. NO eVlaence nas Deen sUDmlUea to snow tnat tne satety, nealtn, welTare, comtort, convenience, or the order of the Town would be adversely affected. 5. NO.""Verj;lIppndlt1pns wer.e .fP!lnrlllff!Jr t:om;./{jer.1Ilnitpl1'l.s!i!!t"tlllntlpr !'l...rtion "'""1~' "r the Zoning Code. ll. oil; ~t'I~ir;"tflof Cm:nl;ltiancllor similar dOcument is nec;essl!J:V for Issl/anc;e by th.e Builcllnq Inspector certifying that the premises conforms to applicable codes for smoke alarms, emergency egress (stairs and windows) and signage for Bed-and-Breakfast use under Sedlon ,ZSO-14-a.,d. BOARD ACTiON/RESOLUTION: In considering all of the above factors and applying the balancing test under New York Town Law 267-B and the Code of the Town of Southold, Chapter 280, the "'1~",,,,'''NiIl". ""/><\ takf!!1: On motion by Member Oliva, seconded by Member Weisman, it was RESOL VfD. to GRANT thll, Sp~!;iaIExcllPliQDJOr iln AcCll$/!!'!!'lf .'~ "nri ~rI'",,",c;t "",. ,,., applied for, as shown on the applicant's diagrams with a received date stamped by the ZBA December 4. 2006. vote ot tne ~oara: Ayes: Members Dlnizlo (Chairman), Oliva, Goehrlnger, Simon, and Weisman. This Resolution was duly adopted (5-0). / ", . l Ii \ ; CUi Ii.f{) / -'t/r:;r'/t;'T~ James Oniizlo Jr., Chalrma . 2/ /2007 APproved for Filing v 33coS"3'2- TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [~H PlBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [.] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETMTION REMARKS: I,) 1~7;Z- ~J<..UMS' ~J'-c.-utL 1l;;;-; . DATE~ 1// /tJ7 / ! INSPECTOR 53003-2: TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ~ PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~r ~ ~-. . ':W~~ 8!t c DATE INSPECTOR 5 :? J cJ S3i: TOWN OF SOUTH OLD BUilDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PlBG. ] FOUNDATION 2ND [ ] INSULATIO ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT ~UCTION [ ] FIRE RESISTANT PENETRATION REMARKS: jJil flrU k J ~ f ~ 51___ (~Ifi( .~ ~lu~J;~~J DATE CJ INSPECTOR 33063 2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] I~TION [ .-{FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~ INSPECTOR FIELD INSPECTION REPORT DATE I FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL , '-:Jlllfl) /~. /' ly/tifl'A / 'f I --c-- COMMENTS IJ~ -I. ~y fA H~'<-< 7:;:;~ .../-/V J ./ /~./ /# k ~/~A. ,0 6tY-'..u( . ...;.. 1.--:".'./ ~ / ----.-.--- ------------- f----.--- -- . , s7 //lDtf' ~ . ACcL s.S" , / .bJffa ~.. /f ~ /'~ ./<J7d.r - , ' X~~>~ I~q/ t p ~-A.. C/) ~ . I . [ // f},:1. , -J.-. / / d?~ .&-r.~. 1/ / / . / A...-t '} - / A .:r~.--/ ./.# / v ADDITIONAL COMMENTS 5111.~ C\....- Buh~ LJ e .5-f11i ~d.. I u. (Y\.1a15 - ~ u-f.. cU-15 J f _ jAJ YDU (\12L ~ \ di~ cfo Ow '1 () LA-Y I (\~ ' , 0onnl-e, \fr t) r~"1 U& lJ-I '." lr't'j r, 2'l l/' 2S 0-:" 1'lJ"" =r.. rii n-(t'j ~ / '- 2 ~ ...:'"J f)' ~~ ?~ ,-, ~ r-- -, ::t. . ~. I',' +.( .) -\-' r <= Q1 ~ ( - t'j ., ~. t- ''\ "d- r ~ . -' t V v ......, I rk" \ r- ~ C: 0 (') :E z m ~. ;0 ,., ~ V, V\ -t. c:::::' -t'j \Lf~ r-- ~ \ ., 0- 040 2 ;3 ~. 7_., 3; t'j ." ~ TOWN OF SOUTHOLD . BUILDING DEJ:ARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southoldl PERMIT NO. ~?O~) ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health A sets of Building Plans Planning Board approval -Survey ,. Check .:I 2.00 Septic Form N.Y.S.D.E.C. Trustees Contact: Examined ,20JJ1 ,20~ Approved Disapproved ale Mail to: '11 ~1 Expiration 1J--/((',2oM I Phonenh~ . q. 'lW1 I.l"w I (4...- ~'f 6', - APPLICATION FOR BUILDING PERMIT lu/ ~ . Building Inspector Date 3 l , ,20!11- 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 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 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 ~"o',<<i Iw"",,"o 00_1= ~d m !mIld I", fun="", ;"'P"'~y ~ (Signature of applicant or name, if a corporation) 'i'~o 1.1. 0-41 t uze...u Rd.. S6u'lNo"'O My 1('<.7/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ClI.AfIl~ Name of owner of premises Ru~<;.,.."( A a Ft.OIl.t?t.t<:e fb....L.,CI'I-HO (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. 2 "00 P Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: C!6&o N, BflYVl..e...o Rd.. SO'-'.:rHo~Q House Number Street County Tax Map No. 1000 Section Subdivision Pc'......., <:AND woot)S (Name) cn9 NV. /17'7/ ( Hamlet '" ;jr;:)MY!;2 3,')V.AT~"'O;) ~ OYg)'tl"4f: ~Illlb.~,~"q ,111""" Lo /3, . ff (:ta~s' .*, 9lXJ;I~Il'<MRtnN@.tNlam-Ot9' -o.l'-/3 Lo I . . l"1A eellq, 3 nOleelf'f1S~ fj 2. State existing use and occupancy of premises and intended use and occupancy of proposed' construction: a. Existing use and occupancy <;( NfL"" A't1<<t I~ . b. Intended use and occupancy B.t 8 'I 'ftt......r ~s . 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration v (Description) 4. Estimated Cost I~OOO 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 nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ~ / ~., Height .3.r' Number of Stories .2. Rear '1:;/' ~ I' Depth U I Dimensions of same structure with alterations or additions: Front '1'.2 I ~ ' Depth ;2, Height 3r' Number of Stories ~,~ r Rear Y-l 8 ' 8. Dimensions of entire new construction: Front ~ ' " q Rear 'Id 15''' Height "3,1 Number of Stories .;l. Depth .g" I 9. Size oflot: Front 17/.'161 Rear ';;-111. "'6' Depth /0 $'1_73 ' 10. Date of Purchase :5lA.'t \ t I I'i' '11 Name of Former Owner 0tJ>t.~ lS'~. v II. Zone or use district in which premises are situated Ac 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 ....- PA lit C/l-I.c... 14. Names of Owner of premises R.~~+ ~ Address Name of Architect Address Name of Contractor Address Phone No. '3/- 7' r'~ I W Phone No Phone No. IS 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. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO t/' * 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 ) 12usr....1l A, Pe II fc/fNo being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the OW", elL . (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. swo~o before me this day of ~"c.k'\ 0~ Nota Ii IC 20~ ~~ P Si~ of Applicant CONSTANCE~odl NolaIY ~;=25616 Qudlled In SulIoIk CountY eo..".1iI11o<1 ExpireI April 16. 200ll ll. 2..1 KllAf'r H-I OEWS iry - 'i2(( G. '1' ~ '4-,c,8f1l~.O.G 'f~z"(R~)P'l><JL~n';"'" :! It; . ,;z XC&. f):TFl-11llC- wltU,J ~li r-~~w I I .2))8 ~I" ql.c: ~2..'" 1"-\.,.8orc~ /I?/JIt. 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SI'rnI'lIlt-A.! syrl"l:"'>?. PL(/lJ1~C'7L -,J'/Jf: 'i!.41t"J!lSfC i-Icq 2S-ooP l2~", .nt"aLe- ckJ"i./e 1Mr119 S.,..,,,,,- ...,.",,><c)....7 ~,,~ A-~'*- (/88~ 11- lIifl 1.7' -- To: Southold Building Department Dear Sir/Madam The subject of!lW requested building permit is 9680 N. Bayview Rd. Southold, NY 11971, ResideIiiOfFlorence and Russell Pellicano. The additional 2 room area above the existing garage will increase the existing 3 bedrooms to a total of 4 bedrooms. The Bed And Breakfast shall utilize 3 bedrooms for guest rooms. 1.. c l. i , 82r 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. 33053 Z Date JUNE 6, 2007 permission is hereby granted to: RUSSELL A PELLICANO 9680 NORTH BAYVIEW ROAD SOUTHOLD,NY 11971 for : ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 9680 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0008 Lot No. 013.001 pursuant to application dated JUNE 4, 2007 and approved by the Building Inspector to expire on DECEMBER 6, 2008. Fee $ 200.00 dt~~ I Authorized Signature COpy Rev. 5/8/02 'I r-/w ",.:JrHtl -~~.)' ._';"-:-:-:'';'3r;..;",~",.~,ill -~.' "'.,-- , " i 'i \, \, l;l :) I, i' 'E' g '" 2 If) ,/ / ! " ,j ~- , , ,. I / ! / I , . tl " " "' ", ~ 2 " :?; c, ~; " 'r ! :<gj o .---;...../ w '0 '", " Dp.! ,. 2 , Bp' .'."r-'/,' :;.73.:.\-tI~;'~'"-::" ", " 'p 1';, ~:i'''';/J' ~O' W " , ) ~'I . a, ~.. ' ~; 1'; / , .' ~l _.__ .' '--~,~..----- " .yJ:'E:>\fli .' 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