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TeN OF SOUTH OLD, NEW YORK
APPLICATION FOR SPECIAL EXCEPTION
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'APPLICATION NO,;)...l r--
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TO THE ZONING BOARD OF APPEALS, SOUTH OLD, N. Y.
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....,.......................:..M~~i~i.P~.li.tY.............................. .......~~St~............
hereby apply to THE ZONING BOARD OF APPEALS for a SPECIAL EXCEPTION in accordance
with the. ZON1NG ORDINANCE ARTICLE ijp SECTION '3f)'O
SUBSECTION 1\
THE SPECIAL EXCEPTION IS REQUESTED BECAUSE ..J- ~ ~ ;z::-
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STATE OF NEW YORK )
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COUNTY OF ~V''-r
Sworn to this ....../.(f...-::~ da:-of '"T~~''''''''' 19~.a
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JUDITH T. BOKEN
tfot8ry Public, State -of New York
llD. .52:0344963.. Suffolk County .
Ozmmissron Expires March 30, 19'&1
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FOR.\\1: ZB2
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH OLD, N. Y.
Examined
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19........
Application No. ......................,.,......,
Approved
........................'...........,
19........Permit No. ................................
Disapproved ole .......... ....... ..... ....................... ..............., ....., "..,.. ........ .....'".
.........................................................................................................................
,...,..,.........,...........,..".........."......,."......."............,......"..
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Dote... ,.., ....... ......71~.~....f...~.. ....., 19..t..~.
INSTRUCTIONS
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a. This opplication must be completely filled in by typewriter or in ink ond submitted in duplicote to the Building
Inspector.
b. Plot pion showing locotion of lot and of buildings on premises, relationship to adjoining premises or public streets
or areos, and giving 0 detailed description of layout of property must be drown on the diagram which'is port of this location.
c. The work covered by this application may not be commenced before issuance of Buildir;1g. PElrmit.
d. Upon approval of this application, the Building Inspector will issue 0 Building Permit. to the applicant. Such
permit sholl be kept on the premises available for inspection throughout the progress of the work.
e. No building sholl be occupied or used in whole, or in port for any purpose whatever until 0 Certificate of Occupancy
sholl hove been granted by the Building Inspector. .
APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of 0 Building Permit pursuant to the
Building Zone Ordinance of the, Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or
Regulations, for the construction of buildings, additions or 0 Iterations, or for removal or demolition. os herein described.
The applicant agrees to comply with 011 applicable lows, ordinances and regulations.
-........ ...........J ahn ..Dei.n., ~T.r.... ................................... .......
(Signature of applicant, or home, if 0 corporation)
..... K~tH .t.~~f!; ~ ..... N.,.x............. ............ ........ ............... .......
(Address of appl icant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde.r.
...... ..............;,.....,.......... ..Owner. ...o.f ...s ign............... ........ ....................,......................,..............................,....................,. ...
Nome of owner of premises... ... ...if.9.!m...H... .JJ:1J:;;ing.... ..........:..."....................,....................................................... ....... ....
If applicant is 0 corporate, signature of duly authorized officer,
(Nome and title of corporate, officer)
1. Location of land on which proposed work will be done. Mop No: ..Xx.........,........................... Lot No:.:.x.xx..........
Street and Number .. ..S./B..... .Main. .R.aad~., J..les.t.. . of. .. sig.s tor. :'.R.0ad,.. .Ma.t t.i, t100k,:.. N.. 'l:.................. '"
. Municipality .'
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
o.
Existing use and occupancy .....:v.ac.an t..land....... ........ ................ ........ ........ ....... ......., ..... ........ ......................
" " with'sign .
Intended use and occupancy.. ................. ........ ............ ........... .............. "........,....,., ..... ............... ,............... ...........
b.
Nature of work (check w. applicable): New Building ................Addition....................Alteratlon....o;-"............
'"
Repair .................... Removal.................... Demolition.................... Other Work (DEscribe) .............,S'I.GN
Estimated Cost .......................................... ................... Fee ...10.1/... s.q. . i'. t.. .of.. .ar.e a..............................................
(to be paid on filing this application)
If dwelling, number of dwelling units..........................Number of dwelling units on each floor..................................
If garage. number of cars... .............. ...... ........ .......:. .......... :........ ....... ......... ....... ........ ...... ........ ....... ........ ......................
6. Jf business, commercial. or mixed occupancy, specify nature and extent of each type of use................................
7. Dimensions of existing structures, if any: Fran!............................ Rear ............................ Depth ................................
3.
4.
5.
Height ............................ Number of Stories
...".......................................,.....................................,..........................
Dimensions of some structure with aJterations or additions: Front ..................:............. Rear ................................
Depth ................................ Height ................................ Number of Stories ................................
8. Dimensions of entire new construction: Front ............................ Rear ............................ Depth .........6f.t............
Height ..J\,ft................. Number ofStories................................
9. Size of lot: Front ............................ Rear ............................ Depth ............................
10. Dote of Purchase ........................................................Name of Former Owner ........................................................
11. Zone or use district in which premises ore situoted................!!.A.'.'........................:.....................................................
12. Does proposed construction violate any zoning low, ordinance or regulation? .....r.<lq.l).ir.p,s...s.p.ec.iaL..e.xc.epti
13. Nome of Owner of premises...lIusing......................Address .......................................... Phone NO. ....................
Nome of Architect ....................................................Address .......................................... Phone NO. ....................
Nome of Contractor ....................................................Address .......................................... Phone NO. ....................
PLOT DIAGRAM
Locate clearly and distinctly oli buildings, whether existing Or proposed, and indicate 011 set-bock dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
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.........................................J.9k,A..;-;:J~.:i..!]....;J:r........................being duly sw<;>rn, deposes.~nd. says that he is the applicant
CN'arne 'of individual Signing application) ...,.
above. named. He is the ..................m-me.r....of...s.i-gn ..... ........... ........ .............. ,......... ........ ..... ........ ....................... ...........
(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 applicotio" are. true.'to the best of his knowledge and belief;
and that the. work will be performed in the ma~ner set forth in the a~plication filed therewith.
Sworn to before me this: N.:t,,.,. l~~~s~;, asKZ~w Y. ~fP/./,f.;
. o. ,52:0344963, Suffolk Coun"~ ~ (
............./..,...... day of ....:..........~~........ 19.:~.e!~~:on up;,,, March 30, 1961. .
Notary PubliC, ...~4~:~..... Ce"Rt, (S gnature of applicant)
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VKalin, Herbert& Lloyd 9 5/57 N 21 West Front St. Gr
() Kalin, Robt. ,423 8/58 A 625 Champlin Place Gr
Kapp, Harry 310 5/58 A 177 Bayview Road So
Kattau, Wm. 50 7/57 A 22 Mason Drive Cu
Kearns, Mary 337 6/58 N 742 Dogwood Lane So
Kent, Robt. 220 2/58 A 1461 Paradise Pt. Rd. So
Kennedy, Patricia 262 4/58 A 760 Pine Tree Road Cu
Kilian, Wm. 293 4/58 N 675 Sage Blvd. So
King, Hazel 147 10/58 N 147 Indian Neck Lane Pe
Klein, Jas. 7 5/57 N .32 Woodcliff Drive Ma
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Klein, J o11fJoo p..u. "f ~4) 160 10/57 M 960 Bay Ave. Ma
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Koch, Henry 206 1/58 A 73 Pvt. Rd. Ma
(, Knoeckel, R ichar d 212 1/58 A 108 Kerw in Blvd. Gr
Kokulak, Peter 266 4/58 N 134 Meday Ave. Ma
Koloski, Chesterc, 163 11/57 A 915 Main Road La
Kruger, Henry 304 5/58 A 203 Oak Street Cu
Krupski, Albert 204 1/58 A 67 Main Road Pe
Krupski, Henry 232 3/58 N 112 Seawood Drive So
Krupski, Walter 349 6/58 A 785 Bridge Lane Cu
Kyser, Horace 69 8/57 N 113 Main Road" So
Kane, John 533 11/58 N 346 pequash Ave. .Cu
Karaa,;Peter GSB 840 ,9/59 S Main Road Gr
" 839 9/59 S " "
Karas, Gr. Snack Bar 679 5/59 S Main Road Gr
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\ Kelly, Fred 512 11/58 N 1280 westview Dr. Ma
) Kinder, He dw ig 768 7/59 N 963 Woodcliff Dr. Ma
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June 6, 1960
Henry Tuthill, Supervisor
'Town of Southold
16 South Street
,Greenport; N"ew'lf'ork
Dear Mr.~thill:
Please arrange to retUJ:'n to Mr. John J.' Klein, Jr.,
Main Road" Bay Av.enue, Mattituck, New York, his $15.00
fee fOJ:"Appl1cation for Special Exception N"o.278 dated
.MaY 16, 1960. Office of the Bu,Ud1ng Inspe,ctoJ:' Receipt
No. 990. This receipt was for a checkof,$20.00 which
covered the $15.00 appeal add $5.00 building, permit.
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On June 1, '1960 Mr. Kiein J:'eqUested that thie appeal
be withdraWn prior to its .presentationto the Board of
Appeals.
Very truly yours,
, Robert. W. Gillispie, Jr.
Chairman, Southold Town
Board of Appeals
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