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HomeMy WebLinkAbout32118-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33220 Date: 08/14/08 THIS CERTIFIES that the building ALTERATIONS Location of property: 64355 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 56 (STREET) Block 4 GREENPORT (IIAMLET) Lot 21 subdivision Filed MaP No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15, 2006 pursuant to which Building Pennit No. 32118-Z dated JUNE 15, 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 ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR AND PER ZBA #4334, DATED 8/18/95. The certificate is issued to RICHARD SAETTA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMRIIT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 536872 09/19/00 PLUMBERS CERTIFICATION DATED 08/01/06 HARDY PLUMBING & HEATING ~1~~ ;(ut~ized ignature Rev. 1/81 ~ 7b!:> -<{9r57J Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 \ , \ 2- \ i ". APPLICATION FOR CERTIFICATE OF OCCUPANQY " '.--- " This application must be filled in by typewriter or ink and submitted to the Building D~ri1eni with the following: A. For new building or new use: 1. Final 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 form). 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 I % lead. 5. Commercial 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) nou-conforming nses, or buildings and "pre-existing" land uses: I. Accurate survey of property 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 dwelling $25.00, Swirruning 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 Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, ConU11ercial $15.00 Date. Location of Property: 64355 Old or Pre-existing Building: MAIN ROAD x (check one) SOUTHOLD New Construption: . House No. Street Hamlet Owner or Owners of Property: RICHARD SAETTA Suffolk County Tax Map No 1000, Section 56 Block 04 Lot 21 Subdivision NA -:).d- \ \ <l .2SV'.O:Z 0 ( "',MW-f~ 'Date of Penn it. 8/11/99 Filed Map. Lot: Petmit No. Applicant: RICHARD SAETTA Health Dept. Approval: NA Underwriters Approval: YES Planning Board Approval: NA Request for: Temporary Certificate Final Certificate: x ( check one) Fee Submitted: $ 50.00 J17~ ?:, '3 '& d-.l) QeC 7~71)9 ~ TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, NY 11971 CERTIFICATION Date: ,<?,\ \ \ob \ Building Permit No. 3g. \Jf:L owner:&,,~;r-t~G~~ ~-n N:.'\no (please print) Plumber: HARb~ 'PLuMB IN 6,ItE:ATIN6..l- Ale.. .oK. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. I also certify that I installed an anti-scold and/or thermal shock preventing device at all bathing and/or showering fixtures in conformance with part 902.6(k) of the N.Y.s.F.P.A.B.C. ~.s~.~ - .plumber's ?igflature) . Sworn to before me this _ I ~ay of flv-J-Y ~+-: .~ Notary Public, . :5~Fff>i--Ic- c~tiQty ~ (Notary Public) JOANN BARONE Notary Public. State Of New York No. 01 BA6087016 Qualified In Suffolk County 01 Commission Expires 02,/10/20_/ p ~ ;-'1 :3;)- I/t .'"~' ~,: Date THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 1003B ::EF'rEHEE ~- 19. :~0(ti0 Application No. on file "~S- 221 ~)'.::";1 / 9S P}l:.GE 1 ~,: !,: 12 ')509'?f I ~,: .' N 536872 ~: THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ~,: ~, ~\' .' c-\' ~, ~, '-.(, ~, ~: i' ::\, . ~,: jI' ;\' ~: " ~, i' ",,' it" ~: ~: ~', ~, :;, ~, ~: ~: .1, " " " ~\: -./.. " ." " " '" " ~, " ~, " ~, " ~, <, ", ." \' ." " ~: !, ." ", ~.'"..., I. .., ,.., '.' RICHARD SAETTA, G4::55 HAIN STREET, G,EENPORT, NY In the following Im:ation; D Basement !Xl 1st FL D 2nd Fl. Section Block Lot was eXlUlJined on SEPTEHBE'R 12, 2000 and found to be in compliance with the National Electrical Code. . IlECfPTAClES SWITCHES INCANDESCE FIXTURES FlUORESCENT OlMER RANGES AMY. K.W. COOKING DECKS OVENS AMY. C.W. AMY. K.W. DISH WASHERS EXHAUST FANS AMY. C.W. AMY. H.P. 11 DRYERS IC.W. 5 4 -, ~ ') FURNACE MOTORS OIL H,P, &AI H.P. FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL AMY. NO. A. w. a. AMY. AMP. AMY. AMPS. TRANS. UNIT HEATERS MULTI-OUTLET SYSTEMS AMY. H.P. NO. OF FEET DIMMERS AMT. WAns 43 SERVICE DISCONNECT AMP. TYPE NO. OF 5 E METER EQUIP. l' 2W I' 3W 3' 3W 3' 4W NO. O~RC.COND. R A.W.G. Of ce. COHO. V NO. OF HI-l.EG C A.W.G. OF HI-LEG E NO. OF NEUTRALS A.W.G. af HEUYIA&. OtHER APPARATUS: Per !hll cerllftcale mull not be alte,ed In any manner; ,elum 10 'he omce of the Board If Inco"ecl. Inlpeclors may be identified by their credential.. <..-," ~ ...-. GENERAL MANAGER 11 JIH SAGE ELEC_ INC. PO BOX 38 GREENPORT, NJ', 11944-0038 ~.._)--. fr.. \ -. " L - t ., :..- ~...: , ,J.~ l. ", T (': ", ~ ' ~...;t J ; ..' .. 1 ~. ,- . t .,. 1 -.J" '. . " ~ , .:, . t~-, f --r~" .....-.:~ t: ;. .' \' ' . I.' ',: ' ("I.'~.l ..../ ,J.. J ' d -" :( '" ~ "- '. - . .... . ..... ..... l.. ~ ~~,. LlL COPY FOR BUILDING DEPARTM=NT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. lrrr.........-_.~~__ 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. 32118 Z Date JUNE 15, 2006 Permission is hereby granted to: RICHARD SAETTA PO BOX 2047 GREENPORT,NY 11944 for : CONSTRUCT ALTERATIONS OT EXISTING COMMERCIAL BUILDING AS APPLIED FOR PER ZBA # 4334. THIS PERMIT REPLACES BP 25940. at premises located at 64355 MAIN RD GREENPORT County Tax Map No. 473889 Section 056 Block 0004 Lot No. 021 pursuant to application dated JUNE 15, 2006 and approved by the Fee $ 200.00 Building Inspector to expire on DECEMBER ORIGINAL Rev. 5/8/02 ~/1'i))1S- Gerard P. Goehringer, Chairman James Dinizio, Jr. Lydia A. Tortora Lora S. Collins George Homing Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 ZBA Fax (516) 765-9064 Telephone (516) 765-1809 APPEALS BOARD MEMBERS BOARD OF APPEALS TOWN OF SOUTHOLD September 4, 1998 , Richard Saetta General Contractor, Inc. 4 Bootleg Alley Greenport, NY 11944 Re: Your Letter dated August 7,1998 (1000-56-4-21) Dear Mr. Saetta: The Board members reviewed your August 7,1998 letter. Board Members confirmed that they felt the proposed use as a general contractor's business office was not in conflict with the "use variance" granted in 1995 for this property under Appl. No. 4334 (C. Oliver) as long as there is no outside storage of supplies or other items. Registered vehicles would also not appear to be in conflict. However, you should be aware that the Building Department may require additional permits and/or a new certificate of occupancy. very. truly yours, /~ .~~ Gerard P. Goehringer Chairman f-7-f',)' ,0.> / cc: ZBA Members 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) ~3')...\13 PERMIT NO. 25940 Z Date AUGUST 11, 1999 Permission is hereby granted to: RICHARD SAETTA PO BOX 2047 GREENPORT,NY 11944 for : CONSTRUCTION OF ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. ZBA #4334. FLOOD PERMIT FEE INCLUDED. at premises located at 64355 MAIN RD GREENPORT County Tax Map No. 473889 Section 056 pursuant to application dated JUNE Building Inspector. Block 0004 Lot No. 021 22 1999 and approved by the Fee $ 250.00 ORIGINAL Rev. 2/19/98 ,I,. - .C --.. , ...."".. . ., . J _ _._' . ~--...._~---:-~.. --...--------.... .....'-'.-.....,.-- -...- .......__.... I --f -;- - - j.....,ts. 1 1\1 I -98.of~.. t:l ./ 11 ;~0 ~ ," I ~." ~ M .~ j.. ~ ,...." 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Fl'~ PR.ANK Ot....IVE:.R IIi . AI2.Sf-/A Mc:.'MA-.)ut/ T'cW~ or- I -$t:dJ~ I SO'~/" .. " MdnU/Nttltf "'''ppeJr:i;I' i:)/.'/.sl'cn .1,.."... "i, 1-;$5 tullel. ClI. t'.tx PJntt/1 lOCO -'~/$'O.o# -1::/ - SdLJ't"NoL. 0, AI. Y. GU<J.'t.ttHc:t.rJ of., -/I... tH"C~' ec.wt1t~ -r,'111 G"'''YU'N,:/If MC>....tq"~lt.C,,... -+k.. NoHH "QI,k ~":"Ik .. ""1'\.1"'+ Co. u~ :llJ"'~ ~e.J Jill, 24, 1~(i'1, VAN 7~I"'L ~ &;N r<."- . V ~.. '~i""'....~ (. L/<:t:'H~d Ldl1J SlJr~e>';d"$ r$r4en~rt, ;./, Yo . Attl<"tirled l1u<J~~,~_fI:)9S 1)p 3'd-ll<6 64355 Main Road, P.O. Box 2047 Greenport, New York 11944 (631) 765-4900 Fax (631) 765-4999 Toll Free 1-800-439-1633 RICHARD SAETTA GENERAL CONTRACTOR, INC. "THE FIRM THAT BUILT BUG LIGHT" @?'tt \ T_~.32llB2.. TYP "?o..\T\O~W t1l..L C-:/ eri r- --n ,1/ \:.." u.. w ~ I' Sou 1'1 I II >" IJ"D I"'llNUf.irlot-:) ,I .! M BLI'>I>I\(ET CcNC~;C~ vJ/Cf~~HK TILE/ . / / I ;~~cc-=~'--'/~~~~~;~tf~~;:~~~'r1" v;/x ~pe Shee+r=~ il- IN E..o.F.,-~glh!~(l)~i>) I I I' '\ i I d I' I Ii \ : " Y"CATS \ i ) ; -+ I i I -r' 'I f' . I I ! Ij II I I '. I Ii: , ' I I i I I ' : I 10 1'1 h '. I I ,I f?;1. .'....-.I.':--t.M-.il. ,I I I' J . ' . B ~'I'. '. -.';1 I '" 'j 'I Il!! iiJL" ..1. ..L..d... W1~ ,. T---- " DEe 2 0 I ~.'........," ; I , , " ,./ M c-Jb I OtJr1-j-t -7' -21 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 6 ':1,3 co VILLAGE DIST. . SUB. LOt . j: ~. RES. SEAS. VL . / /i .i '~i tl.; , , . . I . . /\/.., - ~",.'. E / / !lHe ACR;.( to I TYPE OF BUILDING It!' C'~ hur' N (i,:, C'I /(IU.A..,J/. -,r it. Ii : (~ . : " I. S( ! {U'\. FARM /,J (; .' d, .-\ /i p( c: ' V,?' --Y j, CB. MISC. Mkt. Value LAND IMP. TOTAL DATE ) ,<",\" ,,0\ "".< .I ,/ ~ J , Ef..I. a." I .";,, / {- 17tJ - '()ey -Tn -< 'OiJ th A9qo"a !J- 0 () $116 00 AGE NEW FARM BUILDING CONDITION NORMAL BELOW ABOVE Acre Value Per Acre Value l.r '~Tillable 1 t i Tillable 2 ~.; , ~~ Ti liable 3 1\' ~ Noodland r' , \. Swampland " ~ 3rushland ~ ;: -- -- FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD /. . .. .,r. ;..;; -:-'" /) .... ii..-@Ij,... ~ '.' House Plot w <; - .,~, LJ" c/ !(1 -/....:;; -:l ~-- . fotal DOCK t ,. i COLOR 0 'I. -+'1' w A ; tf .-.,,,, ,0.;'- .". / . -fff:J W k :t-e Kl - ---'---~ -- .- _u.__ Bldg. ~o y So -: /000 (/'2, V-(J 12roo I Foundation C, 8. Bath ~ Dinette - ~nsjon Basement 1'/0 Floors 11".(; ....., K. - ... /'/.. \ ~". . ... lnsion Ext. Walls t. BJ.oc!-;'<, . Interior Finish LR. !nsion Fire Place Heat III g !fat (lJJ. DR. - Type Roof r L r! -t. Rooms 1 st Floor BR. :h Recreation Roor Rooms 2nd Floo FIN. B. :h Dormer ~zeway Driveway age '0 3. .". / .01 J. ,J(1() I :\ .....- HARDY PLUMBING, HEATING &. AIR CONDITIONING, INC. 1654 COUNTY ROAD 39 SOUTHAMPTON, NY 11968 631-283-9333 TEL, 631-204-1128 FAX SAETTA GENERAL CONTRACTOR, INC. 64355 MAIN RD. PO BOX 2047 GREENPORT, NY 11944 To whom it may concern; Please be advised that the clothes dryer installed at 64355 Main Rd, Greenport has been installed to all manufactures specification. The installation also conforms to all state and local codes. ~:c~~~'O--~ Rick Durand , 14 2C ~ c~ ?C:$C& PROFESSIONAL ENGINEER 1725 HOBART ROAD I PO Box 616 SOUTHOLD, NEW YORK 11971 TEL: 631.765.2954 . FAX: 631.614.3516 . e-mail: joseph@fischettLcom Date: Reference: May 10,2007 R. Saetta Contracting Southold Building Dept PO Box 1179 Southold, NY 11971 Dear Sir, With referenced to Building Permit number 259402 I certify that the interior framed non-structural walls have been constructed in accordance with New York State codes. . "IV I .I20,r j'''\l . ~i MEMfORM"b.; F<,"j.r,yu ':"'FUiFlFT) ;~THUC>IJi\f\: EN(;INE'T.f;; 3"2\ \2 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 k --- DATE 7. 1\- 'UCa INSPECTOR 3;.-( IF c TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] ~LATION [ ] FRAMING I STRAPPING [v(FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 0 ~h NMoS (b J!w Aft Clfr'h/~-.J .?l.!hv, 8i/(,rAi4-L- ~L fJkJ tIhJ~ IJUMik Q--Lf"1~C4I7N /0L- #If ~('rtJ ,6F- WcML- cry~.. hM-. .fpJJ/~ ~lM;U~ '7 ,h4- J;J J" fJll cI1J-t<- DATE t Mr/(!)b / ! INSPECTOR I I .. , .. '~t ~t >-I .... ~ INSPECTIO~_~~~!_-r-E~~--__----------------------------_~tl!~__________________ ----------- . . I l' 'lClllDATION . ~ 1ST) _ ! . I · . . i ! I ~. ~~!~2~~~~~i~~1~~~~~=t=~~~=--=i~~~~~=~~~~=~~==~~~~~===========~~~~~~==~~~~~~~~~~~~== . : r. ,. ~oGH FRAME (. Ii ~ II M PLUMBING II . B i i . , II ~---=~=~~=~===r===t . . i · WSUI.ATlON PER N. Y _ I I . . STATE ENERGY I I I ft CODE n n . . n R II · n II ~============~~. -- _1___ I ~ ',Lpj n : II ft ft n n I I · . R. FINAL "- -w ~:-t- '" ~ (7 ~ -l::. \.\1 \1'\ "i ==---====== ~~ ~ S. H - J;::, =:z== . b 0) ~ + ADDITIONAL COMMENTS: ~ o o. ~5t- l<l- -- ('. (' ? r "' __t'l y~ ,H V;~ \H 00 .JZ ~ S t:: ~ ~. ~~. @"~'uTU [, nil ,i \1221999 1:1: i'"l l I I TOWN~ . FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL &OUTHOLD, N.Y. 11971 TEL.: 765-1802 MAlL Examined................,19... "3,;l112 YCNw-cC?( Approved. . . .. .~~ 10....., 199c:r. Permit N~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY. . . . . . . . . . CHECK .......... SEPTIC FORM . . . . . . . . . . . . . . NOTIFY CALL .'Z(5"~':{9~. . TO: ~:s~~~~~v.e.d. ~/~. : : : : : : : : : : : : : : : : : : : : : . : : : : . : : : : : : ih n . ......~........ (Building Inspector) . PLICATION FOR BUILDING PERMIT MAY 18 1999 Date.................., 19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit 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 stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap cation. 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 wiII issued a Building Permit to the applicant. Such pen 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 whatever until a Certificate of Occupm 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance: Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ Th~ applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. . . ~~~~~I? . ~~'IT~. G~Jffl~J... <;Qm!C1'QIUtiC. . . . . . (Signature of applicant, or name, if a corporation) ~~~~~.~~~.~.~Q.~~.~Q4?G~~~Q~T.~.ll944 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build CONTRACTOR .., .... ...... ,.. ........ ..... .................. ,-,.. ,..... ..... ......... ....... ........ ... .... Nmne of owner of premises . .n~.S~ETn......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. RICHARD SAETIA PESIDENT . ....... ,. ............ ............... ,........ (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. .. nO~6I;1l. . . . . . . . . . . . . . . . Plumber's License No. . ~:;9~I? . . . . . . . . . . . . . . . . . EI .., L' N 3635E ectncmn S lcense o. ...................... Other Trade's License No. ..................... I. Location of land on which proposed work will be done~ 65433 MAIN ROAD GREENPORT ............ ...........-.......... ,_...................................... ........ ... ..... House Number Street Hamlet County Tax Map No. 1000 Section ... .~Q . . . . . . . . . . .. Block ...... .~~ . . . . . . . .. Lot.. .2.1. . . . . . . . . . . . . S bd' .. NA . L U lVlSlOn..................................... FIled Map No. .............. ot....... . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . .~~~~~~~S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy " -'" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . ~. . . . . . . . . . . . . . . . . . BUSINESS , " Nature of work (check which applicable): New Building. " . .. . . . . Addition.. . . ... ... Alteration ..xxxx.... Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . .. . '. . . . . . . . . . , (DescriptiollL... E t. t d C t 1,500 F .T"I:i<l~'J.J8 SIma e os...................................... ee,.... '{t~'be'~~id'~~ fiii~~'lhR~;~~~...:.q. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars ........................................................................ If b . . I . d if d f h f BUSINESS usmess, commercIa or mlxe occupancy, spec y nature an extent 0 eac type 0 use . . . . . . . . . . . . . . . . . . . . . Dimensions of existing structures, if any: Front. . . .20~ . . . . . . . . Rear. . . . .20'. . . . . .. Depth. .50'. . . . . . . . . . . Height .. 13~ . . . . . . . . . . Number of Stories. . .1 . . . . . . . . . . . . . . . ./ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front .. ~<? . . . . . . . . . . .. Rear .20'. . . . . . . . . . . . . . . Depth. . ?9~ .. .. .. . . .. . . . .. .. Height.. . P ~ . . .. .. . . .. . .. . . . Number of Stories.. .1 .. .. . .. . .. .. . .. .. . D' . f' t' F NA h unenslOns 0 entIre new cons ructIon: ront............... Rear............... Dept ............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size of lot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ...................... Date of Purchase ............................. Name of Fonner Owner ............................. Zone or use district in which premises are situated. . . . . ~V~~lj'~~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Does proposed construction violate any zoning law, ordinance or regulation: ... .liQ. . . . . . . . . . . . . . . . . . . . . . . . . . Will lot be regraded .... ~9. . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes XX No Name of Owner of premises RIC&RD.S!E'IT!...... Address .<?~~1'......... Phone No. .4H-:\ti'l'l...... Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. ..... . . . . . . . . . . Name of Contractor ~J~. ~~~. C;;V. ~lj'C;;. . . . . Address ... G~Jl'f . . . . . . . Phone No. 411~ 1633 . . . . . . . Is this property located within 300 feet of a tidal wetland? *Yes ..... No .XXX. *If yes, South01d Town Trustees Permit maLbe re~uired. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from peTty lines. Give street and block number or description according to deed, and show street names and indicate whether 'rior or corner lot. ATTACHED . TEOF NEW YORK, JNTY OF . . . . . . . . . . . . . . . .. S.S RICHARD SAETIA ................ ,... .... ............... ... .... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 'e named. . CONTRACl'OR ,the.. . . .. ..... . . . . ., . .. . . .... .. ... ... ... . ... . . .. . .. . . . . . . .. ... ... .. ........... ..... ....... . . (Contractor, agent, corporate officer, etc.) lid owner or owners, and is duly authorized to perfonn or have perfonned the said work and to make and file this ication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ( will be perfonned in the manner set forth in the application filed therewith. Tn to before m~ ...... f2.~.. .~... . .day of ,.!~......, 19. f '1 lryPUbliC'~I!..~ .~nty fflJ4 HELENE D. HORNE "'OllIIyPublic, Sl1lteof~YGIk . . . . . . . .... . . . No. 48613&4 0ueI1IIed In Sufflllk ~ CammIIIlan Explra Mey 22. ,'~ 0 0 !