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HomeMy WebLinkAboutNeese FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date DECEHBER 26 .......................... ,19 90 To JAMES R. I~ESE P.O. BOX 126-1625 OAKI~M/ AVE. SOUTHOLD, NEI/ YORK 11971 PLEASE TAKE NOTICE that your application dated ...~..Y..1.2., .................. 19 .8.9... CONSTRUCT A ONE FAIRLY DI/ELLINC for permit to .............................................................. at Location of Property 935 POND Al/I/. & 70 PARK AI/~. SOu'I'ItOLD, NEN YQRK House No. Street ~ Ham/et County Tax Map No. 1000 Section 56 Block I ..... Lot 2.14 Subdivision .LONG POND F. STS. Filed Map No. 8037 Lot No. 17 is returned herewith and disapproved on the ~llowing grounds BBrLK AREA & PARKING ARTICLE III SEC. 100-32. INSUFFICIENT FRONT YARD SETBACK. ACTION REQUIRED BY ZONING BOARD OF APPEALS. · /~uiIding Inspector 1/80 ~ BUILDING DEPARTMENT B~G -- ~ TOWN HALL ~ · ~ r. SOUTHOLD, N.Y. 11971 TOWN OF r ~ TEL.: 765'1802 Disapproved a/c APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALT}t 3 SETS OF ~Lz NS SURVEY .... ~... SEPTIC FORN NOTIFY HAIL TO: .... Date ................... I~,... a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building inspector, with 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 s.treet,: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appLi- 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 will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupa~% 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, 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 applical~ie laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. / (Signature o'~* applicaX~4~ ~)~: ~a'n~e; if'a'c'o~-~o'r~t;~n') ' ' ' - -- ' (Mailing address of applicant) t~.~'1£ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or ~ilde ......... £'9.Oh/gSg~ ............. Name of Owner orpremises "7~ c:U- ./3~ ./~/~.._. ....... ' .............. (as on the tax roll or latest deed) .............. " ..... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. · ~-~?~.--'5.. ~t./,/, ........... Plumber's License No. ~..4t .~.3.W.(? ~ectric,an's License No..C{6.8. ]..-.~ .......... Other Trade's License No ...................... I. Loca,on or,and on w,,ich proposed wor~ w,l b~ done...q. ~.~..~.~9. ' · . ...C~...,....7. a. lr~, J:. · .7.0. ................... .~. ~:..-~e~. fi.~.~ ........... %..o..-~o~.. ..... House Number Street Hamlet ~o.nt~ Tax,,,ap No. ,000 See,on .... 5-.G .......... B~oc~ ........ / ......... ~o,.. Subdivision t~t~ .?~Z'qL')..-~-~J~.,~.'~.~l, Filed Map No. ~l;~t~ 3.7. Lo, (Name) ..................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed a. Existing use and occupancy ]~. ~4t.'/%/..~. ttore of work (check which applicable): New Building ....~. .... Addition .......... Alteration ... ' .............. Removal .............. Demolition ............. Other Work.., ..... · :stimat 'd cost ........ .................... fee ................. (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. If business, commercia, l or mixed occupancy, specify nature and extent of each ,ty~,e of use ....... . ..... Height .. ~ ...... Number of Stories ..... ~ ......................................... . Dimensions of~ame structure with a terations or additions: Front ................. Rear ............ i i. ' ' ,! Depth ...................... tleight ..................... Numbcrof. Stories .................. 8, Dimen~,iQ,sao~.n,~ new construction: Front . ~ t'. l~,nr ~ ' 13,~,,s, ~:~,~' Heiglit~.~n~4~..~i~.'- .... NgmberofStories. ~-~_,. .'i..--~- . . ... . .~v,,,..,.,-,., ...... 9. Size oflot: Front J~l,'~o7,'7C ..... Oear '' 't~.~;','~ ...... ;. ''. ";.;,:,'6~'"~/z.-~::'" 1 ..... : · '. .... . .......... ormer tJwner .~¥'~'t. ~ .,t,~/~O .¢.~I"L. I. ~one or use restrict ~n which premises are situated .... ~; ........................ 12. Does proposed construction violate any zonin,, law ordinanc ....... ~.~_. ~t~ ....... 13 ,,,., ...... ~/~-~, ~, , ,- ,- -,-su~,,,,,~,~. .. · ~ .......................... .,.~ ga, ,o~ .oe..regranea ...,~O.. ~, .................. Will excess fill be removed from premises: ,'*. warn e ox Uwner o f prem~ses::l~g$ .?~. &t~.e~-'. Ad dress t~b4n,,~t a~..,~O.4r/~:~,OPhone No. ~lfit,~F._'2~-~-v~.~.~.,t. Name of Architect ........................... Address ................... Phone No...:: .... _. .... .Name.of. Contractor 3~:~lSt~WE.. J~W. aK .,~.r. Tl:~... Address ...~OP-A~ .......... Phone No. 7-~s~'.-.~,~;... 15.xs tnxs property located withxu 300 feet of a tidal wetland? *YES .... ~If yes, Southold Town Trustees Permit may be required. .- PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street n~mes and indicate whether interior or corner lot. $~ATE OF NEW YORK COUNTY OF ........ i ........ ................................................(Name of individual signing contract) being duly sworn, deposes and says that he is the applicant :bore named. is the ............................ (Contractor agent ~orporate~ffi~er ' " , , , etc. said owner or owners, and is'~duly a~thorized to perform or have performed the said work and to make and file this ~01ication;-that all statements contained in this application are true to the best of his knowledge and belief; and that the ~rk will be performed in the manner set forth in the application filed therewith. ~Vom to before me this HE1.E'N K. DE VO{ ItOTAIP/PIJ~LIC, State of l(,elf Yedt ~ 4707ff/8, $~olk Coullty,) t (Signature of applicant) TOWN OF SOUTHOLD, NEW YORK ,,ePEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO. TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. V. ~, (We).-.-.-.-.-.-.~..~..~..~..L¢.O....g~%.~ ....... of 2o Pczc Name of Appetlom Street and Number ............ ..~.D.~.O. LO.. ................................................... ~.:.xJ....: .......... HEREBY APPEAL TO Municipality Slate T.E ZONING BOARD Or APPEA~ FROM THE DEaS~ON OP ME BUiLDiNG ~NSPECTO. ON APPLICATION FOR PERMIT NO ..... .J..~.i..J..S. .............. DATED ...................................................... · WHEREBY THE BUILDING INSPECTOR DENIED TO ( ) ~. ~. c cop._ Name of Applicant for permit of .~..~.~e.~...f~.: .......... ..~.g.~-L~x~.Ld. .............. ~.:.~..:. ......................... Street and Number Municipality State PEPJ~IT TO USE PERMIT FOR OCCUPANCY 1. LOCATION OF THE PROPERTY ..~...L)..~...~..C..~..l~;~,...~.(~.(~t!~ ............... ~7...Y~...(~.. .......... - Street /Hamlet / Use District on Zoning Mop District 1000 Section~Block j Lotc)~l~ . .......................................................... ~urrenc 0wner~:x~L~j ,e ~J~-~ (~(~T~C~ Map No. ~C~)~,~).] 'Lot No. j~ Prior Owner ' 2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the A~ticle Section, Sub- secti6n and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.) Article ~ Section lOC)- 3. TYPE OF APPEAL Appeal is made herewith for (please check appropriate box) ( ~/~ A VARIANCE to the Zoning Ordinance or Zoning Map ( ) A VARIANCE due to lack of access (State of New York Town Law Chap. 62 Cons. Laws Art. 16 Sec. 280A Subsection 3 () 4. PREVIOUS APPEAL A previous appeal (ho(L(h,as not)~been made with respect to this decision of the Building Inspector or with respect to this property. Such appeal was ( ) request for a special permit ( ) request for o variance and was made in Appea! No ................................. Dated ............................ .~ ........................................ REASON FOR APPEAL ( ) A Variance to Section 280A Subsection 3 (~)' A Variance to the Zoning Ordinance ( ) is requested for the reason that l~onn ZB1 (Continue on other side) REASON FOR APPEAL. Continued sary HARDSHIP because STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces- 2. The hardship created is UNIQUE and is not shared by all properties alike in the immediate vicinity of this ~roperty and in this use district because ~/,,.~ ~O~-~-~' /~ 3. The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE CHARACTER OF THE DISTRICT because ~ ~'~--/-_ ~-~ ./~' A/~O'c, STATE OF NEW YORK ) ) ss COUNt' OF 56rr~u~''- > Sworn to th~s .......... ~.5....~... ........................ day Signature~ . . ~Oo:;'~ · ~- I --~-. 14TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. FOYER OWNER N E ACR. I RES. ~l 0 S~S. VL. FARM CO~. CB. MICS. Mkt. Value Tillable FRONTAGE ON WATER W~land FRONTAGE ON ROAD Meadowland DEPTH Hou~ PIoJ ' fl~ J ~00 J 5q 61~J BULKH~D 4{ti ~'.50 Foundation Bath Extension Basement Floors ~'r~ .~% xtens~on t-~ K 5I : _~27 q ,~'~3 ;~ '~'7~P.~ Ext. Walls CecOo~' .PLt~ Interior Finish Extension Fire Place I~'~. . Heat Porch 3~,1\ = ~'~ Deck Breezeway Garage Pool Patio D riveway Attic Rooms 1st Floor Rooms 2nd Floor ~4 . DCALE-SO: l SUFFOLK CO. HEALT H.S. STATEMENT THE WATER SUPPLY Al' SYSTEMS FOR THIS 'CONFORM TO THE $ APPL!CANT SUFFOLK COUNTY I SERVICES -- FOR CONSTRUCTION ONLY DATE: H. S. REF. NO.: .... APPROVED: ., SUFFOLK CO. TAX Mi DIST. sECT. OWNERS ADDR£!J~. : DEED: L.~,t/'A . ], P.. TEST HOLE · .I,4-t6-~ (2/871--Text 12 .D. NUMBER 617.21%. Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only P~ART I--PROJECT INFORMATION (To be completed by Al:)Dlicant or Project sponsor) 1. APPUCANT/~PONSOR I ~.G,~ / 3, PROJECT LOCATION: ~ SEQR ?. AMOUNT OF LAND AF/FECTED: Initially ~ acres Ultimately __ /~ acres 8. WILL PROPOSED ACTION COMPLy WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] No If NO. describe briefly 9. WHAT IS PRESENT LAND USE IN VICINI~TY OF PROJECT? ; ~eside.tial [] I~ldustrial ~',[] Commercial E] Agric.llur, [] Pa,k/Forest/Ope. space Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAl Off FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAl., b-rATE OR LOCAL)? ..~ Yes [] No If yes, Iisi agency(si and permiuapprovals I !. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 12. AS A RESUL OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ..... '/' Da,.: Coastal Assessment Form before proceeding with this assessment OVER 1 ,, (Continued on reverse side) LL.The_N-Y-S- Environmental Quality Review Act ' of c~s ~orm, and an env~ro'nmental review will ber~r~ submission before any action is taken, th~s board SHORT ENVIRONMENTAL ASSESSMENT ~NSTRUCTIONS: (a) In order ~o answer the qUestions in this short EAF it is assumed that the preparer will use c~rrently available information concerning the project and the likely impacts of the action. It is not expected that additional studies, research or other investigations will be undertaken. (b) If any question has been answered Yes the project may be sig- nificant and completed Environmental Assessment Form is necessary. (c} I£ all questions have bee~ answered NO it is llkely that the project is no= signifieaa%t. (d) Environmental Assessmee~ 1. Will project result in a large physical change to the project site or physically alter more ~ than 10 acres of land? Yes ~/NO 2. Will there be a major change to any Unique or u~USUal land for~ on the site? _.__Yes No 3. Will project alter or have a large effect on an existing body of water? · Yes 4. Will project have a potentially large, impact on groundwater quality? ~Yes 5. Will project significantly effect drainage flow on adjacent sites~ _2._Yes 6. Will project affect any threatened or endangered plant or animal specie~? .~es ~o 7. Will project result in a major adverse effect on air quality? . Yes _~No 8. Will project have a major effect on Visual char- acter of the community or scenic views or vistas known to be importan= to the community? ~es ~No 9. Will project adversely impact any site or struct- ure of historic, pre-historic, or paleontologi=aL importance or any site designated as a critical envircnmental area by a local agency? ~es ~No 10. Will project have a m~jor effect on existing or future recreational opportunities? ~Yes 11. Will project result in major traffic problems or cause a major effect to existing transportation ' systems? · 12. Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturb- ance as a result of the project.s Operation~ ~Yes ~/No 13. Will project have any impact On public health or safety? 14.Will project affect the exiating community by directly causing a growth in permanent popula- tion of more than 5 percent over a one-year .__Yes No period or have a major negative effect on the charact~ of the community or neighborhood? l~. ~s there public controversy Concerni project? / ,,~/~ ng the . . QUESTIONNAIRE FOR FILING WITH YOUR Z.B.A. APPLICATION A. Please disclose the names of the owner(s) and any other individuals (and entities) having a financial interest in the subject premises and a description of their interests: (Separate sheet may be att~che~.) B. Is the subject premises listed on the real estate market for ~ale or being shown to prospective buyers? { } Yes {~-~ No. (If Yes, please attach copy of "conditions" of sale.) Are there any proposals to change or alter land contours? } Yes {~-No 1. Are there any areas which contain wetland grasses? ~O 2. Are the wetland areas shown on the map submitted with this application? ~/D 3. Is the property bulkheaded be~egn the wetlands area and the upland building area?~k30' 4. If your property contains wetlands or pond areas, have you contacted the Office of the To.w~_Trustees for its determination of jurisdiction? E. Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? ~O (If not applicable, state "N.A.") F. Are there any patios, concrete barriers, bulkheads or fences which exist and~ not shown on the survey map that you ~re submitting? If none exist, please state "none. G. Do you have any constructio~ taking place at this time concerning your premises? y~-~ If yes, please submit a copy of your building permit and map as approved by the Building Department. If none, please state. H. Do you ny co-owner also own other land close to this parcel? If yes, please explain where or submit copies of deeds. I. Please list present use or operations conducted at this parcel ~-~ ! ~-/L//-~//~'C and proposed use ~/~ .A~87~r ~ 2~ 0 T~gnaf~ur e and Date § 97-13 WETLANDS § 97-13 TOWN -- The Town of Southold. TRUSTEES -- The Board of Trustees of the Town of Southold. [Added 6-5-84 by L.L. No. 6-1984] WETLANDS [Amended 8-26-76 by L.L. No. 2-1976; 3-26- 85 by L.L. No. 6-1985]: ~ "~ ~ ~' · ~;~ A. ~IDAL WETLANDS: (1) All lands generally covered or intermittently cov- ered with, or which border on, tidal waters, or lands lying beneath tidal waters, which at mean low tide are covered by tidal waters to a maximum depth of five (5) feet. including but not limited to banks, bogs. salt marsh, swamps, meadows, fiats or other low lying lands subject to tidal action; (2) All banks, bogs, meadows, fiats and tidal marsh subject to such tides and upon which gro~vs or may grow some or any of the following:, salt hay, black grass, saltworts, sea lavender, tall cordgrass, high bush, cattails, groundsel, marshmallow and low march cordgrass; and/or (3) All land immediately adjacent to a tidal wetland as defined in Subsection A(2) and lying within seven- ty-five (75) feet landward of the most landward edge of such a tidal wetland. FRESHWATER WETLANDS: (1) "Freshwater wetlands" as defined in Article 24, Ti- tie 1, § 24-0107, Subdivisions l(a) to l(d) inclusive, of the Environmental Conservation Law of the State of New York; and (2) All land immediately adjacent to a "freshwater wet- land," as defined in Subsection B(1) and lying with- in seventy-five (75) feet landward of the most land- ward edge of a "freshwater wetland." 9705 2-25-85 STATE OF NEW YORK, COUNTY OF On the clay of personally came ss: , before me to me known to be the incliviclual descrihed itl and who executed the forcg()ing instrttment, and ack:wwledgecl that executed the same. STATE OF NEW YORK, COUNTY OF NASSAU ss: On the 5th day of February 19 86, before me personally came JEFFREY D, FORCHELLI to me known, who, being by me duly sworn, did depose aod say that he resides at No. 1 JDF Court., Oyster Bay, NY 11771 ; that he is the President of Bayview Land Corp. , the corporation described in and which executed the foregoing instrument; that lie knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board of directors of said corpora- tion, and tha~ he si~ed h~s n~me thereto by like order. ~ota~Y P~l'~c' ' NOTAR'/i'U~LS.: ,~ o~ New Y0r~ Bargain a.h ~ale ~h TITLE NO. T1286-0053 BAYVIEW LAND CORP. TO JA:IES R. NEESE & ELLEN 2.I. NEESE, his wife STATE OF NEW YORI(~IUNTY OF ss: On the (lay of 19 , before me personally came to me known to be the indivicltlal descril)ed in and who executed the foregoing instrument, and acknowleclgecl that executed the same. STATE OF NEW YORK, COUNTY OF ss: On the day of 19 , before me personally came I.the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me cluly sworn, did depose and say that he resides at No. that he knows to be the individual described in and who executed the foregoing instrument; tbat he, said subscribing witness, was present and saw execute the same; and that he, said witness, at the same time subscribed h name as witness thereto. Dist. 1000 SECTION 52 BLOCK 8 LOT 2. 14 COUNTYX~7~]~]~ Suffolk RETURN BY MAIL TO: STANDARD EOIL~ OF NEW YORK BOARD OF TITLE UNDERWRITERS SECURITY TITLE A~%rD GUARANTY CO/vlPANY HICHAEL HALL, ESQ. Youngs Avenue Southold, New York ziv No. 1197 CONSULT THI~ INDENTURE., made the 5th ~y of February , nineteen tmndred and eighty-six BE~N BAYVIEW LAND CORP. a domestic corporation with offices at 120 Mineola Boulevard, Mineola, New York 11501 party of the first part, and J~4ES R. NEESE and ELLEN M. NEESE, his wife residing at (no number) Oaklawn Avenue, Southold, New York 11971 party of the second part, WITNE.~I~I i~ that the party of the first part, in consideration of ten dollars and other valuable consideration paid by the party of the second part. does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvemaents thereon erected, situate, lying and being in the FOR DESCRIPTION, SEE ATTACttED RIDER ~-] ~'ECEIVFD -~ a~ ........ ./..~.~..7~ .... , REAL ~STATE TRA,"., ,:'=~'=-r v COUN ~d~i~iKg~<~[IY~Ki~}SXdq~.~I~Fa.R~i'~X~XTOGETHER wie~h the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not doue or suffered anything whereby the said premises have been encumbered iu any way whatever, except as aforesa!d. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the part3. of ,the first part ~vill receive the consideration for this conveyance and xvill hold the right to receive such consid- eration as a trust fund to be applied first for 'the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before rising any part of the total of the same for any other 'purpose, The xvord "party" shall he constr,ed as if it read "parties" whenever the sense of this indenture so requires. ~v:t~n~szscEIN'WITNESSov:WHE'REOF~ the party of the first part has, duly executed this deed ~a'~nd/ / year first above RIDER TO DEED DATED February ~ , 1986 BAYVIEW LAND CORP., as Grantor, JAMES R....NEESE and E~L__EN..~,,~NEESEaS Grantee. This conveyance is subject to all of the terms and conditions of the protective covenants recorded by the Grantor affecting the subject premises. Together with an easement over the streets as shown on the filed map for ingress and egress to the public highway, the bed of such street being reserved herein to the party of the first part for dedictation to the Town of Southold. ~ of the May 22, Being a part of the premises conveyed to the party first part by Deed dated April 25, 1985, and recorded 1985, in Liber 9795 Page 392. Said premises being known as and by Dist. 1000 Sec. 52 Block 8 , Lot 2.14 on the Land and Tax Map oZ tne County of Suffolk and as and by the street address (no number) Park Avenue, Southold, New York. This conveyance is subject to the utility easement recorded June 17, 1981 in Liber 9018 Page 550 in the office of the Clerk of the County of Suffolk. This conveyance is made in the regular course of business of the Seller. DESCRIPTION ALL that certain lot, piece or parcel of land, situate, lying and being at Southold, in the Town of Southold, County of Suffolk, State of New York, known and designated as Lot 17 as shown on a certain map entitled "Subdivision Map of Long Pond Estates, Section One, situate at Southold, Town of Southold, County of Suffolk, State of New York" and filed in the Suffolk County Clerk's Office on 12/27/1985 as Map No. 8037. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 1811~ Z Permission is hereby granted to: ............ ..~../..~..~. .................................... .: ........... at premises located .................................................~.J~,.~.!...,C~,,,.....~ ...~., County Tax Mop No 1000 Section ~ ~..~. Block c:3 I Lot No ~.' / .~... pursuant to application dated ..... ~..~.~.....~. ........................ , 19. ~. .c/. ., end approved by the Building Inspector. Building Inspector Rev. 6/30/80 FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FI~AL ADDITIONA'L COMMENTS: 765-~.802 BUILDING DEPT. INSPECTION DATE _ INSPECTOR // __._ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL REMARKS: DATE TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOU"I'IIOLD, N.Y. 11971 November 2~, 1990 TEL. 765-180,2 da~es & Ellen Neese Box 126 Southold, New York 11971 To Whom This May Concern, We are unable r.o complete your Certificate of Occupancy because .of the following reasons. _/is not on file. (ENCLOSED) _ /_~/~o Underwriters Co. rtificate on file. ////~le check i:; ~L~x~not on file. ) /_~ No Health Dept. Approval on file. /-_'/ No final insDection has been made. An application for Certificate of Occupancy $25.00 P]ea:;e contact our office Thank you for your cooperation. lluildir, g Perm.i.t i! I 8 I I 4 Btli l(i/Dep t. ***/__~/ No Plumber on this matter. :k)lder C ' ' crt.~fxcate on file. ( all permits involving plumbing being issued after April 1,1984 ) NOTK: EEFOP. E CERTIFICATE OF OCCUPANCY CAN BE ISSUED, LETTER REQUIRED FEOMARCHITECT OE ENGINEER PERTAINING TO INS[[LATION OF FLOOR. Form No. 6 TO~,~ OF SOUTBOLD BUILDING DEPARTMENT TOWN }~LL 765-1802 ! APPLICATION FORCERTIFICATE OF OCCUPANCY !' : · %. This application'must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Sworn state&ent from olumber eert~fv~n~ rh~ ~hm ~n]d.r -m!d in system contains JAMES R. NEESE 6 01 :es and similar buildings ELLENM. NEESE ~/~(~0 'chitect or engineer I $ ~©'O~ uses, or build~ngs and O'C]IOC~ ~ .~96,~'/~ eets, building and :igned by the applicant. ctor shall state the ......... dwelling $25.00, -~c=~ac~u,~ co uwez±mng %zp.uu, bwl~mlng pOOL %Z).UU, 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 - $5.00 over 5 years - $10.00 4. Updatcd Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ::~w Construction...d~ ...... Old Or ............. Pre-existing Building ............. i ..... ' L~cario. o£ Property... ] '( *' - ' House ~o. 'Street Hamle~ P 'c~.'.~ ~ ~ ~.~.~ . County Tax Hap No 1000, Section..; ~ ....... Block .... I ..... Lot.i~, It ~ .... '~' - ....... Filed ~. ~:,~-) crmit "o...liiJ.l.% ..... Date Of reit .... I...~ ........ Applicant..~..(.\~ )~ [lea/~h Dept. Approval ............ , .............. Underwriters Approval ........................ App 1 ' ""' Planning Board rove ............ .: Request ~or: .~emporary Cerriflcare ........... Final Cerricare ........... gee ~ubmirred: $ ............... : ---: ........ ~PLIC~ ' .;I-80 HD R-80 R -80