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TOWN OF SOUTHOLD, NEW YOKK
ACTION OF ThE ZONING BOARD OF APPEALS
Appeal No. 2023 Dated March 20,
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To Michael T. Burke
155 Woodcliff Drive
Mattituck, New York
DATE ....~.Q~i.l...10, lg? 5
1975
Appellant
at a meeting of the Zoning Board of Appeals on A p r i 1 10,
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
~( ) Request for a variance to the Zoning Ordinance
( )
1975 the appeal
1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph
.................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be
confirmed because 8:35 P.M. (E.D.S.T.) upon application of Michael T.
Burke, 155 ~loodcliff Drive, ~attituck, New York for a variance in
accordance with the Zoning Ordinance, Article III, Section 100-55
for permission to construct addition ,.ith reduced front yard setback.
Location of property: ~est side of Woodcliff Drive, Mattituck, New
York, bounded on the north by J.W. Duhno~sky, east by Woodcliff
Drive, south by James B. Kaminsky, ~est by D.A. Bucklsy: & Anna
Hanssn. Fee paid $ 15.
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce practical
hardship because
SEE REVERSE
difficulties or unnecessary
(b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties
alike in the immediate vicinity of this property and in the same use district because
SEE REVERSE
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would)
change the character of the district because
SEE REVERSE
(would not)
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed.
SEE REVERSE
FORM ZB4
APPROVED
ZONING BOARD OF A~:fPEALS
After investigation and inspection'the Board finds'that
the applicant proposes to enclose and extend carport to make
den or family room, three feet over the minimum required setback
of 35 feet in the front yard area. The Board finds that the
applicant has s topographical hardship because an addition to
the rear ~ould be complicated by the location of several lar9s
trees. The 8oard agrees ~ith the reasoning of the applicant.
The Board finds that strict application of the Ordinance
~ould produce practical difficulties or unnecessary hardship;
the hardship created is unique and ~ould not be shared by all
properties alike in the immediate vicinity of this property
and in the same uss district; and the variance will not change
the character of the neighborhood, and will observe the spirit
of the Ordinance.
On motion by Mr. Bergen, seconded by mr. Doyen, it was
RESOLVED Michael Burke, 155 ~oodcliff Drive, ~attituck,
Ne~ York be GRANTED permission to construct addition ~ith
reduced front yard setback as applied for on property located
at ~est side of ~oodcliff Drive, ~attituck, New York.
Vots of the Board: Ayes:- ~essrs: Gillispis, Bergen,
Grigonis, Hulse, Doyen.
LEGAL NOTICE
Notice of Hearings
Pursuant to Secnion 267 of the Town Law and the
provisions of the Amended Building Zone Ordfnance of
the Town of Southold,
be held by the Zoning
Southold, at the Town
New York, on April 10,
New York, public ~earings will
Board of Appeals of the Town of
Office, Main Road, Southold,
1975 on the fol!owi~g appeals:
8:15 P.Mo (E.D.S.T.) upon application of the Treasure
Exchange of the Southold Historical Socieny, Main Road and
Maple Lane, Southoldo. New York, for a variance .in accordance
with the Zoning Ordinance, Article Vt, Section 100-63 fo~
pemission no display merchandise outdoors. Location of
property: S/S Main Road (Route 25), Southold, New York,
bounded on the north by Main Road, east by right-of-way,
south by L. Edson; & A. Byrne; , west by other properties
of the applicant.
8:25 P.M. (E.D.S.T.) upon application of Philip
Andrews, 275 Midwood Road & 55 Eastwood Drive, Cutcho~ue,
New York, for a variance in accordance with the Zoning
Ordinance, Article III, Section 100-30 & 100-32 for
permission to construct antenna tower in excess of permitted
height. Location of property: N/E corner of Midwood Road
& Eastwood Drive~ Cutchogue, New York, Lot No. 8 of
Eastwood Estates~ Suffolk County Map No. 3683.
8:35 P.M. '(E.D'.S.T.) upon application of Michael
iT. Burke, 155 Woodcliff Drive, Mattituck, New York,
~ f~ a.~ariance ih-accordance with the Zoning Ordinance,
Article III~ Section 100-33 for permission to construct
addition with~reduc~d'front yard sgtback. Location of
Legal Notice ~ ~
property: west
York, bounded on the north by J.
Woodcliff Drive, south by James
D.A. Buckley; & Anna Hansen.
side of Woodcliff Drive, Mattituck, New
~. Duhnowsky, east by
~. Kaminsky, west.by
8:50 P.M[ (.E.D.S.T.) upon a
M. Mayer, Private Road (Munn Lan
for a variance in accordance wit
Article III, Section 100-30 C-2
t00-30 & Bulk
accessory buildinq to dwelling
setback~and insufficient area.
Private Road - R.O.W., Orient,
north by L.I, Sound, east by lan
south by Private Road [North Lar
(Sound Lane) & land now or forms
?plication of Chester
~), Orient, New York,
the Zoning ordinance,
Article III, Section
Schedule for perm~ssmon to convert existing
9:10 P.M. (E.D.S.T.) upon
Margaret Rose, Laurelwood Road
· New York, for a varlance in accoz
Ordinance, Article III, Section
for permission to construct addit
with insufficient front yard setk
N/E corner of Laurelwood Road &
New York, Map of "Laurelwood Ests
9:20 P.M. (E.D.S.T.) upon
Whitney a/c Willow Point Assoc.,
~'SDuthold, New York for a variance
nit with insufficient
Location of property:
~w York, bounded on the
t now or formerly of Knox.
e},wes5 by Private .Road
rly of Stern.
?plication of John.&
~oodside Lane, Laurel,
lance with the Zoning
00-30 & Bulk Schedule
ion to existing dwelling
ack. Location of propermy:
oodside Lane, Laurel,
res", Lot = 13.
>plication of Clinton
]nc., Willow Point Road,
in accordance with the
Zoning Ordinance, Article III, S~ction 100-30, C 6 (F)
· ' for permission t6 erect over-size
l!sign. Location of property: E/~
· liNew York, bounded on the north b3
i:~east by ~illow Point Road south
i B. Cotlison, & E. Leonard, west
d on premises residential
Bay Home Road, Southold~
Willow Point Subdivision,
py M. Lettunich, A. Glenning,
y Bay Home Road.
Legal Notice
Page -3-
9:30 P.M. (E.D.S.T.) upon application of Robert
Tabasko a/c Mattituck Motel, Bay Avenue, Mattituck, New
York for a special exception in accordance with the
~ Zon!ng Ordinance, Article III~ Sec%ion 100-30 C 6 (f)
for permission to erect off premises directional sign
Location of propermy: Land of Mill-Matt Agency on S/W
corner of Marline Lane and Main Road, Mattituck, New
!York, bounded on the north by Main Road, east by Frank
Pumi!lo, south by J. Skuro, west by Marline Lane.
9:40 P.M. (E.D.S.T.) upon application of Harry J.
Baglivi, Main Road, Peconic, New York for a special
exception in accordance with the Zoning Ordinance,
Article XIV, Section 100-141 foz permission to erect
additional on premzses szgn. Location of property:
Land of A. Rheinhardtt N/S Main Road, Peconic~ New York,
bounded on the north by Irving Newman & Another, eas~ by
Geo. Berkoski, south by Main Road, west by L.A. Gozelski.
Any person desiring to be heard on the above appeals
should appear at the time and place above specified.
DATED: MARCH 28, 1975
BY ORDER OF THE SOUTHOLD TOWN
BOARD OF APPEALS
PLEASE PUBLISH ONCE April 3, 1975 AND FORWARD NINE (9)
AFFADAVITS OF PUBLICATION TO THE SOUTHOLD TOWN BOARD OF APPEALS~
MAIN ROAD, SOUTHOLD, NEW YO~K~
Copzes mailed to the following on March 28, 1975:
The Suffolk Times
The Long Island Traveler-Mattituck Watc~hman
Supervisor Albert M. Martocchia
Southold Historical Society
Philip Andrews
Michael T. Burke
Chester Mayer
John & Margaret Rose
Clinton Whitney a/c Willow Point Assoc.
Kobert Tabasko
Harry J. Bagtivi
Legal Notice
Page -4-
9:50 P.M. (E.D.S.T.) Rehearing Amended application of
Emanuel Tsontos, 26 I.V. Willets. Road, West North Hills,
(Ro$1yn P.O.) New York for a special exception in accordance
with the Zoning Ordinance, Article V, Section 100-50,
Subsection B (3) for permission to use land zoned "C" for
multiple dwellings. Location of property:
Mattituck, New York, bounded on the north by Demchuk,
Davis, Sound Avenue, L. Yarusso, Worthington & Others;
by J. Berdinka, J. Sinko, L. Gloecker, F. Zaneski, W.
Jacko~ki & Others , and Factory Avenue; south by L.I.R.R.;
west by Walgo & Demchuk.
S/S Sound Avenue,
R.
east
Notice of Hearings
Pursuant to Section 267 of the
Town Law and the provisions of
the Amended Building Zone
Ordinance of the Town of
Southold, New York, public
hearings will be held by the
· Zoning Board of Appeals of the
Town of Southold, at the Town
Office, Main Road, Southuld,
New York, on April 10, 1975 on the
foUowing appeals:
8:15 P.M. (E.D.S.T.) upon
application of the Tv .... ~e
Exchange of *~,c S0uthold
Historical S,,,~mty, Main Road
and Maple Lane, Southold,
New York, for a variance
in accordance with the
Zoning Ordinance, Article
to display merchandise outdoors.
Location of property: S-S Main
Road (Route 25), Southold, New
York, bounded on the north by
Main Road, east by right-of-way,
.south by L. Edson; & A. Byrne;
west by other properties of the
applicant.
8:25 P.M. (ED.S.T.) upon
application of Philip Andrews,
275 Midwood Road & 55 Eastwood
Drive, Cutchogue, New York, for
a variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30 & 100-32 for per-
mission to construct antenna
tower in excess of permitted
height. Location of property: N-E
comer of Midwood Road &
Eastwead Drive, Cutchogue, New
York, Lot No. 8 of Eastwood
Estates, Suffolk County Map No.
8:35 P.M. (E.D.S.T.) upon
application of Michael T. Burke,
155 Woodcliff Drive, Mattituck,
New York, for a variance in
accordance with the Zoning
Ordinance, Article III, Section
100-33 for permission to construct
addition with reduced front yard
setback. Location of property:
west side of Woodcliff Drive,
Mattituck, New York, bounded on
the north by J. W. Duhnowsky,
east by Woodcliff Drive, south by
James B. Kaminsky, west by D.
A. Buckley; & Anna Hansen. ~
8:50 P.M. (E.D.S.T.) upon
application of Chester M. Mayer,
Private Road (Munn Lane),
Orient, New York, for a variance
in accordance with the Zoning
Ordinance, Article III, Section
100-30 C-2 & Article III, Section
100-30 & Bulk Schedule for per-
mission to convert existing ac-
' cessery building to dwelling unit
with insufficient setback and
insufficient area. Location of
property: Private Road--
R.O.W., Orient, New York,
bounded on the north by L.L
Sound, east by land now or for-
merly of Knox, south by Private
Road (North Lane), west by
Private Road (Sound Lane) &
land now or formerly of Stem.
9:10 P.M. (E.D.S.T.) upon
application of John & Margaret
Rose, Laurelwood Road &
Woodside Lane, Laurel, New
York, for a variance in ac-
cordance with the Zoning Or-
dinance, Article III, Section 100-
30 & Bulk Schedule for per-
mission to construct addition to
existing dwelling with in-
sufficient front yard setback.
Location of property: N-E corner
Of Laurelwead Road & Woodside
Lane, Laare~, New York, Map of
"Laurelwood Estates'!, Lot No.
13.
9:20 P.M. (E.D.S.T.) upon
application of Clinton Whitney a-
c Willow Point Assoc., Inc.,
Willow Point Road, Southuld,
New York for a variance in ac-
cordance with the Zoning Or-
dinance, Article III, Section 100-
~0, C6 (F) for permission to erect
over-sized on premises
residentia~ ~gn. Location of
property: , Bay Home Road, -
Southuld; New` York, bounded on
'.he north by Willow Point Sub-
division, east by Willow Point
Road, south by M. Lettunich, A.
Glenning, B. Collison, & E.
Leonard, west by Bay Home
Road.
9:30 P.M. (E.D.S.T.) upon
application of Robert Tabasko a-
c Mattituck Motel, Bay Avenue,
Mattituck, New York for a
special exception in accordance
with the Zoning Ordinance,
Article III, Section 100-30 C 6
for permission to erect off
premises directional sign.
Location of property; Land of
Mill-Matt Agency on S-W comer
of Marline Lane and Main Road,
Mattituck, New York, bounded on
the north by Main Road, east by
Frank Pumillo, south by J.
Skuro, west by Marline Lane.
9:40 P.M. (E.D.S.T.) upon
application of Harry J. Baghvi,
Main Road, Peconic, New York
for a special exception in ac-
cardance with the Zoning Or-
dinance, Article XIV, Section 100-
141 for permission to erect ad-
ditional on premises sign.
Location of property: Land of A.
Rheinhardt, N~ Main Road,
Peconic, New York, bounded on
the north by Irving Newman &
Another, east by Geo. Berkoskl,
south by Main Road, west by L.
A. Gozelski.
9:50 P.M. (E.D.S.T.)
Rehearing, Amended application
of Emanuel Tsontos, 26 I.V.
Willets Road, West North Hills,
(Roslyn P.O.) New York for a
special exception in accordance
with the Zoning Ordinance,
Article V, Section 100-50, Sub-
section B (3) for permission to
use land zoned "C" for multiple
dwellings. Location of property:
S-S Sound Avenue, Mattituck,
New York, bounded on the north
by Demchuk, R. Davis, Sound
Avenue, L. Yamsso, Worthington
& Others: east by J. Berdinka, J.
Sinko, L. Gloecker, F. Zaneski,
W. Jackowski & Others, and
Factory Avenue; south by
L.I,R.R.; west by Walgo &
Demchuk.
Any person desiring to be heard
on the above appeals should
appear at the time and place
above sp~ified.
Dated: March 28, 1975
By Order of the
Seutho~,J Town
Board of Appeals
1TA3
COUNTY OF SUFFOLK, ~
STATE OF NEW YORK, ~ ss:
J
........ %~.r~, ~ .. Do~'m~5 ........... being duly
says that ...be.. is Printer and Publisher of ~e SU
WEEKLY TIMES, a news~per publish~ ~ Gr~n~rt,
county; and ~at the noti~, of which ~e ~e~ is
~py, ~s ~en published in the ~d Suf~lk Week~
once in each w~k, ~or ...........................
suc~ssively commencing on ~e ...................
day of ....
19.
Sworn to ~fore ~e this . ..
LEGALNOTICE
NoticeofHearings: ~ ~
Pursuant to Section 267 of th~
Town Law and the provision s of th~
Amended Building Zone Ordi~
nonce of the Town of Southold,
New York, public hearings will be
held by the Zoning Board at
Appeals of the Town of Southold,
New York, on April 10, 1975 on the
following appeals:
8:15 p.m. (E.D.S.T.) upon ap-
plication of the Treasure Exchange
~f the Southold Historical Society,
dain Road and Maple Lane,
iouthold, New York, for a variance
m accordance with the Zoning
Ordinance, Article VI, Section
100-63 for permission to display
merchandise outdoors. Location of
property: S/S Main Road (Route
25), Southold, New York. bounded
on the north by Main Road, east by
right-of-way, south by L. Edson; &
A. Byrne; west by other properties
of the applicant.
8:25 P.M. (E.D.S.T.) upon ap-
plication of Philip Andrews, 275
Midwood Road & $$ Eastwood
Drive, Cutehogue, New York, for a
variance in accordance with the
Zoning Ordinance, Article Ill,
Section 100-30 & 100-32 for per-
mission to construct antenna tower
in excess of permitted height.
Location of property: N/Ecorner of
Midwood Road & Eastwood Drive,
Cutchogue. New York, Lot No. 8 of
Eastwood Estates, Suffolk County
Map No. 3683. ~
8:35 P.M. (E.D.S.T.) upon ap-
plication of Michael T. Burke, 155
Woodcliff Drive, Mattituck, New
York, for a variance in accordance
with the Zoning Ordinance, Article
i III, Section 100-33 for permission
to construct addition which re-
duced front yard setback. Location
! of property: west side of Woodcliff
i Drive, Mattituck, New York,
bounded on the north by J.W.
Duhnowsky, east by Woodcliff
Drive, south by James B. Kam-
insky, west by D.A. Buckley; and
Anna Hansen.
8:50 P.M. (E.D.S.T.~
plication of Chester M. Mayer,
Private Road (Munn Lane), Orient,
New York, for a variance in
accordance with the Zoning Ordi-,
nauce, Article 111, Section 100-30
C-2 & Article III, Section 100-30 &
Bulk Schedule for permission to
convert existing accessory build-
ing to dwelling unit with insuffici-
ent setback and insufficient area.
Location of property: Private Road
- R.O.W., Orient, New York,
bounded on the north by L.I.
Sound, east by land now or
formerly of Knox, south by Private
Road (North Lane), west by Private
Road (Sound Lane) & land now or
formerly of Stern.
9:10 P.M. (E.D.S.T.) upon ap-
plication of John & Margaret Rose,
Lau relwood Rd. & Woodside Lane,
Laurel, New York, for a variance in
accordance with the Zoning Ordi-
nance, ArticleIll, Section 100-30&
Bulk Schedule for permission to
construct addition to existing
dwelling with insufficient front
yard setback. Location of property:
N/E corner of Laurelwood Road &
Woodside Lane, Laurel, New York,
Map of"Laurelwood Estates", Lot
#13.
9:20 P.M. (E.D.S.T.) upon ap-
plication of Clinton Whitney a/c
Willow Pont Assoc., Inc., Willow
Point Road, Southold, New York
for a variance in accordance with
the Zoning Ordinance, Article Ill,
Section 100-30, C 6 (F) for permis-
sion to erect over-sized on
9:30 P.M. (E.D.$.T.) upon ap-
plication of Robert Tabasko a/c
Mattituck Mc Bay Avenue,
Mattituck, New s ark for a special
exception in accordance with the
Zoning Ordinance, Article I11,
Section 100-30 C 6 (f) for per-
mission to erect off premises
directional sign. Location of pro-
perty: Land of Mill-Matt Agency
on S/W corner of Marline Lane and
Main Road, Mattituck, New York,
bounded on the north by Main
Road, east by Frank Pumillo,
south by J. Skuro, west by Marline
Lane.
9:40 P.M. (E.D.S.T.) upon ap-
plication of Harry J. Baglivi, Main
Road, Peconic, New York for a
special exception in accordance
with the Zoning Ordinance, Article
X1V, Section 100-141 for per-
mission to erect additional on
premises sign. Location of pro-
perty: Land of A. Rheinhardt, N/S
Main Road, Peconic, New York,
bounded on the north by Irving
Newman & Another, east by Geo.
Berkoski, south by Main Road,
~west by L.A. Gozelski.
9:50 P.M. (E.D.S.T.) upon ap-
plication of Emanuel Tsontos, 26
1.V. Willets Road, West North
Hills, (Roslyn P.O.) New York for a
special exception in accordance
with the Zoning Ordinance, Article
V., Section 100-50, Subsection B
(3) for permission to use land zoned
"C" for multiple dwellings. Loca-
tion of property: S/S Sound Ave-
,ue, Mattituck, New York, bound-
d on the north by Demchuck, R.
lavis, Sound Avenue, L. Yarusso,
¥orthington & Others; east by J.
lerdinka, J. Sinko, L. Gloecker, F.
',aneski, W. Jackowski & Others,
nd Factory Avenue; south by
,.1.R.R.; west by Walgo & Dem-
huk.
Any person desiring to be heard
the above appeals should
tppear at the time and place above
~pecified.
)ATED: MARCH 28, 1975
BYORDEROFTHE
SOUTHOLD TOWN
BOARD OF APPEALS
1T-4/3
ZOUNTY OF SUFFOLK [ ss:
STATE OF NEW YORK J
Sherley Katz, being duly sworn, says that she is an
Editor, of THE LONG ISLAND TRAVELER ~ MATTITUCK
WATCHMAN, a public newspaper printed at Southold,
in Suffolk County; and that the notice of which the
annexed is a printed copy, has been published in said
Long Island Traveler-Mattituck Watchman once each
week for ............ ........
O '
successively, commencing, on the ............... .~O..~..' ...........
Sworn to before me this ....... ~ ............ day of
......
.~ FOI~[ NO. 3 ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
File No .................................................................. Dote ........................................................ , 19 ....... ~ ~-
.......... ~~.~ .......... :~.~...
PLEASE TAKE NOTIC~E t~plication doted ............... ..~.~ ~hC}, 19~ ~
· ~... ~ .~.-~
for permit to construct .... :.....: ......... 3! ................. ~t the p r~/~ ~
Map .............. .,..~.. ............... Block ........ ~ .............................. Lot .~, ......................................... is
r~ disapproved on the following grounds ~- ~ ~
......... .......................................................................................
Building Inspector
TOWN OF SOUTHOLD, NEW YORK
APPEAL FROM DECISION OFE ,BUILDING INSPECTOR
Name of Appeilc~nt ' Str~~ and Number
.......... ............................ ..................... ^PP ,L TO
! M.nicipality (3'tclte t )
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDIN~ ~NSP¢CTO.D ON
..................................... ...........
~VHEREBY THE BUILDING INSPECTOR DENIED TO ~' /
Name of Applicant for permit
of
Street and Number Municipality State
f~ ) PERMIT TO USE
(i ) PERMIT FOR OCCUPANCY
PROPERTY
11 LOCATION OF THE ..................................................................... .~_.~...~ ..................
Street Use District on Zoning Mop
'i~'~'~"~;; : ........................................ i';;~"~;;: ..............
2. PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
3. TYPE OF APPEAL Appeal is made herewith for
A VARIANCE to the Zoning~ :~ Ordinance or Zoning Mop
~A VARIANCE due to Jack of access ~State of New York Town Law Chap. 62 Cons. Laws
Art. !6 Sec. 280A Subsection 3
PREVIOUS APPEAL A previous appeal 0'~has not) been maae with respect to this decision
~the Building Inspector or with respect to this property.
SL~ch appeal was ( ) request for a special permit
( ) request for a vanance
and was made in Appeal No ................................. Dated .....................................................................
REASON FOR APPEAL
) A
Variance to Section 280A Subsection 3
A Variance to the Zoning Ordinance
)
(iJ requested for the reason that: )V/,P-~ ~/~4
(Continue on other side)
REASON FOR APPEAL Continued
1. STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or/~nneces-
sary:HARDSHIP because . ~j./ m~_.~.~__ ..~.¢_..~. -~, _~
vicinity of this property and in this use district because
The hardship created is UNIQUE end is not shared by all properties alike in the immediate
/
CHARACTER OF THE DISTRICT because
The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE
STATE OF NEVV YORK . )
,_..T ffizx, d(- ss
COUNTY ~.4r~ ) ¢ Signature
Sworn to this ......................... ~. ....... day of ......... ~.....~...'~%.,...,~... ........
Notary Public
TOWN' OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ......................................... 19; .......
Approved ......................................... 19 ........ Permit No .....................................
Disapproved a/c ............................................................................................
Application No .................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ............... ~.(..~......~... ........ ,
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in ti'iplicate to the Building
Inspector, w~ith 3 sets of plans, accurate plot plan to scale. Fe~ according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets oF
areas, and ~Iving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.
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 permit
shall be kerr 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 ef Occupancy
shall have bben granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of ~ Building Permit pursuant to th.e,
Building Zohe Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o.
Regulations, for the construction of buildings, additions ar alterations, or for removal or demolition, as herein described.
The applicaht agrees to comply with all applicable laws, ordinances, building code, housing code, and ragu at ohs, and to
admit authorized inspectors on premises' and in buildings for necessar~ inspections.
State whetJ~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
If appJican~ is a corporate, signature of duly authorized officer.
Builder's License No .....................................................
Plumblrs License N
ElectriCian's License No .............................................
Other Trode's License No ................................. ; .............
Location of land on which proposed work will be dgne,~ /~p 1~.: ..~O~J~.(~'. ............ ~...;.,Lgt Ng.-.~-(L~?C~?..~.. ~.~.. ......
........ .......... ....... ........... .......................
Street
and
Number
Municipality
State existing use and occupancy of premises and int~ded use and occupancy of p~roposed construction:
b. Intended use and occupancy ......
3. Nature of work (check which ~plicable) New Building~. ................. ~ Jtion ...... ~' ./........ Alteration ................
Repair .................. Removal .................. Demolition .................... Other Work ....................................................
..~..~...~... ~ (Description)
4. Estimated Cost ............................................................ Fee ..............................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....... Z ................. Number of dwelling units on each floor .... , ......................
If garage, number of cars .............................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of,~::~jsting structures, if any: Front ...... ~.~.~.. ............Rear ...... '~'......~.. ................ Depth
Height ...... Z¢ ......... Number of Stories ......... ~ ....................................................................................................
Dimensions of same structure with alterations or additions: Front ........... ,.~..~....o: ............ Rear ..... ;~.. ...............
Depth ..... '~.~ ................. Height ...... ~...~.. .............. Numoer of Stories .......... ~ ..................
8. Dimensions of entire new construction: Front ......... ./,.~. .................. Rear ............................ Depth ..... .~.. .............
Height ...... ../.~... ...... Number of Stories /
9. Size of lot: F~ont ................ ./..~.....~.'. ............................ Rear ............... .E¢....~...O_ ......... ~ Depth ....... ./..~.~--~'.
10. Date of Purchase .......... J.,..c~...Z.../..:T...7~,~ ................ Name of Former Owner ..... ..~...4¢..~.,A~../..~..: ......................
11. Zone or use district in which premises are situated ....... ./~...~./...'.~....~.,~{...7Z.../...~...~.. ............... Z .................................
12 Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded ... ~f~.~. ............ Will excess fill be removed from premmes: ( ) Yes
14. Name of Owner of rem~ses ¢/..4:4~.~.,~ ?Z_ ~..r,¢,.___________________~.~.. ' Addre ~ ..... -~'/'2-A¢
p ' ~.' ................................... ss ...'¢,,4.¢~..¢.~1¢.Z.~.¢../¢/~ Phone No..¢..~....~...~/~
Name of Architect .............................................................. Address ................................ Phone:No .....................
Name of Contractor ............................................................ Address .............................. Phone No
PLOT DIAGRAM
Locate clearly and distinctly all buildings;-whether existing or proposed, and indicate all set-back dimensions from
property lines. Gi.v~lock numoer or description according to deed, and show street names and indicate
whether interior or corner lot. ¢ ''
STATE OF NIEW/AZtDR)~.,,,~ [ S S '
COUN~ OF~/~..~% ~~ ~ ~ ~ ~
...............................~~l~~signing contr~cf) ............ being duly sworn, deposes ~nd s*ys that he is the
above named.
He is the .................................
(Contr~ctor, O~ont, corporoto off cot etc.)
of soid *wrier or owners, ond is duly outhorized to ~erf~rm or h~ve performed the said work ond 1o m*ke
this application; that ali statements contained in this application are t~e to the best of his knowledge and belief;
that the work will be performed in the manner set foffh in the application filed therewith
Sworn to ~f~re me this
· .................
COUNTY OF SUFFOLK
Pr°perry Tax ser¥;ce Agency