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Home My WebLink About23302-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24492 Date JULY 11, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1605 POINT PLEASANT ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 1 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 28, 1996 pursuant to which Building Permit No. 23302-Z dated MARCH 15, 1996 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR &. AS PER ZBA #4381. The certificate is issued to LARRY RAPPAPORT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-390002 - JUNE 28, 1996 PLUMBERS CERTIFICATION DATED JULY 9, 1996 - HARDY PLUMBING & HEATING Bu' ding Inspector Rev. 1/81 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) Date............ ... ................................. l g.. NR 23302 Z Permission Is hereby granted to: .� .... ............... s r !/�- .....l1,P.7 ................. /...a to ...��: � ..,....... ....... /.... ........ ........ ...... l ...J�r....... .... i. 1..............:. ..... .... ...... ,r... ...........� ..... / A.A �� .................................................................................................................................................................. .............................................................A......................I d. ...................................................................... at premises located at..........16of ......P.. ... � . .... .............................. ..................................... ...... . ............ County Tax Map No. 1000 Section ...... . .`�........... Block......4VI.......... Lot No. ..I......./............... pursuant to application dated ......... r ...o�4.................... 1 g.....Kfe..., and approved bythe Building Inspector. Fee$....... .............. ........ ............... .. ........................... B 11tling Inspector Rev. 6/30/80 1 Form No. 6 . TOWN OF SOUTHOLD J - �--I i BUILDING DEPARTMENT �•, JUL 119�6 I }{i TOWN HALL J 765-1802 ti k BLDG.DEPT. APPLICATION FOR.CERTIFICATE OF OCCUPANCY ', -,O%AW OOF SOl1THOLD J A. 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 statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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) non-conforming uses;' or buildings and '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildins - $100.00 3. Copy of Certificate of Occupancy - .25 , 4. Updated. Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . ./ Old Or Pre-'existing Building. ... .: �. . .... Location of Property. . . . �oS: . . , . . .!� .l��r✓�y. °�C� . . . . . . . . . . ./, . .Ccc? /uc<c. . . . . . . House No. // Street Hamlet Onwer or Owners of Property. . . .:`.~Y. . ': � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J County Tax Map No 1000, Section. . .�� . . . . . .Block. . . .®Y . . . . . . . .Lot. . �. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . .':. . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �... . . . .Date Of Permit. . .?1�r —Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . .,V. . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cert" ate. . . . . . . . Fee Submitted: $. . . . . . . . . ... . . . . . . . . . . . . . . . . . . �•• n �// . . . . . . . . . . . . . . . . . . . .CC.�. . r� U. . . .: -. Q�{,• 5151 1�i APPLICANT APPEALS BOARD MEMBERS h�0 Gym Southold Town Hall Gerard P. Goehringer,Chairman � nz, 53095 Main Road Serge Doyen,Jr. ,J+, ® �'� P.O. Box 1179 James Dinizio,Jr. �Ol �`a� Southold, New York 11971 Robert A. Villa Fax(516)765-1823 Lydia A.Tortora Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD June 4, 1996 Mr. and Mrs. Larry Rappaport P.O. Box 1692 1605 Pt. Plesant Road Mattituck, NY 11952 Re: Appl. No. 4381 - Variance (Corner of Porch) Dear Mr. and Mrs. Rappaport: Please find enclosed a copy of the determination rendered by the Board of Appeals at our May 29, 1996 Regular Meeting concerning your variance application. A copy of this determination has also been furnished to the Southold Town Building Department pertaining to the pending building permit amendment request. However, it will be necessary for you (or the owner) to contact the Building Department (765-1802) to be sure all your permit application papers are in order before continuing with this project. Also, due to the proximity of this project within 500 feet of a waterway, State or County Road, the Town is required under the Suffolk County Administra- tive Code to transmit a duplicate file of the variance request to the Suffolk County Department of Planning for their determination. It is expected that their agency will not have objection and will forward written comments directly to you. Very truly yours, Enclosure Linda Kowalski r' Co ies of .Decision to: Building Department r� Suffolk County .Department of Planning 1 JUN _ 6 1996 i BtBG "` r---`wN-GF S��'TF pLn 0 APPEALS BOARD MEMBERS o Southold Town Hall Gerard P. Goehringer, Chairman `r' z 53095 Main Road� ny Serge Doyen, Jr. „j„ 0 ��^ P.O. Box 1179 James Dinizio,Jr. �Ol99 Sao Southold, New York 11971 Robert A. Villa 4-, Fax(516) 765-1823 Lydia A.Tortora '; Tel X ho ne (516) 765-1809 ��__ BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF FINDINGS AND DETERMINATLO';l, 199 APPL. #4381 DATE ADOPTED: May 29, 199 APPLICANTS: LARRY and LINDA RAPPAPORT. LOCATION OF PROPERTY: 1605 Pt. Pleasant Road, Mattituck. R .< COUNTY TAX MAP DISTRICT 1000, SECTION 114, BLOCK 1, LOT #5.1. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated April 30,. 1996: "Insufficient side yard. . ."as built". PROVISIONS APPEALED FROM: Article IIIA, Section 100-30A.3 RELIEF REQUESTED: Triangular section of porch addition, at 2.5' x 8' (approximately 10 sf. total building area) as shown by the May 7, 1996 updated survey. Building permit issued under #23302Z March 15, 1996• indicated an unclear, illegible setback distance, based upon copy of survey submitted by builder-contractor. MOTION MADE BY: Gerard P_ Goehringer SECONDED BY: Serge J. Doyen ACTION/RESOLUTION ADOPTED: Granted corner of porch as shown on survey dated May 7, 1996, subject to the planting of four additional evergreens along this northerly side for screening purposes, and continued maintenance by the applicant, or subsequent property owners. REASONS/FINDINGS: Although the relief requested is self-created, the 2.5 variance is minimal, for a 12.5 ft. setback instead of the required 15 ft. side yard per code. Continued construction under BP 423302Z, and all other zoning regulations shall be complied with. No physical change in the. appearance or character of the area will be affected with the additional screening agreed to be added by the property owner. VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member Robert A. Villa, Member Lydia A. Tortora, Member James Dinizio, Member Gerard P. Goehringer, Chairman/Member J- This resolution was unanimously adopted. ZBA : LK GERARD P . GOEHRI GER ZBA CHAIRMAN TEL. 76 3-1802 CUl TOWN OIL SOUTHOLD OFFICE OF BUILDING INSPECTOR. P.C. ISO:' 128 TOIVN I...LL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Dat Building Permit No. Owner (p ea e p int) PlumberL_Y�, (please print) ( I certify that the solder used -n the water supply system contains less than 2!10 of to lead. (plumber 's signature) Syqrn to before me this day of JUI 19 q L? Jotar P • blic I Public Nota_: Pvh_ic, Coun:.y MELANIE V.BROWN N*q t'r k Slab of Nei Yak No.4SM12 Qwdu In&&&C=q Commkft Expkt Oct.19,19 obi 3 3 0a-Z, CO 2-24 Ll THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000121 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NY 10038 Date J-Itggz 2S'1996 Application No.on file 1186 1996/96 X 350002 Agnum THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of L:1.RRY RAPPAPORT, 1605 POINT PUMANT ROAD, NATTITUCIN, N.Y. in thefollowing location; ❑ Basement s`' lst Ft. ❑ 2nd Ft. .Section Block Lot was examined on JUNE 24,1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENTI.FLUORESCENT I OTHER AMT. I K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 15 PO 15 1 ' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. I H.P. NO.OF FEET AMT. WATTS 1 600- SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP 1-0'2W 1 AF 3W 3%3W 3.0'4W F C . OF CC.COND. NO.OF HIAEG OF W. NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: PADDLE FAN-1 I CITORS:1--F H.P. nn i�iqT-r pp�� 77��YYTY7}��Ay,Yy 77��T-r/� oc��7 r� 1 kAULt R. BURNS LIC.f}3891 L ` � L L P.O.I ox 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER y� Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. T , S, o( `Fo ctl 1;v t j —7 (q,6 The Guardian The Press,Fishman,Rappaport Agency 888 Seventh Avenue/Suite 201 New York,NY 10106 212/541-8800 6T� Larry Rappaport,CLU,ChFC G(„} � � �S � General Agent cow rt (i coo o Sec- Lot S I � c J� CK d C'J Cx C� Tor Keck I 799� Fr- JUG l 0 gA The Guardian Life Insurance Company of America 0 Est. 1860 1 :�O SURVEY OF LOTS 13,146P101Z e, vo MAP OF POINT PLEASANT" cS- AT MATTITUCK 1 �s TOWN 0L0 \ ,\, P10 TILED MAY17,1916 NO. 720 Ot l SUFFOLK COUNTY, N.Y: PSG o� 0 3 •. j ' •oon o 1000-114- 01-5.1 s � 01 SCALE 1"= 40' L ro May 7, 1996 \ , I < f m ' 4 In - 14Iz 00LOi 1 I \ Q j,j �I 593.12 LOT 15 �PZE OF ryfPI �,I S oNH i.Mp or�99 uk •ANY ALTERATION OR AOOITNJN TO TMS SURVEY AS A MATIQV OF SECTION MY OF THE IEV YORM STATE EDUCATXAV LA►• 'l EXOEPT AS PER SECTm AVS-.Z MWSpV 2 ALL CERTAA,`l KS NEREON ARE VALID FOR THS YAP AND COPES THEREOF OMY 6 ItD S W SAID YAP OR LOPES HEAR T1E MWSSEO SELL OF THE SURVEYOR 51' 9a" WHOSE SQU 7URE APPEARS HEREON 1C.N0.49618 N H7� ADDITIONALLY S7 BE LIAR Y�LAID/TH ALLL.SLRLAW ORS UTTXRM'ALTEIMD COPY PECONIC SUR EYORS,F.C. AREA = 2.5631 Acres 10 lie lines OF ANOTHER SURVEYOR'S YAP. TERMS SUCH AS•RSPECTEO•ANO 016)765-5020 •SROVGHT-rO-AAW ARE NOT N COW�MNCE WITH THE LAW. _n BOX 909 1230 TRA VELER STREE7 • /G) CONTOUR LINES ARE REFERENCED SOUTHOLD, N.Y. 11971 WESTPHALIA ROAD TO N.GV DATUM. R7 _ Q71 I 1,t !• L , JUL 1 0 1996 ' i. LraL3c. D�PT. � SOUT TOWN OF� k)LD SpFFO[�c o C* = Town Hall,53095 Main Road p • Fax (516)765-1823 P. O. Box 1179 y� �� Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 28, 1996 Harrington & West 665 Goose Creek Lane Southold, NY 11971 RE: Larry Rappaport - SCTM#1000-114-1-5 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23302-Z Please contact our office- on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEFT. INSPECTION FOUND ST [ ] ROUGH PLBG. `FOIiND)iT N 2 D [ ] INSULATION I 1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �v� DATE INSPECTO r6s-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ]�RGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � INSPECTOR T65-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ---ROUGH PLBG. [ ] FO NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY s REMARKS: DATE 67 INSPECTOR I(lit'UltT DATE �— (;UFItICtI'1'Si I� FMINDAT I Off ( I:;T) -- I I -- --- ------ I I 'our+nn'rlorr �l I 6 -------- ----- ----- ---------------- Itt)I1(:II I�ItAFft; PLUMB I NC I "1 H Zs l INSULATION rl:u If. Y . STATE liFllil((;Y I � r rlllnl. o ADDITIONAL=COHHI3U'rSc=_==a=vC��==_____— ---- . f-I u FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ' DATE: . . . . .. . .. ... To ..Larry_Rappaport. . . .. .. . . .. . . . . ... . . . . . 692 . . . .. ..Bog_ . .. . . • . . . . . . . . . . . . . .. . . . . . .. Mattituck, N.Y. 11952 . ...... ........ .. . . . ..... . . . . .. ... . . .... A ril _24: . . :. . .. PLEASE TARE NOTICE that your application dated . . . . .�. .. for permit to _CONSTRUCT.A_PORCH_ADDITION. . . . . . .. . ... ... . ... .. .. . .. . . . .... . . .. . at Location of Property . . 1605,POINT.PLEASANT_ROAD. . . . . . . . .. . ..MATTITUCK% .N..Y. _ . __ .. . House No. Street . .. . .Hamlet County Tag Map No. 1000 - Section . . . 114..... BLOCK .. .01. . . . . . LOT .. . .95. . _. __ . Subdivision . . . .. ... .. . . . . .. . .. . . . . . .. . . . . . Filed Map No. ... . . . . ..Lot No. . . . . . . . is returned herewith and disapproved on the following grounds . .AN.INSUFFICIENT.SIDE_ _ _. __ _ YARD SETBACK IN AN R-40 ZONE. THIS IS AN "AS BUILT" CONDITION. THE SURVEY . . .. . . ... . . . .. . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SUBMITTED WITH THE BUILDING PERMIT APPLICATION INDICATED WHAT APPEARED TO BE--A 251 . . .. . . . . . . .!. . . . .. .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . ... . . . .. . . . . . .. .. . .. . .. . . . . . . SETBACK. UPON A VISUAL INSPECTION OF THE SITE A 12' SETBACK NOW EXISTS. ACTION . . . .. . . . . . . .. .. . . .. . .. . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . .. . . . . . . ... .. .. . . . . . . . . . . .. . . . . . . . . . . . . . REQUIRED BY THE ZONING BOARD OF APPEALS. . . . . . .. . . .. ..... . . .. . . . . . . . . . . . .. . . . . . . . . .. .. . . . ... . .. . ... . . . . . . . .. . . . . . . .. .. . . . . . . . . . . . . . . . . .. . . .. . .. .. . .. . . .. .. . . . . .. . . . . .. . . . . . ...... . . . . . . .. . . . . .t. .. . . .. . . .. . . .. . .. . .. . . . . . . . . . . . . . . .. . . ... . . .. . . . . . . . .. . . . . . . . . . . .. . . . . . . . . ... . . ... . . ... . . . . . .. . . . . . . .. ... . . . . .. . . . . . .... . . . . . . . . . ... .. . . . .. ... .. . . . . . . . . . . . . . . . . . . . . . . . . . .. ... . . .. .. .. . . .. . .. . . . ... . .. 4.. . . . .. . . .. . . . . . .. . . . . . . .. . . .... . . . . . . . . . ... . .. .... . . . . .. .. ..... . . . . .. ... . . . .... . .. . . .. . . . . . . . . . . . . . . .. . . . . .. . . . .. . ... . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . .. . . .. . . . . . .. .. . . . . . . .. . .. . . . . . ... .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . .. . . . . .. . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . ... . . . . . . ��:. . . . . . . . . . . . . . . . BU D G NSPECTOR- G J. FISH RV 1/80 i W SURVEY OF LOTS 13,14a P/0I2 MAP OF POINT PLEA SAIVT" AT #ATrtrucx ,�✓ s i a > rvWN of sourNOLD , $'t`' .� s 'a y -i Frtr:D idtrr7.191b Md. 720 SUFFOLK couNrv, m.r. �� r �� p'° CL dtHltr 19,J9tdT / LOT 7- - AtPR. 14 89 t snrD.t �p fA 7' M, t8E9 f revir+ian 1 , � < m . 'R r rp rs+rx�ccrf.{icrl�v��ear+deR. f, �',. R lf) 1p ZrLo llS as all LL Lr) It LD Lil J'r 2r tt 20 to m Frsrperedk tceardsmi,with th.A*Jifiw vvw _.9 CbRYMM For b�arTAttr i oc4ibt w lHx Yarn Srrra Lind ial a. : ,r' �r 1r ARfA: 2_ � �StAy�fOgCT r► J,V ;Y' ��`Illforrsa hr fMtliaa)' LE d�.� $Arm' �• �/� f:.�. iN+ Na 4 i 21 \� \� 24 11a�20Ar0 e r' all i is zz CQAtfC 3'ibP Y81'QRSS P.f� ,. i i'f`;yy,, lti'ES TPNA L!A ' `� �40 �w a y�u txcs ++rt ArFtacMeca brAOf'-ff0.lB � _ scxrrxo�Q Nr_ rrsrr .�r' BOARD OF HEALTH . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: . CALL AT*:_'�✓-�7<;S-9•z/Y Examined.....fl ...., 19.C.� MAIL TO:,�<--.S-- .oz-u-�=�� Approved.......�,1! ...., 19-76-' Permit No. ..�` 3©,... ........... Disapproved a/c .................................. ........................ ................................................... . r� 4K7� Z17iip c.or) 6 APPLICATION FOR BUILDING PERMIT Date. . �.. . . . . . . . . . , INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wits 3 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 giving a detailed description of layout of property 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 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 Occupancy 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 caTly with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..... -:-°. ........... (Signature of//applicant, or name, if//a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ ................ . ... ............................................................ Nana of owner of premises ........................................................... as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nave and title of corporate officer) _ FEB 2 8 1996 Builders License No. .......... ^ BLDG.DErtT 9"�9 Plumbers License No. ......................... 0WPJ Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be donee........,.............)............................................ House Number Street Hamlet County Tax Map No. 1000 Section ........ Block ..4� ......... Lot ..0............ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .............................................. hi. J b. Intended use and occupancy ....................................:'-1r+•e.,'s.7a}�: .a.F. ., ............. !,J we,!'} fit•:i i � �T,fl- 3. Mature of (,Fork (dheck widd► applicable): New Ikhildinl; .......... Addition Alteration .......... Repair ............ Removal ............. Demlitioil ............ Other Work .................................. �+ (Description) 4. Estimated Cost .....e ........ fee .............................................. (to be paid on filing this application) 5. if ck4elling, rxnhber of dwelling units ............ timber of (haelling units on each floor ................ If garage, rxnhber of cars ...................................... G. If business, cemnercial or mixed occupancy, specify nature and extent of eadh ,type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileigtht' ......................... Nuhlher of Stories ....�............... Dimensions of sane structure with alterations or cklitions: Front ............... Rear ............... Depth ......--•--......... lieiglht ........... Umber of Stories ....._... B. Dimensions of entire new construction: Front Rear .r y.r.... Depth �S .�..... lieil)ht ........ ze............ Nhniluer-oE Stories ....... ............. 9. Size of lot: Front ......... Rear .... .......... Depth ... �Y�.......... 10. Date of Purchase ..................... Name of Former Owner ........................................ i 11. Zone or use district in uhidh premises are situated .......................•...................................... 12. Does proposed construction violate any zcxuing law, ordinance or regulation: ........................ t 13. Will lot be regraded .......... ill excess Fill be reuxwed ffir(xn premises: YES 1U M. Nimes of Owner of premises .G'... Address r r ,..- Phhone No. Name of Ardhitect ..... .. ...��........ Address .............................. Phone No. . 01 Nine of C)ntractor . ... .. .I'Ihone.... Acklres f a e rl* r C? No. ,15. Is this property within 300 feet of a tidal wetland? * YES .... ... NO .......... *IF YE.S, scunriii) 7C1m 9RUS'mi s PERMCr MAY BE RE(viffil). PLOT DIAGRAM lncate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions Fr(nh property lines. Give street and block nnber or description according to (feed, and show street names and indicate sAhetlher interior or corner lot. (V NIiW YORK, (� SS :XX]NIY OF .. .........................beifillg (July sworn de xu Y I ses aril says Lhat he is Lite appLicanL' (N.-tine of irxlivi( signing contract) alxuve rk-mhed, 11eis the ............ ... ............................................... ...... MxitracLor, agent,'corporate officer., etc.) of said (mx--r or owhx�rs, aril is duly authorized to lherfonn or have Ix-r.fonird Lhe said work mid to nrd(e aril file Lhis application; that all statements contained in this application are tnue to die best of his k(x)al.edle and lx%'Hef; and that Llhe work will be perf:onned in die nacmher set forth in the application filed therewith. Sworn to before im this ....... L .. ..19...(P... Nol:ary ['ublic .. ............... .. :� ROBEST I.SCOT R. ......• ... •• ��!!•. NOTARY PUBLI .S to of N Y. (Signature of Appl.ica No.4725089. olk Co►� term Expires ay 31.19 At dr dA PLUMBING +r!° ALL PLUMBING WASTE &WATER LINES NEED �. "• - i TESTING BEPORE COVERING PLUMPS A .,-. 4 6 C,� ii�L &�V v R CERT/F/CAT/01�! :- _ .., ON LEA TENT D Oh �. �� :�- . �� .A�,•:.. �� ,�.� �� ! �'' �, �,�;� CE F TE OF BEFORE ._ ... ---- __ � ,µ��,�� .,�:�... ..;,,A ;�; i ', -� �� '�� ,;,, �;►�_ � ,,', , RT/ ICA SOLDER USE /N1�/A ' R � , i SUPPLY SYSTEM C NNpT } _.. _ ....;_w._�. .Ai,- ' _ w_..�_ .�.:: :.W, i ��_��... _,. _.:.. _� {: uZMERyrvRizERs rl�`cA] 2110 of j a LEAD. �X +� E u�REo EMCEED o --- - -- ----- S' ��In � ��`.4 i!f Y '�� r4+ '•w a � -1 R��i'lc OCCUPANCY OR USE IS UNLAWFUL If copper i C-� r ' �W11HOUT CERTIFICATE. PP g s used V for water distributing ,>4r OF OCCUPANCY system; piping shall be of types K or L only g UNDERWRITERS CERTIFICATE - .. REQUIRED APPROVED AS NOTED DATE: 3 /� B.P.# 3 �L•� f a ±` (20 3 ,.. �.t U�� _ ! FEE: ` BY: . _....toI�410I� ot. ( ) NOTIFY BUILDING DEPARTMENT AT ij t 1'6• 3 4 ,,(,Itlti (�.I.:, (7.... ?. �-., {"r!��.. 61A. ► - ► 765-1802 9 AM TO 4 PM. FOR THE i I ��. ` lil4�tc _.. °ou 11t C'' t'•G..�►TGt .. FOLLOWING INSPECTIONS: FOUNDATION - TWO REQUIRED r �-'��--=�---�...._., ' FOR POURED CONCRETE t_ 2. ROUGH - PLUMBING 3. FRAMING & 4. INSULATION FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY I _ _ CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS l ,.M.�,'ar9rr.•`v�m.:+:YJlrwu^+..s+y+.n.ss.r a.. .. ,.n.,q-c a •.gs...Y•.u.s es.-!^, . „ .. -.-s!'e.. ... .+......._..+v�r•4r.'L�•.'t:.. n....,-r. ..... -..3 v,'>k. ,:.C.+�...,.a+... .,,. n...r n.s..... �..,:,t••:^-.. 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