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HomeMy WebLinkAbout23361-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24314 Date APRIL 29, 1996 THIS CERTIFIES that the building ADDITION Location of Property 55 BAY RD. & 1625 SANDY BEACH RD. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 43 Block 4 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated . APRIL 2, 1996 pursuant to which Building Permit No. 23361—Z dated APRIL 10, 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 ROOF DECK ADDITION TO EXISTING DWELLING AS APPLIED FOR & AS PER ZBA #3465 The certificate is issued to ROBERT J. & ALICE M. SMITH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A �k fz Building Inspect Rev. 1/81 F N 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 ................. ........ .....fU.............. 19.. (. v. MVP 23361 Z Apfd&, J�X, it /,eIV/7�- Permission Is hereby granted,to; RD to .... �-. ..... .... .e. T4�....` ..... ...... ..... ......�, ... .... ...............................` ...� ?...... ........ .. . .. .. .................. .................................................................................................................................................................. ..............................................................�................................................................................................... at premises located at..... ...1...1/ .... ........................................................ all ....... . .... .. .......................................... . ............ County Tax Map No. 1000 Section ......... .... Block..........:1 .......... Lot No. ....�/..................... pursuant to application dated , ...... ......... 19..... ?..., and approved by the Building Inspector. Fee$.7/ ; . ....... ..............0 .. . ., ... f............,. Building Inspect r Rev. 6/30/80 � T FORM NO. S 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) N14917 Z Date .......:....... ......... ....01.�.�................... 19.& Permission is hereby granted to: w. .................................. .o.........-......... . ...................... .. ...... .. ............ --.... .:.�c.,...�.�.4.7...�. IL ta ... .;........................... :�.!d:.... .... ........;. ................. ...................N. ................... -�- �� ,...�.... ......................................................... at premises located at .��.1 .. Q^.!!...... ... .. '..5,�.� .1 ?:....... ! :... QlC....� ... ................ i!: .. ............................................................................. County Tax Map No. 1000 -Section ...C�..`>!.,�......... Block ....0...{..•••..••• Lot No. ...... .5 .......... pursuant to application dated .............. 19.16, and approved by the Building Inspector. Fee $..�.:............. ... ....1� L.. Y/1 ................Building..Inspector......................... Rev. 6/30/80 r .., r_... Form Ls T014N OF SOUTHOLD S- E)�S Fd ' DUILDINC DRPARTM '� APR 41996 . :_ TOWN HALL 765-1802 , B1 DG DEPT, �I OFSOUTHO�p�,PLICATION FOR CrItTIFICATIr Or OCCUPANCY A. : This; application must be filled in. b t inspuccor with the following: y builditer QR ink and submitted to the building 1• Final surve of �� for new building o� new use; Y property with accurate location of all buildings, property lines streets, and unusual natural or topographic features. 2. final Approval from 11ea1tlt D� c. of _3. Approval of electrical installation aterom rAsurplyFafirsewer :rwriteposal(S-9 form) . +. Sworn :;cacemenc from plumUer certifying that he solder used in system colic - ' loss than 2/10 of 1% lead. Cuuuuercial building, industrial building ,, ainy and installations,. a certi%cate of Cod uaCMulcipneurisidanechitand similar nl;ibuildings responuible for the building. llear 6. Submit Planning Board Approval of complc:ted .site plan re p quirenlenrs. !i• For existing buildings g �� b (prior to April 9, 1957) n n-conforming uses, or buildings and For land use;;; 1. Accurate survey of property showing all - unusual natural or topographic feacures.Proper y lines, streets, building and 2• A Properly completed applicatiutt and a consent to inspect signed by the applicant. IF a Certificate of Occupancy is denied, the B ildinD Inspector shall rua:,ons therefor in writirtb . ant to Lhe appl 'c state the � . �•. roes 1. Certificate of Occupancy Now dwellin . Alterations to dwelling � 1; $25.00{ Additions CO dwelling $25.00, b $�5.00, Swiuuninb pool f 25.00,- Acce:;s;ory building; $25.00 Addition:; to. accessory buildin(; $25.00. 2. Certificate of Occupancy on 1're-existinr llusigesse„ $50.00. 3. Copy of Certificate of Oecu ant L Build 'ng - $IUU.UO 4. Updated Certificate of Occupancy -_ $S.OU over year;,; - $10.00 5. 'Temporary Certificate of Occupancy $50.00 l Y -.Residenci l $15.00. Commercial $15.00 c�Qcl-- Date . . . .. . . 6�� ':ew Canscruction. . . . . . , . . . . . . . . . .1. . . . . . ... . . . .. . . . . . . . • . 1 Or Pre-exi.-tins lluild (.OcaciQn Of i'roperty • • • .• • • • • . Feet l4wile c :)nwer or Owners of Property ��-v� �� Ad�Ce see Cuuncy Tax Map No 1000 Sccci n cl 0 4 . . .. .. . . ... . . .Block. . aLot. S , u .�? . . . . . . d .. . .��. . 'Subdivisio n. . .. . .. . . . . . . . . .. . .. . .... . . . . . . . • . . .riled Ma //�� pt.. . . . . . . . . .Lot. . . . . . . . .. . . . . . . . . ... . . 'ermit No. . ?� � � . .Aate Of Permits: r.� l011,:f �. . . . .. lica �J :! 'Iealtlt Dept. •. • • • . • . Approval. . .. . . . ... . . . . . .. .. . . . . .. .Underwrit rs Approval. . . .. .. . . . . . . . . .. . . . . Manning [Board Approval. . • .. • .. . . . . . • • .• •• • .. .. t''quesc for: TemporaryCcrcificatc. .. .. , , , , , • Final Cer icatc. , Subaii'tCed APPLI 4T, T65-1802 BUILDING DEPT. _ -INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS . 1 FRAMING _ [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE `� 2" G� INSPECTO 3 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLACE IIMNEY REMARKS: - DATE INSPECTO FI.-E.L D JNSPECTION DATE COMMENTS FOUNDATION ( 1st ) • c FOUNDATION ( 2nd ) 2 . z 0 s ROUGH FRAME & h PLUMBING p H 3 . INSULATION PER N . Y. y STATE ENERGY LIS CODEx rxl 4 . ---� -A LJ FINAL c ADDITIONAL COMMENTS : � G ir- � alb . H . - x d H Proposal Proposal No. _'. JOEL DALY Sheet No. Hame Improvemen, Date 3 52 Wilmarth Ave. Greenport,N.Y.11944 ` (516)477-0529 Proposal Submitted To Work To Be Performed At Name L 16 A) -Jr—. V`� Street City �SM State A � �D Street �?lJRiv' A T w City p � O V 1 Date of Plans Z Architect_fl Z mnL 2S S� Staty Telephone Number We hereby propose to furnish all the materials and perform all the labor necessary for the completion of e L T r A-45-T 7 All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a sub ' kmanlike manner for the of j;Wor Dollars I �with payments to be made as follows: • Cr U^9' L1 -rr �.t r rl tyv It 9 T u 1 Ce� G^^D �� tL�71^�0 , p�Ro�tlDbt7 0y o Lj LVE2 S u R (/E YC- m !3E N i DE� Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate.All agreements contingent upon strikes, accidents or delays beyond our do and other necessary insurance upon above work. Workmen's Compensation and Public control. Owner to carry fire, torna Liability Insurance on above work to be taken out by Respectfully submitted Per Note—This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature Accepted Signature Date JELDALY 52 WILMARTH AVE • GREENPORT.NY 11944 • (516)477-0529 INSURED BUILDERUC# 13068PH a � �o o� X-1 � r4 NZ da o Z cr 6 t 7% R c i 864740 o I .),lie0 tG in CO.�7 I N. I _ I v cvr�c. u LLJ a0 ov m c,r rAGE L/ j • ""` 96. Ul a Cf rr-� s vNrt� S BEM TG" L.6 f\S E UP, l M -ion of Aux.inn aMieMn A N rj J' �. to this eutww.is a^i^N-1w Ycrk 3tvto r,n+ion 7I.C^of It dccntlen law. �,►in7 th ! \� ;hT la^C r1�r.c„c n irk MAP O F P!.�V► J t. =,..'!MJ:bA�,t f' vmhlf.S••f:�.Q•. 5 U RV EY E r;, FG -. _�::,,.::�� I:n_hell CVG . --- ---••- r„v1:nt.•� ,n h•whom the wrraY - VEL1HQt 1 � ��� 1 IL . • 1� • :� .... r r / • f � � .•:rnartal aGy^Y RL7d I . . % —1 -!f•_�\!r..` .._. •..L�/_ �,• .-• ••:�...wf 11�'LGnln:tl �.L.. t.r Ib: Ilty till- A .. a 1i9:t{b118fVfOCN r�1a,>: Ater:.• 'I:• i=� - �AF�J.�: !<LZ� A l loco CQ3-d-. 5 -- -- • ._ . _..- —. . __ ..- GUACA v7 F'I.F'� :�. i1V� i•�... JCE' JAL!y (/�7 BUILDER SCALE-AG'-� Y, 7 �:i"ICI` LJMEIt i t'�� '�� RENOVATION TRIM WORK LI.`-t ADDITIONS ROOFING j NEW CONSTRUCTION DECKING ETC - —�- Insured Lic. #13068H1 477-052 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE_ SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date . . . PA-1cr... . . . . �. . . . . . .. To .(/. � . 4*'41j?�o vice. . . . . . . . . . PLEASE TAKE NOTICE that your application dated . . .,&'<e . . . . .���. . . . . . . . 19 . . for permit to . e?aAivl/ f.�N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at ZLocation of Property House No. a Street Hamlet County Tax Map No. 1000 Section . . 0.5 . . . . . Block . .0.1&1 . . . . . . Lot .Q V;5. . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . 7'0??e4 C"/.q&. . Fq?e . . . . . .A7ir' I ► . . pxrcu.�r. .� . . !4sl�:0.®�: . . ���. . . . . . . . � . . . . . . ._.,talc .49075/.<,. . : . .. . . . . . . . .. . . . . . . . : . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building. 2 -Sie tor� � � � � � � RV 1/80 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL ` Date . . . . . . . . . . .119 .4.4. To ��s ?�'. . fc �.`FI� . Ya-a-n i20 01 ,!j.4 w► . ..d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J�. :�. . . .1.�.9 71. . . PLEASE TAKE NOTICE that your application dated WMA-t 1. . . . . . . .. 19 �r for permit to .. . . . . . . . . . . . . . . . . . . . . . . at Location of Property A nQ �S . S. CA.X-. Y ,S S f3 ,, , Rxurt?a House No. Streei I Hamlet County Tax Map No. 1000 Section . . . . 0.9 a . . . . Block . . . .0.4. . . . . . . Lot . . . .q S . . . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bui ng� Inspectors C RV 1/80 ATTORNEYS AT LAW MAIN ROAD SOUTHOLD,NEW YORK 11971 LEFFERTS P. EDSON (516)765-1222 RUDOLPH H. BRUER (516)765-250❑ January 13, 1986 Mr. Victor Lessard, Building Inspector Southold Town Building Dept. Town Hall Main Road -.- Southold, New York 11971 . Re: Vrankovic, Velimir and Heda 1000 - 43 - 4 - 45 Greenport, New York Dear Mr. Lessard: Enclosed please find building permit application made on behalf of Velimir and Heda Vrankovic, owners of the subject property. Mr. and Mrs. Vrankovic purchased this property in 1972. Enclosed is a copy of the certificate of occupancy which was issued in 1967. After purchasing this property, Mr. and Mrs. -Vrankovic had a deck constructed on the roof of the cottage across the front of the property. The builder assured them that he would obtain all of the necessary permits, but he failed to do so. It appears that the deck was constructed without obtaining the necessary permits and further, that the deck which extends across the front of the house violates the front yard setback requirement. Page 2 Enclosed is a copy of the 1972 survey of the property showing the existing dwelling. I have sketched in the appropriate location of the elevated deck. An updated survey has been ordered from Roderick Van Tuyl and will be provided for your file and for the Zoning Board of Appeals, with our application for a front yard setback variance for the deck. Please forward the expected denial of this application at your earliest convenience so that we may appear before the Zoning Board of Appeals as soon as possible. Thank you for your cooperation. Very truly yours, William D. Moore WDM/cas Encs. cc: Mr. and Mrs. Vrankovic Mr. and Mrs. Smith FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Date . . . . . . . . . . . . .October. 19 . . ., 19.67. THIS CERTIFIES that the building located at .Beach.& .Inlat .Road . . . . . Street Map Now;. . . . . . . . . Block No. . .X= . . . . .Lot No. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . .JuX9. . . 4, 19. 6.,5 pursuant to which Building Permit No. .2825.Z TO"m of Southold dated . . . . . . . . . . . Ju?y. . . .28. ., 19. 6.5, was issued, and conforms to qjbCj= require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private .one .farally. d-welling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to g??t�rt. .... . r ill. . . . . . Owned . . . . , , (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Public. mater/_ No .other.approval � r�.. . :. . . . . . . . . . . . . . . Building Inspector � Proposal No. Proposal JOEL DALY Sheet No. _ Home Improvement Date 52 Wilmarth Ave. Greenport,N.Y.11944 I (516)477-0529 Proposal Submitted To Work To Be Performed At Name L Street JS �4/' �D Street /.�-fj0/Pjs/E-t1 A'T w City State city I —A O.So YOL)/V&*--, Date of Plans Stat Z Architect�[i m nc Telephone Number Y-"—� We hereby propose to furnish all the materials and perform all the labor necessary for the completion of 1 LC_ T t , . A.' Oak tit <cr lit � i All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a subs�ntI� workmanlike manner for the of ��— �-� Dollars ($f�� 1 with payments to be made as follows: 11G�'f'F GUT >3/9C t � [�n� T� STA I n�H Cr3 tJ L� M�E"� _ rtI s u R v E�E� mA v ae russoEp P/ZaLU)60 f3� oWrLt�2 Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to ber taken out by Respectfully submitted Per Note—This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. p Signature (' APR 2 - nn Accepted Date Signature -_ I � 2 - Appeal No . 3465 .liter of VELIMIR AND HEDA VRANKOVIC .4cision Rendered April 16 , 1986 4 . It is the opinion of the board that the unusual shape and character of the parcel in question lends itself to the practical difficulties in this case , and the board agrees with the reasoning of the appellants . In considering . this appeal , the board finds that determines : (a ) that the relief requested is minimal under the circumstances ; (b ) that the character of this residential neighborhood would not be adversely affected by this granting of this variance ; (c ) that there is no other method for appellant to pursue other than a variance ; (d ) that the granting of the variance will not have an impact on available governmental facilities ; (e ) that the public health , welfare , safety , comfort , convenience and order of the.. town will be served by allowing relief; ( f) by the granting of relief as. conditionally noted below , the spirit of the zoning ordinance and interests—of justice .wiil be served be served . Accordingly, on motion by Mr . Grigonis , seconded by 'Mr. Goehri nge.r., it was RESOLVED, that relief be granted as noted below concerning the Matter of the Application of 'VELIMIR AND HEDA VRANKOVIC under Appeal No. 3465 : 1 . That the second-story deck be located no closer than 18 feet to the southwesterly corner (nearest point ) , without removal or affecting the location of the spiral staircase as exists ; 2 . That all necessary building permits be obtained . Vote of 'the Board : Ayes : Messrs . Goehringer , Grigonis , Doyen and Douglass . (Member Sawicki was absent . ) This resolu- tion was duly adopted . lk GERARD P . GOEHRINGER , MAIRMAN May 13 , 1986 . �0 .. . { r� out hold own Board of Appeals MAIN ROAD - STATE ROAD 25 SOU"I HOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3465 Application Dated February 13 , 1986 ( Public Hearing 3/13/86 ) TO: [Appellant (s) ] William D . Moore , Esq . P . O . Box 973 Cutchogue , NY 11935 as Attorney for MR . AND MRS . VELIMIR VRANKOVIC At a Meeting of the Zoning Board of Appeals held on April 16 , 1986 the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section D(4 Request for Variance to the Zoning Ordinance Article III , Section 100-31 , Bulk Schedule [ ] Request. for. . . . . Application of VELIMIR AND HEDA VRANKOVIC for a Variance to the Zoning Ordinance , Article f1_ , Section -3 u k Schedule , for approval of the construction of second-story deck addition with an insufficient frontyard setback . Location of Property: . : 1525 Sandy Beach Road (a/k/a .55 '.Bay .Road )_, ' Greenpor.t;.. .NY ; .County. .Tax,,:'Map Parcel �.Noi ., 100.0-43-04-45 . WHEREAS, a public hearing was held and concluded on March 13 , 1986 , . in the Matter of the Application of VELIMIR AND HEDA VRANKOVIC under Appeal No . 3465 ; and WHEREAS, the board has considered all testimony and documentation entered into the record concerning this application ; and it is noted for the record that no public opposition -has been received ; and WHEREAS, the board members have personally viewed and are familiar with the premises in question , as well as the surrounding area in this Residential and Agricultural Zoning District ; and WHEREAS., the board made the following findings of fact : 1 . The property in question is a five- sided parcel and a corner lot as defined b_y Article I, Section 100-13 of the Zoning Code with frontages along the west side of Bay Road of -100 feet , the north and east sides of Sandy Beach Road of 122± feet and 34 feet , respectively , and is identified on the Suffolk County Tax Maps as District 1000 , Section 43 , Block 4 , Lot 45 . 2 .. The premises contains an area of approximately 5 ,000 sq . ft . and is improved with a one-story , 952 sq . ft . framed cottage set back 27 feet from the -westerly front property line , 20 feet from the south front property. lin.e ,_ and 37± feet from the__ easterly front property. 1_ine.. 3. By this application , appellant requests approval of the construction of an 8 ` by 20 second-story deck with spiral staircase which has an_ insufficient frontyard setback from the southerly property line at 14± feet as shown on survey. map amended January. .23 , 1986 , prepared by Van Tuyl &' Son , L . S . (CONTINUED ON PAGE TWO ) DATED:. May 13, 1986 . CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS Form ZB4 (rev. 12/81) Pagie 2 - Appeal No . 3,465 Matter of VELIMIR AND HEDA VRANKOVIC Decision Rendered April 16 , 1986 4 . It is the opinion of the board that the unusual shape and character of the parcel in question lends itself to the practical difficulties in this case , and the board agrees with the reasoning of the appellants . In considering . this appeal , the board finds that determines : (a ) that the relief requested is minimal under the circumstances ; (b ) that the character of this residential neighborhood would not be adversely affected by this granting of this variance ; (c ) that there is no other method for appellant to pursue other than a variance ; (d ) that the granting of the variance will not have an impact on available governmental facilities ; (e ) that the public health , welfare , safety , comfort , convenience and order of the town will be served by allowing relief; ( f) by the granting of relief as_ conditiona.11y noted below., the spirit of the zoning ordinance and interests of .jus.tice will be served be served. Accordingly, on motion by Mr . Grigonis , seconded by Mr. Goehri nge_r., 'it was RESOLVED, that relief be granted as noted below concerning the Matter of the Appl.ication .of 'VELIMIR AND HEDA VRANKOVIC under Appeal No, 3465 : _ 1 . That the second-story deck be located no closer than 18 feet to the southwesterly corner (nearest point ) , without removal or affecting the location of the spiral staircase as exists ; 2 . That all necessary building permits be obtained . Vote of ,the Board : Ayes : Messrs . Goehringer , Grigonis , Doyen and Douglass . (Member Sawicki was absent . ) This resolu- tion was duly adopted . lk GERARD P . GOEHRINGER , CTiAIRMAN May 13 , 1986 . FORM NO. 1 TOWN OF SOUTHOLD E J) /yJ BUILDING DEPARTMENT TOWN HALL !� im SOUTHOLD, N.Y. 11971i1 '� TEL.: 765-1802 * BLDG. DEPT. TOWN OF SOUTHOLD Examined . . . . F- . 190 Received . . . . . . . . . . . . 1 9 . . . Approved . . . . . ., 1A. Permit No. q Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �O� Q\c1Y�, (Building Inspector) APPLICATION FOR BUILDING PERMIT �q rr,�� Date s . . . . . . . .. l�v INSTRUCTIONS a. This application must'-be; .'oinpletel'yrfilled in by typewriter or in ink and submitted to the Building Inspector, with 3 P. sets of plans,accurate plot-.plan toscale4Fee•:according to schedule. b. Plot planT showing of� of and,,offbuildmgs,on premises, relationship to adjoining premises or public streets or areas, and givL5- eta led Let's or p.tion o lay�o�ut'; f;property must be drawn on the diagram which is part of this appli- cation. c. The work c ue ed ytlusapphcationk ma 1.r7ot be commenced before issuance of Building Permit. d. Upon a "royal of this' a li�ca iori�'the�Bui�ldin Inspector will issued a Building Permit to the applicant. Such ermit p PP Pp � g p g pP � P shall be kept on Aeo�prem Aseestayaa lable for in mspection throughout the work. e. No build slialel be o�ecupie�,d for usain 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 f r removal or demolition, as herein described. The applicant. agrees to comply with all applicable laws, ordinances, build' code, housing code nd regulations, and to admit authorized inspectors on premises and in building for necessary (Signature of applicant, or name, if a corporation) 3 7 b (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If 7-1: ILq /�'Cw .. aGtWL�2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises 1e Y la IC O�/I G ✓ L M r 2 w F • • • . . (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. Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . ... . . . . . . . . . Other Trade's License No. � 1. Location of land on which proposed work will be done. . . .5e!?VP 7. . 0C-4 !1 .f�� . . � .%�.�© �• . . , . . . . . . . . . . . . . . . . . . . . . . . 6?RC61Vrore% %0"/ ©F Soy��c)6. . . . . . . . . . . . . . . . . . . House Number Street Hamlet County.Tax Map No. 1000 Section . . . . �7 . . . . . . . . . . Block . . . . . . . . . . . . . . . . :Lot . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. Filed Map No. ... . . . . . . . . . . . . Lot . ... . . . . . . . . . . . . (Name) 2. State existing-use and occupancy of premises and intended use and occupancy of proposed'construe tion: a. Existing use and occupancy b. Intended use and occupancyk� �% .. . .... . . . . . 3. Nature:of work (check which applicable):•New Building Addition ...Y. . . . Alteration Repair . . . . . . . . . . . . . . Removal .. . . . . . . . . . . . . . Demolition . . . . . . Other Work.. . . . . ... . . (Descript•to n) 4. Estimated Cost . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . .. . . . . ' (to be paid on filing this application) I - 5. If dwelling,number of dwellin units . . '. `,) . . . . Number of dwelling units on each floor . .... . . . . . . . . . . . . . Ifgarage,number of cars .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Fron Rear '.3Z . . Depth . 35. Height /$'fifR ct)< . . . . . Number of Stories .6!^A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . ? ` Rear Z5' Depth . 7.1 . . . . . . . . Height . . . . . . . . . . . . . . . . . : Number of Stories . 8. Dimensions of entire new construction: Front . ems-.�.? . . . . . Rear . . . '3 Z-. . . Depth ? .° . . . . . . . Height l? '.Af f FoX. . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 9. Size of lot: Front 7 0' AV61?h 6C . . . . . . . . Rear l q depth � 10. Date of Purchase 13 �.Z. . . . . . . :. . . Name of Former Owner 1 :��0 ��.� !t . . !`f.?a^!.�. �.��.� 11. Zone or use district in whkh premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: `.LS. . .. . . i .y�2D SF7-ggcit 13. Will lot be regraded N 0 ,'rr . Will excess fill be removed fro Spremises• Yes 14. Name of Owner of premises V.K NK� I G .°.��. . . . AddressCe9 R� Y.60EV H..e N Phone N �oQq?7. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone N�. . . . . . . . . . . . . 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. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. 4-k- 11q_\P_'.1PkZ110VM111' As NOTED D ATE: VQ07AFI B.P FEE: BY. Y. OCCUPANCY OR NOTIFY BUILDING OEPARTMENT .AT. 765-1802 9 .AM TO 4 PM FOR THE FOLLOWING pFU E ISUNLAWFUL 1FOUDATIU IVI O RE QUIRED P FOR POURED ROUGH FRAMING CONCRETE RtUMRIUOMTHOt C A S. INSULA RON OF OCCUPANCY FINAL.MPL P'E FORS O MUST ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y ' STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR STATE OF NEW YORK 'IESIGN OR �GONSTRVCTION ERRORS, COUNTY OFr��C,IC,. . • • S.S V`1 Lt, • • • • a • - • • . . . . . . . . . . . . . . being duly sworn, deposes and says that.he is the applicant (Name of individual signing contract) above named. Heis the . .f� 1211��v . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .: . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners,.and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this applicatio are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . . . day of. . . . ° . . . . . . . . . . . ., 19' Notary Public, . . . . .f41l� . Y . . . . . . County i #MEN R DE MOE NdfARY Mf81 IC,SdDt of . . . . . . . . . . . . . . . . . . . . . Mo. Sid(olh ,.. . . . . . .... .,; Lena EYp�es�30,1 Mew ,7. .(Sigriatui•,e'of;applicant) BOAFD OF HEALTH . . . . . . . . . "` POR'M NO. 1 3 SETS OF PLANS . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT C11ECK . . . . . . _ . _ . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:o'FIFy CALL Examined f 19 l,J� MA I L T o • . Approved . . . . . l(� ' A4ermit No.cq ` 04 . . ... . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . � �7 . %. p (Building Inspector) P ICATION FOR BUILDING PERMIT Date . . . . . . . . . . .. 199.6 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 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 pu.rpose 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 emo- r demolitio ,-as'herein described. The applicant agrees to comply with all applicable laws, ordinances, bu' co e o in o e, regufations, and to admit authorized inspectors on premises and in building for necessary t' n (Sig ure of applicant, r na e, if a corporation) . . ... . . . .. ,la w L C�. . . . ... 4, (Mailing address of applicant) State whether applicant is owner, lessee 'agent architect, engineer, genera(contractor, electrician, plumber or builder. e y�� c . . Name of owner of premisesP`tl; . 7 KVlr� (. ?` �. {as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 'f, �- Builder's License No. 8. ... . . J APR 2 - h Plumber's License No. Electrician's License No. . . . . . . Other Trade's License No. . . . . . . . . . . 1. Location of land on which proposed work will be 'done. . . , . . ... . . . . . . . . . . . . . . . . . ... . . . . 5. . . . . . . . . . . . . . . . . ma y . � . . . . . . . ��� T��. . . . . . . . . . . . House Number Street I Hamlet County Tax Map No. 1000 Section Block .o-9. . . : . . . Lot . . � . • . • . 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 C . ?. . . . .?.e-,� .. . .If �Q�<i . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy .��'�� � �?:^?' ?u�l\�/ ��C�.:� k � f\� Car� Ot M��� Z�lq Uc��tc��C� l�r��er IQ+ cL •3. Nature of work (check which applicable): New Building . . . . . ; Addition . . . . . . . . . . Alteration . . . . . . Repair . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . Other Work.. . . . . . . . . . . . . . Q (Description) 4. Estimated Cost , 1�?O., j. . . . . ... ....... . . .. . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwellinu�n�its . .. . �?�`� . . . . . Number of dwelling units on each floor . . . . . : . . . . . . . If garage, number of cars I . . • 6. If business, commercial or mixed occupancy, specify nature and extent of•each type of use . .�.� '. . . . . . . . . . . 7. Dimensions of existing structures, if any: Front , . � ��e.y. . Rear . . ... . . . ... . . . . . Depth . . . . . . . . . . . . .Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . .• • . . . . . , , . . Depth . . . . . . . . . . . . . . . . . . . Height . . . . . . . . .. . . . . . . . . . .. . Number of Stories . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . .Height . . . . . . . . . . . . . . . Number of Stories . . . . ... . . . . ... 9. Size of lot: Front ? Rear. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depth 10. Date of Purchase . . .!-�+��l i:�, . Name of Former Owner 11. Zone or use district in which premises are situated : 1. , , , , , , , , , , , , , , , , , , , , , . . . . . . . . . . . . .12.. Does proposed construction violate any zoning law, ordinance or regulation: . . . . , . . ... . . . . . . ... . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . .P.Q. . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Ro!�r�.}!A�:".� �:':�.. Address�! ��1:}>>r:•r`�'t ��Irw�Phone No. : Name of Architect . . . . . . . . . . . . . . . . Address . Phone No. Name of Contractor :� �. . :� . . . . . . . . . . Addresses` ;:v 1 KOv#1 kv-ar— r Phone No. 15. Is this property within 30 feet of a tidal •wetland? *yes.. . . . . . . . No. . . . . . . . . . *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 names and indicate whether interior or corner lot. MATE: /a NOT �{ w 1 4� ,•4r Ls� � V�F� Fb6. NOT ZE t ( ? (� 4 i,,,t`' �R I Y BUILDiNG DE � �- � � r � �• PA _ "~18029AMTO4P T FOLLOWING INSPECTIO FOR THE 1. FOUNDATION NS: d E. 'V ' FOR POUF TWO REQUIRED E®CO CRETE ,�t f� �!��!"�•�`a Cj �7 r��'•?? �'• �'��,n � �, a FRAMING I4!5 41 3. i�I SULA7IOf� tlt PLUfllIBIN(; FWAL _ ' CONSTRUCTION MUST 'BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL TWEET THE REQUIREMENT§ O STATE F THE N.Y CONSTRUCTION a ENERGY CODES. NOT RESPONSIBLE OESIGN FOR OR CONSTRUCTION ERRORS STATE OF NEW YORK, COUNTY OF . .%L . . S.S 1 �•• . ..� •�-%• •/ �'`�.�-�?`: :• . �:: . : . . . . :. being duly sworn, deposes and says that he is the applicant (Name of individual sign contract) above named. He is the . ... ( &Q P.t Q . . . �h . . - , . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this-application are true to. the best of his knowledge and belief;and that the work will be performed in the man set forth in the application filed therewith. Sworn to before me this q . . . . . . . . . . i. . . . . . . of. . . . . . ►, . . ., Notary Public, . . . . . . . . . .CCoun ROB .SCOTT.JR. NOTAR UBLIC,State of N.Y. " ' • • • • . . • . No.4 5089..•SuNolk Co (Si n ur of applicant) Ter Expires May 31, 1u y