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HomeMy WebLinkAbout23436-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26587 Date: 07/23/99 THIS CERTIFIES that the building ADDITION Location of Property: 725 ISLAND VIEW LA GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 57 Block 2 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 1, 1996 pursuant to which Building Permit No. 23436-Z dated MAY 13, 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 1 is GARAGE ADDITION WITH ATTACHED UTILITY ROOM AS APPLIED FOR. The certificate is issued to SUSAN HORN MULHOLLAND (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N400197 10/17/96 PLUMBERS CERTIFICATION DATED N/A Building Inspe or 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) i Date ................ ....... 19... N2 234361 Permission Is hereby granted to: . .. . p............................................. r� .9.��................. to .. ........;...�.'..... . ......... i�7f/'�,,.....��1%!�.......5, % V �� ............��L1...... �� `�J....... ......................................... ff��..1.......�` ........1`s ........................................................................... .................................................................................................................................................................. .......................................................... .................. .......................................... at premises located at........../.. ..-1`.... .....ll. .... ............................... ..................................................................... ... County Tax Map No. 1000 Section ...-J— ............ Block.....(0,,-,2........... Lot No. ......4�.....,. siP pursuant to application dated .................. ....................................... 19..�� i .., and approved by the Building Inspector. Fee$...�................ ..... ............. .. ............................... Building Inspector Rev. 6/30/80 DEC - 4 Ic�t�e (+ j ; FORM NO.6 I TOWN OF SOUTHOLD I Building Department BLDG.DEPT.. I Town Hall TOWN OF SOUTHOLD Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ®®to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C Fees t >' p y 25 . 00 ;.BUSINESS' $50 . 00 ACCESSORY $10 00 1: Certificate of occu anc 2. Certificate of occupancy on pre-existing dwelling $ 50 . 00 3. Copy of certificate of occupancy �$'S . 0 0 , over 5 years $ 10 . 00 4 .Vacant Land C.O. $;2'-0 . 00 / 5.Updated C.O. $ 50 . 00 Date . . . J`?l. .�I.a?�. . . . . . . . . . . . New Construction , • • • • , Old or Pre-existing Building . . . . . . . . . . . . Vacant Land . . . . . . . . . . . Location of Property . . . . . . . . . . . . . . .-}-:�. 1 • ,11,1�� . /�j -• . . . �' �' House No. Street Hamlet -- -- µ' Owner or Owners of Property . .I1.CU yc1. . f:h c'/A(�0.�`4'Gi/G)• , • • • ... • •.�_�• • • •., .�. . - County Tax Map No, 1000Section , . • , , ,�Block , • , • , o Lot . , ,�?"7 0O Subdivision . . . . . . . . . . - • • - -- --• -.. �'-Eited-.-M-ap-No. . . . . . . . . . . . . . . . . . . . . — Permit NO.3.q3(5�! Date of Permit . _JX6 Health Dept. Approval . . . . . . . . . . . . .Labor Dept. Approval . . . . . . . . . . . . . . . . Underwriters Approval . . .;�k it . . . . . . . . . .Planning Board Approval . . . ���.�. . . . . . . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate : . 6!. . . . . . . . . I . . . . . . . . . Fee Submitted $ . . .(>(-,d. . . • • . , • • • • . . Construction on above described buil ing and p r i e s al ap ' a e o es a regulations. App icant . . . . . . . . . . . . . . . . . . . ' .�.g. . Rev.10-10-78 - f'/teOPJI(/ULt f�Tadt liltii 2 I999 w9e Sri : Ili TOWNI.QQ. DEFT. OF SOUTHQLU _' cutcvte R*r.-M• Y I 4 4`. Environment East, Inc. 2885 Indian Neck Lane �y P.O.Box 190 Peconic,New York 11958-0190 516-734-7474 Fax:516-734-5812 Mulholland Residence 725 Island View Lane Greenport (57-02-24) Permit#23436 Issued 5.13.96 July 19, 1999 Attn; John Boufos, Please find enclosed three copies of the plans for the garage and attached room for the Mullholland Residence. As you requested I have revised the drawings to show the attached room as habitable space. Thank-you, �'NA �6)an Wilson THE NEW YORK BOARD OF FIRE .UNDERWRITERS ': .. 'PAGE _i001.093 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 Date OC`POBER 17,1996 Application No.on file 12347796/96 N' 400197: 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.; JOHN 1-MLLHOLLAND, 725 ISLAND WFI VT LANE, GREENPORT, N.Y. in thefollowinglocation; ❑ Basement 12 lnt Fl. El2nd Fl. GAR Section Block ` Lot w,as examined on OC`1'OBER 10,1996 and found to be in compliance with lite National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. I K.W. AMT. I K.W. AMT. I K.W. AMT. I K.W. AMT. H.P: 3 9 5 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS BELL' UNIT HEATERS MULTI-OUTLET DIMMERS,''' AMT. K,W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. M.P. SYSTEMS AMT." WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S. E R V` 1 C E ; r METER NO.OF G. W. AMT. ' AMP. TYPE EQUIP. 1 y'2W 1,Er 7W 7,e'3W 3 X AW PER CC.COND. A.W. s' OF CC.COND. NO.OF HIAEG A.'• OF HI•lEGG. NO.'OF NEUTRALS ' ', NEUTRAL J _ I OTHER APPARATUS:' ., -•'I:,,fir PADDLE FAN-1 MOTORS: 1-F H.P. G.F.C.I:-2 � II I I I tf 1 1 DOROSKI: ELEC. INC. LIC.412941 425 HONSELL LANE CUTCHOGUE, NY, 11935 : 1 .;GENERAL MANAGER';,..-: j�;::(• i5 Per This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors may be identified y their'credentials':' ''-'- --- ' �------------'----' i\��� (ta,4 ------------------ STATE CODIF Its- Nk --_........'--'_--__----_'_-'-_--'_'- � -'---___-----_'--�_-_--_------''-'�.._'-_� _'-'--- -__----__--_-----_-'___' '-'- ' - ---_-'-----_---'_ -� '-. --_ ' '-_� -'_'�' - -'----- __----'------'-'___--- 1 � ^ / /LGm -PGWG JUL t s sip LID Leo .r 4 =: Environment East, Inc. 2885 Indian Neck Lane P.O.Box 190 Peconic,New York 11958-0190 _ 516-734-7474 Fax:516-734=5812 July 9, 1999 Southold Town Building Department P. O. Box 1179 Southold,NY 11.971 Re: Permit#23436Z, Mulholland Residence Attn: John Boufos Dear John, Enclosed is a copy of the Underwriters Certificate for the work we rendered under"the above-mentioned permit to be included with this file. Our records indicate that the applic ti,o for aCertificate of cc.� ancy h already e n �; i �rr�1�µ•x•fn c. th.. .,�Occupancy s .ems been fi1.,..d so if gin, additional information is needed please lei ow. Sincerely, Peter R. Stoutenburgh President , , Environment East, Inc.. PRS:jm f ` ��°-� c ors-isos BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING 1,A FINAL [ ] FIREPLACE & CHIMNEY REMARKS i DATE INSPECT � Tss-isox BUILDING DEFT. . INSPECTION [ ] FOUNDATION 1ST ( ] ROU Pl.BG. [ ] FOUNDATION 2ND [ NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY REMARKS• /ram DATE INSPECTOR L 765-1802 BUILDING DEFT. INSPECTION [ v]��OUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ '--�FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS �C . DATE a �� -INSPECTOR,- (emu l 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING I FINAL � ] FIREPLACE 8 CHIMNEY REMARKS: 3 DATE C INSPECTO �A APPEALS BOARD MEMBERS y0�� c�Gy�► < Southold Town Hall Gerard P. Goehringer, Chairman N ,? 53095 Main Road Serge Doyen, Jr. �- James Dinizio, Jr. • P.O. Box 1179 O Robert A. Villa Southold, New York 11971 ��l lit �a _ Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD November 15, 1994 Environment East, Inc. I; NOV 15 1994 3075 Indian Neck Lane Peconic, NY 11958-0190 BLDG.DEFT. TOWN OF SOUTHOLD Re: Appl. No. 4280 - John Mulholland (Variance for Garage) Dear Pete: Please find enclosed a copy of -the determination rendered by the Board of Appeals at our November 2, 1994 Regular Meeting and filed today with the Town Clerk's Office concerning your variance application. A copy of this determination has also been furnished to the Southold Town Building Department pertaining to your pending building permit application request. However, it will be necessary for you (or 'the owner) to contact the Building Department (765- 1802) to be sure your application request is returned to their re-activation rack. Also, due to the proximity of this project within 500 feet of a waterway, State or County Road, we have transmitted copies of the variance file to the Suffolk County Department of Planning for their determination as required under the County's Administrative Code. Once that agency has finalized its review and forwarded its comments to our office, we will transmit a copy of the same to you. If you have any questions, please feel free to call. Very truly yours, Linda Kowalski lk Enclosure Copies of Decision to: Building Department Suffolk County Department of Planning Mr. John H. Mulholland L '0... I n F0L APPEALS BOARD MEMBERS �O �Gy� Southold Town Hall Gerard P. Goehringer, Chairman = ,? 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 James Dinizio, Jr. y� a0� Southold, New York 11971 Robert A. Villa Alt �` Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS DATE OF ACTION: November 2, 1994 APPL. #4280. APPLICANT: John H. Mulholland LOCATION OF PROPERTY: 725 Island View Lane, Greenport. COUNTY TAX MAP DISTRICT 1000, SECTION 57, BLOCK 2, LOT 24. BASIS OF APPEAL: Notice of Disapproval issued by the Building Inspector dated 10/5/94. GROUNDS OF DISAPPROVAL BY BUILDING INSPECTOR: "Proposed Construction will have insufficient side yard setback." PROVISIONS APPEALED FROM: Article III, Section 100-30A.3 RELIEF REQUESTED: Garage addition at the north/northeast end of existing dwelling which will reduce the setback from the required 10 feet to 8 feet. The front yard setback from the front property line must conform to the requirements of the zoning code at 35 feet +. MOTION MADE BY: James Dinizio, Jr., Member SECONDED BY: Serge J. Doyen, Jr., Member ACTION/RESOLUTION ADOPTED: Granted side yard setback for proposed garage addition which extends into the front yard and partly into the side yard, provided the setback be not less than eight (8) feet from the easterly side property line, as shown on sketch submitted with variance and addition conforms to all other setback requirements. REASONS/FINDINGS: Unusual character and shape of the land, location and angle of dwelling, as has existed for more than 35 years, lends to difficulties in conforming with the side yard setback provision of the zoning code. Former approval was issued- under Appl. No. 518 by the Southold Town Board of Trustees. Lot is noted as approved for zoning purposes with a lot width of 75 feet under Appeal No. 329, as amended December 1, 1960. Lot size of 17,011 sf conformed to zoning in 1957 (which required 12,500 sq. ft.). VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr., Member Richard A. Wilton, Member Gerard P. Goehringer, Chairman-Member .Absent: Robert A. Villa (out-of-state) . This resolution was duly adopted' (4-0) `GERARD P. GOEHRINGER, CHAI APPEALS BOARD MEMBERS Southold Town Hall Gerard P. Goehringer, Chairman 53095 Main Road Serge Doyen, Jr. " �' ` `�t q P.O. Box 1179 James Dinizio, Jr. -s�; a= •�{ Southold, New York 11971 Robert A. Villa p, Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS ill DATE OF ACTION: November 2, 1994 APPL. #4280. _ " - VVV;% ' ' APPLICANT: John H. MulhollandO,cS�FpA �V LOCATION OF PROPERTY: 725 Island View Lane, Greenport. COUNTY TAX MAP DISTRICT 1000, SECTION 57, BLOCK 2; LOT 24. BASIS OF APPEAL: Notice of Disapproval issued 'by the Building Inspector dated 10/5/94. GROUNDS OF DISAPPROVAL BY BUILDING INSPECTOR: "Proposed Construction will have insufficient side yard setback. Q PROVISIONS APPEALED FROM: Article III, Section 100-30A.3 RELIEF REQUESTED: Garage addition at the north/northeast end of existing dwelling which will reduce the setback from the required 10 feet to 8 feet. The front yard setback from the front. property line must conform to the requirements of the zoning code at 35 feet +. MOTION MADE BY: James Dinizio, Jr., Member SECONDED BY: Serge J. Doyen, Jr., Member ACTION/RESOLUTION ADOPTED: Granted side yard setback for proposed garage addition which extends into the front, yard and partly into the side yard, provided the setback be not less than eight (8) feet from the easterly side property line, as shown on sketch submitted with variance and addition conforms to all other setback requirements. REASONS/FINDINGS: Unusual character and shape of the land, location and angle of dwelling, as has existed for more than 35 years, lends to difficulties in conforming with the side yard setback provision of the zoning code. Former approval was issued under Appl. No. 518 by the Southold Town Board of Trustees. Lot is noted as approved for zoning purposes with a lot width of 75 feet under Appeal No. 329, as amended December 1, 1960. Lot size of 17,011 sf conformed to zoning in 1957 (which required 12,500 sq.' ft.). . - VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member James Dinizio, Jr., Member Richard A. Wilton, Member Gerard P. Goehringer, Chairman-Member Absent: Robert A. Villa (out-of-state). This resolution was duly adopted (4-0). GE ..'GOEHR GER, CHAIRMAN ON FYI. lI M1� - Environment East, Inc. 3075 Indian Neck Lane P.O. Box 190 Peconic, New York 11958-0190 516-734-7474 . � �000aoond� =ffct (05-7 Laycz t� pr (9f all 141�� , eV d FORM NO.3 ._ TOWN OF SOUTHOLD ', BUILDING DEPARTMENT TOWN CLERK'S OFFICE / SOUTHOLD, N.Y. BL0F SOU 10 NOTICE OF DISAPPROVAL Date . . . . . . . . . . ., 19 7 .-/. . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . .. .�. . . . . . . . . . . . . . . . . . .' 19 9 for permit to e %y�;Q.(,,,�%GG�,2. . . . . . �:�'y✓ �d. G��ti% G?? . . . . . . . at Location of Property . . . . . . . . . . House No. Street . . . . . Location County Tax Map No. lobo Section , . . v�7. . . . Block . . : . : . . . . . . . Lot . . � . . . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map'No. ... . . . . . . . . . . . . . . .. Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following 44 grounds U . . . .. .. . G . . . . . . . . . . . . . . . .G % . . . . . . . . . .. . . . e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . lel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . �i'1 d i, Inspector . RV 1/80 • 6( � �5 (� L'� hl BO,1FD OF HEALTH . . !, Lr h FORM NO. 1 3 SETS OF PL.INS . • • • • • Lir", ' SURVEY . • • . • • • .TOWN OFSOUTHOLD • • • • ' - ' - • • • • • • • • • •� ftF BUILDING DEPARTMENT CIILCK . . . . . . - . . . . . . . . . . . . . TOWN HALL SEPTIC .FOR N _ . . . . . . . . . . . . . „BLDG.DEPT,v SOUTHO LD, N.Y. 11971 TO OF So OLD TEL.: 765-1802 N OT Z F y ; . �� CALL Examine 19 . . . . . . . ... . . . . . . . . . . Apprc,ved . . . ./ . . . ., 1.9�o Y°F:rnit N a/ . . . . . . . . . . MAY I- . . . . . err Disapproved c �� ,� /�.7'�. 'i Y . . .- . . . . . . . . . . . .T. . . . . . . . . . . . . . . . . . . . . . . . . . . ` TOWN O SOUTHOLD.. f� r art n . . . . . . . . . . . . I ( y it - Inspector) OCT _ 4 � APPLICATIO FOR BUILDING PERMIT y Date BLDG.DEP _ TOWN of SOUTHOL® �s� 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. k' e. No building shall be occupied br used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. t, APPLICATION IS HEREBY MADE to the Building Department for the issuance of-a Building Permit pursRaV to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Orance9�or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. N\ , . �Nc.. . . . . . . . . . . . (Signature of applicant, or name, if a corporation) e)0 _ (Mailing address of applicant) .State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. eta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . .,: Jn.-E N . . . . . . MU L L—-RD ;L! ND . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If ap is n =s a rp r. n {e f fy authorized officer. . . . . • . ame n • title of co orate officer) Builder's License No. . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . .. . . . . . . . EIectrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. .. . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . SLAM (�. . . . .v 1 t✓v�1 I N . . . . . . . . . . 'kq��. . . . .. House Number Street Hamlet County Tax Map No. 1000 Section . . . . .�J.� . . . . . . . Block . . . . .Q. � . . . . . . . . , , , Z;T. . . . . . . . . Lot . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) . 2. State existing use and occupancy of premises and lI intended use and ff occuparify of proposed construction: a.'Existing use and occupancy . . . . . . .J E`n , , , , , , , , , b. Intended use and occupancy . . . . . .S 1A vief°,I,(, , , , q ,C;Gt, • ,Q�, - , - . 3. Nature of work (check which applicable): New Building . . . . . . . . Addition . . . .. . . . . . Alteration . . .. . . . . . . . Repair . . . . . . . . . . . . Removal . . . . . .. . . . . . . . . Demolition ... . . . . . Other Work . . . . . . . . . . . . . . . 9 . Descri tion 4. Estimated Cost . . ��PJ. Q� . . . . . . . . . . . . . . . . . . . . . . . . . . ^'" ( P ) .. Fee . . . "" `. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor. If garage,number of cars - " " " " " " " 'Mw-- . . . ^ 6. If business, commercial or mix.P ',Occupancy, specify nature and extent of each type.of use 7. Dimensions of existing strictures,ifLany:Front .m�-��.�•.'��. . . . . . Rear .�`�v:Ti. Depth Height . . . .Zg'. . . . . . . . Number of:Stories 2 Dimensions of same structuretiwith alterations or additions: Front . •$ Rear Depth . . . . .. .��:�J. . . . . . Height__...N�!4 . . . Number of Stories . . . 1N.� . 1. . . . . . . . 8. Dimensions of entire new'•coristriiction`:%Front Rear 2 2:� t Depth 2?•� t Height . . . . 1� •Numb'er'of Stories . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . ..- . . . . . . . . . . . . Rear . . . �.� �: . . . . . . . . . . . . . . . . . .�Z .D�. . . . . . . . . Depth , . . . C 10. , Date of Purchase , , • • . , , , • , , • , , . Name of Former Owner 11. Zone or use district in which premises are situated . . . . . . . lcl, !.h • ' ' ' ' ' •.' 12. Does proposed construction violate any zoning law, ordinance or regulation: E$.-.t:�tN. s6QEYA'Rp, s agct� ' 13. Will lot be regraded . N.t7 , , , , , , , , , , , • , , Will excess fill be re10 edfromp 1. .. . Nf. . . . No 14. Name of Owner of premises . . .. oLt;/;�N .. ,Address 71 P4 _PM- {?D . Phone No.Z 43. .2,18 5.7; R k(7 Name of Architect Addressmot-W°L T' Name of Contract Crw� o • .� - ' ' • • • • • • • • • • • • Phone No. . . . . . . .: . . . . . . . Contractor tA , It'lc, Address ?.o %4 b? (M .Phone No. 15. Is this property within 300 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 whethei interior or corner lot. STATE OF NEW YORK, COU ly / OF . . . . ,^. S,.S �• = / • �•"`��'•�'4�•' • • • . • . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing cont ct) - • above named. r.Ie is the . . . . . . . . . . . . . . . . . . . . . . . . . . . ..(Contractor, nt, corporate officer,.ete.)• )f said owner or owners, and is duly authonz 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 .vork will be performed in the manner set forth in the application filed therewith. '3worn to before me this • . . . . . . . . . 7. . . . . . . . . . y of. . . � 19 . � y �v lotary Public, . . . . . . . . . . . . . . tt� > - ;X, ' .- ` ROl3ERT I SCOTT 3R. . . . . . . . . ... No�4725(u89.�Suffokl Co State Ofu Y� (Signature of applicant) Term Expires May 31.19 •:`�y,aa { ,t- .j1Y:'r`;:}f/^r •t\. 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'� � '. «; ��.,_ , .,.., • �, Atc� mac.. �,�. ��a�. n� ��,�� , � � '.s., .A � s. � SCALE � IIRAYYN BY , DATE: A , o ti DRAMNG NUMBER • t . . jim j 1 IN �F_ 0m, R :)Ot wwi&,-�wc rmlll kff.�� t RM RON 3 [__771 7_=_,1 ............ 7 Zq, _1 f, 7 2.� WA% ni; 4 J L A 4. J -X� x -4 g APPROVED AS NOTED B.P.# DATE: BY: 47 VEI( NT AT NOTIFY BUILDING DEPARTME -765-1802 9 AM TO 4 PM FOR, THE ING INSPECTIONS: FOLLOW FOUNDATION - TWO REQUIRED vq ED CONCRETE t FOR POUR vw_ FRAMING & PLUMBmG 4� 2. ROUGH INsijLATION 3. UICTION MUST 4. FINAL - CONSTR 'P C.O. BE CON? LETE FOP ALL MEET r U-TION SH ALL CONS7R 9 OF THE N.Y. TN V THE REQUIREMENT, ION & ENERGY t", STATE CONSTRUCT. T RE-SPONSIBLE FOR CODES. NO TION ERRORS R CONSTRUC DESIGN 0 A PROVIDE % HR. FIRE RATED SEPARATION TO 4", wl 01 NCY OR CCUPA PART. 717.3 (f) (1) OF "SE U is INLAWFUL N.Y. STATE BUILDING CODE. U TIFICATE WITHOUT CLK "ICY 1, OF OCCUPAN I r4, 7 1 ot If copper tubing ir used PLUMPSER CERTIFICATION for water distribufin� ON LEAD C 0,r,-1,rENTg,,F0R,, System; pipin shall be CFR7"1F1CA7-E OF OCCUpAJ4,Cy of types 1�.�qn�l SOLD ER US,.r-6 IN WA MR UNDERWRITERS CERTIFICATE SUppj _yS REQUIRED 17XCp 'T Yc) EM CANIVOT k D 2110 0 f I f/k", L f-A a IL411 AWN 13y -ALr SC AX I DATE, A\40 ��AAAiPE� 1DRAWING NUMBER y am �g t ,x Ow g., 0, 0 M"e