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Home My WebLink About22946-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23861 Date SEPTEMBER 11, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 4775 PARADISE POINT ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 81 Block 1 Lot 24.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 1991 pursuant to .which Building Permit No. 22946—Z dated AUGUST 18, 1995 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 RELOCATE EXISTING ACCESSORY GARAGE IN FRONT YARD AS APPLIED FOR AND AS PER ZBA APPEAL #4073. The certificate is issued to EDWARD & JOANNE CUMMINGS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING AUGUST 28, 1995 PLUMBERS CERTIFICATION DATED N/A C Building -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 ..........August...18................................. 19.95...... N2 22946 Z Permission Is hereby granted to: Edward M. Cuumi.ngs .......................................................................................... 99 Seventh Street .......................................................................................... Garden City, N.Y. 11530 ...............................................................I.......................... Relocate existing garage (Accessory) in front yard as applied for to .............................................................................................................................................................. & as per ZBA #4073. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. 4775 Paradise Point Road Southold, New York atpremises located at......................................................... ....:.......................................... ................................................................................................................................................................ County Tax Map No. 1000 Section ........81............. Block.......I..............:... Lot No. ................ pursuant to application dated .......Sept; 12,,,, 1991...................... 19................ and approved by the Building Inspector. Fee$........35AQ...... 'A.... .... ........ ....... ........... . Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUT11OLD AUG Ia + il.' BUILDING DEPARTMENT � TOWN HALL 765-1.802 &PIN OF OLD APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 1.7. 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: n 1;. Accurate survey of property showing all property lines streets, building and- unusual natura 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 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. . . . 7.7� . . . . .... °. . . . . . . . . . . . . .'C. .z. . . . ... . . . ... . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;ounty- Tax Map No 1000, Section. . . . . . . . . . .];.lock. . . . . , . . . . . . . .Lot. � . . • . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FJI.cd Mop. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ilealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . .. . . . . . . . Final Certicate. . . . . . . . . . . lee Submitted. $ 1. . . . . . . . . . �� a38i.e . . . . . . . . . . . . . . . :__'_ _.._. . . . . . . . . . . . . . . . . . . . . . . . Z::LD I;..-,: �. �,� ��llr',i I i:0��•fMENTS H FOUNDATION ( 1st ) a . FOUNDATION ( 2nd ) r� z o� ROUGH FRAME & � PLUMBING r� INSULATION PER N . Y. •� i STATE ENERGY CODE . x r FINAL F- 11 o . z • ADDITIONAL COMMENTS : x ' x � x y H O x d m - ro y O��SVFFO��co 0`1` G.f` ca Z Town Hall,53095 Main Road p • Fax(516)765-1823 P. O. Box 1179 A � Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 23, 1995 Mr. Edward M. Cummings 99 Seventh Street Garden- City, - NY 11530 To Whom This May Concern: We are unable to complete 'your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. The check is (outdated/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 # 22946-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT'. FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date 7I '. . . . . . . . . . . . . . . . . . . .1 19 .91. . ToGZG . D v PLEASE TAKE NOTICE that your application dated . . .�1' . . . . . . . . . . . . . . . 197� . for permit to . . . . . . w�ye . . . . . . . . . . . . . . . . . . . . at :�, , '^ Location of Property . . 7 7.��7�. . . . .!. L i r . ,j6U. House No. Street Hamlet County Tax Map No. 1000 Section . . . . Cf l. . . . . . . Block . . . . . . . . . . . . Lot . . . . . . .�u'. . . . Subdivision . . . . . . .. . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . . . . . . . -30 . . . . . . . . . . . . . . . . - . . . . . . _ �. : . .�. . . . . . . . .Age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . . . . .. . ?A;T. . . . .&12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hui � ing� Inspector _ RV 1/80 APPEALS BOARD MEMBERS ;' �� SCOTT L.HARRIS Gerard P.Goehrin er Chairman Supervisor g � r , Charles Grigonis,Jr. t Town Hall,53095 Main Road Serge Doyen,Jr. t �r P.O.Box 1179 James Dinizio,Jr. '°�j` *�� `�� Southold,New York 11971 Robert A.Villa3 Fax(516)765-1823 Telephone(516)765-1809 Telephone(516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD January 31, 1992 , G`Iz �i� i�•f ,Mr. and Mrs. Edward M. Cummings g� 1.1 FG. T. P.O. Box 1900 �u �CF SDDUT 0LD 4775 Basin Road (Paradise Point) Southold, NY 11971 Re: Appl. No. 4073 - Variance for Garage Location Dear Mr. and Mrs. Cummings: With reference to the above matter, .please find attached for your records the Board' s findings and determination rendered on January 23, 1992. Please be sure to return to the Building Inspector' s Office for issuance of the permit. A copy of this determination has also been furnished this date to the Building Department for their permanent recordkeeping. Very truly yours, Linda Kowa ski Enclosure Copies of Decision to: Suffolk County Department of Planning Building Department , A APPEALS BOARD MEMBERS SCOTT L.HARRIS Gerard P.Goehringer,Chairman ' i Supervisor Charles Grigonis,Jr. =i' cA n� Town Hall,53095 Main Road Serge Doyen,Jr. �. .. ' P.O.Box 1179 James Dinizio,Jr. Southold,New York 11971 Robert A.Villa Fax(516)765-1823 Telephone(516)765-1809 Telephone(516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS Appl. No.. 4073: Matter of MR. AND MRS. EDWARD M. CUMMINGS. Variance to the Zoning Ordinance, Article III, Section 100-33 for permission to relocate existing garage to another location in the front yard area. Location of Property: 4775 Paradise Point Road, Southold, NY; County Tax Map Parcel No. 1000-81-1-24. 5 . WHEREAS, after due notice, a public hearing was held on January 23, 1992, and at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1 . By this application, appellants request permission to situate a 20 ft. x 15 ft. accessory garage building, replacing a previously existing garage at the southeasterly yard area close to the existing dwelling, to a position in the southwesterly yard area at not less than 40 feet from the front property line along "Private Road" and at not less than five ( 51 ) feet from the westerly ( side) property line. 2. The premises in question is a described parcel of land containing a total nonconforming lot area of approximately 22, 080 sq. ft. and nonconforming lot width of 119 feet in this R-80 Residential Zone District. This parcel is improved with a single-family, 1-1/2 story frame dwelling situated at 45-1/2 feet at its closest point from a private road referred to as "Basin Road," and at 65+- feet from the edge of the rear deck to the tie line along ordinary high water mark of Peconic Bay (see survey map as amended May 21, 1990 prepared by Roderick Van Tuyl, P.C. ) . Page 2 - Appl. No. 4073 Matter of EDWARD M. CUMMINGS Decision Rendered January 23 , 1992 3 . Article III, Section 100-33 of the Zoning Code provides that accessory buildings shall be placed in the required rear yard, subject to a maximum height limitation at 18 feet, etc. 4. The rear yard area of this parcel is in the board' s opinion not a feasible location to place an accessory building due to the variations of contours from the bluff line at 24 feet above mean sea level (MSL) to a five ft. contour (within a 33 ft. distance) . To locate this accessory building in the rear yard would require not only variances from Section 100-239.4 of the zoning code, but also would require variances from the N.Y.S. Department of Environmental Conservation for a wetlands permit and Southold Town Trustees under the Coastal Zone Management Laws before issuance of any permits may be considered. 5. This accessory building is proposed to be used for garage and storage purposes which are accessory and incidental only to principal dwelling, and although electricity will be utilized, no plumbing facilities will be installed. 6. It is the position of the Board in considering this application that: (a) the circumstances are uniquely related to the land and buildings and are. not personal in nature; (b) the relief is not substantial; (c) the relief as granted will not be an increase of dwelling unit density or cause a substantial effect on available governmental facilities since the building is a garage and storage facility related to the existing dwelling and will not be used for habitable purposes; (d) the relief requested is not unreasonable due to the uniqueness of the property; (e) there is no alternative for appellants to pursue other than a variance; (f) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience, or order of the town, be adverse to neighboring properties, or alter the . essential character of the neighborhood since there. are other accessory buildings located in the front yard area for parcels within the immediate vicinity (see Appl. No. 3229 rendered 5/17/84 {Griffo) and Appl. No. 1467 rendered 9/30/71 (Dawes) . Accordingly, on motion by Mr. Goehringer, seconded by Page 3 - Appl. No. 4013 Matter of EDWARD M. CUMMINGS Decision Rendered January 23 , 1992 Mr. Grigonis, it was RESOLVED, to GRANT a Variance to locate a 15' by 20' accessory one-car garage in the front yard area as applied with a setback at not less than 40 feet from the front property line along Basin Road (private road) and at not less than five ( 5' ) feet from the westerly (side) property line, SUBJECT TO THE FOLLOWING CONDITIONS: 1 . That the accessory garage structure be used strictly for storage and garage purposes, accessory and incidental to the principal dwelling use of. the premises; 2. That electrical utilities may be 'installed (no plumbing bathroom facilities) ; 3 . That the garage structure not exceed the height provisions of the code ( 18 feet) . Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, DInizio and Villa. (Member Doyen was absent due to poor weather conditions. ) This resolution was duly adopted. lk / GERARD P. GOEHRINGE CHAIRMAN FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. NOTICE OF DISAPPROVAL Date V '. . . . . . . . . . . . . . . . . . . 19 .9,1 . . . . .To . . . . . . . . . . . . . . . . . . . . PLEASE TAKE NOTICE that your application dated . . .�� . . . . . . . . , , . . ., 19�/P - . for permit to . .a4w- . . . !'h. . . . . . . . . . . . . . . . . . . . at Location of Property •j��ct.. . .. . House No. Street •l '�`Hamlet County Tax Map No. 1000 Section . . . .4f ``. . . . . . Block . . . . . . . . . . . . Lot . . . ! . . . Subdivision . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . . Lot No. . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds . G� • • ' '!''. • . . . . . . . .W- aztl!/'.... . . . . . . ,r . . . . . L` el!. . . . . . . . . . . . . . . . . . . . s� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bua. ng Inspector RV 1/80 • APPEALS BOARD MEMBERS � � E;; n��, SCOTT L.HARRIS Supervisor Gerard P.Goehringer,Chairman Y -� Charles Grigonis,Jr. ,�. m p:f'; Town Hall,53095 Main Road Serge Doyen,Jr. `'' P.O.Box 1179 James Dinizio Jr. Robert A.Villa �. �'' Southold,New York 11971 = Fax(516)765-1823 Telephone(516)765-1809 Telephone(516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD January 31, 1992 Mr. and Mrs. Edward M. Cummings P.O. Box 1900 4775 Basin Road (Paradise Point) Southold, NY 11971 Re: Appl. No. 4073 - Variance for Garage Location Dear Mr. and Mrs. Cummings: With reference to the above matter, please find attached for your records the Board' s findings and determination rendered on January 23, 1992. Please be sure to return to the Building Inspector's Office for 'issuance of the permit. A copy of. this determination has also been furnished this date to the Building Department for their permanent recordkeeping. Very truly yours, Linda Kowa ski Enclosure Copies of 'Decision to: Suffolk County Department of Planning Building Department - . ;ix _ . FEB - 32 APPEALS BOARD MEMBERS '" ' i,� SCOTT L.HARRIS g -- f', Gerard P.Goehrin er�.Chairman �- :. � � Supervisor Charles Grigonis,Jr. Town Hall 53095 Main Road Serge Doyen,Jr. James Dinizio Jr. 's,' �' P.O.Box 1179 ' y �� Southold,New York 11971 Robert A.Villa Fax(516)765-1823 Telephone(516)765=1809 Telephone(516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD ACTION OF THE BOARD OF APPEALS Appl. No. 4D73: Matter of MR. AND MRS. EDWARD M. CUMMINGS. Variance to the Zoning Ordinance, Article III , Section 100-33 for permission to relocate existing garage to another location in the front yard area. Location of Property: 4775 Paradise Point Road, Southold, NY; County Tax Map Parcel No. 1000-81-1-24. 5. WHEREAS, after due nptice, a public hearing was held on January 23, 1992, and at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. By this application, appellants request permission to situate a 20 ft. .x 15 ft. accessory garage building, replacing a previously existing garage at the southeasterly yard area close to the existing dwelling, to a position in the southwesterly yard area at not less than 40 feet from the front property line along "Private Road" and at not less than five (51 ) feet from the westerly (side) property line. 2. The premises in question is a described parcel of land containing a total nonconforming lot area of approximately 22,080 sq. ft. and nonconforming lot width of 119 feet in this R-80 Residential Zone District. This parcel is improved with a single-family, 1-1/2 story frame dwelling situated at 45-1/2 feet at its closest point from a private road referred to as "Basin Road," and at 65+- feet from the edge .of the rear deck to the tie line along ordinary high water mark of Peconic Bay (see survey map as amended May 21, 1990 prepared by Roderick Van Tuyl, P.C. ) . Page 2 - Appl. No. 4073 Matter of EDWARD M. CUMMINGS Decision Rendered January 23, 1992 3 . Article III, Section 100-33 of the Zoning Code provides that accessory buildings shall be placed in the required rear yard, subject to a maximum height limitation at 18 feet, etc. 4. The rear yard area of this parcel is in the board' s opinion not a feasible location to place an accessory building due to the variations of contours from the bluff line at 24' feet above mean sea level (MSL) to a five ft. contour (within a 33 ft. distance) . To locate this accessory building in the rear yard would require not only variances from Section 100-239.4 of the zoning code, but also would require variances from the N.Y.S. Department of Environmental Conservation for a wetlands permit and Southold Town Trustees under the Coastal Zone Management Laws before issuance of any permits may be considered. 5. This accessory building is proposed to be used for garage and storage purposes which are accessory and incidental only to principal dwelling, and although electricity will be utilized, no plumbing facilities will be installed. 6. It is the position of the Board in considering this application that: (a) the circumstances are uniquely related to the land and buildings and are; not personal in nature; (b) the relief is not substantial; (c) the relief as granted will not be an increase of dwelling unit density or cause a substantial effect on available governmental facilities- since the building. is a garage and storage facility related to the existing dwelling and will. not be used for habitable purposes; (d) the relief requested is not unreasonable due to the uniqueness of the property; (e) there is no alternative for appellants to pursue other than a variance; (f) the variance will not in turn be adverse to the safety, health, welfare, comfort, convenience, or order of the town, be adverse to neighboring properties, or alter the . essential character of the neighborhood since there are other accessory buildings located in the front yard area for parcels within the• immediate vicinity (see Appl. No. 3229 rendered 5/17/84 {Griffo} and Appl. No. 1467 rendered 9/30/71 (Dawes) . Accordingly, on motion by Mr. Goehringer, seconded by Page 3 - Appl. ' No. 4073 Matter of EDWARD M. ' CUMMINGS Decision Rendered January 23 , 1992 Mr. Grigonis, it was RESOLVED, to GRANT a Variance to locate a 15' by 20' accessory one-car garage in the front.-yard area as applied with a setback at not less than 40 feet from the front property line along Basin Road (private road) and at not less than five ( 5' ) feet from the westerly (side) property line, SUBJECT TO THE FOLLOWING CONDITIONS: 1. That the accessory garage structure be used strictly for storage and garage purposes, accessory and incidental to the principal dwelling use of the premises; 2 . That electrical utilities may beinstalled (no plumbing bathroom facilities) ; 3. That the garage structure not exceed the height provisions of the code (18 feet) . Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, DInizio and Villa. (Member Doyen was absent due to poor weather conditions. ) This resolution was duly adopted. lk GERARD P. GOEHRINGER, CHAIRMAN r6s-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & C IMNEY REMARKS: DATE �c� � INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 ' - AUGUST 31 1995 10041$95/95 N 362394 ,.,;,' Application No.on file 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 EDWARD CUMMINGS, 4775 PARADISE POINT RD. , SOUTHOLD, N.Y. in thefollowing location; ® Basement ❑ Ist Fl. ❑ 2nd Fl. GAR Section Block Lot was examined on AUGUST 28,1995 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT I.FLUORESCENT I OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT 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. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER �.4W 1,B'3W 3,B'3W 3,B'4W NO.OF CC.COND. A.W.G. NO.OF HIAEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: FEEDER TO GARAGE ONLY-1 G & S CONTRACTOR LIC.#578E BOX 215 SOUTHOLD, NY, 11971 GENERAL MANAGER 11 _ 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 BEPARTlvlEl' T.THIS COPY OF CER T IFICA'm rVMST NOT BE ALTERED IN ANY MANNER. BOARD OF HEALTH . . . . . . FORM NO. 1 3 SETS OF PineNS . . . . . . . . . . S 99� TOWN OFSOUTHOLD SURVEY . . . _ . . . . . . . BUILDING DEPARTMENT CHECK ,�9246__ �35.00_ . . . . _ BLDG. DEPT. TOWN HALL SEPTIC FORK _ . . . . . . . . . . . . . TOWN OF S�UTHOLD SOUTHOLD, N.Y. 11971 /� .. - TEL.: 765-1802 r"O I FY Examined .`/. .Z. . . . . . . . . CALL . . : . . . . _ . . . . . . . . . . . ,, 19 MAIL TO • Approved . , , AUG. 18, 22946Z . . . . . . . . . . . . . . . . . . . . ., 19 Permit o. . . . . . . . . . . . Disapproved a/c / /• . . . ./. . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . ZBA APPROVAL #4073 dated Jan. 23, 1992 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r--- - - �_---� ---- ._._.- THOMAS J. FISHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT .� 04,7 � L Date . . . . ., 19 . . , -- Ro_D3.DEPT. Ij. CJTHOL€3 _ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 :)r areas, and,giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- -aticm. 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 ;hall 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 ;hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 2egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. I'he 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. JV . . . . . o. . . . . . . . . . . . . . m . . . . . . . . . (Sibnature of applicant, or nae, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,;.geheral 0o,ntiactor, electrician, plumber or builder. .. . . . . . . . . . . . . . . . . . . . . . . . . . '. . .f. . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises Vthn /e 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. . . � I. Location of land on which proposed work will be done. (C/ S . . . . . . . . . . . . . . . . . . . . . . . . . . . . Douse Number . . . . . . . . . . . . . . . . . . . . . . .Street . . . . . . . . . . . . . . . . . . . . . . .Hamlet County Tax Map No. 1000 Section . . . ./. . . . . . . . . . . Block . . . .l. . . . . . . . . . . . . Lot . .! .' . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot (Name) . . . . . . . . . . . . . . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . ; . . . . . . . . . . . !,t�! e .. . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . Removfal.- .�l Demolition�( Other W "V V�- �f�/L(� E%� � �/ /�U-"�-C/1/� S ry�(/Yv� •V V r"'1 CLCiA/•�n/11/�.0. �9 4. Estimated Cost . . . rJ O U. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . ' (to be paid on,filing this application) . S. If-dwelling, number of dwelling 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: Front . . . . . . . . . . . . . . . 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 . . . . . . . . p . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . .W . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . •Depth.. . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase • , , , . Name of Former Owner 11. Zone or use district in which premises are situated . . . . . . . 1.2. Does proposed construction violate any zoning law, ordinance or regulation: .I �_ _ 13. Will lot be regraded . Will excels fill be removed from premises: • Yes - No 14. Name of Owner of premises . `.. AM eus✓vc . . . . . ddress Cl�^ .&1/,0 . Phone No. z 9/f.Q. . . Name of Architect . . . . . . . . . .?t , , • , • , , ddress :! T-A&phone No.0? . Name of Contractor 4?. . . Address . Phone No. 15. Is this property within 300 feet of a tidal wetland?• • �tyeS . . . . . . 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. OCCUPANCY OR USE IS UNLAWTUL APPR VED ASNOTED WHOUT CERTMCOEP� DATE, l 9.5 .E= 4a . �� Y 3s a FE:c. �'r°: �. AM O r"°M F0, R THE 1. rO:.F�i" s�i�t;t� '4'AJ0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 8: PLUMBING UNDERNygfTERg 3. I�45��1�1I10�` e.� � REQUIRED QRTIFXATZ 4. FINAL - CONSTRUCTION MUST BE COMPLETE FO€, C.O. ALL CONSTRUCTIC. : SHALL MEiE'T THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY n CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ti ;TATE OF NEW O( S.S MINTY . . g '��_ . . . . . . C0.�J�cQ individual. . . . .1 ... .signing. . . . . . .contract). . (Name of . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant bove named. le is the . . . . . . . . . . . . . . . . . . . . (Contractor, agent, Corp r to officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ;)plication; that all statements contained-in this application are true to the best of his knowledge and belief;and that the .*ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . . .(p-kA' . .day of. . . .�. . ... l9Qf, otary Public, . . . . . . County ROBERT 1. T,JR. . . . . . . . . . . :.. .. . . . . . .: . .J. . . . . . . . . . NOTARY PUB ,State of N.Y. 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