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Home My WebLink About22246-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23215 Date SEPTEMBER 14, 1994 THIS CERTIFIES that the building ADDITION Location of Property 645 HAMILTON AVE.& 855 MARYS RD. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 140 Block 2 Lot 1 Subdivision I Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated' JUNE 16, 1994 pursuant to which Building Permit No. 22246—Z dated AUGUST 10, 1994 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4252. The certificate is issued to DENNIS & ANN BANNON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 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 ..................... ... ............................. 19... N2 22246 Z Permission Is hereby grant d to; . !v/� ......�lJ, ?✓,r/ .................................... t............... f��iT Tz�C to .... ??✓S�:%u.�r—............ ............ .............. ...i7o...............��J ��'....... �✓ ........ ./G/ .......... ............f-s...... �� #�zsy ......................................................................................................................................................... .................................................................................................................................................................. ................................................................ .....................�J�!f �'lP ................................................. at premises located at.............................. ...... °yl/ / ......... .............................. ............................................................................ /%// /c...... ....... ....../l rlJ` ................. County Tax Map No. 1000 Section -4 l�. ........... Block...... y............. Lot No. ....a/,.................. pursuant to application dated ................0 ` ............................. 19...� and approved by the Building Inspector. Fee$......................... ............ .:.. ......... ..., ............................... Building Inspector Rev. 6/30/80 - Form No. 6 TOTdN OF SOUTHOLD o k) C J.G BUILDING DEPARTMENT + TO[TN HALL 765-1802 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% 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,"pre-existing land uses: 1957) non-conforming uses, or buildings and 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.003 Additions to dwellin • 8 $25.00, Alterations to dwelling $25.003 Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25,00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $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.! U.). . �04�, 1`cf.( Au t,^ . • • . '�/�,q�� c House N ��``m�� • .Street. . . . . . . . . . . . . . . . . . . . U` Wl �-� l\-hCl�Hamlet ------- ---- -- Onwer or Owners of Property. . t ;�,`;�,tS , s;. :{ . • p , . . • . . • • . • . . . . • . County Tax Map No 1000, Section. . . .� � • • • . . . . . . .Block. . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . ..J.``. . . . . . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map. . . . ... . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .Z,a 2 T�O.� . . . .Date Of Permit. �, . C.�'. , C. . . . .Applicant. . . . . . . . . . . .. . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . Final Certicate. . Fee Submitted: . . . . . . . . . . . . . . . . . . :�:`:~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4�_ alai APPLICANT- IPn. LN L' OUZIDATION ( 1st) cn 'OUNDATIOtd (2nd ) — _ Ir n :OUCH FRAME & I �' I •PLUMBING I ' A , n W � 3 . II m n :11SULATI0;1 PER N. Y. I - • '� STATE ENERGY II CODE FI:1AL a ADDITIONAL COMMENTS - ------------ 1 m ; -v H Page 3 - Appeal No. 4252 Application of DENNIS R. BANNON Decision Rendered July 14, 1994 ' . interest of justice will be served by allowing the three-foot side yard reduction. (e) the applicant's difficulties are not self-created, and the location of the proposed addition is most feasible as chosen, which is a rear yard rather than one "of the remaining front yards. (f) the difficulties . are uniquely related to the layout and general character, shape and size of this parcel and are not personal to the landowners; (g) in considering all of the above factors, the interests of justice will " be served by granting this four-foot reduction in the westerly yard, as requested. Accordingly, on motion by Chairman Goehringer, seconded by Member Wilton, it was RESOLVED, to GRANT the requested reduction for a setback of 29 feet in the westerly rear yard area for a new addition to the existing dwelling, as requested. Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Dinizio, Villa, and Wilton. This resolution was duly adopted. lk - GERARD P. GOEHRINGER, .CHAIRMAN -� .+• L Vllla Vl V YY�11+♦ _ 11. Zone or use district in which premises a;e situated , 12. Does proposed construction violate any zoning law, ordinance or regulation:•No. . . . . • . . • . . . . • • • � • • � • � � 13; .;,Will lot be regraded N� , ' . Will excess fill be removed from premises: • • • •Yes 14. Name of Owner ' f remises • • 5 • • • • • • • • C 17C ' p �EW. Wt��. ,Address . .Phone No. Name of Architect ; : Address • . • • • • • . Phone No. . . .S Name of Contractor .�IA.(2,��', }U1 S,. . . . . . .•. . . Address Iy93 M. . . . . . . . 15: , Is._•this property w' • • • ' • one No. P P y within 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;' OCCUPANCYOR interior or corner lot. _ USE IS UNLAWFUL WI UT CERTIFICATE. �� -- I? '�K10 - OF CCUPANCY �4� APPROVED AS - (�/O B.P# ZLZ a t rti g j 5 V 5""� R, ' DATE K FEE: p NOTIFY BUILDING DEPARTMENT AT r i 765-1902 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE �� t�L . r,<,, --- - -- - — _ L'UMBING : ,- �,_ _ _ . -�'` 4-`mil • �.__ _ _._� i 2. ROUGH FRAMING & P r 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O: ALL "CONSTRUCTION .SHALL MEET THE REQUIREMENTS.'OF THEj N Y STATE .CONSTRUCTION & 'ENERGY-, CODES..`._NOT RESPONSIBLE I FOR 1 DESIGN OR CONSTRUCTION ERRORS 12 1 i y�, . �Q- 3 N �� Ks �.' r � �4. + � - � C C G j'1Q.�-i�E✓2� '�1-dr- �p�5 F r Z i STATE OF NEW YORK, S.S COiJNTY OF . �, ,"n *• �� _ ;?�' , �` �< ' • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant h 3 P (Name o vidual signing contract) r h� ;:above named r 7 �t ;• :He ' ! is the ' _y (Contractor, agent, corporate officer, etc.)• • . . . . ontra . . . . . , r FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE , SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . . l.�? . . . . . . . . . . . . . . . . . .. 19 9 V ZIP To . . . �. �. . �... . . . . . . . . . . . PLEASE TAKE NOTIC that your application dated . . .. '. . . . , . . . . . . . ., 19 ?1 for permit to . . . � �. . . �'. . . . . . �Y . . . . . . at Location of Property 6S. . . . . .�1�� ,?j , , GG ®. House No. Street . . . . . . . . . . . . . . . . . . . . .Hamlet County Tax Map No. 1000 Section . . . . /,l. .C� . , . Block . . . . . . . . .�. . . Lot . . . . .l . . . . . . . Subdivision . . . . . . . . Filed Map No. Lot No. . . . . . . . . . . . . . . . . . is returned herewith and disapproved on the following grounds .1/� . . , 4�? 4�� . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . � . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i ding ispcctor K RV 1/80 . OS�FFOC�C APPEALS BOARD MEMBERS �G,f� - Southold Town Hall Gerard P. Goehringer, Chairm y ,? 53095 Main Road Serge Doyen, Jr. %�S 41� P.O. Box 1179 James Dinizi �a0� Southold, New York 11971 Robe 1 *t Fax (516) 765-1823 Ric C. on ��0. ' Telephone (516) 765-1809 ® OARD OF APPEALS OWN OF SOUTHOLD OWN FINDINGS AND DETERMINATION Appeal No. 4252: Upon Application of DENNIS R. and ANN L. BANNON. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3, based upon the June 16, 1994 Notice of Disapproval from the Building Inspector, for permission to locate proposed addition with an insufficient rear yard setback. The subject premises contains a total lot area . of approximately 12,300 square feet and is a corner lot. Location of Property: 855 Mary's Road (a/k/a 645 Hamilton Avenue) , Mattituck, NY; County Tax Map Parcel ID No. 1000-140-2-1. WHEREAS, a public hearing was held on July 14, 1994, at which time any and all persons who desired to be heard were heard and their , testimony recorded <no opposition was entered>; 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, the present use and building(s) , and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question: (a) is identified on the Suffolk County Tax Maps as District 1000, Section 140, Block 2, Lot 1; known and referred to as 855 Mary's Road (or 645 Hamilton Avenue) , Mattituck; and consisting of Lot 36 and the southerly two-fifths of Lot 35 on the preexisting Subdivision Map of Garden Heights; (b) is nonconforming as to total lot area containing a total lot area of approximately 13,000 sq. ft. , uniquely with frontage along three roads; (c) is improved with a single-family, two-story frame dwelling - with setbacks as more particularly shown on the t � Page 2 - Appeal No. 4252 Application of DENNIS R: BANNON Decision Rendered July 14, 1994 survey prepared July 24, 1963 by Otto VanTuyl & Son, Land Surveyors. The dwelling was built prior to 1957 - the date zoning was first enacted. The applicants purchased the premises on September 19, 1975; and (d) is regulated under Section 100-244B of the Zoning Code pertaining . to lots with less than 20,000 sq. ft. {as enacted January 19891 . 2. By this application, appellants request approval for a new addition in the westerly (rear) yard area. The new addition is proposed at this time for an open deck and is requested to be 29 feet at. its closest point from the westerly property line. Appellants have reserved the right to enclose the deck in the future, by appropriate building permit application, for possible additional livable floor area. The proposed extension will not extend beyond the established northerly line of the house. 3. The code requirement for the rear yard setback on a nonconforming parcel of this size is set at a minimum of 35 feet for new construction, or at the established nonconformity which presently is shown to be 33 feet, as built. 4. It is the position of the Board that the amount of relief requested for a reduction from ' the present 33 ft. setback - to 29 feet due to the angle of the proposed deck addition is not substantial. (No other relief appears to be necessary for insufficient setbacks as shown on the sketch prepared by the applicants in this application. ) 5. In considering this application, the Board also finds: (a) there is no valid public purpose which outweighs the applicant's difficulties for a four-foot variance, and the size of the deviation is de minimus; (b) a substantial change will not be produced in the character of the neighborhood; (c) the difficulty cannot be obviated by some method feasible . for the applicant to pursue other than another variance; (d) .. in view of the manner in which the difficulty arose and the fact that additional land area is not available for placement of such an addition without a variance, the Page 3 - Appeal No. 4252 Application of DENNIS R. BANNON Decision Rendered July 14, 1994 interest of justice will be served by allowing the three-foot side yard reduction." (e) the applicant's difficulties are not self-created, and the location of the proposed addition is most feasible as chosen, which is a rear yard rather than one of the remaining front yards. (f) the difficulties are uniquely related to the layout and general character, shape and size of this parcel and are not personal .to the landowners; (g) in considering all of the above factors, the interests of . justice will be served by granting this four-foot reduction in the westerly yard, as requested. Accordingly, on motion by Chairman Goehringer, seconded by Member Wilton, it was RESOLVED, to GRANT the requested reduction for a setback of 29 feet in the westerly rear yard area for a new addition to the existing dwelling, as requested. Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Dinizio, Villa, and Wilton. This resolution was duly adopted. lk GERARD P. GOEHRINGER, CHAIRMAN (�-�� '•� FFOL APPEALS BOARD MEMBERS �O Gym =� Southold Town Hall Gerard P. Goehringer, Chairman CO ,? 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 James Dinizio, Jr. y� a0� Southold, New York 11971 Robert A. Villa Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD Jf �_ s July 18, 1994 1994 L BLDG.DEPT. .�TOWN OF SOUTPOLD Mr. and Mrs. Dennis Bannon 855 Mary's Road Mattituck, MY 11952 Re: Appl. Mo. 4252 (Variance for Addition in Rear Yard) Dear Mr. and Mrs. Bannon: Please find enclosed a copy of the findings and determination rendered Thursday evening by the Board of Appeals concerning your variance application. Please be sure to return to the Building Inspector and any other agency which may have jurisdiction for issuance of a building permit and applications approvals for the new addition. We have furnished copies of this approval to the Building Department office for their update and permanent recordkeeping. Also, we have transmitted a copy of this file to the Suffolk County Department of Planning in accordance with the Suffolk County Administrative Code rules and regulations pertaining to projects located within 500 feet of a 'county road. Once we have received their written response, we will forward a copy to you for your permanent recordkeeping. Very truly yours, Linda Kowalski, Clerk Enclosure Board of Appeals Copies of Decision to: Town Building Department County Planning Commission c 15�rag APPEALS BOARD MEMBERS �O Gym► -'� Southold Town Hall Gerard P. Goehringer, Chairman y ,? 53095 Main Road Serge Doyen, Jr. 11 P.O. Box 1179 James Dinizio, Jr. �l a0� Southold, New York 11971 Robert A. Villa Ali[ �` Fax (516) 765-1823 Richard C. Wilton Telephone (516) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS AND DETERMINATION Appeal No. 4252: Upon Application of DENNIS R. and ANN L. BANNON. Variance to the Zoning Ordinance, Article IIIA, Section 100-30A.3, based upon the June 16, 1994 Notice of Disapproval from the Building Inspector, for permission to locate proposed addition with an insufficient rear yard setback. The subject premises contains a total lot area of approximately 12,300 square feet and is a corner lot. Location of Property: 855 Nary's Road (a/k/a 645 Hamilton Avenue) , Mattituck, NY; County Tax Map Parcel ID No. 1000-140-2-1. WHEREAS, a public hearing was held on July 14, 1994, at which time any and all persons who desired to be heard were heard and their testimony recorded <no opposition was entered>; 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, the present use and building(s) , and the surrounding areas; and WHEREAS, the Board made 'the following findings of fact: 1. The premises in question: (a) is identified on the Suffolk County Tax Maps as District 1000, Section 140, Block 2, Lot 1; known and referred to as 855 Mary's Road (or 645 Hamilton Avenue) , Mattituck; and consisting of Lot 36 and the southerly two-fifths of Lot 35 on the preexisting Subdivision Map of Garden Heights; (b) is , nonconforming as to total lot area containing . , a total lot area of approximately 13,000 sq. ft. , uniquely with frontage. along three roads; ,., . ;. (c) is improved with a single-family, two-story frame dwelling - with setbacks as more particularly shown on the Page 2 - Appeal No. 4252 Application of DENNIS R. BANNON Decision Rendered July 14, 1994 survey prepared July 24, 1963 by Otto VanTuyl & Son, Land Surveyors. The dwelling was built prior to 1957 - the date zoning was first enacted. The applicants purchased the premises on September 19, 1975; and (d) is regulated under Section 100-244B of the Zoning Code pertaining to lots with less than 20,000 sq. ft. {as enacted January 19891 . 2. By this application, appellants request approval for a new addition in the westerly (rear) yard area. The new addition is proposed at this time for an open deck and is requested to be 29 feet at its closest point from the westerly property line. Appellants have reserved the right to enclose the deck in the future, by appropriate building permit application, for possible additional livable floor area. The proposed extension will not extend beyond the established northerly line of the house. 3. The code requirement for the rear yard setback on a nonconforming parcel of this size is set at a minimum of 35 feet for new construction, or at the established nonconformity - which presently is shown to be 33 feet, as built. 4. It is the position of the Board that the amount of relief requested for a reduction from the present 33 ft. setback to .29 feet due to the angle of the proposed deck addition is not substantial. (No other relief appears to be necessary for insufficient setbacks as shown on the sketch prepared by the applicants in this application. ) 5. In considering this application, the Board also finds: (a) there is no valid public purpose which outweighs the applicant's difficulties for a four-foot variance, and the size of the deviation is de minimus; (b). a substantial change will not be produced in the character of the neighborhood; (c) the difficulty cannot be obviated by some method feasible . for the applicant to pursue other than another variance; (d) in view of the manner in which the difficulty arose and the fact that additional land area is not available for placement of such an addition without. a variance, the . Page 3 - Appeal No. 4`252 Application of DENNIS R. BANNON Decision Rendered July 14, 1994 interest of justice will be served by allowing the three-foot side yard reduction. (e) the applicant's difficulties are not self-created, and the location of the proposed addition is most feasible as chosen, which is a rear yard rather than one of the remaining front yards. (f) the difficulties are uniquely related to the layout and general character, shape and size of this parcel and are not personal to the landowners; (g) in considering all of the above factors, the interests of . justice will be served by granting this four-foot reduction in the westerly yard, as requested. Accordingly, on motion by Chairman Goehringer, seconded by Member Wilton, it was RESOLVED, to GRANT the requested reduction for a setback of 29 feet in the westerly rear yard area for a new addition to the existing dwelling, as requested. Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Dinizio, Villa, and Wilton. This resolution was duly adopted. lk RARD P. GOEHRINGER, CHAIRMAN Ali rtS A r C4eto a. L .^ •.' •.\ ,'L•! t . I -4---- ,i • R JNAUTHOIZtD ALTEIATIOTt A TION OF .. '. tt'• L. ��.•• �, /t i_ V TO THIS SURVEY IS V104 LNTOAX STATE i"i /mot SYt SLCTION 7.09 OF THE N. tDUCATION LAW., MAP NOT 01ARINO • n x •;; v COPIES OF THIS SURVEY -� THE LAND SULVEYOI•S INIC.'D StAI Lx EMEOSS:D SEAL:Hwtt NOT et coNSInLRto GucsYct.-steed -t•c �}Hc 5uf`fotk �ouH� FedCt=ai . TO St A VALID TrUt Co"' r+�/ /� Savilrga -* Lochs �1ssx�.us suYveya 1 -c4•G�. t{ .-I G!. t7 .(1 d (/l r'V U ;HALL RUN - GUARANTEES:I:DI:.�T�=HEREON ` -n r. ONLT TO 1HE it:So FOR WrtO+:+THE SL'RVtT Otto O yv. vCA t'T ,�1 ` Llil?IL7O'Y✓ �SJ'1 O,WFt YeTeY'1Q IS IAtPARtO,A.�D OH Y.iS I:HAtF TOwr�'- r, i:+y7 C:�.' ..:�Y:.►.�1rI tti+liq lwY� nr t�t{cCl f M 1'Ne �. .TITLE COrAPANT,GOYER4IMENFAL wCtNlCNDA'� '• ' ';�• . (:%+•, "- _ .. N LIMP HCREON, L+�!` -'� •mot'. :�. �uJlt� r,rnv'�r'Z A`��er-� nN ►'.r 'LENDWGRtS1iTUT10 rT{ n 1NST��ll en Lf1W, V tF it: Inv WY CL1 t1�•.t1 t `: BOARD OF HEALTH . . . . . . . . . FORM NO. 1 —3 SETS OF PL.INS . . . . . . . . . . TOWN OF SOUTHOLD —SURVEY _ . _ . . . JUN 16 1994 BUILDING DEPARTMENT �CIIECK . . . . . _ _ . _ . . . . . . . . . . . €, TOWN HALL SEPTIC FORM _ . _ . . . . . . . . . . SOUTHOLD, N:Y. 11971 �! TOWN OF SOUTHOLD TEL.: 765-1802 NO<<FIE ; Exam �o. ,,1 CALL . . . . . . . . . . . . . . . . . . . Examined p , 19 6. . MAIL TO : Approved . . .��io 19 Permit No1i4z K(e. Zt.. . . . . . - . . . . . . . . . . . . . - Disapproved a/c ? �(�i. . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . . . ( ing • . .nspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . 19? 11 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 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.Sou.tho'. , " •F �-?l� Coin *?;,v„ York, and other applicable Laws, Ordinances or Regulations, for the construct oit of builduigs,addit---.-. ,: aiterations, 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. .Yl.►s. . . :n� . . .. . . . . . . . . . . . . . . . r D4 h kor name, if a corporation) . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. P!t'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Name of owner of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. U54-5 :'.A 1. , . , , . , , , , , , Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . .. . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . ��y- 1. Location of land on which proposed work will be done. Ale".X . . .&)q . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . dr . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. House Number S7ite et Hamlet County Tax Map No. 1000 Section 0?. — k . . . . . . . . . . . . . . . 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 » ! ;e. , b. Intended use and occupancy`1 Edml. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . Alterat'oniF Repair . . . ... . . . . . . . . . Removal Demolition . . . . . . . . . . . . . . Other Work, . . : . . . (Description) . . 4. Estimated Cost . .I . . Fee . . . . . . . . . . (to be paid on filingahs-application) S. If dwelling,number of dwelling units . . . .. . . . . . . ` - . . . . . Number of dwelling units on each fl000 r . . . . . . . . . . . ... If garage,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 . . . . . . . . . . . : . . . Nu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of Stories . Dimensions of same structure with alterations or additions: Front' Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . - - . . Height . . . . . . . . . Number of Stories . 8. Dimensions of entire new construction: Front .��:YX.Z6 Rear Depth • •' . • • • • • Height . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . • - " " 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . • . 10., Date of Purchase . • • . Name of Former Owner • • • 11. Zone or use,district in which premises a;a situated . - • • • • • ' ' ' ' ' ' ' ro osedc . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does .,. . proposed construction violate any zoning law, ordinance or regulation: NQ. . . . . . . . . . . . . . . . . . 13. Will lot be regraded N6 . • . . • • • • . Will excess fill be removed from premises: • • • •Yes • • •�No 14. Name of Owner of premises1L- ?A.)1'5. A-)&.)• . • Address .Phone No. Name of Architect Address r• .I . Phone No. Name of Contractor• •�tgCz.� :uls• . • •.' . : . Address one No. 9 .7,�• . . . 15. Is this property within 300 feet of a tidal wetland? *Yes. . If es Southold Town Trustees Permit may be r No. . . . . . , , . �; y y equired. 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. DI 3 7)N /, Y1 , STATE OF NEW YORK, COUNTY 0,.� S.S • • • • • • • • • • • • • . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name o 'vidual signing contract) above named. _ He is the . . . . . . . \. . . . . . . . . . . . . . . . (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 manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . T . . . . . . . .day of. . . . . �L.N'z. . . . . . . .. 19Q�. Notary Public, . . . . . :�! - County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EL17-ASETH ANN NEVILLE, (Signature of applicant) Notary Public,State of Kow York No,52,5125850,Suffolk Coin Term rxnirR+q nnanYwr nl 9 Q