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Home My WebLink About21164-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22486 Date JULY 29, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 415 ELIJAHS LANE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4 Lot 11.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 1992 pursuant to which Building Permit No. 21164-Z dated DECEMBER 22, 1992 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 NONPOLE ANTENNA & FENCE AS APPLIED FOR & TO CONDITIONS OF ZONING BOARD OF APPEALS #4022 & 4023 The certificate is issued to WILLIAM BAXTER JR. & ORS. (owners) of the aforesaid building. SUFFOLK.COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-279165 - NNE 10, 1993 PLUMBERS CERTIFICATION DATED N/A 1'e'4z_ "4 9 uilding Inspector Rev. 1 81 - ys..n FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22487 Date JULY 29,_1993 THIS CERTIFIES that the building ALTERATION Location of Property 415 ELIJAHS LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4 Lot 11.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 12, 1992 pursuant to which Building Permit No. 21164-Z dated DECEMBER 22, 1992 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 ALTERATIONS TO AN ACCESSORY BUILDING AS APPLIED FOR & TO CONDITIONS OF ZONING BOARD OF APPEALS #4022 & 4023. The certificate is issued to WILLIAM BAXTER & OTHERS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-279165 - JUNE 10, 1993 PLUMBERS CERTIFICATION DATED N/A B lding Inspector Rev. 1/81 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) N°-N9 21164 Z Date ~ . ' 19... P~ ~ Goo 4S Permission is h reby granted to: to 4e.457 at premises located at ..r7ll dd~. ~Q.'Y.z4 ....................................................~......~.rPJ23 4 County Tax Map No. 1000 Section ........./..®.1 Block Lot No..ZZZ ..:a...... pursuant to application dated .....1. 19.,g,.~;.,Snd approved by the 1 iIding Inspector. /ao, 6V ;;4 Fee $ Buildl nspector Rev. 6/30/80 .q..•.. =SS-fiwSS-T0141 OF 'SoUiHOLC' Form No. 6 - - TOWN OF SOUTHOLD r [,_-~I L BUILDING DEPART`fEWT - TOWN HALL !JL. Z 9 765-1802 F 16OEPT. APPLICATION FOR CERTTPICATL' OF OCCUPANCY i,- :iflUT,_%D A. This application must be filled in by typewriter OR ink ind sutrittad to the S:,414'-., inspector with the following: for new building or new uee: 1. Final survey of property with accurate locaLicu of. all build-n";;, streets, and unusual natural ur topographic ieacurei,. 2. Final Approval from Health Dept. of water supply and seuer,loe-disa eal;s-9 nf? 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in svstem co::ra.n; f less than 2/10•of 1% lead. i, 5. Commercial building, industrial building, multiple residences and sim,lar buildings and installations, a certificate of Code Complilnce krcm architect or 2n-ir.eer responsible for the building. b. Submit Planning Board Approval of completed site plan requirements, ;y For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings rd "pre-existing" land uses: 1. Accurate survey of property showing all properry lines, srreecs, building and (c'~ unusual natural or topographic features, 2.• A properly completed application and a consent to inspect signed by rive applicant. If a' Certificate of Occupancy is denied, the Building Inspector shall --race the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling :;2;.00, ?wwF..:.' Alterations co dwelling $25,00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50,00. "s' 2. Certificate of Occupancy on Pre--existing Building - $100.00 "^^v 3: Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 'kiian.. 4.1, Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, CoTorcial $15.00 Date I(/f 11N.A. 'onstruction........... Old Or Pre-existing Building T '~,gcatipn of Property.....`.FI...... F 1T?C~......... ~~Co~e No, 3 Street HanSet nWCr,or Owners of Property.... a.. aunty Tax Map No 1000, Section......( Block ................Lot...................... vision .Flied Map............Lot. ' '2- .~.c1;~~ 'r it No,. .I6.`f.......Date Of Permit....!... ....1~...Applicant. {4~lth Dcpt. Approval .........Underwriters Approval...............,......... k~#nning'Board Approval 't equast for; Temporary Certificate.........Final Certic.^.te........... g Submitted: .4:r kr, Now" 16,78 P8rsons Bwt !C1a° t flushing, New York 1'1366 Eii; (718) 591-2500 Telefax (718) 380-80x9 u Lf 2 919W BLDG. DEPT. FACSIMILE COYER SNEUT j~ .,.,a} oFSOUrHO ti { ~ iG }"3 .l fi f Fax N.imber Vten 2ivn Date - __.-._...__....w._w_._ Total Pages Including Cover Sheet RE: MESSAGE ANNOR SPECIAL INSfRUCIIOMS ..'ii'1+,'.!•d13~n!'__.tZ!.-----.._.lf.~tl.%:_"T ~4'`irY`.~a Lsad i Ti i-4 5m Ry x•°• :er`/~+~~' ~s9~:iaL _w. yCaP rK_,;s~y. s, Ii there 1s ariy P%irg,' please call 713.591--2500 - , OF SOUTHOLD 1 '1 Form No. 6 n " TOWN OF SOUTHOLD 110 D BUILDING DEPARTMENT TOWN HALL JJL 1 765-1802 mtQp APPLICATION FOR CERTIFICATE OF OCCUPANCY 1 t2. 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 1'nes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 :orm), 3. Approval of eleetricai' installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance. from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. t 2.' A properly completed application and a consent co inspect signed by the applicant, I£ 'a Certificate of Occupancy is denied, the Building Inspector shall sLaze 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 dwalling $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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy Residential $15^..0/0, Co j%ercial $15.00 Date New'Cgnstruction....•••••.• Old Or Pre-exi ting Building......L L ee' rLocatign of Property.. a ft" ; Qav A :4iTJ........... - 11puse No. Street Hamlet Onwer,or Owners of Prope~ 1 County Tar. Map No 1000, Section,.... •...Bloel LOt...../1.~ 'Subdivision .Filed Map....... .....Lot................ 'Permit No... ......Da[e Of Permit .....:J,.. Applicant. Health Dept. Approval Approval....... , Planning'4oard Approval 'Request for: Temporary Certificate........... Final CCrti4ate....... Fee Submitted: $ pl, CANT STEPLIN CONSTRUCTION CORP. 76-28 Parsons Boulevard 9 f - Flushing, New York 11366 T N (718) 591-2500 Fax: (718) 380-8029 ,JL29W i f BLDG. DEPT. ~CWN OF SOU7HOLD _w. July 28, 1993 Village of Southold 53095 Main Road Southold, BY 11971 Attn: Building Dept. RE: Cellular One Baxter File Enclosed please find two applications for certificates of occupancy. Kindly issue both certificates to: Cellular One 15 East Midland Avenue Paramus, NJ 07652 Attn: Bob Hagopian Thank you very much. Very truly yours, FTI~PLAN CO STRUCTION CORP. S ph n C. Cohen Presid t. SCC: am enc. \y APPEALS BOARD MEMBERS SCOTT L. HARRIS =:?Y rn..<+ Supervisor Gerard P. Goehrin er Chairman Serge Doyen, Jr. Town Hall, 53095 Main Road ~ P.O. Box 1179 James Dinizio, Jr. Robert A. Villa ~~1 a Southold, New York 11971 L Fax (516) 765-1823 Telephone(516)765-1809 Telephone(516)765-1800 BOARD OF APPEALS TOWN OF SOUTHOLD August 25, 1992 Allen M. Smith, Esq. 737 Roanoke Avenue P.O. Box 1240 Riverhead, NY 11901-1240 Re: Appl. No. 4023 - Interpretation and Variance (Cellular One) Dear Mr. Smith: Attached please find a copy of the Board's determination rendered under the above application. In accordance with the rules of the Suffolk County Administrative Code, the file has been transmitted to the Suffolk County Department of Planning for their response. Copies of this determination have also been furnished today to the Planning Board for their site plan file and the Building Department for their update and permanent recordkeeping. Very truly yours, Linda Kowalski Enclosure Copies of Decision to: Southold Town Building Department Southold Town Planning Board Suffolk County Department of Planning Mr. William J. Baxter INSPECTORS Victor Lessard "I Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor Smor Building Inspector Thomas Fisher n tt Southold Town Hall Building Inspects P.O. Box 1179, 53095 Main Road Gary Fish Southold, New York 11971 Building Inspector Fax (516) 765-1823 Vincent R. Wieezorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JULY 26, 1993 WILLIAM D. MOORE, ATTORNEY P. 0. BOX 23 MAITITUCX, NY 11952 RE: WILLIAM BAXTER & ORS 415 ELIJAHS LANE, MATTITUCX, NY PLEASE NOTE: 2 CO's REQUIRED To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: XXX An application for Certificate of occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. XXX The check is not on file. $50.00 EACH 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 # 21164-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~ V/1/ r~ `ate ~1j~FQ(ff APPEALS BOARD MEMBERS cgd~ SCOTT L. HARRIS Gerard P. Goehringer, Chairman Supervisor esa F u a ry Town Hall, 53095 Main Road Serge Doyen, Jr. B 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 SOUT14OLD August 21, 1992 Allen M. Smith, Esq. 737 Roanoke Avenue P.O. Box 1240 Riverhead, NY 11901-1240 Re: Appl. No. 4022 - Special Exception - Metro One Dear Mr. Smith: Please find attached a copy of the Board's determination rendered in the above matter. In accordance with the rules of the Suffolk County Administrative Code, the file has been transmitted to the Suffolk County Department of Planning for their response. Copies of this determination have also been furnished today to the Planning Board for their site plan file and the Building Department for their update and permanent recordkeeping. The decision rendered under Appl. No. 4023 concerning the height issue is being transmitted under separate cover. Very truly yours, Linda Kowalski Enclosure Copies of Decision to: Southold Town Building Department Southold Town Planning Board Suffolk County Department of Planning William D. Moore, Esq. APPEALS BOARD MEMBERS SCOTT L. HARRIS Gerard P. Goehringer, Chairman ® Supervisor Serge Doyen, Jr. Town Hall, 53095 Main Road 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 BOARDS j, Appl. No. 4022SE. CELLULAR TELEPHONE COMPANY d/b/a METRO ONE. Request for Special Exception approval under Article VIII, Section 100-81B(1), and Article III, Section 100-31B(6) for an unmanned telecommunications building in an existing concrete block building and construction of a monopole radio tower with antenna for transmitting and receiving radio signals to provide cellular telephone services. Location of Property: 415 Westerly side of Elijah's Lane, Mattituck, NY; also shown on Planning Board Map of May 15, 1990, map 8937; Parcel #1000-108-4-11.1 (part of 11). WHEREAS, action was taken, after proper notice and public hearing, by the Board of Appeals on July 25, 1991 denying the applicant's request for a Special Exception under the "public right-of-way" provision of the residential zone district, and due to impropriety of the selection of the zone district as it relates to residential uses; WHEREAS, an Article 78 proceeding was commenced seeking to reverse and annul the Board's denial of the Special Exception; and on May 28, 1992, a true copy of the court judgment decided by Justice Robert W. Doyle reversing the Board's decision was delivered; and WHEREAS, the time for the Town to appeal this Court decision, as requested, has passed; and WHEREAS, the public utility installations are essential for providing services to the public interest devoting its property and its right-of-way to such public use and service and stands ready to serve all the public; WHEREAS, the public utility company has guaranteed the Town and the unrestricted public of its telecommunications services to the public, NOW, THEREFORE, on motion by Mr. Goehringer, seconded by Mr. Doyen, it was RESOLVED, that a Special Exception for telecommunication use for utility services directly for public use, as applied under Appl. No. 4022, and re-confirmed at the Board's July 29, 1992 meeting, be and hereby is GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: Page 2 - Appl. No. 4022 Cellular Telephone (Metro One) - August 18, 1992 1. The height of the proposed accessory monopole radio tower shall not exceed 100 feet, as requested; 2. The fall-down radius of the tower shall be as submitted, with the following setback distances: a) 95 feet from the proposed tower to the northerly property line; b) 70 feet+- from the proposed tower to the southerly property line; c) 69 feet from the rear wall of the accessory one-story block building. 3. Any future expansion for the storage of the telecommunications equipment to areas outside of the existing one-story block building located in the rear yard will require further application for Special Exception consideration; and 4. In the event this transmission tower becomes obsolete or its use is discontinued for the telecommunications purposes requested in this application, the tower shall be removed within three months of its obsolescence, and it shall be the responsibility of the owner, subsequent owners, successors, assigns, and/or the applicant herein to comply with this condition, at their own expense; and 5. No other structures, buildings, or uses shall occupy or be located on the premises unless further application is made to this Board under this Special Exception, as well as the Planning Board under the site plan regulations, in order to re-consider all zoning standards, including safety, health, and welfare standards and concerns; and 6. Lighting shall be placed near the top of the tower for aircraft safety purposes; and 7. Appropriate screening and site plan approval from the Southold Town Planning Board for this Limited Business (LB) Zone District; 8. Written covenants and restrictions shall be submitted in recordable form; and after acceptance by the Town, the original shall be recorded by the applicant in the Office of the Suffolk County Clerk and a copy of same furnished with the .Office of the Board of Appeals. Vote of the Board: Ayes: Messrs. Goehringer, Doyen and l ' Page 3 Appl. No. 4022 - Cellular Telephone (Metro One) Decision Rendered August 18, 1992 Villa. (Member Dinizio abstained.) This resolution was duly adopted with a quorum vote of the Board. lk GERARD P. GOEHRINGER, C IRMAN i r f I APPEALS BOARD MEMBERS SCOTT L. HARRIS h~ g y. o tY Supervisor Gerard P. Goehringer, Chairman 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 ACTION OF THE BOARD Appl. No. 4023. CELLULAR TELEPHONE CO. d/b/a METRO ONE. This is an Appeal of the March 14, 1991 Notice of Disapproval issued by the Building Inspector for an Interpretation under Article XXIII, Section 100-230 concerning a proposed 104 ft. height of a monopole structure for radio transmission, and in the alternative, appellant requests a variance from the height restriction. Location of Property: (#415) Westerly side of Elijah's Lane and the Northerly Side of the Main Road (NYS Route 25), Mattituck, NY; also shown on Planning Board subdivision-approved map of may 15, 1990; property now or formerly of William J. Baxter and Others; County Tax Map Parcel ID No. 1000-108-4-part of 11. WHEREAS, a public hearing was held on July 29, 1992, at which time all those who desired to be heard were heard and their testimony recorded; WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; 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. This is an application for an Interpretation as authorized by Section 100-271(d)(1} of the zoning code appealing the March 14, 1991 Notice of Disapproval issued by the Building Inspector which states as follows: "...PLEASE TAKE NOTICE that your application dated March 14, 1991 for permit to construct radio tower and structure is returned herewith and disapproved on the following grounds: Article VII, Section 100-81B site plan approval required by Planning Board & Special Exception required by Zoning Board of Appeals, l ' J ~ ' Pat3e 2 - Appl. No. 4023 Decision Rendered August 18, 1992 Matter of CELLULAR TELEPHONE (METRO ONE) Section 100-230 on height exceptions may require interpretation by Zoning Board of Appeals... 2. Proposed in this project is the placement of an accessory telecommunications (radio transmission) tower in the rear yard area at premises known as 415 Elijah's Lane, Mattituck, identified on the Suffolk County Tax Maps as District 1000, Section 108, Block 4, Lot #11.3 consisting of 1.85 acres. 3. The subject premises is owned by William Baxter, Jr. and others, and the applicant is the tenant, Cellular Telephone Company, a New York General Partnership (d/b/a Metro One). 4. The use of the proposed accessory tower and the rear concrete building for public telecommunications purposes has also been conditionally approved by Special Exception Appl. No. 4022, and the following information is noted for the record: (a) Cellular One is a public utility under the Laws of the State of New York and holds a franchise from the Federal Communications Commission to serve the public within the Town of Southold; (b) Cellular One's FCC Franchise requires that Cellular One provide cellular telephone service within the geographic boundaries of the Town of Southold, providing a quality service consistent with the requirements of the Public Service Commission; (c) Cellular Telephone Co. will conduct mobile communications by radio consisting of mobile units either mounted in vehicles or hand-carried sending to and receiving signals from fixed base sites. Different frequencies are set between cells, and good overlap between cells will permit a better grade of service. Movement to outside of the range of the cell, would cause weaker coverage, and when a cell is missing, coverage is not uniform and service can drop. (See the sworn affidavit of Scott Fox, Director of Engineering for the applicant/company dated July 29, 1992 in which the steps in determining the necessary height of the antenna for a cell site are provided in detail); 5. The structure which is the subject of this application is a 100 ft. high pole-type structure (96 ft. pole plus attached four-ft. high, 12-ft. wide antenna at the top) as shown on the construction diagram prepared by Juengert/Grutzmacher Architects, submitted July 27, 1992. This structure is free-standing (separate and detached from any other buildings). "Page 3 - Appl. No. 4023 Decision Rendered August 18, 1992 Matter of CELLULAR TELEPHONE (METRO ONE) 6. Section 100-33 of the Zoning Code specifically provides a height limitation at 18 feet for accessory structures. This restriction is applicable to the Limited Business and Agricultural-Conservation Zone Districts. 7. Height restrictions have always been less than 35 feet for principal structures, and 18 feet or less for accessory structures since the inception of zoning in April 1957. 8. During January 1989, a subsection was added for certain height exceptions under Section 100-230D, for: (1) Spires, belfries, cupolas and domes not for human occupancy; and monuments, transmission towers, chimneys, derricks, conveyors, flagpoles, radio towers, television towers and television aerials, provided that any television or radio aerial shall not be located nearer than a distance equal to its height above the roof or other permanent structure to which it is attached to any overhead electric transmission line carrying more than two hundred twenty (220) volts. (2) Bulkheads, observation towers, monitors, fire towers, hose towers, cooling towers, water towers, grain elevators or other structures where a manufacturing process requires greater height, provided that any such structures that are located on any roof and that exceed in height the limits in the particular district shall not in the aggregate occupy more than twenty percent (20%). 9. It is, and has been the opinion of this Board, since the inception of zoning in 1957, that a structure which is free-standing and is not attached to the top of a building such as those excepted in Section 100-230D are clearly governed by the 18 ft. height provision of Section 100-33. See the Limited Business Zone District, Article VIII, Section 100-81(Cl), which reads as follows: C. (Amended 5-9-89 by L.L. No. 6-1989). Accessory Uses. The following uses are permitted as accessory uses and, except for the residential accessory uses and signs, which are governed by Article XX, are subject to site plan review: Page 4 - Appl. No. 4023 Decision Rendered August 18, 1992 Matter of CELLULAR TELEPHONE (METRO ONE) (1) Any accessory use as set forth in and regulated by Section 100-31C(1)'through (8) and subject to the conditions set forth in Section 100-33 thereof..." Section 100-11 does provide that where a'provision or requirement which is more restrictive or which establishes the higher standard shall govern. 10. It is also the opinion of this Board that this structure does not fall under section 100-230D which applies to television or radio towers or aerials attached to a permanent structure (such as CB, ham radio, TV antennas, and the like) accessory to the principal building and principal use of the property. It is this Board's position that the subject pole tower is not a roof-type antenna and is deemed a separate, accessory structure. Accessory structures are governed by Section 100-33 in the Limited Business Zone District; and WHEREAS, public utilities have always been recognized by the Town to provide essential, unrestricted telecommunications services to and for the public, over, on and through its rights-of-way and its land; NOW, THEREFORE, on motion by Mr. Goehringer, seconded by Mr. Doyen, it was RESOLVED, that it is the Interpretation of this Board that the height restriction under Section 1Q0-81C(1) and section 100-33 of the zoning code is applicable for all types of accessory structures, including those intended for telecommunications and other permitted accessory uses; and BE IT FURTHER RESOLVED, that a variance for a total height as requested of 100 feet for an accessory monopole telecommunications tower to provide utility services directly to and for public use, as applied under Appl. No. 4023, be and hereby is GRANTED SUBJECT TO THE FOLLOWING CONDITIONS: 1. The height of the proposed accessory monopole tower shall not exceed 100 feet, as requested, and shall not exceed the structural dimensions shown on the plan prepared by Juengert/Grutzmacher Architects dated 1-26-91, Job Number 9037-174 (unless necessary and approved for safety purposes); 2. The fall-down radius of the tower shall be "as submitted" with the following setback distances: 'Page 5 - Appl. No. 4023 ` Decision Rendered August 18, 1992 Matter of CELLULAR TELEPHONE (METRO ONE) a) 95 to 103 feet to the northerly property line; b) 69 to 62 feet from the proposed tower to the southerly property line and radius clearance of approximately 40 feet past the southerly property line over onto adjoining property to the south, also owned by William J. Baxter; c) 62+- feet to 69 feet from the rear wall of the accessory one-story block building. 3. Any future expansion for the storage of the telecommunications equipment to areas outside of the existing one-story block building located in the rear yard will require further application for Special Exception consideration; and the tower and equipment building must be continuously maintained in good condition at all times; 4. In the event this transmission tower becomes obsolete .or its use is discontinued for the telecommunications purposes requested in this application, the tower shall be removed within three months of its obsolescence, and it shall be the responsibility of the owner, subsequent owners, successors, assigns, and/or the applicant herein to comply with this condition, at their own expense; and 5. No other structures, buildings, or uses shall occupy or be located on the premises unless further application is made to this Board under this Special Exception, as well as to the Planning Board under the site plan regulations, in order to re-consider this Special Exception and all other zoning standards, including safety, health, and welfare standards and concerns; and 6. Lighting shall be placed near the top of the tower for aircraft safety purposes; and 7. No excessive (disturbing) noise levels; 8. Monitoring shall be as per FCC mandates; 9. Appropriate screening and site plan approval from the Southold Town Planning Board for this Limited Business (LB) Zone District; 10. Written covenants and restrictions shall be submitted in recordable form; and after acceptance by the Town, the original shall be recorded by the applicant in the office of the Suffolk County Clerk and a copy of same furnished with the Office of the Board of Appeals. Vote of the Board: Ayes: Messrs. Goehringer, Doyen and j . Page 6 - Appl. No. 4023 Decision Rendered August 18, 1992 Matter of CELLULAR TELEPHONE (METRO ONE) Villa. (Member Dinizio abstained.) This resolution was duly adopted with a quorum vote of the Board. lk ~ GERARD P. GOEHRINGtR, CHAI N FORM No. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOIVN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date . , MARCH 13 19 91 WILLIAM D. MOORE (ATTORNEY) To 4iILLI& sAYTkIC W.' bMRS' R :0., BON 23 MATTITUCK, N.Y. 11952 PLEASE TAKE NOTICE that your application dated ...FEB 22 19 9 . . for permit to CONSTRUCT ANTENNA FOR TELECOMMUNICATIONS BUSINESS at Location of Property 415 ELIdAHS LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section ..108.......... Block .04 Lot A!-.1 Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds ..?RER,ARTICLE VIII SECTION 100-81 PROPOSED TELECOMMUNICATIONS BUSINESS WJTH ANTENNA IS NOT A PERMITTED USE IN THIS DISTRICT. ACTION REQUIRED. BY.THE ZONING BOARD OF APPEALS • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ctoz Inp BuiiQR THOMAS 7. F RV 1/80 1IILIC f 61992 x'101 P7 PLANNING BOARD MEMBERS Z , SCOTT L. HARRIS Berme[[ Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr. Richard G. Ward Town Hall. 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 December 15, 1992 William D. Moore Moore & Moore P.O. Box 23 Mattituck, New York 11952 RE: Proposed Site Plan for Cellular one d/b/a Metro One, Mattituck SCTM#1000-108-4-11.3 Dear Mr. Moore: The following resolutions were adopted by the Southold Town Planning Board at a meeting held on Monday, December 14, 1992. BE IT RESOLVED that the Southold Town Planning Board, acting under the State Environmental Quality Review Act, make a determination of non-significance, and grant a Negative Declaration. WHEREAS, William Baxter, Jr. is the owner of the property known and designated as Cellular Telephone Co. d/b/a Metro One SCTM#1000-108-4-11.3, located at Route 25 and Elijah's Lane, Mattituck; and WHEREAS, a formal application for the approval of this site plan was completed on September 30, 1992; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, declared itself Lead Agency and issued a Negative Declaration on December 14, 1992; and WHEREAS, an interpretation and variance were granted by the Zoning Board of Appeals on August 18, 1992; and ' w page 2 Cellular One d/b/a Metro One WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; Be it therefore, RESOLVED, that the Southold Town Planning Board grant conditional final approval on the final survey last revised on October 19, 1992, subject to Certification by the Principal Building Inspector. This condition must be met within six (6) months of the date of this resolution. Please contact this office if you have any further questions. Veerriy~ truly yours, / Bennett Orlowski, Jr. Chairman PLANNING BOARD MEMBERS ~ e~ SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham, Jr.4 Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 State Environmental Quality Review NEGATIVE DECLARATION Notice of Determination of Non-Significance November 2, 1992 This notice is issued pursuant to part 617 of the implementing regulations pertaining to Article 8 (State Environmental Quality Review Act) of the Environmental Law. The Southold Town Planning Board, as lead agency, has determined that the proposed action described below will not have a significant effect on the environment and a Draft Environmental Impact Statement will not be prepared. Name of Action: Proposed site plan for Cellular One d/b/a Metro One SCTM#: 1000-108-4-11.3 Location: Elijah's Lane and State Route 25 SEQR Status: Type I ( ) Unlisted ( X) Conditioned Negative Declaration: Yes ( X) No ( ) Description of Action: Reuse of existing one story block building for use as unmanned telecommunications equipment room and construction of 100 foot high monopole antenna. Page 2 Cellular one d/b/a Metro One SEQR Negative Declaration Cont. Reasons Supporting This Determination: This project involves the construction of a 100 foot high monopole antenna and reuse of existing block building for use as a communications room. The applicant has received a variance from the Zoning Board of Appeals for the use and height of the antenna, thus the proposed action is consistent with zoning. The applicant has complied with the Suffolk County Department of Health Services Code, having obtained an exception due to the fact there will be no water supply or sewage disposal facilities on the premises. An environmental assessment has been submitted, reviewed and it was determined that no significant adverse effects to the environment were likely to occur should the project be implemented as planned. For Further Information: . Contact Person: Robert G. Kassner Address: Planning Board, P.O. Box 1179, main Road, Southold Telephone Number: (516) 765-1938 cc: Suffolk County Department of Health Services NYS DEC Commissioner, Albany Judith Terry, Town Clerk Southold Building Department Board of Appeals Applicant 11IN Ft G ~~®T7L I~ ~~QMG~V ~S fOUIIDATION (1st) y 3 %OUNDATION (2nd) 2OUGH FRAME & -PLUMBING CIISULATION PER N. Y. a STATE ENERGY CODE r I 77A FINAL - I ADDITIONAL COM ,.t9EPJTS: x 4 Il ' x a • a H O m 07 H i 'or MOORE & MOORE ;qJ-'~E Attorneys at Law 1 'i Clause Commons Suite 3 MAR 191991 Main Road P.O. Box 23 Mattituck, New York 11952 Tel: (516) 298-5674 Fax: (516) 298-5664 William D. Moore Margaret Rutkowski Patricia C. Moore Secretary March 13, 1991 Southold Town Zoning Board of Appeals Town Hall Main Road Southold, NY 11971 Re: Application for Special Exception Cellular Telephone Company d/b/a Metro One Dear Chairman Goehringer and Members of the Board: This letter is written in response to yours of March 4, 1991 to clarify what I may not have adequately explained in the above referenced application initially submitted February 22, 1991. The proposed use for which this special exception is sought is a radio transmission tower with antenna with unmanned, computer-run equipment in an existing concrete block building. The Cellular Telephone Company is a public utility and as such, the proposed structure and use constitutes a public utility structure and installation necessary to serve areas within the town. Such a use is permitted by special exception pursuant to Southold Town Zoning Code section 100-81(B)(1) [see 110-31(B)(6)] and falls within the original jurisdiction of the zoning board as granted by the Southold Town Board. Enclosed please find a certificate from the New York State Public Service Commission (the regulatory agency charged with supervision and control of public utilities) authorizing the Cellular Telephone Company (Metro One) to provide cellular radio telephone service in the New York area. We are resubmitting the application for the special exception use. Enclosed herewith please find a new application together with the following supporting documents: 1. Special Exception application (new) 2. Notice to Adjoining Property Owners w/ receipts (new) 3. Environmental Assessment Form (new) 4. ZBA Questionnaire (new) 5. Certificates of Occupancy (may be for both subject and adjoining property recently subdivided) 6. Deeds 7. Filing fee (our firm's check #1707 in the sum of $300.00) 8. Authorization letters (from Metro One to Moore & Moore and from William J. Baxter to Metro One and Moore & Moore) 9. Disclosure Statement from Cellular Telephone Company (d/b/a Metro One) We were advised to submit the plans of the proposed facility to the building department for their review and determination of compliance with the zoning ordinance. Enclosed are copies of the two different notices of disapproval signed respectively by Thomas J. Fisher and Victor Lessard. The basis of the disapproval cited by Mr. Fisher is addressed in this letter with the clarification that the applicant is a public utility. The Notice of Disapproval prepared by Mr. Lessard determined that special exception approval from the zoning board and site plan approval from the planning board were necessary before a building permit could be issued. In addition, Mr. Lessard determined that an interpretation of section 100-230 regarding height exemptions for certain structures may be necessary as the proposed structure is more than 35 feet in height. Enclosed please find an application for an interpretation of the applicability of section 100-230 to the proposed facility and a determination that the structure proposed is exempt from the height limitation. To facilitate and expedite the review of this project in its entirety, the application for the interpretation requests alternative relief in the form of a height variance if the board determines that the exception from the height limitation does not apply to the proposed structure. Copies of each of the above referenced documents are enclosed with this application together with our firm's check for $200.00 (check # 1741). It is our understanding that these applications will be scheduled together for hearing on April 30, 1991. Please advise if you need additional copies of the surveys/site plans that were submitted previously. If there is any additional information you require, please do not hesitate to contact us. Very truly yours, William D. Moore cc: Metro One Southold Building Dept. Southold Planning Board M r . PEAR i 91991 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date (l.I. Qu'aA 19 .9. ~ . Too~Qvn. Md 0.lc ..w....4'. 1~5 arL44J . PLEASE TAKE NOTICE ~ that your application dated ~ ~ ).1, 19 ~ ~ . . for permit to e e17 k44-"o • V.u-uJ.R.c, 9~ cX c , at Location of Property ...y. I.5... ~ , , O-+- A- House No. Street Nam/.. County Tax Map No. 1000 Section .~.8...... Block ...Q.q....... Lot . 11........... Subdivision Filed Map No. Lot Nod~..7 is returned herewith and disapproved on the following grounds . ..~X :4-. , fF ~3Lc, dD+, I irnR ...~?~c,......'....... . . U Urn . a~ d:, . 41, B ding Inspector RV 1/80 PLANNING BOARD MEMBERS C4 SCOTT L. HARRIS Bennett Orlowski, Jr., Chairl~# j Supervisor George Ritchie Latham, Jr. Richard G. Ward' Town Hall, 53095 Main Road Mark S. McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 September 25, 1992 William D. Moore Moore & Moore, Attorneys at Law 315 Westphalia Road P.O. Box 23 Mattituck, NY 11952 RE: Proposed Site Plan for Cellular Telephone d/b/a Metro One W/s Elijah's La. , 299' N/o SR 25, Mattituck, N.Y. Sctm# 1000-108-4-11.3 Dear Mr. Moore: The Planning Board has received your letter of September 11, 1992. The two parking spaces are not useable as shown. The backup . for each is into the other parking space. The Board will proceed with their review upon receipt of revised plans. If you have any questions, or require further assistance, please contact this office. Very truly yours, Bennett Orlowski, Jr. Chairman cc: Victor Lessard, Principal Building Inspector FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Q / / Date ..~/.3 ..,191~. . To ~//cr~F'ta, _71-201 .3.................. PLEASE TAKE NOTICE that your application dated for permit to at Location of Property ..uuse No.. • , , , , , , , , , , , , House Na . I/ L . vt Street Hamlet County Tax Map No. 1000 Section ~d , , . , • Block A^. , , , . , , Lot . .f, Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the followin0.g oro l ounds . . , .Pty, , , a~. ~j . ing spect r RV 1/80 i ,,t~~SUFfQ(~~® ' Gym O 1 PLANNING BOARD MEMBERS SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman Supervisor George Ritchie Latham. Jr. '~s Q Richard G. Ward Town Hall, 53095 Main Road Mark S McDonald P.O. Box 1179 Kenneth L. Edwards PLANNING BOARD OFFICE Southold, New York 11971 Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 November 2, 1992 RE: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; 2. Your interest in assuming the responsibilities of lead agency; and 3. Issues of concern which you believe should be evaluated. Enclosed please find a copy of the proposal and a completed Environmental Assessment Form (EAF) to assist you in your response. Project Name: Cellular Telephone Co., d/b/a Metro One Requested Action: To erect a 100'(102') monopole and platform adjacent to an existing 724 s ft. concrete block bldg on a 1.848 ac lot in the Limited Business District located on the w/s of ELijah's La. 299' n/o S.R. 25 in Mattituck. SCTM#1000-108-4-11 SEQRA Classification: ( ) Type I ( X ) Unlisted Contact Person: Valerie Scopaz (516)-765-1938 t The lead agency will determine the need for an environmental impact statement (EIS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (g) This agency wishes to assume lead agency status for this action. ( ) This agency has no objection to your agency assuming lead agency status for this action. ( ) Other. ( See comments below). Comments : The site is bordered on the west and north by residentially zoned lots; on the east by Elijah's La. and beyond residential lots; and to the south by two limited business zoned lots in the same ownership as the subject property. The "fall radius" of the monopole will result in a restriction being placed on part of the adjoining lot to the south which would prohibit any construction within the fall radius. Refer to the attached site plan for more information. Please feel free to contact this office for further information. Sincerely, Bennett Orlowski, Jr. Chairman cc: Board of Appeals Board-of-Trustees Building•Department Bout-hold Town-Board Suffolk County Dept. of Health Services -NYSDEC----Stony-Brook- NYSDEC - Albany S-.E Dept.-of-Public-WOrks- 1L.S- Army--Corp-of -Engineers - N.Y.S. Dept. of Transportation * Maps are enclosed for your review Coordinating agencies 4416-4 19J8U r `~OV EW YORK STATE DEPARTMENT OF ENVIRONMENTAL ARVATION PROIECt LD. NUMBER,' DIVISION OF REGULATORY AfFA1R9 State Environmental Quality Hevtew SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I Project Information (To be completed by Applicant or Protect sponsor) 1. AppllcanUrpomor 7. Project Name 3. Project location: Site- 228 J..3 Municipality Town of Southold County Suffolk 4. b pr aed atllon: lXl New 111 [.pension ? Modificatlonfalleralim, S. De,<dbe project briefly: Reconstruction of existing one story concrete block building for use as unmanned telecommunications equipment room and construction of 104 foot high monopole antenna 6. Precise location (road Intersection,, prominent landmark,, etc. or provide map) Northwest corner of intersection of Elija Lane and State Route 25 Suffolk County Tax Map #1000-108'4-11.3 } 7. Amount of land site rZted: Initially 2 acres Ultimately MIH ' 6. Will proposed action comply with existing zoning or other existing land use rntrlcllom? ® Ye, ? No 11 No, describe briefly 9. What is present land use in vicinity of project? W Refidenlial ? Industdal ® Commercial ® Agriculture Describe: El Parklandlonen space ? Other South of proposed site predominantly agricultural use Abandoned auto repair shop abuts premises 10. Don action involve a permiNappowal, or funding, now or vltimatrfy, from any other governmental agency (Federal, state or ocapi ® Ye, ? No if yes. list agency(,) and permWapprovals Southold Town Planning Board - Site Plan Suffolk County Planning E.C c. Does any aspect of the action have currently valid permit or El yes r pp I U No It yes, 11>I agency name and permiVapproval type 17. A, -,-it of propoed acllon will existing permitapproval renuire modification? u Ye, ® No I CERTIFY THAT III( INFORMATION PROVIDED ABOVE IS TRUE TO THE REST OF MY KNOWLEDGE Applicamus sor n m Date: _2-71 -91 Signature: Pftni -1, -f 1' ant , F If the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment " OVER PART II-ENVIRONMENTAICS IIh~•SMF.NT (io be Completed by Agency) 4 FAA ION O(CEED ANY lYpy ,1FBNOLb IH a NYC111L PART At7.t27 , coordtnno the revkrw p > ?No Ifye, oceaa end use i1M FULL EAF, ON nECE1VE COORDINATED riMrW AS pnOVIDEO FOR UNUSIFD ACTIONS IN d N n, PART l17d7 pennifed by Irwoi-d e ? No tleroy. 11 Ne, a -"It- declaretkxr T10N nESUL7 IN ANY AttVEftsE EFFEC.75 ASSOCIATED WITH THE FOILOWtNG: (Ansrmay W Ilardarraten, If ogtLO nor Wroalo, dol lleme, hwx ' or lAl for erosion, dralnn r nxrdwMnr W qunnllly, none lave., exlating a r ng prblem? Uptnln bro/ly: lrefflc pe °eNe PRdlwYlon a dlrrpwnl, dk, aprk:ullurd, erclrn~noM-nl, hlelpk, Of pion natural or cull"'I re"rpy q co,,,munlly or ndplregfpod 01111`eelp9 Exgao brblh; CJ. vnpetatlnn or fauna, lleh, aMll'loh M wlldllle spoaoa, alpnlflcanl hahgn(a, or Ihrnelened or "Mrigered spsolne7 i ExPInA+ M1efh; i C/. A <orranunlty'. "fling plans ori,:peels na offocinlly ndnplrvl, Or a chnngo In u" Of InlonnitY Of"" of led or o1Mr netury rgeou,,a.7 &pg., brolly _ C.S. Orvrlh• euMrqurrnl dm+rlryarror 1, re rolatad arllvlllon likely to M Indrrend by um Mnrwmrnl M:1ktn? Explain lrMRy, i Ce, Lvne Term, st"i loon, mtmulal Of Other effects not klrirdlllyd In CI-C57 Explain broth. ' i Cl- Ou,n knWAA (IMcluting r:ha" In use of elltmr qunntlly nr type of mmrgyR FaPlaln brolly. n. 15 Tt1ERC on Is 1/IEnE -L "EIYTO13 CONm- L1 Yxa I. OVE RSY nE1.AfEU 70 PoTENr1Al ADVEnSE ENVIfMJNMENTAL IMPACTST No II Yea, explain bony II PART III-DETERMINATION OF SIONIF•ICANCE o be Completed by Agency) INSTRUCT)ONSr F« each advor.e'glfecl Idetulll« nlwvo, /Mtorrrllne whether It M aubatanllnl, 1 significant Earh effect eh«tid be nesoswd I connection with IIS (a) sailing R. h urban In ba large, Important or otherwise Exc. fectY. lo) PnoRra Ic 4: R) probebNity of occurr(urati n- ' t* and (f) mngnftude. It necessary, arM oil= enlaM mlorooca wDPorlI ter (la, duration- (dl explanations contain sufficient detAil 10 show that all rol Ensure that mnnl ar]vereq Impacts have been Iclentilbd and ado degUatefy lwtey addressed. U Check this tx)x if you hnve; Idonllfled 0110 Or more potentially large or significant adverse Impacts whi]MA occur, T"hen prOC(md directly to the FULL EAF And/or prepare a positive declaration, UJ Check this box if you hale determined, basod on Ihn Information and analysis above and Any supdcx:umentalion, that Iho proposed action WILL NOT result in any significant AND provide a on attachmen's as necessary, tbo reasons su adverb environmental isupporting this delorminatiprt: of I car .AKrKY __.....~rnl rr Typi rliin,~ oZ ~eYnnf~~f~r m1 did ArriKy TkTe'd- nr - ~I 2 K-`r"" i M-1802 BUILDING DEPT. 1 NSPECTIO,N [ ] FOUNDATION 1ST [ ) ROUGH PLBG. [ ) FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: ' DATE INSPECTOK BOARD OF HEALTH 11 SETS OF..PLIs , . • FORM NO.1 SURVEY follow TOWN OF SOUTHOLD CIIrCR _ BLDG.'DEPT BUILDING DEPARTMENT SEPTIC 17011H TOWN OFSOUTHOLD TOWN HALL SOUTHOLa_DLy-I.La7t NOTIFY; ~t TEL.. 7G5. 1302 CALL .[~.QS®•~le,7y Examined IVl t99~ HAIL TO: . Approved 19 Permit No.. Disapproved a/c.~ / L.-(y~ (Building Inspector) APPLICATION FOR BUILDING PER 11T Datc° ~a._........ Is9~ INSTRUCTIONS a. This application must be completely filled in by typewriter or a ink and submitted to the Building % sets of plans, accurate pkot plan to scale. Fee accarding to schedule. inspector, tuiL b. Plot Plan showirf~ location of lot and of buildings on pre ses, relationship to adjoining premises or public strct or areas, and giving a detailed description of layout of property ust be drawn on the diagram which is part of this ap; cation. C. The work covered by\ this application may not be comm need before issuance of Building Permit. •d. Upon approval of thi§ application, the Building Inspect r will issued a Building Permit to the a shall be kept on the premises a ailable for inspection through t the work. PPiicaa[. Such per C, No building shall be ocupied or used in whole or in art for any purpose whatever until a Certificare of Occupan: shall have been granted by the Building Inspector. APPLICATION IS HEREBY ~N ADE to the Building epartment for the issuance of a Building Pe. ,it pua;iant to t! Building Zone Ordinance of the Ta v\n of Southold, Suff lk County, New York, and other applicable Laws, Ordinances ; Rcgula0ans, for the construction of uildbigs, addition or alterations, or for removal or demolition, :s herein descnbc: The applicant a^rees to comply with ll applicable law , ordinances, building cod code and regulations, and t admit authorized inspectors an premises nd in build in, or necessary inspections . \ •(Signature r applicant, or name, if a corporation) Pn• &K.O 3 tM , If 9 1- . (Mailing address of applican State t h therr 'Can is owner, less~ee,,a~igeent, hitect, engineer, general contractor, electrician, plumber or builder Vame of owner of preen' s M`r 11 i R t7 as on the tax roll or latest deed) r applicant is a corporation, signature of duly autho ized offi fer. • (Name and title of corporate officer) Builder's License No...................... Plumber's License No. Electrician's License No. ' Other Trade's License No. Location of land on which Proposed work will be d c; `ll ................C- /T . . . 049 . ~ C~ ~ /j1i~TrJTuel (louse Number Street Hamlet ' County Tax ,Mip No. 1000 Section ~6,F.......... Block . • T, ~A Lot . Subdivision Y`! LL1 A t,. . . Filed hlap No. Lot (Name) Stitc c-Nisting use and occupancy of premises and intended use and aeeU RancY of pro{(sca con~trgction: A• Existing use and occupancy. . 1 ~ /r t/-r/LI"t{ B. 'Intended use and gccupancy. .C/.cic • I~Lp~ J /al(~........ ~ELL~CQi-rwi?n/ICs4~3s?ti!f...:~f„~¢~6 w~ /1)~FFJJQ` y`r/rynvJ~L4f tiAM7>=i•N'NR'~•,b r 3. Nature of work (check %vht h applicable) Ncw Building Repair'40710 1 %iI6L9fi • • • • • Additicn a!ll Tennis Court pmoval , , , , , , Demolition $ Yy Accessory Building.,,,,, i , 4. Estimated Coo W,., M Fence , ~ . f it er Work, 1 S. If dwelling, number ordweilin^ nits , ,lY ¢n be Paid 0" filing this ap licationi• If garacc, numbc~ " Number of dtvclling units on each door , (j tA r of cars . 6. If business, commercial or mixed occupancy, specify nature and extent oCcach type of use 7. Dimensions of existing structures, if any: Front L . Rear Depth. ,20 " Hci;lmt , , , , , • • • Numb cr of Stories , • • • ' • • Dimensi gf same structure with alterations or additions: Front Depth ons.. . Height .G~ Gt ?m.. , * in Rear 8. Dimensions of entire new constriction: Front . ' ' • • • • Nurrtbcr of Sories Height NumH cr of Rear............... Depth 9, Sizc of let: Front , 7. 5` Stories , , , , ; , • . • • • • 10. Date of Purchase Rear ..1.Y9 .....T Depth 'z'7T............. • . Name of Former Owner . A4nf.X 11, Zone proposed or use district in which P rises are situated . L . rt A m„ ~;3 0. ff~i7 !€fs l_. Does construction viola;tc any zoning law, ordinance or regulation: 13, Will lot b^ regraded . Aq ` t '4 p V • 11, Name of Owner of premises L} t~. ' • ' • • tiVill excess fill be removed from premises* Name of Architcct~J4N6ert Yc.... , .T 6 0 •.47MW-''.Address . Phone No. 1C1ek oft Name of Contractor . • • Addressl9.Kr! J3 Phone No~2g.1)0 15_Ls this ""'....Address E 6!evdaop~,d'~,•„Phone No..... property located within 300 feet of a tidal wetland? ^YES....NO~Q *If yes, Southold TowniTrustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all lluildings, whether existing or proposed, and. indicate all set-back dimcn^;or., is property lines. Give street and block number or description according to deed, and show street names and interior or corner )at. indicate I! :TATE Or NENV s.$ :0UNTY OF.... . erL AM ~J 1 • ~ (Name o divua~ i?n ng • ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicar contract) bove named. (Contractor, agent, corporate officer, etc. ) . . . . . ' f said owner or owners, and is duly authorized to perform or have performed the said work and to make and fml c ti: 'Plicalion: that all statements contained in this application are true to the best of his knowledge and belief; and that °rk will be performed in the manner sett forth in time application filed therewith. `vom to bcforc me this .;.day of . , 19. ~ . °tary Public, 0 ` County C1AIR1:4 f~1.EH? NOW ~to 4879505 SUM No*Yak . Suffolk (Iptntnl lonf (Si.-nature of applicant! I i i BOARD OF HEALTH FORMNO.1 3 SETS OF PLANS BEG taT2 TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CIICCt . . . . f.~ TOWN HALL SEPTIC FORM '.,'tiaTTN69lY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:OT I FY Examined 7?,......., 19 P-,7 CALL . . MAIL TO: Approved . /.~1 7! , ISYZ. Permit No...................... Disapproved a/c _ . 15~11 (Bing I spector) APPLICATION FOR BUILDING PERMIT Date 19 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 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. ? / I-/ CEz -..G: I LL:~gN1..IJ. ~~DYQ~ (Signature of applicant, or name, if a corporation) P0..g4X.~3...n?rgT?~n~cic~ ?l!y ~,fs.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. A-MR e'Ee ........................^^..11...................................................................... Name of owner of premises ..`Yv?L`!~}"1 .PIX 7th °~I'?S (as on the tax roll or latest deed) Tapplicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . i Plumber's License No : Electrician's Licenso No. . Other Trade's License No . Location of land on which proposed work will be done!`f .fl, ~76fKS fia~/t . ~f~T7-l"M CJ c- House House Number Street Hamlet County Tax Map No. 1000 Section J Block Lot ....r1. t 3 Subdivision (N..................... Filed Map No. . . . . . . . . . . . . Lot ame) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy F"iYS~,,~or~c2ct' .gCOUL ~~,~usKh b. Intended use and occupancy Arvt„1CcEe)Wnt~ ve1MANNc^9 cord er ~.av r+oavpotC_ (Z Pte, }.w - q'........ 3. Nature of work check which applicable): New Building Addition Alteration Repair Removal , . Demolition Other Work 4. Estimated Cost (D . °OD Fee (Description) (to be paid on filing this application) ' 5. If If garage, dwelling, number of dweliin units N A , , , , , , , , Number of dwelling "nits on each floor.. , , , , , , , of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .X*. , , . , , , , , • • • • 7. Dimensions of existing structures, if any: Front . ' • • S'N2Y 4' ~ .Rear Depth Height , y.. • Number of Stories QN~ • • • • • . Dimensions of same structure with alterations or additions: Front 3!°• t Rear . • • Depth . Height -1'9h Number of Stories oN 8. Dimensions of entire new construction: Front , Rear . • . • ' . . ' ' ' . ' Height . Number of Stories . • • • • • • • . ' ' ' • • • • • Depth . 9. Size of lot: Front \ q 7 . S. Rear ! yo . ' Depth !/F30 . 10. Date of Purchase . Name of Former Owner 11. Zone or use district in which premises are situated ,L E 13H 5 !*I F5.5 12. Does proposed construction violate any zoning law, ordinance or regula , , , , , , , , . • 13.• Will lot be regraded .o Will excess fill be removed from premises: Yes 14. Name of Owner of premises Y(M; . , , , , , . ,Address 6fZccq ?Cy~ • • Phone No Name of Architect ~~@NS+Etr? , I~ 6R mzM ncu~ Address 11 1N`~u° RBo~K'e~ 2D Phone No?P1. 8? l bta ~ty'( LYc'ytl00 p• Name of Contractor , t'I'IS" ' ' ' ' Address v7 ki.. Phone No. 15. Is this property within 300 feet of a tidal wetland? * " " " " " Yes' *If Yes Southold T own Trustees Permit may be required. " No.1...... 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. SC>? gltL ~LAt$ pPPa(3 v61) 3Y so~clwLIP QL.4r101tSr> 73a~,zq 1z I \ ~1 9 v Zo v4 sA h (3O iRi4r> n ~ ? (7004 v-5 19 re'aovA L,s APA91C I ,Y-yoaa 5E. w~uN fcA97ar/S Cor-I P,l ft')i. $v~c,V~p((~ /}NF Mo NU PoG.t Yt A9~a '~'ltAi~\S Ni~LS~orJ l! r'Uwr'+'L-- COO4VE? I id f'X/57/tJ( bN~r avetr CoNCRATi° SLOe/C J~vt4DrN~ I75 5,f wry °N Sri Qcan/ cAS~ 1?fV1sED /0//9/72_ I li IJL AS NOTED 6 DATEN FEE: BY: NOTIDEPART AT 765-1502 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -FRAMING 14 PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ;TATE OF NEW YORK STATE CONSTRUCTION & ENERGY :OUNTY OF , v FFo~,L S.Si CODES, NOT RESPONSIBLE FOR I \ Id1 w\ eo2t DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. eisthe........ t~p Rr......... (Contractor, a officer, etc.) F said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will -be performed in the manner seta forth in the application filed therewith. vorn to before me this' ........L$........... day of..1 C<fcM 19 4?-7- story Public, S r-0 \ C• County ...REL Notar ry Public; State of New Ygrk No.4879505 (Sig gat • an • Qualified in Suffolk County) Gy nature of applicant) Commission Expires December 8,118.E