05-7264
TOWN OF WAPPINGER
ZONING BOARD OF APPEALS
.
June 30, 2005
To: Chris Masterson
Town Clerk
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ZONING BOARD OF APPEALS
20 MIDDLE BUSH ROAD
WAPPINGERS FALLS. NY 12590-0324
(845) 297-1373
From: Barbara Roberti, Secretary
Town of Wappinger Zoning Board of Appeals
Re: James Simmons
Appeal No. 05-7264 A & B
Attached you will find the original Application/Decision & Order
for James Simmons, 22 Blackthorn Loop, Wappinger Falls, NY.
I would appreciate it if you would file these documents.
"
Attachments
cc: Mr. Simmons
Zoning Board
Town File
Town Attorney
Building Inspector
Zoning Administrator
SUPERVISOR
JOSEPH RUGGIERO
TOWN COUNCIL
VINCENT BETTINA
CHRISTOPHER J. COLSEY
JOSEPH P. PAOLONI
ROBERT L. VALDATI
RECEIVED
JUl 0 7 2005
TOWN CLERK
Town of Wappinger Zoning Board of Appeals
Application for an Area Variance
Appeal No. 05-7264
FOR OFFICE USE ONLY
1. The requested variance(s) ( ) WILL / (x) WILL NOT produce an undesirable change in the
character of the neighborhood.
( ) YES / (X) NO, Substantial detriment will be created to nearby properties.
2. There ( cl IS (ARE) / ex) IS (ARE) NO other feasible methods available for you to pursue to
achieve the benefit you seek other than the requested variance(s).
3. The requested area variance(s) (X) IS (ARE) / ( ) IS(ARE) NOT substantial. Variance 111
4. The proposed variance(s) ( ) WILL / ex) WILL NOT have an adverse effect or impact on the
physical or environmental conditions in the neighborhood or district. .
5. The alleged difficulty (X) IS / ( ) IS NOT self-created.
6. The property ( ) IS / (X) IS NOT unique to the neighborhood.
Conclusion: Therefore, it was determined the requested variance
Be (x) GRANTED () DENIED. With condition.
Conditions/Stipulations: The following conditions and/or stipulations were adopted by resolution
of the Board as part of the action stated above:
The ZBA has voted to grant the following three variances with a condition:
1. The applicant can provide 6 feet to the side for a 24 ft. .above ground pool
where 20 feet is required. The ZBA grants the applicant a 14 ft. varaince for the pool.
2. The applicant can provide 15 fL to the side for a pool deck where 20 fL is
required. The ZBA grants the applicant a 5 ft. side yard variance for the pool deck.
3. The applicant can provide 31.7 ft. .to the rear where 40 ft. is required for the
pool deck. The ZBA has granted a 8.5 ft. variance for the rear yard setback for the
pool deck. A condition has been placed with this variance that the applicant supply
either a fence or bushes with a minimum height of four.( 4 ) feet as a buffer to their
neighbor's. For the record variance #1 is quite substantial but was granted due to the
(X) Findings & Facts Attached. shape of the applicant's lot.
DATED:
June 30, 2005
ZONING BOARD OF APPEALS
::W~GE:;~J
(Cha;rman)
PRINT: VI ~~Z L - /::ANU IZ l f"
TOW022.ZBA-AAV (4-03 Rev) 4 of4
. .
TOWN OF WAPPINGER
P.O. Box 324 - 20 MIDDLEBUSH ROAD
W APPINGERS FALLS, NY 1 2590
Zoning Board of Appeals
Office: 845.297.1373 '" Fax: 845.297.4558
Zoning Enforcement Officer
Office: 845.297.6257
www.townofwappinger.us
Application for an Area Variance
Dated:
~7, f).(}D5
Appeal #
tJ s' t]21o* ~
TO THE ZONING BOARD OF APPEALS, TOWN OF WAPPINGER, NEW YORK:
.. - ( .
I(We), Jar;\~.J+HI,c..it1 <)Im~f\! residing at tJ;). BfC(tf-Uu.'rn Loof'
\.A.B1Y'rsO(f ~Il~ Ny I{~o , K-~-1t;I.{S- (phone), hereby appeal
to rile ~ning Board of Appeals from the decision/action of the Zoning Administrator,
dated JVN b , 200r, and do hereby apply for an area variance(s).
Premises located at J;) OlllCk. UwU\ LocI'
Tax Grid # cP~t'8"' 03 '()SJ../.D11
Zoning District 1 . ;::}...O
1. Record QWrw.r Qf~p'r~peljty ~WlGJ t-~ I((.(q SI~tr'C.>"S'
Address d..J Ijllu.kl"9\lK"t\ '-Qo{J
Phone Number~-J~r-itc,l{r' ~~.
Owner Consent: Dated: J,r' Signature: . .
, Printed ~ .....tt"Clfl
2. Variance(s) Request:
~.'.!~J
/ . . '€s--
Variance No. 1
I(We) hereby apply to the Zoning Board of Appeals for a variance(s) of the following
requirements of the Zoning Code.
c;24D.37
Required: (Indicate Article, ~I~~n and Paragraph)
Applicant(s) ~an provide: \ t.._ ~ _
Thus requesting: ~_ __ CUz:u)J.O/(lc>L
To allow: J j..)
TOW022.ZBA-AAV (4-03 Rev) I of4
"
Town of Wappinger Zoning Board of Appeals
i Application for an Area Variance
Appeal No.
Variance No. 2
I(We) hereby apply to the Zoning Board of Appeals for a variance(s) of the following
requirements of the Zoning Code.
..:2 '4-0 . 3> 7
(Indicate Article, Section, Subsection and Par, graph
Required: I "
Applicant(s) can provide: " -, J\
Thus requesting:
To allow:
3. Reason For Appeal (Please substantiate the request by answering the following questions in
detail. Use extra sheet, if necessary):
A. If your variance(s) is(are) granted, how will the character of the neighborhood or nearby
properties change? Will any of those changes be negative? Ple?\se explain your answer in detail.
~n.~tcL I~I(~~I<~" ~~~:i{~d~ ~~~:!c"lh;;1! \)Pr~
~o~d~'v~
B. Please explain why you need the variance(s). Is there any way to reach the same result
without a variance(s)? Please be specific in your answer.
~ q dt~ ~ ~~ ~ 4t" IS O. ~ l;c.c{( of
. -; ~ ~~1. .- -. ~,;( -. ( tc-.J - a. (",nil --liS fr.(JPrH.,-
D. If your variance(s) is(are) granted, will the physical environmental conditions in the
neighborhood or district be impacted? Please explain, in detail, why or why not.
No ~ I~ '" ,~ On
~~ /n~ l.{\~ (!)U~L . '}t.p ('Oc)
~ ffd~~ W-
TOW022.ZBA-AA V (4-03 Rev) 2 of 4
"
Town of Wappinger Zoning Board of Appeals
i Application for an Area Variance
Appeal No.
E. How did your need for an area variance(s) come about? Is your difficulty self-created? Please
explain your answer in detail.
F. Is your property unique in the neighborhood that is needs this type of variance? Please explain
your answer in detail.
Ysk~~ ~} f~11~
Cl>meft. t. a fa, .i
pal + ,Ji.
&r I."
}N
h<ck yord
4. List of attachments (Check applic;able information)
( ) Survey Dated &v.
Prepared by
~ Plot Plan Date
and
() Photos
() Drawings Dated
(~ Letter of Communi ation which resulted in application to the ZBA.
(e.g., recommend tion from t e Planning Board/Zoning Denial) I.....-ht L
Letter from Dated: ay ~ 7. O:..J
Letter from . Dated:
() Other (please list):
5. Signature and Verification
Please be advised that no application can be deemed complete unless signed below.
SIGNATURE
The applicant hereby states that all information given is accurate as of the date of application.
DATED: r/P )~
DATED: &ff.o/Cf3
I
SIGNATURE
TOW022.ZBA-AA V (4-03 Rev) 3 of 4
. .'
. f PROJECT
10 NUMBER
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
NAME
~cK-
SEQR
PART 1. PROJECT INFORMATION
1. APPLICANT I SPONSOR
~GJ 'f.e("CUt ~ Yh~S
3.PROJECT LOCATION:
2. p~~~J
cJ~
rPJ.
landmarks ete - or
!};J f11f4~ ~(t'l
5. IS PROPOSED ACTION:
I~ A..ll (21ft)
6. DESCRIBE PROJECT BRIEFLY:
/i(xfV
De elL
a ruvrvJ fOd /
7. AMOUNT OF LAND AFFECTED:
Initially 5' ' acres Ultimately acres
8. WILL PRO OSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
DYes )tl No If no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
~ Residential 0 Industrial D Commercial DAgriCUlture D Park I Forest I Open Space
D Other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, Slate or Local)
~Yes DNo If yes, list agency name and permit I approval:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes !feJNO If yes, list agency name and permit I approval:
ULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
No
CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Date: J: { /..,--
~ ifJ/fJJ
If the action Is a Costal Area, and you are a atate agency,
complete the Coastal Assessment Form before proceeding with this assessment
TOWN OF WAPPINGER
ZONING ADMINISTRATOR
TATIANA LUKIANOFF
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SUPERVISOR
JOSEPH RUGGIERO
ZONING DEPARTMENT
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-0324
(845) 297-6257
FAX: (845) 297-4558
TOWN COUNCIL
VINCENT BETTINA
MAUREEN McCARTHY
JOSEPH P. PAOLONI
ROBERT L. VALDATI
Date: May 27, 2005
TO: Ms. Felicia Simmons
22 Blackthorn Loop
Wappingers Falls, NY 12590
Grid# 6258-03-054011
Dear Ms. Simmons:
Your application # 23355 for a permit to construct a 14' x 14' pool deck
is hereby DENIED on the basis of Section: 240-37 of the Town of Wappinger
Zoning Law, which stipulates:
R-20 ZONNING DISTRICT has a side yard setback requirement of 20
feet and you provide a side yard setback of fifteen feet (15') .
Also the required rear yard setback is 40' and you provide a rear yard
setback of thirty-one feet and seven inches (31'-7").
You have the right to appeal this decision to the Zoning Board of Appeals
within 60 days of the date of this letter. The required forms can be obtained
at this office.
Yours truly,
~ 0
vub~J, ~;LA
Tatiana Lukianoff - Zoning Ad
TOWN OF WAPPINGER BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
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N~ 2'3'3'55
APPLICATION TYPE: ~:ential
\
o Commercial
o Multiple Dwelling
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ZONE: #A( '(~p
Application # .,/.:t ;;2 :3, ~S>),)-
Permit #
APPLICATION FOR:
APPLICANT N~E: ~
ADDRESS: 0;/r~...
TELEPHONE NUMBER: . q A ''5 TYPE OF
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OWNE,ROF~~~ING/CANDt. . . -1'. JJ '_, "
NAME. ydlM(.t15~ ~ ~
ADDRESS:
TELEPHONE NUMBER:
BUILDERlCONTRACTO DOING WORK '7
COMPANY NAME: 1;/;15tJ
ADDRESS: /", 3>7
CONTACT PERSON: NAME: !Jt'h !t.J)S(IAJ
~/~ fi)
FRONT YARD SETBACKS: REAR~ Slo'EYARD:
SIZE OF STRUCTURE: j i ~ I Ii TYPE OF USE:
. . ~
ESTIMATE~COS~ 16 ~ dtJl1- _ ..
GRID # .02J6" ~ . - tlJ. Y () II
DATE RECEIVED: 5-/ y-tlr
.
ESTIMATED VAX:
PERMIT FEE: 50--
PAID FEE ON S'/7 - ()'S
TELEPHONE #: rj3.- tJ 53 r
CHECK # -7~1
RECEIPT # RrJ.'s...J 07!)1
FIRE INSPECTOR
o Approved 0 Denied DATE:
'\
Signature of Building Inspector
WHITE - Applicants Copy YELLOW - Office Copy PINK - Assessor's Office Copy
'e':', .
,
.
TOWN OF WAPPINGER
PLOT PLAN
&
APPLICATION #: j 0233':: ':>~
,
BUILDING PERMIT #:
GRID #: (02' 51" - ~).3 ."';5 (j II
,
OWNER OF LAND: 2:-1 t'hVY'DYlS ':"~l()\es a- ht4;x,.
INTERIOR OR CORNER LOT: I ZONE: 12.~
as . .
(!t~v~tfl?~ J)aet.~ )(' J:L.-. tU/slc~i~
r 31'7" t<ri:..~
-t-----1
Rear Yard tit
........................
· INSTRUCTIONS ·
: (1) DRAW structure where you intend to place it. :
. (2) LABEL dimensions. .
. (3) LIST how far the structure is from house and ·
· also the setbacks from structure to your ·
· rt I' ·
. prope y Ine. .
........................
DATE:
~ (1 lo~
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.
ft.
.
ft. ~.~
1
Side Yard
HOUSE ft.
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Front
Set Back
ft.
1 ft.
Side Yard
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Nearest Street
ft.
ft. Frontage
,
,
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INDICATE LOCATION of WELL and SEWAGE SYSTEM
and THE DISTANCE of EACH FROM HOUSE
~ 121 ruIVJ') r ,~O
HOUSE # and STREET: (.' 1~./1lAl" . , U LA....\: q-'
Signature of APPlic~)iui-.. ~U'/..[i.o
,
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Mark North Point
White - Applicant's Copy
Yellow - Office Copy
Pink - Assessor's Office Copy
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ZONING AD
. TOWN OF MW'N/STRATOR
APPINGER
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JUN 0 7 2005
ZONING ADMINISTRATOR
TOWN OF WAPPINGER
...
TOWN OF WAPPINGER
P.O. Box 324 - 20 MIDDLEBUSH ROAD
W APPINGERS FALLS, NY 1 2590
Zoning Board of Appeals
Office: 845.297.1373 '" Fax: 845.297.4558
Zoning Enforcement Officer
Office: 845.297.6257
www.townofwappinger.us
Application for an Area Variance
Appeal #
05 -'lato ~ A
Dated: ~ 1,06
TO THE ZONING BOARD OF APPEALS, TOWN OF WAPPINGER, NEW YORK:
I(We), " am{5's r-:te ',c.,' residing at ,J~ Blqcki-8l()~t'\ ~CJf
"f ( tv , lflL-M- 79~ (phone), hereby appeal
to t e oning Board of Appeals from the decision/action of the Zoning Administrator,
dated (\1fA~ 11 , 200...5:", and do hereby apply for an area variance(s).
Premises located at;~ ~/C(l..(LfA,.Cif'(l lvuf
Tax Grid # R:~ 6J'S~~6')' O$"~D I \
Zoning District R-J. c>
1. Record Owner of Property JClm@.... ?(l,~~ S IY"'y"W('j .
Address;) J. OIl.ld~U1(J(t1 Lwf ~ .
Phone Number ~-a- 'JCjI{') ~ ~ . - ~
Owner Consent: Dated: Cri:.~ oS- Signature: ~ .. 1...Afi:IvtJ
Printed: JC.t'I'IGf t M(l.U~~ll.fYKS)l2s-
2. Variance(s) Request:
Variance tio. 1
I(We) hereby apply to the Zoning Board of Appeals for a variance(s) of the following
requirements of the Zoning Code.
~1+D, 3/
(Indicate Article, Se~tion, Subsection and P, ragraph)\
Req u ired: "::> \ b e....
Applicant(s) can provide: S\ -:e 0
Thus requesting: '5 \. -e
To allow: ~~\ 'A-
TOW022.2BA-AA V (4-03 Rev) ] of 4
Town of Wappinger Zoning Board of Appeals
. Application for an Area Variance
Appeal No.
Variance No.2
I(We) hereby apply to the Zoning Board of Appeals for a variance(s) of the following
requirements of the Zoning Code.
(Indicate Article, Section, Subsection and Paragraph)
Required:
Applicant(s) can provide:
Thus requesting:
To allow:
3. Reason For Appeal (Please substantiate the request by answering the following questions in
detail. Use extra sheet, if necessary):
A. If your variance(s) is(are) granted, how will the character of the neighborhood or nearby
properties change? Will any of those changes be negative? P1e?lse explain your answer in detail.
B. Please explain why you need the variance(s). Is there any way to reach the same result
without a variance(s)? Please be specific in your answer.
C. How big is the change from the standards set out in the zoning law? Is the requested area
variance(s) substantial? If not, please explain, in detail, why it is not substantial.
~D I \ 'r,:'1 SJ t:u.;;;J b :;::.:3 ~-I-I.UQ :t.r,,; ~""1~ I f ~ChI ~ ~
D. If your variance(s) is(are) granted, will the physical environmental conditions in the
neighborhood or district be impacted? Please explain, in detail, why or why not.
J J qftJ
~ rv 0<01\1 _
~ 0; h~el t-k ~~I' ~ "-'I' {(,f;J {,~. II
(-f
TOW022.ZBA-AA V (4-03 Rev) 2 of 4
Town of Wappinger Zoning Board of Appeals
. Application for an Area Variance
Appeal No.
E. How did your need for an area variance(s) come about? Is your difficulty self-created? Please
explain your answer in detail.
F. Is your property unique in the neighborhood that is needs this type of variance? Please explain
your answer in detail.
-t'1 f'"fJ~~~ +45 ~,~fry~~ ~/'I"'1/tL ~~ t,"eI (.Dr>-<- k,
4. List of attachments (Check applicable information)
( ) Survey Dated
Prepared by
(v('" Plot Plan Dated
and
() Photos
() Drawings Dated
(j Letter of Communication which resulted in application to the ZBA.
(e.g., recomm dation fro the Planning Board/Zoning Denial) ~. _
Letter from Dated: _ 0-1 0 ~
Letter from Dated:
/
() Other (please list):
5. Signature and Verification
Please be advised that no application can be deemed complete unless signed below.
The applicant hereby states that all information given is accurate as of the date of application.
"
DATED: ~;Io J
DATED: L1fU10~
SIGNATURE
SIGNATUR
TOW022.ZBA-AA V (4-03 Rev) 3 of 4
. .
,. PROJECT 10 NUMBER
1. APPUCANT I SPONSOR
J ~~13J + f-( 1'~Ct S tVVl ~~J
3.PROJECT LOCATION:
617.20
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
( To be completed by Applicant or Project Sponsor)
2. PROJECT NAME
SEQR
PART 1. PROJECT INFORMATION
()&
Municipali1y J;;. 8/u.<.fL ~Or (\ Lao County tA.c~
4. PRECISE LOCATION: Street Acldess and Road Intersections. PromInent landmarks etc -or provide map
~ B (Ct<.k J...#wrn Lv
5. IS PROPOSED ACTION: ~ New
6. DESCRIBE PROJECT BRIEFLY:
d C{ r;J. a bw e J(Ou~
~ AJr I tS'<7o cd (h, ~(( ~,~ y{!j.
o ModIficatlOJl I alteration
foo {
7. AMOUNT Of LAND AFFECTED:
Initially J.Y acres Ultimately acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
o Yes ~ No If no, describe briefly:
7t poo 1 ~s' <-I OS-(' k 5rJp yo-ref SeUC{ elL
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
Residential 0 Industrial 0 Commercial DAgriculture 0 Park I Forest I Open Space
o Other (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, Slate or Local)
~Yes DNo If yes, list agency name and permit I approval:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes ~NO If yes, list agency name and permit I approval:
1 . AS A RE ULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION?
No
I CERTIFY THAT THE
IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant
If the action Is a Costal Area, and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
TOWN OF WAPPINGER
ZONING ADMINISTRATOR
TATIANA LUKJANOFF
~~w~
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\\~~~~
,~~~~;;
!Ss CO~~
__-:_~~:..-o
SUPERVISOR
JOSEPH RUGGIERO
ZONING DEPARTMENT
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-0324
(845) 297-6257
FAX: (845) 297-4558
TOWN COUNCIL
VINCENT BETTINA
MAUREEN McCARTHY
JOSEPH P. PAOLONI
ROBERT L. VAL DATI
Date: May 31, 2005
TO: Ms. Felicia Simmons
22 Blackthorn Loop
Wappingers Falls, NY 12590
Grid# 6258-03-054011
Dear Ms. Simmons:
Your application # 23354 for a permit to construct a 24' round above
ground pool is hereby DENIED on the basis of Section: 240-37 of the Town
of Wappinger Zoning Law, which stipulates:
R-20 ZONNING DISTRICT has a side yard setback requirement of 20
feet and you provide a side yard setback of six feet (6').
You have the right to appeal this decision to the Zoning Board of Appeals
within 60 days of the date of this letter. The required forms can be obtained
at this office.
.....
. . -.--
.
TOWN OF WAPPINGER
PLOT PLAN
. . . . . . . . . . ~. . . . . . . . .
· INSTRUCTIONS ·
: (1) DRAW structure where you intend to place it. :
. (2) LABEL dimensions. .
· (3) LIST how far the structure is from house and .
· also the setbacks from structure to your ·
· rt I' ·
. prope y Ine. .
........................
APPLICATION #: JJ c2 335 '!
I
BUILDING PE~MIT #: ·
GRID #: {; ;L5'f -()5,,-~ J 5('
OWNER OF LAND: )on '>IJ1,/J?I/1/~ ,/t\.f;~ 'if"
~ER~~RCORNERLO~ '
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. / ()/Sid A/G (ft1/{
DATE: ~C::-19,d5
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ZONE:
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,/7 '7
fi" ~ """, tJ
_/
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~1
T
~ l...1 '1"
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ft.
1
Side Yard Side Yard
ft. HOUSE ft.
. . . .
P..
Q) T
Q)
Cl
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DENIED
Front ZONING ADMINISTRATOR
Set Back
ft.
Nearest Street 1
ft. ft. Frontage ft.
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
INDICATE LOCATION of WELL and SEWAGE SYSTEM
and THE DISTANCE of EACH FROM HOUSE
HOUSE # and STREET: (~~ '"6 \at"~CkJ (P
Signature of APPlic~?b'vtJ~
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
Mark North Point
White - Applicant's Copy
Yellow - Office Copy
Pink - Assessor's Office Copy
TOWN OF WAPPINGER BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
~:~...
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.........- !
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N~-'--23354
/""1
APPLICATION TYPE: Q-Residential
\
o Commercial
o Multiple Dwellin,9.. ,)
( 5v. /17 Hlry ;;ltJ #:/
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.. /,' .._ .1 '; .'~ "r, ,t
S-1"" ,4,/ y-,-f'..
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APPLICANT NAME: i.2i:'C,/'/
~ k -f,~i' ii, 'j
ADDRESS: '-.,/JiC... /,.,:if)'llj:Lf- .11.
TELEPHONE NUMBER:.~;? 1f '" /7c?7"~
ZONE:
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',- -' ,x .'1
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/~' ./'7 ~1 --.,.'......,- ;'/"
, -r'. 7"/ .~ ''), \ l"
Application #
Permit #
APPLICATION FOR:
,-7/ //
./ '1
,:(
1/ ",.J /
TYPE 'OF STRUCTURE:
OWNER OF BUILDING/LAND"
NAME' '\ //~ v" ..' "./l.) '. J' ....',/...11{/7.F1,;... -,'1._
. ....~ I,-":"'~"""})'L..f_{__,,l,, . ,/,'/~r~'l.l./_,~l_" If _:! Li_.._ '~
.. " J /1/
ADDRESS: ;~"J
TELEPHONE NUMBER: ... '0" /1!'J1'___/(
,$ AJOX.,~'
k%~
~/UM :;2335:>-
BUILDER/CONTRACTOR DOING WOR
COMPANY NAME:
ADDRESS:
CONTACT PERSON: NAME:
TELEPHONE #:
TITLE:
, lf~i) I t _,., -
FRONT YARD SETBACKS: AJb- REAR:~I~YARD:A1 SIDEYARD:#~
,""., "t'! 1::1/01'1,1,/ ! / i! . i1
SIZE OF STRUCTURE: ,,' '1 /.... <::::.J'~ Ii TYPE OF USE:/1-'/...:./ /J,t'f-A...... .
/',/
ESTIMATED COST: 1~--2 ,.5/1/1,-- ('
GRID # ,< <7 .:;:-'},-- /j;:~ ,'- /1."<,t./,/J.:('j
c./ '-l~ ",,~ ~" "1"..' _'" 1",.- i....-/ 7 f '
DATE RECEIVED: S'-//('-- 05"
ESTIMATED VALUE:
$, ,-i'-
PERMIT FEE: /1',. -:J{ _
PAID FEE ON _'5 ,- 18"- OS
GQ
CHECK # '7.;L.CJ
RECEIPT #
J( OS---(J7 of)
<=,
FIRE INSPECTOR
o Denied DATE:
APPROVALS
Signature of Building Inspector
WHITE - Applicants Copy YELLOW - Office Copy PINK - Assessor's Office Copy
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ZONING ADMINISTRATOR
TOWN OF WAPPINGER