HomeMy WebLinkAbout45274-Z � -gUFFOt,1•�oGy� Town of Southold 10/24/2020
0
P.O.Box 1179
.w 53095 Main Rd
�ASouthold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41557 Date: 10/24/2020
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 5194 Great Peconic Bay Blvd, Laurel
SCTM#: 473889 Sec/Block/Lot: 128.-2-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/9/2020 pursuant to which Building Permit No. 45274 dated 10/2/2020
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:
"as built"unconditioned three season room addition to an existing two bedroom one family dwelling as applied for per
ZBA#7388, dated 7/16/2020.
The certificate is issued to Minton TG Family Trt.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45274 10/21/2020
PLUMBERS CERTIFICATION DATED
Au o ' e Signature
z' TOWN OF SOUTHOLD
��o�° �ooy BUILDING DEPARTMENT
y z TOWN CLERK'S OFFICE
"oy . SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 45274 Date: 10/2/2020
Permission is hereby granted to:
Minton Mary Irrevoc Trust
101 Birch Ln
New City, NY 10956
To: legalize "as built" additions/alterations to existing single-family dwelling as applied for
per ZBA approval. Additional certification maybe required. `
At premises located at:
5194 Great Peconic Bay Blvd
SCTM # 473889
Sec/Block/Lot# 128.-2-20
Pursuant to application dated 7/29/2020 and approved by the Building Inspector.
To expire on 4/3/2022.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $579.20
CO -ADDITION TO DWELLING $50.00
Total: $629.20
Bu ing Inspector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
T011'N HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. 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 znd sewerage-disposal (S-9 form).
3. Approval ofelectrical installation from Board of Fire Underwriters.
d. Sworn statement tiom plumber certifying that the solder used in system contains less than 2/10 of 1`;'0 lead.
5. Commercial building, industrial building. multiple tesidences 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 ofproperty showing all property lines,streets, building and unusual natural or topographic
features.
2. A properly completed application-and consent to inspect signed by the applicant. If Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Feet
I. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00, Alterations to dwelling S50.00.
Swimming pool$50.00.Accessory building$50.00,Additions ro accessory building$50.00, Businesses$50.00.
'. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-S.25
4. Updated C'ertiticrrte of Occr.rpancy- $50.00
5. Temporary Certificate of'Occupancy- Residential $15.00,Commercial $15.00
Date. _ (>
New Construction: Old or Pte-existing Building: L '�f
- �°' '' —(check one)
Location ol'Property: — -_ � -� L- Nf C j�i !/ � /� // L.
House No. Strt•et �1�--
Hamlet
Owner or 0%%ner,of NOpel ly'- -- �fy��O/lf Clf G —
Suffoll.County 'Tai N(ap NO 1000, Section -- — _Block_��— —_Lot -
Subdivision - _ _ __----- Filed Map. -- — _ Lot:
Petniit No. / - Date of,Permit.
Health Dept. Appro\,al: - —/�/ — ---- --- Underwriters Approval:
1'lanning Board Approval:
Request lin•: -I cmporary CertiticLae - --- - final Certificate: _ � _ (check one)
I'ee Submitted: S
Applicant Signature
Board of Zoq:lnl bAjuneals Annlication
AUTHORIZATION
(Where the Applicant is not the Owner)
e
residiIIg at /O (f /
(Print property owner's name) (Mailing Address)
/1!•Y !O'er_ do hereby authorize
to apply for variance(s)on my behalf from the
Southold Zoning Board of'Appcals.
(Owner's Signature)
_! m 19 � (ter, 11-17 /Iy
(Print Owner's Name)
r
So
Town Hall Annex ,rr� ®rte Telephone(631)765-1802
54375 Main Road ia' Fax(631)765-9502
P.O.Box 1179 roger.richert(a-town.southold.ny.us
Southold,NY 11971-0959
®M 011 9 e 9�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Mary Minton Irrevocable Trust
Address: 5194 Great Pecornc Bay Blvd. City- Laurel St: New York Zip: 11948
Building Permit#: 45274 Section 128 Block. 2 Lot. 20
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition X Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 2 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures 2 Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes* "3-SEASON ROOM" 1-paddle fan
Inspector Signature: 6 Date: October 212020
81-Cert Electrical Compliance Form As
�z
SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
�`y�ou►m � 765-1802
INSPECTION
[ ] FOUNDATION 1ST - [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I SULATIOWCAULKING
[ ] FRAMING/STRAPPING [ FINAL fe ra
[ ] FIREPLACE & CHIMNEY = [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE D �� "w INSPECTOR
i
oF soulyO{o
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
ANSPECTION 4s
[ ] FOUNDATION -1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [. ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ =] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE / d �/ 7� INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS •
FOUNDATION(IST)
--------------------------------
FOUNDATION(ZND)
rA
ROUGH FRAMING& 1
PLUMBING
INSULATION PER N.Y. NJy
STATE ENERGY CODE
A.
FINAL
9 ,
ADD :=ISN ;C1XMENTS
- Z
rn
. r
a i-
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying9
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 ' ' Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT NO.-` r� Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
11 Flood Permit
Examined l� 202 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved 20U Mail toy!/C-MA L kit, ,LlMAC7L
Disapproved a/c P0,00)e/P4n So"0 D� /try /1'71
Phone: 6.,r8 68 o I
Expiration ,-20 —
Building Inspector Yc
APPLICATION FOR'BUILDING PERMIT
-, Date t?l29 , 20/10
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an
addition six months. Thereafter,a new permit shall be required.
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. 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.
(Signature of applicant or name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
464W.
Name of owner of premises /-l,IN 7-0 I/ 4RA T.e 415;r—
(As
ST(As on the tax roll or latest deed), '
If applicant is a corporation, signature of duly authorized officer
(Name and title,of corporate officer)
Builders License No. MAI
Plumbers License No. N fr[Q
Electricians License No.
Other Trade's License No. �y
1. Location of land on which proposed work will be done:
-5-174 GREpr–pzwaw—1 c Ay �LY�., L.4UrLCL
House Number Street Hamlet
County Tax Map No. 1000 Section l28 ' Block z Lot .910
,1
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy /�€s�1�,�iV71-Al CA126 OV191V4y
b. Intended use and occupancy 9,,65* 4,V Y.4L OBJ& j5AA1/Ly
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 4456AW2 U/IICoN,D/77GW�',O
PO-Zcy (Description)
4. Estimated Cost Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units aA1,A Number of dwelling units on each floor OAIA
If garage, number of cars AZW—.4
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
All—W
7. Dimensions°of Existing structures, if any: Front IS -6 Rear 2 j� Depth 47, 1
Height ' Number of Stories' n4!d �2)
Dimensions of same strucurewith alterations or additions: Front /� 3 Rear ;0??. 3
Depth ?;'%;`l,' ' ` Height Number of Stories 7`l�/0 �2)
' tal
8. Dimensions of entire new construction: Front �3. 9 Rear Z F. 'Deptha '` 47. /
Height Number of Stories 71-W 13 Z
9. Size of lot: Front- • Rear e95- Depth 97,
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated .p— 4 O
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO X Will excess fill be removed from premises? YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Naive of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO X
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO_X
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFA)
h IOY MZ A kjHACX being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the A6,e5 ,7--
(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 gore me this
day of1TanjjW 4 '20ji2a
EY L. DWYERZA62 ,
Notary Pub is NOTARY PUBLIC,STATE OF NEW YORK Signature of Applicant
0 NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2-W-,9—
FORM NO. 3
1\ �
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE: January 17, 2020
TO: Michael Kimack(Minton)
PO Box 1047
Southold, NY 11971
Please take notice that your application dated January 9, 2020:
For permit to legalize"as built" additions and alterations to an existing single-family
dwelling at:
Location of property: 5194 Great Peconic Bay Blvd, Laurel, NY
County Tax Map No. 1000 - Section 128 Block 2 Lot 20
Is returned herewith and disapproved on the following grounds:
The"as built" construction on this nonconforming 7,028.65 sq. ft. lot in the Residential
R-40 District is not permitted pursuant to Article XXIII Section 280-124 which states;
lots measuring less than 20,000 square feet in total size require a minimum rear yard
setback of 35 feet.
The survey notes a rear yArd setback of 1.6 feet.
Authorized ignature
Note to Applicant: Any change or deviation to the above referenced application may
require further review by the Southold Town Building Department.
CC: file,Z.B.A.
116ARD MEMBERSSouthold Town Hall
Leslie Kanes Weisman,Chairperson (ft%V Oily 53095 Main Road-P.O.Box 1179
Southold,NY 11971-0959-
Patricia Acampora Office Location:
Eric Dantes G Q Town Annex/First Floor,
Robert Lehnert,Jr. 54375 Main Road(at Youngs Avenue)
Nicholas Planamento ' ��iYC®U Southold;NY 11971
http://Southoldtownny.gov RECEIVE0
D` ZONING BOARD OF APPEALS & Uai—(9 g:3O AAA
J U L 2 9 ' 2020 TOWN OF SOUTHOLD J U L 2 9 2020
Tel.(631)765-1809-Fax(631)765-9064 a, `
I BUMD G DEPT. Sou old Town Clerk
FINDINGS,DELIBERATIONS AND DETERMINATION
MEETING OF JULY 16, 2020
ZBA FILE: 7388
NAME OF APPLICANT: Minton Irrevocable Trust
PROPERTY LOCATION: 5194 GreatTeconie Bay Blvd,Laurel SCTM No. 1000-128-2-20
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this
application and determines that this review falls under the Type II category of the State's List of Actions, without
further steps,under SEQRA.
SUFFOLK COUNTY-ADMINISTRATIVE CODE: This application was referred asrequired-uncTer flie-Suffoff
County Administrative Code'Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its
reply dated January 30, 2020 stating that this application is considered a matter for local determination as there
appears to be no significant county-wide of inter-community impact.
LWRP DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the
Minor Actions exempt list and is not subject to review under Chapter 268.
PROPERTY FACTS/DESCRIPTION: The subject.property is a 7,028.65 sq.ft. parcel located in an R-40 Zoning
District. The property is located 200ft. south of Peconic Bay Boulevard and serviced by a shared dirt road. The
property measures 97:76 ft.-along the northerly property-line, parallel to Peconic Bay Boulevard, turning south
measuring 85.00 ft. along the easterly property line with access to a 15-foot Right of Way, turning west measuring
97.96 ft. along the southerly property line, then turning north measuring 85.00 ft. along the westerly property line.
The property is improved with a two-story framed residence and an attached enclosed porch, all as shown on
survey prepared by Kenneth,M. W.oychuk,L.S., dated April 12,2019.
BASIS OF APPLICATION. Request for a Variance from Article, XXIII, Sections 280-124 and the Building
Inspectors January 17, 2020 Notice of Disapproval based on an application for a permit to legalize %s-built"
additions and alterations to an existing single family dwelling; at 1) less than the code required minimum rear yard
setback of 35 feet; located at: 5194 Great Peconic Bay Blvd,Laurel,NY. SCTM No. 1000-128-2-20.
RELIEF REQUESTED: The applicant requests a variance to legalize an "as-built"porch addition with a rear yard-
-- ---------------------------- - q y - - ---- ----- - - --- - - - -- -- ----
setback of 1.6 feet,where a 35-foot setback is re uired b the code.
J
Page 2,July 16,2020
#7388,Minton
SCTM No. 1000-128-2-20
ADDITIONAL INFORMATION:- On May 19, 1964, #669, the prior owner was granted variance relief to
subdivide his parcel as well as relief to NYS Town Law 280-a for access to a town road, The applicant's agent
submitted copies to the Board of three other prior variances for non-conforming setbacks granted-by the Board of
Appeals on Peconic Bay Boulevard: ZBA File#5611.( c,2,2004),ZBA file#6099,.(JAh. 10,2008) and ZBA—File
-#7244 May.23,2019)
The existing dwelling located on the property was issued a certificate of occupancy in May 1958, # Z-110. In
August of 1977, certificate of occupancy # Z7863 was issued for a one family dwelling with Additions and
alterations. There was a septic permit issued by the Town of Southold in June of 1997 for a new septic tank.
The Board received a letter dated May 2020 (Received May 28, 2020) from a neighbor indicating that she had no
objection to the variance relief.
FINDINGS OF FACT/REASONS FOR BOARD ACTION:
The Zoning Board of Appeals held a public hearing on this application on July 9,2020 at which time written and
oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and
surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant
and makes the following findings:
1. Town Law $267-bQ)(b)(IJ Grant of the variance will not,produce an undesirable change in the character of
the neighborhood or a detriment to nearby properties.• The neighboring properties are generally the same iron- .
conforming size and oddly shaped-configuration as the subject parcel. The subject property'is accessed via a_
private4 rights�v. Tie as built parch is unconditioned space and is in character with-other residences in the
surrounding neighborhood.
2. Town Law 4267-bQ)(WQ The benefit sought by the applicant cannot be achieved by some method, feasible
for the applicant to pursue, other than an--area variance. As the as-built addition is attached to the existing
residence,there is no other alternative than an area variance.
3. Town Law 8267-b(3)(b)(3): The variance granted herein is mathematically substantial, representing•95.4%
relief from the code. However, at least half of the existing house is currently in the conforming rear-yard setback
with-the benefit of certificates of occupancy, and the rear yard is screened from view by an existing solid stockade
fence.
4. Town Law 8267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential
community will have an adverse impact on the physical or environmental conditions in the neighborhood. The
applicant must comply with Chapter 236 of the Town's Storm Water Management Code and conditions of this
board.
5. Town Law $267-0)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the
Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the
limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase.-
6. Town Law &267-b, Grant of the requested relief is the minimum action necessary and adequate to enable the
applicant to enjoy the benefit of an unconditioned porch while preserving and protecting the character of the
neighborhood and the health, safety ety an werfare of the community
-- - -- - - --- --- - - - - ------ - --------- -
r �
PAge 3,Ji 1y,16,2020 _
#7388,Minton
SCTM No. 1000-128-2-20
RESOL--UTION OF THE BOARD: In considering all of the above factors and applying the balancing test under
New York Town Law 267-B, motion was offered by Member Lehnert , seconded by Member Weisman
(Chairperson), and duly'carried,to-- ----- - -------- --- ------— i------------- -- --
RANT the variance as applied for, and shown ori,the survey_prepared by-Kenrieth Woychuk, Land Surveyor,
dated April 12, 2019.
SUBJECT TO THE FOLLOWING CONDITIONS:
1. The existing as-built porch shall remain unconditioned space and shall not be enlarged.
That the above conditions be written into the Building Inspector's CertfIcate of"Occupancy, when issued
Any deviation from the survey;site plan and/or architectural drawings.cited in this decision will result In delays
and/or a possible denial by the Building Department of a building permit, and may require a new application and
public hearing before the'ZoningBoard of Appeals.
Any deviation from the variance(s)granted herein as shown on the architectural drawings, site plan and/or survey
cited above, such as alterations, extensions, or demolitions, are not authorized under this application when
involving nonconformities under the zoning code. This action does not authorize,or condone any current or future
use, setback or other feature of the subject property that May-violate the Zoning Code, other than such.uses,
_setbacks and other features as are expressly addressed in this action. In.the-event that this is an approval subject
to conditions, the a approval shall not be deemed effective until such time-that the foregoing conditions are met, and -
failure to comply therewith will render this approval null angioid,,
The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does
not increase the degree of noncor{formity.
Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the
Board of Appeals shall become null and void where a Certificate of Occupancy has not been
U procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three
(3)years from the date such variance was granted. The Board of Appeals may,upon written
request prior to the date of expiration, grant an-extension not to exceed three(3) consecutive one
(1)year terms.
Vote of the Board: Ayes:Members Weisman(Chairperson)Acampora,Dantes,Lehnert, and Planamento(5-0).
eslie Kanes Weisman, Chairperson
_ APprwed for-filing._7 - _ -/2020
z�
BUILDING DEPARTMENT-Electrical Inspectior
� x OCA ��` TOWN OF'SOUTHOLD
-pwn Hall Annex- 54375 Main Road - PO Box 1179
3�0� Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
ro err. .southoldtownny.gov- seand@southoldtownnyoov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (Ali information Required) Date:
Company Name: J\/b t2 _ S Is cam-
Name:
License No.: email:
Address:
Phone No.:
JOB SITE INFORMATION (All Information Required)
Name: In" xv, zrr"b z.- 4 t�
Address: 5rj3 Ivr/
Cross Street:
Phone No.: g-qS 2.2.2- -69.6 (.o
Bldg.Permit#: 4 5 2'7 email: '� ,� as{•��.✓�
Tax Map District: 1000 Secti-on, i o2 $ Block: Lot: c (J
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: CYS / O Rough In Final
Do you need a Temp Certificate?: YES /0'10, Issued On
Temp Information: (All information required)
Service Size 1 Ph 3 Ph Size: A #Meters Old Meter#
New Service- Fire Reconnect-Flood Reconnect-Service Reconnected - Underground -Overhead
Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
"Additional Information:.
_PAYMENT DUE WITH APPLICATION
Request for Inspection FormAs ®���' �� v
�. ��
T0: Town of Southold
Zoning Board of Appeals
DATE: July 5,2020
RE: Public Hearing July 9,2020
Minton Irrevocable Trust#7388
Request for Variance Section 280-124
5194 Great Peconic Bay Boulevard, Laurel, NY 11948
SCIM 1000-128-2-20
The Minton family is requesting a variance on an addition added to the northwest portion of their
property. We have been next door neighbors to the Mintons since 1989,and this addition was there for
years prior to 1989.
We support the approval of the variance because there is no reason to oppose it based upon the length
of time that the structure has been there,and it does not encroach on any surrounding homes. We,
therefore,hope that the Board will approve this variance request.
Thank you for your consideration.
Carolyn and Ronald Coons
5206 Great Peconic Bay Boulevard
Laurel, NY 11948
516 320-0142
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APPRO ED AS NOTED
DATE:-
FEE / BY:
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FOLLOWING INSPECTIONS: ����. �����
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE INSPECTION REQUIRED
2. ROUGH-- FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF Additional
NEW YORK STATE & TOWN CODES Certification
AS R=SOUTHOLD
D CONDITIONS OF
May Be Required.
TOWN ZBA
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DATE, ISSUE.
l 092820 ISSUED TO TOWN FOR REVIEW AND APPROVAL MICHAEL ZAMPINI PROJECT PROJECT DATE
2 FANM RESM84112 202011D 091520
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OF
DATE- ISSUE. ■ MICHAEL ZAMPINI PROJECT ■n-�y, ��p�a�. PROJECT DATE
■ PAN=RMDEIYM 2020.110 091520
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