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HomeMy WebLinkAbout4403-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. : Certificate Of Occupancy Z9997 October 1~ 19..8~. Date .................. ! .............. THIS CERTIFIES that the building ................................................ 2705 Private Road ~18.-Laurel Way, Ma~tituck Location of Property House ............................................................... No. Street Hamlet County Tax Map No. 1000 Section '12'1 ...Block 6 .Lot ~2.: .~ b ~]~v]sOr of. Lqe. .............. ~ Map No. 1.~. .Lot No... ~. Su ,on .... .~.o..~..W,... . ............ conforms substantially to the Application for Building Permit heretofore ffled in this office dated December 28 19 67 .~.0~ ..................... , ... pursuant to which Building Permit No ................ dated ...D.o.~..~..b.e.r...~.8 ............. 19..~7, 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 ......... Private One-Family Dwelling on Lot #S With a change of the Westerly Lot Line Approved by the Planning Board. ~he Street Line will now be 151 Feet instead of 16~ Feet. The rear line to remain 85 Feet. *Planning Boards Approval-June ~O, 1980. *Zoning Board of Appeals ~2725 Oranted Their Approval September 15, 1980. The certificate is issued to ... Adeline Lee ....... .................. io¥,;&'~ ............ of the aforesaid building. Suffolk County Department of Health Approval ...M.a~.. I. t..1.9.7...~...By..R.:..V.i.~.~.a...~.0.-.~.~../~Q .... UNDERWRITERS CERTIFICATE NO.......lq '1.:~'~0. ....... ............................... . ...... X,/~./~..,,cC./../~.~. .... Building Inspector Rev 4/79 FO~/[ NO. :~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ................. a~t ..,,..~....~l~e,.~ ......... to ..... ~aS.1A ..aev...a..~azd.l~..~ ...a..Zet.. J ....................................................... at premises located at ................... .~.-~..'.~J~....~..e.O.~-.~..a.....~l~..~, .~..,-.~.Ii~.~...~L~lj ....................... .............................................. Of $..~/1~....~mmf&..~e ............ lia.tt~,tue~ .................................. pursuant to application dated ........................ ~e~,..~ ..................... , 19.....~Tond approved by the Building Inspector. Fee $..~J~O(~ .......... Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of properW with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 19§7), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topograph ic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $§.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 (PI. ease ver:L£¥ change :In lot. ].lne with Plannin¢j Date . ,6/.2,3/,8.0 .................. New Building ............. Old or Pre-existing Building .... X ....... Vacant Land ............. Location of Property ... ~4~'le;~. ~7a¥,..:~,P~ff~-,. ~. '~¢~, .................................... House No. Street Hamlet Owner or Owners of Property .~, eline Lee ...... County Tax Map No. 1000 Section ...Z.2.]..,.0.0 ....... Block . .4 ............. Lot. p/o. ~2,1 ....... Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant .... .~.i.c..]~l~.. !' .li.l.c..l~1~....~..~t¢ffi~l~lJ~'~. P ,C. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....x ................... Fee Submitted $.. ~i,~0 ....................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Applicant ............... 'k; ' ................... I'/b 2723 Appeal N.o. TOWN OF SOUTHOLD, NEW YORK ACTION OF THE ZONY~G BOAI~D OF APPEALS Application Dated 7/18/80 ACTION OF THE ZO~NG BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Abigail A. Wickham, Esq. Main Road Mattituck, NY 11952 Appellant at a meeting of the Zoning Board of Appeals on August 14, 1980, was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance (X~[ Request for a variance to the Zoning Ordinance Art. III, Sec. ( ) the appeal 100-31 and 100-30 ~a~ed ( ) be denied pursuant ~ Article .................... SectEn .................... Subsection .................... para~aph .................... of the Zoning Ordinance and the deccan of the Building I~pector ( ) be reversed ( ) be co~irmed b~ause 8:55 p.m. Application of Adeline Lee, by Abigail A. Wickham, Esq., Main Road, Mattituck, New York for a Variance to the Zoning Ordinance, Article III, Section 100-30 and Bulk Schedule, Section 100-31, for approval of insufficient area. Location of property: Laurel Way, Southold, New York; bounded north by Laurel Way, west by Mulvihill, south by Sladon, east by Schimpf; County Tax Map Item No. 1000-121-4-12.1. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because (SEE REVERSE SIDE) practical difficulties or unnecessary (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE SIDE) (c) The variance (does) change {he'cl~aracter ~} the district because (SEE REVERSE SIDE) and therefore, it was further determined that the requested variance ( that the previous decisions of the Building Inspector ( (does not) observe the spirit of the Ordinance and (would) ) be lranted ( ) be confirmed ( ) be reversed. (would not) ) be denied and ZONING BOARD OF APPEALS FORM ZB4 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUI'HOLD, N.Y. NOTICE OF DISAPPROVAL Date ................... 19 ..... File No ................................ .. ~.~.,~....~. - ................ · .- .... : ..... PLEASE TAKE NOTICE that your a~n flared .... ~,~.. Location of Property h~t~ . ' ....... County Tax Map No. 1000 Section . ./..~./. ....... 'Block . .O.. ~/. ........ Lot ..~..t.7~./..~..,.... Subdivision Filed Map No . Lot No .................. is returned herewith and disapproved on the following g~ounds. ~'2~..~.~'.~. ~,'~..~..~...~..~. -.-~. .... Building Inspector RV 1/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. revised Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 (Please verify change in lot line with Planning Board) Date . .6/.2.3/.8.0 .................. New Building ............. Old or Pre-existing Building .... :(. ...... Vacant Land ............. Location of Property ... Lanre,l. Way.,. ~a~zrel.,. New. ~)rk ................................... House No. Street Ham/et Owner or Owners of Property ....... .A~l.e.l.i.n.e..L.e.e .......................................... County Tax Map No. 1000 Section ...1.2.1...0.0 ....... Block . .4 ............. Lot. p/c~ &2..-] ....... Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant .... .W.ip.k.h.a~..,..w,~.cJ~h~,,~ .&. JBree,s,ler.,. ~P.C. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...:~ ...... Fee Submitted $.. 5 Construction on above described building and permit ~t~2 appli~c~e~/q[ regqlati~;~s. ~ / ~igail A. Wickh~ , //~) R~. 10-10-78 ~ ~' ~ ~/~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~t'[~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..,.January l~, ~o7~ .,pp,,cat,o. No.o.f, le r,~.?ol2 ~.. N 137980 THIS CERTIFIES THAT John I4. Lee~ Sound Ave. & Main Road, Mattftuck, L.I. in the following location; [] Basement ~C lst FI. w..~a.~i.edo. January 11, 1974 [~2nd FI. ou~8~de Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURE fiXTURES RANGES COOKING DECKS -OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENT VAPOR 12 50 12 DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: C NO. OFpECRC~,COND. OF A, W.G. NO. OF HI-LEG A.W.G. NO. OF NEUTRALS A.W.G. CC, COND~ OF HI4EG OF NEUTRAL i ~/o i 21o ~Murnaces: Otl~-i/Shp, 2-1/15hp . *Puture appliance feeder/s: 1-3#6, 1-2#14 ' *Special receptacles: 5~20amps., 1-30amps. ~o~or./s: I- !/2hp Arthur W. Lee~ ~ '~' , 246 West ~th St., emiZ~ Deer Park, L,I. 11729 COPY FOR BUILDING' DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MA~. ~ FOB~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exomined ...................... ! ................ , 19 ........ Approved ..~..~.J. ................ , 19..~..~.. Permit No.....~../...Z'/...~......~........Z~' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ......... ......... , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of Jot 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 p~rt of this application. 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 permit shall be kept on the premises available for inspection throughout the progress of 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. / .... (Address df applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ................................................................................................................................. Name of owner of premises L~ C~ /-~ A/ iA/. ~ ~ ~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ...... ~:.~ ...... Lot No.: Street and Number ........ .~.~..~..~ ......... ~..~ ........................... ~.~..~.~.I~..Z..M.~.~. ................................. ~/- ~ 7~ Munici~li~ 2. State existing use and occupancy of premises and intended use and ~cupancy of propos~ construction: a, Existing use and occupancy ................ ~.~..¢.~..~.[.......~.~.~ ....................................................................... b. Intended use and occupancy .......... J ......... .~.~.~].~.~......~..~.~..?..~ .................................................................. 3. Nature of work (check which cable): New Building .... .~.. .......... ion .................. Alteration .................. Repair .................. Rem/oval .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ....... ~.....~.....O..~. ................................... Fee ............... ~'...../...O. ................................................................ (to be paid on filing this application) ............................ Number of dwelhng units on each floor ........................... 5. If dwelling, number of dwelling units O,,VE' ' o.~.~ E If garage, number of cars ........................ O.?...~. .......................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......~....o. ................. 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... ~ ........................ Rear ............ .~....q .......... Depth ....Z.....6. .............. Height ...g..(2 ........... Number of Stories ............... .~. .................................................................................................... 9. Size of lot: Front ........ /..q..O.. ............ Rear .......... .~...~ ................... Depth .......... ~...~..~. ........... 10. Date of Purchase ............)Y..9..Y.....~.~...)..~.~.;Z. ............ Name of Former Owner .~...~..~wc..~...(..'~..~.......C..D..~...IZ...~..~.~..~... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............................................................ 13. Name of Owner of premises ...~..?...fl.~....~:..~.~,.f,L ....... Address .'f.~J.r.~,..~-.~/.':..~..~.~i.~°./fJ...~Y-.~.'... PhoZne~ ZNo..F./.l...o..Z.?.e... Name of Architect /.~-..o...~.......~._o.~./~..~..TJ~,~z. ......... Address .~..$.f....~.u..~..~.';t~.../!.Xf.~)rK...~..Y.. Phone mu ......... .z$... Name of Contractor ......... ..~..?....*h~.......~K..:...~...~-~: ...... L_Address ..z.£!.-.x~,.//.(&..c.~J~..iF....~.~.F,.:.. Phone No...P.:~..7..~..?.~.o.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil 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. / · STATE OF NEW YORK,~ ~-c COUNTY OF ......... ~'..v.k..~..*r..~ ........ .................... ..'~...?..j~....,~........W..:......~...C.'~.[ ................................... being duly sworn, deposes and says that he is the applicant (Name of individual signj~ng application) above named. He is the ............. ~j....U../...Q.~..~.....'~.. .................................................................................................................. (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 ali statements contained Jn this app!icotion are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..~...~ .......... day of ....0....~."¢'..: ............................ , 19..~.~. .~'~-....~'...L.~...-,...-r~ ......... · ................ Notary Public, .~~ ~ .~.w.,~r~..],a,~,~.~.,~ . , ~ (Signature of applicant) SUFFOLKCOUN~YMEAL~N DEPART~{EN~ The sewage disposal and water Supply facilities for this location have been inspected by this department and found Chief of General Engineering Services --- i4 , LRt~d, ..... ' .... , i-'"-' kc' ' S,.:AL AN,u SIGNATURE L F_-',/L"~ L NOT VAt'''~ ~'~ ""' "' ' l,.; FL') ::.: .... ,iqG PERMIT ,;¢I I,,'.,,, ; %,~1 EOT, SEAL AND SIGNIq LRE LEON ROSENTHAL