HomeMy WebLinkAbout5165-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, iN. Y.
Certificate Of Occupancy
Nc. Z51] ~ Date ..... April. ' 30 , 19 73
- wf 6th SC
THIS CERTIFIES that the building located at ~ ¢ovi~ Glrete Street
Map No. Ashby Block No. XX · Lot No. XXX Gr~enport . t( ~y, .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated MArch .1~ 19 71 pursuant to which Building Permit No. ~16~Z
dated ..... Mal~ .~2 . , 19 71., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . Private..one famil.y .dwel.ling ......................
The certificate is issued to . Az'thur. Co£firb & .~df£e Ow~e~,s -- -
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval · Ap/~.il.
UNDERWRITERS CERTIFICATE No pending -- .ff. 31~,573.
ttOUSI. NUMBhR 1000 Street ~ove Circle
a963. hy a, ¥1l~
(pv2 zo)
BLtdchng lnspecto~
TOWN OF $OUTHOLD
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 AUTHORIZEI~)
5165 Z
Permission is hereby granted to:
..... :~..e.~.,~....~.~..'.L.~.~Z....~.~
to
at premises located at ............ ~.~'~..~l~li[..~;g.i~...~..t~t,~..~ ......... ~lbl~lr..O~ ....................
pursuant to application dated ........................... ~I~1~ ........~.~ ......... , 19.1~.., and approved by the
Building Inspector.
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Date ~P~ ~7 ~97~
Bldg. Permit No.
TO WHOM IT MAY CONCERN:
The sewage disposal facilities for a structure located
· - deed location)
/ J · / /./
have been inspected by this department and found to be satisfactory.
Of* General Engineering Services
APR 2 7 ~973
TOWN OF SOUTHOLD, N~ YORK
APPEAL FROM DECISION OF BUILDING INSPECTOR
APPEAL NO.
r
TO THE ZONING BOARD QF APPEALS, TOWN OF SOUTHOLD. N.Y. ,-,
,, .............. of.. ..... ...........................
Name of Appello~ Street ar~ Number
.... ,x' ..... '....!.: ................................ (.~.....~...~/..HEREBY APPEAL TO
/~/ Municipality State
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT NO .................................... DATED ......................................................
WHEREBY THE BUILDING INSPECTOR DENIED TO
( )
( )
( )
Name of Applicant for permit
of
Street and Number Mumcipal,ty State
PERMIT TO USE
PERMIT FOR OCCUPANCY
1 LOCATION OF THE PROPERTY ..................................................................................................
Street Use District on Zoning Map
Map No. Lot No.
2 PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ord,nance by number. Do not quote the Ordinance.)
3 TYPE OF APPEAL Appeal is made herewith for
( ) A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VARIANCE due to lack of access (State of New York Town Law Chap. 62 Cons Laws
Art 16 Sec 280A Subsect,on 3
4 PREVIOUS APPEAL A previous appeal (has) (has not) been made w,th respect to th,s decision
of the Building Inspector or w~th respect to th~s property.
Such appeal was ( ) request for a special permit
( ) request for a variance
and was made m Appeal No ...............................Dated ......................................................................
REASON FOR APPEAL
( ) A Variance to Section 2BOA Subsection 3
( ) A Variance to the Zoning Ordinance
( }
~s requested for the reason that
(Continue on other s~de)
REASON FOR APPEAL
Continued
1 STRICT APPLICATION OF THE ORDINANCE would produce practical difficulties or unneces-
sary HARDSHIP b~cous~
2. The hardship created is UNIQUE and is not shared by all properties alike ~n the immediate
v,cin.ty of th~s property and in this us~ district because ~ .,--,~---~ ~
3. The Variance would observe the spirit of the Ordinance and WOULD NOT CHANGE THE
CH^~CTER OF THE D,STR,CT b~au. ,.V~- ~.~:~ ~ ~-~
~'~' ~__ ,ff~,~-~- t ,~ ~
STATE OF NEW YORK
COUNTY OF'~
)
) ss
)
Sworn to this ........... ~ ................ doy of ..... ~,,.~..~ .................... 19 7/
lX)~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, No ¥°
Approved ........................................ , 19 ........ Permit No. ~-
Disopprovedo/c ..............................................................................................
^pp i=tion No.
(Building 'Inspector) ....... J~J
APPLICATION FOR BUILDING PERMI'T
INSTRUCTIONS
a. This application must be completely flllod in by typewriter or in ink und submitted in duplicate to the Building
Inspector. ,,~
b. Plot plan showing location of lot and of buildings on premises, relationship to adjo n ng pram ~es 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 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 Bud ng Permit pursuant to the
~Build!ng Zone Ordinance of the Town of.Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Kegu~ations, for the construction of buildings, additions or al!orations or for remove or demol tion, as herein described.
The applicant agrees to comply with all applicab · aws, ordinances, building code, housing code, end regulations.
Jeseph Dia~
(Signature cf applicant, or name, if a corporation)
Greenpert
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
......................................... .......... ........ ................................... . ....... ....... . ..... ...
Nome of owner of premises Arthur Clffin & Wife
If applicant is a corporate, signature of duly authorized officer.
(Name and title 'of corporate officer)
A~hbv O.D.A. ,.,.
1. Location of land on which proposed work will be done. Map No.: ............ ~ .......................... Lot No.: ........................
Street and Number ..~.~..~J,..w~.~..~.~b,.~.~...~2:l~13~ll~'.~ ...............................................
~ f -- / ~ 0 t) ~ ~ c.~ Municipality
2. Slate existing use and occupancy of premises and intended use and occupancy of propaeed construction:
a. Existing use and occupancy ........ .~.~,~,~.~. ...............................................
b. Intended use and occupancy' ........... ~ .~lR~,~.~'. dh~.fl~]~LO,~ ..........................
3. Nature of work (check which applicable): New Building ~....~ ..... Addition .................. Alteration ..................
Repair .................. Removal .................. Demolitio~ .................. Other Work (Describe) ........................................
4. Estimated Cost ............... ~.~.~.0/30..~ ........ , ................ Fee ..... .1..0..R.00. .........................................................................
(to be paid on fi~ing this application)
5. If dwelling, number of dwelling units ...... .~../~... ............. ~Number of dwelling units on each floor ............................
If garage, number of cars .............................................................................................................................................
6. If business, commercial or mixed occupancy~ specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ 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 r~Q Rear ...... ~.0. ......... -- .- 98/26
................... ........................ ueptl~ ........................
......................... ......... x 28it
Height Number of Stories ~ ..............................................................
9. Size of lot: Frc~t ..........1.~. ........... Rear ............. .8..0. .................. Depth .~.0. .......................
10. Date of Purchase ........................................................ Nome of Former Owner ......................................................
# #
11. Zone or use district in which premises are situated .......... ,~,.....~:J.i~.~ ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ......... ~i~ .............................................
.re_:... Arthur Ceffia &
13. Name of Owner of ~ ,,,,~ ........................................ ~aaress ............................................ Phone No .....................
Name of Architect ..................................................... ~ddress ............................................ Phone No .....................
Name of Contractor ..,~..,...~.J,P,.~.. ................................. Address Greennert ..--
................ ~ .......................... ~none No .....................
PLOT DIAGRAM
Locate ClearlY and distinctly all buildings, whether existing or prqx~md, and indicate a~ ~t.back dimensions from
property lines. Give street and block number or description according to deed, and show sfreet, names and Indicate
whether interior or corner lot.
STATE OF NEW ~OlU~., tee
.............................................. ~'.~'~)~..~,~{J.~.. ........................ being duly ~vorn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the ................... E,®~t;~;~o.'c®~'. ....................................... , .....................................................................
(Contractor, agent, corporate officer, etc.)
~hf said .owner or .owners, and is duly authorized to perform or have performed the said work and to make and file
is application; that all statements contained in this application are true to the Nit of hll 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
~ELIZABETH ANN NEVILLE
ROTARY PUBLIC, State of N~w York
~o. 52-8125850, Suffolk Count.
Term [xpires March 30, lg...~
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
, ' · .. j/g z.
Apl)roved ........................................ , 19 ........ Permit No .............................
Disapproved a/c ..............................................................................................
......................................
........................ .........
APPLI~TION FOR BUILDING PERMIT
INSTRUCTIONS ~
o, This opPlication must be completely filled in by typewriter or in ink und submitted in cklplicote to the Building
Inspector. .~.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or~
areas, and giving o detailed description of layout of property must be drown on the diagram which is part 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 Bu. il.ding Pe. rmit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the progress at the WORK. /~
e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupar~y
shall have been granted by the Building Inspector. ~
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances oL~
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hereln.describe~
The applicant agrees to comply with oil apphcable laws, ord'nances, build'ng code, housing code, and regulations. ~
Jeseph D~
(Signature cf applicant, or name, if a corporation) ~
Oree~pert
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......................................... ,entt,,e ,ez. ..............................................................................................................................
Name of owner of premises ......A...~.~..I~......G...~..~..~..~...~.....~.~.~.?. ..............................................................................................
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.: .....A~....~..b..Z......O..?..D..?..A..? ...... Lot No.: ........................
Street and Number ..,,~/d;..laa..--II//~..~:F,;~..~.G~Zl~t~:l; ..............................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........ .lrl~nnt~ ...........................................................................................................
b. Intended use and occupancy' ........... ~I~I~...~J~LII.~L~'..~I¥~-~t.I~ .......................................................................
3. Nature of work (check which applicable): New Building ~....~ ..... Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition .................. Other Work (Describe) .................. ~ .....................
(to be paid on fi~ing this application)
5. If dwelling, number of dwelling units ...... ~ ............. :Number of dwelling units on each floor ............................
If garage, number of cars ............................................................................................ ,, ....... ;.., .....................................
6. If business, commercial or mixed occupancy~ specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ........................ 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 ..'..~). ................. Depth ..~.8....~... ..........
Height .................... Number of Stories ..... .t~..~;~r ............~.l~t~...~..t~..~..~,~.l; ..........................................
9. Size of lot: Front ......... .1~,~. ........... Rear ............ .1~. .................. Depth .281~ .......................
10. Date of Purchase ........................................................ Nome of Former Owner ........................................................
11. Zone or use district in which premises are situated .......... .%L?...cL~.t, ........................................................................
1Z .- Does proposed construction violate any zoning law, or~Ina_nce or regulotlon? ......... ~ .......r~ ..... '"'~" .................
Name of Owner of ,rem,ses .~....~.~..-..?....'~......--...ROb~s. ~..~..~ ..~....~.~- ! ~ .....
Name of Architect ...................................................... Address ............... i ............................ Phone No .....................
Name of Contractor .,Z,,..~)5~& ................................. Address ....C~.ILg.~.~.~. .................. Phone No .....................
PLOT DIAGRAM
Loot)re Clearly and distinctly a bu Idlngs, whether existing or proposed, and ndicate all met.back dimensions from
p~operty lines. Give Street and block number or descrJpti~on according to deed, and show street names and indicate
whether interior or comer lot.
STATE OF NEW ~ORIC iee
.............................................. *TaamPI%.J).:I~& ....... be ng duly sworn, deposes and says that he is the applicant
(Name of nd v dua signing application)
above named. He is the ...................~0~l~t~e~ .................................................... '~ ....................................... ., ...............
(Contractor, agent, corporate officer, etc.)
thru the work will be -erf-,~,~ ~- ~- ......... · ~,.,,~ ,~.~,~,~n,.ar.e. ~r~...~ ~..ne oe~' or ms v. nawmdge and behef; and
Sworn to before me ~h'~ .............. ,,,,,,,,,~, ~ ~or~n ~n rne app,ca~'~o~ tllea merewlth.
Notary Pubhc, /~. County re ........................
ELIZABETH ANN NEVILLE
J~OTARY PUBLIC, State of New York
No. 52-8~25850, Suffolk CouAt~,
Term EXpires March 30,