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HomeMy WebLinkAbout9576-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAR%~MENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19243 Date JULY 26, 1990 THIS CERTIFIES that the building ADDITION Location of Property 55560 MAIN RD. & 20 HOBART RD. House No. Street County Tax Map No. 1000 Section 62 Block 3 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER i3, 1977 pursuant to which Building Permit No. 9576-Z dated DECEMBER 6, 1977 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 ADDITION TO EXISTING BUSINESS BUILDING FOR "TAKE OUT" FOOD STORE ON FIRST FLOOR WITH APARTMENT ON SECOND FLOOR AS PER PLANNING BOARD APPROVAL DATED OCTOBER 19, 1977 & ZONING BOARD OF APPEALS #2369 DATED DECEMBER 1~ 1977 The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL JOHN A. & JOAN A. POLYWODA (owners) UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-380017-3/29/78 & H-016949-7/10/1990 TOWN BUILDiNG (THIS PERMIT MUST BE KEPT ON~ THE PREMISES UNTIL F~JL[. COMPLETIOIq OF THE WORK AUTHORIZED) N? 9576 Z Date ....................................................... , 19 ........ Permission is hereby granted ~1o: ......................... : ......................................... A.; ......... Building Inspector. Fee. $,.,,~,,;,,~,.,~ FOI~M NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi[icale Of Occupancy No .... g90.29... Date . .. May ..... 2.~. ..... 19. ?B 55560 Main Ro~ ...... ' THIS CERTIFIES that the building located at .. 20. Ho.baI-t. Road ......... Street Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .Sep.~embe~.... f~. .... , 19.77. pursuant to which Building Permit No .... 9576Z dated .Dec.ember~ .... 6. ...... , 19.77., 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 . .0fff..Premises..Food .bus~-~ess. on .the. F. irs.~ .Floo~. ................ The certificate is issued to .... &Ohn. Pol~oda .................................... ( owner,~~fl;~ of the aforesaid building. Suffolk County Department of Health Approval ..... N/R. ........................... UNDERWRITERS CERTIFICATE No ..... Per, ding ................................ .55560 Main Road HOUSE NUMBER 2.0 ............ Street ..... HOba~.t .Ro~cl ....................... ........................................... .S. ou.~holcl,..New..Yo~'I~ ............... Building Inspector TOWN OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application n~ust be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector 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 features. 2. Finai approval of Health Dept. of water supply and sewerage disp0sal--(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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property 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 in- formation required to prepare a certificate. C. Fees: i. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 .~× Date ....~.1..~...~..t..~.~.i ..................... New Bqilding ................ Addition .... Old or Pre-existing Building ................ Vacant Land .............. Location of .......... ..................................................... ~ C~ Owner Or Owners Of Property .......... ~(~,.~ .......... ..~..........~........~ ...... ;.. .(~.~.~. ,.qT:~.... ....... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No...~. ~.:~..~.... Date Of Permit l~.~[~:~[,~..-)....Applicant ..... :.'~.~.~/~..~.,..~.~...~..L(~.~C~....~.... ...... Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ............................ ,...,,-~ ....... Planning Board Approval ........................................ Request For Temporary Ce~icate ........................................ ~ FinoJ Certificate .......................................... Fee Submitted $ ..~---~,~ .................. Construction on above described building and permit meets aI, L-c~plicable codes and regulations. S,o n to ................ day of ............................................ Notary Public ................................... County (stamp or seal) Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application'must be filled in by typewriter OR ink and submitted to the buil4ing inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property limes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept.' of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contaims less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar ~,~ldings and installations, a certificate of Code Compliance from~architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buiidimg$ and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building amd unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state 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 dwelling $25.00, Swirmming 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 L o. Date ............................ ., New Construction. Old Or Pre-existing Building... Location of Prope ty ........... ~. House No. Street Hamlet Onwer or Owners of Property...~.~.9.~... .~...~.... t% .... '. ~.C~. ~ ....... County Tax Map No 1000, Section .............. Block ................ Lot ...................... ~ubdivision .................................... Filed Map ............ Lot ...................... if~ermit No.~.."%.~.~.~ ..... Da. te~Of Permit.~..~l~./.~..~...Applicant.~O.~. ~ealth Dept. Approval .... ~.~. ................ Underwriters Approval ..... Final Certicate ........ ,.. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IH ANY MANliER. THE' NEWYORKBOARD OF,'FtRE UNDERWRITERS BUREAU OF' EL.EGTRICITY 85 JOHN BTRErr, NEW YORK, NEW YORK 10038 0,,- ...ch.,197, -*.~-,,0-~o.o-.,~-9~99,? N 380017 THIB ClRTIFIBI THAT John Poly'vode~ e/o Main L.I. in tke~oilow~ location; [] B~sement ~ ls! FI. Rd., Hobar? Rd., ACrOll Rollleau Ave., SoB'~hol [] ~.d i~. OE~l I de ~e.a,,, Block ~ ~ fou~ ~ ~ tn ~ with t~ r~ui~ of zh~ ~, ~HAU~ FA~ FURNACE MOTORS SBWlai mSCONNBCT $ ! R V I 4~ OT~ affABATU~ Charles #. Hell 760 Longcreek Dr. Southold, L.I. 11971 This cerfificMe m~st ~ot be oltm'ed in manner;, return to the offic Lie. 657E II November 2, 1977 Mr. and Mrs. Jo~m Polywoda Bayview Road Southold, New York 11971 Dear John and Joan: The following action was taken by the Southold Town Planning Board at a regula2 meeting held October 19, 1977. RESOLVED to grant site plan approval to John and Joan Polywoda for the addition to their existing building on Main and Hobart Roads subject to obtaining the necessary variance to put a residence in a B zone, if that is necessary. I neglected to collect from you the $25 application fee for a site plan. Yours truly, Copy to Building Inspector Muriel Brush, Secretary Southold Town Planning Board TOWN OF SOUTH~-ILD FIFFICE OF BUILDING INBPECTDR TOWN CLERK'S OFFICE 80UThOLD, N. Y. 11971 TEL. 765-~660 October 12~ 1977 Southold Town Planning Board Town Hall Southold~ N.Y. Gentlemen$ In response to your request of 0Qt 11th RE: parking area for proposed John Pol~oda addition at ~ain Road & Hobart Road~ Southold~ Please be advised: The westerly side of the existing building has a "curb cut" that has been used far "in & out" traffic since the building was built as a garage for DickMullen back in the early fifties. ~his has been adequate for much more traffic than the present and proposed use will generate. In addition to the existing traffic pattern an additional curb cut on Hobart Road will give "in & out" service~ Hobart Road is a one way street - South - at that point~ so an excellent "out line"for a take out window could be established. I estimate there is about ~2~ Sq Ft of actual office and sales area in the ol~ and proposed new part of the total building which would require 4.2-~--spaces for parking. At 3~0 Sq ft each this would require 1~48W sq ft for parking. Allowing a 12 ft wide strip along the west line 1~8 ft deep would give 1896. Sq ft of off street parking and an access roadway through the property~ 23 ft wide. This should be adequate for meeting the ordinance requirements and normal traffic use. Trusting the above will be Yours truly Building Inspector sufficient to issue an approval TE)WN OF SQUTHE]LD BFFIDIE OF BUILDING INSPECTOR SE~UTHEILE), N, Y. 11971 TEL. December 2~ 1977 Mrs. John Polywoda BayView Road Soutbold~ New York 11971 Dear John & Joan~ The Planning Board and Appeals Board have approved yourrequest for an addition to the present buildino at Hobart l~oad and Main Road~ Southold with "Take Out" Food Store and an apartment on 2nd floor. Please get me addition (upstairs Buildiog Permit. 3 sets of final plans for this and 1st floor) so we can issue your Yours truly~ Howard Terry/ Building Inspector $OHN WICKHAM, C~airman F~ANK S, COYL~ H~N~Y ~.~AYNOR, ~. F~EDERICK E. GO~DON ~AM~S ~ALL Southold, N.Y, 11971 Ootober 11, 1977 TELEPHONE 765-13i3 Mr. Howard Terry, Building Inspector Town Hall Southold, New York 11971 Dear Mr. Terry: The Planning Board would like a letter from you regarding the parking area in the site plan of the John Polywoda property on the Main Road, Southold. Yours truly, ~ Muriel Brush, ~cretary Southold Town Planning Board Disapproved a~ .................................... _.____._~-~ ,, ot, ........ ........................... ,.s Ru ,o.s a. This application must be completely filled in by typewriter ac in ink and submitted in triplicate to the Buildir~ 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 areas, and giving a detailed description of layout ofproperty 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 work. t/ 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. (Name and title of corporate officer) Builder's License No ..............~ .... Plumber's License No ................................................. 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 c(~nstruction of buildings, additions or alterations, or for removal or demolifion,..as h~rein described.~, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, an~ r~gblations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ~'~ "~nature ~nt, ~: if a corporation) ' .............. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses ...~..(,.~ .I/~, ..~. ~.~, ('~C) ~ IJ~ .(~. ~ C~ 0~,' ..................................................................... ' ......................~ ............. If applicant is a corporate, signature of duly authoriZed'offiCer!~ '"'"" '"'-""'"["~r' Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on whic. h proposed work will be done. /V~p Nq.: ............................ 4~. .....Lot'No ....... ~ ............. Street and Number ..~E~..~...~....~..~).......~C'~f,~.~ITt~.L~ ............................................................................. Municipalit~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: Exislting use and occupancy ............... . .... Intended use and occupancy ......... .(~.......~.~....~...~r~..~...'~...-~........~_.rOO.~l~, ......................................... k~ 3. Nature of work (check which applicable): New Building-. ................. Addition .................. Alteration . Repair .................. Removal .................. Demolitioc .................... Other Work .................................................... c~. crO (Description) 4. Estimated Cost ...~...~.~..~..~..~..~..~. ................. Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars .............................................................................................................................. "'"'7"r' ........... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ./~....... ........... 7. Dimensions of existing structures, if any: Front ....... .~.C~.'. ........... Rear ...... .~.O..: .............. Depth ....~,~.'. ..... Height ......~..~..: ........... Number of Stories .............[ ................................................................................................... Dimensions of sqme structure with alterations or additions: Front ...... ~;~..O_..! .................... Rear ...... ;;~.~..! ............ / Depth ......(~..~. .................. Height ............................ Number of Stories ................................ / 8. Dimensions of entire, new construction: Front ........ ..~...~ .................... Rear ...... ¢:g,.~. ............. Dept~.J~..~.~.~ , . ~:~o"'~ ~,.'3~ .... ~ i~eight~_-'-I~ ...... vO'l Numoer ot 3tories ....~ ......................................................................... ~ ............. ,~......, .......... 9. Size of lot: '~:ront ............ ,~'~----.'"~' .l.'~. ............................ Rear ....... l~)..~,,..~..~...~ __Depth ~"-"~.'~1~ .............. 10. Date of Purchase ........ ~..~..(~...~ ................................. Name of Former Owner~.~.v~....~..~ .................................... 1 ]. 7one or use district in which premises ore situated .................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or ~egulation: .... 13. Will lot be regraded '""~V'~ ............... Will excess fill be removed from premis, es: ( ) Yes (//) No 14. Name of ?wner of premises ...~.~;~l/~.~...~.,...?..~...[~l...~r~..~Address ..,~.~f,~....~O~.~l~... Phone No.'"Lf~..L~..~ Name aT Architect ............................................ ., ................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... 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. STATE OF NEW YORK., ~ c c COUNTY OF ..1~1~;~1]~ ............. [°'~ ................. .~...O..~..~......~..~]t~/O.~. ............................................... being duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named: SHe is the ............................................ .O~.~ ......................................................................................................................... (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 thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... ], .~.~,Jl ......... day of Notary Public,. ................................ ~h~.].~.. County ......~...O.. ............ ~ ....... ~...~..~. ..................................... ~A~ ~J (Signature o~applicant) t~.~'A~Y PUBLIC. 'State of New York No. 52-8125850 Suffolk Court Term Expires IH'arch 30. P TOWN OF SOUTHOLD,~W YORK ACTION OF THE ZONLN~ BO~OF APPEALS Appe~No. 2369 Dated ~ovember 18, ACTION OF TITEZONING BOARD OF APPEALS OF T}IE TOW~OF $OUTHOLD To Mr. and Mrs° John Polywoda Bayview Road Southold, NY 11971 1977 1977 Appellant December 1~ 1977 at a meeting of the Zoning Board of Appeals on was considered and the actio~ indleated below was taken on your ( ) Request for variance due %o lack of access to property ( ) Request for a special exception under the Zoning Ordinance ( ~ Reques~ for a variance to %he Zon~qg Ordinance ( ) the appeal L SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be den/ed pursuant %o Article .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be con/irmed because 9:20 P.M. (E.S.T.) upon application of Mr, and Mrs. John Polywodar Bayview Road~ Southold~ New .York for a variance in accordance with the Zoning Ordinance~ Article VII, Section 100-70 A, B for permission to construct addition on existing business building with apartment~ Location of property: south side Main Road, Southold~ New York~ bounded on the north by Main Road; east by Hobart Road; south by Lehman & Warnaka; west by Warnaka &Ross. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties hardship because SEE REVERSE (b) The hardship created (is) ([~ not) urdque 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 (e) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character o~ the district because (would not) SEE REVERSE and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confh'med ( ) be term'sea. SEE REVERSE FOR~ ZB4 ZONING BOARD OF APPEALS After investigation and inspec~ionw the Board finds that the applicant requests permission to construct addition on existinb business building with apartment. The findings of the Board are that the Board is in agreement with the reasoning of the applicant'. The Board finds that strict application of the Ordinance would produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance will not change the character of the neighborhood, and will observe the spirit of the Ordinance~ THEREFORE IT WAS RESOLVED, Mr. and Mrs. John Polywod~, Bayview Road, Southoldw New York, be GRANTED permission to construct addition on existing business building with apart- ment, south side Main Road, Southold, New York, as applied for, subject to the following condition: ~he applicant shall not serve food inside the building. 'Vote of the Board: Ayes: - Messrs: Gillispie, Bergen, Hulse, Grigonis, Doyen~ M A..'i'N, N. 78 ~ 46'30"E. 25 RESOLVED that the Southold Tows'Planning Board approve the final map for this site plan, survey dated and amended October 'i~8, 1987, subject to the roof draina~ to be contained on site iby dry wells.