HomeMy WebLinkAbout9515-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No...Z. 9.25~. .... Date ....0. c.$.o.b.e.v...1.6. ..........., 19.7.8.
THIS CERTIFIES that the building located at 555. .Pri.v.~te. Rd,...~.. 3. ~... ~
Map No ............. Block No ........... Lot No ..................................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ...S~.p.t~r~]~.~7...3.8. .... , 19.7.8.. pursuant to which Building Permit No .... 9.5..~.Z
dated ..~gecptemher.. 26 ..... , 19.78., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ....... A..c.c.e.s.s..o.r~...B~..t.l.d..~.ng ...........................................
The certificate is issued to ........ Ray~lond. K~,~'soh ...............................
(owner, 1~
of the aforesaid building.
Suffolk County Department of Health Approval ............ .N./..R ....................
UNDERWRITERS CERTIFICATE No. N/R
HOUSE NUMBER 555 Street Private Road # 13
Southold, New ¥o. rk
· ..........
Building Inspector
BUILDING mT
(THIS PERMIT MUST BE KEPT ON THE PT~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 9515 Z
Permissio~ is hereby granted to:
...R~.~C~.~.. ~rJICh ...........................................
........ 2 ~.t ..~tl~lm:l~..J~e~ ............ ~
B~lld '~ aeeesso tool & sto~n~e ~bed (appeared by ~ ..&.~....~..als)
at premises located at ..... ~..~..~D&d...~'J~..~.~.~'J.~..]~l~l~ .................................................
........................................... ~cU~;~ul.~....~.~, ...................................................................................
pursuant to applicatlo~ dated ........................... ~t-.....~$ ......... , 19.~,.~.., and approved by the
ISuilding m~or. ~lO~z Bd Al~Llm ])&im~'~ vJ,11 follov tbeJ.~_ ~ mlmtl~s
TOWN OF $OUTHOLD
, Building Department
Town Clerks Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This opplicotior~ must be filJed 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 oil buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage dispOSalI(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrlo} buildings, Multiple Residences and similar buildings and
installations, o certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board opprovot of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
fond 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 os 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 o certificate.
C. Fees: 1. 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
..............................
New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ~7~..-:~.,~.~?~.~.~.:..,~..~/~.~...~,/.~5..~.~'~.~.~..~, .~.~, .~.~.~;..~.,:~.,, .......................
Owner Or ~ners Of Prope~y ~.~..~.~.~
Subdivision ................................................................ Lot No ............. Bilk No ........... ,.. House No,~,5.;~..~.
Permit No.~.'~ ....... Date Of Permit~.~.~Z,~,Applicant ~~~
Health Dept. Approval ............................................ ~bo~ ~t. A~roval ................................................
Underwriters Approval ............................................. Planning B~rd Approval ~ .....................................
~equest For Temporary Certificate ........................................ Final Cedificate ~
Fee Submitted $ ~..~ ...........................
Construction on above described building and p, ezm3it meets all appli, ca~le~coc~es and regulations.
........ ..........................................
...... day of ..~L~..~....~..~.. ....... (stam~ or seal) 'P
Notow PuNic ,~~~un~ ,~ ~-ta--public, state ofN. Y&
/ / / / Gualifled ,n Bronx ~ *~ ~
FRONT
$1 0£ V tF_.~:
BUILDING DEfAICrMINT-- ---
TOWN a,IRK'$ OFFICE
Examined......... .......... , 19.ZZ. Application No..E .~.~./..~ -'~'~
~L~ , ..... ~.L,Z... ..............
Approved ....... ~ ....... 19.2Z. Permit No ....~.. ~
~ Disapproved
......... .................................
a/c
........................... ....... ......
.................................... .......................
(Bui ding Inspector) \
' G APPLICATION FOR BUILDING PERMIT
'~k~.'"-~',,~ "~ /"/L.a,_ ...~'~,.k ~ /~r-..~...v, - ...... 7' ........ ' .............. i ......... :"'"....
b. Plot plan showing location of lot and of buildings on premises, re at onship to adjoining premises or public streets of
areas, and giving a detailed description of layout ofproperty 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 Bud ng Permit to the applicant. Such permit
shall be kept on fhe premises available for inspection throughout 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.
B iAIdPiPLIC~ATIO~N !S HEREB. Y NLakDE to the Building Department for the issuance of a Building Permit pursuant to the
u amg :one ~/ralnance at the Town of Southold, Suffo k County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described.
The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necessary inspections, t~
· t~clrum o1~ ~appllcont, or nome, if a corporation)
· ........... ....
(Ad,dr_ess of appl icq~t) ..............
State whether applicant is owner, lessee, agent, architect, eng'neer, general contractor, electrician, plumber or builder.
Name of owner of premises ............. . =...~.....~..n~..
................................................................
If applicant is a corporate, signatur fficer.
(Name and title of corporate officer)
Builder's License No ............~~.:;.; ...............
Plumber's License No .................................................
Electrician's License No .............................................
Other Trade's L cense No ........
....................................... ,/~
1. Location of land on which p,l~oj~se,5;~ work will be done~,'iVt~mlq'6T.: .......~ ~-...~..~ ..... , L-ot:-No .~..~/~.
Street and Number .....
Municipality
2. State existing use and occupancy of premises and intended use a~d occupancy of proposed COnstrUction:
a. Exisiting use and occupan~:y. .......... ,'LL~ ~/ -- ~ ~,~'"' '/'"'~':
3. Nature of work (check which ale): New Building.. ....... A .................. Alteration ................
Repair .................. Removal .................. Demolition..; ................. Other Work ................................................ . ....
(Description)
oo ' Fee.
4. Estimated Cost Z~ ..................... [.~...O. ................... ~ ....................................
(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 c~rs ......................... ~ ...................................................................................................
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 ........ ?. ....... Z ................. Rear ..... ;......: ...............
Depth ..... ~ ................ Height ..... ~ ................ Number of Stories ~
8. Dimensions of entire new construction: Front ........ /...~..: ..................... Rear ......./..~..~ ............. Depth .../..~...~ .............
Height ....... ./..~..!.~.!.~ Number of Stories / ................ ; ...............
9. Size of lot: Froot ............. .~.~ .................................... Rear ...... ./..~....~..~ .................. 'Depth ...~....~.~...~....7. .........
10. Date of Purchase ...... Z~:'.......,/~.../..~..~'..~ ................... Name of Former Owner ....~,~,-'~.~,~--~..',
1 1. Zone or use district in which premise~ are situated ...................................... t/r. ........................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..,~,~,'~... ............................................
13. Will lot be regraded ..... ,<:rh:~....:~ ....... Wil~l excess, fill be removed from premises: (~...~q~s ._, ( ) No
·
14. Name of Owner of premises ...'.~...~~....~.~ ...... Address ./.~,{-/....~../..~/..~.../.~...~.c.... ~'~-t~'~o..~.~..,...~..~/~
Name of Architect ............ [....~. .......... ~'.~ ............................ Address ................................ Phone No .......................
Name of Contractor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate c ear y and distinctly all buildings, whether existing or propose, d, and indicate all setd::~ck dimens!ons.from
property lines. Give street and block number or description according to deed, and show street names ona no cate
whether interior or corner lot.
~TA]~T~"~WO~i~EW yO~,, /~ ~S.S
SWqj~;LA~..SUj~S~ijLem/I~i~......-~'_~ ................................ being duly sworn, d~oses and says t~t he is the applicant
.._ ~(N~e' of individual signing contrac~
He is the ........................... ' ...............................
(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; a~d
tha~ the work will be performed in the manner set fo~h in the opplication filed therewith.
Sworn to before me this
Noto~ Public, ~ r._.z~~n~ ........ ~~A.....~....-(-..~~ .................................
'~ ...... ,~iL~;'~'~--~ .... ~ [ (Signature of applicant)
~0 NO. 31-7520050 //
eemmJssion ~pJres
After investigation and inspection the Board finds that the
applicant requests permission to construct an accessory building in
his front yard. The findings of the Board are that the applicant__has
constructed an outstanding building, and it is appropriatel~_y locat~ed
for the area.
The Board finds that strict application of the Ordinance will
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 the property and in the same use district;
and the variance will not change tke character of the neighborhood and
will obserVe the spirit of the Ordinance.
On motion by Mr. Gillispie, seconded by Mr. Bergen, it was
P~SOLVED that Raymond Kirsch, 1551 Williams Bridge Road, Bronx,
New York, be GRANTED permission to construct an accessory building in
the front yard area. Location of property: Private Road off Bayview
Road, Southold, New York, bounded on the north by right-of-way; east
by V. Ladeck; south by Corey Creek; west by K. Isle~.
Vote of the Board: Ayes: Messrs: Gillispie, Bergen, Grigonis
and Tuthill
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