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Home My WebLink About10032-z FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 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 1957), Non-conforming uses, or buildings end "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic 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. 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 ! / .~./. ?..~.~. Date ....... o.. ........ / New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property House No, Street Hamlet Owner or Owners of Property ~7~2~/~ .E.~ ......~.......~..~/.~z../~./~. ........................ County Tax Map No. 1000 Section ....'~.~ ........ Block ... ~ ......... Lot .... ~.~. .......... Subdivision ................................. Map No ............... Lot No ............... Permit No../.~..~.~..~: ~ Date of Permit ./f/.z.Y//..7.~. .Applicant . .~.: .~..b-.,¢......~.,..' ./-~...7-~..g~.... Health Dept. Approval ....~..~..[.~.'~;~ .......... Labor Dept. Approval ........................ Underwriters Approval ....v. ................... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate . ¢/. .................... Fee Submitted $ .... .~'.'..g~. .................... Construction on above described building and perr~it meets all applicable c/o/ties and regulations. Applicant ............. :.....~'~2~'. ·...~'/~'L~.. .................. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY j~¢~lll 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,~t~ ~.~ov~- 1~, ~t~8o Applica,onNo. o,,Sil~ 015490 N 5~}%0.~' ~5 THIS CERTIFIES THAT only t~ e~ctrlc~[ e~ipme~tt as described below and introduced by the eppllca~t ~med o~t t~ abo~ application n~tmber in the premises of in the following location; ~ Basement ~ 1st Fl. ~ 2nd FI. Section Block Lot was examined on '[~X' 17 ~ ~gt~ and found to be in compliance with the requirements of this Board. fIXTURE OUTLETS SWITCHES 27 3/ 27 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 2? DRYERS MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E OTHER APPARATUS: 2 A W O. NO. OF Hi LEG OF CC, COND E~J~ St A'WG NO OF N RAL OF NEUTRAL Paul ~old, N. R. 11971 This certificate must not be altered in any manner; return to the office of the Board if incorrect Inspectors GENERAL MANAGER may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF ANY MANNER. Southold Town Board of Appeals APPEALS BOARD MEMBERS CHARLES GRIGONIS, JR., CHAIRMAN SERGE DOYEN, JR. T ,7.. R 7, ',' T U-T-I-HE~ ROBERT J. DOUGLASS GERARD ?. GOEHRINGER doseph H. Saw~ck~ December 30, 1980 Mr. James P. Latham 580 Plum Island Lane Orient, NY 11957 Re: Appeal No. 2768 Dear Mr. Latham: This letter will confirm that the following action was taken by the Board of Appeals at a Regular Meeting held December 29, 1980 concerning the above appeal: RESOLVED that James P. Latham be GRANTED a variance to the Zoning Ordinance, A~-~icle III, Section 100-31 for approval of insuf- ficient sideyards as applied for and SUBJECT TO THE FOLLOWING CONDI- TION: That no protrusion be permitted in either sideyard in the future. This resolution was unanimously adopted. A copy of this letter is this date being handed to Curt Horton of the Building Department in order that your application for a Certificate of Occupancy may be finalized. CG:lk V~ cc: Building Department William H. Price, Jr., Esq. Sincerely yours, CHARLES CHAIRMAN TOWN r-IF SrlUTHOLD I-IFFIC:E DF BUILDINB INE~PEOTOR TOWN P-LERK'S OFFIOE SOUTHE]LD, N. Y. 11971 TEL. FOI~M NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL ................ ~.~.~.~-...~ .................. ~ ......... ~ ............ ~ ..... ................................. ~.:~. ~.~t.:-t ................ (..L.2. ~ PLEASE TAKE NOTICE thor gout opplicotion doted .............................. For permit to construct .~.[l,[~.t~.h.f..~:(.~Wr ........ et the premises iocoted et .................................... ,~.~..~k L.~.~.~~ ............. .~.~ ............. Street Mop .................................... Block ............................................ Lot ................................................ is returned herewith end disopproved on the follow;ng grounds ....... L[~.~E.E.g'..L..~.,5:~.~ .................... .... ::.Y.v:b.~ .......... .N~'.~.~ ,:.x' .................. ~.~'.~.... .~7 ........ ~..9.~:~..~../ ....................................................... ........ ~..':'~::~.....:::':.:.7;'.'ZZ.~....~~, Building Inspector TOWN OF $OUTHOLD, NEW YORK ~¢T~O~ OF ~H~ ZO~ ~O~D OF ~ Appea~No. 2768. Application ~a~ea December 3, ACTION OF T~ ZONING BOARD OF APPE~S OF THE TO~ OF SOUTHOLD To ~. James P. ~atham ]490 V~]]age Lane 0~ent, NY ]]96Y 1980 DATE ...L/..l..3./.8.l AppeBant at a meeting of the Zoning Board of Appeals on D e c e m b e r 2 9, 1 9 8 0, was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Bequest for a special exception under the Zoning Ordinance (X) Bequest for a variance lo the Zoning Ordinance Art. I I I, Sec. ( ) lO0-31 the appeal granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph .................... O£ the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) bp eordirme~)bi~l~s~ Public Hearing: 8:15 p.m. Application of James P. Latham, 580 Plum Island Lane, Orient, NY for a Variance to the Zoning Ordinance, Art. III, Sec. 100-31 for permission to construct new dwelling with insufficient sideyards at 1490 Village Lane, Orient, NY; bounded north and west by G. Latham; south by McNeill; east by Village Lane; County Tax Map Item No. 1000-24-2-14. (SEE,REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) preduce practical hardship because difficulties or unnecessary (SEE REVERSE SIDE) (b) The hardship created (is) (is not) unique and (would) ' (would not) ~e 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) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (SEE REVERSE SIDE) (would not) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed, FORM ZB4 ZONING BOARD OF APPEALS fslead~ to PASO8 umuJ!eqO a3AO ddV · ua£oo 'aN :S~M 3uasqv ',t)lO,L~gS pu~ 'aa6'~.L.~qa-o~ .tSSgL6nOQ,'S.LUO6.LJ9 'sassaw :s~£V :paeo8 aq3 jo a%OA a6gLL,~A £q ~sga papunoq :,AN '3ua.LaO '~L-g-~g-OOOL 'ON ma3I den xgl £3uno3 ~aue9 ~LL~aN3N £q q3nos ~meq~gq '9 Xq ~saM .pug q~aou 'aue9 a6eLL~A 06~L :£3~ado~d ~o uo~'3e3oq 'pa3~maad :NOIIION03 9NIMOlqOJ 3H£ 01 133P8~$ pug aoj pa~Ldde se spae£ap~s 3ua~o~&nsu~ q3~M 6U~LLaMp ~au g Jo uo~Dna3suo~ aq% 6u~^oaddg Lg-OOL 'oas 'III '3~V 'a~ugu~pao 6u~uoz aq3 03 aoue~aeA g pa3ue-'Q'-~-3-~ aq meq~g~ 'd samep'3e4~ 'Q3AqOS3~ sgM 3~ 's~uo6~a9 'aN ~q papuooas 'SSeL6noa 'aN £q uo~3om u0 · MoLaq pa~3ads se ao~ pa~Ldde se pue ~LLeUO~puo3 a~u~a~A aq3 6u~uga5 £q paAaas aq LL~ a~sn~ ~o s3saaa~u~ aq~ ~gq3 pug ~a3ug~agA g ug43 ~aq3o 'ans~nd o~ ~UeLLadde aq3 ~o~ aLq~sea~ poq3am amos £q pa~g~Aqo aq ~ouue~ ~[n~;~p aq~ ~eq~ ~pooqaoqq6~au aq3 ~o aa33gagq3 aq3 u~ pe~npoad s~ a6ueq3 Lg~ue~sqns ou 3eq~ ~uo~3eLndod paseaa3u~ £ue ~o sa~3~L~Oe~ Le3UamUQaAo6 aLqeL~eAe uo paonpoad s~ lgaJ~a aSaaApg ou ~e4~ ~pa~gaa~ aq LL~M sa~3aadoad 8u~ ~Lg~3ug3sqns hou s~ shuama~nbaJ apo3 aq3 oh uo~3eLaJ u~ pa~sanbaJ Ja~LaJ aq3 3gq~ ~poo4~oqq6~au 6u~punoJJns aq~ u~ asoq3 qh~ mJo~uo3 saop 8U~LLa~p h~a~qns aq3 3gq3 puno~ paeo8 aq3 uo~h~adsu~ uod~ · u~aaaq ~o~ pa~Ldde se aoue~JeA g ao~ apem uaaq pgq uo~3eo~Ldde ug L~3un amgs ~o~ £3ugdnooo ~o a3eo~Ja3 hUglladdg pug pa~on~suoo £lln~ uaaq seq §U~lla~p hoa~qns aqh 'ao~aa ~o 6u~pue3saapuns~m '3q6~s~a^o ug oh anQ 'aU~l -qhnos a4~ moji ssaL Jo aaom ',LL pug aU~l £haadoad a4~ moa~ SSaL Jo a~om ',Z 'sp~£ap~s 3ua~o~nsu~ qh~ 6U~lla~p £L~mgj-auo '£ao2s-auo e ~o uo~3~na~suo3 eqh ~o Le^oadde Qo~ e 6u~aas paeo8 s~q3 oh paLeaddg hUgLLaddg 086L 'g aaqma~aa uo :SMOllOJ se aaa paeo9 aqh Jo uo~3gu~maa3ap pug sBu~pu~j / ~'~? TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, Examined ............................................... Application No ............................... . , ~ ~ oved /o 032 ................ ........ ........ ..................................... Disopproved ~/c .......................................................................................... APPLICATION FOR BUILDING PERMIT Date ...................... ~. .................... , 19 .?..~ INSTRUCTIONS a. This application must be completely filled in by typewriter om in ink and submitted in triplicate to the Building 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 or 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. 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 construclion 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 buildings for necessary inspections. ......... is~'(~,';~ ;¥ ;'p¢ii'~;g,'t:'J/'~'M;:'i'~";,'"Zo';~'o';'~;i;~'i ........ ' / ...... ....... .......... ..................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................................... .o..~.~/.....~ ?.z.z..~...~ ............................................................................................................ Name of owner of premises .......... ..~Z~/-X~'J....~.. ....... .~... ...... ~./~,~;~...~/. ................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~./..~.. ......... /=,~J:~ ........ Plumber's License No ...... ..'~...~.'./X'.Lx~./.i?~..~,~........~..L...~..~/~/,~g- Other Trade's License No ............................................... ,~e¢. I n ' ' n Ma No' Location of a d on which proposed work will be do e. p ........................................ /~Lot No ....................... Street and Number ....... ~L~....Z~...6..~... ....... ~...) ...... ~..~../.~..~.. ......... .~...~ .~... ........................................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ......... ~..~}. ......... .~...~Z~.. ............................................................................................... b. Intended use and occupancy ......... .~./..~.'.~.....~...~..~..,/../z.~......~..~.. ...................................................................... 3. Nature of work (check which applicable): New Building" ..... ~ ........Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... ~ (Description) 4. Estimated Cost ......... .~....~..~...o. ..................................... 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 ............................................................................................................................................. 6. tf 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 ................................ ,.~r7-' o" " 'z 8. Dimensions of entire new construction: Front .....~.i....~...~.. ................. Rear ....... .Z2(...~. .............. Depth ........................ Height ....'~....~.~.::P..ii. Number of Stories 2-- .......................................................... 9. Size of lot: Front ....... ?...°..I...-..~.~.'. .............................. Rear ................. .'1 ....................... Depth ....J.../7(.~.. .................. 10. Date of Purchase ...... .~.'~.:....~.~.?..~. .................... Name of Former Owner ....~..e~...~...:.../,~.~ ....... 1 1. Zone or use district in which premises are situated ......... .~...~..~,../.~..~ZTZ~..~. ................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ...'~...g. ......................................... 13. Will lot be regraded . ....... .~..e. .............. Will excess fill be removed from premises: l,a~Yes ( ) No 14. Name of Owner of premises ........ ~ ......... ....~ Address ...~/~/'~,=,~it4Fr....~_.~. Phone No ..... Name of Architect ..................... :~J~r~.. ........................... 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. ~A-[E OF NEW 0 I I. ~x/j[ s.s COUNTY _. / ...................... ~.~~.,.~..~.~.~.....b~ing duly ~worn, d~poses mhd ~mys tNmt he is the mpplicmnl (N~ividum[ si~nin~ ..................... ............................................................................................................. (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 fo~h in the application filed therewith. Sworn to~fore me this .~ ........ ........ Nato~ Public ,.. ................ ~ .... ICoun~ ...... ....................... ~~noture of applicant)~"X'""~'~ ....................... ~ ~ABET~ C. CO~oy NOTARy PUBLIC, State of Ne~ Suftol~ County No. 52-5792800 Commission Expires March 30, 19 ~