HomeMy WebLinkAbout9895-zTOWN OF $OUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
No....Z.9.~,5.2. .... Date .... .D.e.c.e.m..b.e?.....2.1.. 1O. 78
THIS CERTIFIES that the building located at . ?.9./4. .~.$ .~.~9.~...T.e?.r.a. 9.e..L..a:~x
Map No...5.~0..7 ...... Block No ........... Lot No .... .P.a~..~...o.f....7 ..................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated August 3 19 78 pursuant to which Building Permit No..989~.~.
dated . Augus~ .,. ~, .......... , 19..7.8, 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 Family Dwelling
The certificate is issued to Edwin Gerrity
( owner,
of the aforesaid building.
7-S0-158 December 18, 1978
Suffolk County Department of Health Approval ............... Robert. ~...Vii. ia. ·
UNDERWRITERS CERTIFICATE No. N~388
HOUSE NUMBER . .1..9./+ ......... Street . Willow Terrace Lane
Buil~ng Inspector
County Tax Map Number
1000-026-2- Part of 7
FOlh~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, Nm Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
9895 Z
Permission is hereby granted to:
at premises I~ated at ..........&.{~:[~'. ~ ~ .............
'-' ~u~UOnt to application, aoted ..:..~ ........... :.....,..:...:..:~.~5 ;~, 1E~ end approvO by the
Building IhSPector
FOI~M NO. 6
TOWN OF SOUTHOLD
, Building Depmtment
Town Clerkc Office
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
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. Final approval of Health Dept. of water supply and sewerage disposel--(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 os to use, occupancy and condition of buildings.
3. Date of any housing cede or safety inspection of buildings or premises, or other pertinent in-
formation 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
New Bqilding ?.:.~ .......... Addition ................ Old or Pre-existing Building ................ V~cont Lond ..............
L~ation Of Property ¢";f:~ ~/~J]o~.'., '"o~?~m. cp T,~
~ner Or ~ners Of Prope~y ...............................
~a~ o:~
Subdivision ................................................................ Lot No....~ ....... Bilk No.............9 House No .............
.................... Date Of Permit ;.:..:: .......:....,Apphcant ; ;;
Heolfh Deph Approval ....... ~ ....... : ......... ;.... ............... LO,Or ~f. Appr~ol .......... ~ ...........................
Unde~riters Approval ......... ~ ................................. mmannmn~ B~rd Approvml ........ Z ...............................
Request For 'Temporo~ Ce~ificate ..... .~4? .............................. Fin~ Certificate
u ' ~, C)C)
Fee S bm,tted $ :~ ..................................
Notary Public ...... ~..~.:,.q ,~.: ............... County
Sworn to before me this
-;;.'i: ......... day of ~c~
............................................ (stamp or seal)
T£L.
TOWN OF SOUTHOLD
OFFICE DF BUILDING INSPECTOR
TOWN I~LERK'B I~F'FIE~E
SOUTHOLD, N. Y. 119"/I
.,,~IR0.4~I~ A~, CONSERVATION
.[Environmental AJ~alysi¢ Unit
Sgo~y Brook~ NY
-' ,, . August 9~ 1977,'
144 ~cean~.aw' Road
East Rockaway, ~ 1]518
, '~ -, Ocntlemen~
.'f :,, Your petition for a Tidal Wetlands; Moratorium Pe~i~ ha~
,~m~'~., ,~ ~,been reviewed by this ~ fftce. As a ~*esult, we have de~ermined
.... hthat constructfon of a one-family dwelling on lot 2, property
': ' '~[~!il% have, n~ adverse effect ~pon adjacent tidal wetlandm.
-~'~, , Therefore, pur~:u~nt to Section 25-0232 of the Envirom-
~ ~ '::~" %~e~tal Conservation Law an~ ,~ h~(.~.~, 14r. o60.3 (c), yo~ are
~ ,~ ~ ~. i hereby ~otified that no per. it will be necessary~
~ ,~"~' ~ ' ~ A copy of this determination m'~st be available at the
~:' '~ :J,%oob sige at all times durh~ construction activity.
Vet?~ truly you/r~s~
Local Tidal Wetland Permit
Administrator, Region 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
Examined. C//~ c~' /'/' 19 ..~....,.~'~UTHOLD' N' Y'
Approved ............... ~.....~. ...... .~.../.., 19..Tff.~Permit No.
Disapproved
a/c
.
................. ........ .
(Building Inspector)
App,lcatian No .
APPLICATION FOR BUILDING PERMIT
Date August ~3 78
INSTRUCTIONS
a. This application must be completely filled in by typewriter ac 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, ~'elationship to adioining premises or public streets oF
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 ~ 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 Jn 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 oll applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspeetors on premises and in buildings for necessary inspections.
(Signature of applicant, or name, if a corporation)
Box 117 Mattitucks N.Y. 11952
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
Name of owner of premises ....... ~..d..w...~..~.....G..e...r..r...i..~.~.. .............................................................................................................
If applicant is o corporate, signature of duly authorized officer.
Robert E, Hiltz
(Name and tit[e of corporate officer)
Builder's License No ...... .7 .............................................
Plumber's License No...5...]:ff...-.?.. ..................................
Electrician's License No. 21~.8-E
Other Trade's License No ............................................... 'Willow Terrace - Sect° O~e"
Location of land on which proposed work will be done. Map No.: ..5..~.Q.?....,~..t~....~..?....~..o.e. ...... Lot No .........................
Street and Number .R...i.g.h...~...o.f W.a.~. south side of Kin.?? St..r. ee~s Ozient,"
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy Vacant
b. Intended use and occupancy 1 - Fami'ly
3. Nature of work (check which applicable): New Building....-.~ ..... Addition .................. Alteration ................
Repair .................. Removal .................. DemoHtior ..................... Other Work ....................................................
(Description)
4. Estimated" ~$30~000.00 F~
~osr .............................................................. e ..........................................................................................
(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. 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 ......6..2. ........................... Rear ....6..~. ..................... DepthS.8. ....................
Height ...~f~ ............. Number of Stories ...~ ................................................................................................................
9. Size of lot: Front ......... ..Z..O..2.. ....................................... Rear ...... ~..O..~ ............................. Depth ~.~..~1 .........................
10. Dote of Purchase ........................................................ Nome of Former Owner ........................................................
11. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~0. ...........................................
13. Will lot be regraded .......y..e.~ .............. Will excess fill be removed from premises: ( ) Yes (×) No
14. Flame of Owner of premises .l~,~..w.~.~...~..~...g.~.~.~.$.l;.~. ............. Address ................................ Phone No .......................
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor[.~.g....~..l~,...~,..,,.-.~,.~...C,.? ................... Addressi~..°.~...~..]..~.~...H.~.~.~..~.~.l'J~ili~ne No.~,~,8.'..~.,6.?..?. .....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all se - ' from
property lines. Give street and block number or description according to deed, and show names
whether interior or corner lot.
STATE OF
COUNTY OF" OD(ilJ~,
,~.o~er~c J~. ~.'lt,~ · bain duly sworn, deposes and soys that he is the opplicom
(Nome ~of individual signing controcf)
above named.
He is the Con~ractor
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work end 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
August 8
.......... 2.. .......... of ............................................ , ........ Z/
Noto Public ...... ............................. Co.n / ..... .......................................
~=~'~//~* ~fg'lh1~l~ure of applicant)
· ~-/~.~.
]~OT~I~y PUBLIC. Sic*to of New York
SuttoJ~ Cou':;~ :;~ 731g00
Commis~on ~xp res, ...... 7.3, 19 ~
Appeal No,
TOl~rl~ OF SOEITHOLD, 1WIgW YOI~K
JlC~ION OF TIIF, ZONI,N~ l~OAl{D OF API'EALS
Dated Oc~llOb~r 29, 1973
ACTION- OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
wa~ con~idere~ ~nd ~he action ~dicaled belo~ ~as t~en on your
, !~eque~ lot variance due to lack of access to
(' ~ ,~que~t fo~ a special exceplion trader the Zoning Ordinance
('~:} n~q~ ~r a variance to the Zoning Ordinance
If SPECIAL ~XCEPTIONi By resolution of the Board it was determined that a special exception ( )
g~ailed ( ) be' denled put,ant to ~'ticle Section Subsection .................... para~'aph
..... ,,:..?.....,.~ of the Zoning Ordinance and the dec,ion of the Building Inspector ( ) be reversed ( ) be
~I~CE, B~ resolution ol the Board it wa~ determined that
(a) :~tv~t application of the Ordinance (would) (woula not) produce practical difficulties or unnecessary
(~]L: T~ h~r~shtp created (is) (is not) u~que and (would) (wou duot) be shared by all properties
halike'hk ~he '~eaiate vicinity of this property and in the same use district b~ause
The~[arlance ~does) (does not) observe the spirit of the Ordinance and (would) (would not)
ehangi~ tlie,,eharaJte~ of the distr~et because
',-~n>,l :£1{erefore, ii ~was further determined that the requested
, ,. tha~ l:~e.p~ew~us de,e~slons of lhe Building Inspector (
variance ( ) be granted (
) be confirmed ( ) be reversed.
) be denied and
ZONING BOARD OF APPEALS
the appe~t
the
Board
0
APPROVED AS NOTED
NOTIFY BUILDING DEPARTMENT AT
765-2660 9AM la 4PM ~O~ REQUI~-
ED INSPECTJON5~
1. BEFORE BACKFILLING FOUHDA-
T~ON OR 5TART FRAMING
1
,,.,,,-
.. /