HomeMy WebLinkAbout9948-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No.g. 9..5.6.8. ........... Date .......... .~.~..~.. ~6., .............. 19 79.
THIS CERTIFIES that the building ................................................
Location of Property ...~.QQ ............. ~.y.~1.¥81~ .I)~t.v.e ............. F_,as~c .lyla~.iolt~.
House No. 'Street Hamlet
County Tax Map No. 1000 Section 0~7. ........ Block .. 03 ........... Lot .. 022 ...........
Subdivision..Ge~.d:l, tler.~ .B~y..l~c~;es .... Filed Map No2~5 ...... Lot No. ~';~'0A ........
conforms substantially to the Application for Building Permit heretofore ~ed in tbs office dated
8ep~be~ ~ 19... pursuant to w~ch Building Pemit No.. O~2~[ ..............
dated . . ~.~. ~ ........... 1~0. , was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for w~ch t~s certificate is issued ~ .........
Private ~e f~il~ dwelling
The certfficate ~s issued to ....... G~O~. C,..~ .~le. ~er. .......................
fowne~)
of the aforesaid
Rev 4/79
SOUT~D, H~
COMPLETION OF TH WORK AUTNORIZE~) '
99~8 Z
at premi~es~ io~te~l, at
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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing ail 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
3. Copy of certificate of occupancy $1.00
$5.00
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property. b~.O...~ .~..~.~7,J~,...~.~. ! .~L~, .............. ~, ~/F.~-,.. ,/~,~../~.~[...
House No, Street Ham/et
Owner or Owners of Property ~..~.~"'~...'~-.. J~..l~(.l' ~.~-...g~, .~.~- .......................
County Tax Map No. 1000 Section ...~. ~'. ....... Block ............... Lot ................
Subdivision. ~'.~..(¢r/~.~)( .~¢.2...l~,~..~J.~. f..~. '.~-~, .Map No.. ~..~,~.. ....... Lot No../.~..f'.~. ........
Permit No. ?..~.~...~, .~Date of Permit ~/f.~/.~/~.., .Applicant...~,~...(~.'. ,~-¢..~./~...~.'~..~,- ..........
Health Dept. Approval .6.~.0..~ ,~.~.~ ........... Labor Dept. Approval ........................
Underwriters Approval..~..~8 .-~-~, .~,~ ........ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ...t~'.. .................
Fee Submitted $ .... ~...~..~. · ..................
Construction on above described building and permit mee~ all applicable codes and regulations.
Applicant... ~ ~.~..~.,..~'~'~-- (~- ........... }"
TOWN I-IF SOUTHOLD
Offl(~e Of BUILDING INSPEOTOR
TOWN OLERK'$ OFFIOE
EirlUTHOLD, N. Y. 11971
TEL.
C30UN i ¥ (ii'
DEPARTMENT OF HEALTH SERVICES
,._. G*or~e Baker l~rch 6, 1972
83 Fenws. y
Ro~k'~_ll~ Center) )~. Y. 11570
RE: 6-~144 -'w/s Sylvan ~," ~ ' '
~xve, M~o of .=~dmners Bay ~ts.~ I~t 1Ol~
· E~st Marion, >!. Y.
Dear :r,, ~aker:
DAVID HARRIS, M.D., M.P,H.
A recent check of our ~iles indicates that this office has never issued a
~inal approval for the above referenced job.
Please be advised that it is illegal to occupy the building until the fol-
lowing paperwork is submitted to this office and/or the following inspec-
tion(s) are completed:
~,~ell Drillers Certificate -.
~_jWater Analysis -- :. ·
r/Cesspool Certification .:
[~inal Surveys ~. ' " ·
ther ' :,~in% for the ~o%l~.~n~ in~eetion~:
~ro~ a~d final grade.,
Should you have any questi'ons, please feel
Very truly yours,
,~A,L~e,~ of ~an~ra~ P~nglneoring
cc: Town Bulldt.g Department
free to contact this office.
FOII,~ NO. I
TOWN OF SOUTI'IOI.D
BUILDING DEPARTMENT
TOWN GLERK'S OFFICE
/ SOUTHOLD, N. Y.
Exomned J~F~. /' ''~'' .... 191'~"~ Application No ~2y~,
Approved ..~p~.~.~ ....... /~..~....., Ig/Z Permit No ..... :.~.....~.....~....~.~.....~.... ' ................................
D sapproved a(c_, ::_~. ....................................... J... ............ '~J~: ~4/'/~'~
' ' a' - / z z ./...Z .........................
..... ..... ? ....................... ........ Z ...................................
' -- / Oi. " ...... ................... .................................
--.~ .~_t , ,~ ..1-- //.~ V ,~ APPLIGATION FOR BUILDING PERMIT ,
/ '~ Septembe~ 12, 1978
,~' Date ........ : ....................................... , 19 ............
INSTRUCTIONS
o. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building
Inspector, with 3 sete of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relatipnship to adjoining premises or public streets az
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 construction 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 necessa~/nSl~ctions.~ :....~....%..~Z~
(Signature o~pplicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
O~,A[I ~. ..........
Nome of owner of premises Geol*gO ~o & ~i~fe B~kel9
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Bu,lder's License No ..................................................... '-~-~'~,~./'(~0 0 --i~37--..~--Z~.
Plumber's License No .................................................
Electrician's License No .............................................
Other Trade's License No ...............................................
Location of land on which proposed work will be done. Map No.: ....... 2T..J .......................... Lot Ne ....... }..0..~. ...........
Street and Number oy).van DzQve, Ga~dtners Bo7 Estates, East ~amion,
~o o Municipality
State existing use and accupancy of premises and intended use and occupancy of proposed construction:
o. Exisiting use ondoccupancy ..... ~'.~..~.-~.~. .................... C.~.~.L_.,.,.,~
b. Intended use and occupancy ........... .d.l~l],ir~.....~..~...~~ ...................................................
3. Nature of work (check which applicable): New Building......X.. .......... Addition .................. Alteration .................
Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ .
(Description)
4. Estimated Cost ........ ~...2,5'.,.0Jg. Q,D.Q .......................... Fee ..Z.~.....~.'~'I~ ....................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units .......... ..Il ............... Number of dwelling units on each floor ....... ?'.. ..................
If garage, number of cars .................... .~ ......................................................................................................................
6. If business, commercia~ or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
i-[eight ........................ Number of Stories ................. ..~'. ....................................................... ; ........................... t .........
Dimensions of same structure with alterations or additions: Front ....................................Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front 2.,3 ~ 6 ~ Rear ,°0 ~ 6' Depth ....~.0..
Height ...... ~.8..! ....... Number of Stories ]' ................
0 t ......... .z_0...0..! ..............
9. Size of lot: Front ............. .14 ......................................... Rear ............ .J4.0...~. ....................... Depth
10. Date of Purchase ...........,1...~..6.. ................................... Name of Former Owner ........................................................
11. Zone or use d~strict in which premises are situated .................... .z,.~e..a..i..f..,e..n...~,.i..,8...~., ......................................................
~o
i2. Does proposed construction violate any zoning Iow, ordinance or regulation: ........................................................
13. Will lot be regraded ......~'.~.J~ ............... Will excess fill be removed from premises: ( ) Yes (X) No
14. Name of Owner of premisesq.~..°.l'~.e.....0..*....8;.....~. ~B.n...t..~.ft~fJ!Address ~3...~/..~.~,~.i~,~'.,.,.~ll'.gPhone No.
·Name of ArchitectD,,.O,,Q,..a..~..d.....A..?....D-..e..Q...i.].~....A.-~..Z..:..A...* ........ Address ...~...~.?..*...2.~..Z..A-g..~..e,.~..°Jiil!~J~e
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 /~DR[~,./ 19J) [ ¢ c ~
coul ]Y OF ,,
~~..~:.~~ ............. being duly sworn, deposes and says that he is the apphcanl
......... ' (N~e of individual%i,gnin~ontracf)
above named~ j
He is the ........... ~.:..:.=..~J~ ~ ...............................................................................................................................
(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 perfor~ in the manner set fo~h in the application filed therewith.
Sworn to b~ me this ~ J} / ~ - ~ ~
.........
Nota~ Pub c, .~~~;.~ ............ Coun~ ff~ ~nature ....................................................... of a~plicant)
TOVFN OF SOUTHOI, D, NEW yORK
ACTION OF THE zoNII'/G
Appeal No. 2378 Doled Nove~er 25,
ACTION OF T~ ZONING BO~D OF APPEA~ OF ~E TO~ OF So. HOLD
To George-C. and Minnie Raker
83- Fenway .
Rockville Centre, NY
1977
Appellant
1977
at a meeting of the Zoning Board of Appeals on December 22,
was considered and fhe action indicated below was taken on your
( ) Request for variance due fo lack of access to property
( ) l~equest for a special exceptlou under the Zoning Ordinance
~ ) l~eqt~est for m v~riance to the Zoning Ordinance
( )
1977 the ippeaI
1. SPECIAL Ei~CFAnTION, By res~ullon of the Bo~d it was determined that a ~ecial excep~on ( ) be
~a~ed ( ) be ~nied pursuant ~ Article .................... Se~ion .................... Subse~ion
.................... ~ the Zoning Ordnance and ~e dec~ion
codkmedb~avme 10:20 P.M. (E.S.T.) upon application of George C. and'
M~nnie Baker, 83 Fenway, Rockville Centre, New York for a variance
in accordance with the Zoning Ordinance, Article III~ Secfion
100-30 and Bulk Schedule for permission to construct dwelling with
insufficient side yards. Location of property: west side Sylvan
Drive, East Marion, New York; Lot 10A, Gardiners Bay Estates,
Section II.
2. V,z~RIAI~CI~ 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) (is not) unique 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
(C) The variance (does) (does not) observe the spirit of %he Ordinance and (would)
change the character of the district because
(would not)
SEE REVERSE
and therefore, it wes f~her determin~ that the requested variance ( ) be ~anted (
that the previous decislon~ of ~e Building Inspector ) be co~[rmed ( ) be reversed.
SEE REVERSE
) be denied and
FORM ZB~
ZONING BOARD OF APPEALS
After investigation and inspection, the Board finds that
the applicant requests permission to construct dwelling with
insufficient side yards, west side Sylvan Drive, East Marion,
New York. 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, George and Minnie Baker, 83
Fenway, Rockville Centre, New York, be GRANTED permission to
construct dwelling with insufficient side yards, west side
Sylvan Drive, East Marionv New York, Lot 10A, Gardiners Bay
Estates, subject to the following conditions:
1. The applicant Shall place his house no closer than 6'
to either of the.side lines and no closer than 25' from
Sylvan Drive.
2. ~ All drainage from tbe property shall be contained on the property.
Vote of the Board: Ayes: - Messrs: Gillispie, Bergen, Hulse,
Grigonis, Doyen.
TITLE
~ /00,0
'(4
i
RODERICK VAN TUYL. P. C.
SUFF, CO. DEPT, OF HEALTH SERVICES
APPROVAL OF CONSTRUCTION ONLY
DATE:
STATEMENT OF INTENT
THE WATER SUPPLY ANf3 SEWAOE
DISPOSAL SYSTEMS FO~ THI~ RESI-
DENCE WILL CONFORM TO THE
STANDARDS OF SUFFOLK CO. DEPT.
OF HEALTH. SERVICES.
APPROVED:
A ~ p L~'~'~T
SU . CO. DEPT. OF H£ALT~, ~,~]t~1~,:' :~ ' :' ~'TA~EMI~NT Ol~ INTENT
DATE:
~RVl~.
o~/, ...,i ~-.'~, .'~ /~i~ //~: ~i~S~c:~g.~t~ ~par~men~ and fo~d
~ , . ~ ~ .~. : ~, - . , ~ . .. ,~,: ~ , /
~ . ~~ ? ' /~ o %:,., / ~,
~I~CK V~N TUYL.:p. C.
' D1S~L ~YBTEM~ FOR THIS
............. ~'~ DATE: ..... -, ~ ~ , ,
- : ' DENC~ WIL~ ~FORM TO THE
~,~,-'/ H.S. R~F, ~'~.: ,. ~ ' ~ ': ~A~D~ ~ SUFFOLK GO. O~PT.
, ":' , ':(~ ',: