HomeMy WebLinkAbout11534-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z~ 3758 Date ..... August ~4 85
THIS CERTIFIES that the building..~. 99.e.s.s. 97.7.'. ..................................
Location of Property ~.~ O0 R. 0 .~. off. Mill .R.d. Mattituck
hi~us'e h/o: ...................... '~'~r~i .......................
County Tax Map No. 1000 Section .' .... ~..0.~ .... Block .. 6 .Lot
Subdivision ......... .x. .................... Filed Map No....x. .... Lot No .... x. .........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..... ~.apt eln,b.e~7.3.0., 19 5..q. pursuant to which Building Permit No ..... ~. ? .5.3.~.g. ..........
dated ...... ~T. anuar~.. 6 ........... 195..2., 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 .........
Accessory storage building.
The certificate is issued to ....... lV~, .&. }~1¢$ ,..14.~..L~lv~...R....~.Z..~.~..~.~. .................
(owner,~
of the aforesaid building.
Suffolk County Department of Health Approval .................... .N/.Z, ..................
UNDERWRITERS CERTIFICATE NO ............................ ~/.4 ..................
Building Inspector
Rev. 1/81
ToWN HALL
SOUTHOLD, N~ Y.
BUILDING P,E~iTi
(THIS PERMIT MUST BE KEPT ON THE P~E~ISI'iS UNTIL ULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to: : ,,
at p~emises located et ........... ~ .; ......... .~ ..............
BUJ' ~lng I~spector.
Rev: 6/30/~80
FORM NO, 6
TOWN OF 8OUTHOLD
Buiiding Department
Town Hall
Southo~d, ,,~. ~. i ....
AP, ,.IC.~T,O,,J FOR CERTIFICATE OF OCCUPANC
Instructions
A. This ~nficotion must be filled in typewriter OR ink, and submitted [n duplicate to the Building Inspec-
tor ,.vm~ tr~ follo,,,/ing; for new buildings or new use:
1. Final :u~,'c'/ of pro¢~rty whh accurate loc~tion of ail buildings, property lines, streets, and unu~al
2. Fma~ a:;3rcve~ of Health Dept. of wa~er suuplv and sewerage disposal--(S.9 fo~m or equal).
3. Ac~;c.,,a~ of e!ec[ncal inst~llstJon from So,rd'of Fire Unde~riters.
' , ~ ~ p - c~ from tn~ Arch~ted~ or Engineer responsible for thebuiid~ne.
5. Su~:mhPfanning Board approve ofcomple(ed si[ep~anrequirementswhereapptlcsble.
B. Fcr uxisting bu?dings (prior to April 1957), Non-~onform~ng uses, or build,nos and "pre-ex/sting"
~.Acsurote ~n/ey of peoperty showing all pro~erty lines, %feets, buildings and unusual natural or
2. Sv,,crn statement of owner or prev]ous owner as to usa, occupancy and condition of buildings.
3. Dare of an'/ housing code or safety inspection of buiidinas or premises, or o,ner pertinent informa-
tion required to prepare a ce~f~cate, ,/ ~
Fees:
1, C~n;cate of occupancy $.~.u0
2. C. ~ . of oc~upancy on pre.existing dwelling or lsnd use
3. Ccp,,, of certificate of occupancy $i.00
...... _, ............. Old or ?re-existing Buiiding(~) ......... = /Vacant Land .....
Counw Tax Mae No..1000 Section .... /¢.~. ..... B(o-k ~
Subai,/~sion ...... ~- .Flied Map No ..... '% .... Lot No. .:'.
~.~ ~.. X?%~x ~ o~,~ ................... ~,,~ .................. ~ ...........
. · ....................... L~bor DepL Approwl ......................
Under.vr~ers ,~pprovaJ
.Planning Board Approval
Request ¢or Temporary Certificate ..................... Final Certificate ........ - .........
Coqstruc"onon abovede,crib=d build n"and-- "-- = ....
.... ,(~ - ~ ~ ~u p~rm~ me_ts au aPP~,cabte~codes and regulations
~ Applicant ..~f]., ~.. : /~ . , , .
%.~, ~q~5~ ' -~-.~:- ,,,.~__.,.. ~:; ................. . .....
TOWN OF SOU~OLD
OFFICE OF BUILDING INSPECTOR ·
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-I 802
Dear c . ~ c~ :
r,,ls iv uo advise Vou zha~ ~he ' '~= ~
Permit ~o. ~ issued to ' : 3o~ unc~r ~uilding
In Order to co~z~o+e Ch-s fi!e~ it ls n~ =e ~
c.-~ lcase of Occupancy be issued. F!ease fill out the
enclosed form(s), return same to the above office wi;h a
check for $5.00 payaole to the Town of Southo!d. F!ease
indicage to Whom the Certificate of Occupancy is to be mailed,
and arranfe with this office for an inspection date.
Thank you for your prompt attention.
VL:ec
Enclosures
Very truly yours,
Victor Lessard
Adminis tr~ tot
FIELD INSPEC~?IO~k COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ..... ............... .,, ..........
~ 9~
PLEASE TAKE NOVICE that your application dated... ~/~7: ............... , 1 .....
o to er,y
Houso ~o. ~ /~ Streot ~ ~amto
Comity Tax Map No. 1000 Section ..... ~. .... Block .... q~ ......... Lot .. ~.¢ ......
Subdivision Filed Map No. Lot No.
is returned berewtth and disapproved on the fo~wing ~o~ds ~.~. ·
· ~F'"~z~ z~ ....... ~;.. ~ ......... ~ .... zo.~,..~ .....
Bulldog Inspector
RV 1/80
TCrCR~ OF ff~Ol31I~OLD, NEW YORK
ACTION OF I~E mN.~G BOZ~{D OF ~P~S
Appeal No. 2905
Applic~%tion Da'~ October 8, 1981
TO (Appellant)
Mr. and Mrs. William Killian
5100 Private Road (Off Mill Road)
Mattituck, NY 11952
At a ~.~eti~%g of the Zoning Bo, ard of Appeals on No.vember 5, 1981
was considered and the action ir~/io~ted below was taken on your
the appeal
( ) Req~i.~st for Varisnce Due to Lack of Access to Property
N~ York Tc~n Law, Sect~.on 280-a
( ) Req~mst for a ~qpeci~l Exception under the Zoning Ozdinance
Article , Section
(X) Request for a Variance to the Zoning Ordinance
Article III , Section 100-32 and 100-118D
( ) Request for
Upon application of William and Ma.rgaret Kil!i.an, 5100 Private Road off
Mill Road, Mattituck, NY 11952 for a Variance to the Zoning Ordinance,
Article III, Section 100-32 and Article XI, Section 100-118D for permis-
sion to construct accessory building in an area other than the required
rearyard. Location of Property: 5100 Private Road off Mill Road,
Mattituck, NY; bounded north by Holmes; west, south and east by Matti-
tuck Holding Co.; County Tax Map Parcel 1000-106-6-5.
By this appeal, applicants request permission to construct
an accessory building, approximately 12' by 12' for storage
purposes in the frontyard area . The site location and angle
of the dwelling lend to the practical difficulties of the
applicant, and it is the feeling of the board that the area
requested is the most feasible.
In considering this appeal, the board determines that the
variance request is not substantial; that the circumstances
herein are unique; that by allowing the variance no substantial
detriment to adjoining properties would be created; that the
difficulty cannot be obviated by a method, feasible to appellant,
other than a variance; that no adverse effects will be produced
on available governmental facilities of any increased population;
that the relief requested will be in harmony with and promote the
general purposes of zoning; and that the interests of justice
will be served by allowing the variance.
On motion by Mr. Goehringer, seconded by Mr. Sawicki~ it was
RESOLVED, that the relief requested in Appeal No. 2905,
application of William and Margaret'Killian ~o construct accessory
structure in the frontyard area at 5100 Private Road, (o~ff Jill
Road) Mattituck, NY (County Tax Map District 1000, Section 106,
Block 6, Lot 5) be approved SUBJECT TO THE FOLLOWING CONDITION:
That the accessory building not be used for habitable use
(strictly for storage purposes).
Vote of the B~
Goehringer and Saw~
This resoluti~
Fo~m ZB4 (rev. 12/81)
~ard: Ayes: Messrs. Grigoni:
-cR CEIVED AND FILED BY
HSU
Town Clark Town o[ S old
Doyen, D~UF~6 ~ k0
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTNOLD, N.Y. 11971
TEL.: 765-180:3
~'7~'"' Application No [/'~- ~...~...
~,~am,ned , G~t .......... . ,~ .........
Approved ~. ~ ....... , l~Permit No ...........
Disapproved a/c ..... /. '7 ............................
~/W~ ~ ...............
~/v~ ~;~ ~. ~NSTRUCT~ONS
a. This application must be completely ~led in'by t~pewdter or in ink and submitted in triplicate to the Buildi
Inspector, with 3 svts 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 p~mises or public stre~
or areas, and giving a detailed description of layout of property nmst be drawn on the dla~am which is part of this
cation.
c. The work covered by this application may not be commenced before issuance of Building Pe~it.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicaut. Such pern
shall be kept on the premises avaHahle 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 Occupan
sb~l have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town %f Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the constnmtion of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, ~d
admit authorized inspectors on prelnises and in mullings for
necessa~pections ~
........ ~ ....................... 4(gC{ .....
(Mailing address of a~'pticant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build:
Nmne of owner of premises .~..t././.l.~..t9? .......... ~ .........................
~ J~'.r~,~. .~.; /li~ ..............
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Bmlder s Lmense No ...............
?'
Plmnber's License No ....... ¢ .............
/
Electr'cia ~ s License No.' ...//.. ..............
Other Trade's License No ......................
1. Location of laud on which proposed work will be done ................................................
· ~.~.~...~: ~ ........... .~.. :.//.. ~ ~ e .............. ~.~.x ~,. ~.o.~. ~. ?f.. :,/. c~..
Itouse NumberStreet Hamlet
County Tax Map No. 1000 Section ./~) ~' Block ......
......................... Lot....~..~.~.' ........
Subdivision ..................................... Filed Map No ............... Lot ..............
(Name)
State ex/sting use and occupancy of premises and int~ja~ed use and ~occupancy of proposed construction:
e--h/t,t
a. Ex~stmg use and occupancy ....... ~l.t~ .... ~r.~.~.~ ........................
b. Intcndeduseandoccunancv ~5'~ ~. ~deO /oo~ ~/~C~
Natu[e' of work (check which applicable): New Building .......... Addition .......... Alternation
Repa/r .............. Rem6val .............
Estimated Cost ...................
Demolition ............ Other Work ~
(Description)
....... Fee ..... ....... 71 ....... ......... :.
(to be paid on filing this application)
{. If dwelling, number of dwellin iunits ............. Nmnber of dwelling units on each floor ................
If garage, number of cars .......................................................................
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....................
t. Dimensions of existing structures, if any: Front .... ' . Rear .............. Depth ..............
Height ............... Number of Stories .......................................................
Dimensions of same structure wltb alterations or additions: Front ................. Rear .................
Depth ...................... Height ...................... Number of Stories ............. / ........
L Dmlensmns of enhre new constructmn: Front .... /.~ ......... ,
). Size of lot: Front .... /~2~ ....... --- ~ ......... Rear ........... ~ .......... D~pth ..o~./?. ..............
1. Zone or use district in which premises are situated., r'.~ .~..%..~. qq .q-. ~. t. ~. ~ .fi?C.
..) Does proposed constructlonwolateanyzonlnglaw, ordinance or reguIation: ................... . ... .. ... ....
3. Will lo~ be regraded ...... /~.' .................. 9/~!2 excess fill be removed from premises: Yes
Name of Arch/feet .......... ' ................. Address ............. ...... Phone No ................
Name of Contractor Address Phone No
PLOT DIAGRAM
Locate clearly and distinctly allI buildings, whether existing or proposed, and. indicate all set-back dimensions from
or description according to deed, and show street names and indicate whether
roperty lJqes. Give street and block'number
,terior or corner lot.
rATE OF NEWARK,
OUNTY OF~ 5.5
.... . ~ ~_ ~ ---~ .. being dulY(i,/an~e of(tndMdual signing contract~ sworn, deposes and says that he is the applicant
~ove named.
e is the . .~ ................. ~ ......................................................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, mid is du!y authorized to perform or have performed the said work and to make and file this
~plication; ~Jmt all statenmnts con[ained in this application are trt e to the best of his knowledge and belief; and that the
'ork will be performed in the manner set forth iii the application filed tb~erewith.
worn to before me this :
N0 5. 2.812[J8~0, Suffolk Cou~,nt~ ..~ tmgnarur¢ o~ appncant)
, ' Term Expires March 30, 19.~*/.