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HomeMy WebLinkAbout11587-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha~l Southold, N.Y. Certificate Of Occupancy No .... .Z.1,1.1.3.5. ....... Date ............... lY. August:. 1982 ...... THIS CERTIFIES that the building ................................................ Location of Property ,.. 465. P~iYa~:e. Rd,. ~t3~. Soul:hold ................................ House No, Street Hanllet County Tax Map No. 1000 Section , , Off 0 ...... Block . . 06 ........... Lot 016 Subdivision ..... .X ......................... Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... Maxcell .15. .... ,19.85. pursuant to which Building Permit No. 11587Z dated ........... H~qh .23. ......... 19 .8.2., 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 ......... ..... d~k .~ddi~i~'a .t;o..~i~ir~g .cl~.e. [.[.iqg ....... ' ....... The certificate is issued to . . .C ],a~;a .P.~;qq ~ ....... ~o~,n'e:4'l~'s~it~'r~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ...I~/.B .................................... UNDERWRITERS CERTIFICATE NO ..... I~/R ................................... ~ ...... Rev. 1/81 Building Inspector RM ~0. 2 FO~ BUILDING DEPARTMENT,~ TOWN HALL SOUTHGLD, 'N~ ¥. BUILDING PERMIT, (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHQRIZED) N°. 11587 Z Oote ~. ..,,d~...~, ............... 19...~,~ Permission is hereby granted to: , ....~.~.,~./.c.~,.~.~..~.,i,... i.~..:..: ........ , .~.~.~/.,.~.~.~:.:....=.......~.,...~.... ~.. : ............ : .......................... et,'.mi~,;'~at;--~'~at...~.'~. ...... ...~.~..~,.~i~,~.,,~ ............ ; ...................... .; ....... .......... ~. ................................................................ !...:....:....!,.: ..~...,.~....C ....... , ..................................................... , ..................... ?.,. .......? ~ .... .~. .... ~:~ · ,~ ! ..... ~ .- ~ _, ./' CouOty Taxx Map No. 1000 Section ...... . BIo¢l~ .~ ....... t No. ~. ........ ~./...~ purs~Jan, t(o~ application .~/,~,~.~/~.~' 9~"~~'~ dated .'?',~/"~i:"'~'"', 1 and 9pproved by the Building In;$pector. Fee $.. ;.....: .... //~ ~ ~ ' ~r :' Re~. i6/30480 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 featu res. 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 Underwrite'rs. 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 all property lines, streets, buildings and unusual natural or topographic features. 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. 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., ¢/~:>..~.. .... .~.r. { .~J..~.-%... ~..~.; .~. ............ .S.(:3 .~,~/~ . House No. ~_~ ~C/~,~L ~ ~Street Hamlet Owner or Owners of Property .... ~. , ....... .~-.~..~ .................................. County Tax Map No. 1000 Section . ..~-?..~.(,~ ..... Block .....C,,~..(:~ ...... Lot..~../..~:~ ........ Subdivision ................................. Filed Map No ........... Lot No .............. ........ ........ Permit No. ~l ~-~ Date of Permit .......... Applicant ...... ~. Health Dept. Approval ........................ Labor Dept. Approval .......... ; ............. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ......... ,../~-~.. ;-. ....... Fee Submitted $ ...... ~.,.. ~ . ./ ............ Construction on above described building and/p'~eets all ~aJ;~odes a~d regul~az'i~s. TI(o('{ Applicant-. ~.~., ~.~ ............. FIELD INSPEC$TION- FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS PERMIT UNO£~ THE ENVIRONMENTAL CONS[gVATION LAW %AR'(ICLE 15, (Ftotection of Water) AgTICLE 24, (Freshwater Wetlands) '~7 15276-0367 ARTICL£ 2S, (Tidal Wetlands) . RTICLE 36, (Cop~t~uction in Flood Nazatd Areas) ADDRESS OF PEPOMII~EF' _Lo cmeer: _ ,m v_2r,ork .... 0 ;~OCAriO~ OF PROI[CT (S~rhoa of stream ~ dal wetland, dam, nuilding) ~ Sau~hs~_~_~g_C~231 feet ~~m.~~~~ D;:ScRmrtoN or PROJE( r lawn Avenue ConsLrucL_ 1,7_ foot. X~__4__foo~_~tooden deck_a~-r~-~f-~×isi, ing-- _home_ as_par.. ~':~MMUNIT¥ NAME (City, Town, Vdlage) ,( 9UNIt '~ --- lOAN NO. GENERAL CONDITIONS 1. fhe ~rmittee shall hie m the office of the appropriate Regional L The permitted work shall be subject to inspection by an authorized ew~ suffere~, aqsing out of the projecl described her~in and has agreed to bed of the wal~rway or flood plain or deep holes that may have a tendency c~use injury to ,avigable channels or to the hanks of tlle waterway. 5. An~ material to be deposittd the w~te~w~y vr on shore ~bove high-water mark, shall be deposited or dumped at lhe k. cau(v shown o~ the drawing hereto attached, and, if so ~escribed thereon, ~Hnn or behind a good and substautial bulkhead or bulkheads, such wa:ercourse hereby authorized shall riot be completed, the owners shall, 8, Ihat the State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by o~ result from futere operation.~ undertaker by the State for the conservation or 9. lhat if the display of lights and aignals on any work hereby adthorized modification of the wetland hereby autherized has not been completed, the 12. This permit shall nol be construed as conveying to the ap~[ica~l a~y right to trespass upon the l~ods or interfere w~th the riparian rights of others p~ojecl. Part 500 of 6 NYCRR (Constr~ction in Flood Plain Amos having S~c}al ~]o~ free from flooding. 15. By acceptance 0t t~is ~mit the ~mittee agrees ~t t~e ~mit (SEE REVERSE I N~ ¥c~ 9t~ ~np~;'~n! of Environmental Conservation R.~ul~Cory A£~atrs Uut~ Bldg. 40, 2UNY~-Room 219 S~ony Brook, NY 11794 (..516) 751-7900 Rc~ert F. Fiscke Commllslo;mt November 20, i981 Clara Prout 107 Greeu~.cres Avenue l~hite Pl. ain8, 1/Y 10606 LETTER OF J~DI~IT TO: ~ 152~6-G~67, Construction of Dec.rig D~ }f~. Prout: Yo~r r~cenC request Co ~y the above pe~C ~s been pure.ut ~o 61~C~, Par~ 621. It Ms b~ de~e~ined t~t th~ proposed aMaZe 'al! ~t substantt~ly change the scope of the peal~ted ac- ctvky or pe~t conditions. ~here!ore~ ~M pe~ is ~ended ~o au~rize ~he cons~ction of a 16' 1.f. X 28~ 1.f. ~oden deck onto r~r of existing h~a as per ~e~J. sad plau~ submi~ed Nov~ber 18~ 1981. ~is letta~ Is an ~en~ent Co ch~ original pe~it, ~d as such. is ~o be attached tll o~hev conditiou~ ~min as ortglmlly sta~ed in ~he pe~t. ~arles T. H~ltou ~te~ate Pe~t Ad~nistrator CTH:RNT:cz Imm : I .j'ii' I / / I // / *¢4z.4 (s,'80~ N~ vv York State Department of Environmental Conservation EI~B $ ,.,e/tott,l NOT CE OF COMPLETE APPLICATION U.S, Fish and ~fe S~;.v,~ce ' P~ E. R, C. ~H~ {S NOI A F~e Applicant C,~J,'to:'Pr0u./6 Date ~_~__q_22, 1981 Address _.]J~Z._C_~._~.,~_~g~E. ....... ~pp, NosTW15276:~__ ...... ~~~_york 10606 {P~rmit(s) applied ~or: ~~ , Co~ ~7'X24' deck s~ o~ ~ng ho~e. A v~ence ~ requited for no~h of Pine Neck Road, 467' ~t of O~n Avenu~ on the soutk side of Jockey Cre% So.old, Town of So.old, Co~y of Suffolk. PLIt:~!_{C COMMENT: Applications may be reviewed at the address listed be{ow and specific comments on the proj- ect, ,ar a request to become a partydn-interest ifa public hearing is held, must be submitted in writing to the contact person named below eo later than _Augu~s_t~lg~ 1981 (By la,,',,, this date must be at least 14 days (30 days for a SPDES Permit) from the date the notice will appear in the Environmental Notice Bulletin.) LEADAGFNCY: N~ York S,tz;t-te._.~g~paJt,0tleL'~.~_ef [J~L~',~LOJ2~lg.J~3J'j,~0.,to~.,t./:on .... SEQR DETERMINATION: (check appropriate box) ["~ SEQR-1 Project is not subject to SEQR because it is exempt, excluded, or a Type Il action. [] SEQR-2 Proje,~. is a Type ! action; it has been determined that the proiect (may, will not) (circle appropriate) ',',~:.c a s~g~,;f~c;mt effect on the environment. A Negatiw Declaration has been,~repared and i~ on fi{e. ~EQR-3 Project is an unlisted acdon; ~[ has been determined that the project will not have a significani effect on the environmeet. Q SEQR-4 A draft environmental impact statement has beer, prepared on this proiect and is on fire. g SEQR-5 A final environmental impact statement has been prepared on this project and is on file. CONTACT' (name, agency, address, tele[,hone number) Reg~to~y Aff~ U~ Da~ J. L~n B~ng 40, SUNY--Room 219 Stony ~ook, N.Y. 11194 (516J 751-7900 healing is held, the' final decb~on wdl be made within 60 days after the heanng is completed APPLI(~ANT FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL F' . ....................................... ~. ............. /: ~tc.~f: ....................................................... , 19 ....... ,JULY PLEASE TAKE NOTICI~ '~nc/E y~u~iapl~'q9~ dated .................................................... , 19 ........ ~oll~F~it l;~<~t~,7~c~....;~.......~ ..................... ot t~,~,~ loc~ted at .................................... ...................................................................... Street Map .................................... Block ............... '; ............................ Lot [. ~x~. _~ET.i~.F. 1. t~,.~..~. ~-, ......... is re~E~'erewi~d ~i~.~sopproved on t~eT~eC~ow~ound~ O~D-.._.~/ .............................................. Building Inspector ,4 SUPPLBP~NTARY SPECIAL CONI)ITIONS The following conditions apply to all permits A. If any of the permit conditions are unclesr~ the permittee shall contact the Division of Regulatory Affairs at the address and telephone noted below. B. A copy of this permit shall be available at the project ~ite whenever author- ized work is in progress. Co The permit sign enclosed with this permit shall be protected from the weather and posted in a conspicious location at the work site until completion of authorized work. At least 48 hours prior to commencement of the project, the perm/tree shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands all provisions and conditloms of this permit, Within one week of completion of the permitted work the bottom portion of that form shall also be completed and returned. For projects involving activities to be accomplished over a period of more than one year the permittee shall notify the Regional Permit Administrator in w~iting st least 48 hours prior to the commencement or resumption of work each year. If project design modifications take place after permit issuance, the per~ttee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new applica- tion for permit. All necessary precautions shall be taken to preclude contaminatio~ of any wet- lands or waterway by suspended solids, sediment, fuels, solvents, lubricants, epoxy coating~ p~ints, concrete, !eachate or any other environmentally dele- terious materials associaned with the project work° Any failure to comply pr~c:t£'ely with all of the terms and conditions of this permit, unlesG authorized in writing, shall be treated as a violation of the Environmental Conservation L~w. The permittee is advised to obtain any permits or approvals that may be required from the U.So Department of Ar:ay Corps of Engineers, New York District, 26 Fed- eral Plaza, New York, New York 10097~ (Attention: Regulatory Functions Branch), prior to co~encing ~0ork authorized herein. The granting of this permit does not relieve the permittee of the responsibi- lity of obtaining a grant~ easement~ or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Em- pire State Plaza, Albany~ New York 12242, which may be required for any encroach- ment upon State-owned lands under water. Regional Permit Administrator NYS Department of Environmeotm~ Building 40, SUNY - Room 219 Stony Broo~, N~w York 11794 516-751-7900 DEC f~ TW 15276-0367 NYSDEC Reg. Permit Admi~istrator Bldg. 40, Room 219 SUNY Campus Stony Brook, N.Y. 11794 Permit No. Issued to (Agent) _. Dear Sir: Pursuant to General Condition Uo. 1 of the above referenced pemmit you are hereby notified that the authorized activity ~all commence on This notice is to be Sent at least two days in advance g~ com- mencement of the project. The permit sign will be posted at the site and copy of permit will be avail- able at site for inspection. Submitted by Failure to notify or post sign will leave owner and/or contractor subject to applicable pemalties for non-compliance with permit conditions. NYSDEC Reg. Permit Administrator Bldg. 40, Room 219 SUNY Campue Stony Brook, N.Y. 11794 Permit No ....... Issued to (Agent) Dear Sir: Pursuant to General Condition No. 1 of the above referenced permit you are hereby notified that the authorized activity was completed on .... . ....... Submitted by .... ~ (This notice is to be sent to above address promptly upon completion of project). Failure to notify will leave ovraer and/or contra~toZ-subJec~-~o,applic- .ahla~penaLties_ for. no~-compllanc~..w~ith perm~con~ition · Southold Town Board of Appeals MAIN I~IDAD- C~TATE I~I'IAD 25 ~[3UTHrlLD, L.I., N,Y, 1t971 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD. OF APPEALS Appeal No. 2724 Application ~ated July 28, 1980 TO: Mrs. Clara Prout Private RoadNo. 3 (off Pine Neck Road) Southold, NY 11971 [Appellant(s)] At a Meeting of the Zoning Board of Appeals held on February 26, 1982 the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Ix] Request for Special Exception under the Zoning Ordinance' Article , Section Request for Variance to the Zoning Ordinance Article III , Section 100-31 [ ] Request for Public Hearing: 2/26/82: 7:30 p.m. Application of Ciera Prout, 107 Greenacres Avenue, White Plains, NY 10606, for a Variance to the Zoning Ordinance, Article III, Section 100-31 for permission to construct deck addition to dwelling with an insufficient rear- yard setback at 465 Private Road No. 3 (off Pine Neck Road), Southold, NY; bounded north by Jockey Creek; west by Dyer; south by Norris; east by Shector; County Tax Map Parcel No. 1000-70-6-16. By this appeal, applicant seeks permission to construct an 16' by 28' deck at the rear of the proposed dwelling, leaving an insufficient rearyard setback of 28 feet. The prior dwelling is claimed to have had a small deck area. Applicant has applied to the N.Y.S. Department of Environmental Conservation and received approval for this construction under Permit #TW 15276-0367 on November 20, 1981. Upon inspection, the board found that the applicant has limited buildable area, which would be to the rear or to the front yard areas. The board agrees with applicant's reasoning. In considering this appeal, the board determines that the variance request is not substantial in relation to the code require- ments; that the circumstances herein are unique; that by allowing tke variance no substantial detriment te 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 as applied for. On motion by Mr. Grigonis, seconded by Mr. Goehringer, it was RESOLVED, that the relief requested in Appeal No. 2724, appli- cation of Clara Prout to construct a 16' by 28' deck with a rearyard setback of 28 feet, be granted as applied for. Location of Property: 465 Private Road No. 3, Southold, NY; County Tax Map Parcel No. 1000-70-6-16. · Vote of the Board: Ayes: Messrs. Goehringer, Grigonis, Doyen, Douglass and Sawicki. , , , DATED: March 4, 1982 Form ZB4 (rev. 12/81) ~/~'~rSOUTHOL~ TO~ OF APPEALS ZONING BOARD ~.~'\~~ ~OKM NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN GLERK'$ O~FICE SOUTHOLD, N. Y. E×om,ned ...... Approved ~.~%.C../.?......~..5 ...... , 19.~.ii..-~. Permit No..X../~,,.~..c~...2. Z ....... Applicatian No ............................... Disapproved a/c ..................................... ::;;~..~,..~Z~~. ........~'" ....... ~ ................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ......... ~ ...... i'"'" 19 ............ INSTRUCTIONS o. This application must be completely filled in by typewriter or 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 o~ 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 shatl 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, bulk]lng code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .... (Signature of applicant, or name, if a corporation) · .................. ........................... .c (Address of applicant) State whether applicant is owner, lessee, agent, architect, engin~er,~eneral contracto9 electrician, plumber or b~ilder. ,, - - r-o -f "" ' marne ot~gwne~ or premises .........../,¢,,:.L..~ ........... L/ ........... 9.~..~ ............. .~,,.~,,.~.,¥, ................................................................... If ol~li/~car}t '~)g c~J'~,/~,ig~nature of duly authorized officer. ........ ............. (N,a,~ and title Of.~co'rp~rate officer) Builder's License No ............. .~...../..c/.. .................. .~:..C.... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Subdivision Location of and on which proposed work will be done. Map No.: ........................................Lot No...a ........ ~.. Street and Number ............ .~./..~...S~ ........ ~~.....~....~ ...................... MunicipalitY/ ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Exisiting use ond eccuponcy ........... ff...?....~../.. .¢..~':.,~....~.. ................................................................................... b. Intended use and occupancy ..£ ¢ .s../'..~ ..~ .~.? ....(=~.....~.., ...~.. ....... ..~....~..~ ~ ............ ' ..................... County Tax Map No. Dist. 1000 Section 7(~) Block (' Lot /~ _ C~9. 10. 11. 12, 13. 3. Nature of work (check which applicc Repair .................. Removal ........... 5. If dwelling, number of dweliling unit: If garage, number of cars '"i .............. 6, If business, commercial, orI mixed 7. Dimensions of existing struc[ures, if c Heigh~ ...... /..'~ ........... Number of Dimensions of same structure with Depth ............ Z~..~. ............. jHeight 8, Dimensions of entire new construct~ He'ight ..... ~.. ........... Number of Stc Si,e of lot: Front ............... i.¢.~. .... Date of Purchase ' Does proposed construction yiolate Will lot be regraded . ........... ~ ........... Name of Owner of premises Name of Architect ............. ............. Name of Contractor Locate clearly and distinctly Oil buildi property lines. Give street and block nur whether interior or corner lot. hie): New Building.. ................. Addition ................ :.~ Alteration ................. ...... Demolition .................... Other Work (Description) .......................... Fee /._,~'-, 0 0 (to be paid on filing this application) ............................ Number of dwelling units on each floor ............................ ~ccupancy, specify nature and extent of each type of use ............................ ~y: Front .......... ~.....~. ......... Rear .............. ~. ............... Depth Dries .............. / ........................................................... · .................................... 'orations or additions: Front ........... .~......~,. ............... Rear ........ ...~z..~., ........... ...... /...~i..~ .......... Number of Stor~es ............... ./ .............. ~: Front ......... ~.... ~9~. .................. Rear ......... ~.~ ..o~.. .......... Depth ....... ../...~. ........... les .............. ../.. .......................................................................................... , ......... .......................... Rear .............. .~.~.. ................... Depth ...... .~../~...(-'Z ......... .......................... Name of Former Owner ........................................................ Zone or use district in which premise are situated ....... .~.....~'.~.~. ........................................................... zoning · Will excess fill be removed from premises: ( ) Yes. ( ) No ........ ; ......................... Address ..v~,.. ............... ~ ........ Phone No ....................... PLOT DIAGRAM 3gs, whether existing or proposed, and indicate all set-back dimensio?s from ~ber or description 'according to deed, and show street names and ~ndicate STATE OF NEW ~'(~1(.,. ~ ils S COI, JN_Ty OF .~..,,.iJ' ........ . ,. J (Name of individual signing cc above named. He is the ' of said owner or owners, and is duly autl this application; that all stateme6ts contai tha~ the work will be performed in[the mani Sworn to befgre me this ..... ..... Term Expl  ................... being racf) duly sworn, deposes end sbys that he is the applicon perform or have performed tl)e'-~id work and to make and file ned in this application are true to the/best/of his knowledge and belief; and ~er set forth in the application filed th~re~_h. ................................... :: ............. ~ ~ / (Si~a~ ~ *ppl~ont) Tfl ANN NEVI~E .10, ~te ~ Hew ~50, Suffol~ Cou~ *es Uar~ 3~,