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Home My WebLink About11641-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector lown Hall Southold, N.Y. Certi[icafe O[ Occupancy No.g. 1.1799 .......... THIS CERTIFIES that the building ................................................ Location of Property 5700 Indian ~eck Lane Peconic h $,J s'o 'w'o l ....................... 's't/e~ i ....................... h ~,4 /el County Tax Map No. 1000 Section ... 99.8. ..... Block . .0..5 ...........Lot . .0. J .6...0.0..4 ....... M£not' Subdivision..~.:..H.a.l.m. ..................... Fi-lc-~d-MaFNo. 8..7 ...... Lot No...~ .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated April 20 19 .~.~pursuant to which Building Permit No. 11641 g dated ..... L~.r~ y. 25 ............... 19 $ 2, was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...... .a..p.~. ~..v.a.t.~...o.n.,..: f..a.m).~.y...~, x..~.~.n.g.: ...................................... The certificate is issued to ¢lilliam Van Treuren & bio wzle, l~etti (owner,/e~ee. er.,tenar~t~ of the aforesaid building. Suffolk County Department of Health Approval .1.~:-:. ¢~.0.:~ 7 j..1. 1../:S./.8.2. ~..R. qb..t:, fi. :. y.i.1.1..a.,. P, E. UNDERWRITERS CERTIFICATE NO ......... lq.. ¢ y ./.. t ~ ................................ Building Inspector Rev. 1/81 Rev 6/30[80 own oFs T OUTH BUILDING DEPARTMENT~ TOWN HALL SOUTHOLD, BUILDING 'P,ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FbLL COMPLETION OF THE WORK AUTHORIZED) llf;41Z Dote ........ :. .... :..~, Permission is hereby granted to: ' ' : ".. - ~....~.....~ ................. ..~.~.,.,,~ .. ......... ./..0...~ o .~ ..( : ~7~,/,~ /,, ~o~ ~.~ ~. o~ '.. ' .... ~ .... ".T'i!. ; .'... ". · : .................................... .~....~ ...... ~ !!.0..: ..... ~ ........ .................. · ..,..~ .............................................................. ,: ......... '/;~'"'; ~ ~,t ................ ~ .............................. at premmes lOC .................................. ....'.... ....... .-'~."fi ............ '~ ............. ........................ -:'q='~-e'~,y.......~...: ...... t ..................... · "~';~";i ....... ~5;~;;;"~/5~5:~;"~":'":'~ ........ ? .... "~ .............. Co,!ty Tax. q ~ : K ; ~. ?...; .......... :iLot No. (.. ...... '* ~-~. ........... Mop No. 1000 Section . .............. . ...... + I~o~,, .} .... ..... b ~'~(~ ?o purs~Jant to appl~caron aarea ................... : ...... .:......~ ....... }:.,. .... ~.., 19..?..~ ~nd Cpproved by the Bu!l~lng I~spector. ' ' Fo~ ...; .................... , i ~ FORM NO. 6 , TOWN OF SOuTHOLD Building Deparlment ' Town Hall Southold, N.Y. 11971 · APPLICATION FOR CERTIFICA.TE OF OCCUpANCy . Instructions apphcat,~o.n, must b,e filled in typewriter OR ink, and submitted in duplicate'Jo the the FOllOWing; TOt new buildings or new use . mrvey of property with accurate Iocat on of a bu Idings, pro0erty inatu, ral or topographic features. appro,va! of Health Dept. of water supply and sewerage d sposa -(S-9 form 01~ equal), or emctr cai installation from Board of Fire Underwriters. ,,b. uild~ngs, Industrial buildings, Multiple Residences a.nd s~milarb~ a certificate of Code compliance from the Architect or Engmoer it Planning Board approval of completed s to p an ~X;isting bull,dings (prior to April 1957), Non-conforming uses, or buildings sUrvey~__~..... _,~o~u~'0f peoperty showing all property lines, streets, I~uiildings statement of owner,or previous owner as tO u'$e~ housing code or safety nspect~on of buildings or prom .scs, ~equired to prepare a certificate. $5,00 $5.00 · .Certificate of occupancy on pre-exmtlng dwelling or land um ~ COp'~ Of certificate of occupancy $1.00 ·..~. · ....... Old or Pre~existing Building .... ....... ~ !Pro'perty ~ . . : .... · . r~ nets of Property ...... ~ ~ ' . , ~ No, I000 Section ........... Block ....... · .... ' ~ Filed Ma~ No ' Date of Permit Applicant ,~1 Certific~t~; Southold Town Board of Appeals S[:]UTHrlLD, L. I., N.Y. 11971 T~:lep~on¢ 765-~:L~ 1802 APPEAL BOARD MEMBERS Robert W. Gillispie, Jr., Chairman Robert Bergen Charles GriBonis, Jr. Serge Doyen, Jr. James Maimone April 6, 1978 Gary 01sen, Esq. P.O. Box 38 Main Road Mattituc~, NY 11952 Re: Bolsch right-of-way off Indian Neck Lane, Peconic. Dear Mr. Olsen: On March 23, 1978, the Board of Appeals granted the applicant, Charles A. Bolsch, approval of access to Lot $2 of the Andrew Hahn minor subdivision subject to the condition that the road meet with the approval of the Building Inspector. On Friday, March 31, 1978, Building Inspector Edward Hindermann made an inspection of the subject premises. He reported that the surface of the road is acceptable but that the brush along the sides of the right-of-way should be cleared to allow for a road width of 15'. .uly your~ cc: Burr Lewis FORM NO. $ TOWN OF $OUTHOLD Buiiding Department Town Hail $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and subr~itted 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 topograohic features. 2.Final approval of Health Dept. of ~vater 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 building~ 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 ahd "pre-existing" land uses: 1. Accurate survey of peoperty showing ali 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. Data 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 .. New Building ......... Old or Pre-existingBuildin~(X) ........ ~ Vacant Land -. ........... Location of Property . .,.. ¢ . .......... . House No. $creer Harn/et Owner or Owners of Property . . ................................ CountyTax Map No..1000Seotio.,. ..... ~',g Block ............... ~-'" Lot.../~..~., .~.. ....... Subdivision. ~.'..~. ~.,~ ~3~,'.~.).t~., .~?. .......... Filed Map'No ........... Lot No..L.~...~--. ..... Per ,tNo. Oateof?erm,t ........ p " ant ' / Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................. yC ' Request for Temperer ertificate ..................... Final Certificate ........ - ......... Fee Submitted S ............................. above d~scribed bu'ld'n and o '~'~/_'n~,~,t~4 ,~',-~/,,*-0¢~- 2¢ / -./~... · THE NEW YORK BOARD OF FI. RE UNDERWRITERS 1000771 BUREAU OF ELECTRICITY ~--~D 85 JOHN STREET, NEW YORK, NEW YORK 10038 ate Se tuber 24,, 1982 '~PPl;~ati°'~N°'°'~'t'il~174046--82 .m,s c E ..r,~,E ~T~.neb N 577675 only the electrical equipment as described belotv and introduced by the applicant named on the above application namber i~ the premises of William Van Treu=en, S/s Indian Neck Lane, 400t E/O Robinson Lane, e was examined on September 16, 1982 and found to be in compliance wlth tbe req.irements of thls Board. FIXTURE OUTLETS 18 DRYERS RECEPTACLES 36 SWITCHES 20 FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS ~LUORESCENT SYSTEMS NO. OF FEET E OTHER APPARATUS: MOtOrS: 1-F 1-G.F.CoI ,, 1-20.0kw Heat Pump 1-4.5kw E R V I C NO OF CC, COND. PER ,~ OF CC. COND 2/0 AWG OF HI-LEG NO ~.F NEUTRALS AWG OF NEUTRAL 2/o Ruland E~e¢o P.O. Box 143, Mattituek, ~.¥. 11952 COPY FOR ANy MAHNER. ~IELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: TO%VN OF SOUTIIOLD, NE%V yORK ACTION OF THE ZONq~/G BOAI~,D OF APPEALS Appeal No. 2401 Dated March 8, 1978 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Charles A. Bolsch (Gary Olsen, Esq.) AppeHant 30 Roosevelt Street Little Valley, NY at a meeting of the Zoning Board of Appeals on was considered and the action indicated below was taken on your ( ~ Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance ( ) Request for a variance to the Zoning Ordinance March 23, 1978 the appeal ( ) 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph ..... .~ ............. of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because 8:37 P.M. (E.S.T.) upon application of Charles A. Bolsch, 30 Roosevelt Street, Little Valley, New Jersey for a variance in accordance with the Town Law, Section 280A for approval of access. Location of property: Indian Neck Lane, Peconic, New York, bounded on the north by W. Zurl; east by Tuthilt Bungalow Properties, Inc.; south by Pizzarelli; west by P. Wood; Lot 2, Minor Subdivision ~87. 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because SEE REVERSE practical difficulties or unnecessary (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 the Ordinance and (would) change the character of the district because (would not) SEE REVERSE 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. SEE REVERSE FORM ZB4 ZONING BOARD OF APPEALS After investigation and inspection, the Board finds that the applicant requests approval of access, right-of-way off Indian Neck Lane, Pecon~c, 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 harship; the hardship created is unique{and would not be shared by all properties alikei 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, Charles A. Bolsch, 30 Roosevelt Street, Little V~lley, New Jersey be GRANTED approval of access over the existing easterly right-of-way off Indian Neck Lane, Peconic, New York, to Lot #2 of Minor Subdivision ~87. The right- of-way should ha~e 15' of clearance and is subject to the approval of the Building inspector. Vote of the Board: Ayes: - Messrs: Gillispie, Grigonis, Doyen, Maimone. ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, E am,ned ................. ,, ...... ........................................ , 19 ........ P~rmit No ..................................... Disapproved a/c ....................... .~...._~.. ,~r;.:z;~..............(_~ ................... ~ ............ (Building Inspector) Application No. / APPLICATION FOR BUILDING PERMIT // Date ............................ ~../Z..~.. ..... INSTRUCTIONS o. This application must be completely filled in by typewriter o~. 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 of property 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 ir~ buildings for necessary inspections. .......... .................................... ............... (Signature of ap~icant, or naBe, if a corporation) ........ x4. ' .................. r ........ State whether ap~ieant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... ............................................................................................................................................ Name of owner of prem ses ~.~..//. ~.~/;Z/J. . ..~.~.....~.~4~...~./~..~..&~.../. ...................................................................... If applic~r~,~corporat~ si~r~ of duly author'~ed officer. ..... / (Name and titl~ ~ ~'~orat~' ~icer) .... Builder's Lic~se No ..................................................... Plumber's License No .... ~~..~~ ~ Electrician's License No..J~.~..~.~, .~,.~,,/l ...... ~.~.:~' ~ ~ ~ ~7 ~ ~ Other Trade's License No ................................................ ;~(~ _ ~[,, ~ Location of land on wh ch proposed workci be dane. Map No ~.~.~.~..~ ~ .[ . Lot No ~ Street and Number ............................. '~.~t~..D.~.~...O.~...~.J.~.~.~'~ ............ ~.[J;j.....[jj[jjjjjjj[jj; State existing use and occupancy of premises and in.ended use on'occupancy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. intended use and occupancy ..~....~.....~.C ~ 2Z.~ .~.....~....~.;.~.~../. ~/~-~ 3. Nature of work (check which applicable): New Building.. ................. ~ Addition .................. Alteration ................. Repair .......... Removo .................. Demolitlo~..L.i. .............. Other Wor~ .................................................... 4. Estimated Cost ................. ~ ................................... ' ....... Fee .~..'.....'. ................................................................................ i ' ~'" ' (to be pard on filing this application) 5.' If dwe lng, number of dwelling units ....... .tg_.~....~'... ........ '..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 ................................ 10.~ Date of Purchase ........................................................ Name of Former Owner ........................................................ 1 1. Zone or use district in which!premises are situated ..................................................................................................... 19. Doer proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ............. i .............. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .................................................... Address ........... ; .................... Phone No. ...................... Name of Architect ........ .I.....] .......... .~ ..................................... Address ............................... .Phone No ....................... Nome of Contractor .j~.,/~..~.t ..... Adflress ... Z. Pho No ....................... : PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property Jfnes. Give street and block number or description according to deed, and shaw street names and /ndicetb whether interior or corner Jot. STA'TE OF NEW YORK., (¢ ~ COUNTY /~fJ0 ~ (~J,I J~J ~/~)b~' (/J be nn duly sworn, deposes one soys that he is the opplicam ............................. 'i' '.' ....... .'". .......... :'t": .......... : .......................... (Nome of mdlwduoJ s~gnmg controc~J) above named. He is the ........................... . ..................... ; .................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authc~r zed 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 forth in the application filed therewith. ' his ' -' / -~ z,o, , ' Nota~ Public, . .............................. : ..................... ~oun~ ...~.~ ...... ;~.:....... ......... ~. ..... .. ,.tr. ................. / (Signature at applicant) h4~C ~ 0 (~ , :,',5o: _ _ 75¢,o. :% /~ d water ~he sewage~si s9%s~os an ~-- bee fac$1i%ie~ ~^.~,i~so'''~ '' location hav~ ~nspected by }h~ department ~6 found %o be satisf cto~ // / ROOERICK VAN TUYL, P.C. LICENSED LAND SUR~YORS GREEN~RT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF, NO,. APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. lODe 098 s plo ~4 OWNERS ADDRESS: ;'vlovv3¥i//e, A-,i..d. 070~ DEED: TEST HOLE P. STAMP SEAL SUFFOLK CO. HEALTH DEPT. APPROVAL ~ ..s..o ...... STATEMENT OF INTENT SYSTE~ ,FDR THIS EESIDENCE~ WILL ~FFOLK ~.~ HE~~ICES. SUFFOLK COUNTY DEP[., OF,_ ~LTH SERVICES -- FOR A~ OF CONSTRUCTION O~Z DATE: VAN ~eTUYL' c.c. GREENmRT NEW YORK ~E~flFiC~fk O'F OC~?~II,CY FOR POURED CONCRETE ROUGH . F~MING & PLUMBING 3, INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPEETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF ~E N.Y. STATE CONSTRUCTION & ENERGy CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, I i (r