HomeMy WebLinkAbout11960-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.. ~5.fl.~3.6 ......... Date ............ .Q~'l$9.~.e.~., .6 .......... 19
THIS CERTIFIES that the building ,~.Z~,~ .~&~O.~ ...................................
Location of Property ,..50.. ACk~2.13r. ~.o~c~.. ~4a~O .............. ~Q~.~.q~c~ ..........
House No. Street Hamlet
County Tax Map No. 1000 Section .... 050 ..... Block ....05 ......... Lot ........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... ~.D-~,em~.e~'..'1.~..., 19 8~. pursuant to which Building Permit No..fl.'V~60Y, .............
dated ...~ep.~.~mber. .~0 ........... 19. ~32, 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 .........
.... Alt~r..tl~e. interin~, for. .medical. ~acilities ...........................
The certificate is issued to D~.. ,Jg.~..SLO~KIIJ .........................................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . ~/~ .....................................
UNDERWRITERS CERTIFICATE NO..~...G.O.O.~. ~..~ ........................................
Rev. 1/81
Building Inspector
.TOWN OF ~OUTHO~
BUILDING DEPARTMENT
TOWN HALL
SOUTH'OLD N ¥
BUILDING P,ERMIT'.
(THIS PERMIT MUST BE KEPT ON THE P'RE~IS~S UNTIL RULE~
COMPLETION OF THE WORK AUTHORIZED)
No. ~L~960 Z Date; ............ , 19.
Permission is hereby granted to:
pur,~nt {o ~pplic*tio, d,tod
~uil~ln0 I~poctor.
Rev., 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Depar~men[
Town Hall
· .qouthold, N.Y. 11,971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tot 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 tooograohic features.
2. Final approval of Health Dept. of water supply and sewerage disposa --(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Muitiple 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.
For existing buildings {prior to April 1957), Non-conforming uses, or buildings a/~d "pre-existing"
land uses:
1. Accurate survey of peoperty showing all prooerty 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 land
3. Copy of c.rtJficate of occupancy $1.00
u se ~/b/$5.00
Date . .Znly..8..
1983
g( -
New Building ............. Old or Pre-existing BuJldin X) Z /Vacant Land
Location of Property .... 50 Acke."cly Pend La, ne
?)r. J~y Sle~i~ Ham/et
Owner or Owners of Property
County Tax Mao No. 1000 Section 070 ' 05
......... Block ............... Lot. 00~'
Subdivision ....................... Filed Map 'No ........... Lot No ..............
Perm t No ] 1900 Z Date of Permit 9.. ;l?..S. 2,, ..Applicant e.e.
HealthD^~* ^~-ov ' ~r)];e ~e~uire~
Underwriters Approval April 28¢ 80
........................ Planning Board Approval ..................
Request for Temporary Certificate '
Final Certificate -
Fee Submitted S .............................
Construction on above described building and pern~it'meets all appL~cable_.codes and regulations.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
-~ BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only the electrical equipment as ~sc~bed below and introduced by the applicant nao~ed on the above application number in the prendses of
Or. Jay ~1o~
w.s .~..,a..d o. ~ril ~, 1~3 at,d found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
,~ 20 16 16
DRYERS
MULTI-OUTLET
SYSTEMS
NO. OF FEET
E R
OTHER APPARATUS:
Panelbo~rds:l~lScir. 200amps, l~20clr. 125amps.
4-Post Lites.
ton A.C. [~nit
2-G.F.C. 1.
4-S~oke Detectors
Charles M. Mall Elect.
760 IonS Creek Dr.
So%~hold, N.Yo, 11971
OF CC COND,
4/O
I C E
NO. OF HI-LEG
OF HI-LEG
NO OF NEUTRALS I A W O
OF NEUTRAL
4/0
LIE.#657
iJ~ This ce,tificate must not be altered in any manner; return ,o the office of the Board if ,nspectogs r~a¥ be id~n.~if[e~d'b~ their credentials.
incorrect.
COPY FOR BUILDING DEpAflTMENT~ THIS COPY OF CERTIF!CATE MU~iNO~ BE ALTERED INANy MANNER.
FIELD ~NSPECTION COMMENTS
FOUNDATION {1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FORM NO, 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ..........
PLEASE TAKE NOTICE t~at your application dated .................... ~~~ / ~ 19 ~ .....
~o~t~o~ o~ ~o~ tv ...... ~ . . :~. . .~ ....... ~. . · ~ ~ ............. ~ ~. .~. . .
House No. ~ Street Hem/et
County Tax Map No. lO00 Section ...~ ..... Block ... ~ ...... Lot . .~ .....
Subdivision ' Filed Map No ........ ~ ........ Lot No .................
~.?¢~.~,..~...~..~,. '/~. ...~.~.~.~ .~.~. ~~, ~ ..... ~.
~d, ~ . ~ ~y. ~: . ~ ~ .~. ~f> ~. . ~~ ~<:~. . ~/~ ~
RV 1/80
Southold Town Board of Appeals
MAIN ROAD- STATE RnAD 25 SOUTHOLD, L.I., N.Y. 11971
TELEPHONE (516) 765-1809
Pursuant to Article XIIZ of the Suffolk County Charter, the
Board of Appeals of the Town of Southold, New York, hereby refers
the following to the Suffolk County Planning Commission: for your file:
X Variance from the Zoning Code, Article III , Section 100-30
Variance from Determination of Southold Town
Building Inspector
Special Exception, Article , Section
~ Special Permit
Appeal No.: 2932
Location of Affected Land:
County Tax Map Item No.:
Within 500 feet of:
X
or
Applicant: J. and M.J. Davis - Slotkin
Ackerly Pond Road, Southold
1000-70-5-4
Town or Village Boundary Line
__Body of Water (Bay, Sound or Estuary)
State or County Road, Parkway, Highway,
Boundary of Existing or Proposed County,
Owned Land
Boundary of Existing or Proposed County,
or Other Recreation Area
Thruway
State or Federally-
State or Federal Park
Existing or Proposed Right-of-Way of Any Stream or Drainage
-- Channel Owned by the County or for Which The County Has Estab-
lished Channel Lines,
Within One Mile of a Nuclear Power Plant
Within One Mile of An Airport.
COMMENTS: Applicant ~o ~q,~es~ing ' '
Cnpx3 nF J~i~(mn i~ Anmlm~ 6m~ yol]r file.
Dated:July 7, 1982 ~. S~cr~ary, Board df A~als
TOWN OF SOUTHOLD, NEW ¥01~K
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2932 by application Dated November 20, 1981
and application for rehearing dated January 14, 1982
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOV~N OF SOUTHOLD
To Abigail A. Wickham, Esq. as attorney for AppeUant
Jay P. Slotkin, M.D.
Main Road, Mattituck, NY 11952
at a meeting of the Zoning Board of Appeals on April 14,
. 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
Cf ) Request for a variance to the Zoning Ordinance Art ·
( )
1982
III, Sec. 100-30
the appeal
1. SPa~~~~Y~i~x~~M~Ix~Yax~x~F~x ) be
~anted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... para.apb
.................... of the Zon~g ~dinance an~ the dec.on of the Building I~pector ( ) be reversed ( ) be
Y~X~x~hva~ePublic Rehearing Held 3/19/82: Application of J__ay P. and
M. Joanne-Davis Slotkin, by Abigail A. Wickham, Esq., Main Road, Matti-
tuck, NY for a rehearing of Appeal No. 2932 for permission to establish
multiple professional medical offices on premises zoned "A" Residential
and Agricultural, varying the zoning ordinance, Article III, Section
100-30. Location of Property: 50 Ackerly Pond Road (a/k/a 49725 Main
Road), Southold, NY; bounded north by Johnson; west by Baker and Stout-
enburgh; south by Ackerly Pond Road; east by Main Road; County Tax Map
No. 1000-70-5-4.
/
(SEE ATTACHED SHEETS)
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce
hardship because
practical difficulties or annecessary
(SEE ATTACHED SHEETS)
(b) The hardship created (is) (La not) unique and (would) (would not) be shared by aH properties
alike in the immediate vicinity of this property and in the same use district because
(SEE ATTACHED SHEETS)
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would)
change the character of the dLstrict because
(would not)
(SEE ATTACHED SHEETS)
and therefore, it was f%lrther determined that the requested variance ( ) be granted ( be denied and
that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed, lk
ZONING BOARD OF A/~PE~LS
page 2 - Appeal No. 2932
Matter of Jay P. Slotkin, M.D.
Decision Rendered April 14, 1982
By this appeal, applicants seek a variance to the provisions
of Section 100-30 for permission to use residentially zoned
property to be used as a three-profession office-type building.
The premises in question is located on the north side of
State Route 25 and the east side of Ackerly Pond Road, Southold,
and comprises approximately .59 of an acre. The property is
improved with a l~-story wood frame house and accessory garage.
It is designated on the Suffolk County Tax Map as District 1000,
Section 70, Block 5, Lot 4. A majority of the properties
surrounding the subject premises is zoned "business"; and the
parcel immediately north of these premises is zoned residential
as well as the property immediately east of the subject premises.
At the hearing, it was shown by dollars and cents proof
that the land in question could not yield a reasonable return if
used for any of the uses allowed in this district by applicants
evidencing: the amount paid for the land in question; its
present value; maintenance expenses; land taxes; the amount of
mortgages and other encumbrances. Testimony was offered by real
estate brokers testifying the value of the premises with improve-
ments to be around $60,000, and if in another residential
location between $72,500 and $75,000. The brokers also testi-
fied that during the period of time this property was listed with
their offices, only one offer to purchase was made, and that
offer was made subject to obtaining this use variance. Apparently
the reasons for this lack of interest by potential customers was
due to the expansion of the surrounding businesses and the busy
street intersections.
tn considering this appeal, the board determines that the
burden of unnecessary hardship has been satisfied in that the
land cannot yield a reasonable return if used only for?~ purpose
allowed in this district;, that the circumstances are unique;
that the use applied for will not alter the essential character
of the neighborhood; that the use will not prevent the orderly
and reasonable use of adjacent properties or of property in
adjacent use districts; that the use will not prevent the orderly
and reasonable use of permitted or legally established.uses in
the district wherein the proposed use is to be located, or of
permitted or legally established uses in adjacent use districts;
that the safety, health, welfare, comfort, convenience and order
of the town will not be adversely affected by the proposed use
and its location; and that the interests of justice will be
served by allowing the variance conditionally as noted below.
On motion by Mr. Sawi. cki, seconded by Mr. Grigonis, it was
RESOLVED, that the application of Jay Po Slotkin, M.D.,
Appeal No. 2932, is hereby granted SUBJECT TO THE FOLLOWING CON-
DITIONS:
(a) Any future expansion must be approved by the Board of
Appeals by formal application prior to construction;
(b) Not more than three medical professionals;
(c) There shall be a minimum of 12 parking spaces which
shall be in compliance with Section 100-112(C) of the Zoning Code;
(d) The parking areas shall be paved with four inches of
crushed bluestone blend, rolled;
?
(e) Screening with hedges or wooden stockade fence along
the rear and side property lines abutting the residential parcels
~Pa~e 3 - Appeal No. 2932
Matter of Jay P. Slotkin, M.D.
Decision Rendered April 14, 1982
not less than 3' and up to 6' high;
(f) Eg£ess and ingress shall be off Ackerly Pond Road;
(g) No removal of the existing black-pine shrubs along the
road front property areas.
Location of Property: 49725 Main Road (a/k/a 50 Ackerly
Pond Road), Southold, NY; County Tax Map Parcel No. 1000-70-5-4.
Vote of the Board: Ayes: Messrs. Goehringer, Grigonis,
Doyen, Douglass and Sawicki.
This resolution was unanimously adopted.
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
INSTRUCTIONS
a. 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 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
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 a~terations, 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 necessary inspections.
(Signature of applicant, or name, if a corporation)
~80 Ro~inso~ Ro~cl Green~ort, N. ~.
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Name of owner of premises ....~.~.,....ff.:...p.];.?..~:;k.J:.n. .................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No....~.8. .............................................
Plumber's License No, M D~wson (lzeens-¢].)
Electrician's License No..~,~,e,~z,,z',,,e,,c!,..,b,~,,,.o,~.~.,e.,~ ......
Other Trade's License No. Aone
1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No .........................
Aker],y ~'on~ L~ne $ou~hol~. N. ~.
Street ond Mumber ........................ : ...........................................................................................................................
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ....... ~e.~.:l:...~..e..n...~..z...~:?...~..w..:..1-.7:~?.;~ ....................................................... -'. ................
b. Intended use and occupancy ................................................ ,,.~¥..,,..,~,,.~ ................................. .~-.>-., .............
3. Nature of work (check which] applicable): New Building .................. Addition ................. , Alteration ..~.~ .........
Repair .................. Removal J .................. Demolition ......... ~ ........ Other Work ..........................
' ! ~- ~ j , /~ (Description)
(to be paid on fihn~his application)
5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................
If garage, number of cars ..... ! ........................................................................................................................................
6. If b:usiness, commercial or imixed occupancy, specify nature and extent of each type of use ............................
...................
7. Dimbnsions of existing structdres, if any: Front 50' ......... Rear ..... ~,f) ....................... Depth
Heiqht ........................ Numl?er of Stories el~e & oma ha,lf
Dimensions of same structure with alterations or additions: Front ...... ,fi.,0...* ........................ Rear .....5...0..t.~. ................
Depth ........ ,8..,2.,~. ................. Height ............................ Number of Stories ...... .]..,&. .....................
8. Dimensions of entire new cofistruction: Front .................................... Rear ............................ Depth ........................
Height .................... Numbe¢ of Stories .....................................................................................................................
9. Size 6f lot: Front
................. ! ....................................... Rear .......................................... Depth ................................
10. Date of Purchase ................. i ....................................... Name of Former Owner .......... .f.~,h..am.. ...............................
11. Zone or use district in which 'premises are situated ..~..~.i.~.~.n..~.~..~..1. ........................................................................
12. Does proposed construction vi, elate any zoning Iow, ordinance or regulation: ........................................................
13. Will lot be regraded? ........................... Will excess fill be removed from premises: ( ) Yes ( ) No
Name of Contractor .C..'....~t !p'o~el
.................................................. Address .~.~...q.~...o.~.~. ......... Phone No. ~.Z~.0...g..g..~ .....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and blqck number or description according to deed, and show street names and indicate
whether interior or corner lot.
This is ~n ~xisti~F, dw~,lli~g on th~ corner of M~in Road and Akerly
P'oD~ Lane, Southold. A"ll al, t~rations will l*e on. the imterior of the
bu'ilrlimg. All exterzor dime~s~.ons will remain the same.
STATE OF N
COUNTY OF~~'~......,~.f ~
..... i ~ ''~ ~'cr ....................................... being duly sworn, deposes and says that he is the opplicam
INome of individual signing contract)
above named. ~ '
He is the
I (Contractor, agent, corporate officer, etc.)
of said owner or owners, end is duly authorized to perform or have performed the said work a,nd to make and file
this applicqtion; 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 tlne manner set forth in the application filed therewith.
Sworn to before me this ~
........" day of ............... ,
Notary PuD c .... [ ...... ~d*rl~...' County
','"" ........................................ ..............................
JJOTARY PUBLi0, State of New York
\! }10. 52.8125850,MarchSUff°lk30, C aml~'/
~ T~nn Expires
, , ~ ~ , ~ ,. ,
. ,..~ . : . ~ ,
GARRETT A. 8TRANG ~%.
arch i t e ct ~'~
516 ' 765 ' 5455 o. *.,~
UB
/ ~ '~ ~ ' ~-- u,
APPRO, VED AS NOTED
~OLLOWING INSPECTIONS;
~m~ ~ ~ ~. FOUNDATION - ~0 REQUIRED
FOR POURED CONCR~E
._ , .- ~_~ _~A.~A~ ~copper fubing is used 2. ROUGH - F~MING & PLUMBING
~l~t~5~,~.~ o~ ' ' for water distribufing 3. INSULATION
IA~T1TOT~ T ~ 4, FINAL.- CO~TRUCTION MUST
_..~/~ ~tR~.~ syslem;plpingshallbe BE COMPL~E FOR C.O.
~.~J, ~ ~ ~o: h :, of~pesKorLonly ALL CONSTRUCTION SHALL ME~
, THE R~QUIR~M~NT5 OF THE N, Y.
~R . N~ YO~ ~A~ ?' STATE CONSTRUCTION & ENERGY
~ ~r~f~ ~ ~ CODES. NOT RESPONSIBLE FOR
~[~ O~ ~N~UCTION ERRORS,
RO, Box i412 go~t~o,l~ N,Y. 11gli-. ~- ~...~..~i~... ~. . 'f~' ~__..., '
516 ' 76.5 ' 5455..,w,~ .,.~w ,, .
J
I I
GARRETT A. STRANG
architect
Main Road P.O. Box 1412 Southold N.Y. 11971
516- 755 - 5455
LOCATION
V.+ '-