HomeMy WebLinkAbout11826-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southold, N.Y.
Certificate Of Occupancy
No..g.1.1.4. ~ .......... Date ...... qg~a.u.a.r. 7' .2.6. .............. , 198.3..
THIS CERTIFIES that the building ................................................
Location of Property .. 1 $ 9.1.7 Main Road East Marion
House No. Street Hamlet
County Tax Map No. 1000 Section . .0.2..3 ....... Block . .q ! ........... Lot..O.O.7 ............
Subdivision...X. ........................... Filed Map No..X. ...... Lot No....X. .........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·. ,8kt.l.!Z. ~ 9 ........... , 19.8.2. pursuant to whichBuilding Permit No.. 1. .1.8.2.6...g ............
dated . . . .G .u.l. S( . .2 .8 ................. 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 .........
cony. er ~%.q~. of..~gr.e.e.-, c~r .9.ar.a. qe...~.o., t..wp.-.q .a.r..qa.r..ag.e.. ~...s.qq 9.n.d' .f..19.o.r' ...
studio addition.
The certificate is issued to ......... AARON & BARBARA SHIKLER
of the aforesaid building.
Suffolk County Department of Health Approval ...rl/g ....................................
UNDERWRITERS CERTIFICATE NO. [q 589740
Rev. 1/81
Building Inspector
BUILDING
(THIS PERMIT MUST BE KEPT ON tH.~ pR~ S~S UNTIL ~ULL
COMPLETION OF THE WORK *UTH'~RI7ED!
Per ission is hereby gr~ ted to: ~ .
at p~remise~ Jocated at ..~
x Mop No, 1000 ~S ct,on ~ ,,,.;.. BI~E-{;
~sp ~ application dated ~nd
~;,~ :; ~pproved by the
ant o ...... ; ;. .~,t,,;,.~.,,)~ 19~
~n~ ~s~ec+or. ~ ::
FORM NO.
TOWN OF SOUTHOLD
Town
SouthoM,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and subr~[tted 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 ali buildings, property lines, streets, and unusual
natural or tooograohic features.
2. F/nat ,a, pproval of Heaith .D. ept. of water suop y and sewerage disoosal--(S 9 form or equal).
3. Approzal of electrical fns,allation from Bobrd of Fire Underwritbrs.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildlng~ 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 prooerty lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner as to use, occuoancy 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. .y
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
$5.00
Ne"v4~ ¢-~-~'A-O~c-..'.&C,-C.'r~. Old or Pre-existing Building(X) . _. ,P~_ .... =/Vacant Land '. ............
Location of Property /~ IA/
House No. '/' · '~ · "· . . '. '~'. · ·
Stree~ Ham/et
Owner or Owners of Property .
County Tax MaD No. 1000 Section ~¢,~, ~ ~)/' .
.......... Block .............. Lot. -~- .~.. 7. ........
Subdivision
................................. FiledMapNo...; ....... Lot No ...........
Permit NO. Date of ~ ~:* ~/.? pplicant ..............
Health Dept. Approval . - ' · ........ Labor Dept. Approval .......................
Ap ~ d App -
Underwriters proval . · *' .......... Planning Boar royal ..........
Request for Temporary Certificate ·
· dO .... : ................ Final Certificate ....... - .........
Fee Submitted S. ~ V/¢//
Construction on above described building and pn.i,t.m:;ts al~,ja~.p~/ca,/~le,~codes and regulations.
Applicant ..... ~..~..'
,,,. Ta 0 .0.
1000121
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~ BUREAU OF ELECTR ~; TY
lt~O985 JOHN STREETi NEW YORK NE~/V ~ORK 10038
13,
Bate
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the app. licant ttar~ed on the above application number itt the premises of
A~z~n Shikle~, Re. 25, (~uzew~, Ease ~o:, ~.¥.
in the /ollowing location; [~ Basement ~ Ist FI.
~.~e~.~i,~edo. Jm~uary 10, 1983
FIXTURE FIXTURES
OUTLETS SWITCHES
16 17
DRYERS
~ 2nd FI. Section Block Lot
and found to be in com~liahce with the rfquirements of this Board.
RANGES OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO. OF FEET
S E R V I C E
NO OF CC, COND A.W.
Electric Roc~ ~eaters,8 1.0 K.W., 1 .65 F~W., 1 .325 k.W. '
2-G.F.t.
1[~ ~eec~or
~l~c~:o-0, 4-lites.
[~~~.lm This certificate must not be dfered in any manner return to the office of '90 Board :~if incorrect InspectOrs' ~~y.their~~their ~reden '~redent,als.
~P~)[ql BUI~QING DEPARTMENt. THIS COP~OF ~$ll~l¢~i~Sj
COMMENTS
FIELD"INSPECTION
1.
FOUNDATION (1st)
FOUNDATION (~nd)
ROUGH FRAME &
FLUMBING
INSULATION FERN. Y.
STATE ENERGY
C~DE
FINAL
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
· ""~/.~'~'.'/~' "~'"'~x.. '~. ~ ..... ~,~.~..
PLE S O ICE that your applicaticm dated ........... ~'- · '7' ......... 19 .....
for permit to construct...~5:~?.~.77..~/.....~.~.~.ff../~-.. )~.~.~ .~.&.~.~. .................... at
Loo~tion of Property .../.-,. ~./ ..... ./.T.~..~.,':?.... .~.,,... ~>..,/~....~,~Cr.O.~
House No. Street Hamlet
County Tax Map No. 1000 Section ...<~..~. ~. .... Block ..... Q./. ..... Lot . ~.c7..~. ......
Subdivision ~ Filed Ma o. Lot No.
is returned herewith and disapproved on the following grounds .-.c~. ?.o~../..~-/. OX7.. C57. ~.. q-~.~..
RV 1/80
Building Inspector
THE STATE INSURANCE FUND
199 CHURCH STREET, NEW YORK~'N ~Y 10007
(212) 962-8900 ~ ~
CERTIFICATE OF WORKERS' COMPENSA~rlON INSORANCE
EMPLOYER
THIS IS TO CERTIFY THAT THE EMPLOYER NAMED ABOVE IS INSURE~ WITH THE STATE INSURANCE' FUND UNDER
~,.THE ABOVE NUMBERED POLICY COVERING THE ENTIRE OBL GAT ON DF THIS EMPLOYER FOR WORKERS'COMPEN-
SATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE
OF NEW YORK.
IF SAID POLICY IS CANCELLED OR CHANGED IN SUCH MANNER AS~O AFFECTTH S CERTIFICATE, 5 DAYS WRITTEN
NOTICE
SUCH CANCELLATION OR CHANGE WILL BE GIVEN TO' TI~E CERTIFI(~ATE HOLDER ABOVE. NOTICE BY
OF
REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT coMPLIAN(~E ~ITH THIS PR'OVISION. THE STATE INSURANCE
FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILU~IE 30 GIVE SUCH NOTICE.
Certificate Holder
Native and Address
1979)
THIS CERTIFICATE DOES NOT APPLY TO 8~II~DING DEMOLITION.
AND WITH RESPECT TO OPERATIONS OU~SID~ OF N.Y. To REGULAR NEW YORK
STATE EMPLOYEES ONLY. ! :i · ~
i HERBERT JACOBS
UNDERWI
FORM NO. 1
TOWN OF SOUTHQLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
Examined ....
Approved .............. ~, 1 Permit No ...........
~ ' (Budding Inspector) ; '/ .
. APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ...... .~../( .~ ..... , 19~
.a, This ~application must be completely filled itt by typewriter or in ink and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of ~ot and of buildings on premises, relationship to adjoining premises or public stre~
or areas, and giving a detailed description of taybut of property must be drawn on the diagram which is part of this apt:
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon apprc.'al of this application, the Building Inspector will i~sue a Building Permit to the applicant. Such pent
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 an~; purpose whatever until a Certificate of Occupan
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t
Building Zone Ordinance of the Town ~)f Southold, Suffolk County, Nbw York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to conrply with all applicable laws, ordinances, bbilding code, housing code, and regnlations, anti
admit authorized inspectors on premises and in buildings for necessary inspections. _
(')(,~ .t , ../ . . ........ . ..........
(Signature of applicant, or name, it' a corporation)
~. ~ ' Apt. 4W 44 W.' 77th St. New 'York. N..Y 10Q24
(~ailing address o£ applicant)
State whether appIicant is owner, lessee,~gent, architect, engineer, general contractor, electrician, plumber or build
Owrler
Nmne of owner oil rctmses . .larnn.$hi. kler .... ~,:X ....................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly attthorized officer.
(Name and title of corporate officer)
Builder s License No ........ ; .............. ,'..
Plumber's License No. ~.~..
Electrician's License No.' ~.. · .~. · .~i
Other Trade's License No ......................
1. Location of land on which proposed work will be done ................................................
15917 Main Road East Marion 11939
House Number Street Hamlet
County Tax Map No. ! 000 Section 023 Block 1 7
Subdivision ..... ~. .............................. Filed Map No )<' Lot
(Name) ............................
2. State existing use and occupancy of premises and intended use and oe~upancy of proposed construction:
off% ~amil .'~..c.a.~. .....................
a. Existing use and occupancy ............... ~ ..... .y. . g.a.r.a..g .e.
one family artist studio and two car garage ........
b. Intended use and occupancy ...............................................................
' x x
1. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
. Repair .............. Remeval ........... Demolition .............. Other Work ..............
: (Description)
Estimated Cost ~.2.5., Q.O.O
(to be paid on filing this application)
; If dwelling numberofdwellinginnits one Numberofdwellingunitso eachfloor one
If garage, number of cars .... i..l;wo. ........
;, II business, commercml or m~xed, occupancy, specify ~,ature and extent of each type of use ................... .
i Dimensions ' ' .........
· of existing structures, if any: Front... 957. .. Rear .. 9.5.~ ....... Depth .1.8. & ./1-0 .....
lteightl 12~ OU Nuniber of Stories
................ OD.O ...............................................
DJ si f )ti ations dd' ' s: F
men OhS o same structure w ~ alter or a mon ront ............. ear ..............
Depth.., t.8..&. 40 ........ ~.. Height ... 1.2 T ............... Number of Stories..one. ,and. t:~ao .......
I. Dimensions of entire new constmchon: Front ...28.L Rear .28!... Depth . .20.L
Height . 28 ............ Number of Stories .... tzwo ...............................................
' ~ 1.8,3 1.$.~ pth
Size of lot: Front ...... 182..;7.0.. ......... Rear ................. De ............. '.
Date 6fPurchase ..... $98a } .................. Name of Former Owner ...Dr,. Ro~e ................
Zone or use district in which promises are situated., al a:.esiden~ia[/.agr~¢uT~ura
Does proposed construction violate any zoning law, ordinance or regulation: .. n,o ..........................
Wt o~beregraded n: ' · ........ Will excess fillb re ov ' :
.... no .......... e m ed from premlses Yes No
Name Of Q&,g~h~epxlemises .. ~aror~ .ShiKker.. Address .4.4 .lq/..7.7. .~: ,. ~¥~.J. Phone No ................
Name Of ~ 7. ~arr~rs' .A,. S,ambach...., Address 1..7.3 .Hj.J..Tk~$qt~a..AVOPhone No..5.1. ~ .- 7.6:. 7. -: ~ .0.9.6.
Nme of Contractor Address W. illi~l:cln P~r.k Phone No
PLOT DIAGRAM
Locate ~leariy o. nd distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from
mperty lines. Gh'e street and blocklnumber or description according to deed, and show street names and indicate whether
.terior or corner lot.
TATE OF NEW YORK,
OUNTY OF..Manhattan. ' . S.S
Aaron Shikl er
(Nanie of indMdual sig~iing contract)
~ove named. ~
being doly sworn, deposes and says that he is the applicant
is the owrter
(Contractor agent corporate bffice'r otc )
f said owner or owners, and is duly authoHzed to perform or have performed the said work and to m~e and file
)plication; flint, all statements contai~ ed in this application are true to the best of h s knowledge and behef; and that the
'ork will be performed in the maun6r set forth h~ the application filed therewith.
worn to before mc this
...... 12. ~,, ..... ~ day o~f ..... ~U%Y ........ 19 .~
~ota~P~[,.;,; olate , W :fork ' *
' * No. 30-6302300 * · .'...
. . '~ Qualified iff' NaSsau CounW~/, ' '
' ~om ssion ~pires March 30,
(Signature of
Souihold Town Board of Appeals
MAIN ROAD- ~TATIK RrlAD 2~, ~mLITHOLD, L.I., N.Y. 11971
TELEPHONE (516) 765-1809
APPEALSBOARD
MEMBER~
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH H. SAWICHI
Mr. Warren A. Sambach
173 Hillside Avenue
Williston Park, NY 11596
April 15,
1982
Re: Appeal No. 29%5 - Aaron Shikler ~
Dear Sir or Madam: ~
This letter is to confirm that the following action was
taken at a Regular Meeting of the Southold Town Board of Appeals ~
held on April 14, 1982:
RESOLVED, to~q~ant~DD~o~a~. of access over the subject
right-of-way applied for in Appeal No. 2965, application of
Warren A. Sambach for Aaron Shikler, SUBJECT TO THE FOLLOWING
CONDITION:
1. Where the terrain of the land over which such access
road is traversed is such that drainage problems may occur, the
applicant/owner shall be required to construct such drainage
facilities as may be recommended by the Town Engineer.
An official determination and findings will be filed with
the office of the Town Clerk as soon as possible and simultane-
ously forwarded to you for your records.
If you have any questions, please do not hesitate to call
our office. If you wish to start construction as early as pos-
sible, please return to or call the Building Department for
issuance of your building permit at 765-180~.
Yours very truly,
GERARD P. GOEHRINGER
CHAIRMAN
cc: Building Department
By Linda K0walski, Secretary
Mapch 5, 1982
Mr. l'Tarren A. Sambech
173 Hillaide Avenue
Wil. liston Far'k, ~;.¥. 11596
Re: ~our letter of 2/26/82,
regardin¢; the Schickler property, East Marion
Job No. 1582
Dear Mr. Sambacl~:
The preliminar'y plans dated 2/15/82, one of three, indi-
cates the upper deck addition will not ~iola. te the yard area.
The propos~d ~ocoud floor and ihs use can be permitted,
variance needled.
~n apppoval of acce~ under 280~,;o~ tt~e Town L~w ;,~il] be
Peqalz'ed befope a building per~ait can be issued. I am enclosing
the disapproval and form~ needed to apply for approval of
If you have any questions, do not 5esitate to contact us.
Sincer9ly yours,
George ~I.
Senior Bu~lding Inspector
GHF:ec
Enclosupes
OTTO .J. SAMBACH
WARREN A. SAMI~ACH
CONSULTING ENGINEERS-PLANNERS
173 HILLSIDE AVENUE
WILLISTON PARK, N.Y, 11596
February 26, 1982
Mr. George Fisher
Town of Southold
P.O. Box 728
Town Hall
Southold, NY 11971
Re:
Aaron Shickler
Sect. 023, Block 1, Lot 7
North of Main State Road
East Marion, NY
Dear Mr. Fisher:
With reference to your letter of February
I am enclosing a preliminary plan showing
installation of an artists studio over an
attached garage.
Sincerely,
Warren Ao
Sambach, P.E.
df
25, 1982
the proposed
existing
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Date .................... 19
PLEASE TAKE NOTICE that your ~l~n~tion dated ............... ff~] ~Y.....(): (:'., 19 ~.2~..
for~ to construct. ~ ~ bc~, ~..,.d.~i...~ f1'N' '~ ~ * S'~.~.k~ F~. · .A ~T]hZ'H ~ ~'' '~J/~ .,k'tN~ ~ ...... at
Location of Property
Stree~ Hamle~
County Tax Map No. 1000 Section ...... ~,~ . . . Block ........ { ..... Lot . . ~/ ..........
Subd{vision ...... ~ ..... Filed Map No ..... ~ ....... Lot No ..................
is returned herewith and disappr ovid on the followMg ~ounds .....
'ti ~' i~' ~ ' "~.; ~: ' ' ~ ~ >' Lb,' { :; ' ' ' ~ r~ ~ rc · '~0 '< ' ' ~"~ '~? .... ~ ~ ~ ~ v.a.~...~9 ~. · ~c~. ~..;.~. ·
''' 7: , ~, - '~'D'~ '~('i,3M' ';,~'¢V ' ~ ..................................
- Buildini Inspector
Southold Town BOard of Appeals
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2965
Application Dated March 29, 1982
TO:
Mr. Warren A. Sambach
173 Hillside Avenue
Williston Park, NY .11596
[Appellant(s)]
At a Meeting of the Zoning Board of Appeals held on April 14, 198.2,
the above appeal was considered, and the action indicated below was taken
on your IX] Request for Variance Due to Lack of Access to Property
New York Town Law, Section 280-a
[ ] Request for Special Exception under the Zoning Ordinance
Article , Section
[ ] Request for Variance to the zoning Ordinance
Article , Section
[ ] Request for
The public hearing concerning this appeal was held on April 14, 1982.
Upon application of Warren A. Sambach, 173 Hillside Avenue, Williston
Park, NY (for Aaron Shikler and wife) for a Variance for approval of
access, New York Town Law Art. 16, Sec. 280A. Location of Property:
Private Right-of-Way off Main Road, East Marion, NY; bounded north and
south by Swick; west by Swick and Woglom; east by Swick and Jayne;
County Tax Map Parce~ No. 1000-23-1-7. ~
The board made the following findings and determination:
By this application, applicant seeks approval.of access over
an existing private road with a good base, roughly 15 feet width,
located off the north side of Main Road in East Marion. The lot
to which this access is referred has frontage along this access
road of approximately 269 feet and is more particularly known
as County Tax Map District 1000, Section 23~ Block 1, Lot 7,
with an acreage of roughly 1.1 acre. The right-ofrway in ques-
tion is the only viable route to the premises to the board's
knowledge.
In considering this appeal, the board determines that the
variance request is not substantial in relation to the code
requirements; that the circumstances herein are unique; that
by allowing the variance no substantial detriment Go 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
(Continued on reverse)
DATED: May 5, 1982.
Form ZB4 (rev. 12/81)
CHAIRMAN~S~UTHOLD ~TOWN ZONING BOARD~\'
OF APPEALS
Page 2 - Appeal No. 2965
Matter of Aaron Shikler
Decision Rendered April 14,
1982
purposes of zoning; and that the interests of justice will be
served by allowing the variance as applied for and!indicated
below.
On motion by Mr. Grigonis, seconded by Mr. Sawicki, it was
RESOLVED, to grant approval of access over the subject
right-of-way applied for in Appeal No. 2965, application of
Warren A. Sambach for Aaron Shikler., SUBJECT TO THE FOLLOWING
CONDITION:
1. Where the terrain of the land over which such access road
is traversed is such that drainage problems may occur, the
applicant/owner shall be required to construct such drainage
facilities as m~y be recommended by the Town Engineer.
2. That this access is deemed to include the. approval of
access to this parcel and the parcel most southerly of the
parcel in question abutting this private road fromlthe public
town street to the parcel in question.
Location of Property: Right-of-way off the north side of
Main Road (S.R. 25), East Marion, NY; County Tax ~ap Parcel
No. 1000-23-1-7.
Vote of the Board: Ayes: Messrs. Goehringer~ Grigonis,
Doyen, Douglass and Sawicki. This resolution was ~nanimously
adopted. /
AND FILED BY
Town Cle~'k, Town ~q~o*a
NOTIFY BUILDING D~TMENT AT
7~5-1D02 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3 INSULATION
4. FINAL ~ CQh~STRUCTION ~UST
BE Cr~MPL~E FOR C O
L~FF P~A~J
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