HomeMy WebLinkAbout12302-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupancy
Zlq97q 1983
No .................. Date October
THIS CERTIFIES that the building ~.CCES£ARY. ....................................
Location of Property ... 3~gS. · .Grand..Ave .......... I~a2b.t±tuc2~
.oose ~vo. Street .................
County Tax Map No. 1000 Section ... fi.Q9 ..... Block .... O.1 ......... Lot .... 0135'. ....
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in tkis office dated
·.. Y/arch .lO ........ ,1903. pursuant to which Building Permit No. 12.3027.- '
dated . [v~a~ .9 ..................... 19 .~.3., 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 ......... For an accessary garage as per appeal #3098
The certificate is issued to .I-L~R-Y-- .J,. ~AYL~.~- .&: F.LOR~IGE .A'...PAV.L~.t~ ...............
of the aforesaid building.
N/A
Suffolk County Department of Health Approval ....................................
UNDERWRITERS CERTIFICATE NO .1~6. '1. 31 ~0 ·
Rev. 1/81
Building Inspector
BUILDING DEPARTMI~Ng~
TOWN HALt,
$OUTHOLD, N. Y.
BU~LDING PE~!T~,
Rev. 16/3OZSO ~ ~ ' il ' ~ '
(THIS PERMIT MUST BE KEPT ON THE PRE, ISleS UNTIL ~ULL
7
COMPLETION OF THE woRK AuTHoRIZED) ;
N? ~2302 Z Date ...... ~..~.,...:.~:F.~:. .................... 19..~.,~
Permi~ion is hereby granted to: ~
........... ~ ....... ~.~....~.~g...
....... ~..../~.~.....~L~...~; ................
......... Z~.ZZz.....~...~,.~.....,z~
,o ,.~......~~.?~ = .;...~~ ~......~~..
at premises I~ated at ..
................................................................................................. ?...,, ............. ~~..
.......-. .......... , ................................................................ ........ , ,..~ ·...: ...... ,:~ ............ ~ ~,~ ..........................
Coun~ TaX M:p No. 1000 Section ........ ~.~.2. ..... Bilk .;'.,~.1.... ...... Lot No. ;...~.~ .......
pu~uant tb application dat~ .... ~O..:....~....*;...:-~L.., 19~ and Opprov~ by the
Building Inspector.
FORM NO. 6
TOWN OF $OUTHOLD
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 features.
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 Underwriters,
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.
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 tines, 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.
C. Fees:
1. Certificate of occupancy $5.00 ~ ~_/$
2. Certificate of occupancy on pre-existing dwelling Jand use ~/ 5.00
3. Copy of certificate of occupancy $1.00
Date..
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property .
House No. Street Hamlet
.......... .. . . . ...........
Owner or Owners of Property ;~'~'.~,~.~-¥~-.c-~-,'~..~.,~,,.~P.~,~.'~F.,'F~..,J~
County Tax Map No. 1000 Section .. l.O. -¥Z ........ Block .... .0..~ ........ Lot., .(~, ,~, ,~: ,--: .....
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No,\~-~O,'~ ~ Date of Permit '.~.$"[1 ~/.-~....Applicant.. ,~.'.~., ,~,~q .~. % i .~. ?.~.q. L ~c~% .~ .....
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~~,/7~i:ble codes and regulations.
Applicant.. ~/U(4'~.~. '~ .~'~.. ..............................
Rev, 10-10-78
OF D~OPE~TY
r' dOl4 N
4Cfi A.
PAVL. At4
PAV L,A
.'.daF' s Da[e: WEDNESDAY, APRIL 20,
',.':tubers .%bsent~ if any:
1983
i' ?.-}olutien made by:
.<.,-:son ded by:
( )
( )
(
(
(
Approve as applied for
D:ny as applied for
Deny
Den}' without prejudice
Withdrawn without
Prejudice
( ) i )''<. ( )/
( ) ( ) (') (wY'
( ~fi~.'pprove ;¢i[h the following conditio~s:
( ) Suo ~c~ ~o County Planninq re£erral
( ) Subiect to Plann!na Board aDnroval
( ) Sub:est to D.E.C. rest!la/ions ( ) Other:
, .. Ot?
, Ntt v, lttun the Character of the Neighborhood ( ~ , ~C~rantln''' the Relief .:, ~{ : tne~ues'ec'
is
Variance is Substantial in Relation to Code
.'.:ct ~ h~.~c.,~ny [,.lith pu~"~oses of the
}Llrdship not S,lfl/cien[
Circumstances are. Not Unique '
' ,[i ,}?t a precedent in ihe nei~hkorhood
.'.".}a is already very cengesled
":'}rests of justice serve! by derlying
(
(
(
(
()
()
()
spirit of the zoning code
Relief is not substantial
Burden of hardship or difficulty ah,
Circu.T, stances are unique
Variance will not change character
the neighborhood
Interests of Justice served by' gz'an
Otheu for Special Exceptions
()
()
()
(
(
(
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'SOFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................ Date .......................... ,
for pe~t to construct.., c.: ....... ,,~..y> · ·: .~ .... ~ ...... ~ ....> .....................
Location of Property ......................... .f ....
....... 7 ......... Filed M~p No. Lot No ...............
Subdivision ~ · ............... · · '
~ return~ ~erewit~ an~ ~isa~erow~ on t~e ~o~ow~ ~roun~s .....
Building Inspector
RV 1/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
THIS CERTIFIES ~HAT
only the electrical ~qui~o~en~ a~dq~cribed below and introduced by t~ applicant ~:ned on the able application nu tuber im the premises o
in the following location; [] Basement [] 1st FI.
was examlned on /X~ 11~ ].~J~
[] 2nd FI. CO~D.3f.~(~ Section Block
and found to be in compliance with the requiretnents of this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS
OUTLETS SWITCHES
DRYERS
FUTURE APPLIANCE FEEDERS
TIME CLOCKS UNIT HEATERS
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
Paaelbo~'d~-~. 1~.40~~. , 10~.
S E
NO. o ~E RCC,{~.CON O
AWG
OF CC, COND.
I C E
NO, OF HI-LEG
AW.G,
OF HI-lEG
NO. OF NEUTRALS
A, WG
OF NEUTRAL
lk.~rd Dill.uug~n
Dray Av ~enu~
Lam-el, N.Y. 11~4~
This certificate must not be altered in any manner;, return to the office of the Board if iinc~rect.
DEPARTMENT. THI~ f OF
GENERAL MANAOEE
ll
may be identified by their credentials.
'MANNER.
FIELD I ~NS?EC~TION COMMENTS
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
qODE
FINAL
~/r/2 '
ADDITIONAL
Oil 0 /1 our o ea
MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11¢J71
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 3098
Application Dated March 15, 1983
TO:
Mr. and Mrs. H. John Pavlak
P.O. Box 962
Mattituck, NY 11952
(Public Hearing held 4/20/83)
[Appellant(s)]
At a Meeting of the Zoning Board of Appeals held on April 27, 1983
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
[ ] Request for Special Exception under the Zoning Ordinance
Article , Section
IX] Request for Variance to the Zoning Ordinance
Article III, Section 100-32
[ ] Request for
The public hearing on this matter was held on April 20, 1983.
Upon application of HENRY JOHN PAVLAK, 3505 Grand Avenue, Mattituck,
NY for a Variance to the Zoning Ordinance, Article III, Section 100-32
for permission to construct accessory garage structure in the sideyard
area. Location of Property: 3505 Grand Avenue, Mattituck, NY; County
Tax Map Parcel No. 1000-107-01-005.
The board made the following findings and determination:
By this appeal, appellant seeks permission to construct a 22' by
32' accessory garage structure to be located in the northeasterly
sideyard area, approximately 65' from the existing l~-story frame
dwelling, and between 10 and 15' from the rear property line. The
parcel in question contains an area of .9265 acre with 228.12' front-
age along Grand Avenue. The depth of this parcel in the area of
the existing dwelling and proposed garage is 94.89 feet; the dwelling
is set back 42' from Grand Avenue leaving very minimal rearyard
building area. It is the opinion of the board that~the relief.
requested is reasonable and most feasible under the circumstances.
In considering this appeal, the board determines that the variance
request is not substantial in relation to the requirements of zoning;
that the circumstances are unique; that by allowing the variance
no substantial detriment to adjoining properties will be created; that
the difficulty cannot be obviated by a method feasible for appellant
other than a variance; that the relief requested will be in harmony
with and promote the general purposes of zoning; and in view of the
manner in which the difficulty arose and in consideration of all the
above factors, the interests of justice will be served by allowing the
variance as indicated below.
On motion by Mr. Goehringer, seconded by Mr. Sawicki, it was
RESOLVED, that Appeal No. 3098, application of HENRY JOHN PAVLAK
for permission to construct a 22' by 32' accessory structure for
garage purposes in the sideyard area as applied, BE AND HEREBY IS"
APPROVED, SUBJECT TO THE FOLLOWING CONDITION:
(CONTINUED ON PAGE TWO)
DATED: May 6, 1983.
Form ZB4 (rev. 12/81)
CHAIRMAN, SOUTHOLD TOWN ZONING BOARD
OF APPEALS
Page 2 - Appeal No. 3098
Matter of HENRY JOHN PAVLAK
Decision Rendered April 27,
1983
That this accessory structure not exceed 15' f~om the rear
property line (and be no closer than 10' as requested).
Location of Property: 3505 Grand Avenue, Mattltuck, NY; County
Tax Map Parcel No. 1000-107-01-05.
Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Douglass
and Sawicki. (Member Grigonis was absent. This resolution was
unanimously adopted.
R, C .ivJ D AND FILED BY
7HE ~O,3J.; .~-,~.D TOWN CLEP, K
APPROVED
.ChaJl'man iBoard of Appeals
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined., ~///c) 19 c75 Application No...~.~..~.~..q .c.~:
Disapproved a/c ................... ~'. ........
. ~ //~/~ , ~uitding Inspector)
,APPLICATION FOR BUILDING
......
a. T~s application must be completely filled in by ~pew~ter or in ink and submitted to ~e 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 build~gs on premises, rela~onship to adjoining premises or pubic streets
or areas, and giv~g a det~led description of layout of property must be drawn on the diagram which is pa~ of this appli-
cation.
c. The work covered by this application may not be commenced before issu~ce o~ Bu~d~g Permit.
d. Upon approval of this application, the Building Inspector will issued a B~d~g Pemit to the applic~t. Such pemit
shall be kept on the premises available for inspection ~roughout the work.
e. No buitd~g shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to ~e Bulldog Dep~ment for the issuance of a B~lding Permit pumuant to the
B~lding Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or
Regulations, for the construction of buttings, additions or alterations, or for removal or demolition, as here~ described.
The applicant agrees to comply with all app~cable laws, ordnances, building code, housing code, and regffia~ons, and to
admit authorized inspectom on premises ~d ~ build~g for necessa~ inspect~ ~
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ....~.~..~?.)f...~.'. ?...oJ~... (~..,...~...F....~......~...P.~ ....................... (as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) '
Builder's License No ...... ~ ...............
Plumber's License No .........................
Electrician's License No.. ~. ~
Other Trade's License No.
...... ..........................................
House Number Street Hamlet
County Tax Map No. 1000 Section .......... '---...1~. Block ........ ~.. ~.. ~, .... Lot .~..
Subdivision ................ (~q'a~) .... Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~
........................................ '. ,~; .% i .v~'p. ~'. ................
b. Intended use and occupancy ........ ~. 2~ ~ ' ' ~
...................... - , t,' .... ~,.,':'.~'', ................
10.
11.
12.'
13.
' '14,.
~pli ) A Additi --" Alte tio -
Nature of work (check which a cable: New Building ........ on .......... ra n ..........
Repair ...--...; ....... Removal ..... ', Demolition .~ ~J~/~' ..
, · ·: ..... '- Other Work ........
, ' ~ (Description)
Est atedCost Fee.. .d .............................
(to be paid on filing this application)
If dwelling, number of dwellingoUnits ............... Number of dwelling units on each floor ...... .' .........
If garage, number of cars .. ~ ~ .......................................................
If business, commercial or mixed occupancy, specify nature and extent of each t,~ype of use .. :. ....
Dimensions of existing structures, if any: Front ,-~..~- ,. Rear . .~.~ . Denth . ~b ..........
Height ............... Number of Stones .................. (,~ ...............................
ith It dditi '
Dimensions of same structure w aerations or a OhS: Front ..... Rear ............
pth.. ight ....
De ------ ~ He ...................... Number of Stories....'7-... ................
Dimensions of entire new construction: Front J~ Rear ...3.a.. .......... Depth . .~ax. .....
Size of lot: Front .... ..~. ~ ......... Rear ..... ~ ............ Depth .. ~ .............
Date of Purchase ........ /.~.~. ~ ................. Name~.~f Fo r Owner ...Jct~ ................
Zone or use district in which pr~mises are situated .....................................................
Does proposed construction violate any zoning law, ordinance or regulation: ................................
Will lot be regraded ....... ..~'?...:. ~,~_ ....... Will excess_ fill b_e rempved frpm premises: apes
Name of Owner of pre. glis, gs .. j~e..~,~ 0 ............ Address ~.0 [~. ~I[...~l~.~.l.~. Phone No..~.g'q$ .~'~
Name of Architect . ..~.~ .P..~.~...G.~ .... Address. ~ .......... Phone
Name
of
Contractor
..... ~ ................. Address ...... ~ ......... Phone No... ~ ........
PLOT DIAGRAM
Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block :number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, ·
~/~qe~l~ P(~ ~'.. ~.qq t~ ~..~t, ............ being duly sworn, deposes and says that he is the applic~t
(Name of individual signing contract)
above named.
(Contractor, agent, corporate officer, etc.).
~f ~wncr gr swncr;, ~d ~s duly authorized to perfom or have perfomed the said work and to m~e ~d file this
application; that ail statements contained M this application are true to the best of his ~owledge and belief; ~d that the
work will be perfomed in the m~ner set forth in the application filed therewith.
Sworn to before me this
~ NOTARY pUBLIU ................... ~ ~ ........
Qu~d i~ Court 7 No. 52.4524771 [~lgnarure o~ appncant)
~m~on ~p,res Me~O, 19 ~ qualif ed in SuffoJl; Coun~ , [
Commission Expires Ma*ch S0, 1~ '
/
c on cr e'I,e) ALT,,
lotion"
,,~S ECTI, ON 4C
', (turned down ~!~b)