HomeMy WebLinkAbout12510-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
5outhold, N.Y.
Certificate Of Occupancy
No. 'Z1631.3 Date October 20, 1987
THIS CERTIFIES that the building .... A. d..d .i.t.i.o..n ...................................
Location of Property 555 ¥illage Lane Orient
House No. Street Ham/et
County Tax Map No. I000 Section .... .2.5 ...... Block 2 .Lot 5.
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..... 4./. .2 .6/.8.3. ......... pursuant to which Building Pennit No. 12510Z
dated ....7/.2.3. ./.8.3 ................. 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 .........
..... A ql ~l,i.t.J,q ¢..t.q. ~.x,i.s. t; .i.n.g . 9 .n.e.. f. 9 .m.i.l.y..d.w.e. 1. 1..i.n.g... ..........................
The certificate is issued to DOUGLAS E. & KARIN M. CONSTANT
..................... ?o¥,,'0;.. X X XX'× ...............
of the aforesaid building.
Suffolk County Department of Health Approval iq/A
UNDERWRITERS CERTIFICATE NO. iq662763 10/9/84
PLUMBERS CERTIFICATION DATED: N/A
Z.B.A. APPEAL 3141 6/23/83
/ BJ(,flding Inspector
Rev, 1/8!
FORM NO. 2
TO%VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
12510 Z
Permission is hereby granted to:
...~-~......~..L,~***~.~....~ ...........
..~.t.. . ~.~..~ ·
,o ...... ~..,..~..e..........~.&~.......w..~......%~%...~, ~ ~ ..............
...~.~.~ ....... :~)..~.~. .......................... ~ ..................................................
at pr~r~ises Iocoted ot ......~..].~......'~.........~.. .p~...~......Cz%~.....).......{~..~ .................
Co.nty Tax Map No. 1000 Section ...... .~.,.,~,,'~,, ....... Block ..... .,,~,,, .......... Lot No ..... ~.,....I .........
pursuant to application dated ...... ~......~..~ ................. , 19.~.3., and approved by the
Building Inspector.
Rev. 6/30/80
FORM NO, 6
TOW. I~I OF SOUTHOLD
~. Bull~ing Department
Town Hell
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF ~OUTI'~Ot ~
'B.
Instructions
This application must be filled in typewriter 0 R ink, a~nd submitted m ammmmmmJto the BuiWin§ Inspec-
tor with the following; for new buildings Or new use:
1. Final survey of propertv with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features. /
2. Final approval of Health Dept. of water-s(Jpply and sewerage dispo~l,--(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 ~ertificate 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, o[~ buildings and "pre-existing"
land uses:
1. Accurate survey' of p~Coperty~,showing all property linesl street~'b~ildings and unusual natural or
topographic features.
2. Sworn statement of owner or previousowner 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 New Dwelling,'$25.00, Accessory ,,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50. O0
3. Copy of certiflcate of occupancy $ 5_.'00,~ over 5 -yea~s- $10~00 ~
4.Vacant,Land C.O. $ ~0.00 .~.~.~. ~'.~ .~,~..
5.Uodated C.O. $ 50.00 Date ...................
6. ~lteration $~5~00
NeWCons t~u'c tion ...... Old or Pre-existing Building ............ Vacant Land ..., ..........
O~n~r ~r pwners of Property , .b ~"~/~ S~ ,~, ~ ~[ZO,, ,~; ................ :~. ..........
County Tax Map No 1000 Section
/
Subdivision .................... ~ ...... ~...FJJed ~ap No ........... Lot No ..............
Perm~t ~o . .. Dato of Porto t . cant ..................................
royal Plannin oar royal..,., ........
~or~' ' ' icate .,.
~eques~. e~porary Certlf ................... Final Certificate .......................
Construc~io~'q~ above described ~jildi~g and permit meats all applicable codes and regulafi
'"-i ': :'.), " "' :' " ' '
" ,~ e,.~,, ' Appbcant .... , ...............
FIELD INSPECTION COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
qODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ..............................
Ur pe=it to construct . . ~/~)~ ~a ' · ............ at
Location of Property ~ ~*~ ~ ......
ha~; ~o~ ............. ~/o;i ' '
corny ~ u~p ~o. ~000 s~tio~ ..... ~.~ .... mook ..... ~ ...... lot .~ t., .......
LtN
Subdivision .... Filed Map No. ~---,~, ... o o ..................
~r~,n~d ~w,,~ ~d d~ov~d on t~ ~o,inwin~o~ .... ~/p~...~: ....
...~.~,~., ........... ~: ...... /.P.~ ~.( .............. , .................
Building Inspector
RV 1/80
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]
FOUNDATION AND ~
[ ] FRAMING
ROUGH PLBG.
INSULATION
FINAL
REMARKS:
1000774 THE NEW YORK BOARD OF FIRE UNDERWRITERS
october
BUREAU OF ELECTRICITY
V ,.z~.~ 85 JOHN STREET, NEW YORK, NEW YORK
10038
~.,~ ~.~.,,~.~.~,,~ ~5/s~ N 662743
THIS CERTIFIES THAT
only the e~ctrical equipmen¢ as described below and i~troduved by t~ appl~at~t named on the above application number in the premises of
in the following location; [] Basement
was examined on
DRYERS E MOTORS
~ 1st FI. [] 2nd FI. Section Block
andfound to be in compliance with the requirements ofthisBoard.
Lot
FIXTURES RANGES OVENS EXHAUST FANS
TIME CLOCKS UNIT HEATERS DIMMERS
SYSTEMS
FLUORESCENT
SERVICE DISCONNECT S E R- V I C
OTHER APPARATUS:
NO O~ CC. COND. A WG NO OF HI-LEG
PER ~ OF CC. COND
A W.G. NO OF NEUTRALS A,W. G.
OF HI-LEG OF NEUTRAL
Ar~hux Rtwoede
O~i~t, N.Y. 11.957
This certificate must not be altered in any manner; return to the office of the Board if incc~rrect, Inspectors may be ' their credentials.
.c,c?p~ Fen B~U LO
Southold Town Board of Appeals
MAIN ROAD- -qTATE: RI~AD 25 Sr'IU'THDLD, L.I., N.Y. 11cj'71
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No.
Application
TO:
3141
~ated May 6, 1983
Mr. and Mrs. Doug Constant
555 Village Lane
Orient, NY 11957
Mr. Kenneth Strachan (Builder)
Hog Pond Road, Orient, NY 11957
(Public Hearing held 6/23/83)
[Appellant(s)]
At a Meeting of
the above
on your
the Zoning Board of Appeals held on June 23, 1983
appeal was considered, and the action indicated below was taken
[ ] 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 III , Section 100-31
[ ] Request for
The public hearing concerning this application was also held on
June 23, 1983.
Upon application for DOUG AND KARIN CONSTANT, 555 Village Lane,
Orient, NY for a Variance to the Zoning Ordinance, Article III, Section
100-31 for permission to construct addition to dwelling with an insuffi-
cient rearyard setback, at 555 Village Lane, Orient, NY; County Tax Map
Parcel No. 1000-25-2-5.1.
The board made the following findings and determination:
By this appeal, appellants seek permission to construct a new
4' by 24' addition at the rear of the dwelling, which would leave an
insufficient rearyard setback of 21 feet. The present setback of the
subject dwelling is 25 feet from the rear property line. Also exist-
ing on the premises is an accessory barn structure located south of
the dwelling in the rearyard area, approximately one foot from the
rear property line. It is the opinion of the board that due to the
narrowness of the lot and the location of the dwelling that there is
minimal rearyard area; and that the relief requested is reasonable
and practical under the circumstances.
In considering this appeal, the board determines that the variance.
request is not substantial; that the circumstances herein 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 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 indicated below.
On motion by Mr. Douglass, seconded by Mr. Sawicki, it was
RESOLVED, that Appeal No. 3141, application for DOUG AND KARIN
CONSTANT for permission to construct addition with an insufficient
setback from the rear property line of 21 feet, BE AND HEREBY IS
APPROVED AS APPLIED FOR.
Vote of the Board:
and Sawicki. (Member
unanimously adopted.)
DATED: June 29, 1983.
Ayes: Messrs. Goehringer,'Doyen, Douglass
Grigonis was absent.) This resolution was
CHAIRMAN, SOUTHOLD TOWN ZONING BOARD
OF APPEALS
Form ZB4 {rev. 12/81)
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL.: 765-1803
Examined...~.~ .1~..~..g.., 19~.~.
Approved...~.~...D~.~.., 19~...g. Permit No..].../~.J..O. g
Disapproveda/cId .q/;.7.~?...d~...,%/.p..cO.y..~.0q..~..' ...........
...............................
tBuflding Inspectorj
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Application No. J..~..~..J..0. .......
Date ...~./~..O. .......... 19 .W..~
a. This application must be completely filled in by typewriter or in ink and submitted 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 appli-
cation.
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 issued 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 in building for necessary inspections.
(Signature of applicant, or name, if/(corporation)
....... .~..o.cr...~..o..~. ~,... ~..z? .... o..-q-..,-~-,,~...77...
(Mailing address of applicant) / / ~) ~ 7
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . ~.q .O..cv-. .... ~.o..,~. y..7'~..z~..7-....~... ~/3..~./..,~.....~x..~../W .,Y/7. 2~.,t>d...77. ............
(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....d~.. ~5' .~M...52 .Z'. x~. ,~q. O--.o(..-~/
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
... ff.~5-7. ....................... v../~...~..c,. ~.. ,~,9.~..~. ................. O. ~'.,~ .~'. 77 .........
House Number Street Hamlet
County Tax Map No. 1000 Section ....~..~. .......... Block ...-~,.. ............. Lot.....ff~.' .]. ...........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... ~. ~..~' :.~. ~'.~4..~. ~ ..............................................
b. Intended use and occupancy ....................................................................
3 N fwok(h k hihaOplicabl) N B ildi Additi Alt ation '
· atureo r cec w c e: ew u ng .......... on .......... er ..........
Repair .............. RemOval .............. Demolition .............. Other Work ...............
(Description)
~' ~'r
4. Lst~mated Cost ..... oo'e oo
(to be paid on ~ing this application)
5. If dwelling, number of dwelling iunits... ~ ....... Number of dwelling units on each floor ................
If garage, number of cars 4'
6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
tteight ............... Number of Stories ....... ~. ................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ................... ~.. Height ...................... Number of Stories ......................
8. I)tmenslons of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9. Size of lot: Front ...................... Rear ...................... Depth ......................
10. I)ate of Purchase ............................. Name of Former Ownar . ............................
1 1. Zone or use district in which premises a3e situated ....... ,~ .~£./~'..~.,~. 77. ~'~q ~ ............................
12. Does proposed .construction violate any zoning law, ordinance or regulation: ................................
1 3. Will lot be regraded ........ ~...N. ?... ~ .......... Will excess fill be removed from premises: Yes
14. Name of Owner of premises . .~.q~).~.. C-,o~/,q.~/,~,'M77 Address ................... Phone No ................
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor . ./(K'/~...~. F,~. ~..c.~/.,~rY...~'..~: Address . ff.o. 6...,f'.o.,y..~...,~.~.. Phone No.2.,~.....~..7'./. ~.
PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block inumbar or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW Y~OR.K~
COUNTY OF
.......... ('I~ 'o'f'i~i'vi~il'si~i~'c'o~;~c'ti .......... being duly sworn, deposes and says that he is the applicant
above named.
He is the ....................... ! ...................................................................
(Contractor, agent, corporate officer, etc.)
of saki owner or owners, and is duly authorized 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'p~formed in the manne~ set forth in the application filed therewith.
Sworn to before me this
.......... ofi .....
Notary Public, State of blew York
~o. 52-034496g' Suffo ~ CountV.-~/. (Signature of applicant)
Commission Expires March ~0, 19~~