HomeMy WebLinkAbout12122-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of OccuPancy
January 2 198.5.
No. g13098 Date ........... ·
THIS CERTIFIES that the building Add±t±on & Alteration
65 wickham Ave.
~- Location of Property . .1..3.4,0.5. .... Main. Road (Rt.. 2.5.) .Ma.Ltituck
House No. Street Hamlet
County Tax Map No. 1000 Section . .1.4..0 ....... Block ...0.3. .......... Lot . 034
X Filed Map No X Lot No
Subdivision ......................................................
conforms substantially to the Application for Building Permit heretofore fried in this office dated
October 7 19 ~pursuant to which Building Permit No. 12122Z
dated January 20 19 83 , 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 .........
~ddition & Alteratio.n, (Insurance Office).
The certificate isissued to DICKERSON, McCARTHY & SMITH
, (owner,--levee
· :{>::~:.~:: :,. of the aforesaid building.
· ' ...... .Isi.a.
...... Suffolk County Department of Health Approv ......................................
lq 671233
IJHDERWRITERS CERTIFICATE NO ..................................................
Building Inspector
Rev. 1/81
TOW. o,
TOW~A~LL
SOUT~O~, ~ ~'.'
BUILDING" I)ERM!T
(TH S PEPJ~IT MUST BE KEF~T ON
COMPLETION OF THE WORK AUTHORIZED)
Perr ~issior~ is hereby g
Z
Dote
"W"~ .......................... ~ '
at P~emises located at .......... ,.....~ .............. ~ .......
/
pq~ant to application dated
B lng Inspector.
P, MI~ INCLUDES APPROVAL
TO t~EMOVE EXGESS FILL
I~ROM~i ABOVE PREMISES 'BY
~j~^DIN~ LOT
I~i~EWAYi CONSTRUCTION :,,-- ~
'C~.o0~ ~CONS'i'~uc'noN
Ct~ C~NS'r~uc~ON ~
and ~pproved by the
%~ ~/ao4~o
FIELD ~I N o P ~.~(, % N
.FOgNDATION
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C,ODE
FINAL
COMMENTS
ADDITIONAL COMMENTS:
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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
I. Accurate survey of p~operty showing all 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. Date of anv 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 $1 5 · 0 0
3. Copy of certificate of occupancy $1.00
4. Vacant Land C.C. $5.00 Date .... //?~../...~...
New Building .....~... ..... Old or Pre-existing Building . .~ .......... Vacant Land .............
House No. Street Hamlet
Owner or Owners of Property ........ ~.. :,,~ :~.., .........................................
County Tax Map No. 1000 Section .../..~...~.) ...... Block ....... ?..~.... Lot .... .~...~..~. ....
Subdivision ........ /IC. ....................... Filed Map No... ~ ...... Lot No...~. ..........
Health Dept. Approval ...... .~. ........... Labor Dept. Approval .... ~ ..............
Underwriters Approval., ,~, .~. ,'?./, ?i. ,~, ·~, ..... Planning Boara Approval., ,~, ,F~, ............
Request for Temporary Certificate ..................... Final Certificate .... ' ................
Fee Submitted $ ~..
Construction on above described building and permit meets all ap~plicable codes and regulations.
Applicant ...... 7 .............................................
CO'
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRI~I~
85 ,JOHN STREET, NEW YORK, NEW ~ORK 10038
~a t~ty~ N~$/O }~)ute ~5, W/S/O Wi~m Avenue, l~ttit~k, N.Y.
i~ the followlng ~ocatlon; ~ Base~e~t ~ 1st Fl, ~ gad FL Section ~oc~ Lot
was cxamined on ~'~' ~ ~ ]-~ and fo~nd to be itt compliance with the requiretnents of this Board.
~7 20 35
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
HO OF HI-LEG
OF HI-LEG
NO. O~ NEUTRALS
AW, G
OE NEUTRAL
T.Ii, Cl~eshiro & Son Inc~
Calv~ton, N.Y. 119~ ~ic, 452
~ ~ica~ ~st not be altered in any manner; return to the office of the Bo~d if Incorrect. Inspectors may be idenfifie~hei~
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
TEMPORARY
Certificate Of Occupancy
No. Z13015 Date NovemBer 23 ., ]9.8.4.
THIS CERTIFIES that the building Addition & Alteration
6 5 ' kY& ................................
ocation of Pro err 13405 Main Rd. (Rt. 25) MattiLuck ~
L p y ...............................................................
House No. Street Ham/et
County Tax Map No. ]000 Section ...1.4.0 ....... Block .... .0.3. ........Lot .. 0..3.4 ............
Subdivision ........... .X. .................. Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...O.c.~o..b.e?. ......7. ....19.8.1. pursuant to which Building Permit No ....... .1.2.1.2.2. .Z ........
dated ............ J..a..n.. ....... 2.0 ·.. IR .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.d.4 $~i.o.n.. ~. Ai.~r.~$Q~. (I~.s.q~.c.e.. 9.f.f.i.~.e) ..............................
The certificate is issued to DICKERSON,McCARTHY & SMITH
...................... ?oYn'~'r,ZF~'~r~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval ........... .NJ.~. ...........................
UNDERWRITERS CERTIFICATE NO ................... .P.e.n.d. ~D.c&r ......................
Rev. 1/81
Building Inspector
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~[outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitte~p~cct: to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate ~ocation of al~ buildings, property lines, streets, and unusual
natural or topographic featu res.
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 UnderWr!ters.
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 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. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00 /
2. Certificate of occupancy on pre-existing dwelling/ land use
3. Copy of certificate of occupancy $1.00
--Pre-Existing C.O. $15.00
Vacant land C.O. $ 5.00
Date .~/..~..~/~-....~-.~,..~.~ ....
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property / ~ ~ . .~'~. (~ 3- L~)~ ~ ·
House No. Street Ham/et
Owner or Owners of Property . .~.,. ~t~.,, .~.,..r
County Tax Map No. 1000 Section / 5Lo Block .~. Lot..
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. L ~/~.~ .~. Date of Permit .~? ~5,..Applicant .. . t .....
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval Planning Board Approval
R equ est for Tern po rary Certificate .... ~ .............. Final Certificate .......................
Fee Submitted $../.;~. ~. .............. . ~-~...
/I
Construction on above described building andlpej~nit meets all appl~able ¢]odes and regulations.
Rev. 10-10-78
~LD
HENE¥ E. P~AYNO~I, Jr., Chairman
JAMES WALL
BENNETT ORLOWSKI, Jr.
GEORGE RITCHIE LATHAM. Jr,
William F. Mullen,
Jr.
Southold, N.Y. 11971
TELEPHONE
765- 1938
Novembe~ 10, 1981
Mr. George Fisher
Sr. Building Inspector
Southold Town Hall -.
S.outhold, New York 11971
Dear Mr. Fisher:
At a regular meeting of the Souhtold Town Planning Board, Monday
November 9, 1981 the following action was taken:
RESOLVED that the Southold Town Planning Board approve the parking
layout on the map entitled "D.M.S. REALTY!' (Allan C. Dickerson
Appeal No. 296) and forward it to the Building Inspector.
Yours very truly,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Susan E. Long, Secretary
cc: Board of Appeals
FORM NO, 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
To ..........
~/../.4 ~ ........ 3, ~.
.~.....~.~..~ ...............
PLEASE TaKE NOTICE t~at your application dated . .~...
for permit to const~ct...~L~.. ~0...~g~ Eg~.. ~/A~Z~.~ ..... at
~ousb ~oZ ........ Stroet / H~m~ot
County Tax Map No. I000 Section., .g ~ ...... Block .... ,~ ~ ..... Lot , ,0~ .....
Subdivision ...... :.. ';~ ..... Filed Map No ..........
is returned herewith and disapproved on the following ground[ ~~.. ~.
/&..~... ~.~...~q~.. ~s~..~..~-. ........
...~~~...~ .~~:~e = ~..-~..~. .....
...~~". .... ~....~ ~.~..~...~ ~. ~~-~ .....
.....
Building Inspector
RV 1/80
t/
TO~4VN OF SOUTHOLO, NEW YORK
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2906 by application Dated October 9,
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To Mr. Allan C. Dickerson
Box 54
Main Road, Mattituck, NY 11952
1981
DATE....L2~i.6.~81
Appellant
at a meeting of the Zoning Board of Appeals on November
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
(X) Request for a variance to the Zoning Ordinance Art. VII,
( )
5, 1981
Section 100-71
the appeal
granied ( ) be denied pursuant to Artic~ .................... Section .................... Subsection .................... para~aph
.................... of the Zoning Ordinance and the decision of the Bqilding Inspector ( ) be reversed ( ) by
~F~x~%~avv~ex Public Hearing held 11/5/81: Application of Allan C. Dicker-
son, Box 54, Main Road, Mattituck, NY for a Variance to the Zoning Ordi-
nance, Article VII, Section 100-71 and Bulk Schedule for permission to
construct addition to existing building with an insufficient sideyard
setback in a B-1 General Business District. Location of Property:
Northwest corner of Main Road and Wickham Avenue, Mattituck; bounded
north by Case; west by Winiarz Estate and North Fork Liquor Corp.;
south by State Route 25; east by Wickham Avenue; County Tax Map Bar-
cel No. 1000-140-3-34.
(SEE REVERSE SIDE)
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 unnecessary
(SEE REVERSE SIDE)
(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 SIDE)
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would)
change the character of the distric%because
(SEE REVERSE SIDE)
(would not)
and therefore, it was fttrther determined that the r~q.u~sted variance (
that the :evious decisions of the Buildin~ Inst~c2kor , confirmed ( be reversed.
RECEIVED AND FILED ~h, )
THE SOUTHOLD TOWN CLERK
C :l:
) be granted (
lING BOARD OF APPEALS
be denied and
The Board m~de the following findings and determination:
By this appeal, applicant seeks permission tQ construct a
30' by 29' addition to the existing one-story ~concrete-block
building with an insufficient setback from the westerly property
line of five feet. The property in question is z~ned. B-1 General
Business and is a corner lot as defined by SeCtioD 100-13 of the
zoning code. The parcel in question contains!an area of approxi-
mately 17,649 square feet. After investigation the Board finds
that a parcel adjoining this lot on the west Was ~ranted a
variance to construct a business building with a setback from
the same side line approximately three feet· .It Ts the feeling
of this board that the location proposed by applicant is the
most feasible especially due to the fact that,theipremises is
a corner lot and situated at a very busy intersection in the
village of Mattituck. The Board agrees with the reasoning of
applicant.
In considering this appeal, the Board determines that the
variance request is not substantial; that the circumstances here-
in are unique, that by allowing the variance no sdbstanial detri-
ment to 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 popu%atiOn; 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·
On motion by Mr. Grigonis, seconded by Mr. Sawicki, it was
~SOLVED, that the ralief reques{ed in A~pea~ No. 2906,
application of Allan C. D~ckerson be granted,~SUBJECT TO THE FOL-
LOWING CONDITIONS:
(1) County Planning referral pursuant tO SeCtions 1323, et
seq. of the Suffolk County Charter;
(2) Plannin'g Board approval.
Location of Property: Northwest Corner 8f Main Road and
Wickham Avenue, Mattit~ck, NY; County Tax Map,IParCel 1000-140-3-34.
Vote 'of the Board: Ayes: Messrs, Doyeni Do~glass, Sawicki
and Grigonis. Mr. Goehringer abstained.
FORM NO, 1
TOWN OF SouTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1802
....... ^pplicat:on ......
Approved ~.. ~....-.-~? ..... ,19~. v.~. Permit No./f.O¢/. ff .&..".~.
Disapproved a/c . . /~.~( .................. /f ....
..... .................. ....
? INSTRUCTIONS
a. This application must be completely filled iii 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 lot and of buildings on preinises, relationship to adjoining premises or public stre~
or areas, and giviug a detailed descriptiou of layout 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 approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pen~
shall be kept on the premises available for inspection throughont the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan
shall have been granted by the Building Inspector.
APPLICATION 1S ttEREBY MADE to the Building Department for the issuance of a Building Peri, it pursuant to t
Bnilding Zone Ordinance of the Town 'of Southold, Suffolk County, New 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 comply with all applicable laws, ordinances, buildcr'O code
a dnlit au th orize d insp ec to rs on prenlises and in buildings for necessary ins~}l~/~?s, honsing~0 Lfc°de' and regulations, and
(Signature of applicant, or n~me, if a corporatign).
......... iMailL,~ai:~;~;;;)a~:ieant) ' - .... '["
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build,
....................... ~ 'i"' ~':''°~( '
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Bndder s L cense No ..........................
Plmnber's License NO1
Electrician's License No.'
Other Trade's License No ...................... ~} ]
1. Lo.c, ation of,la.nd on whi~;hproposed workwilibe done.. Jy.[..~....~.O~..~..~.(...0..~../.~tt~.{.~... d?Oj~Z,.~' ~' ' ....
~ ~Niu~ ~'' ~~ ....... ~r~ ........ ' .....
County Tax Map No. ~000 Section ...... 4 .~{ ....... Block .... ~.j' ........... Lot. ~ ...... /
Subdivision ..................................... Filed Map No ............... Lot .........
(Name)
2. State existing use and occupancy of premises and iutended use and oceupan~ of proposed~gsttuction:
....... ~ ...... ~" 'A'~ ~',: ......................
b. Intended use and occupancy ...... ~.~f.~(~ .. ~ ~[~ /
3~ Nature' of work (check whicl, applicabld): New Building ... ' Addition .. X ~ .... Alteration :~.., ....
! Repalr~ . ............. RemOval .............. Demolition .............. Other Work ...............
/ z?~O (Description)
' Estima'ted Cost .......... Fee ........ ~ ......
~' I (to be paid on filing this application)
L If dwelhng, number of dwelhng!units ..,.[... ~./.~t.~ .... Nmnber of dwelling umts on each floor ................
If garage, number of cars .... i .... [9./g ..........................................r. r ................
i. If business, commercial or mixed occupancy, specify fiature and extent of eack b:pe of use ...O.~{'~C%. v¢¢¢..' .~ ~.
~. Dimensions of existing structures, if any: Front ..... ~.t~ ....... Rear .....~[, ...... Depth....~.q .........
Heighti .... [ ~'. ....... Nuni her of Stories ...... .~ ...... 0¢.~. ..... ~.,./. ~ ............... ~.¥>'1 ...........
DimenSions of same structure with alterations or additions: Front ....... Lq-. ...... Rear .... l ~c4,. ..........
Depth ..... ~.~. .......... :.. Iteight ...... [0,. ............. Number of Stories ....... .O-/q,.~ ...........
' ' ' ' es...' 024kR ' '6k't
~. Dm~ensions of enhre new constructmn: Front .......... ear ........... : Depth .............
Height .... N[ r of Stori ..., .........
). Size oflot: Front ..... ~.[0~q,,~.(' ........ R .[.~.:?~.q ........ D.opth \~.~.'.~.
i ear .... ~ ................
). Date 6fPurchase ..... ~4' ~. ~[ ................. Name of Former Owner .. ~.XK.0~4~. ,~ ~.,o.~..p; .........
1. Zone or use &strict ~n wh~dh rem~ses are situated ...................................................
Z. floes proposed construction vic kate any zoning law, ordinance or regulation: .................. . ..............
L Will lot be regraded ....... .X, .~..%. ..........~.. ~... Will excess fiI1 be renmvq~l from premises: ~.es~,~ No
L Name of Owner of premlses ... ~2.{~¢'~ .~..°~...¢.~3. !. Add~'ess ~.~..~0 ~.~ 1~. ~'~.t.~.~Phone No. o~.~.g.';~' .C{ .~.O.Q...
Name of Architect ............ ~..O~.¢ ....... '.. Address . .................. Phone No ................
Name of Contractor ...... i...r:~,.o.?. ........ Address ................... Phone No ..............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from
roperty lines. Give street and block er or description according to deed, and show street names and ~ndlcate wh~ther
,terior or corner lot.
rATE OF NEW ORI!(,f I
OUNT¥ OF. .O, i S.S
· ' ......... ~" [['~'~'" ~2"~" '~' i¢ ~O~ .~'.gg'~ .......... being duly sworn, deposes and says that he is tile applicant
(Nan~e of indMdual sig~ing contract)
love named. [ '
..................... .....................
els the .. (f-O4~£Ae.. .....................
(Co~tractor, agent, corporate officer, et~.) ' '
t'isaid owner or owners, and is drily authorized to perform or have performed tile svid work and to make~ and file
tplidation fllat all statements contained in this application are true't0 the best of his knowledge and belief; and that the
0rk will be performed in the manner set~ forth hi the application filed therewith.
~,or~ to before me this ,
' 'r'T-)~ ~,_ ~_, C~>.,~ . 'M~LINDA I.. TOPPING' .~-
~ - ,.-~-x,,~"~ '~' ~ ~OTABY PUBLIC, St~te 9f. ~qw. Y~k .
~ ~ Suffolk County - No. 4708364
Commission Expires March 80, 19~
(Signature of applicant)
pOW
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! $~ORYtljiLDIH6
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C, FIH* FLP.
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NOTE: L ~: MONMMF`NT FOUND
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$. ZONING USF` DISTRIGT- "8- I" GF`NEt~At ~ISlNF`S:
BUFF, CO. TAX MAP: G/SE SF`CT. BLK. LOT
I000 140 03 034
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HO'WARD W.
SURVEY FOR:
D M S. HEAI TY
AT M&TT/TUCK
SUFFOLK CO., N.Y.
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