HomeMy WebLinkAbout12152-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPAF~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z11670 . .. Date ..... M. a. y, 16 1983
THIS CERTIFIES that the building . ~ d dj, t i o n ......................................
Location of Property 300 Summer Lane Southold
County Tax Map No. 1000 Section . . .0.7.8. ...... Block ..... 0c) ........ Lot ...... .0.23. .......
Subdivision Bayside ~errace .Filed Map No. 203z~ .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· .~...~.t?.u.~..~7..6. ....... ,19 ~.~. pursuant to which Building Permit No, , f[a~ 5,~g. ............
dated ,..t?.e.b?.~. ~.... ~./4 .......... 19 .~.~., 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 .........
An Additio~ to an existing I~elling
The certificate is issued to i~AUT' & lVlARY
..................... /oWn'o), 'l~;e Yr't~t~a)l't) ......................
of the aforesaid building.
Suffolk County Department of Health Approval ...~../..~ ....................................
UNDErWRIteRS CER?IFICAT '
Building Inspector
Rev. 1/81
8er~nissio~ is herebygmnted:
TO~N ~OF'
BUIlDiNG
TOW~
SOUTHO~O, N
GHIS pERMiT. MUST BE -KEPT ON ~t~
COMPLETION OF THE WORK AUTHORJZEb)
at at
pU~gant t~o application dated '
8J.lil~lng, ~ Ir~spector.
Fee F.?'~...;~ ...............
i
Re~, ~6/30Z80 ~ ':
.,.., 19...~..., and~bpproved by the
FORM NO. 6
TOWN OF SoU.THOLD
Building Department
Town Hall
OU~ old .....
APPLICATION FOR CERTIFICATE OF OCCUPANCY
lnstructior~s
This application must be fined in typewriter OR ink, and subn~Ntad in dupNcate to the Building In/Dec-
tot with the following; for new buildings or new use: '
1, Final sun/ay of property with accurate location of all buildings, property Nnes, streets, and unusua.
natural ar tooograohic 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 building~ and instalIa-
tions, a certificate of Code compliance from th/ Architect or Engineer re/pons ble 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 buildines and ......
land uses: ~ pre-exlstmg
I. Accurate sur,zey 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. 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 dweNing or land use $5,00
3. Copy of certificate of occupancy $1.00
New Building .I .I .~1. Old or Pre-existing Building(Z) '
· . ......... = /Vacant Land
Hou~ /VD. Street ~am/'et
.... ~... ' ~CE Filed
......... ..........
Health Dept Approval ~ ' ' '
Labor Dept Approval ~
Under,vriters Approval .................... Planning Board Approval ...~ ......... ~ . .~
Request for Temporary Certificate. . ....... Final Certificate ........ - .........
Fee Submitted S .............................
Construction on above described buddmg per'ii mee~m¢L~,c I~odes and regulations.
.................... . .....
Memorandum from
BUILDING INSPECTORS OFFICE
'town oF SOUTHOL~)
TOWN HALL, SOUTHOLD, N. ¥. 11971
765-1802
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
Fil~ ..... .~_ ........ ~ .......... ,;.__Date..J.~.C..'Z-.e. ........ ,19.~?
PLEASE TAKE NOTICE that your application dated
for pemit to construct .< ff*~. A~qqr-~..~
Location of Property . .~ K~ ..... .~.~.~e ~~
House No. Street ~amlet I
County~Map No. I000 Section .... O .~... Block .. '~9 ....... Lot..~ .~.~ ....
s~iv~;~,/~(~, f~c!G~,~ ~p ~o ..... ~.~ ~.. ~ot ~o...~ ~ ..........
is returned herewith and disapproved on the following grounds ~.'
~,. . ~.~ ~ ,~ ~ r ~. . .~,~ .~ . . ~.~ . . .~ ~. . .~.~ .... ~ .......
~ / . ~ ~ ~. ~ ~~ /' ~ ....
· .~ ~.. ~.~ ...... ~. ~.. ,'~ .... ~:c~A~.. A.c?. ~.~ ~ ....
Building Inspector
RV 1/80
APPEALS 8OARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROSERTJ. DOUGLASS
JOSEPH H.$AWICKI
MAIN ROAD- STATE: ROAD 25
E;OUTHOLD, L.I., N,Y. llg?l
TELEPHONE (516) 765-1809
August 2, 1982
Rudolph H. Bruer, Esq.
Main Road
Southold, NY 11971
Re: Appeal No. 3012 - Paul Pedersen
Dear Sir or Madam:
This letter is to confirm that the following action was
taken at a Regular Meeting of the Sou~hQld Town Board of Appeals
held on Thursday, July 29, 1982:
RESOLVED, that Appeal No. 3012, application for Paul Pedersen
for permission to construct a 12' by 21' addition to dwelling with
reduced rearyard area, be and hereby IS APPROVED SUBJECT TO THE
FOLLOWING CONDITION:
No further additions or buildings on this parcel.
This resolution was unanimously adopted.
An official determination and findihgs 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 d6 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 765-1802.
Yours very truly,
GERARD P. GOEHRINGER
CHAIRMAN
By Linda Kowalski, Secretary
cc: Building Department
-
COMMENTS
F f~,'LD ~INSF~ECTION
1.
FOUNDATION {1st)
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N. Y.
STATE ENERGY
qOD
FINAL
ADDITIONAL COMMENTS:
FRAMING
7GS-1802
BUILDING DEPT.
REMARKS:
INSPECTION
FOUNDATION' sST [ ] ROUGH pLj3G.
FOUNDATION ZND [ ] INSULATI0~
[~F~NAL i
s ECTOR ~' ~
IN P i' L~*
1003.093 THE NEW YORK BOARD OF FiRE uNDERWRITERS
· ~ TI~ BUREAU OF ELECTRI(~,IT~
8~ .~OHN STR~T N~w ~ORK. ,~ ~o,~ ~OO~e
"-'~ 28, 1983 ~..,,~.~..~....~,~ 20952~83 N 600795
THIS ~ERTIFIES THAT ~
only the electrical equip~nent as described belo~ and i~troduc~ by t~ applicant ~n ~ed on the able application nu~nber in the premises of
in the following location;
~.~ e~-,ni,,od o. April
FIXTURE
OUTLETS
DRYERS
25, 1983
FIXTURES
[] 2n~ Fl. Section Block
and found to be in compliance witk the requirements of this Board.
RANGES OVENS
MULTI-OUTLET
SYSTEMS
NO. OF FEET
Lot
EXHAUST FANS
OTHER APPARATUS:
S E R V I C E
NO OF CC COND. A W.
i 2/0 .
AW.G
OF HI-LEG
2/O
i.~5 K.W, Heat: ~
Pamelboard~, 1-1?cir. 200alos,
Th's cert'flcate must not be altered in any monner return to the off c, of the Board ,, 'inr~.~; '' ' ~ ·. ~~ ~ ~--i~' '
j~~~~~~<-- .-.~--~--.., ,nspecTo~s may ~ ,a~nt,ped by t~eir credentials. ~1=1
COP ' '~~~*~,~ ~ =
$o theid Town Board o£ Appeals
MAIN RE]AD- STATE RE]AD 25 SOUTHOLD, L.I.. N.Y. 11971
TELEPHONE {51B} 765-1807
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 3012
Application Oated July 2, 1982
TO:
Rudolph H. 'Bruer, Esq.
{Attorney for Paul Pedersen)
Main Road
Southold, NY 11971
[Appella~nt(s)]
AZ a Meeting of the Zoning Board of Appeals held on July 29, 1982
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, SeEtion 280-a
[ ] Request for Special Exception under the Zoning Ordinance
Article , Sectic~n
~ ] Request for Variance to~ the Zoning Ordinance
Article III , Section 100-31
[ ] Request for
The public hearing on this ma[ter was held on July 29, 1982:
Upon application of PAUL PEDERSEN, by Rudolph H. Bruer, Esq., Main Road
Southold, NY for a Variance to the Zoning Ordinance, Article III, Section
100~31 for permission to construct addition to dwelling leaving an insuffi-
cient rearward setback at 300 .Summer Lane, Sou%hold, NY; bounded north by
Ragsdale; west by Summer Lane; south by Norklun; east by Tillistrand; more
particularly known as County Tax Map Parcel No. 1000-78-9-23.
The board made the following findings and determination:
By this appeal, appellant seeks permission to construct a 21' by 30'
addition/family room at the southeasterly corner of the existing one-family
mobile home reducihg the rearyard area by 30 feet. The premises in ques-
tion contains an area of approximately 11,000 square feet, having frontage
along Summer Lane of 100 feet and depth of an average of 110 feet. Existin
on the premises are a one-family mobile hone' on foundation, a detached
above-ground 20' by 31' swimming pool, and small accessory 6.7' by 9.5'
metal shed in the rearyard area. This parcel is known as Lot No. 24 0f
the major subdivision entitled, "Map of Bayside Terrace" filed March 11,
1953 under File No. 2034. The board agrees with appellant's reasoning
under the circumstances.
In considering this appeal, the board determines that the variance
request is not substantial; that the circumstances herein are unique and
practical difficulties have been shown; that by allowing the variance no
substantial detriment 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 ~ill 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. Grigonis, seconded b~Mr. Sawicki, it was
RESOLVED, that Appeal No. 3012, appllcation for PAUL PEDERSEN for
(CONTINUED ON PAGE TWO)
DA~ED: August 13 , 1982. CHAIRMAN,i SOUTHOLD TOWN ZONING BOARD
.~-~,~ge 2 - Appeal No. 3012
Matter of Paul Pedersen
Decision R~ndered July 29,
1982
permission to construct ~ 21' by 30' addition to dwelling with reduced.
rearyard area, be and hereby IS APPROVED SUBJECT TO THE FOLLOWING.CON-
DITION: '
No further additions'or buildings on this.parcel.
Location of Property: Lot 24 of "Bays~de Terrace," Filed Map No.
2034; County Tax Map Parcel No. 1000-78-9-23; 300 Summer Lane, South-
old, NY.
Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Grigonis,
Douglass and Sawicki. This resolution was unanim6u'sly adopted.
APPROV£D
RECEIVED AND FILED BY
THE SOUTi{OLD TOWN CLERK
~Ci~r~., Town o~
TITLE NO, 72-S-03470 ~ $
,LO2.
SURVEY FOR
PAUL PEDERSEN'
AT BAYVIEVi/
TOWN OF SOUTHOLD
SUFFOLK COUNTY~ N.Y.
SCALE: I'= 30'
dULY 24~ 1972
REFERENCE:
MAP OF BAYSIDE TERRACE
FILED NIAR. II~I953 FILE NO. 20,54
eUARANTEED TO,
CHICAGO TITLE INSURANCE COMPANY
SOUTHOLD SAVINGS BANK
LAND SURVEYOR
N,Y.S~ LIC. NO, 28T~.5
RIVERHEADt N.Y.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ' >
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ................. 19...
Approved ................. 19... Permit No ............
Disapproved a/c .....................................
Application No ..................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter or ~ ink and submitted.-~ to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according t<o schedule.
b. Plot plan showing location of lot and of buildings on premises, rolationship 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 issue a Building Permit to the applicant. Such permit
st~all 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 alteration~s, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing co, do, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary inspections~ / /
(Signature of applicant, or name, if a corporation)
.o. a. . .. 77/
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...................... (as on the tax roll or latest dead)
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 ..... : ................
1. Location of land on which proposed work will be done ..................................................
..... .............. ..........
House Number .,~ Stree,t ~ Hamlet
.
County Tax Map No._~ .................. Block..~.~.~.. Lot ~' ~ ..........
.................. ......
(Name)
2. State existing use and occupancy of prbmises and intended use and ocqupancy of proposed construction:
a. Existing use and occupancy .... ~~..~ ~.~ ..................... ..~
b. Intended use and occupancy ..
3. Nature ofwork (check which applicable): New Building Addition .......... Alteration ..........
Repair .............. Rembval .............. Demolition ............ Other Work ...............
~U '7 ~q '7"/'/tO ~'~J~ ,~ tO~'~--~ (Description)
4. Estimated cost .... ..-,.t.:7...: ...../..~. ................ :Cee .....................................
(to be paid on filing this application)
5. If dwe!ling, number of dwelling iunits ............... Number of dwelling units on each floor ................
If garage, number of cars
6. If business,, commercial. . or mixedi occupancy,, specify natur~?ncl extent of each,...tty,lzq of. u.~e ......... ' ~t' ~7m ~ ....,
7. I)imens~on~ 9f~x~,¢ng structur0s, If any: Front ...... ~":q- ...... Rear .. ~$ ....... Depth ,...~...
[-[eight .. ,ti ~' ....... Number of Stories .... tt .................. t .................. ! ..........
Dimensions of s~me structure with alterations or additions: Front . 7.~. ........... Rear ..,. 7.° ............
Depth ....~.'.~ ............. ~.. Height .... /./. ....t .......... Number of,Stories .../ ..................
8. I)imens~ons of ent/Xe new construction: Front .... ?:../ ........ Rear ... 2-J. ........ Depth .. ,~O. .........
9. t~eightsize of lot' ..... Front/~t/'t' ....../ooN~unlber. i of Stories. ........ Re r '/' {.~.-. ..... r ........................ ' /]iD '! ..............
...................... a ..................... Depth ......... .. ~ ...........
10. Date of Purchase .. ,~:,~.~../~.~717.2:-. ............... Name of Former Owner . ./~..,~..'~...~-r~..(..~. ...........
1 I. Zone or use district in which pr~mises are situated .....................................................
12 Does proposed construction vie!ate any zoning law, ordinance or regulation:
13. Will lot be regraded ....... ~., .....-~zz ........ ~.. Will ~xcess fill be removed from premises: ~ Yes , No
14. Name of Owner of premises .~'.,4~-~..4..ff'~..--..~.ff~,J'~...~J. Address ~.O~q~./~.~_~t.,~. ~f~,,,~.. ~_~. Phone No.7.6..d~.-. ~.2. ~.,~
Name of Architect ......... i ................. Address ............. ~.' .....Phone No ................
Name of Contractor ' Address Phone No
PLOT DIAGRAM
Locate clearly and distinctly al1 buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and blo6kinumber or description according to deed, and show street names and indicate whether
interior or corner lot.
, .
/oo !
!
STATE OF NEW YORK,
COUNTY OF .................
o ,toc>oL.
S.S
................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual sign mg contract)
above named.
He is the ............................................................................... ...........
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application i 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 the manner set forth in the application filed therewith.
Sworn to before me this
......... ' ............... day of ..................... ,19..
Notary Public, . .............
................ County
(Signature of applicant)
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
isappr :.%. .....
INSTRUCTIONS
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, build~g code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildhig for necessary~~~.~ ..... ~ ....... 't .......
(Sj~:~t_Le 6f app~li~ame, i a corpora ion)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
... J...C ...........' .............................................
Name of owner of premises... ~. ~,~ .I7..~..~.Dg... '~"~"'t%l..~')...~...~.F..~ ..................................
(as on the tax roll o~latest d,eed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.. I . [ ~. ..................
Plumber's License No.Z: ~.~../.~0,¥2~. ..........
Electrician's License No.~..2'..~
Other Trade's License No.
1. Location of land on which proposed work will be done ..................................................
..... ................ ......... ...............
House Number Street Hamlet
County Tax Map No. 1000 Section ...Q.?.¢~ ......... Block :~ ............ Lot....O..~. ':3., .O..(..~...
Subdivision ..~../~..O..~.. ~./.o/..Y...].~?..F.~. ?.~... Filed Map No.~,O?~..~. ...... Lot. ~'. .....
(Name)
2. State existing use and occupancy of premises a.nd intended use and occupancy of proposed construction:
a. Existing use and occupancy ...~...~.~. )..4 .¢-..h. :5.~. .................................................
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
4. Estimated Cost. ...... ~&!,~ .0..~.O ...................... Fee ..Z',5~ ......~'7 ........................... (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling!'uni_ts ...... ~ ........ Number of dwelling units on each floor .... ] ............
If garage, number of cars .... 4 ...................................................................
6. I business, commercial or mixe occupancy, specify n~ature and extent of each type of use . .- . .........
7. Dimensions of [xisting structures, if any: Front .~..O. ........... Rear .~.O. ! ........ D;~t't~ ii ~ ! ..........
tteight . I .O ........... Number of Stories ...... I. .................................................
Dimensions of same structure w)th alterations or seditions: Front . & O. ! Rear
8. Dimensions o~entlre new construction: Front .. 1~.O.~ ......... Rear . .~ ~ ! ........ Depth . .~/.0. I ........
Height ~..~ ) Number of Stories t ~ .
9. o~ze of lot: Front ...0.~_.'.. ! ........... Rear .../.0.O ............... Depth .]..I.O. ................
10. Date of Purcl~ase .......... i .................. Name of Former Owner ....7...".'. .....................
..... bp' ' '
1 1. Zone or use d~stnct ~n winc rem~ses are situated ................................... ·
.................
12. Does proposed c'onstruction vie!ate any zoning law, ordinance or regulation: '~ ~.. .
13. Will lot be regraded . .5'. '..~ .} ....... ~>' ~ '1'~'~ ....Will ¢l~ess ~ill b~Ire,moved from premises: Yes
Name of Architect .......... ' ................. [~ddress ...... .~.~...~ ,-~ J Phone No.~
PLOT DIAGRAM
Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block Inumber or description according to
interior or corner lot.
deed, and show street names and indicate whether
Sworn to before me this i
~ ~.'-ff/q ..... day of~d57~-, ..... 19~..~
Notary Public . ..
n. ~..~o, 52'4524771 ~,n
STATE OF NEW YORK, S S
COUNTV g .... ·
· ~t~,~.. ............. being duly ~sworn, deposes and says that he is the applicant
(Naff~ of individual signing ~[tract)
above named.
(Contractor agent corporate officer, etc.)
of;.said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
applic~,tion; ~hat ail statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manne~ set forth in the application filed therewith.