HomeMy WebLinkAbout12212-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. z-15705
Date.. April 29, ]987
THIS CERTIFIES that the build~g SCREEN PORCH ADDITION
Location of Property 2015 Bay Avenue East Marion, New York
County Tax Map No. 1000 Section ....0.3.1 ...... Block I 7 .Lot 2
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
F e b r u a r y 8, I 98 3 pursuant to which Building Permit No. 12 2 12 Z
dated Ma r c h 2 6, I 98 3 was issued, and conforms to all of the requirements
of the applicable provisions of tile law. The occupancy for which this certificate is issued is .........
OPEN PORCH ADDITION AS APPLIED FOR *
PEGGY HELLER & ANNE WYDEN
The certificate is issued to ..................... io.v~n.e~,./~Velf~l~t~fr)[ .....................
of the aforesaid building.
N/A
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO ..... N/A
N/A
PLUMBERS CERTIFICATION DATED:
*Board of Appeals
Rev. 1/81
No. 3089
BuILi~iNG I
Pen
(THIS PERMIT MU~T BE KEPT oN ~HE ~1~/~1~
COMPLET ON OF THE WOPa~ AUTH~RjzEDi '
2 212 Z
nJ$$Jorl J$ here ran
ReV. i 6/30/8.O
)
UNTIL
19....~.., and approved by the
:Building [~ns~ector
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southotd, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~ ~ 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 Undecwriters.
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:
1. Accurate survey of property 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.
C. Fees: Additions $25,00
1. Certificate of occupancy New Dwelling $25.00, Accessory,S10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50. ~)0
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property .CZ-C), ~ .J~...~ '../~...¢%. , . .~.:~..~ ~:~
Hou~ No. , Street Ham/et
Owner or Owners of Property ..~~..~~ .... ~.. ~.~.. ~.~ ~.~ ......
County Tax Map No. 1000 Section ............... Block Lot ................
,Subdivision ................................. Filed MapNo ........... Lot No ..............
Permit No. [.fl').o~. ~.~2..~. Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approva ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building anj~oermit meets all applicabl(y/codes and regul~tionN
Applicant .............
Rev. 10-10-78
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - i802
APPLICATION FOR CERTIFICATE OF OCCuPANcy
Instructions
A. This application must be filled in typewriter OR ink, and submitted t~ 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 HeaJth Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrical installation from Board of Fire Under~vriters.
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 r,equ rements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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.
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5'0. ~) 0
3. Copy of certJficate of occupancy $ 5.00, over 5 years $i0.00
4.Vacant Land C.O. $ 20.00 )
5.Updated C.O. $ 50.00 Date ..4..'~.l..?..-? ..............
NewC°nst~u~cc~°n. v/ Old or Pre-existing Building ....... Vacant Land
Location of Property ~Z-o~S. ~ ,qO~..~. F--~-[~ ~4~40~ .~.~/
House No. . Street Hamlet
Owner or Owners of Property .,'~.~.~.¥.. ~. ,E., ,k.,~, ,E~.,.., ?. ,~ J~i/'3, .~,'.. ,(-~, ~ ,'~,. ,~SLH. .................
County Tax Map No, 1000 Section 49._% I Block [.7, Lot
,Subdivision....-'T':.,~ .......................... Filed Map No....--~. ...... Lot No. :.." ..........
Perm it No.~ Date of Permit ~.O., .z~'.: .~.~..Applicant .(~ ?..~. ~.~?..P~...~.~..E..d~..¢...~?.~?...~T~
Health Dept. Approval ........... ~ ......... .~..Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ..................u'~ .....
Fee Submitted $2.~ x~
Da[e: WEDNESDAY, MARCH 23, 1983
)[.~.mbers Absent, if any: MEMBER DOYEN *
-'.; .Leal No. 3089
.':c.,ada Item/,Xlal. ter of: ANN W~N and PEGGY HELLE'R'
· 7.~,~ of Variance or Appeal~
i',,:solutisn made by:
Fezon ded by:
Screen-porch ~on. Red{xced rearyardl
2015--~y~nue ,-'--~ M'ar ion --~
Charles
Gr,gonls ~ Robert Gerard Joseph
. Dou,91ass Goehrmger ~awlcNi
( ) ( ) ( ) ( ( )
( /~pprove wiLh the following conditions:
(~Suaiect to County Plann(no ref~rra~
( ) Subiect to Plann!no 8oard a~roval
:". Ct !c.n:
) Approve as applied for
) Deny as applied for
Der.)'
O,:rD' without prejudice
Withdrawn without
Prejudice
/
..- . _ Ot h_~:
.xot ~ltlun t~,~ Character of the Neighborhood ( ) Granting the Relief Reque~tedis with
Variance is Sabstant£aI in Relation to Code
Xot in h.l~T.c, ny );J.t~h p',z-~"*poses of the ~e
Hardsh{p not s,tflicient
..... s~,,nce., are. Not Unique ~
',,~1 .set a precedent in the neighborhood -.
.',:'ca is already very Congested
': t,:reats of justice serve~ by.denying
;Joard. Ave,*. ( ~CG
Nay: ( )
Absent: ( )
s~
(
(
()
().; --
()
spirit of the zonia9 code
Relief is not substantial
gurde~ of hardship or difficulty shov
k:z~*-um=tances are unique
Variance.will got c~ange character
the aeighborhoocl
I!]te:'ests of Justice served by granti
Otheu for ~pecial Exceptions
() )-
~)- )-
() )
FIELD INSPECTIC~. ~ COMMENTS
FOUNDATION 1st)
FOUNDATION 2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
PER
10-82-0496
Mrs. Ann Wyden and Ms. dargare= Holler
ad r®ss -
' ~ c/o Robins and Speed Home Improvements, Inc,, 625 Second Street, Greenport, NY 11944
LOCATION: Lake Har~,,m at 2015 Bay Avenue~ East Mmrion
~ the east side °f an existing one story residence a ...... ~
~ Constrnct a 8' x 8' screen porch on
t~ sho~e l~n~ of Mnrion Lake. ~e pro~ect is ]~ated on ~be -- ~ -='~ ~ _ ~-?~o~ately 15 from
East ~ '
Env ronmenta Conserva .,
7-~Article 15, [P, otectmn of Waterj
~ Article 24, {Freshwator Wetlands}
i' ~ ~,rtjob 25, ~T[~sI Wetlands}
~ A~tide 36, {Construction in
York Statn
[~epartment of Environme~:tal
95-20-!
Fo:mer[y EA*93
P~r ' "·
~mt /~dmmlstrator
October 28, 1982
Date Issued
December 31, 1983
Expiration Date
t
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
To : .&'.~6~ ~.. ~: 'p.~-. .........
... ~.'.w. ~.<~.:¢.~., .~-r:..~..~.¢.¢.' .......
..... .E.-..o_~Z...~..~:f/.~¢.,...~. :% ....
PLEASE TAKE NOTICE that your application dated .... P~./P../"L~....~5):/A~..7...d~..., 19 ,~...~.
for e~ittoconstmct ~ ~/ ~6~ ~ 4~07~/~____ ~~'~- at
P Y h~&;~o~ ........... ~ ....... ~le;i ...................... h~id
~ ...<~ .... ~c,~ .......
County Tax Map No. 1000 Section ... ~ ..... Block .... ~t
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on the following grounds .~C?~/~5-~--~....~.~.<-~ .....
.~.~.~. ~.~.. ~-d~_~ ~.. ~..~.~..~... ~. ~. ~. ~. ~ ~.C5~? .... .
· ~f ~. ~./.. ~.¢.'. ~..-~...~... ~ ~.,~...~z--~.. ~'-5' ~' :. ~.-:.. .>- .e, :: ~ .~
...' ....zQ.~7'..~......~..~ .... ~.e.e.: ~? .... . .zT'.~. ././. _ ~< ¢ c~ ~./. ¢ ...........
Building Inspector
RV 1/80
}~EW YORK STATE DEPARTMENT OF ENVIROh~MI~NTAL CONSERVATION
Building 40, SUNY--Room 219
Stony Brook, NY 11794
(516) 751-7900
February 8,, 1983
AME~)MENT TO PERMIT
RE: Permit No.
10-82-0496 . .
Ms. Ann Wyden and Ms. Margaret Heller
Lake Marion at 2015 Bay Avenue, East Marion, NY
Mr. Walter Gaipa
Lakeview Terrace
East Marion, NY 11939
Dear Sir:
Your recent request to modify the above permit has been
reviewed pursuant to 6I~YCRR, Part 621. It has been determined
that the proposed modifications will not substantially change
the scope of the permitted actions or the existing permit
conditions.
Therefore, the permit is amended to authoriz~: Construction
of a 8' x 9'4" screen porch .on the east Side of an existing one
story residence approximately 15' from the shore line of Marion
Lake°
This letter is an amendment to the original permit an~ as
such, shall be posted at th% !ob site.
Ail other terms and conditions remain as written in the
original permit.
Very ~ruly-yours
- Daniel J, Larkln
Regional permit Administrator
DJL:cz ~ ~ z ._
Examined . .~..~/-2..~. ~'.., 19~.ff
Approved . .~.~. ~..~..
FORM NO. 1
TOWN OF SOUTHOLD.
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765~1802
Application No/. ~"'~.a~. 4~. ~-.~. · .
Disapproved a/c .....................................
./3. ..............................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
.ets 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
>r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
;ation.
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
hall be kept on the premises available for inspection throughout the work2
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
:hall 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
~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
?he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
tdmit authorized inspectors on premises and in building for necessary inspections.
(Si~,nature of applicant, or name, if a corporation)
.~...~:.~...~...~..~z.. ~ .~....,~.~:~.~...,:YZ ¥./~.~....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~ame of owner o~premises z~... ~..~...~.~.~.. ~...~....../4¢ .~. ~*.(....//. ~:..~.. ...................
(as on the tax roll or latest deed)
If applicafit is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.../e/./¢. .~..aT.q ..............
Plumber's LicenseNo .........................
Electrician's License No .......................
Other Trade's License No ......................
:. Location of land on which proposed work will be done .............. ....................................
.......... z , /. ~. .......... ~?~ . . . ,4.< ......... .~ ~ , . ~ ~ ~ ~ ...............................
tlouse Number - Street Hamlet
County Tax Map No. 1000 Section ....... 0~./. ...... '.' BIock ..... d.~. .......... Lot....~..~:~. ............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
3. Nature of work (check which applicable): New Building .......... Addition ..../¢~..... i. Alteration ..........
Repair .............. Remoyal .............. Demolition ..... j ........ Other Work ...............
4. Estimated Cost ....... Z~q'a~'' 4 ........................ Fee f././, c~. a ~ .~.... ,~m~.~ ........
i (to be paid on filing this"~pplication)
5. If dwelling, number of dwelling Knits ............... , Number of dwelling units on each floor ................
If garage, number of cars ..... ! ..................................................................
6. If business, commercial or mixedioccupancy, specify nature and extent of each type of use .....................
7. Dimensions of exfisting structures!, if any: Front...~..O. ......... Rear .... .*~.0 ..... Depth ..~?.~ ..........
Height ..../fi. ......... Number of Stories ........ ,~. ....... ii .............. i ....
Dimensions of same structure wi~h alterations or additions: Front ii i~. io.' i i i i i i '. i. i. Rear...~O ....... ii ....
10. . ....
I1.
12. Does proposed construction violate any zoning law, ordinance or regulation: ./V.o. ...........................
13. Will lot be regraded ..... ,~.O. 'i .................. Will excess fill be removed from premises: Yes ~
14. Name of Owner of premises ~/4,~..IP.~7,~(,V..~/tt~t.~: ~.~. qc,~Address /. ~.,~i~...c~ .~-..~¢~ .,g~'. Phone No..fi~.~..~ ~/.F. .....
Name of Architect ........... i ................ Address ................... Phone No ................
Name of Contractor .~.qT.~.....~.//?..~. ........... Address i~,'~ .~'~..~< .'~.~.~, .C¢0 6~4~,,,Phone No. ~,7..~.~.O'~.d. Z~, ....
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 nhmber or description according to deed, and show street names and indicate whether
interior or corner lot.
NOTIF~ BUILDING DEPARTML-N
7~5-180~ 9 AM TO 4 PM FOR
F~LLOWING INSPECTIONS:
1~. FOUNDATION - TWO REOtItRED
FOR POURED CONCRETE
ROUGH - FRAMING 8,
I~SUI_ATION
4. FINAL - CONSTRUC*TI"'N
~ BE C~MPt F'I-E FOR C. O.
~LL CONSTRtICTION SHAt~
~HE REOLJI mMENTS OF
STATE CONqTRUCTION
:ODFS. .NQT RESPON? ~'
iTATE OF NE~'~RK,,,/ /,/ff ,~! ~
bove named.
being
duly sworn, deposes and says that he is the applicant
le is the ~ (Contra nt, c~)rp;iat} o'f~i .
f said owner or owners, and ~s duly iauthonzb~l-ta'per~'orm m have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
'ork will be performed in the manner Set forth in the application filed therewith.
worn to before me this
......... ~ ......... day o f. !.. , .~.~.L~¢&¢2;:~// ..... 19~. ,~
'otal;y-_ubli,,P c . .... ..~...,,'~ .... ,~--~.. ounty
- 71' ' ,-". ............... ;;:": .... ;'".:'".:
" ~OT~RY p~I~LtC, State o~ ~e}v 'tot~ ,. . . . _ tolgnarure oi appncanr)
No 52-8125850, Suffolk C0~//
rd)rn E~n,~res March 30. 19