HomeMy WebLinkAbout11652-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z.1.l 1 SD .......... Date ...... ~g p.~.e,~ber..16 ............. 19~.~.
THIS CERTIFIES that the building ................................................
2835 Great Peconic Bay Blvd.
Location of Property .. ~ 0 ............ N.e.n~ly..D.C ~¥~ ....................... ~.R~IC~-....
House No. Street Hamlet
County Tax Map No. 1000 Section .. 1 ~ ~ ....... Block ...Q 5 .......... Lot...Q 0 .~ ...........
Subdivision .... ~ .......................... Filed Map No..~ ...... Lot No. ii ............
conforms substantially to the Application for Building Permit heretofore ~ed in this office dated
·. I~ p.v.~ r~l~.e?.. $ 0., ..... ,19 ~ 1. pursuant to which Building Permit No... l .1.6.5.2.. ,Z ...........
dated ........ i.f~y.. 1 ~ ............. 19.8.a., 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 addition to ~ara~e on an existinF dwelling.
The certificate is issued to Martin C. & Mlldr'ed M. llelsen
(owner, Imme e~ma~e#
of the aforesaid building.
Suffolk County Department of Health Approval .... ~../.a ...................................
UNDERWRITERS CERTIFICATE NO -," ~ 6 5 5 ~ ~
Rw. 1/81
Building Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N~ Y.
BUILDING PERMIT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WOP4(AUTHORIZED)
N°. 11652
Permission is hereby granted to:
..........
Building Inspector.
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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:
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.
C. Fe~s:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date.. /::~.?.. ~'b'~ ..
New Building .... : .rt.~:~. ~... Old or Pre-ex[sting Building{X) ......... ~ ~Vacant Land ............
Co,at,on of ProperW ...... ............... ....... .-..
House No. Street Hamlet
Owner or Owners of Property ................... ~[ ! ............. ~ ...........
County Tax Map No. 1000 Section .... /..'z:,..~ ...... Block ...-~.. .......... Lot... ~'.~ ..........
Subdivision ................................. Filed Map No...; ....... Lot No ..............
Permit No. I! (~?.?.... Date of Permit/~.o.~.~/?./,..Applicant.. ~..~-.77,~,. ~,': .~.¢./5.~. ,~/.
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 Pern~i~meets all ap~ca~e~codes and regulations.
.... .................
~000418 THE
June 16,
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
].982 85 JOHN STREET, NEW YORK,
Apphe. tio. No. o. si,e N 565539
only the electrical equipment as described belo~v a~d introduced by the applicant ~amed on the above application number in the premises of
Martin Nelsen, n/e/c/Wendy Dr. A Peconic Bay Blvd. Laurel,N.Y.
Section
Block
Lot
mas examined on and found to be in compliance with the requirements of this Board.
FIX'rURE I I FIXTURES I RANGES ICOOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS
OUTLETS3' ~ECEPTACtES SWITCHES INCANDESCENT FLUORESCENT ~v~R~RY T K.W. ~T. K.W. AMT. KW. ~ MT K.W. ~T. H P
--1 GFI--
Alexander G. Hubbard
Box 222
A quebogue ,N .Y. 11931
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be icl~ified by t~h~ir
credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, r.l.Y. 11971
TEL.: 765-1802
Disapproved a/c ~-~~. ' . . :
/ ~'/t',7~',J~' APPLICATION FOR BUILDING PERM IT
Application No./f.~'..~.-~.. ......
Date .ff.0.O..~.O. ......... , 19~. /
INST RUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule.
b. Plet plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre~
or areas, and giving a detailed description of layout of property must be drawn ou the diagram which is part of this ap[
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 pern
sbalt be kept on the premises available for inspection throughout the work.
e. No buildiag 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 IS ItEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town bf 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, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necessary\inspections. _ ~
.. ,..ha ¢.., .........
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant ~s oxvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
(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 .........................
....
Electncmn s License No. .
Other Trade's License No ......................
1. Location of land on which proposed work will be done
W4.7 0 '" ~d.,~A ~NtJmbe, bet. ~ ~ c-, ~ ~q. ~')9~-~ ('~/4~ ................................................ .. k:~ ~,~.. ]
· House ~.zz Street Hamlet
· o :._....¢..-
County Tax Map No. ~O00 Section .. ' Block .................. Lot.
Subdivision ..................................... Filed Map No ............... Lot ..............
(Nmne)
State existing use and occupancy of premises and intende~ use and occupancy of proposed construction:
a. Existing use and occupancy../...~..~...~. ;//.7.... ~. ('.~/.~.L~..~.~....: ............................
Repair .............. Removal .............. D~mo,:,ion .............. Other Work
"~'7/, c;' ~ ~ (Description)
.............. : ...... .............................. ,../.'3.-..-7. ..........................
(to be paid on filing this application)
;. If dwelling, number of dwelling units ............... Number of dwelling units on each floor
If garage, number of cars . .'~.. (2.,q r~_.
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
t. Dimensions of existing structures, if any: Front ' . Rear Depth ...............
Height ............... Number of Stories ..... /. ......... - ............. ; ...........................
Dimensions of same structure with alterations or additions: Front ................. Rear
Depth ...................... Height ...................... Number of Stories ......................
~. Dimensions of entire new construction: Front ............... Rear Depth
Height ............ ~; :~.Number of Stories ............................... · .........................
). Siz,. of lot Front I ~ . r~. /o o , c" '
· - .................... eprn ..................
). Date of Purchase /.~.Z~. Xrame of Fo er Owner ~''~a~--'r ;~,r,~/ 'c ~ ....
.... · · · .. ............... : . ~ ~ t~,..,.~,~., jr."-. 1~.."~.! ~.~.~-wtr/L...
1. Zone or use district ~n which premises are situated ~',~ ~¢~.~,
' Does proposed construction violate any zoning lawl ;}~tin'a~ce ..................
il Will lot be regraded ...... :~' ' '" ' ' :' ', .... .;'r · · ',' · Will ex~..~ss fill b~remov~e,d~from premises: . Yes No'
I-.NameofOv'nerofpre:nsesr'/~?'C'.~'rl"ltd~,1 .~.~lS~Z.e-c~/.Addr~ss
~ ' ....................... '..7 · · '~:. · rnone mo ..... ': ..........
Name of Architect ....... · Address
Name of Contractor .......................... Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or pro~osed, and. indicate all set-back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate wh~ther
~terior or corner lot.
rATE OF NE~?-.,ORK,, ,~ ' S S '
OUNTY OF · _
being duly sworn, deposes and says that he is the applicant
e is the ............. ~ .................................................................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
~plication; t-hat 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 h~ the application filed ti~erewith.
worn to before me this
~i ..... Public ;~"~/~' ..... day °f'~" 19 '~'/~
. ary ............ ~... County '
No. 52-8125850, Suffolk Cou~,,:~___
Southold Town Board of Appeals
MAIN Rr'IAD- STATE ROAD 25 sr'IUTHr'ILD. L.I., N.Y. 119'71
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2934
Application Dated November 30, 1981
TO:
Mr. and Mrs. Martin Nelsen
2835 Great Peconic Bay Boulevard, Box 422
Laurel, NY 11948
[Appellant(s)]
At a Meeting of the Zoning Board of Appeals held on December 17, 1981
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
Request for Variance to the Zoning Ordinance
Article III , Section Section 100-31
[ ] Request for
By this appeal, applicant seeks permission to construct a
10' by 36.2'garage addition at the westerly side of the existing
one-story, one-family dwelling, leaving an insufficient setback
from Wendy Drive, a private road, of approximately 24.8 feet.
The subject premises is a corner lot as defined by Section 100-13
of the code, with frontage along Peconic Bay Boulevard of approxi-
mately 125 feet and along Wendy Drive of approximately 125 feet.
Because of the location of the existing dwelling and the existing
cesspool and septic tanks, the board agrees with reasoning of
applicant for this location. There is minimal other buildable
area in practicality.
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 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 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.
On motion by Mr. Goehringer, seconded by Mr. Sawicki,~ it was
RESOLVED, that the application of Martin and Mildred Martin
for permission to construct addition with reduction in frontyard
area, Appeal No. 2934, be GRANTED AS APPLIED FOR.
Location of Property: 2835 Great Peconic Bay Boulevard,
Laurel, NY; bounded north by Williams; west by Wendy Drive; south
by Gt. Peconic Bay Blvd.; east by Blvd. and Kennedy. County Tax
Map Parcel No. 1000-128-5-4.
THE SOUT!iCLD TOWN CLF.~
DA~TE //~ ~..~_L~
DATED' .Tan~]~ry 1982.
Form ZB4 (rev. 12/81)
res: Messrs. Grigonis, Doyen, Douglass,
CHAIRMAN, SOUTHOLD TOWN ZONING BOAR~
OF APPEALS
.EV,SlC;NS YOUNG & YOUNG
dULY I6'~I973 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
SEPT.4, 1973 ALDEN W. YOUNG HOWARD W. YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
SURVEY FOR:
WARREN HEFFNER &PAULINE HEFFNER
TOWN OF
SOUTHOLD
S~FFOLK ?0', N.Y. ~~~~
FIELD INS?ECTIO~ ~. COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
?LUMBING
INSULATION ?ER N.
STATE ENERGY
Cp~E
FINAL
ADDITIONAL COMMENTS:
/0'0~ Y
I
l
l
l
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I I
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
To/~/~,¢~'7"~.,g,-~...~.-...
· .~..~.~ .....................
...~..c~..~.~.~ ............
PLEASE TAKE NOTICE that your application dated ,~,~d~.~ . .~.~..., 19 .~../..
for permit to construct .~./~--/(.OALd..~-~.~...~e',~Z~-~7....~ ......................... at
Location of Property ~.-~.~d~ff~ ~..7..~.~.C .~.~. /~/&~¢
County Tax Map No. 1000 Section ../.~.'.~. ...... Block .... ~...~. ..... Lot . OO.,.~. ......
Subdivision ................. Filed Map No ................. Lot No. '
is returned herewith and disapproved on the following grounds. ~?¢d.c,,~'./.~)..,~...O~.'.
.~2.~. o.. ~.. ~. ~a~c.. u,x~,~. 7,....,~.~...C,c.~,s.~... z.~,7,,~.,.c/.-z~.~ '-'
...~,-...z-~...~..-. ....... ~. m .... ~-.~.../..o.c...-..0::...~,.~.C~.~5~
RV 1/80