HomeMy WebLinkAbout10376-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
C~RTIFICAT~ OF OCCUPANCY
No Z-23185
Date AUGUST 26, 1994
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 1060 FOX HOLLOW ROAD MATTITUCK, NY
House No. Street Hamlet
County Tax Map NO. 1000 Section 113 Block 6 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 23, 1979 pursuant to which
Building Permit No. 10376-Z dated AUGUST 29, 1979
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 ONE FAMILY DWELLING WITH ATTAu~D WOOD DECKS. *
The certificate is issued to RICHARD & DONNALEE RELYEA
(owner's)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 9-$0-78 FEBRUARy 6, 1980
UNDERWRITERS CERTIFICATE NO. N492753 SEPTEMBER 11, 1980
PLUMBERS CERTIFICATION DATED N/A
* - THIS UPDATES CO#Z-10240 DATED NOVEMBER 6, 1980.
Rev. 1/81
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 10376 Z
Permission is hereby granted to: / , .,/"~ /~2 ~
..... , ....... ~Ci~;;~,... ~;;"~ ..............
............ z.~ ~,,~,~,**;/....~ ~,..'..,,~ ** ......................
~o ....~~....J~~....~Y~,. ~..~... ~**..~
e, premise,,ocot~d o,~/..~ ....... ~..~~-...~(....~ ............... ~
pursuant to application doted ..~...-'~.....~...~.....~. .......................... , Ig.Z~..~, and approved by the
Building Inspector. ~'
//
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.....
Building Inspector
, 5.
10:32AM SOUTHOLD TOHM HALL 516 765 1623
Form No, 6
TOWN OF S0UTHOLD
BUILDINO DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR,CERTIFICATE OF OCCUPANCY
P,£
Thi~ application must be filled in by,typewriter OR ink and submitted to the building
inspector with the following: for new building o~ new usel
Final survey of property with accurate location of all buildings, property linen,
streets, and unusual natural or topographic feature8.
2. Final Approval from Health Dept. of water Supply and sewera~e-disposal(S-9 form).
3. Approval cf electrical installation from Board of Firs Underwriters.
4. Sworn statement from plumber certifying that the solder used in system containe
lest than 2/10 of 1% lead.
Commercial building, industrial build£ng, multiple residences and similar buildings
and lnstallatione, a certificate of code Compliance from architect or engineer
responsible for the building. ~
Submit Planning Board Approval of completed site plan requirements.
For existin~ buildings (prior to April 9, 1957) no~-conformi~g usea~ or buildings and
"pre-eXisting" land uses:
1. Accurate survay of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to in,peet signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector ~hall state the
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling'S25.00.
klterations to dwelling $25.00, Swimming pool $25,00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existin~ Buildine - $100.00
3. ~oR~ 9~__C3~Ji~ of Occupancy - $20,00 '--' O~
'~f-C!i.~ updated Certifi~ata of o-~%pancx> Ss0.0?- pm~6~6 ~
5, Temporary ~srt~icate of Occupancy - Residential $15.00, Co~ercial $15.00
Da~e ..... ~,~,,,. ............ ..,,'. ....... '' ....
t[ <ation of Property ................................................ ' ..........
House No. - ....... Street ......... Hamlet .......
'
': ',~ty T~ Map No 1000, ~ectt~n .... ~ ....... Block ................
Y. ...... ...............
IO37d 2 ~,, ~q /q/q ..
r ,r~it No.~,..,.......,..Date O~ ,Pe~it .... ~.',../.. .... AppAzcant ..... ... ....... , .............
Dept. Approval .......................... Underwriters Approval, .............. .. ........
~ 1,~nning Board Approval ........................
I ".¢'uest f~r: Temporar~ Certificate ........... Final Certicace. · .~.. ......
] ~,.! Submmtted ..............................
88/26/1994 11:31 5162424987 DEER PARK CHIRSPRACT PAGE 82
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
Date... MoYember 6, 19 SO
THIS CERTIFIES that the building .S~ .............................................
~060 Fox Hollow Ro~d~ M~ttituck, N.¥o
Location of Property l~13tjs,e hid ....................... 'S'tt:e3i .......................
County Tax Map No. 1000 Section 113 .Block 6 ..... Lot 2..3
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... fi..u .g)4."? .'¢. ?.~. ,. ..... ,19. ?pursuant to which Building Permit No. q 0376 7_
dated .... ~&.lg.'u.~.. ~9., ............. 19 ..79, 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 ......... Privs'te One-Family Dwelling
Richard & Donnalee Relyes
The certificate is issued to ..................... [d~,n'a'r,~.~J~t~r~k'~' ...................
of the aforesaid building.
Suffolk County Department of Health Approval 9-$0-78 - /~obert A. ¥ill,~. - 2/6/80
UNDERWRITERS CERTIFICATE NO ..... ~9. ~.7.5.~ ....................................
Building Inspector
Rev 4/70
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~- ~ 85 ,JOHN STREET, NEW YORK, NEW YORK 10038
o~ly the electrical equ~pn~ent as described below and inEroduced by the applicant named on the above applicatio~ nu tuber in the premises of
~'d ~$~, F~ ~1].~ ~o ~/~lc cio ~
w"' "x"~"°d °a [~t¢~er ~, 19~0 a'~d f°und ~° be i'~ c°n'plia'~ce with the requirements 'F th,s Board.
FIXTURE
OUTLETS
3O
DRYERS
~ECEPTACLES SWITCHES
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FAN
FLUORESCENT
INO OF HI LEG
AWG
OF H~-LEG
OF NEUTRAL
Rict~rd Re£ye~.
I~xtre£, N.Y. 1.1,948
Li~. 2148 ~
GENERAL MANAGER
Per_ ~1
Th s certff cate must not be altered in any ~nanner, return to the office of the Board if incorrect Inspector, s may be identified by their credentials.
COP ' ; ................................
y FOR BUILDING DEPAR~MIENT. THIS COPY OF ~F.P~¥iFICA?~ ~tU~$r NOT S~ ALTERED IN ANY MANNER.
Memorandum from....
BUILDING INSPECTOR'S OFFICE
TOWN OF 80UTttOLD
TOWN HALL, Sou~r~oLD, N. Y. 11971
765-1802
P'-i I,u A I,
FORM NO. 6
TOWN OF SOUTHOLD
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:
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 or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date.. ,9 .", .I..--.(~ .Q ...........
New Building v/ Old or Pre-existing Building Vacant Land
t~C-k
Location of Property .................... .~.~ )('.~.OJlOl.).~. I~ln ~0).,)l')9~. ~.,
House No. Street Hamlet
Owner or Owners of Property ...~.l:C.b.(:~.l~. d.. C~d...--~.. C~...n.a.)e~...n.C. !y. .......
County Tax Map No. 1000 Section., .I.I.5 ........ mock ....G .......... Lot. ...........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No..I.~. ~.'~-~Date of Permit .¢~4~/?.~Applicant-- . .~(::)l~{r')~te.{~...~!y..~.~.~... .....
Health Dept. Approval ~?.-.~.0. T?.~..~.: .A...~.~. ,~..1.~... Labor Dept. App royal ........................
Underwriters Approval v/ N/~927~53 . .Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .. ~. ...................
Fee Submitted $ .... .~,..{~.. ..................
Construction on above described building and,.,permit meets all. applie~ co, des and regulations.
Applicant . . . '.~ ....
ney. 1o.1a-78 , ,~f~
TO%VN OF SO~3T[IOLD, NEW YORK
ACTION OF THE ZON~/NC~ BO~F~D OF APPEALS
Appeal No. 2497 Dated November 20, 1978
ACTION OF TIlE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTItOLD
To Richard and Donnalee Relyea
Delmar Drive
Laurel, New York 11948
1979
Appellant
at a meeting of the Zoning Board of Appeals on December 21, 1978
was considered and the action indicated below was taken on your
(X) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a varlance to the Zoning Ordinance
( )
the appeal
1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article .................... Sectlon .................... Subsection ....................paragraph
.................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be
confirmed because 8:00 P.M. (E.S.T.) Upon application of Richard and Donnalee
R.elyea, Delmar Drive, Laurel, New York, for a variance in accordance
with the Zoning Ordinance, Article III, Section 100-32 and Bulk Parking
Schedule for permission to construct an accessory building in the front
yard area and a variance in accordance with Section 280A of the Town
Law for recognition of access. Location of p~operty: Foxhollow Road
and Deer Path Road, Mattituck, New York, bounded on the north by Beier;
east by Beier; south by Mattituck Creek; west by Private Road..
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce
ha~ dship because
practical difficulties or unnecessary
SEE REVERSE
(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
(c) The valance (does) (does not) observe the spirit ol the Ordinance and (would)
change the character of the district because
SEE REVERSE
(would not)
and therefore, it was further determined that the requested variance ( ) be granted (
that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed.
/
SEE R VERSE
ZONING BOARD OF APPEALS
FORM ZB4
) be denied end
After inspectiQn and investigation the Board finds that the
applicant wishes to construct a garage in the front yard area and
requires recognition of access to his property. The Findings of the
Board are that they are in agreement with the reasoning of the applicant.
DUe to the sloping legal back yard area, it would not be feasible to
build a garage inlthat location. After inspection of the rights-of-way
to the property t~e Board finds they are narrow, but in good condition.
The Board find~ that strict application of the Ordinance would pro-
duce practical difficulties or unnecessary hardship; the hardship
created is uniqueiand would not be shared by all properties alike in
the i~ediate vicinity of the property and in the same use district;
and the variance Will not change the character of the neighborhood
and will observe ~he spirit of the O-dinance.
On motion by Mr. Tuthill, seconded by Mr. Grigonis, it was
R~SOLVED that Richard and Donnalee Relyear, Delmar Drive, Laurel,
New York, be GRANTED permission to construct an accessory building in the
front yard area and GRANTED recognition of access in accordance with
Section 280A of the Town Law. Location of property: Foxhollow Road and
Deer Path Road, Mattituck, New York, bounded on the north by Beier; 'east
by Beier; south by Mattituck Creek; west by Private Road.
Vote of the Bo~
DOuglass.
~rd: Ayes: Messrs:
Gillispie, Grigonis,
Tuthill and
10.
11.
12.
13.
14,
Nature Of work (check which applicable): New Building .... X ..... Addition .......... Alteration ..........
Repair ] Removal ............. Demohtmn .............. Other Work
l ~..¢ 7~'-~*-"~ ~ t7 ~,>,,~' ~.o ~_ ../ti_ (Description)
Estimated Cost ...~.,.0.01.0 ...... ].~)~. ~.~. ~'-l~e~.~q.~..?.~. ./.~...-7.x~. ~F~'~/'~ <do
~ (to be paid on filing this application)
If dweliing, number of dwelling Units .... .1 .......... Number o f dwelling units on each floor ................
If garage, number of cars ..... i ......... 2. .........................................................
If business, commercial or mixec~ occupancy, specify nature and extent of each type of use .....................
...... pth
Dnnensxons of exxstmg structures ff any: Front ............... Rear .............. De ...............
Height I ....... Number. of Stories ........................................................
Dimensions of same structure wi~h alterations or additions: Front ................. Rear ..................
Depth i ................... i.. Height ...................... Number of Stories ..........
Dimensions of entire new constrpction: Front ....~ .......... Rear ..../+~ ................... ' i ~e';t~t' ' i ~.~i
Height ............... Number of Stories .... pp.e..s~9.ry' ~t.n..f.rpp~ ..................................
Size of'lot: Front ..... J.5.0...i ........... Rear .... .1.2~...6~ ............ Depth .. ¢.2.0 .................
Date ofPurchase NoY... ~-97~..' .................. Name of Former Owner ....Cbg~J-9~.e. ]):[p~c.er~pp .......
Zone or use district in which pr~mises are situated ..... .R.e.s~_.cl.e¢.~..a.1 .....................................
Does proposed construction violate any zoning law ordinance or regulation: .riP..(p.e.r.m.~. fp.r. ¢.e.~.a.e.h.~... g.~..a.~.e.
Will lo~ be regraded ..... .O~.? .................... Will excess fill be removed from premises: ~ueUJNo
Name Of Owner of premises ti.,.!&,. D... R.e.ly.e.a ..... Address . ]p.o. Dpt. 37.2..~.a.m:..e.1. Phone No...29~r59.65 .....
Name 9f Architect . D~.ey.e..T.s.o.n.~.a.k.5.a ........... Address R~c. 27A ~a~giguek Phone *q,~ · .27.8r.2~73 ./~...
Name 6f Contractor .R.l..e.h.a?.dt..R.e.l~r.e.a ............Address ~.~i ~.~.~i ).~¢i .~".a~. }}i Phone ~ ; i . .2 .9 .8 7 .5 .0 .6 .51 .~' ....
PLOT DIAGRAM
Locate ~learly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or clorner lot.
-\~f \' ' I'~
,
STATEOFINEW~f~)RK~-,- tL~S x~ - )2/.(a,;£ --
......... ' ..... l.u.
(Name of individual signing cofitract)
above named. ,'
s't i .........
ei he.., ...................................................................
(Contractor, agent, corporate officer, etc.)
of said owher or owners, and is duiy authorized to perform or have performed the said work and to make and file this
apphcatxon; that all statements con~mned m thxs apphcat~on are true to the best of his knowledge and belief; and that the
........ being duly sworn, deposes and says that he is the applicant
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this I
MilLERS ', \
~ \ t~/ght of Way
of
NOTE · -' IdONUM~NT
HEALTH DEPARTMENT ~DATA FOR APPROVAL TO CONSTRUCT
H NEAREST WATER IIIIAIH__M) -* N SOURCE~OF WATER PRIV~TE~--~PUBLIC
N SU,FF CO TAX MAP DIST/O~ SECTION ~ BLOCK ~ LOT
N-THERE AR[~ NO OWE{-LIN~$ WITHIN lO0 FEET OF THIS PROPERTY
OTHER THAN THOSE SHOWN HEREON
~- THE WATE~ SUPPLY AHO SEWAGE DISPO'~AL SYSTEM FOR THIS
WILL CONFORM TO THE STAN~RDS OF THE SUFFOLK COtiNTY DEPARTMENT
ADDRESS
TEL
SURVEY '.FOR
F~ICH~D I~£LYEA ~ DOIVNALE£ /?ELYEA
AT M~ TT/TUEK
SOU O D
SUFFOL~ COUNT~, NEW YORK
H COpIE'$ ,O~_~;THIS SURVEY NOT BEANING THE {.AND
NIEHTALiAG~NCY ANO LE~ING INSTITL~TIOH LISTED
OWNERS[ ~ ~
DATE AUG I, 1979
SCALE I" -- 50 '
NO 79 -
1 400 OSTRANDER AVENUE
Y UNG e, YOUNG RIVERHEAD, NEWYORK
ALDE;N W YOUNG, PROFESSIONAL ENGINEER
ANO ~AND SURVEYOR N Y.S UCENSE NO 12845
HOW~A~D W YOUNG, LAND SURVEYOR
N Y SiLICENSE NO 45895
j MIIL£RS "~\\ t?~ht of Way'
-' of
Dt
NOTE m = MONUMENT
SUFFOLK COUNTY DEPARTMENT OF HEALTH SBRVICE$
FOR APPROVAL OF CONSTRUCTION ONLY
APPROVED., f ,~
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT
OTHER THAN THOSE SHOWN HEREON
~ THE WATER SUP~Y AND SEWAGE DIS~L SYSTEM FOR THIS
WILLC~FORM TO THE STAN~RDS OF T~E SUFFOLK COUNTY DEPARTMENT
~,~. ~ ~/~
U q
~ THE LOCATION OF WELL(W)~$EPT~' TANK(ST~ CESSPOOLS(CP) SHOWN HEREO~
ARE FROM FIELD ORSERVATIONS~c~L, OR OJktA OBTAINER FR~OM OTHERS
SURVEY, FOR
R/CHARD R£LY£A
PPLZC NT -
~RICH~" AND DONNALEE
POST 0FHCE BOX 372
LA~, N.Y. 516-298 506
L1940
~ DONNALEE RELYEA
AT M~TTITUCE
TOWN ~ SOUTHOI D
SUFF~OLK COUNTy, NEW YORK
DATE AUG. I, 1979
SCALE I ' -- 50'
NO 79 - 426 .
YOUNG a YOUNG
ALDEN W YOUNG, PROFESSIONAL ENGINEER
AND~LAND SURVEYOR N Y.S LJCENSE NO 12845
HoW'~ARO W YOUNG, LAND SURVEYOR
NY$ LICENSE NO 4589~
4OO OSTRANDE R AVENUE
RIVERHEAD, NE~/ YORK