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Home My WebLink About10947-z FOBM NO, 2 ~ TOWN O~ ~OUT~O~, ~, BUILDING DEPART/WENT TOWN HALL , SOUTHOLD, N,. Y. BUILDING pERMIT (THIS PERMIT MUST BE KEPT ON THE PREM SES UNTIL EULL COMPLETION OF THE.WORK AUTHORIZED) ' ¢~rmis$ion i~ horob¥ gr~antod to: Building li~spector. Rev., 6/30/80 " ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department ~'own 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. 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 featu res. 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 New Building .. .~... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..... .... ........... House No. Street Ham/et Owner or Owners of Property., .~.~1. ~.~ Lt. ]~ ....... .?.1.~. 0./~.O. ~ ~.'.~ ................ County Tax Map No. 1000 Section., ~.~/.~. ....... Block ...~..O..~.. .... Lot .... .~.O...~.. ,.. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No../. ,~. ~.z'~??Date of Permit ,O. '.~.%.~(~'¢Applicant .~ ..... .~'.~ro~ ~ '~ ~ ~ ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ <~ ~'O ~ Construction on above described building and per. mit meets all applicable codes and regulations. , \(~ Applicant...~ .... ~~ ................. ~. ........... FIELD INSPECTION ~OUNDATZON (~ s ~ ) FOUNDATION 2. ROUGHFRAME & PLUMBING (and) INSULATION PER N.Y. STATE ENERGY cops FINAL CO~[~ENTS ADDITIONAL COMMENTS: --~"/.~ ~,~. , · ~<,,'l/I ,NOTIFY BUILDING DEPAR~/f~E'[~r!F AT 765-1802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONS: ~. FOUNDATION - ~O REQUIRED ~ FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUM~ING G. INSLJ~TION ~. FINAL - CONSTRUCTION BE COMPLETE FOR C, O, ~LL CONSTRUCTION SHALL THE REQUIREMENTS OF THE ~ATE CONSTRUCTION & ENEMY ~ODES. NOT RESPONSIBLE DESIGN OR CONSTRUCTION ERR~S, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~, ,. SOUTHOLD, N.Y. 11971 Examined~7~7 .... Approved ................ , .! ~..~_: · ~e~it No ............ Disapproved a/c .............. ..... .)/{. ........,../ Application No .................. a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 com~nenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 Connty, 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, building code, housing code, and regulations, and to admit anthorized inspectors on premises and in buildings for necessary in~. (Signature of applicant, or name, if a ~ ration) -' ,. ' (Mailing address of applicant) State whether applican't is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... .Cr~-...q~. · .~ ..... '~. ~.'~..~,~ · CJ ·.t~. . t .c'. · .~'. ............. (as on the tax roll Or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corp/~rate~ficer) Builder's License No ..................... .~ Plumber's License No .......(~' 'Ti ......... Electrician's License No .... ~/j~4.: ......... Other Trade's License No ............ ~ .......... 1. Location of land on which proposed work will be done ..... /~ .oF...~. .... ~.O.>¢,...~z...~...]~: ......... .4.. ............... O. oz,-... ........ -:. Itouse Nmnber Street Hamlet County Tax Map No. 1000 Section ...-.~../.~ .......... Block .... .C?fD.~.. ...... Lot...~..Q..~. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) - 2. State existing use and occupancy, of premises and intended use and occu~ancy~of proposed construction: ,~ b. Intended use and occupancy .... /~'.,..: ........... a ...... ~ .......................... · ~oI sou.too .~o :ro.uo~tu!. .mqloq,'a oleo!pu!pue soumu lomls ~0qs pu~ 'poop ol mo~j suolsuo~p ~o~q-los II~ ol~olp~l 'pu~ 'posodold ~o ~ullslxo ~9VlO ................ °N ~uoqd ..... ,~ .............. ssoJPPV .......................... Jolo~JluoD jo ......... ~ ...... oN *uoq4 ..... ,' .............. ssoxppv ........................... lool~qo~v jo omen (~ soX .sos[mo~d ~o~j po,aomo~ oq [IU SSOOXO II[~ ............. ~' '~' ' ~ W'" p~p~o~ oq loI 1~ '~I .... ......... ~ __ .................. g~ ................... ~, ~ .... polunl~s o~ sost~oxd qot~ m go~1sxp osn xo ouoz 'I I ................ : ............... ...................... so[sols J0 soq~nN ...................... .................. x~o~ ...... · .......... ~uold :suo[l~pp¢.. Jo suo[l~iol[~ ~1~. osn~o~ls o~s jo suo[suo~[~ ............... q~dog ........ ; ...... ~eo~ ............... lu°xA :XueJ['s°~nl°~isSu[ls[x°j°suo[suom[G 'L ..................... osn jo odA1 qo~o Jo gu~xo pue oInleu X~oods 'Xouednooo poxtm ~o imo~ommoo 'ssomsnq JI '9 ................ Joog qo~a uo slt~n. Su;II*~p, jo $oqmnH ............... sltun. SmlIo~p. jo soqmnu '~UqlO~p. JI (uo[]~o!ICd~ slql ~u~t[J uo pled ~q ol) ........ UO[I~JOi~ ........., ,' uoD[ppV:, .... TOWN OF SOUTHOLD, NEW YORK ACTION OF TIIE ZONII~ ]~OAI~D OF APPEALS Appeal No. 2753 Appl i cati oroated 9/29/80 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. Charles Sidorowicz ~-' 125A Cox Neck Road Mattituck, NY 11952 Appellant at a meeting of the Zoning Board of Appeals on October was considered and the action indicated below was taken on your ( ) Request for varlance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance ( X X Request for a variance to the Zoning Ordinance A r t. I I I , ( ) 16, 1980, the appeal Sec. 100-32 gra~ed ( ) be de.ed pursuant to ~tiele .................... Section .................... S~seetion .................... para.apb .................... of the Zoning Ordinance and the decision of the Build~g I~peetor ( ) be reversed ( ) be co~irraed b~use Appl i cati on of Charl es Sidcrowicz, 125A Cox Neck Road, Mattituck, NY for a Variance to ~ Ordinance, Article III, Section 100-32 for permission to construct garage in sideyard area. Location of property: 125A Cox Neck Road, Mattituck, NY; bounded northeast by Matti- tuck Creek; northwest by Mrowicki; southwest by Cox Neck Road; southeast by Sievernich; County Tax Map Item No. 113-8-4. (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 (SEE REVERSE) practical difficulties (b) The hardship created (is) (is not) umque 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 variance (does) (does not) observe the spirit of 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. ) be denied and FORM ZB4 ZONING BOARD OF APPEALS ~ -., o %i.t,T. I"T~ A -BnoQ 'u~£oQ; . '~o~x~S pu~ aaBu~aq~o9 'SS~L · sJssaN :sa£V :p~o8 aq~ '~-8-~LL-OOOL 'ON ~n')s ~p~o~ ~g~N ×oD £q ~s~nos ~J3 ~gn~W £q ~se~ou p~punoq xo3 V~L :£~aadoad ~o uo~3~ooq ~pa~na~suo3 aq 03 s~ ~6eaeB paq3e~ap aq~ q9~q~ 3~ ~a~ aq3 ~q q~Ls Joo[~ 6u~3s~xa aqL (L) j:3~q~ pap~^oJJd '~o~ paLLdd~ s~ a§~6 paq3~ap ~ 'p~A~sqo ~q LL~ ~gu~u~p~o Bu~uoz ~gq3 ~LP~3up~sqns ~ou s~ sj3uamaa~nbaa apo3 aq~ o~ uo~3~laa u~ pa3sanbaa ~a~Laa aq3 ~gq3j sau~maa~ap pu~ spu~j pago8 'JJnLq aq~.o~ anp FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Disapproved a/c ......... ...... -i ......... .~)~ ......... ., ......... ..... ~ ~,~(. X~' /1 5.'o t, ,. APPLICATION FOR BUILDING PERMIT /r~)_~ff/~ / /~~~ ~/ 7'57 INSTRU I NS .................... t/dfC_~.~ CT 0 Building a. This application must =~ ~,,,,,pletely filled in by typewriter or in ink and submitted in triplicate to the 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 issue 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary in~. /) ~ · .C · ........... (Signature of applicant, or name, if a ~rl~oration) ~0~. 6.o..~.. ~.$..o.. ~~.././... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner o f premises .... .G/x~...~...~ ..... ~.< ~..~]~. C2..~.~. t .Q..~. ............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corp~ate~ojficer) 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 ..... /~ .oF.. A .... ~O)~....~...~...~.: ......... .../.~.~.,.x. ? ......... ~.o'z,... ~s.~,~ .... ~d .......... ~.~../x77-.~7.-.~ ~.. ................ House Number Street Hamlet County Tax Map No. 1000 Section ...-//..,~.~ .......... Block .... .(~. O.~.. ...... Lot.. C-)..O...~. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construc'tion: a. Existing use and occupancy ......... b. Intended use and occupancy .... ~Y~ ~2~Cc~ ~' ~ ' ' ~~"z ........................ / 3. Nature of work (check which applicable): New Building ..... Addition .......... Alteration ........... Repair .............. RemOval .............. Demolition .............. Other Work ............... i 4/ (D, escription) (to be paid on filing this application) 5. If dwelling; number of dwelling ~nits ............... Number of dwelling units on each flo~r ................ If garage, number of cars .... t~ .......................................................... 6. If business, commercial or mixed occupancy, specify nature' and extent of each type of use ..................... 7. 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 ............. , ........ 8. Dimensions of~ntire new const~ucfioni Front,.,..../,~.:.... .... Rear .../.?.4 ......... Depth . ~?. z/.: ........ Height . .. ~. .......... Number of Sto"ries ..... '. '.z~. ............................... ~ ................ Date of Purchase ... ~'~. ~.~ .................... Name of Former Owner .. :~'O:,~x~.¥. (,~O. i'/~"~r*/ixj Zone or use district in which premises are situated .... /~ .................. ; ;/~ ............. i .............:"' Does proposed construction vioiate any zoning law, ordinance or regulation: . ~q'~.~.../¢~...[~, ..~ ..... Will lot be regraded ...,d~..~..i .... j/ ............. Will excess fill be removed from premises: ~ ~Y~s ('~-~ Name bf Architect .......... ! ................. Address ................... Phone No ................ Name of Contractor ......... ................. Address ................... Phone No ...... .......... 10. 11. 12. 13. 14. PLOT DIAGRAM Locat~ clearly and distinctly all, buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. , STATE OF NEV(~RK, ,~ .~ ~ COUNTY OF~ .,,-~'~ ~ aeove namea, i He is the ................. ~ .......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application; 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 o~ .... ~.:~ .... 19 ~:~0... , Ho; 52.8125850, Sull01k u0u~ ant) : Toga' Fxn~ras ~arch 30, lg.~..~