HomeMy WebLinkAbout10959-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Bui[din§ Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z 3.1.0.7.9 .......... Date ..... .~.u.l:y., .1.4. ................... 19 o.Z
THIS CERTIFIES that the building ................................................
Location of Property .1.5.2, ;3 ....... Jt...O, .~/....o. ~.~..qzT..~p.d' .,~.¥?p.q~ .......... ~,!~ .g.~:-L.~.t.l .c!~...
House No, Street Hamlet
County Tax Map No. 1000 Section . ./.0.'/. ....... Block .. ~),3. .......... Lot ...0.1.1., 0.0.4. ......
Subdivision... g. .......................... Filed Map No.. X ...... Lot No. X ............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·../~u3.~$ t~..1.1 ........ , 1913~3. pursuant to which Building Permit No..1.09~9..2, ............
dated .... 1.~ Ok~.x~lP ~ ~'..~S ............198 0., 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 .........
.... Cr~..~.¢ .c.e.~ 8. 9 73r. . g. ;;zP.0.q ~.~ .~. ~.q P..a ?;.e...~. .........................................
The certificate is issued to .... W± 13..lam. £'.... &. R&ta. ~.~ .~li,Ll;on .......................
(owner, ~l~.o~ ~aa~
of the aforesaid building.
Suffolk County Department of Health Approval ....n/a ...................................
UNDERWRITERS CERTIFICATE NO ........... x~/a ...................................
*Zoning Board of Appeals approval #2737, 9/25/80
Rev. 1/81
Building Inspector
FOF~M NO.
TOWN CE S~UTH0~
' TOWN HALL
SOUTHO~D,.
(THIS PERMIT MUST DE KEPT ON
TH,~ P~EM S~S
COMPLETION OF THE WORK AuTHORIZED~
UNTIL
EULL
N°. ~0959 Z Date i~'~*~--/~-~--,.:.
Permission is hereby granted to: r
. ....~ ~ ./.,.,~.~ ~. 4..~'~.,~
· ..~.:~.....~.~:' .~.~:. ~.~
,o ~4~...~c.~~....~...< ~,.~~ ..................................
.... ~,~. .~~ ~..~ ~ ...... ~...~.~~ ...... .~ .....................................
~, ~.~, ~,~ ,, ..z.~..~.~ ....... ~.~.:.~;...:~.~:..~~.~ ..........................
....... : ......... : ........................................... .................... .,...~ ......... ~...:~ ....... . ........ .~.. ........... : .........................
~o.~, ,~x ~., ,o. ,ooo ,.~,o....~.~.Z ........ ~. ,,~ ,:..¢. ............. .~o,,o. ............. ~ .....
purSUant fo application dated .~ ,~,..;...~.....~...~.....; 19.~, and )roved by the
8"ildlng Ihspector.
Fee ..... ~ .........
InspectOr
Rev. 6/30.780
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, add 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 inspectio, n of buildings or premises, or other pertinent informa-
tJon required to prepare a certificate.
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 .....
New Building:. O, .~. =/.'~.-.~._~.. Old or Pre-existing Building(X) ......... ~ 'Vacant Land -i ............
Owner or Owners of Property .~/~. ~ ...... '~' ~...~,..~: .L~ .......
County Tax Map No. 1000 Section . .L ~?~ ........ B tock .. ~ .:? ......... Lot..~Z/~:.~/.(2 ~
Subdivision ...~ ...................... Filed Map No ........... Lot No ..............
Permit No. ]/~r~.~Date of Permit ¢(/~.~..Applicant..x~..~*..~~ ......
" v
Health Dept. Approval .................. Labor Dept. Appro al ...................
.... ..............
.... . ............. -.
Construction on above described building and permit'meets! all appl~cable~cones and regulations.
Applicant ...... 4-' ............ -*' ''' ¢ ...... . .....
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL, 765-1802
17 June 1982
William & Rita Hilton
1526 (R.O.W.) off Graod
Mattituck, NY 11952
- Applicant
Avenue
Dear Mr. & Mrs. Hilton :
This is to advise you that the job under Building
Permit No. 10959 issued to Mr. & Mrs. Hilton
on 11-6-80 for two car. garage is completed and
a final inspection has/~X~ has not/~ been done.
In order to complete this file, it is necessary that
a Certificate of Occupancy be issued. Please fill out the
enclosed form(s), return same to the above office with a
check for $5.00 payable to the Town of Southold. Please
indicate to whom the Certificate of Occupancy is to be mailed,
and arrange with this office for an inspection date.
Thank you for your prompt attention.
Very truly yours,
Victor Lessard
Administrator
VL:ec
Enclosures
FIELD INSPECTION
FOUNDATION (~s2)
FOUNDATION (2nd)
2.
COi~ENTS
ROUGH FRAME &
PLUMBING
INSULATION PER N.Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FO~M NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
b'l A --fi- ~ wU(_ IK N~- w.
............................................................
PLEASE TAKE NOTICE that your appl~ion dot~ ~ ~ ~ I ~ 19 ~0
~k~ ~ ~ ~ ~H ............................................................
permit to construct ............................. .~'.....at tl~)premises located at ....................................
..I..~.l.~.....~.~.~!.~ ........ ~..~.~ ............. S~e~ N ~ ~ ~
Map .................................... Block ............................................ Lot ................................................ is
returned herewith and disapproved on the follow;ng groun. Ndds ...... .~..~.~..~.,~;!~...~. ..........................
9...'Z..~.o...c,...'Z~.~.~. ....... (..~L.'T..~.. ~.~.~ ...... e,e.~ ?.. ~..). ........ ..N..?.~ ....... ..>.~..r?...5!..L...?..~.~ ......
.~..~......~..~ ........... ..rf).,Lo...tv...t ....... m......s...~..b..~ ...... ~.~.~.~, ................. ..A..).~Z.~....!.?..o..7...~ :t
Building Inspector
Tow~ o~ sou~Ho~), ~w Yo~
ACTIO~ OF THE ZONIN~ BOAI~D OF APPEAL~
Appe~No. 2737 ~..ApplicationDated August 18, 1980
ACTION OF TIrE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To Mr. and Mrs. William Hilton
1520 Grand Avenue
Mattituck, NY 11952
AppeZlant
at a meeting of the Zoning Board of Appeals on S e p t em b e r 2 5,
was considered and the action indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Bequest for a special exception under the Zoning Ordinance
( X~(Request for a variance to the Zoning Ordinance Art . I I I ~
( )
168o,
Section 100-32
the appeal
granted ( ) be de~ed pursuant to Article .................... Section .................... Subsection .................... paragra~
.................... of the Zoning Ordin~ a~d the ~eci~on of the Building Iurpector ( ) be reversed ( ) be
co~irmed because Appl ication of Wi l l tam
and Rita A. Hilton, RR #1, Box ll5A, Grand Avenue, Mattituck,
New York 11952, for a variance to the Zoning Ordinance, Article
III, Section 100-32 for permission to construct garage in the
front and/or sideyard areas. Location of property: 1520 Grand
Avenue, Mattituck, NY; bounded north by Heuser, east by Suter,
south by Pafenyk and Anrig, west by Rohrbach. County Tax Map
Item No. 1000-117-3-11.4.
(SEE REVERSE SIDE)
2. VARIANCE. By resolution ol the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce
hardship because
(SEE REVERSE SIDE)
practical
di£ficulties or unnecessary
(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 SIDE)
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would)
change the character of the district becauseTM
(SEE REVERSE SIDE)
(would not)
and therefore, it was further determined that the requested variance ( ) be granted
that the previous decisions o£ the Building Inspector ( ) be cordirmed ( ) be reversed.
) be denied and
FORM ZB4
ZONING BOARD OF APPEALS
After investigation and personal inspection,
finds as follows:
Appellant has appealed to this Board seekin<
to construct a garage in the frontyard area, appr
at its nearest point to the westerly side line an
19' at its nearest point to the southerly yard li
The premises in question is a parcel of land
a private road, "Cedar Lane~ more particularly kn
Tax Map Item District 1000, Section 107, Block 2,
consisting of about half an acre. There is prese
on the premises a two-story frame house with wood
Upon inspection of the premises, the-B~ard f
adjoining property to the west has an existing ga
mately 10' from appellant's sideyard line.
The Board finds the circumstances present in
unique, and strict application of the ordinance w
practical difficulties or unnecessary hardship.
believes that the granting of a variance in this
not change the character of the neighborhood and
the spirit of the ordinance.
~he Board
ia variance
Ximately 15'
iapproximately
e,
located on
~wn as County
Eot I1.4,
~ly existing
~ deck.
hds that the
'~ge approxi-
this case
)~ld produce
[he Board
zase will
Jill observe
was
On motion by Mr.
Grigonis,
seconded by Mr.
RESOLVED, that William and Rita A. Hilton, b
permission to construct garage in frontyard area
for.
Property: 1520 Grand Avenue, Ma
Heuser, east by Suter, south by
County Tax Map Item No. 1000-1
Location of
bounded north by
west by Rohrbach;
Vote of the Board: Ayes: Messrs. Grigonis,
lass, Goehringer and Sawicki.
PdZCEIVED AND FILED BY
THE SOU%%lOLD TO¥VN CLERK
Town Clerk, Town of S~uthold
APPROVED
....
Chtfirnm~ Boa~'
'GRANTED
~ applied
it
tituck, NY;
)afenyk and nrig,
7-3-11.4.
)oyen, Doug
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined. ..( ....... ,
Approved .ff.q..~...( ....... , 19 .~(2. Permit NO.. ((~
Disapproved a/c~~/~..~.... ;/~ ......
~. ~, ./~ ' ....... ~ii~i~'Ins~;~t;;~ ........
~ ' INSTRUCTIONS
Application No.4 .(~. ~..~...-c~. .......
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 g~ving 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 buildipgs, 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 inspections·
· ..............
(Signature of~applicant, or nmp, if a corporation)
.... .........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................ ..........................................................
Name of owner ofpremises.., f.~.././.~.L. (/~..~{.....f~.... ~.../?!..~.......~.. 2.../Lf./../-..~.d?..~. .................... (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. ,. :,,t~..~., ..............
Plumber's License No .........................
Other Trade's License No ......................
1. Location of land on which proposed work will be done .... .~.1.¢..]~..~...~. ?.....~..~..i.t~..
.,':.... ..........
House Number ~[;'/~5-Z(, /c~q.&~reet Hamlet
County Tax Map No. 1000 Section ./?) .7...~....//,.z~. Block .................. Lot ....... ~./.'77. ~ .....
'7 7- 33/3
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........... /. ..... .~.~./~.~/../~. ~.... ~..C~..~.. ~ .~./..~. 9.~. .....................
b. Intended use and occupancy / ~/'~Pttk.~" ~(.x.)~,/L{__.//Ld(y~ dc ~ ~tt'~/~ ~-.~..~...~,.~..~'
3. Nature of work (check which applicable): New Building ........ Addition .......... Alteration ~ .... ~..,..
Repair .............. RemOval .............. Demolition .............. Other Work ...............
· /.~. ,~.j 000 .~..O...c~~. (Description)
4. Estimated Cost ...................... Fee ............................
(to be paid on filing this application)
number of dwelling hnits ~ Number of dwelling units on each floor --
5. If dwelling, . .............................
If garage number of cars '
6. I.f business, commercml or rmxed occupancy, specify nature and extent of each type of se .....................
7. Dimensions of existing structures, if any: Front .... .~. ~....~. f.. Rear ... O~.~'.. d'. .... Depth. ~ ,,~...t.~ ..
I-[eight . .... ,~, &.( ..... Number of Stories .......... ~ ...........................................
Dimensions of same structure with alterations or additions: Front ~ Rear
Depth '· ......... ~ ....... i.. Height --"' Number of Stories ...... : ....
8. Dimensions of entire new construction: Front ..... ,% ~. ..... Rear .... ~..~..~ ...... Depth ..... ~..~.: ....
Height .../.~-'. ?. ~.":... Number of Stories .............. ,~. .................... ,,¢~_,..j-:~, ....
9. Size of lot: Front ..... /..~. ~-/.O. ......... Rear ..... / .~./~ .~.~ ....... Depth . .~.~k ~r,.~. 5 .... .~-.~.%(.~./.0.,~
10. ][)ate of Purchase ... ~, .. .~ .... Na e of Fo r Owner ............ ~, ....... ,. ,. ~,. · ·
.......... ' i'~ ' ~ ~'~ ~' ~'- "t~' ~-.,c~Tr/~l,- ~t~ ~4. (-~,ll,~,'L TV~,
1 1. /;one or use UlS[ric~ in wmcn premises are s [ a~eu./x · · ~ e. ,ot-~ ........ ~,. . .........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ............ .,~. · .~. ...............
13. Will lot be regraded ......... : ......,,~.. ~9 ........... Willexcess fill.be,,remove,dJrgm premises: ~.~N..o.
14. Name of Owner of premises ...,...,~..,. ~..~ ....... %ddress .'~/~..~} ............. o o. ~.?.
Name of Architect .......... .... .~..,.. ~ ....... Address ................... Phone No. z/.. .
Nmne of Contractor .(~././--..L(.~?../( ./4..~./~?.~ .,~. .... Address . .~/ .... tf ..... f.r ....Phone No.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from
property lifies. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or corner lot.
' O
STA2E OF NEW~,Y RK, .
COUNTY OF. ,5.Y4'/~ZS. 0 d. ~ ..... ~
..... ~./.'77,4/../q,.. jif/.' .A. ~ I~. .................. being duly sworn, deposes and says that he is the applicant
(Name of individual sigping contract)
above named·
He is the ................... . ....................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dtQy 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 mannler set forth in the application filed therewith.
Sworn to before me this
........... /.~. ........ day qf....~.c~.M.~' ~ ..... 19 ~.~
Notary Public, (~f-/.z2~ ./.).~L$~!
~o. ,5~-4524771 .... ~ ~ .............
qualified in Suffolk County ,~ (Signature of applicant)
~omml~sion Expires Uarch 30,
[~oW or f°rMerlY
T. Heu'ser
AreO '~ 2 71 ,
0,6~'NORfH
APPLICANT= ..... '-~
~,DDRESS ........... TEL
\ ,.. ' 0: PIPE
HOLE
TKST HO&E INFOBMAI~ON FURNISEO
BY ~ HILI'ON
NOFE ,' '~
THENE ~t~E NO D~tELL/NG$ WITHIN I00 ~
.. OF THI9 Pt~PERTY OTHER THAN tHOSE ,
· ' SHOWN HEREON,
~,'I97E
~ 19YE
OC~ 16~1978
YOUNG & YOUNG
SURVEY FOR:
WILLIAM HILTON & RITA HILTON
AT MATT ITu CK USLIFE TITLE INSURANCE COMPANY
OF NEW YORK
WILLIAM I~ RITA HILTON
TOWN OF SOUTHOLD SUFF, CO. FEDERAL SAVIN(~S~LOAN ASSN
SUFFOLK CO,, N.Y. --~, .
,i
NOT/FY BU[LD!~NrG'DEPARTMENT A--' ' T
765-I802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
~]. FOUNDATION - ~/O REQUIRED
FOR POU?ED CONCRETE
2. ROUGH - FP~M]NG & PLUMBING
~. INSU~TION
4. FINAL - cohr?RuczION MUST
BE COMPLET~ FOR C, O
ALL CONSTRUCTION SHALL MEET
%HE REQUIREMENTS O~ THE N Y.
STATE CONSTRUCTION & ENERGy
CODES. NOT R~SPONS/BLE FOR
DESIGN OR CONSTRUCTION ERROR~
1
/ I
LEi ! "r~F FRAMING ecg. ur-I/4"-' ~''
RIGHT
SiDE
~ll X /~tI TOp
FLOOR, PLAh]