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HomeMy WebLinkAbout11010-z FOEM NO. 2 TOWN Or SOUTUOL~ BUlLelNG Di~PART~NT TOWN HALL SOUTH'OLD, N~ ¥. SUILDI~G (THIS PERMIT MUST BE KEPT ON TH,E PREN COMPLETION OF THE WORK AUTHORIZED) N©. 11010 Z Permission is hereby granted to: JS~S UNTIL ~ULL Date ...... i~.~ above~ ° ~r~.o.,.. · ,: · at loremises located at /+~.~....~..~.~...]...Q.~....?..9.~.~..,~-,O.~.~.s...$g~gkO~,...~^~'~' ................................ ..]. W~l.Z..o..~. ~o~, ~.~. ~.~, ~n..:~. ................ ; ............ , .......................... ..................................................................................... ~....?....~. ........... ~ ........ ~.. . Cou6ty TaX Map No. 1000 Section ...O.~..~ .............. Block ...~).5 ............ -0t No .....02.7 ............. purs(Jant to application dated ~T.I~.~....~.~. .......... ; ........ - ~....i~,...., 19.~.C).., and approved by the Building Ir~spector. ~ ;: 8ulldmg n.~eetor 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 featu res. 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 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 pertine~,inf0'rma- tion required to prepare a certificate. C. Fees: 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 ~ D ate .... .~. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property.... ',7.7,' ....................................... Hou~ No. Street ' f Hamlet Owner or Owners of Property ~ ~ I~ ~ 7 I~ ~ ~ ~ E Count~ ~ ~, ~o. ~000Se~tion ......... 2.~.. ~,o~ ......... +~ .... ~ot... Subdivision .... ~ ~,~ ..... ~[~ ...... Filed Map No. ~.~..Lot No.. ~.~ ...... ,.~,,,o. ~. L.~.( .~. ~,~ ~,,.~,~ ?[~ ./; ~,,,~.,~ ...... ~,. ~ ~.f.~.~ ............ Health Dept. Approval I~,0~ [ b ~0- ~0 Labor Dept. Approval U nde~riters Approval.. ~. ~.~ ~. { .~.~ ........... Planning Board Approval ...................... Request for Temporary Cert~ate ..................... Final Certificate Fee Submitted $ ....... ~ .................... Construction on above described building and per~eets all applicable co.and ragu lations. .... .......... Applicant Rev, 10-10-78 ~ F!E~INSPECTION CO~ENTS FOUNDATION ( 1 st ) FOUNDATION 2. ROUGH FRAME & PLUMBING (a~) INSULATION PER N.Y. STATE ENERGY CO~E FINAL ADDITIONAL COMME%ITS: FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTIGE OF DISAPPROVAL File No ......................................................... Date ..................................................../'" , I ............................................... PLEASE TAI~,~(~E ,tb, ots~.ufr~bo[~n ~ql/te~'8.~} .................................... ] ........ , 19 ........ for per~it to construct ........................................ ot ~he premises l~oted .. ..................................... ,. .......... ~ ~ ~ 76~ ~ ~p .................................... Block ............................................ Lot ................................................ i~. r~t~med ~qrewith ond disoppro~ed on the followlno ~rounds ......... ~ ............... ~ .......... ~ .................. e(O ................................... Building Inspector FO~M TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL P'E^SE T^KE NO~C~ that your opp'icotion doted ............................ ~.......Z...7.., for permit to construct ..... ~aO.~'. ........... at the premises located at .................................... ................. ~......~.. ~.~... s,~ ~,../~ returned herewith and disapproved on the {oJJowing grounds ......... .~.~ .........,,~.~.g...~. ................................................................................... Building Inspector December 30, 1980 Southold Building Dep't. Main Raad, Southold N.Y. Subject: New house (Robert and Carol Boger), Willow Point Road, Southold, N.Y. This is to certify that in reference to Article 46-12 the flood proofing methods meet the criteria in 46-18B (1),(2), & (3).. Yours Truly, LAWRENCE M. TUTHILL THE NEW YORK BOARD OF FiRE UNDERWRITERS ~1~ BUREAU OF ELECTRICITY S5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical Equil~rnent as described ~(o~,and ip, trodqce~J, I~y the~l~Jlcant name~d o~t~_ab~e app~li~5~.n~u~nbe~ i~the pre~nises of in the following location; [~ Basement [] 1st FI. [~ 2nd FI. Section Block Lot was examined on ~O~l~dkl2 ~0 ~ ~0 and found to be in compliance witk the requirements of tkis Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FtUORE$CENT 37 ~0 DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: E R V I C NO OF CC. CONO A,W g NO O~ Hi-LEO A W ~. JNO O~ NEUTRALS A.W. O PER ~ OF CC COND, O~ HI4EG OF NEUTRAL ~ 2/O [ :L 210 1-G. FoC. I. 1-Smoke Detector Ru]mnd E. lec, Go. P.O. Box 143 Ma~, L~.Y~ 11952 IZa. 242 E GENERAL This certificate must not be altered in any manner; return to the office of the Board if i~correct. Inspecto[s may be identified by the COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE BE;ALTERED, IN ANY MANNER. TOWN OP SOUT~IO~.D, NEW YORK ACTION OF TIlE ZO~G BOAI~D OF APPEALS . Appeal No. 1 -FL Dated March 18, 1980 ACTION OF TIlE ZONING B~ARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr.' Robert L. Boger (Philip J. Ofrias, Esq. 1225 Boisseau Avenue 737 Roanoke Avenue Sou,hold, New York 11971 Riverhead, New York 11901) DATE .~L2.5.L.8.Q AppeHant at a meeting of the Zoning Board of A~peals on April 10, 1980, was considered and the action indicated below-was taken on your ( ) Reque~.t for variance due to inek of access to property ( ) Request for a special exception under the 'Zoning Ordinance. ( ) Request for a variance to the Zoning Ordinance tX)Request for a variance to the Flood Damage Prevention Law the appeal 1. SI0~~~By resolut~n of the Board it was determined that a~~ ( be ~anted ( ) be de.ed pursuant to Article .................... Section .................... Subsection .................... para~aph .................... ~ the Zoning Ordinance and the decision ~ the BuiMing Inspector ( ) be reversed ( ) be co~med because 4/10/80, 8:55 P.M. Application of ROBERT L. BOGER, ' 1225 Boisseau Avenue, Sou,hold, New York for a Variance to the Flood Damage Prevention Law of the Town.-of Southold, Sections 46- 15 and 46-19B(1) for permission to construct basement below the restricted base flood elevation in a V-4 Zone. Location of Property: North Side of Willow Point Road, Arshamomaque, Southotd; more particularly known as "Map of Willow Point" $4652, Lot #25. :County Tax Map I~em No. 1000-56-5-27. (SEE REVERSE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict/application of the Ordinance (would) (~vouJd not) produce practlcal difficulties ~br hardship because (SEE REVERSE) (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE'REVERSE) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (SEE REVERSE) (would not) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous deeislons of the Building Inspector ( ) be confirmed ( ) l~e reversed. FORM ZB4 ZONING BOARD OF APPEALS b · ~5uT~qaOD pu~ UaXOG '~I~q~n~ ~S~UOS~D ~f~sSaN :SaX~ :p~O~ aq~ ~O ~OA UO~DaS ~O SUO~S~Ao~d ag~ O~ ~u~ns~nd ~q~ ~GZA~OS~ ~SHA~a SI &I ,, 'a~ UO~3U~A~a ~B~G pooIa ~q~ ~o Suo~S~Aoad '~q~ o~ '~o~oadsuI 6uTpITn~ u~oA aq~ ~oI~ ~7~asd ~uamdolaA~p ~ u-~qo pu~.io~ pooT~ 8s~q ~q3 ~oI~q 3~q~ os. gs]ooad gooi~ sq ~u8~s~q ~q~ ~q& (I) ~u~o4 aoII~M ~o!~p~s q~ou ~q~ uo p~DoI s~s~ms~d uo.6u~II~ap ~D~I~UOD ~0 'D~Iqnd 8q~ ~Z~m~3D~A ao''pn~_~sn~D ~o 's~Du~s~nu ~ ~o '~su~dx8 o~Iqnd X~u~p~o~x8 ~o 'X~s D~Iqnd o~ s~8~q~ I~UO~pp~ ~o ~u~o~Idd~ ~q~ 03 d~qspa~q IgUo~dsox~ u~ ~InSe~ pInoa ssu~q~A sq3 suoTsTa~gqns 'SgI-9V uo~3~8S u~ p~u~uoD s~o~D9~ 8Iq~D~Idd~ 8q~ ~o II~ pu~ ~spoD ~ti~ u~ ps~o~ds sp~pu~3s II~ ls~o~D~ Su~AsIs~ II~ I~uqD~3 ii~ g~p~sups s~q p~o~ ~q~ 'uo~sTIdd~ sqq~ uoda 6uTss~d uI -uoD ssjn~Dn~s 5u:q~sTx~ q3~a s3oI Xq p~puno~ns, pu~ 03 snonB~uoo s~ 8~o]~8q~ p~9o~ ~qA 'IsA~I pooI~ ~s~q.~q3 aoisq psSDn~suoD s~ 3ee~ ~'~ ~ooI~ paqs~u~ w q~ ~uemas~q w ~on~suoo o~ s~sodo~d ~qA i'I~AaI ~as u~a~l~Aoq~ g~a~ 0'8 ~o uo~$~AsIa u~ swq pa~on~Tsuom ~q o~ s~ u~id ~old ag& 'gag~ ai~nbs 00~'0E ~o gai~ u~ s~q uoy~sanb uy ~oI :S~oiio~ s~ spuy~ pa~o~ ~q~ 's~sTure~d eq~ ~0 uo~oedsu~ Ieuos2ed pu~ uo~eBygseau~ uodfl FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Application No.//. 0 /t 0 Examined ................. 19... ,. lg. =i, No..//., ........ 0/ 0 Approved Disapproved a/c ...... '. . . . . .~. . .'-" ..................... ~PPLICATIg~ FOI B~ILPI~6 INSTRUCTIONS 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 whic~ is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such pe~nit shall be kept on the promises avaiNble for inspection t~rou~hout the work.; e. No building shall be occupied or used in whole or in part for any p~rpose whatever until a Certificate of Occupancy shall have been granted by the Buitding Inspector. ~PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pemit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the const~ction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordnances, building cod~using code, and regulations, ~d to admit autho~zed inspectors on premises and in buildings for necessau inspectio~~~ ........... .... (Signature of applicant, or name, if ~orporati ) (Mailing address of applicant) Name of owner of premises .......................................................................... (as on the tax roll or latest deed) If applicant~. );~o~,~;~thorized officer. ....... .................. (Name and title of corpora~ otticer)' Builder's License No .......................... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... 1' L°cati°n°fland°nwhichpr°p°~edw°rkwillbed°ne' "iii iiii~'t~ ~5 /~/~vl/ .~.~.tfy¢~ ~/'~t~ .................... House Number Street County Tax Map.No. 1000Sectiow/.., ....... ,~.... Block ~ Lot 27 ............ Subdivision...~.~ .~..~.~...~.~. ~.'. ..... Filed M'a;'~i' i' '.~. ~ '.~. '.~. '.... ~;ill ·.~. · .~. · ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy 7 3. Natureofwork(checkwhichapplicable): New Building .......... Addition .......... Alteration .......... Repair ..............Removal .............. Demolition .............. Other Work ............... .~...~.¢../? .O (Description) 4. Estimated Cost ......... Fee : (to be paid on filing this application) 5. If dwelling number of dwelling u~its ..... . .~'.. ...... Number of dwelling units on each floor ................ If garage; number of cars ...... ..... c~ ........................................................... 6. If business, commercial or mixed 9ccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures,! if any: Front ............... Rear .............. Depth ............... Height ~ .............. Numbbr of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... ,, Height ..................... Number of Stories ..................... 8. Dimensions of enti~e~ew construction: Front ....~..A.../.. . Rear t~ ~. Depth Height .... t~.~. ...... Numb"er of Stories ....... ~'..~i i ...... iiiiii.iiiiiiii ...... 9. Size of lot: Front .... ~/.~/~ ~j~, .... Rear ....... ~.~.~ .......... Dep]~!l~.~.?.,~. ............. 10. Date of Purchase ........ ~.~..~..~..~r..O: ......... Name~Fo_rmea~,_O_w4lg0r,_....O.'~.~-..~..f/..'~. .............. 11. Zone or. use district in which l~remises are situated ....................... ~d .................... 12. Does proposed construction vi. olaie any zoning law, ordinance or regulation: ........ ~: ..................... 13. Will lot be regraded ....... ~.-~ ................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~.i '~ ........... Address ..... ~ ........... Phone No ................ Name of Architect ...... ~.C~r'......~-~(i~ ...... Addres~.~..~-- ......... ~ ..... Phone No. i..~. ~..~ l.~. ,,~/..~..~..~ ea~ Name of Contractor .......... ................ Address'~..~.~.~...~1~'.... Phone No. 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 umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWt,'Y~RK, . ../ ~ . COUNTY '(NaVme of individual sigh'lng contract) above named, j He is the .................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 ~ Not~u~, Public, . ...... .. ,~ ..... .~-~.. County ;' " ~tfc,.~ t.~. ~_e ~J~ ..~ .......... ~. ~8~..S??~I~ ~u~,,,~ t/l (Sign~ure of applicant) .g.o ,j } { 0 0 \