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HomeMy WebLinkAbout10908-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13807 Date .......... S..e.~.t.e..z~. ?.~..4. .......... 19 .8.5. THIS CERTIFIES that the building ........ ~..d.d.&~. ~9.n. .............................. Location of Property ..6.8.0. ..... Bay Lane, Pvt. Rd. # 14 Orient House No. Street Hamlet County Tax Map No. 1000 Section . . .0.2.4. ...... Block ...... 0. 2. ....... Lot ..... 0.0. 9. ......... Subdivision X Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..25..ug.u.s.t...2.6 .... 19 80 pursuant to which Building Permit No. 109087. dated ...... 9.qt.°.b..e.r. .. 7 .......... 19.8. 9, 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 ......... ..... :nr=: ..... &d.d.~.t..ign .t. 9' ~x. ~..s.U..n.c./' p.w.e. 3:..1.i.n.~. ........ The certificate is issued to ................... .S.M.I.T..H t..~.D.G..A.R..O...R:..&.. S..U.Z.A.N.N..E..I5... ..... (owner, ~es~ee-o¢' of the aforesaid building. Suffolk County Department of Health Approval N/A N561299 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 TOWN BUILDIN~ TO~I~ HALL: SOUTH0~ (THIS PERM COMPLETION oF THE WORK AUTH~RIZEI~)~ N°. 10908 BUILDING ,PERM~ I~ T MUST BE KEPT ON mE PP,~/~IS~S UNTIL F~LL at premises located County Tax Map No. lq0o Section ..... L,,~,BIo 6- pursuant to application idated .... ~.,~..~...:. .,:[.,..,: .... B0ildlng Inspector. Fee $..Z~,,,. ........... LOt No.....~. ~...C~.. ...... ~/., ag~ approved by the FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall .~;~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted-~-~-iea*~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. Su bm it Plann lng Board app royal of comp leted site p lan 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 shdwing 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 3. Copy of certificate of occupancy $1.00 land use --Pre-Existing C.O, $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building ~' Vacant Land ~'~ Location of Property ..~../~;W.~' .~ /u~y-~/~/U~'-/v'~'$~'~',t) ~J',~x~, ~t~/~/~ House No. Street Hamlet Owner or Owners of Property . .~.~..~..~, ./~....~q.'...'~..~.../..'~.~.~t..~.~ ..~..., .~. ?...~?.~.~...~..~.~.~..~.:..~.~..~.~ CountyTaxMap No. lO00Section....~:'..~, ....... Block, ....... ~, ....... Lot.. ,/~, ........... Subdiwsion ............................... ~ ,! Filed Map No ........... Lot No .............. Permit No /~O j> Date of Permit -~/'7' .~./~.~,~.Applicant ...... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .................. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...'~../.'. ~ ................... Construction on above described building and~ermit meets all ¢'~licab~d§s and re_gulations. ~,~' Applicant · · ~.'~",-~- - · - .~. · · -~ ·. -~. · . .~. · .~'~. · · · .... Rev. 10-10-78 100~773 THE May 13, THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application ~u~nber in the prendses of Ed Smith~ Bay Ave., Village ~. Orient,N.Y. wasexaminedoa ~Y kO~ and found to be in co~nphance with ~he requirentents of this Board. NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF IELECTRICIT~ 85 JOHN STREET, NEW YORK, NEVi/ ~0~I 10038 1982 ~pp~icatlonNo. o./ile 121618 81 N 56~299 FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS NCAND~$CENTi F[UORE$CENT 5 DRYERS SYSTEMS OTHER APPARATUS. Ele¢. room heaters S E R NO OF CC COND A W O 1-1.5kw.--2 GFCI I C NO OF HI LEG AWG O~ HI LEG NO NEUTRALS OF N~UTRAL Arthuz Ruroede Maia  Orient ,N.Y. ' 11957 lie.2334E This certificate must not be altered n any manner; return to the office of th~ Board if incorrect Inspectors may be credenhoJs , cOPY FOR GUI[DING DEPART ENT. THIS COP~Y OF C FTELD INSPECTION FOUNDATIO~ (~st) COMMENTS FOUk~ATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: GENERAL SIGNAL BLDG. DEPT. ...... TOWN OF BOUT'HOLD August 23, 1985 Town of Southold Building Department/Office of Building Inspector Town Hall Southold, New York 11971 Re: Building Permit No. 10908 dated 8/26/80 Dear Sir or Madam: I have received notice from you of never having filed an appli- cation for Certificate of Occupancy, and I cannot find any record of having done so, either. I had assumed the matter was handled by the contractor and regret any inconvenience to you. I have filled out the form with the information available to me, enclosed a copy of a survey showing the work done (Pro- posed work was completed as shown and, therefore, is "as built"), and a check for $21.00: pre-existing C.O., $15; Vacant Land C.O., $5.00; and copy of C.O., $1.00. Please advise what further information or action you require. Very truly yours, EJS/mb Enclosures P.O. BOX 162 ORIENT, NEW YORK 11957 " CURTIS A. NORKLUN Builder Tel. (516) 323-2520 September 25, 1980 Mr. Charles Grigonis~ Chairman Zoning Board o¢ Appeals Town o¢ Southold Southold, NY Dear Mr. Grigonts~ The porposed addition Bay Avenue~ Orient~ to Edgar Smith's home on NY will cost aporoximately 425,000. Sincerely Yours, Curtis Ao Norklun GENERAL SIGNAL September 25, 1980 Mr. Edward Hinderman Building Department Town Hall Southold~ New York 11971 Dear Mr. Hinderman: Acting on the hopeful assumption that we will be granted a variance at tonight's Board of Appeals hearing, I am enclosing three copies of our plans, two of which are certified by the architect, Mr. Thompson. I also enclose an estimate of the cost of the work by Mr. Curtis Norklun, $25,000, and I understand from Mr. Radford that he has delivered to you an appraisal of the house at $70,000. I believe this completes the application for a Building Permit, and I hope for its early issuance. If anything further remains to be done, please telephone me or Mr. Norklun. Very truly yours, EJS:eam Enc. $ ~0, o00. oo zo, zoo. oo $ 110~200.00 ONE HUNDPED FEN THL~.N~ t/one. 220 ~ · ~ -- · ' ~ To~ TOIYN OF SOUTHOLD, NEW YORK ACTION' OF THE ZONING BOARD OF ~PPEALS AppealNo. 2738 Application Dated August 27, 1980 ACTION OF TI-rE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTItOLD To Mr. Edgar J. Smith, Jr. 26 Lefurgy Avenue Hastings-on-Hudson, NY ]0706 Appellant at a meeting of the Zonmg Board of Appeals on September 25, 1980, was considered and the action indicated below was taken on your ( ) Request for variance due to ]ack of access to property ( ) Request for a special exception under the Zoning Ordinance (X)0 Request for a variance to the Zoning Ordinance A r t. I I I, S e C. ( ) 100-31 the appeal ~anted ( ) be de~ed pursuant to ~tiele .................. Sectmn ................. Subsection ................ paragraph ................. of the Zoning Ordinance and ~e decision of the Building I~pector ( ) be reversed ( ) be sXc~m~k~x~x Application of Edgar J. ~gn, dr., 26 Lefurgy Avenue, Hastings-on-Hudson, NY 10706, for a Variance to the Zoning Ord. inance~, Article III, Section 100-31 for permission to construct addition to existing dwelling with insufficient front and rear yard setbacks. Location of property: Right-of-way off Village Lane (West Bay Avenue), Orient, NY; bounded north by Oyster Pond Historical Society, west by Wainer, south by Orient Harbor, east by Fox. County Tax Map Item No. 1000-24-2-9. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board ~t was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because (SEE REVERSE SIDE) prachcal difficulties or unnecessary (b) The hardship created (is) (as not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use distract because (SEE REVERSE SIDE) (c) The variance (does) (does not) observe the sp~rlt of the Ordinance and (would) change the character of the district because (SEE REVERSE SIDE) (would not) and therefore, it was further determined that the requested varaance ( ) be granted ( ) be demed and that the previous decisions of the Bmlding Inspector ( ) be confirmed ( ) be reversed. ZONING BOARD OF APPEALS FORM ZB4 'SSeL6nod 'uo£od 's~uo6p~9 'sJssaN :so£V '6-2-~2-000[ · xo~ £q ~sea '~oq~eH %uapJ0 £q q~nos [~o[uoCs~H puod ~a~s~o ~q q~ou papunoq :paso8 aql ~o a~OA · oN moji d~N xei £~uno3 'aau~eR iq ~so~ !IN '~ua~aO '(anue^¥ 3soM) aU~q a6gLL~A ;Jo £g~-~o-3qSCU :£3Jado~d ~o uo~3~9ol '8~Z2 'ON [~addV u~ ao~ pa~Ldd~ sg q3~ §U~LLa~p 6u~s~×a o~ uo~3~pp~ aq~ ~o uo~nJ~suo~ oq% 6ug%2[maod L£-O0[ UOL%30S 'III aLOt%JV 'o3u~ugpao 6u~uoz aq~ o% a~u~a~A ~ ~ oq '90ZOL AN 'uospnH-UO-S6Ug2S~H 'anua^v £6Jn;a] 9~ ''JP 'q~S '~ a~6p3 ~q~ 'Q3A]OS3~ s~ )~ 'Ja6u~Jqao9 'iN £q popuo~as 'SSeL6nod '~N £q uo~%ow uo · pa^aosqo aq LLb~ oou~u~pJo 6u~uoz oq~ ~o %~a~ds aql %~q) pu~ !anb~un oJ~ u~odoq soDu~smnoa~o oq~ %~q% IpooqJoqq6~au aq~ ~o ~3~J~q~ aq~ u~ pa~npo~d oq [k~ ofu~q3 L~u~sqns -uboKp~ o~ )UO~J3op L~%u~tsqns ou po%u~J§ 3~q% !L~[3U~3sqns 3ou s~ s)uamaj~nbaJ aPO3 pa3sanbaJ ~a[£aJ aq~ 3~q3 sau~mJa3ap pug spu~ p~o~ '3aaJ a~nbs O00'§L £La%~m~xoJdd~ si sas~maJd )~a~qns poq3]~op pu~ asnoq 33~qns oq3 sassmaad oq% uo 6u~sgx~ £12u,asoad sg aJaq~ 'osnoq omg~ 6u~21s~xo oq~ uo ~oop ~%om~aod pu~ mooa ~ou ~ ~3na3suo3 o3 uo~ssg,maod aoj O3u~JgA ~ 6u~oos sg 3u~o~Ldd~ l~ql spu~; pJ~o8 aq~l 'uo~%oodsu~ l~UOSaOd pug uo~2e6~3saAu~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL .... ~ (......Z~:~.z~c7. ..<y.... ..~...~ ~. ................ ... .~..~..~.~.,.~.~ ~..~.~..~/..~.~.~.,..~.~.~ '~ . -- PLEASE TAKE NOT~CE that your appllcatian dated .... ~.~...~. ..................... , 19.~. for permit to construct~.(.~4.~ ............. mbthe prem,ses located at ..~.~. ~...~:.~..:...~..~.~ ~,,~ ~) ~,~'~ ~.~.,=..~..~.~... ~,oc~ ...... ~..~ ......... ~. ..... ~o, .... T~.~..~ ............................ returned herewith and d~zapproved on ~he (oHew, m9 gro~nds~/~/.~/ ............ ~ ................... / YOUR ~/:IWyI~JR F~EJ:OR~ SIGNING THIS II~ST~U~ENT--THI$ INST~UM~T SHOULD BE USED BY J, AWYER$ ONLY. THIS IHDENTL/IE, made the 31st day of, October , nineteen hundred and seventy BETWF~ ', ~ Erg, Alice C. Xounio, at 1~55 Bangor St., San Diego, Col. 921~ ' party of the first part, and Edgar a. Smith~ Jro and Suzaune K. Smith, his wife, both residJng at 26 Lefurgy Ave°, Hastings-0n.,Hudson, N.Y. 10706 party of thc second pat, WITNI'I~SETH, that thc party of the fi~st Imrt, in consideration of ten dollars and other valuable consideration tad by the party of the secoad part, docs hereby grant and release un~ the party of the second part, the heirs or successors aod assigns of the pa~ty of the second part forever, ALL that ce~taln plot, piece or parcel of land, with the buildings and improve~em~ th~e~n erected, situate, lym~ and being at 0ri~nt~ To~n of Sou~hold~ County of Suffol~ and Sta~e df'New To~k'afid described as £ollews: Beg~nning at a po~t on the ordinaryhigh water mark of Orient Har- bor aboub 1~5 feet southeasterly along said high water mark from the extension southwesterly of the southeasterly line of State Street; from said point of ginning running along land of Douglas Wainer, N. 5~° 08~ 30" E. - 132 feet, more or less, to a monument and l~nd Of Oyster Ponds Historical Society; thence along said land, So 46° 48~ 30" E, - 10~,2 feet to a monmmont and land of Georgia thence along said land, So 56° 17~ 00" We - 159 feet, more or less, to said ord~ inar-y high water m~vk of Orient Harbor; thence in a general northwesterly direc- tion aloug said high water mark, 100 feet, more or less, to tho point of begin- ning. Togo+her wiLh a right of way from a peiut near the souther]v oorner of the premises ~u e general southeasterly direction about 700 feet to the Main Street. Together wLth all the right, title and i~terest of the ~mrty of the first of, in and to the lands under waters of Orient Harbor lying in front of the above described promi~os. Being and intended to be the same prm~ises and rights, titles and i~terests ].~nd under water and appurtenant rights of way aoquiredby deed of Sep. 18, 1922 (Coffin to Younie), reeordt~d in Suffolk County Clerk's 0ffioe, in libor 1053 of deeds at pSgo l, and deed of Dec. 6, 1923 (Coffin to Younie), recorded in Suf~ folk County Clork*s office, ~m libor 1089 of deeds at page 212 less those premises and rtght~, title~ and interests conveyed by deed of Aug, 27, 1938 (Younie to .Fox), recorded in Suffolk County Clerk*s 0gfiee in libor 2001 of deeds at page 47~ and deed of June 27, 1939 (Xounie to Kuo~), recorded in Suffolk Couuty ClerkWs Office in libor 2047 of deeds at page 587. TOGETIIER with all right, title and interest, ff any, of the party of ~he first part in and to any stre~s and roads 'tbutting the above described prenllse~Yd~XGf~Y~'~YcYd~bX4~ TOGETHER with the appurtenances aud all the estate and lights of the par~ of thc first pa~ in and to said promises; TO HAVE AND TO HOld) the prenuses hereto granted unto the party of the second part, the heirs or successors and assi~s of the party of the second part forever, AND the party of thc first part, in compliance w~th Section 13 of the Lien Law, covenants that the party of the fi~st part v,i}l receive the considelanou fo~ this conveyance and will hold the right to r~eive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the ~mprovement and will apply the same first to the payment of the cost of the Improvement before using any part Of the total of the s~e for any other puqmse A~D the patty o[ the first part covenants mq follows: that said patty of the first part is seized of the said premtses in fee simple, and has good right to convey the same; that the party of the second part shall quietly enjoy the said premises; tlmt the said preuuses are free from incumbrances, except as aforesaid; that the party of the first purr will exectite or procure any further necessary assurance of the title to said premises; and that sakl party o{ the first part will fm ever warrant the title to said premises. The ~ord "paity" shall be construed as ff ~t read "parties" whenever the sense of this indenture so requires. IN ~'N~ WHE~OF, the party of the first part has duly executed this deed the (Ny and y~.r first above written. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ...... ,19. /~)-' '~-~'~ 7 ., 19 .~.. Permit No /~ Approved~/AM/ ....................... Application No. ~.(~.. 7{'). ~.~ ....... APPLICATION FOR BUILDING PERMIT 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 dia,'am 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 inspections. ·..~.~...~ ..... ~..~.a~.< :?. ..... ,~ ........... (Signature of applicant, or name, if a corporation) ........... iM'ailing address of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· Name of owner of premises.. ~ .~..~Z..~..~?....~..:...~.." '~ ..~..-... ,~..~.. d.~..~..~..~..fl.~.~ .~.'i.../t':...c:7.~ (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...~..~.~. ?.~....4/.~..~..~. ~./~..A) Plumber's Lmense No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on % ic proposed work wi l*e do e ...... ~...' ......... ~ ........ [ ..... ~ ....... ~... ........ ................... House Number l-- ,~treet Hamlet County Tax Map No. l~00~i~nZ ................. Block .................. Lot ................... Subdivision ................................... Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use ~d occupancy ~f proposed construction: 3. Nature of work (check which appiicable): New Building .......... Addition f Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... ~,~ .~ ~.~... '. ~ .//..,~. ~e~ (Description) 4. Estimated Cost ............ . .................. Fee ..................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ...g}..~k'~ ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... !Dimensions of existing structures iif 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 .................... Size of lot: Front ............ ~i .......... Rear .................. Depth ...................... Date of Purchase .~.F-,77..,. ,4T.?t./. ~..j~..F,) ........ Name of Former O~v~;~' ~ Y.~.. ~. ~D/[/./.~. ......... 11. Zone or ¢se district in which prernises'ar~ situated...~'.. ~.~. fl.. ~.~..~.~.]..~.?. ......................... 12. Does proposed constructio/t violafe any zoning law, ordinance or regulation: .. ff. ~.. ......................... 13. Will lot be regraded ..../~..~. ::. [...~ ............. Will excess fill be removed from~pr, emises: Yes N9 14 Name of Owner of premises ~':.q~'.,..J..~. !?..~,~ .~'..~.,Address J/~s..~4~..~..:~.~.:'./d.~..~.;~ No.~./.~. :.~.~../~.:.).~.JT.~. Name of Architect . . .~..~.~. ?..~: . .~!~?..,~..~.~.~..,M... Address .... .~.~ ..... f .... f.. Phone No.~./ff.C P~-r .~.~..,~.~. Nmne of Contractor ...~.~...,~..~.~$...."~..~.'~..~G~..I.d.4Z.. Address ~..~.,9~...,M..~t. ?. :~,.. Phone No.~/.~(: ~.2.~.~.,~..f~O 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 n~mber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, '~'(2'/~~t/e' ~ ~ ~' being duly sworn, deposes ~d says that he is the applic~t (~me of ~nd~wdual s~gning contract) above n~med. / He is the ......................... ~ ................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed ~e said work ~d to m~e ~d file ~is application; that all statements contained ~ this application are true to the best of his knowledge ~d belief; ~d that the work will be p~rfomed in ~e manner s:et forth in the applicati?n filed therewith. Sworn to before me this ........................ day of. i ........ 19. i NOTARY PUBLIC, State of New Yo~ ~~ J ' , ~; Quelifie~ m Suffolk County ~ (Signature o~la~plJcant) uo,mmisslon Expires March 3~, I~ ' "~OF OCCUP~CY !I I ,, 6 i' , ....... +: .... '-' ": ...... T t : - ,% ~r ~PPROVr:'D '~S D EC'-r ' °" Pd A'~ L_ _J L__J i TO~V or-, L__J _._Lzff rt.' ~ ~.~ ~c p, LI,.5 '1 NO F~ T,N_ DC) L)T' ' ?00i N ED c~ ODE