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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of' the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy z14734 July 31, 86 No .................. Date ................................. 19... THIS CERTIFIES that the building Swimming pool Location of Pro err 50550 Main Road, Southold, N.Y. 's't/o~i ..................... P Yh~s~io: .............................. Ha.~/et County Tax Map No. 1000 Section 070 . .Block 02.. .Lot 013. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 7, 81 11380Z ...................... 19... pursuant to which Building Permit No ...................... dated S e p t e m b e r 2 1 , 19 8 1 , 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 ......... Inground swimming pool The certificate is issued to ,W,i. 1..1.i,a.rq..g ....R.u.s..c.h..a...Vj.v.~ ~.n.i.a...L :..R. us .ch (owne.~lagg~ ~ x of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .............. N. 5 3 7.1.7.9. ............................... Building Inspector Rev. 1/81 BUILDING PERMIT: (THIS PERMIT MUST BE KEPT ON TH,E PREMIS~ES UNTIL COMPLETION OF THE WORK AUTHORIZED). , Date permissiod is hereby granted t,~ ULL at p~emise~ located c, ~ ...... ?~.o,,o .............. County Ta~< Map No. 1000 Section . ........ !. pursbant ~o app! cation doted ......... Z;..,,;..i...~},....., Ic) and approved by the Bu!ldlng Ir~spector. FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANI 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. ,- C. 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 ....... New Building ............. Old or Pre-existing Building(X) ........ ~ ZVacant Land ............ Location of Property ................ j!,). ;' . .. ~.. ,~ou ~!'~,',,, ~ House No. Street Ham/et County Tax Map No. 1000 Section O~ Block -(~ ~ Lot /:3. [~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. J( ~3 A(.,. Date of Permit,~',~/.~/..Applicant . ,,~.. ~ ...... ,,....: .............. Health Dept. Approval ........................ Labor Dept. Approval ......................... Unde~ritersApproval. · ,~,0. .[ .... ~ ........... Planning Board Approval .................. ~ ,., Request for Temporary Certificate ......... ; ............ Final Certificate ........ - ......... S.bm tt a $..V ..... [. X. F.. ...... Construction on above described building and permir meets all app~cable~des and regulatiorls. Ap p licant . ... ~-.¢f'.~,~., ~,~ ,.. ,.~. ~.~,~,Z...z~.., .................. ..... Rev. 10.10.7a 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 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 $5.00 Date ....... New Building ............. Old or Pre-existing Building(Z) ....... =/Vacant Land ............ Location of Property .... ~-,~ 5..O, .............. //~¢j ./,J..~.p~ .~. ............ ~.o.o.-~. ? .~...~ ..... House No. Street Hamlet Owner or Owners of Propertv ...(~... [ .L..L.., d~ ~.. ,~)..._._~._..[}~ ~.~.i .~. ~.~...~....~..~.C.~ .............. County Tax Map No. 1000 Section ...o.'~p ........ Block ...(2~. ........ Lot...~.[3 .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~ ~..~... Date of Permit '~.~..~./1.~.~/. .Applicant. '(~.~...~.: .67.~...~.. ........ Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ~ ;~ .l.'[..~..~, ........... Planning Board Approval .................. Request for Temporary Certific~a,tp ..................... Final Certificate ........ - ......... · Construction on above described building and permit~meets all appJ~cable~codes and regulations. Applicant., ..(~,~~..(~ ,.,.~,-,~.... ....................... Rev. 10-I0-78 loo0344 THE NEW YORK BOARD OF FIRE UNDERWRITERS L~ BUREAU OF ELECTRICITY in the followlng location; ~ Basement ~ 1st FI. ~ 2nd Fl. ~Si~ - ~ Section Block rot was examined on ~p~; . ~ ~ ~ ~ ~ and /ound to be in contpliance with the requirements of thls Board. FIXTURE OUTLETS 1 FIXTURES 2 DRYERS FURNACE MOTORS T FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTi-OUTLET SYSTEMS RANGES .'OOKING DECKS OVENS DISH WASHERS EXHAUST FANS SERVICE DISCONNECT S E R V I C NO, OF CC COND A W', O, NO, OF HI-L~G A. W, G NO. OF NEUTRALS A. W O. pER ~' OF CC COND OF HI-LEG OF NEUTRAL OTHER APPARATUS: 1-G. F, I. I)hil Gordon t2 Dean Port Jeffers~l ~a., N.Y~ 11776 lie. GENEI~AI. MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ma)' be identified by thek credentioJ$. C~OP¥ FOR BUILDING DEPARTMENT, THms 'COPY OF CERTm mCATE~: ~Mu'sT NOT BE~ALTERED[,IN ANY MANNER. FIELD INSPECTION COMMEN%~,~ ,~ =. FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL C~MMENTS: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ .... ./..~?. ::~..~..< ................ ..... ~ ._~. ~-~.~z...~..-..x~ .~'.. :.. r/.g 7/ PLEASE TAKE NOTICE that your application dated . ~"~..~.'/~-. i..~-.~.~'. ......... 19...c/~. t/. for permit to const tact. 5~4c.,,..~.~.;../.~.~.,c¢.d.~..~r)..' .~z'. (kT.~.~?...,~.c< .~.~..~' ..... at Location o f Property . .~..-.~.~ .~.c~..~.....~..~/.~..d.. ~/~...~. .......... . .~.. <'.-- .7-~Gf.~'2f'.~'--' "ed 'c'~' House No. ~ Street ~ /~ , Ham/et County Tax Map No. lO00 Section . .~ .~.~h ...... Block . ,~ ~ ....... Lot .............. Subdivision ................. Filed Map No ................. Lot No .................. is returnea he,'ewith a.d d,~o~ed on ,he ,o.o~.~ ~ro~.~s ~,~..~~ ........ . ~.. ~c~..~'.~ .... ~/~ ~... ~,.,~. ?..~ ..... B~ild~g Inspector RV 1/80 'i Southo!d Town Board of Appe ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2901 Application Qated September 28, 1981 TO: Mr. William A. Rusch 50550 Main Road Southold, NY 11971 [Appellant(s)] At a Meeting of the Zoning Board of Appeals held on November 5, 1981 the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request ~or Special Exception under the Zoning Ordinance Article , Section IX] Request for Variance to the Zoning Ordinance Article III , Sec%ion t00-32B [ ] Request for 7:35 p.m. Application of William A. R~sch~ 50550 Main Road, Southold, NY for a Variance to the Zoning Ordinance, Article III, Section 100-32B for permission to construct raised deck on pool with an insufficient sideyard setback at 50550 Main Road, Southold, NY; bounded north by Main Road; east by Baker; south by Christian Science Society and Southold School District; west by Christian Science Society. County Tax Map Parcel No. 1000-70-2-13. By this appeal, applicant seeks approval of the construction of a raised deck around his in-ground swimmingpool with leaves an insufficient sideyard setback from the southerly property line (adjoining Christian Science Society) of approximately feet. Along the perimeter of the subject parcel is a fence, at the south property line a 5'-stockade fence and along the rear and north side line a 4'-chainlink fence. The zoning code requires such an accessory structure to be located in the rearyard area with a minimum setback of three feet from all property lines. It is the general feeling that there is ample area available in the rearyard to meet the requirements of the code, but inasmuch as the deck and swimmingpool have been con- structed and inasmuch as there is fencing shielding same, the circumstances are unique and the relief should be granted. In'considering this appeal, the board determines that the variance request is not substantial; that the circumstances herein are unique; that by allowing the variance no substantial detriment to adjoining properties would be created; that the difficulty cannot be obviated by a method, feasible to appellant, other than a variance; that no adverse effects will be produced on available governmental facilities of any increased population; that the relief requested will be in harmony with and promote the general purposes of zoning; and that the interests of justice will be served by allowing the variance. On motion by Mr. Grigonis, seconded by Mr. Sawicki, it was RESOLVED, that the application of William A- Rusch in Appeal No. 2901, be GRANTED AS APPLIED FOR. Location of Property: 50550 Main Road, Southold, NY; County Tax Map Parcel No. 1000-70-2-13. Vote of the Board: Ayes: Goehringer and Sawicki. DATED~' January 6, 1982. Form ZB4 (rev. 12/81) Messrs. Grigonis, Do~en, Douglass, 0F CAST COPING _© ' IT ~..~J 8LOCA ~* · RETURNS< ~**~" XTO FILTER ~ I '~J____ -- ~ - /- '.~.o ,,..u.,," ..~ * ' "~'- ' ' '* ' .... *** ' :' ' ' TO WASTE : . . 'L~.. · " " _ PING_ AR_R_AN_GE '~:.' SECTION ROLLED FOAM BETWEEN LINER OncF~LOC BOND' ViNYl., L 12' C-'ST FIBE RGLAS'~: TROWELEO OF CONCRETF POURED ( OTE $... - i I | /~.oc, ~~~ ,~ , , , · ,,-,,,,o~ OPFION~L STEP ~'. ,-',~ I.~[.. t ..... ~ . I . I.~t ..... ~ ......... ~'~ -~ .... ~ ,. OPTIONALSTEP ' TYPE SECTIOI ¢ < Z FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 TEL.: 765'1802 Examined ~ .~.'(. ..... , 19 0~.~ Approved .-~'-ff.'.. ?.'( ..... 19~../. Permit No.. Application No.. t/ffl~' .~. · ...... ~/ '/~'~///~ ~'~~C''t~ APPLICATION FOR BUILDING PERMIT a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl: 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 Pemnit to the applicant. Such porn 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildh~g Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable law:, ordinances, building code, housing code, and regulations, and inspectors on premises and in buildings for nec~ary ~spectio~)s. - admit authorized / /(Signalrure of appficant, or name, ~ a p d;F(Mailing address o app ica State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build{ Name of oWner of premises .... ~)~. ~..t//'./c)'/9~.... .*../2.. . .... (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 ...... ..~../. ............... Plumber's License No .... ~./~. - ............. Electrician's License No. //- .~/..~. · ........... Other Trade's License No.../ff/./ff. · ........... , /"//ff.//~ , .~/L~..~.. , rD--.:.~..'~ 1. Location of land on which proposed work will be done ..... House Number Street ttamlet .0.7 ............. ................... County Tax Map No. 1000 Section ..... 4~ Block ...... Lot Subdivision ..................................... Filed Map No ............... Lot .............. (Nmne) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupan~y ~f pr~p~sed c~nstru~ti~n: Existing and occupancy /.~. ~..~-//~.&:r/{~C~.. - - .................... a. use ............................. b. Intended use and occupancy /.~.J/.~.~.~...~..~..r~./-X,~-~-..~.LUL/29/'~/'~?~.. .;.~7~...~. · .&.'.~. ..... 5. Nature of work (check which applicable): New Building .......... Addition . .~fi~.. .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) L Estimated Cost.....~.~.~.(~ ....................... Fee .......................... ~ ........... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Nmnber of dwelling units on each floor ................ If garage, number of cars ........................................................................ ~. 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 ..................... 5. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stor/es ........................................................ Z Size of lot: Front ...................... Rear ...................... Depth ...................... ,~.Date of Purchase ............................. Name of Former Owner ............................. 1. Zone or use district, in which premises are situated ..................................................... L Does proposed construction violate any zoning law, ordinance or regulation: ....................... ~ ....... L Will lot be regraded .... ~.~.$. ........ ~-,.., ........Will excess*fill be removed from premises: ~ No L Name of Owner of premis~t~O~.h &~..~-g~t b.... AddressF~O..]~..: ........ Phone No..~7~ .~.~t:~... Name of Architect ..... /.~: ................. Address ..... - .............. Phone No ....... .~ ....... Nmne of Contractor~,~.~t.O Ct'~. ~5i lqt]. ~.~-$ ..... Address ~..~x'~.. ........ Phone No..~.¢~... ~:~..~.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or comer lot. 'rATE OF NEW YOR~ $.S OUNT¥ oF .... ~ J' (Nd~am~/of~'i ' idad ~' .... -- .. · ~ ~ __ ............ being duly sworn, deposes and says that he is thc applic~t ( ' ' iduai si~gcontract) · ove nmed. eis the .................. ~ '5 .......................................................... ntractor a~ent cot ~ ( , ~ , porate officer, etc.) f said owner or owne~, ~d is duly authorized to perfem or have performed the said work and to m~e ~d file pplication; that ~1 s~tements contained ~ this application are true to the best of his ~owledge and belief; ~d that the 'ork will be perfomed in the m~ner sct forth in the application filed therewith. worn to before me ........... · . .......... day of.~~ .... ,19 .~ ota~Public ........ ~~.~x~~X ~ ' ~/~'"' ' Public, Stero of NewYork t/ ~ s ~ n t a t ~ / commlss~n E~i~s Ma~c~ 30. ~9~ ~ ~ ~ (Si~ture of applic~t)