HomeMy WebLinkAbout11250-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
~10769
Date North®r, 10 1981
THIS CERTIFIES that the building ·
6~20 Skur~ Lane & 80 Ha2wate~ Dx~ive, 0utohogue, N.Y.
Location of Property ...............................................................
House No. Street Ham/et
County Tax Map No. 1000 Section . .~.0.~---- ....... Block ...O..~-'~ .......... Lot .... .0.0.~. .........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
112.Co z
OMI'lO 30 19 .. pursuant to which Building Permit No.
dated ....~.II.I:.X ...... 6 . ................ 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 ......... Pz.iva~e One ~amily Dwelling
The certificate is issued to ,lohxl Moors
..................... ...................
of the aforesaid building.
Suffolk County Department of Health Approval 11-80-61, 10/1/81, R. A. Villa P.E.
UNDERWRITERS CERTIFICATE NO.. 1t~39926
Building Inspector
Rev. 1/81
11250 Z
Per~nission is hereby granted to:
BUILDIHG!:
(THIS PERMIT MUST BE KEPT OR ~H,J; PRE/~I S~UNTIL ULL
COMPLETION OF THE WORK AUTH~RiZ~I~)
~ ~ ~ ~...~
at Premises located at
co,~ Tax Map No. ,oo0 :Seat,on .....
pursuant to application dot d .,¢... . .
BU~l~ing l~spector.
~$ ..... i........~.~..
Re~. 6/30780 '
and approved by tho
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 subr~itted 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 EnDineer 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, dccupancy 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(X); .... ~/Vacant Land
Location of Property ~°O _.~..~,~'~c~.~ ~..~;.~..~-t. .~-..'.'..,'/~..:~-?..~..
House No, Street Ham/et
Owner or Owners of Property . . J.? ~, ~ /~' *r ~ --~ --
County Tax Map No. 1000 Section .... /.O. ~¢. ...... Block .... 4:~. ¢¢"., ......Lot...~.. ,~..~¢. .......
Subdivision ................................. Filed Map No, ..; ....... Lot No ..............
Permit No./../.~ .,?.o..7-.. Date of Permit ~..~'./~Y. ¢..~J~,pplicant ...
Health Dept. Approval ........................ Labor Dept. Approval
Underwriters Approval ....... Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .. ../'.,...
Fee Submitted $ .~ L .........................
Construction on above described building and permit'meets all app~cable._,co_des and regulations.
Applicant .: ~..,~¢¢¢.~._. ...
THE NEW YORK BOARD OF FlaRE UNDERWRITERS
BUREAU OF ELECTRIGITY-
0~tiObfl[' g3t :1,~[ S5 JOHN STREET, NEW MURK, NEW ~RK 10038
1370~3 - 81
THIS CERTIFIES THAT
only the elect~c~l eauiome~t as~escribed be~ and i~tAo~ced b~ t~ ~ool~ca~t ~ o~ ~ ~o~ ~l~atlo~ ~m~r i~ tAe pre~ises of
i,t the followlng location.; ~ Bas-merit ~
,~.sex,,,,~'.e.o. Oct~er I9, 19Sl
1st FI.
FIXTURE
SWITCHES
FIXTURES
[] 2nd FI. Section Block Lot
and fouad to be in compliance with the r~quire,~ents of this Board.
OVENS DISH WASHERS EXHAUST FANS
SYSTEMS
NO. OF FEET
E
OTHER APPARATUS:
1-Smoke De~ector
I C
NO OF HI-LE~
Paramm~t Elec. Co,
2041 SN2l].ey
East I~D~adow, N,Y, 11554
'lic. 533~B
OENIq~A[ MANAGER
; Per- : '
~ COP~: ~OR BUILDING DEPARTMENT. THISCO~~ OF CE~!FIC~J~ ~,;NOT BE~ALT~RED IN ANY MANN~. Z
FIELD INSPECTION ~'' ~ COMMENTS
FOUNDATION
FOUNDATION (2nd
ROUGH FRAME &
PLUMBING
3.
INSULATION PER No Y.
STATE ENERGY
C,ODE
o
FINAL
ADDITIONAL COMMENTS:
~ FO~M NO. 3 ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAl,.
PLEASE TAKE NOTICE that your application dated
for permit to construct ~-~IM ~ at tl~e premises located 'at ....................................
...................... ? ..................... ~ ......................... Street
Map ......... . ........................... Block ............................................ Lot ................................................ is
returned~ herewith and disapproved on the follow;ng grounds !/4 ~'~//~FI~'~ I'd T
..~.~.~.~......~,,'!.?..~..' ......... .~.~L.....~.u..~(..<. ....... b..n.. ......... _-t..,..../..~.'.?.!.=,~: .¢,.~.'.~.~ ..................
F~V~u7 ~'~'0 Oh~ t. fnYl, v't)-'-fK~ .,~l~'~~ ~r'f? 7'~" I00-~
Building Inspector
Johu
' 10~ Lipto~ La.
Williston Pk.N.Y
9-16-80
~r. George Fisher
Southold BLG. Dept.
Southo-=, ,., ·
Dear SiT,
buildiag plan
corner of Skuz
Your kind,
vacant building lot o~ the S.W.
Lane and Hay~aters Drive Cutchegue,N.Y.
~W~ubmitted after approval.
t attentiem is always appreciated.
Tours truly,
John Noe~
T
S
TOWN OF SOUTHOLD, NEW ~ORK
ACTION OF THE ZONING BO.~RI) OF APPEALS
Appe~ No, 2748 Application Dated September 20, 1980
ACTION OF TIrE ZONING BOARD OF APPEALS OFT HE TOWN OF SOUTHOLD
'To Mrs. an.d Mrs. John J. Moon
104 Lipton Lane
Williston Park, NY 11596
DA'~..].Q/2.3.f80
Appellant
at a meeting, of the Zoning Board of Appeals on 0 c t 0 b e r 1 6, 1 9 8 0,
was considered and the action indicated below was taken on your
( ) Request for variance due to lack o£ access to property
( ) Request for a special exception under the Zoning Ordinance
(X ~ Request £or'a variance to the Zoning Ordinance A r t. I I I, S e c.
( )
100-31
the appeal
granted ( ) be de.ed pursuant to Article .................... Section ......... , .......... Subsection .................... paragraph
.................... of the Zoning Ordinance and %he decision of the Building I~pector ( ) be reversed ( ) be
co~irmed b~ause Application of John d.
and Ethel Moon, 104 Lipton Lane., Williston Park, NY 11596, for a
Variance to the Zoning Ordinance, Art. III, Sec. 100-31 for permis-
sion to construct dwelling with nsufflclent frontyards. Location
of property: 6520 Skunk Lane and 80 HayWaters Drive, Cutchogue,
NY; bounded north by Skunk Lane (Bay Avenue); west by Murcheck;
south by Smith; east by Haywaters Drive. County Tax Map Item
No. 1000-104-5-4.
(SEE REVERSE SIDE)
2. VARIANCE. By resolution of the Board it was determined that
ia) Strict application of the Ordinance (would) (would not) produce practical
hardship because
(SEE REVERSE SIDE)
difficulties
(b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties
alike in the irnmediate 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 because-
(would not)
(SEE REVERSE SIDE) :
and therefore, it was further determined that the requested variance
that the previous decisions of the Building Inspector ( ) be confirmed (
'be granted (
be reversed.
be denied and
ZONING BOARD OF APPEALS~
FORM ZB4
After investigation and personal inspection, the Board finds
as follows:
Appellants have appealed to this Board seekingia variance to
construct a new 28' by 60' dwelling on property located at the
intersection of Skunk Lane and Haywaters Drive in C~tchogue.
The premises in questions contains an area of ~1,250 square
feet, with 75' fronting on Skunk Lane and 150' fronting on Hay-
waters Drive. Appellants are proposing a 35' setback in each
frontyard.
The Board finds and determines that the reliefi requested
in relation to the Code requirements is not substanltial; that
if the variance is granted no substantial detriment~ to adjoining
properties will be created; that no adverse-effect for substantial
change will be produced in the character of the nei!ghborhood;
that the circumstances herein are unique; and that ithe spirit
of the zoning ordinance will be observed.
On motion by Mr. Grigonis, seconded by Mr. SaWicki, it was
RESOLVED, that John J. and Ethel Moon be granted a variance
to the zoning ordinance, Article III, Section 100-31 for permis-
sion to construct new dwelling with insufficient f~ontyard set-
backs of not less than 35' as applied for in Appeal No. 2748.
" Loc~tion of'property: 6520 Skunk Lane and 80!Haywaters Drive,
Cutchogue, NY; bounded north by Skunk Lane (Bay Avenue); west by
Murcheck; south by Smith; east by Haywaters Drive.: County Tax Map
Item No. 1000-104-5-4. ~
Vote of the Board: Ayes: Messrs. Grigonis,
and Sawicki. Mr. Goehringe? abstained.
Doyen, Douglass,
APPROVED
RECEIVED AND FILED BY
THE SOU~EHOLD TOWN CLERI(
DATE ID~/~?.~/~ HOUR//.'mm~ ~.
Town Clerk To~n of ~uthol~
n-~?- -
,o8
,05"
.~,.~
"7. - ~EGIL~C~GE -~o CO~'~PL¥ W~T~ ~,/.¥. S, [NERGT CO~: ~,~ h~%'~'~
OuT
DATA
TZ F
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y, 11971
TEL,: 765-1803
Examined .~ .~ ........ ,19 ..~./
Approvec~..~..~. ...... , 19~c~(. Permit No~/.~. ~."7...(~.'
APPLICATION FOR BUILD!NG PERMIT
Application NO (f .~.4-0
INSTRUCTIONS
a. This application must be completely filled in by typewriter or fn in}{ 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 descriptiou of layout of property must be drawn on the diagram which is part of this apF
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon appro','al of this application, the Bnilding Inspector will issue a Building Permit to the applicant. Such pern
shall be kept on the premises available for inspection throoghout 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 Building Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of tile 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 laws, ordinances, building code, housing code, and regulations, and
adlnit authorized inspectors on premises and in buildings for necessary inspections.
....... .........
(Sig~J~fire of applicant, or name, if a corporation)
7.'o. ............
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~
.................... .o.. ,~. :¥.e. (?.:. ..............................................................
Nalne of owner o relniscs ..... ! ................. .
(as on tile 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..c~../".O. .¢..~....,~..e../.e.t? ?.o. c'v/
Electrician's License No .......................
Otller Trade's License No ...................... --./4
Location of and on w rich proposed work will be done. /0~'//~....~q~. ~...0<.e. ../z---.~..re ~...~.¥ e~-?./'~/)~?',/~/OT'..
,. , , , .- %>,;.:::
...K .0../{~.y; .w~.,/..e :.~.'.. O. c-g ./.r. ~ ......................... /,T.~, ¢.o,,~. ,/,~ .................
House Number-- Street Hamlet
County Ta× Map No. 1000 Section ..... /..0. ¢. ....... Block ... ~ ............ Lot...~. ............
Subdivision ..................................... Filed Niap No ............... Lot ..............
(Name)
State existing use and occupancy of premises and intended use an.O occupancy of proposed construction:
a. Existing use and occupancy . .. .... ~..~Ot4~..~ .................................
b. Intended use and occupancy ..... ~.... ?/~../27../~./..~.~.....~. ~.o'.~.~ ./??...~..~. ......................
I. Nature of work (cheek which applicable): New Building ........ Addition .......... Alteration ..........
Repair ............ Removal .............. Demolition .............. Other Work ...............
t~.'~., ~ (Description)
Estimated Cost . .~.0..: OOlp ..... Fee ~., ,..,,/~ ............. -~ ........
~ (to be paid on filing this application)
;. If' dwelling, nu,nber of dwelling units ...... /. ........ Number of dwelling units on each floor ................
If' garage number of cars
i. If' business, commercial or mixed, occupancy, specify nature. ~and extent of each .type~ of use ............ j .......
;. Dimensions of existing stmcture~, if any: Front ..... ~. ~. ...... Rear .... ~ J~. ....... Depth . .43-~. .........
Height d'.~ ~. Number' of Stories'
Dimensions of same structure with alterations or additions: Front ...2. ............. Rear ................
Depth .................... !.. tteight ...................... Number of Stories ....................
Dimensions of entire new constrhction: Front Rear Depth
tteight ............... Num. ber of Stories ......................................................
). Size of lot: Front .. /,,fo:' Rear . .~.x~.O. ......... Depth .7.. ,~'. .'.
). Date 6r Purchase . .,.~.effi.. .... !d. q4'.o. ............ Name of Former Owner ...........................
I. Zone or use district in which pr~mises are situated ..... ..........................................
!. D,.o, es proposed construction viol!ate any zoning law, ordinance or regulation: ..............................
1. IMIJ lot be regraded ...... .,(. ~?. ................. Will excess fill be renloved from premises: Y. es
L Name of Owner of premises .--fl'~.~,o/../'.~..q .o !~ ..... Address/~.°~/-./~.~.d.~ .dO..~'.~h Phone No ......
Name of Arctutect .......... , ................. Address( .?':.t~.' .~.Q f../.?.e'?./.C..'~. Phone No .............
Name of Contractor ."/'¥t,v'. ~.°d.d.~..c.~.4 .,~?.,,~./)e6(... Address .~ae.~. :d.~ e,'/f j~.. ~..~:.,%. ~..,~ Phone No. ~.~F-,7..~. ~...1-.~.~...
PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions fi'om
roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
terior or corner lot.
rATE OF NEW YOI~K, --
.... t~./~Y. ~ 5 ~A~.: .~..~?..~.~.~..~...d~. ....... being drily sworn, deposes and says that he is the applicant
'(Name of indMdual sig~iing contract)
)eve named.
e is the .............~'~P9 .......................................................................~ ~~ ~
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is du~y authorized to perform or have pm~formed the said work ~d to make and file
)plication; that all statements cont~ained in this application are true to ~he best of his knowledge and belief; and that the
'ork will be performed in the roamer set forth h~ the application filed u ~erew~th.
worn to before me this :
............. g ~ .... day o; .......... ~/~.., 19~/.
........ .....
~
~rm tx~lr~, ~ar0u --, la~ j f (Signature of applicant)
SUFFOLK
The se~ag~ dis:~osal a~' water supply
faci-~"~; .... for this iQ~ation have been
inspected hy thL~ dgpArtment and found
Chief ~.f/~eneral Engineerin~
GR EENPORT
NEW YORK
SUFFOLK CO, HEALTH DEPT.' APPROVAL
H.S. NO ......
STATEMENT OF IN, TENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE 'W{LL
CONFORM TO THE-STANDARDS :OF THE
SUFFOLK CO. DEPT. OF HEALTH SERVICES.
(S~ ..........
~.t~v "' .... , : v
SUFFOLK C~NT'Y OE~T..0
SERVICES -- FOR APPROVAL ' 0~;
CONSTRUCTION ONLY ,
DATE:
H. S- REF. NO,: ' ' ,' '
APPRov '
'ED: ...... ,
SufFOLK cb. TRX
OWNERS A~E~
~,, , ..< ~ ".~,~
/
/
,/
SUFFOLK CO. HEALTH DEPt. APPROVAL'
H.S. NO ............
STATEMENT OF INTENT
THE WATER sUPPLY AND %~,WAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE[ STANDARDS OF THE
SUFFOLK ~, ~~~R~VIcES.
(s)
~ICANT
'$uFFOL'K couNTY D~PT.
DATE:
F 0.:~
H. S. RE .N
~AL
RODERICK VAN TUYL. P.C.
LICENSED LAND SURVEYORS
GREENPORT NEW YORK
SUFFOLK CO, HEALTH DEPT. APPROVAL
H.S. NO.
/i STATEMENT OF INTENT
\~It THE WATER sUPPLY AND SEWAGE DISPOSAL
I SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK EO~ DE~T. OF HEALTH SERVICES.
~ICANT
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES -- FOR APPR'OVAL OF
CONSTRUCTION ONI-Y
DATE:
H. S~ ~f. ~.:
APPR OV ED:
CO TAX N ION:
~. ~CT. BLOCK EL.
........
LAND $~'VE~'~ I% [
GREE~RT ~RK ~ ~ ~ ~.
LAI~E
/
RODT~ICK yAN T.~P,.C.
SUFFOLK CO, HEALTH DEPT. APPROVAL
H,S. NO.
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK CO, DEPT. OF HEALTH SERVICES.
(s)
APPLICANT
SUFFOLK COUNTY DEPT, OF HEALTH ,
SERVICES -- FOR APPROVAL
CONSTRUCTION ONLY
H. S, REF. NO.:
APPROVED:
SUFFOLK Cb. TAX MAP DESIGNATION.
DIST, SECT BLOCK PCL,
OWNERS ADDRESS.
DEED. L. 4zo6 P. 4'5*! (~EF.~
TEST HOLE STAMP
SEAL
~.x ~AY
SUFFOLK CO. HEALTH DEPT. APPROVAL
H S. NO.
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR T)-IIS RESID~ENCE WILL
CONFORM TO THE STANDARDS OF THE
SUFFOLK ~. D~PT. OF HEALTH SERVICES
~LICANT
SUFFOLK COUNTY DEPT OF HEALTH
SERVICES -- FOR APPROVAL OF
DATE'
H S, REF NO,:
SUFFOLK CO TAX MAP DESIGNATION'
DIST. SECT. BLOCK PCL
' : ,'4 4
OWNERS ADDRESS,
RODERICK VAN TUY~L~ P.C.
lICeNSED LAND SURVEYORS
GReENPORT NEW YORL
SUFFOLK CO. HEALTH DEPT APPROVAL
H S, NO,
RODER,CK "A"
LICENSED LAND SUEVEYOR~i
GREENPORT NEW YORK
STATEMENT OF INTENT
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESfDENC/ WILL
CONFORM TO THE STANDARDS OF THE
COUNTY DEPT Of HEALTH
sERVICES -- FOR APPrOVAl Of
CONSTRUCTION ONLY
DATE.
H. B. REF NO
APPROVED.
SUFFOLK CO TAX MAD DESIGNATION
DIST. SECT, BLOCK PCL
SEAL
OCCUPANCY 011 ~',!~
USE IS UHLAVfl;~L
WITHt~i, iT C~.R'iiflCATE
OF OCCUP/&NC¥ ,..
NOTIFY BI]JLDING D~PARTM,FN'T AT
Dr~IGN OP, CON'ST~LL~i'IO~ ERI~Oi~S,
, ~ o L? 'ON
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