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HomeMy WebLinkAbout11328-zFORM NO. 4 TOWN OF SOU~-HOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z~.1.155 ....... Date ......... Au6u~t 24 ......................... 19 82 THIS CERTIFIES that the. building ......... I~'{;:' 'I/d ~' ~'~ .......................... Location of Property ~..5,§ Do~wood Lane ga~; Marion ttouse ire. Street Hamlet County Tax Map No. 1000 Section .... .0.;t~ .... Block .... 9.1 ......... Lot .... 0..0.9 .......... Subdt~ sion... (]&~d £na.r.a. Bi~t..B$~,t,q~ ~..Filed Map No ....... Lot No ........... Sect. 2 conforms substantially to the Application for Building Permit hereto£ore filed in this office dated ..... Jthne. 30. ........ 19.. 8~ursuant to which Building Permit No ...... 1.1.3.,2.8..~ ........ dated ...... Aagu~),..%0 ........... 19..~ Jwas issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... The certificate is issued to ~h,~ia Ct. Sambach of the aforesaid buildhlg. Suffolk County Department of Health Approval .... .n./.~) .................................. UNDERWRITERS CERTIFICATE NO ............ ~ §5716..4. Building Inspector Rev. 1/81 BUILDING D~P~ARYMI TOWN HALL $OUTHOLD, N~ Y. BUILDING P,ER~:I (THIS PERMIT MUST BE KEPT ON THE PI~E~I~ :S UNTIL I~ULL COMPLETION OF THE WORK AUTHORIZED) Pormis~ion is h~r~b~ ~rontod fo: Coun~ Tox Mop No. 1000 Soction .............. / ~ ~ 19 ond ~pprovod by the ~ursu~nt to applicotion d~t~d Build~no In~poctor. ~ ~ui ding ~n~ector 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: I. 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. Certifmate 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 . ./~,'(,L.(,' ...... Old or Pre-ex~sting Building(Z) ........ =/Vacant Land ............ Location of Property 275 Dogwood Lane Oardiners Bay Estates East Marion ~ '~ I ~. f¢~'[' -~ ',',' House No, ~ ' '%' ~ '-~ ': ' ' '! Street Ham/et Owner or Owners of Property ~arren A.-') & T~a~_a Go Sambach .......... .................................. County Tax Map No. 1000 Section 037 Block 01_ Lot 009 Subdivision..2.7.5 ...... (-j. ~_ lied Map No ...... 9.~5,..Lot No..95..& .cJo .... Permit No.1.~.3..2.8 ..... Date of Permit 8-11-82 .Applicant ~arren A. Sambach Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ,,., Request for Temporary Certificate ..................... Final Certificate .. ~. ............. - ' 5 00 F S bmitt dS .' ee u e ............................ Construction on above described building and BermR'mee(~ all a~ppti,cablg, co_das and regulations, Applicant., ,.~...~.._.~.;..-, ,~ .......................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRiCItY 85 JOHN STREET, NEW YORK, NEW!YORK 10038 THIS CERTIFIES THAT only the e~ctrical equipment as ~escribed~l~w~nd introduced by t~ epplica~ ~e~ed o~ the above application nu~n~er in the pren~izes of in the following location; [~ Basement ~.,~x. mln~doa April i2, ~982 FIXTURE OUTLETS SWITCHES 2 3 DRYERS ~ 1st FI. FIXTURES ~FLUORESCENT [~ 2nd Fl. Section Block Lot a~td found to be in compliance with the requirements of this Board. RANGES CO~OKING 0ECKS OVENS DiSH WASHERS EXHAUST FANS SYSTEMS OTHER APPARATUS i-4~,~ E R V I C NO OF CC COND F A WG ~ AWG OF HI LEG Gary 42D Mormell Cuteho~, N.Y. 11935 This certificate must not be aJtered in any manrler, return to the office of the Board if COPYFOR BUI&DING DEPARTMENT. THIS COPY GERE~AL MANAGER Per~ Inspectors may be idenhfied by thmr creden,fials. NOT BI; ANY ~ANN~; TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 17 June 1982 TEL. 765-1802 Mr. Warren~ A. Sambach 173 Hillside Ave. Wllllston Park~ NY 11596 - Applicant Dear Mr. Sambach : This is to advise you that the job under Building Permmt No.11328 issued to Mr. Warren Sambach on for is completed and a final inspection has/~7 has not~ been done. In order to complete thms file, it ms 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 th~s offxee for an inspection date. Thank you for your prompt attention. Very truly yours, Victor Lessard Administrator VL:ec Enclosures FOUNDATION (lst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: ~'~· 2849 'by Appeal No. TOWN OF SOUTHOLD, NEW YORK ACTION OF THE ZONING BOAI~D OF APPEALS application Dated June 30, 1981 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Mr. Warren A. Sambach 173 Hillside Avenue Williston Park, NY 11596 Appellant at a meeting of the Zoning Board of Appeals on August 6, was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance (X) Request for a variance to the Zoning Ordinance Art. III, ( ) 1981 the appeal Sec. 100-31 and 100-36 1. Sl~[~{~f~-~~X~~X~p~M~X~s~%~Yp)~on ( ) be granted ( ) be denied pursuant to Article ................... Section ................. Subsection ................ para,apb ................. of the Zoning Ordinance and ~e deeJs~n of ~e Building I~pector ( ) be reversed ( ) be confirmed because Public He,ring held 8/6/81: Application of Warren A. Sambach, 173 Hillsid~ Avenue, Williston Park, NY 11596 for a Variance to the Zoning Ord%na~ce., Art.~ III, Sec. 100-31 and Sec. 100-36 for permission to construct addition with insufficient side yard area and rear yard setback at Dogwood Lane, East Marion, NY; also known as Gardiner's Bay Estates Subdivision Filed Map No. 275, Lots 95 and 96; County Tax Map Item No. 1000-37-1-9. (SEE REVERSE SIDE) 2. VARIANCE, By resolution of the Board it was determmed that (a) Strict application of the Ordinance (would) (would not) produce practical hardship because difficulties or unnecessary (SEE REVERSE SIDE) (b) The hardship created (is) (is not) uulque 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) (e) 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 ( ) be granted ( ) be denied and that the previous decisions of the Bmlding Inspector ( ) be confkmed ( ) be reversed. CG:lk FORM ZB4 ZONING BOARD OF APPEALS Appellant by this appeal seeks permission to construct an addition to existing one-family dwelling leavin~ a total of both sideyards approximately 22 feet (rather th~n the required 26.3 feet) and leaving a rearyard setback of approximately 38 feet (rather than the required 50 feet). The p~emises in ques- tion are improved with a one-family one-and one-half-story frame dwelling with attached one-car garage, and contains an area of approximately 20,080 square feet with l~8-foot road frontage. The subject premises are known as Gardiner's Bay Estates, Section II, Subdivision Lots 95 and 96,1 and filed in the Suffolk County Clerk's Office as Map No. 275. In considering this appeal, the Board determines that the variance request in relation to the code requirements is not substantial; that the circumstances herein are Unique and prac- tical difficulty has been shown; that the relie~ if granted will not change the character of the neighborhood and will be in har- mony with and promote the general purposes of t~e zoning code; that if the relief is granted no adverse effect~ will be produced on available governmental facilities of any increased population; that the difficulty cannot be obviated by some method feasible to appellant other than a variance; that in view o~ the manner in which the difficulty arose, the interests of justice will be served by allowing the variance. On motion by Mr. Douglass, seconded by Mr. !Sawicki, it was RESOLVED, that a variance to the zoning ordinance as applied for in Appeal No. 2849, application of Warren A.i Sambach be granted. Location of Property: East side of Do'gwood Lane, East Marion, NY, County ax Map Parcel Item No. 1000.-37-1-9. Vote of the Board: Ayes: Messrs. Doyen, ~ouglass, Goeh- ringer, Sawicki and Grigonis. APP UvED Chairman D, AND I,'I. ¥.... TI*iV. SOUTH '~ Town Clerk, Town of-Sou~ _ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1802 Examined ...... ~i .~..c-~. .... 19 Approved ................ , 19... Permit No ....... Disapproved a/c ,~/~',dd.~.~5. ~.. ." gAY/ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan qmwmg location of lot and of buildings on premises, relationship to adjoining premises or public stre~ or areas, and giwng a detailed descnptmn of layout of property must be drawn on the diagram which is part of this ap[ cation. c. The work covered by this applicat,on may not be commenced before issuance of Building Permit. d. Upon apprc.'al of this apphcatmn, the Building Inspector will issue a Building Permit to the applicant. Such peru shall be kept on the prenuses avadable for inspection throughout the work. e. No budding shall be occupmd or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Braiding Inspector. APPLICATION IS !IEREBY MADE to tile Building Department for the issuance of a Building Permit pursuant to t Budding Zone Ordtnance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulatmns, for the constructmn of' buildings, additions or alterations, or for removal or demolition, as herein describe The applicant ,agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations, a_nd admit authorized inspectors on premises and in buildings for necessary ila'spections. (Signature of applicant, or name, if a corporation) 173 Hillside Ave., Willisgon Park, NY (Mailing address of applicant) '%% 59'6' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elec{rician, plumber or build, Owner Engineer Nmne of owner ofprclniscs .W. arren A. Sambach (as on tile tax roll or latest deed) If applicant is a corporatmn, s~gnature of duly authorized officer. (N amc and t~tlc of corporate officer) Btulder's License No .......................... Plumber's License No ...... .A~.O..A?~] ........... ELctfician s License No. ~ ~- Other Tradc's License No ...................... 1. Location of land on which pr~l,~psed work will be done ................................................ ~ 5 !; ~Dogwood'G~diners Bay Estates East Marion I~1'o t~;e' f,/~ ~r' :'"'~, "p" ~t:~' .?~" '.2.' ........ ~i r;;; ....................... I~I; ' 'lI~ el~ County Tax Map No. I000 Section 037 Block 01 Lot. 009 .......................... Lot. 96 (Name) %~r~C ~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. oB.e..f0J;a£.l. Tf .r¢.s.iderkc.e,. ~:.t. agh¢.cl..or~o..c.~r .gar. age ............. b. Intended use and occupancy ...... '. family, r. oo~ .............................................. ). L. Nature of work (check whicl, appilicable): New Building .......... Addition...~ ...... Alteration .......... Repair .............. Ren)oval ........... Demolition .............. Other Work ............... ' (Description) .0.q Fee Estimated Cost ............................................ ~ ........... (to be paid on filing this application) If dwelling, number of dwelling units...............°ne Nmnber of dwelling units on each floor ............... If garage, number of cars .......... QB~ .......................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... Dimensions of existing structures., if any: Front....44 ......... Rear .... 44 ........ Depth .... 26. 8.26. ~4 ' Number o£Stories Height ............. , .................................................... Dimensions of same structure with alterations or additions: Front ...39.~.8:: ........ Rear ... 5.[I ~. 8U ........ Depth 2if ! Height ~.0f Nu fSt ......................................... tuber o eries ..... one, ............ Dinlensions of entire new construction: Front .... :: ......... Rear ............... Depth .............. Height ................ Number of Stories ....................................................... Size of lot: Fro/~t ........... , .......... Rear ...................... Depth ..................... Date of Purchase .. ~.pr£~L .19 7& .............. Name of Former Owner ...... Zone or use district in which preinises are situated .... ~r~$&den¢~5 ..................................... ' Iation no Does proposed construction violate any zoning law, ordinance or regu : ............................... Will lot beregraded......n.°......................! Will excess flll be removed from premises: XYes No Nmne of Contractor , Address Phone No PLOT DIAGRAM Locate clearly and distinctly all i buildings, whether existing or proposed, and, indicate ail set-back dimensions from roperty lines. Give street and block ~umber or description according to deed, and show street names and indicate whether terior or corner lot. TATE OF NEW YORK, OUNTY OF ........ : S.S .......... .W.a.r.~.e..n .g:....S.oAn..b.~q .h .................. being duly sworn, deposes and says that he is the applicant (Name of indi~ idual sig~ling contract) >eve named. e is the Owner-Engineer (Contractor, agent, corporate officer, etc.) f sa~d owner or owners, m~d is dOly authorized to perform or have peuformed the said work and to make and file this >plication; that all statements contained in thru application are true to the best of his knowledge and belief; and that the 'ork will be performed in the mann~!er set forth h~ the application filed therewith. worn to before me this ..... da ne otary Public, ~ :¢ // i ounty i No ~o.' ,..~00 i (Signature of applicant) I ~ Qualified in Nassau County Comm[smon Expires ~arch 30, OCI~II?~AItlC¥ OR US[ !!,IfNLA.IV__FUL VVJ~I:~T CERTIFICATE OF OCCUPANCY 765-780~ 9 AM TO 4 PM FOR THE FOLLOWING iMSgECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & pLUMBING 3. JN$ULAT~ON 4. FJNAL - CONSTRUCTION MUST BE COMPLETE FOR C. O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N. Y, ~ATE CONSTRUCTION & ENERGY CODES. NOT RESgONSIBLE FOR D~I6N OR CONSTRUCTION ERRORS. MVtldl9 E,(.y)tVl il I[ , 4-Z~ PLO0~ ?LA kJ I OF [I FOLI~JO~,TIO~J \W~l,t ~IL~ f2E- 502