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Home My WebLink About11167-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14950 October 6, 19.8.6 ................. Date ................................ , . THIS CERTIFIES that the building .... .~.n.~ .~ .o.u.n.d...~?.~.m...m./.n.g.. p 9.o.~.. 5.. f.e.n..c ? ........ ~+:~_Ac~ ...... .2525 Private Road #13 Mattituck~ N.Y. Lv~aL~u~ ~[ £~uM~y ............................................................... House No. Street Ham/et County Tax Map No. ]000 Section ...1.0.5. ...... Block .... 1 ........... Lot 4 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated fi.p.~..z.1..2.9, .......... , 19 .SJ. pnrsuant to which Building Permit No..~fifi. 6..7.Z .............. dated May 22, 1 81 ............................ 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 ......... Ingroun~ swimming pool & fence The certificate is issued to Arthur Burns (owner, le~'~[ff~'x .................... of the aforesaid building. Suffolk County Department of Health Approval ...N/A ~34q10 UNDERWRITERS CERTIFICATE NO ................................................ Rev. 1/81 Rev, 6/30/80 (THIS PERMIT MUST BE KEPT ON THE P~EM~Si~s UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) N°. 11167 'Z .Dote ........................... ........ z ................ , Permission is hereby granted to: ~o ~ ~ ~'~7~ ~ . ' ........... at premises ocaTea a; ...;...~. ...... M~ ~, ~gc ~<....; . ....~; . . ............. County Tdx M=p No. 1000 Section .......... ~.~.. BIOcI~ ;...~ .............. ~t No .................... ' .A'~[~ ~ 19:~ and 'approvedr by the p~rsuant to appllcatlon~ dated ............................. . .............. ~"'F'""' Build~ng Inspector. Fee · ...................... . * ~} UUlIOIn In~e~tor FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions in dupl.i, cate , A. This application must be filled in typewriter OR ink, and submitted v co the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, properW lines, streets, and unusual natural or topographic features. 2.Final approval of .Heal.th Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrmal installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial bmld'ngs, 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 requ'rements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 predate a certificate. ~:aes: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling :3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 // Date ..... ~.gl.~~ ............. New Building ............. Old or,re-existing Buildigg ............ Vacant Land ............. ........................................... _ .o ...... . ' " Hou~ No. ~ ~treet Owner or Owners of Property .. ~.~. · · ~~ ............................ County Tax Map No. 1000 Section .......................................... Block Lo~ Subdiv~sio~ ................................. Filed Map No ........... Lot No .............. Permit No. /].5~f.. Date of Permit .......... Applicant .................................. Hea~th Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .... . .................... Planning Board A~proval ..~ ...... i .... Request for Temporarv Certificate ..................... Final Certificate ................ Fee Submitted $.. · .~. ,'.. ~ .................. Construction on above described building and permit meets all applicable codes and regulations. ..................... Rev. 10.10.78 TEL. 765-1802 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 SOUTHOLD, N.Y. 11971 DATE: July15, 1986 Dear: While reviewing our files I find that your expired pool permit ]~;~ has never been finalized. Kindly return the enclosed application with a check for $5.00. Also, please call and arrange for a final inspection so that we may issue a Certificate of Occupancy on the above pool and complete this outstanding file. Yours' Truly, Victor Lessard Executive Adminstrator OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY "IMMEDIATELY" ENCLOSE i=OOL TO CODE UPON COMPLETION BEFORE "WATER" THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ,85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT was ex~tnztted on ~ ~J~F j.]~5.~ a~tdfou~tdtobeinco,tpha~cewtththerequiretne~t$of~hisBoard. FIXTURE ~ FIXTURES RANGES OVENS DISH WASHERS FANS DRYERS FURNACE MOTORS TIMECLOCKS JNIT HEATERS MULTI-OUTLET DIM, MERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E NO OF CC COND A W O NO OF HILEO A W G NO OF NEUTRALS pER ~' OF CC COND OF HI LEO OTHER APPARATUS, (~mg Pool) Thi~ cer~£icate cove~s cm~l~ at ~ ~te of ~ctfon I~G,F~C~L AWG OF NEUTRAL Gie~n R, ~adl~y, Lic~ 1227 GENEI~AL MANAGER This certificate must not be altered tn any manner, return to the office of the Board if f,nco~rect Inspector? may be Jdenhhed by thmr credenhals. FOUNDATION (1 FOUNDATION ( 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QODE - ~'~ ,, SHORT ENVIRONk{ENTAL AsSESSI4ENT FORI4 ,,~ INSTRUCIIOMS: -x -----~ order to answer the questions in this short EAF it is assumed that ~he preparer ~lill use. currently available information concerning the project and thc likely impacts of the action. It is no% expected that oddi%ionol studies, research or other znvestlgotlon y/ill be undertaken. (b) If any question has-been answered Yes the project may be significant and o completed Environmental Assessment ~orm is necessary. (c) If oll questions have been answered Jqo it is likely 1h0% %his project is not significant. E'nv~ronmental Assessment ~. %'~1'1 project result in a large physical change to the project site or physically alter more Yes. /No ~han 10 acres of land? .................... ~-., 2. ¥1ill there be o major change {o any unique -unusual land form found on the site? ......... . .¥e$,~/N° 3. %Vill project alter or have o large effect on existing body of water? ...................... _ Y~s.~ 4. ¥1ill projec~ hove 0 potentially large impact , on grouncJ;vater quality? ...................... , Yes.~o 5. ¥/ill project significantly effect drainage flaY! on adjacent sites? ...................... ., , ,Yes.'/N° 6. ¥/ill project affect any threatened or ..... ,., Yes No endangered plant or animal species? ..... . , , Y. Will projec'~ result in o major odverse effect on air quality? ............ .... ...... /No 8. ¥/ill project hove o e on i 1 character of the community or scenic views or vistas known %o'be imporlant 1o fha community?. Yes o 9. %'7ill projecl adversely impact any mite or structure of historic, prehistoric or paleontological, importance or any site d~signated as a critical environmental area by a local agency?, -.- ....... . ...... Yes. No 10. Will project have a major effect on exLs¢ing or future recreational opportunities? ......... . Yes.,~No 11. %~ill project result in major traffic problems or cause a major e~fect to existing ~ranspor~ation systems? ........ ~...: .......... Yes. No 12. %?itl pro3ect regularly cause ob3ectzonable odors~ noise, glare, vibration, or electrical disturbance Os a result o~ the project's operokion? ......... ' ............................ .,,.Yes, , o 13. %?ill project hove any impact on public health or safety? ..................................... _Yes. ._ e 14. ~till project o~fec~ the existing community by directly causing o grow%h in permanent population of more than 5 percent over a one year period or have o major negative effect on the chara~-~er of the community or neighborhood?~ ................... ~ .......... . . _Yes.,~. No 15, Is ~here pu~i~con~loversy concernzng the ' · To: Southold Town Board of Appeals Main Road Southold, NY 11971 ~'~~~~k~~ Re: Appeal Application of .. Location of Property: Dear Sirs: In reference to the New York State Tidal Wetlands Land-Use Regulations, 6 NYCRR, Part 661, and Article 25 of the New York State Environmental Conservation Law, please be advised that the subject property in the within appeal application: (please check one box) [ ] May be located within 300 feet of tidal wetlands; however, constructed along the water-lying edge of this property is a bulkhead in very good condition and at least 100 feet in length.* [ ] May be located within 300 feet of tidal wetlands; however, constructed along the water-lying edge of this property is a bulkhead in need of (minor) (major) repairs, and approximately __ feet in length. [ ] May be located within 300 feet of tidal wetlands; however, constructed along the water-lying edge of this property is a bulkhead less than 100 feet' in length. [ ] May be located within 300 feet of tidal wetlands; and there is no bulkhead or concrete wall existing on the premises. Is not located within 300 feet of tidal wetlands to the best of my knowledge.* not appear to [Starred items (*) indicate your property does fall within the jurisdictio~f the N.Y.S.D.E.C.] // Sincere±y/yours, z _ (Signature please)/ ' BUILDING DEPTo INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: INAL TOWN OF SOUTHOLD, NEW YORK APPEAL FROM DECISION OF BUILDING INSPECTOR APPEAL NO O^TE~..!,:.~.~ .......... TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y ,, ~, ....,.,.~.,.,..,. ...... ..~..ur~.~.~..~ ....... o{ ........... ~ ............ ................................. NoTe of Appello.nt Street and Number ..~ ~. .................... t .............................................. :..~; .... ,.....~ ~ ~o Municipality ~ zo~ ~o.~ o~ A~s ~o~ ~ ~c~s~o~ o~ ~.~ ~u~ ~s~c~o~ o~ ~,cA~,o~ ~o~ ~ ~o ........................... ~A~ ...................~q~'~. Z..~!~' ........... WHEREBY THE BUILDING INSPECTOR DENIED~O / ...... E;~;"~"~'~'~',~;~"~;;~;~ ............ ..... St~i'an~ Number Municipahty State ~ ( ) PERMIT FOR OCCUPANCY 1 LOCATION ........... ~T~'eet ................... O;~ "di;~;i~'~"~A"'~;;~;~ ~p ~ ~{..~. ........ ~& .............. Mop No Lot No. 2 PROVISION (S) OF THE ZONING ORDINANCE APPEALED (Ind,cate the Arhcle Sechon, Sub- sect~o.~ond Paragraph of the Zomng Ordinance by number Do not quote the Ordinance ) b'e ,~-','~,~ '- la~c--' /'- '/~ 3 TYPE OF APPEAL Appeal ~s mode herewith for ~)~/ARIANCE to the Zoning Ordinance or Zomng Map A vARIANCE due to lock of access (State of New York Town Low Chap 62 Cons Laws Art, 16 Sec 280ASubsectlon 3 4. PREVIOUS APPEAL A previous appeal (has) (has not) been made with respect to th~s decision of the Building Inspector or w~th respect to th~s pr~operty. Such ~ppeal was ( ) request for a special permit I~-~"~quest for a variance and was made in Appeal No ............................ Dated ..................................................................... ( ) ( ) ( ) ~s requested for the reason that Form ZB1 REASON FOR APPEAL A Variance to Sect,on 280A Subsection 3 A Variance to the Zoning Ordinance (Continue'~ on other, s~det ~ REASON FOR APPEAL Continued 1 STRICt A,~PLICATION OF THE ORDINANCE would produce practical difficulties or unneces- sary HARDSHiPS,because . ~' ' 2 'The hardship create~ i~'UNlqUE~and is not :shared by oil, properties alike in the~ i~me,diate 3 Tl~e. V,c~once.,, wouk 6bser.ve the spirit, o~'the .Ordinance' and WOULD NOT ~'~HANGE~' )~HE. Sworn to this . , Ter~ ~ ~. March 3~ , ' FOKM ~lO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. £xomined ............................. ./....j~....., 19...~./.. Approved .................... ~...~ ...... , 19- Permit No ..................................... Disapproved a/c ............~ ...... =r..~ ;::...~......_~._..~;;.~..;..~..~: .;~..._ ..................... ............................................................................ (Building Inspector) Application No. / (// C'~ APPLICATION FOR BUILDING PERMIT Date ....... ..... ,~ ?' ................. 19 I NSTP, UCTIONS a. This application must be completely filled in by typewriter o¢ 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 Jot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which ~s part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d Upon approval of this apphcation, 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signotdre of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder. ................. .................................................................................................................................................. Name of owner of premises ....... ~.~..~.~.~...~)..V~C~.~..% ................................................................................................. If applicant is a corporate, signature of duly authorized officer. .......... ................................. (Name and htle of c~)rporate officer) Builder's License No ............ ..~.~....c.~...~. ........................... Plumber's License No ................................................. Electrician's License No...G..I.~.....%..~&L.~.~ ........... Other Trade's License No .............................................../ ~_~;~ ~- ~/T ~U'/~'~- ~e D~'~ J~ Location of land on whic~roposed~ork will be done. Map No ........................................ Lot No ........................ Street and Number .... iJ~.~ ........ .~.q~ ......... ,.....~.a~l~.~ .............................................................................. { ~00 -~ f 0 5' ~ /--- ~/ ~unicipali~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: .............' ............................................................ b. Intended use and occupancy 3. Nature of work (check which~applicable). New Building'. ................. Addition .................. Alteration .............. Repair .................. Removal .................. Demolit.on .................... Other Work ~..O.¢.&~....~..~..c:\...:4.~.~Vr~.~ ....... (Description) / 4. Estimated Cost ...?......~.~.~...~...~...'~....-- -- ~ ............................... Fee .......... .~.......~.....o.~, ...................... (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 ..... : ...................................................................................................................................... 6. 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 Stones ................................................................................................................. Dimensions of same structur~ with alterations or oddihons: Front .................................... Rear ........................... Depth ................................ Height ............................ Number of Stories ................................ 8 Dimensions of entire new cohstruction: Front ................... , ................ Rear ............................ Depth ....................... Height Number of Stories ................................................ ? .................................................................... 9. S,ze of lot: Front ............. ,,~,'~....&. ................................. Rear ....... .~...A.~ .......................... Depth ...(..O..;./..~.~. ................. 10. Date of Purchase .................... Name of Former Owner · ~,, ._.~ .................................... {...~.....~.....~.'..J~r "-~ .~ ~.~.~..~.~....7. "~ (.~Z'OC:~ 11. Zone or use district in which=premises are situated ..... ................ ...... "{"~"?'"~"/~/o7:-'~ '~ ]2 Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded .............. ; .............. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Nome of Owner of premises .~.~.~..r;.......~..~..~, ................... Address~,'~.~¢J,..~x~,'~:~ Phone No ....................... Name of Architect ......................................................... Address ................................ Phone No ....................... Nome of Contractor .......................................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frore property lines. Give street and blbck number or description according to deed, and show street names and indicate whether interior or cmner lot ' STATE OF NE~, YOI~K,., ~ c c COUNTY OF ...*~,'.~..-~,~O.k.'.~ ............ ...... .~..:.k.,......~..!..er...r~.,..~...!X~.~.. .......... i ....................................... being duly sworn, deposes and soys that he is the apphcam (Name of individual signing contracf) above named. He ~s the ......... ~.~.~.~0.~....~ ......................................................................................................................................... ' (Contractor, agent, corporate affiX.) oE sa d o~ner or owners and is duly authorized to perform or have~r~or~d the said work and to make ~nd file this applic~tlon; that ail statemen'ts contained in this application a~ true t~ the best af hij knowledge and belief; and thor the work will be performed in ~he manner set forth in the appl~tion find therew~.~ ............... ........ Noto~ ~ublic~ . ............................. ~ ..................... Coun~ ....... ~......: ............ / ................................. / - (S~mm ~ a~l~nt) / BOARD OF APPEALS, TOWN OF SOUTHOLD In the Matter of the Petition of to [he Board of Appeals 0f the Town of SouthpId TO: NOTICE YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to petition the Board of Appeals of the To~;n of Southold to request a (Variance) (Special Exception) (Special Permit) (the following relief: )- 2. That the property which is the subject of the Petition is located adjacent to your proper~ty and is des- cribed as follows:· _ 3. That the property which is the subject of such Petition is located in the following zoning district: 4. That by such Petition the undersigned will request the following relief: ~n~r 5. That the provisions of the $outhold Town Zoning Code applicable to the relief sought by the under- signed are: . 6. That within five days from the date hereof, a written Petition requesting the relief specified above will be filed in the Southold Town Clerk's Office at Main Road, Southold, New York and you ma), then and there examine the same during regular office hours. 7. That before the relief sought may be granted, a public hearing must be held on the matter by the Board of Appeals; that a notice of such hearing must be published at least five days prior to the date of such hearing in the Suffolk Times and in the Long Island Traveler-Mattituck Watchman, newspapers published in the Town of Sou~i~ and designated for the publication of such notices; that you~o~' your representative have the right t° ap/~ar/~d b~?eaLd ~t su'c~hearing'Dated: (~/~/'~//~ ~- ~P// ' Petitioner' ~ (~ ~/~~' x Post Office Address /~ ~/, /~?~ pROOF OF MAILING OF NOTICE _NAME P28 ~804039 ~ ~OR CERTIFIED MAIL RECEIPT ' NI~ INSURANCE COVERAGE PROVIDED-- ~NOT FOp INTERNATIONAL MAll. . ,J~p~Beve rse) ADDRESS P28 E~804040 RECEIPT FOR CERTIFIED MAIL NO INSURANCE CO~LRAGE PROVIDED-- NOT FOR INTERNATIONAL MAIL ,e) pOSTAGE $ CERTIFIED FEE ¢ ~ SPECIAL DELIVERY ¢ RESTRICTED DELIVERY SHOW TO WHOM AND ¢ ~ ~ SHOW~OW~IOM OA~ AND ADDRESS OF ¢ ~ ~ ~HOWTOWHOMANgDATE ~ ~ DELIVEREDWITHRESTRICTEI P28 ~t ~038 RECEIPT FOR"CERTIFiED MAIL NO INSURANCE C(]VERAGE PROVIDED-- NOT FOR INTE,RNATIDNAL I~AIL lee Reverse) STATE OF NEW YORK ) , _ ~L/.Z~-~J~ ~.) , being duly sworn, deposes a~d ~ys t~at on the day of ~ ~ ~ ,19 ~, deponent mailed a true copy of the Notice set forth on the re- verse s~de he/eof, directed to ea, :h of theOdore-named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown on the current assessment roll of t~ rice at (certified) (registered) mail. e Town of Southold; that said Notices w~ailed at the United .States Post Of. ;,ha, sai~ No,~ ~ mailed ,o e~/h o, sa,d persons hy ['/t,~TTI TU¢