HomeMy WebLinkAbout13601-zFORM NO~ 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. z-15779 Date May 22~ ?87
THIS CERTIFIES that the building Bedroom ad.d.£t.io.n to.....,...g.exlstln multiple dwelll.
'dill'ff. ...........................
Location o f Property .... 2. .59.0..~ a. p .1 .R. ~..a .n.e.. ~ .n .i.t.. (~ .K 7.2. [ ....... 9.r.q e. ~ p.r.t. ,..Iq... Y. :...
House No. Street Hamlet
County Tax Map No. 1000 Section .... 3.8.: .0.i...Block ....Off .......... Lot...0.2.1. ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
November 27, 1984 .. pnrsuant to which Building Permit No. . 1.3.6.0.1 Z
dated.........N o v e mb ..... e r 3..0, ...... 1984...... . 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 ........
BEDROOM ADDITION TO EXISTING MULTIPLE DWELLING UNIT
Th¢ ¢ertificate |s issued to DENNIS & HELENE DENNERLEIN
(owner, I~l~l~ ~ft~R~ X
of the aforesaid building.
Suffolk County Department of Health Approval .... N/A ~
N688896
UNDERWRITERS CERTIFICATE NO ..................................................
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWH HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N_° 13601 Z
Permission is hereby granted to:
Z/.~/~..~..-~...,..~..~. ...... ,,z~..,~..a ,
,o ........ .~. ~ ~. T~. ~..... g~~....~ ~e ~.. ~.. ~/~
~ ,. ~ , ~ ~'-~I
,,~,~,,~,~,,~ ~, ........ ~ ...... ~ r~...~~.=...,,~ ......... ~ .................
...........................................................................................................
County Tax Map No. 1000 Section ~....~.Z.~..../.. .... Block ...~../. ............ Lot No..~...~../. ..........
pursuant ,o application doted '"'/~'"'"~'"'-"'""~-~"Z ............................ , , ..~:)..~..., and approved by the
Building Inspector.
Fee $.,,~,,; ..................
Rev. 6130/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and su'bmitted m ~ 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 equa[).
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 p~operty showing all property lines, streets, buildings and unusum 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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.'00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
NewCons truction ...... Old or Pre-existing Building ............ Vacant Land .............
House No. Street ~am/et
County Tax Map No. 1000 Section .~?', f., Block ,/. . Lot .... LS. 7.~-[ .~..
Health Dept. Approval .... ~Z~ .............. Labor Dept. Approval .... 4~./~ ..............
Unde~riters Approval..").¢.4.. ~.~% ,0 ..... Planning Board Approval ...~.~, ............
Request for Temporary Certificate .... (~ ......... Fina Ce cate .
· · I rtifi ...............
Fee Submitted$ . ¢~ % ~ ........
Construction on above described building and permit meets all appli!able codes and regulations.
Rev. 10,10-7~
IS77f
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tot 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing 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 requ ired 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
$15.00
4.Vacant Land C.O. $5.00
Date ....................
New Building . .~ . Old or Pre-existing Building ............ Vacant Land .............
Location of Property ~ ~ O , ~ ,,~'~?, .~ .... l ~.,.,~ ¢ .~
House No. Street ~ Ham/et
Owner or Owners of Propertv ....~ ¢~. J'¢.: ~, ~!,.. ,~. ¢. ~'-¢ eg. ~': ~ .{~, .q: .~ .¢',~ ......................
County Tax Map No. 1000 Section "~% Block ~ Lot.. V-,~ ~\ .
Subd,v,s,o. AC:,,. ed ..ot ....
Permit NI3~.O.I., .~. Date of Permit .......... 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 permit m~s all applica~n_s.
Apphcant .......... ........
SOUTHOLD TOWN BOARD OF APPEALS -6- June 14, ~979
After investigation and inspection the Board finds that the
applicant is representing the 21 members of the condominium in this
application for decks and patios. The decks and patios will be no
larger than 14'3" by 16'13". Neither the decks or patigs will be
closer than 5 feet to the road or closer than 4 feet to any adjoining
unit.
The Board finds that strict application of the Ordinance would
produce practical difficulties or unnecessary hardship; the hardship
created is unique and would not be shared by all properties alike in
the immediate vicinity of the property and in the same use district;
and the variance will not change the character of the neighborhood and
will observe the spirit of the Ordinance.
On motion by Mr. Grigonis, seconded by Mr. Tuthill, it was
RESOLVED, that Crescent Beach Condominiums, 45 Marine Place,
East Marion, New York, be GRANTED permission to construct decks or
patios with insufficient front and rear yard setbacks~ ,Location of
property: End of Maple Avenue, East Marion, New York, known as Filed
Map Condominium No. 62, upon the following conditions:
(1) None of the decks or patios will be enclosed and used as
living quarters.
(2) Site Plan Approval by the Southold Town Planninq Board.
'(3) Suffolk County Planning Commission Approval.
.Vote of the Board: Ayes: Messrs: Gillispie, Grigonis, Tuthill
and Douglass.
PUBLIC HEARING: Appeal No. 2556 - Upon application of Theodore
Rohloff, 2870 Orchard Street, Orient, New York, for a variance to the
Zoning Ordinance, Article III, Section 100-31 and Bulk Parking Schedule
for permission to divide property with insufficient area and width.
Location of ~groperty: Orchard Street, Orient, New York, bounded on the
north by Orchard Street; east by Rohloff; south by Mayer; west by Blank.
The Chairman opened the hearing by reading the application for a
variance to the Zoning Ordinance, legal notice of hearing, affidavits
attesting to its publication in the official newspapers, and disapproval
from the Building Inspector. The Chairman also read a letter from the
Town Clerk that notification by certified mail had been made to: Jean
Rohloff, Mr. and Mrs. Peter Blank, Jr., Shirley Mayer. Fee paid $15.00m
THE CHAIRMAN: The applicant has included a sketch of his property
which indicates that the total area is about 59,000 square feet. There
are two existing dwellings on the property; one of which is an existing
old residence that is being used as a storage building and a new resider'
built by Mr. Rohloff. The proposal is to create two lots from the prope
FIELD INSPECTION ~' ~ DATE COMMENTS
1
FOUNDATION (1st)
FOUNDATION (2nd) __. ,,
FLUMBING
INSULATION FERN. Y.
STATE ENERGY
~DE
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
Tbis is to advise you that the job under building
permit no. 13601Z issued to .p~_. h~£L~t~
on _11/30/B4 for _~1~% is completed and
a final inspection has ( X ) has not ( ) been done.
An Underwriters Certificate is needed
In order to complete this file, it is necessary ~hat
a Certificate of Occupancy be issued. Please fill out the
enclosed form, return same to the above office with a check
for $25.00 payable to the Town' of Southold. Please indicate
to Whom the Certificate of Occupancy is to be mailed, and
arrange with this office for an inspection date
Occupancy or use is unlawful without a Certificate of
Occupancy. Please help us to clear up this matter so that
legal action does not have to be taken.
Thank. you for your prompt attention.
Very truly yoar~,
Victor Lessard
Executive Administrator
VL:gar
encl.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1802
.... ,
APPLICATION FOR BUILDING PERMIT
Received ............ ,19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted 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 diagram 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 issued 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 fiod~, a/n~g~ations, and to
admit authorized inspectors on premises and in building for necess~j2(~inspe~ions.,/~j~~j.,/~~~/~.._../~j,~..,,...,~. .... ~,.~ ,,
(Signature of appl!ca~f, or name, if a corporation)
,/. .~. , . . ~.~.~ ~. ./).. Vl~. .~. . .~./~.C~ ~ .......
~A~'fifi/,/" ~ (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
... ..............................................................................
Name of owner of premises ~.~.~..,~./..-.~... ~..~J//(t/~..~..~ ~./..~..? .Z~. ~. ~. ~./~/~....~. ~./kf/Y[.~" ..~.. ~.~/. ~/...
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corpo~ officer)
Builder's License No..~.. ·
Plumber's License No..~ ................
Electrician's License No..~.~d..~i .~
6ther Trade's License No ......................
Location of land on which proposed work will be done..~. ~.F.~.~..~. ~.l(j.~... g ~.~. ~. ~....~..0~ .D..0~ ........
~ ~'~o .~1~.£,~.~...,(~/~.~ .............. ~.~-.,5. H.~o..,'g.~.. ...........
t~;~i Nun~ri~ .... Street rD t Hamlet
County Tax Map No. 1000 Section . . .~..~.°..0.I ...... Block ...~ .... Lot..~..--...c~../ .........
Subdivision .~.1~. '~'~.~. ,~. ~.-~....[5..~.}~.~.~.. ~-O.~l~ 0 Filed Map No...~...~.. ....... Lot. ~(~.~. 1 ......
(Name)
State existing use and occupancy of premises and intended use and occupancy of PrOposed construction:
a. ~xisting use and ooeupancy..~. ~..Z'/Z~..~ ..... C.O. ~.,~.a-..e. ..... .~.,~.~ ...... .~,...
b. ,ntended use and occupancy . ~; ~./~.~./~./~. ~. .C.O .~..~.~..~ . . ...~...~./.~..'. ~f.~..~.'~.....
3. Nature of work (check which applicable): New Building ..... ' .....'Addition: .i.~. ·. Alteration ..... .....
Repair ...... ~ ....... Removal .............. Demolition ........... i. · · Other Work ...............
4. Estimated Cost ..... ~ ...............
5. If dwelling, number of dwelling units ..... ~-. ....
If garage, number of cars .....................
(to be paid on fili~g this application)
Number of dwelling units on each floor .... ~ ..........
property lines. Give street and block number or description according to deed, and shot
interior or corner lot.
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 ....... I ....... Depth ...............
Height ............... Number of Stories ............................ i .............................
Dimensions of same structure with alterations or additions: Front ............ i ..... Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front. .............. Rear ........ i ....... Depth ....... i ........
Height ............... Number of Stories ....................................................... ...
Size of lot: Front ..................... Rear ...................... ]Depth ..............
Date of Purchase . ~.~./~.~...7.,../~.~.~. ...... Name of Former Owner .~. V~-.O~./~.~...
Zone or use district in wh ch premises are situated . ..... ! .............
Does proposed construction violate any zoning law, ordinance or regulation: . ~. O
Will lot be regraded ../.V. ....................... Will excess fill be removed from premises: _~..~.d No
Name of Owner of premises p~.A/.~.~f~/~//~[ Address/.~'..~. ~J~/0 V. lfl~,~ F-/t~Phone No. /~3~?" ~..
Name of Architect Address '~'~.~.'~'~ ~'~g~' "~ " ' .....
....................................... .t'none ~NO ........
Name of Contractor ~.~./~-.. ,/'/aK/J~..//'/P~ g~rAddress . .~..O. 14..~.?t[ .i .... Phone No.
y.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
, street names and indicate whether
STATE OF NEW YORK, S
~ (Name of individual signing contr0~t)
above named.
says that he is th~ applicant
He is the ............................................................. , ............................ (Contractor, agent, corl~'orate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this
application; that all statem~nt~ ~d in this application ,are true to the best ofhi~ knowledge and belief; and that the
work will be performed in ttl~r~h"~ forth in tl,~' application filed therewith. '
Sw°rn f° bef°re me tt~s~/f/~ '~ ~/,~./~.~ /Q. ff,~ /
· ! ~~' ~ ~/d (Signature o¥ applicant)