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Home My WebLink About13334-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS CERTIFICATION DATED: Zoning Board of Appeals #3225 No. Z17040 Date June 28, 1988 THIS CERTIFIES that the building ....O.n.e...f.a.m. ~..17..d.w..e .1.1. ~. n..8 .. ..................... Location of Property FOX LANE FISHERS ISLAND h i~ ,; ~'o hid ....................... 's't /o ; i ....................... h J ,~ /e l County Tax Map No. 1000 Section ..0.!2.:.0.0....Block 01.00 ,Lot 001.002 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... A. u. g ....7. ,...1.9.8.4. . . pursuant to which Building Permit No.. 1. 3. .3.3.4.Z. ............. dated ....~P.g. '...1.918.4. ............... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wltich this certificate is issued is ......... One famiiy dwelling, modular. The certificate is issued to M. DOROTHY NOYES ..................... ..................... of the aforesaid building, Suffolk County Department of Health Approval ... 14 .-$.Ct': 10.3..4u..n.e..9.,..1.9.8.8. ............. UNDERWRITERS CERTIFICATE NO ........... 1~. f p?. I.~..3...I~.o..v.e.m.b.e..r..2.8. :. 1984 Building Inspector Rev, 1/81 FOB. B~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13334 Z Date Permission is hereby granted to: at premises I~ated at ........ ~.,.~ ........ ~~....~ .......... Coun~ Tax Map No. 1000 Section ..... ..~...!....~. ....... Block ...... .~...J ......... Lot No ..... ]~.:..~....~.....~t.... to application dated ...:~~.....~....~ .......... , 19.~...~.., and approved by the pursuant ~j Building Inspector. Building Im~ector Rev. 6/30/80 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 submitted ~ I~==~a 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. 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 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 New DwelIin§,$25.00, Accessory ~$10.00 Business $50°00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3, Cop¥ of certificate of occupancy $ 5,00, over .5 years $]0.00 4.Vacant Land C.O. $ 20,00 5.Updated C.O. $ 50,00 Date .... J..u.n.e..1..4/..1,9..8.8 ....... NewCons truc tion ...... Old or Pre-existing Building .... ~ ....... Vacant Land ............. Location of Property .......... F. ox La.n.e .. Fishers Island House No. Street /Yam/et Owner or Owners of Property M. Do. rgt.h~..~.o~.e.s. . . County Tax Map No, 1000 Section . Q,[.~.-.Q O ....... Block ...(~.~...q0. ...... Lot .QQ~-...QQ~ ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~..~.,.~./'/Z Date of Permit~.."Z/~...~.Applican~.. V.,. J~ .~ ..... Health Dept. Approval J..~..--.J..~-~..-:. t.~, .~ ..... Labor Dept. Approval ........................ Underwriters Approval .~.~.~'..~./. k.~, ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ........ ~. .............. Fee Submitted $..2,5,: .0,0 ...................... Construction on above described building and perrr~it-)m~ets~l~ al~cable codes and regulations. .... ...... FIE~D I~PECTION COMMENTS FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & ~LUMBING INSULATION FERN. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: L ..... 'L .... Jl .... Ii L ~--J KITCHEN/ ' ' l~--:-~l BEDROOM ~ DI~I~ ~ LIVING R~bM ~1 BED~O,~M 55~ '70x14 3 BEDROOM--CENTER KITCHEN/BAR--2 BATHS 14 WIDE ALLISON CUSTOM STANDARD FEATURES · U.L. Design Approval & Inspection ,, Electrical Breaker Box * 2" x 4" Sidewalls, 16" D.C. · 2" x 6" Floor Joists · Rafters 16" D.C. · 7'-6" Ceiling Throughout · Copper Wiring · Copper Water Lines · Code Inspection · Self-edge Counter Tops · Egress Windows in Bedrooms · Code Insulation · Fome-core in Roof · Simulated Plank Ceiling · Smoke Detector · Exterior Recepts w/GFI Breaker · Exterior Light at Each Door · Iron Gas Piping/Shut-off Valves · Plumb for Washer · 30-Gal. Electrical Water Fteater · Gas Furnace · 100-Amp Service · Deluxe Metal Treatment · Shutters Front & Door Side · Storm Windows · House-type Front Door w/Storm · 1/2-Jalousie Rear Door · Paneling - 1/4" Woodgrain - Where Applicable - Carpet w/Pad in Living Room, Hall & Rear Bedroom · Modern Deluxe Living Room Furniture Package · Decorative Feature Wall in Living Room per Floor Plan · Edge-molded Hollow-core Scored Cabinet Doors · Cabinets over Washer/Dryer Area · Chandelier in Dining Area · Upgrade Door Molding · Metal Shelf Edge Hanger Bars in Wardrobes · 30" Gas Range · 14-Cu. Ft. Double-door Refrigerator · Floor-length Drapes w/Sheers & Valances in Living Room · Metal Door Knobs · Lighted Range Hood · Ledge-type Kitchen Sink · Vinyl Decor Baths · Recessed Medicine Cabinet · Garden Tub Bath per Floor Plan · Towel Bar & Paper Holder · Decor Pan,el Accents Throughout the Home' · Ceiling Beams in Living Room ¢B~ America home. 14 WIDE ALLISON CUSTOM ~,'-," M o~ll.i........ LI,VI.N~_R,,OOM I',L~) DI,N,I.N,,G i~ ~.-~ BEDFIOUM I 13 -/~, i~ 10 -5 ! h k / \!~! o,.A,, }1 - J il =~ ..... -~---J _J®l IIF,~¥"llq ""':=-,"---q:---', ~ 3113P '56x14 2 BEDROOM--FRONT KITCHEN/BAR--GARDEN TUB--WALK-IN BAY BEDROOM I:~ h L.AI~i 9'4" LIVING ROOM 5523K *SOx14 2 BEDROOM--FRONT KITCHEN/ ,AR--GARDEN T~J ,,~)WALK-IN BAY 3114AL '64x14 2 BEDflOOM~FflONT KITCHEN/BAR--GAROEN TUB--WALK-IN BAY DINING 12'-0" BEDROOM 12'-0" KITCHEN/ DINING 12'~" BEDROOM LIVING ROOM 12 · 313~ '64x14 2 BEDBOOM~CENTER KITCHEN/BAB--GA~DEN TUB BEDROOM 5579 '70X14 2 BEDROOm--FRONT KITCHEN/GAR--GA~DEN TUBiWALK-IN BAY 1146AD '70x14 2 BEDROOM--FRONT KITCHEN/BAR--I~A BATHS--GARDEN TUB--WALK-IN BAY Atlison Custom 14 WIDE FLOOR PLANS For your comfort and safety Skyline home designs are approved and each home is inspected by Underwriters Laboratories for conformance with Feder'al standards. ' I I FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ...... .L .... .~..a.~., .~5. .................... .... L/.~ ~./~,~e,~¢ ...... PLEASE TAKE NOTICE that your application dated ... ~.~.'(~ ./¥-.c~.."~../~..'.c~-..~.~., 19. for permit to construct..~f/~ .......................................... at/ Location of Property ~,~ ~<~./~f ~ .... St, ot~e~" ~,~ ..... County Tax Map No. 1000 Section ...FJ/~ ..... Block ...~d ....... Lot Subdivision ~ Filed Map No. ~ Lot No. is returned herewith and disapproved on the following grou~. ~0~.~<..(~.. · ~.~ .gic~ ...... ~. ~P...c~o~..c~2-~.. ....... m7 ........ .... ~ ~ B~ding Inspector RV 1/80 July ll, lg84, Richard Lark, Mpin ~oaU' Bo~ 973 . ' .Cutcbogue, New ~York. llg3B Re: H.P. Ref.' No. 14-S0-103" · ~OU, NTY OF SUFFOLK ' ' ' ' . ' ' P~£R [:*,COHA/AN . SUFFOLK COUNTY I:X~'CU'rlV~ Dear Mr. Lark: DAVit) HARRIS, M,D*, M*P*H, TJl,e. application fo~ approval to construct on the above referenced parcel has, been' 'received and reviewed. This application is not being procesged for approval .as sub- mildred b.ecause it does not' appear to conform with the standards of this DepaFtment. Installation of a subsurface sewage ~'i'~posal system is not permitted,when Publie sewers are available. Connbctton to a public sewerage,disposal system is ~equtred.. '~. PP I procedure ~hereoy an ~ppllca~t may request a variance from these sta~d- aros. In order to apply fo~ a variance, it is necessary to'write to Board of Review Suffolk County Department of Health Services County Center Riverhead, Hew York '11901. '" ATTENTION: Miss'Carol A. Hunsinger stating the reason(s) why such a variance should be grantedJ Re · wt.ll' be s~heduled as ~oon as possible for a hear=-- ~ .... quests for varlan~qs R~yiew, whereby 'an applicant can .... j.. ~._ . ~U~_ue[~re ~ne Department's Board n~ . p~==u.u .ls.jus:!ticatlon [or a"variance. ~ -- Very.truly yours, 4 Royal R. Reynolds, P.E. Public }loalth Engineer Bureau of Environmental Services RRR: cab BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 .ate .plicatio,,No.o.,/ile C aS/S4 N 669163 THIB CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant nalned on the above application number in the premises of ,Jose Rodriqu~, Fort Wri2ht~ Fisl'~rs Is-land Southold, N.¥o (MOBILE in thefollowlng location; [] B~se,,ent [] ~t rt. [] end ri. Outside se¢tio. Block Lot was examined on Nov(fflit~r3l' 1~ s ~,~[~' and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST OUTLETS RECEPTACLES SWITCHES FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS SYSTEMS NO. OF E DIMMERS SERVICE DISCONNECT OTHER APPARATUS: I~mel~oar~L~ ~ 1-20cir. NO, OF CC COND PER ~Y R V AW.G, OF CC. COND 2 NO, OF HI-lEG OF HI-LEG NO OF N~j~TM OF NEUTRAL 2 Ho~ton Services Flst~rs Island, N.¥. 15390 Lic. 1297 This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified coPY FOR BUILDIN NT. THI~ )F INER, Southold Town Board of Appeals MAIN ROAD- BTATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971 TELEPHONE (516) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 3225 Application Dated March l, ]984 (Public Hearing May ]7, ]984) TO: Richard F. Lark, Esq., as attorney [Appellant(s)] for JOSE V. RODRIGUEZ Main Road, Box 973 Cutchogue, NY 11935 At a Meeting of the Zoning Board of Appeals held on May 17, 1984 the above appeal was considered, and the action indicated below was taken on your [ ] Request for Variance Due to La~k of Access to Property New York Town Law, Section 280&a [ ] Request for Special Exception under the Zoning Ordinance Article , Section IX] Request for Variance to the Zoning Ordinance Article VII, Sections 100-70(A) and ]00-7] Request for Upon application of JOSE V. RODRIGUEZ, Box ll3, Fishers Island, New York for a Variance to~5-~ Zoning Ordinance, Article VII, Sections lO0-70(A) and 100-71, for permission to construct dwelling in this B-1 Business District. Location of Property: West Side of Fox Lane, Fishers Island, NY; County Tax Map Parcel No. 1000-012-01-001.002. The board made the following findings and determination: This is an application for permission to locate a 64' by 14' prefabricated, mod.ular home with 12' by 7' vestibule/stoop approximately .33 feet from the northeasterly f~ont property line and approximately 30 feet from the northwesterly side property line. This modular home is proposed for one-family use by the applicant/owner. The premises in question is located in the B-1 General Business District, contains an area of approximately 30,000 square feet, and is improved with a 32' by 35' structure presently used as an upholstery business, "Island Interiors," having a setback from the front property line of.35 feet. Since the premises is polygonal in form, the proposed structure technically has less of a distance from the front property l~ne although the building will be set back behind (westerly) .the front Of the existing building towards the northerly section of ~his. lot, [see sketched plan submitted 3/1/84].~ For the'record, it is noted ~hat a prior action concerning this property was rendered March 20, 1980 under Appeal No. 2656 for the ~Fishers Island Development Corp. which denied insufficient area in a proposed'subdivision. in considering this aPPlication, the board has determined: (1) that the use hereby authorized will not alter the essential character of the immediate vicinity (2) that the safety, health, welfare, comfort, convenience and order of the town will not'be adversely affected by the granting of this permit; (3) that the use will be in harmony with and promote the general purposes and intent of zoning; (4) that the circumstances are unique and that by .allowing the variance, no detriment would be created to adjoining properties; (5) that no adverse effects will be produced on available governmental facilities of any increased ~CONTINUED ON PAGE TWO) DATED: June 13, 1984. Form ZB4 (rev. 12/81) CHAIRM3%N, SOUTHOLD TO,TN ZONING BOARD OF APPEALS Page 2 - Appeal No. 3225 Matter of JOSE V. RODRIGUEZ Decision Rendered May 17, 1984 population; (5) that the interests Of justice willl be served by allowing the relief requested.' Accordingly, on motion by Mr. Doyen, seconded iby.~Mr. Sawicki, it was ' : RESOLVED, that Appeal No. 3225, application foir'JOSE V. RODRIGUEZ for permission to construct and use 64' by 14' prefa!bricated building with a setback from the front property line of 20 felet, and 13 feet (inclusive of vestibule/stoop area), FOR ONE-FAMILY~iRESIDENCY BY THE APPLICANT/OWNER OF THIS PREMISES, BE AND HEREBY IS APPROVED'AS SHOWN ON THE SKETCH OF 3/1/84. i' Location of Property: Fox Lane, Fishers Isla~d~ NY; County Tax Map Parcel No. 1000-012-01-001.002. 'Vote and Sawicki. inspection.) of the Board~ AYes: Messrs. Goehring6r,~ Doyen, Grigonis (Member Douglass abstained for additiqnal'time for , This resolution was adopted by majority vote. G'ERARD P. GOEHRINGER O~FAIRMAN June 13, 1984 FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTtlOLD, N,Y. 11971 TEL,: 765-1803 Disapproved a/c ............ .. ........................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19, Date ................... 19 INSTRUCTIONS a. , This application must be c&npletely filled in by typewriter or in ink and submitted to the Building Inspector, with. sets of plans, accurat6 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par~ of this applJ cation. c. The work covered by this application may not be commenced before issumace of Buitdh~g P~ermit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the apphcant. Such permi 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 Occupanc; 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 th, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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 code, and regulations, and admit authorized inspectol~ on premises and in building for necessary inspel:tions.,~ff~/~r-, .....Y. i .... (Signature of applicant, o..r. name, ifa (Mailing address of applicant) State whetl~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, Name of owner of premises .......................................................................... (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 ...................... 1. Location of land on which proposed work will be done .... .~..~ .~' 14 ' ltouse Number Street Hamlet County Tax Map No. 1000 Section ...... .~..I..:~. ...... Block ........ .~,.1 ....... Lot. ] ' .?.? ..~.. Subdlv~smn .............. ~ ......................... ' ....... Pdcd Map No ............... Lot ..... t.' . (Name) State existing use ~ind occupancy of premises and intended use and occupancy of proposed construction: Z>.. ........... a. Existing use an,d occupancy . Z~I! ~527-' . .................... fi') ........................... b. Intended use and occupancy .................................................................... 3. Nature of work (check which applic, able): New Building. ,... Addition..~.. i ..... Alteration · · ....... Repair .............. Removal ~ 2~ ' olition ........... :.. Other Work ............ ..... .... .... 4. Estimated Cost ...... ~: · .~ ..................... eec .......... : ..... (to bo pa~d on ~hn$ thts apphcat~on) 5 If dwelling, number of dwelling units Number of dwelling units on each floor If garage number of cm .... 6. If business, commercial or mixed occupancy, speedy nature and extent of each type of use ................... 7 Dimensionaofexistingstmcture~,lfany: Front Rear~ '~: ~ : Depth Height Number of Stories'. ' D~ensions of same structure wi~ alterations or additions: Front '~ ' ~ Rear Depth HeiSt ..... ' ............................................ Number oC Stones .................... 8 Dimensions of entire new construction: Front Rear ' Depth Height ............... Number of Stories ............................ ~ .......................... 9. Size of lot: Front ................. ..... Rear ...................... }Depth .................... 10. Date of Purchase ...... . ....................... Name of Fomer Owner ........................... 11, Zone or use d~strict in which premtses are sttuated ...... ~ ~, .' ...... ..... ' ......................... 12 Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ............................ Will excess fill be remove'd from premises: Yes No 14 ' Name of Owner o~ premises Address ' Phone No Name of Architect ........................... Address ............... ~ .... Phone No ................ N~e of Contractor ~ Address ' Phone No PLOT DIAGRAM ~. Locate clearly and distinctly all buildings, whetlier existing or proposed, and, mdmate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether inter/or or comer lot. STATE OF NEW YORK, COUNTY OF ......... S.S (Name of individual signing contract) above named. .... ; being;duly sworn, dep( .scs and says that he is the applicant He is the ................................... (Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly authorized to perform or have performed the iaid work and to make and file this application; that afl statements contained in this application are true to the best of his knowledge aad belief; and that the work will be performed in the manner set forth in the application filed therewith, i ' Sworn to before me tills 1.t day of 19 .' "'~/'" : (S~natu/,~ app~i 'a'n't' c )