HomeMy WebLinkAbout16691-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.. ,Z.-. 1.6.5,3.6 .........
Date December 23, 1987
THIS CERTIFIES that the building DECK ADDITION
LocationofProperty 150 Goldin Lane Southold, New York
House No. Street Hamlet
County Tax Map No. 1000 Section . .. !3.5. ...... Block 2 .... Lot 19
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
December 23, 1987 16691 Z
..................... pursuant to which Building Permit No ......................
dated...........,..,.,,.,.December 23, 1987 ..... .. , 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 .........
DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR*
THERESA CZECH
The certificate is issued to ..................... [o~'o'e), '~fq:~di4tJ~%~ ...................
of the aforesaid building.
Suffolk County Department of Health Approval ........ .N./.A ...............................
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED:
N/A
*ZBA okay #3694
B~ector
Rev. 1/81
FOR~ NO. O
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER,MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 1669l z
Permission is hereby granted to: ~ r
.... ~"'"';*-,7'; ....... ~5~'"'*"o ...............................
~.'~ ,~,~q~ ~ L . . . .~. . .~ . .. . . . J /. ~ . : ~. l ...........
,o ...'t~~....~...&~,...~....'r..~,.....~..~.....~ .........
.~~.~...,..:~,.~.., .~o?...~ ........ ~ ........ ~ .............. : ........ : ........
at premises located at .../...~. .......~..d:~...~...C2~5~-.~.---..~0.~.{:~m~... .........................
County Tax Mop No. 1000 Section ..... ./.,,.~, ,'~'~" ..... Block .... ...O......,~.. ....... Lot No..~.~ .................
pursuant to application dated ...~"~..~...~.,~ .......... , 19.~....~.., and approved by the
Building Inspector.
Fee $.~,~..:...~..
Building Inspector
Rev. 6/30/80
OUNDATION (1st)
OUNDATION ( 2nd )
OUGH FRAME &
PLUMBING
iNSULATION PER N. Y.
STATE ENERGY
CODE
- ADDITIONA'L COMMENTS:
LOCATED AT
LOTS ,~/~//,
SCALE i' = ~
SUFFOLK CO. TAX MAP DATA'-
DIST. /~ ,SEC. /,.~.'.~
OFFS~S FROM STRUCTURES
'TO RELATIVE BOUNDRY LINES,
ON SURVEY, ARE FOR A
SPECIFIC USE ONLY, AND
SHOULD NOT BE USED FOR
CONSTRUCTION OF FENCES
OR OTHER STRUCTURES.
, TOWN O~
FILE NC
CC
,..~.K NC'
SUR~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTItOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
............
. .o_~~~..~ ..v:..,.~..~. .....
I, LEASE TAKE NOTICE that your application dated ...~..a~.. ~....&..eI ....... 19 .~. 7..
for pem~it to construct.. ~ .q~ .c~..~ .................................. at
Location of Property ,..J.~..~ · . C~ .d~..~ o,~.~ .g~...~.
,ous~ tvo. ' ' ' 'S'tioet ........ h~,h/o~
County Tax Map No. 1000 Section . .'../..~..,b..'" ..... Block ..... ~...~. .... Lot . ./..~. .........
Building Inspector
RV 1/80
Southold Town Board of Appeals
MAIN ROAD- STATE ROAD 25 SOUTHOLD, L.I., N.Y. 11971
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 3694
Application Dated November
TO:
Mrs. Theresa Czech
Goldin Lane
Southold, NY 11971
1987
[Appellant(s)]
At a Meeting of the Zoning Board of Appeals held on December ]0, ]987,
the above appeal was considered, and the action indicated below was taken
on your [ ] Request for Variance Due to Lack of Access to Property
New York Town Law, Section 280-a
[ ] Request for Special Exception under the Zoning Ordinance
Article , Section
[×] Request for Variance to the Zoning Ordinance
Article III , Section ]00-3], Bulk Schedule
Request for
Application of THERESA CZECH. Variance to the Zoning Ordinance,
Article III, Section 100-31, Bulk Schedule, for approval of the con-
struction of open deck with an insufficient rearyard setback from the
east property line at premises known as 150 Goldin Lane, Southold, NY;
County Tax Map District 1000, Section 135, Block 2, Lot 19.
WHEREAS, a ~Qblic he6ring was held and concluded on December 10,
1987 in the Matter of the Application of THERESA CZECH under Appl.
No. 3694; and
WHEREAS, at said hearing all those who desired to be heard
were heard and their testimony recorded; and
WHEREAS, the Board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, the Board Members have personally viewed and are
familiar with the premises in question, its present zoning, and
the surrounding areas; and
WHEREAS, the Board made the following findings of fact:
1. The premises in question is located in the "A' Residential
and Agricultural Zoning District and contains a total area of
8500± sq. ft. with lO0.O ft. frontage along the east side of
Goldin Lane, Southold.
2. The subject premises is identified on the Suffolk County
Tax Maps as District 1000, Section 135, Block 2, Lot 19, and is
improved with one, single-family, one-story frame dwelling with
setbacks from the front property line at 11½± feet, rearyard
(without the subject deck) at 32½ ft. at its closest point, and
sideyards at 19 and 44 feet. No permanent accessory structures
exist at this time.
(CONTINUED ON PAGE TWO)
DATED: December 10,
Form ZB4 (rev. 12/81)
1987.
CHAIRMAN, SOUTHOLD TOWN ZONING BOARD
OF APPEALS
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Examin~ .[~...~,~., 19~. .~.
Appr~../,?.~ ~., 19~'..'). Permit No./..~'.~. ?./. .~...
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. 1 SURVEY ..........
TOWN OF SOUTHOED CHECK ..........
BUILDING DEPARTMENT SEPTIC FORM ............. :
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1~03 CALL ................
MAIL ?0:
BLDG,
TOWN OF SOUTHOLO
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 code, and regulations, and to
admit authorized ~nspectors on premises and m building for necessary Ins .~o . -
(Signatu,,re of ap~plicant, ~ name(At a c~rporat~n). .
(Mailing address ° f appl{c,ant ,~'/~./~ 5~//
State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, pl~mbe¥ or builder.
riff(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of co,orate officer)
ALL CONTRACTOR'S ~UST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ...................... ,
Location of land on which propos~ed workwill be done]..~..~..~..~ .~.~l~--~.... .................
..... .....
~;;;e' ~q;~ g;r ......... ' ........... ~;r;et ....... (./ '' Hamlet
County Tax Map No. 1000 Section ..../. ~ .~...'~. ...... Block .... ~ ...... .... Lot...../..~. ..........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupanc~ of. premises.~ · ~ --./ff ~./fiand i.ntended use and occupancy, of proposed construction:
b, Intended use and occupancy ...~/~.c~...~. ?. ......... ...i. i ............... ' .......
3. Nature of work (check which apphcable): New Building ... Addition .......... Alteration .........
: Repair .............. Rembval .............. Demolition .............. Other Work ..............
' (Description)
14. Estimated Cost ............ ~ ......................... Fee .....................................
i ~' (to be paid on filing this apblication)
:5. If dwelling, number of dwellinglunits ............... Number of dwelling units on each floor ................
If garage, number of cars .... i ...................................................................
6. If business, commercial or mixeld occupancy, specify nature and extent of each type of use .....................
7. Dimensions.of ekisting structures, if any: Front ............... Rear .............. Depth ...............
Height ' Number of Stories
Dimensions of same structure With alterations or additions: Front ................. Rear ..................
Dept .......... Height Num bet of Stones , .~ . ....
-- 8. D~mensions of entire new const[uctlon: Front .......... . ..... Rear ....... Depth . .~.. ~ ......
' H~gh~ ............... Number of Stories ................. . .....~ ................... ~.. ..........
9. Si~eoflot: Front ..... Rear ...' ................... Depth ......................
10. Da%e-of~.Purchase .......... [ .................. Name of Former Owner .............................
1 1. Zone or use district in which premises are situated .....................................................
12. 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-..Name of Owner of premises .. ~ ................. Address ................... Phone No ................
Name of Architect ......... [ ................. Address ................... Phone No ................
Name of Contractor ........ i ................. Address .... : .............. Phone No ................
15. Is this property located!within 300 feet of a tidal wetland? *Yes No
*If yes, Southold Town Trustees Permit may be required.
' PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW,YORK, ,- ~
COIINTY OF .~ .... i~'~
.~./..P[.~...~'..~-.-..'..'~.~' ''--~~' '~'g~ "~' ..... .~....2~.~...~'"/~7 .................. being duly sworn, deposes and says that he is the applicant
: (Name of individual sigr lng contract)
above named.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have perfonned the said work and to make and file this
application; that all statements cont'ained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
Notary
Public
................ ~ ..... County
, UND~AJ. COOPER ~ (Signature of applicant)
' No'~ary Publlo, Stateof NewYork.~
; - No,_4822563, Suffolk County,F/,/
i let? expires December 31, 19 ,,o.~