HomeMy WebLinkAbout15084-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No.~.1.5.67.~. Date April 21, 1987
THIS CERTIFIES that the building .... A. d..d.~.t. ~. 9 .n ...................................
Location of Property ..... 1.60 SMITH DRIVE PECONIC
House No. Street Hamlet
County Tax Map No. 1000 Section . .0..9.8 ....... Block 03 .Lot . 038
-Subdivision.M.a.p..?.f..I..n.d.i.a.n. Neck Park .Flled Map No. 551 .LotNo. 3
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·...J.u. 1,. y..1.q ~..I .9.8. 6. pursuant to which Building Permit No.. ! .59.8.4. Z. .............
dated ... J.u.1. 7..1.1. ,.. J .9.8.6. .......... 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 .........
... Acl ~1 ~..t.~qn...t.q.e..x.i.s.r. ~ pg..d..w.e.l.l.~..nlg.. .........................................
The certificate is issued to SHIRLEY HOMAN
..................... ?o¥.'e;, X x x ..................
of the aforesaid building.
Suffolk County Department of Health Approval N /A
UNDERWRITERS CERTIFICATE NO ............... ~. 8..0 .2.7.4. 0.. 4 / 9 / 87'
PLUMBERS CERTIFICATION DATED: N/A
Z.B.A. APPEAL #3555 Sept. I I, 1986
.....................
Building Inspector
FO~ NO. 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 15O84
Permission is hereby granted to:
..E~..,z~.cgo.~,~,~T....-E~.~TT........l~.c_,.
...~...o...'l~....I.~.~.~.....~.~.c.~.....~A ·
~c.o~..t..c...,....~.,.~: ..................
,o ....... ..~-O~..'E ..L'~.....t.,.~'U. ....... ~.~...w~...~..~.b,,,~...~...t!~,g..~..5...T...I,b~
...... ...-7~..~z~....z.~...~ ....... .,.~-~..'c-_~ ........ ~.~.4...c~_u=..-~..........-~O..~lzC~,~ ........
at premises located at ...... I..~;1~.~ ....... ~.1-*'~.....-.~--~}~"~...1.....~-'~.~.~1~1..{.''~'''
County Tax Map No. 1000 Section ....O....C~..~ ...... Block ....~...~. ........ Lot No...1~..,~...~.. ......
pursuant to application dated ..... ~.(,.~..../~....~,. ....... t.O. ........ , 19~ and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
O. ee April 9, 1987 Jppfi..,;o,,Mo.o. yile 447980/86
~sexamlnedon ~rch 30~ ]987 Lot
[] 2nd FI. Section Block
attd found to be in co.tpllattce Leith the req.lre.~ents of th s Board.
FIXTURE FIXTURES RANGES
OUTLETS SWITCHES OVENS DISH WASHER EXHAUST FA
DRYERS FURNACE
SERVICE DISCONNECT
OTHER APPARATUS:
2-G. F. C.I. 1-Smoke Detector
FUTURE APPUANCE FEEDER!
TIMR CLOCKS
UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
C E
A, WG
OF NEUTRAL
Gary Dorosk $
425 Monsel] Lane
Cutehogue, N.Y. 11935
Lie. 2941E
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by
COPY FOR BU TI, fl OF CERTIF~JCATE MUST BE:ALTERED IN .~
their credentials.
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:
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 ~qual).
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. ~ubmit 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 {nforma-
lion required to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
New Building ........... Old or Pre-existing Building ............ Vacant Land .............
Location of Property . lb.Q. $~lt~h. ]~.iYe .................. ?e
House No. Street Hamlet
Owner or Owners of Property . .S.h. ~. ?.~.e.~'. ~.t.o.m. ~. g ............................... ' ............
County Tax Map No. 1000 Section .... 0.~ .~. Block ... ,0.~ .......... Lot .... 0.~..~ .........
Subdivision .Z r~.cl.L~m .~T.e.c. i¢..P.a.~..k ............. Filed Map No....~.]:. .... Lot NO, .~. ...........
PermitNo.].~g.~2~.. Date of Permit Tz/ll/.86 ----II .... ~nvlronment ~ast, T~c £o~ ~.%. H~man
HlJaJth Dept. Approval . .~/A .Labor Dept Approval
Un~jmwriters Approval ........................ Planning Board Approval ....... ' .
Request for Temporary Certificate ..................... Final Certificate
Fee ~ubmitted $ 2~ QO
ApplicaFz~./~¢~....-~:, .-~q_~.. ...... ~.<e. 8 £.~[~ ~¢ ................
L/E~mvironme~t East, Inc.
10-10-78
FIE~D INSPECTION
FOUNDA_.T, ION -~ ( 1st}
FOUNDATION (2nd)
ROUGH FRAME &
FLUMBING
COMMENT~
INSULATION PER N.
STATE ENERGY
FINAL
ADDITIONAL COMMENTS:
765-18~2
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INSULATION
[~FRAMING [ ] FINAL
DATE /~/~?~'
INSPECTO~
765-t802
BUILDING DEPT.
INSPECTION
[ ] FRAMING
[ ] FINAL
REMARKS:~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [~'/ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
PLEASE TAKE NOTICE tho* your application dated....~ ~. ~.9 .......... , 19.
for pe~it to ~.~.. ~..~ ............................... at
Location of Property .... ~ ~ .q ...... ~..~ ~ ........... ~ ~. ...........
House No. Street Ham/et
County Tax Map No. 1000 Section .... ~.~ ..... Block ..... O. ~ ..... Lot .. ~fl ........
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on the following grounds...0,~.. '..~.. ~i]~..~},~ ~. I.m: .~ J.
~.~.o~, ,..~.o~d~.,~..~.~..~.._¢~...~. .... ~....~..o~.&...~.
................
Building Inspector
RV 1/80
7GS.'I80Z
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND l- ] INSULATION
[ ] FRAMING [~J/~NAL
/ /
INSPECTOR,
NOV 3 - 19ub , ,~
Environment East, Inc.
R. R. No. 3 - 3075 Indian Neck Lane
Pe¢onic, New York 11958
516-734-7474
October 27, 1986
Southold Town Building Dept.
Town H~ll
Main Road
Southold, NY 11971
Attn: Mr. V. Lessard
Re: Amendment to Permit # l~08~Z, Homart, 160 Smith Rd.
Peconic
Dear Sir,
Enclosed are revised copies of the survey and plans
number 98A-5 and 98C-~.
Theseplans show a ~' x 8' addition that squares off
the rear of the building and adds ~Osq. ft to the
alteration. This addition is included at the owners
request. It is added space to bedroom,# 2 and elimin-
ates an area way that would otherwise be wasted space.
Enclosed is
Peter R. Stoute~iJ~
Pre side nt /'~
Environment ~E'~st, Inc.
a check to cover any additional filing fees
me ir any further information
Environment East, Inc.
R. R. No. 3 3075 h~dian Neck Lane
Peconic, New York 11958
516-734-7474
December 3, 1986
Southold Town Building Dept.
Town Hall
Main Road
Southold, 5Y5[ 11971
Re: Permit # 1508~Z, issued 7/11/86, Shirley Homaa,
160 Smith Drive, Peconie
Dear Sir,
Enclosed are three copies of the survey verifing
the location of the addition being constructed
under the above permit.
If any further infor~'ation is required, please
contact office.
Sincerel
Peter R.
Pre siden
E nvtr o~
East, Inc.
jm
Environment East, Inc
R. R. No. 3 - 3075 Indian Neck Lane
Peeonie, New York 11958
516-734-7474
October 27, 1986
Southold Town Building Dept.
Town Hall
Main Road
Southold, NY 11971
Attn: Mr. V. Lessard
Re: Amendment to Permit # 15084Z,
Feconic
Homan,
160 Smith Rd.
Dear Sir,
Enclosed are revised copies of the survey and plans~
number 98A-5 and 98C-h.
Thesdplans show a 5' x 8' addition that squares off
the rear of the building and adds 40sq. ft to the
alteration. ~Pnis addition is included at the owners
request. It is added space to bedroom,# 2 and elimin-
ates an area way that would otherwise be wasted space.
Enclosed is a check
Pre stde nt~,"
Environment East, Inc.
EnoZ.
PRS: J?/ ~
to cover any additional filing fees
me if any further information
Southo d Town Board of Appeals
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 3555
Application Dated September Il, ]986
TO: Environment East, Inc. for SHIRLEY HOMAN
3075 Indian Neck Lane
Peconic, NY 11958
[Appellant (s) ]
At a Meeting of the Zoning Board of Appeals held on 0ct0ber ]0, ]986,
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
[X] Request for Variance to the Zoning Ordinance
Article III , Section ]00-3], Bulk Schedule
[ ] Request ~or
Application of SHIRLEY HOMAN f6~ a Variance to the
Article III, Section ~-O'O-13T-f-6~ permission to construct
ing with an insufficient rearyard setback, at 160 Smith
NY; Distmict.lO00; Section 98, Block 3, Lot 38.
Zoning Ordinance,
addition to dwell-
Drive, Peconic,
WHEREAS, a public hearing was held and concluded on October 2,
1986 in the Matter of the Application of SHIRLEY HOMAN under Appeal
No. 3555; and
WHEREAS, at said hearing all those who desired to be heard
w~re heard and their testimony recorded; and
WAEREAS, 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 known and referred to as Lot
#3, Indian Neck Park, Subdivision Map dated May 27, 1913, County
Filed Map No. 551, and is more particularly identified on the
Suffolk County Tax Maps as District 1000, Section 98, Block 3,
Lot 38.
2. The subject premises is located in the "A" Residential
and Agricultural Zoning District and is improved'with the follow-
ing structures: (a) one single-family dwelling set back 40 feet
from the front property line along "Private Road," 36½ feet from
the northerly side line and 39~ feet from the rear (westerly)
property line; (b) accessory garage structure, 20' by 26 feet;
(c) accessory 10' by 16' shed.
3. The subject p~emises contains a total area of 10,623±
(CONTINUED ON PAGE TWO).
DATED: October 10, 1986.
Form ZB4 (rev. ~ ~)
CHAIRMAN, SOUTHOLD TOWN
OF APPEALS
ZONING BOARD
~'P~ge 2 - Appeal No. 3555
Matter of SHIRLEY HOMAN
Decision Render-'~d O~-~er 10,
1 986
square feet and has a lot width of 100 feet and average lot
depth of 106 feet.
4. By this application, appellant requests permission to
construct an addition at the northerly end of the existing
dwelling structure with a setback of not less than 25 feet
from the rear property line and 20'6" from the northerly
side property line.
5. Article III, Section 100-31, Bulk Schedule of the Zoning
Code requires a minimum rearyard setback of a principal dwelling
structure to be 35 feet. A variance is requested of l0 feet, or
29% of the requirements.
6. For the record it is noted that a Building Permit under
No. 15084Z was issued on July 11, 1986, and a stop order was
served on September 9, 1986, for this addition.
7. It is the opinion of the board that the reduction from
35 feet to 25 feet for the proposed 16' wide addition is not
substantial in relation to the requirements and will be within
the spirit of the zoning ordinance.
In considering this appeal, the board also finds and deter-
mines: (a) that the relief requested is not substantial in
relation to the requirements; (b) there will be no substantial
change in the character of ~he district; (c) the circumstances
are unique; (d) there is no other method for appellant to pursue
other than a variance, particularly in view of the size of this
parcel; (e) the variance will not in turn cause a substantial
effect of increased population density or be adverse to the safety~
health, welfare, comfort, convenience, or order of the town;
(f) there will be no substantial detriment to adjoining proper-
ties; (g) that in view of the manner in which the difficulties
arose and in view of the above factors, the interests of justice
will best be served by granting the variance, as conditionally
noted below.
Accordingly, on motion by Mr. Grigonis, seconded by
Mr. Goehringer, it was
RESOLVED, that the relief requested under Appeal No. 3555
in the Matter of the Application of SHIRLEY HOMAN to reduce
the rearyard setback from 35 feet to 25 feet for a proposed
16' wide addition, as shown on sketched survey submittea
with the application, BE AND HEREBY IS APPROVED SUBJECT TO
be maintained at
a minimum of 25 feet.
THE FOLLOWING CONDITIONS:
1. The northerly sideyard setback
20'6", as exists;
2. The rearyard setback shall be
Vote of the Board: Ayes: Messrs. Goehringer, Grigonis,
Douglass and Sawicki. (Member Doyen.of Fishers Island was
absent.) This resolution was duly adopted.
lk
October 22, 1986
Southold TownBoardo£Appeals
MAIN ROAD- BTATE ROAD 25 SOUTHOLD. l.l.. N.Y. 11c~71
TELEPHONE (516) 765-1809
APPEALS BOARD
MEMBERS
GERARD P. GOEHRINGER, CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
ROBERT J. DOUGLASS
JOSEPH H. SAWICKI
October 22, 1986
Mr. Peter R. Stoutenburg
Environment East, Inc.
3075 Indian Neck Lane
Peconic, NY 11958
Re: Appeal No. 3555 - Shirley Homart (Variance)
Dear Pete:
Enclosed please find a copy of the official findings and
determination recently rendered by the Board of Appeals and
filed this date with the Office of the Town Clerk concerning
your application.
In the event your application has been approved, please
be sure to return to the Building Department for their authoriza-
tion of any new construction, or for other written documents as
may be applicable.
~ If you have any questions, please do not hesitate to call
either our office (765-1809) or that of the building 'inspector
(765-1802).
Yours very truly,
Enclosure
Copy of Decision to:
Building Department
GERARD P. GOEHRINGER
CHAIRMAN
By Linda F. Kowalski
Secretary
>
~,e--- BE,' - ~'~
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL,: 765-1802
Approved . .7(-4..~..~....t.( .... 19 Permit No.
Disapproved a/c ........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .... .~.~..1.~. ....
Received .......... ,19...
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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 9f 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 gra~ted 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 regulation.s, and to
admit authorized inspectors on premises and in building for necessary inspections. · F-O lc-
·/~.,.q.~ ~e.o.~...~,..,~V.~..~..?l' .~...~..~...~..o..~.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................ .G...c.: .........................................................
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...~...~. U .~./..~r~..
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ...............................................
I b.O ...................... ........... ..............
House Number Street Hamlet .~.
County Tax Map No. 1000 Section . ...C~.~ ........... Block ........ ~ ....... Lot .................
Subdivision .~. q?.~..o.~...,~.~..~['.O.~..~.~..~.~...~.~'/~'..~. ...... Filed Map No .... .~..-'~', ./. ...... Lot .... ~ .........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........... ". ................. .~../.~..~'.,Q.~/~?./..: · · ..~ .................
b. Intended use and occupancy .................................. ~~~...~ ....
N~ 'of work (check which~ opplicable): New Building .......... Addition . ..,....~(~.. Alteration ..........
· .~.~ ..... .~, Reraova[ .............. Demolition .............. Other Work ...............
(to be paid on filing this application)
If dwelling ........ /. ....... Number of dwelling units on each floor ................
If garage, number of cars ............................................................ ; ...........
If business, commercial or m~xed occupancy, specify natur~ .and extent of each type of use .....................
Dimensions. of existing, structures,, if any: Front ..... .~..~2 ...... Rear ...... .~..~ ..... Depth ....~.',O.~. ...... '.
Height .... ./~.. ........ Num~ ber of Stories ..... ~. ................... ; .. .... ; ........... ,~' ~'~ .........
Dimensions of same structure With alterations or additions: Front ...... .~.~.. Rear ..... T ............
Depth ........ .~..~ ........ ~.. Height ...... ./.~. .....t ....... Number of Stories ...... ./ ...............
8. Dimensions of entire new construction' Front
"' ]V'~ ~ ' ' ..... "' '; ................. ~ .......... ~' ...................
height .... t~.,. O.~ .... Number of Stories... ! . ... .
9. Size oflot: Front /.~.Q!~. t. ... Re~;iiii.ii~'.O~.'~/.iil]i'i"~)e~i~ .....
10, Date of Purchase .......... i .................. Name of Former Owner .............................
..... h p ' '
11. Zone or use district ~n whm r raises are situated ........ , .......
12.. Does proposed construction violate any zoning law, ordinance or regulation: ..../~./.O. ........................ .
lJ. Will lot be regraded ....... ]~..0 .................. Will excess fill be removed from premises: Ye No
14. Name of Owner of premises . .-Y..,... /.~.~..~..,~..A/. . Address . .A~.~..~.J..~'.e.,q. ~. . Phone No ....... ~ .......
Name of Architect ............ ; .............. Address ................... Phone No ..............
on ,~,~//.~O,q. fro ;l',oc. .~.o. ?..~. .ti. ~c~ ,41ec ' '
Name of C tractor ......... ~ ....~ .......... Address
PLOT DIAGRAM
Locate clearly and distinctly alli buildings, whether existing :'or proposed, and, indicate all set-back dimensions from
property lines. Give street and bock number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY OF .................
............................. ; ................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ....................... i ..................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dulyl authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; a~d that the
work will be performed in the manner :set forth in the application filed therewith·
Sworn lo before me this
BOLDER USED [5~ WA~I'E~
SUPPLY SYSTEM CANNOT*
EXCEED 2/lO of 1% LEAD.
I~L UMB EB CE RTr~ FICA ~IO I~
0IV LEAD~ CONTENT BEFOR.~
~,~RTiF£CATE OF OCCUPANCY
If copper tubing is used
for water distributing
system; piping shah be
~:~ o[ types K or L only
f
:dc~ t:J'riZtU ~x,'~ '"
Of
APPROVED ~ NOTED.
NOTIFY BUILDING DEPA~TMmT AT
', , ', , : 765d802 9 AM TO 4 PM FOR THE'
FOLLOWING INSPECTIONS: ' '
' ,1. r FOUNqATION - TWO REQUIRED
' , ' 'FOR POURED CONCRETE
; -~ 2,ROUGH,- FRAMING & PLuMBIN
.~ , 3. INSULATION
4. F}NAL * CON'ETRUCTION MUST.
· : "· B~ Co'MPLETE~ FOR C.
· ALL CONSTRUCTION SJ~,~LL: MEET r
, ' ' ' THE, REQUIREMuNTS ,OE,,THE N.
,:' i ,STATE CONSTRUCTION & ENERGY
'' 'CODES· NOT RESPONSIBI~E FOR
': ' DESiGN-OR Cdf~STRUCTIO~,I ER :~ORS.'
t