HomeMy WebLinkAbout14779-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14890 Date Sept. 18 86
THIS CERTIFIES that the building .... A..d.d.i.t.i..o.n ...................................
Location of Property .... .1.7.1. .9 .5..M.a. %.n..S.t. :..&..7..2 9..S.e..c.o.n.d...S.t....N..e.w..~.u..~?.o.1.~. .......
House No. Street Hamlet
County Tax Map No. 1000 Section . .1. ~.7 ....... Block ...0..~ .......... Lot 013
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantiatIy to the Application for Building Permit heretofore fried in this office dated
..... k'eb....5 ......... ,19.8.~ pursuant to which Building Permit No. 14779g
dated A. pT.i.1...2 .2 ................... 19 .8.6., was issued, and conforms to all of the requirement~
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
C.o. it$ ,t.r.u. qt...2.n.d...s.t.o.r.y..a.d:.d.i..t.o.n..t. 9' .~.x.i..s.t.i.n.~..o.n.e...f.a.rq.i.]_..y..d.w.e. ll.i. ng.....
The certificate is issued to ATt:lANAi. A. & RUTH E. ZAMPHI. ROFF
(owner, X~.~'~
of the aforesaid building.
Suffolk County Department of Health Approval n / a
UNDERWRITERS CERTIFICATE NO ............. N76047.7
PLUMBERS CERTIFICATE 8/1/86
Rev. 1/81
FOBM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERJv~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. ]4779 Z
Permission is hereby granted t~
· ./,/z_.../~...
................
...... ZV~...~.~....~.~..../z~
,o ..... ~~ ~ . . . . .z. ~ . . . . . ~ ~ . ~ ~ ~~... ~.. ~ ....
.... ~..~.~.~.....~?~ .............................................................................. / ......
.................................... [.Z:.~[..ZZL...ZL.[ttt'.t'.tt'.Z.~tttZ.ttt.~....~ ...... ~ ......
pursuant to application dated .~ ............ ~.~ .................... , 19~., and approved by the
Building Inspector.
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLO
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
I AUG291986 ii II
TOWN OF SOUTHOLB
Instructions
This application must be filled in typewriter OR ink, and submitted t IllaaJ~alm 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 equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercia~ 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,
C. (~";rtificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land CoO. $5.00
5.Updated C.O. $15.00 Date ..........................
NewConstruc%ion ...... Old or Pre-existing Building ............ Vacant Land .............
·
House No, Hamlet
Owner or Owners of Property .~.'.~J.~./(.~,~,/7~: ..~...~.-k'/.~..~...~.~.~.~[~./..AO~.~..~t~' ..................
County Ta× ~ap ~o. 1000 Section ..././..7 ......... Block ....Ag. ......... Cot...P/.~. ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No//'/Z ~7.f.Z. Date of Permit .~.'?.~.'./.'~...Applicant...~.~-. ,~.//../~/?./~/F'"~.~,~?. ..............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ _c~ ~F~.- .... ~ ~ ~. j ..........
Construction on above described building and p~r,m~it meets all ~pplic,~.ble codes and regulations.
/ //
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Z~phiroff, ~ Street conor of ~ Street a Second St. New Suf~olk,N.Y
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
Eleotric Room Heaters~ 2-1.25kw
i~G.F.C.I.
1-smoke D~tector
S E R
~o Oi~ERC~CONO.
A. WG
OF CC, CONE)
I C E
Alexander G. Hubbard
~ox 222
Aqu~bogue,N.Y. 11931
5i0%304E
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST ~oT BE ALTERED iN ANY NL~NNER
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O, BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date
Building Permit NO, N77fZ
Owner 4.
(please print)
P 1 umber~/~E~ ~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber' s si~ature)
Sworn to before me this
/ , . · Nota~Public
Notary Public, ~/~-- County
/ ~'
PUBUC, 8tare of New
NO. 52-47911 ~
~l~i~ in S~olk ~W
7GS..180:~
BUILDING DEPT.
INSPECTION
FOUNDATION XST ~ ROUGH PLBG.
FOUNDATION :)ND [ ] INSULATION
[/~ FRAMING [ ] FINAL
REMARKS:
DATE
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND ~ INSULATION
[ ] FRAMING [ ]FINAL
REMARKS: ~~/~.-
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FINAL
[ ] FRAMING
REMARKS:
DATE,, dr,//~-~ INSPECTOR
FIEL[~-~?ECTION
COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
· ?LUMBING
INSULATION PER N. Y.
STATE ENERGY
qODE
FINAL
ADDITIONAL COMMENTS:
FIEI;D IN~FECTION
DATE COMMENTS
FOUNDATION ( 1 st)
ADDITIONAL COMMENTS:
FORM NO, 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTItOLD, N.Y.
NOTICE OF DISAPPROVAL
·. M.~...5.o~.t-~o.c~ .,.~...c/..../~9 qro
PLEASE TAKE NOTICE that your application dated . .~.~ ..... ~ ........... 19 ~.
for permit to ~.~...~ ~.~ l ~1 ~..~0.. ~ ~.~ ........... at
County Tax Map No. 1000 Section ...l.t. ~ ....... Block . . ~ ....... Lot ~ { ~ ........
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on the following grounds~9.~7~, , ~ ~. ~l.O ~...
mcg~A~...~r..~&~... ~o .... Z~.~.~..~.6... ~..~..
~~..~...~~...c~.... ~ ~. ~.. 5~..t~...m~c.s.
· .~.~~ .... ~g.~.'~O..QO.~~...~..Tel l ~.. ~.
...~o~. 2qa~... [ >... 1~ ,.3 ~5...~ h.. ~. ~..~..~..~..~r..
.. ~~... ~t~.~....~ ~4.7 ~.?~..S~... ~.....~: .....
.. ~.. ~,...c.~~~ ....................................
............. ~.~.~... ~ ~.. t~.: s~...~;~..~,o.,c,..G,. ~-
Rv 1/80
$outhold Town Board o£Appeals
MAIN ROAD- STATE ROAD 2,5 SOUTHOLD, L.I.. N.Y, 1197"1
TELEPHONE (516) 765-1809
ACTION OF THE ZONING ~O__ARD....OF.~PPEALS
Appeal No. 3470
Application Dated February 20, ]986 (Public Hearing March
TO: Mr. and Mrs. Athanas Zamphiroff
17195 Main Street, P.O. Box 255
New Suffolk, NY 11956
13, 1986)
[Appellant(s)]
At a Meeting of the Zoning Board of Appeals held on A_p_ril 3, 1986,
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
[Z]Request for Variance to the Zoning Ordinance
Article III , Section ]00-3], Sulk Schedule
[ ] Request for
Application of AT~ANAS AND RUTH ZAMPHIROFF for a Variance to
the Zoning Ordinance, Art'icl6 III, 'S~'c~3on lO~Y'31-~--l~ulk Schedule for
permission to construct addition of 190± sq. ft. in area which will
exceed the maximum-permitted lot coverage requirement of 20%. Location
of Property: 17195 Main Street (a/k/a 720 Second Street), New Suffolk,
NY; County Tax Map Parcel No. 1000~117-08-13.
WHEREAS, a public hearing was held and
in the Matter of the Application of ATHANAS
Appeal No. 3470; and
concluded on March 13, t986,
AND RUTH ZAMPHIROFF under
famil
WHEREAS, the board members have personally viewed and are
Jar with the premises in question and the surrounding area; and
WHEREAS, the board has considered all testimony and documentation
submitted concerning this application; and it is noted for the record
that no public opposition has been received; and
WHEREAS, the 'board made the following findings of fact:
1. The property in questio, n is identified on the S~ffolk County
Tax Maps as Di.strict lO00, Section 117, Block 08, Lot l~, consisting
of a total area of 12,300 sq. ft., more or less with 128.40 feet
along the north side of Main Street and. 95.80 feet along the east
side of Second Street, New Suffolk, New York.
2. By this application appellants request a Variance from
the provisions of Article III, Section lO0-31, Bulk Schedule,
for permission to construct an additional 190 feet (maximum) for
a staircase to ,a proposed second-story bedroom and deck along the
south side of an existing one-story, single-family bungalow, to
be set back no closer than 12'8" from its front property line
along Main Street, and as Shown by sketch submitted with this
application and Notice of Disapproval dated February 6, 1986.
' C~NTINUED ON PAGE TWO)
DATED: April 10,.1986.
Form ZB4 (rev. 12/81)
CHAIRMAN, SOUTHOLD TOWN ZONING BOARD
OF APPEALS
Page 2 Appeal No. 3470
Matter of ATHANAS AND RUTH ZAMPHIROFF
Decision Rendered April 3, 1986
3. The Notice of Disapproval dated February 6, 1986 indicates
that the proposed addition "...increases lot coverage to 2835.66
sq. ft. Present lot coverage is 2649 sq. ft... 20% qot coverage
allows 2467.82 sq. ft .... " ~.
4. The subject premises is presently improved with four
existing single-family, one-story frame bungalows with porch areas
as shown by copy of survey dated December 10, 1965. ~
5. It is noted for the record that a building permit and
certificate of occupancy #90lB was issued on May 17, 1978, and
a prior approval by the Board of Appeal~ under Appeal #2345 ~
rendered October 31, 1977 for the existing porch addition of the
bungalow in question. ~ .
6. It is also noted for the record that there is a prior
approval of record under Appeal No.. 540 rendered January 31, 1963
(Walty) for an addition and insufficient setback as noted therein..
considering this appeal, the board finds and determines:
(a) that the relief as granted is not substantial in r~lation
to the requirements; (b) that the circumstances are unique;
(c) that the public health, welfare, safety, order and convenience
of the town will best be served by allowing the variance as amended
by this board; (d) that by allowing the relief requested, a
substantial change would not be created in the character of this
neighborhood; (e) that the spirit of the zoning ordinance and
interests of justice will best be served by allowing the variance
as applied..
Accordingly, on motion by Mr. Grigonis, seconded by
Mr. Goehringer, it was
RESOLVED, to approve the relief requested: for an additional
190 sq. ft. maximum for a staircase to pr6p6sed second-story
bedroom and deck area as applied under Appeal No. 3470 in the
Matter of the Application of ATHANAS AND RUTH ZAMPHIROFF, SUBJECT
TO THE FOLLOWING CONDITIONS:
1. The relief granted not exceed 190 sq. ft. in area, and.
2. That the ~econd-story balcony/deck area not exceed
10' by 15' as proposed.
Vote of the Board: Ayes: Messrs. GoehriDger, Grigonis,
Doyen, Douglass and Sawicki. This resolution was duly adopted.
lk
GERARD P. GOEH~INGER, C~FAIRMAN
April 10, 1986
, ' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1802
Examined .¢A.Z<. ·...' ..... , l&
Approved ~/~..ZT'. · ......... 1' '.~.. Permit No..Lt. .~7.7 . . .
Disapproved a/c . . .-:- .....~ ........... .C~/,~.. ''/
~//~ ,,~F~G4~ ........ ('l~iiding I~ ;~ ~t;;i ........
INSTRUCTIONS
Rece±ved ........... ,19...
a. Tins 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 inspectors on premises and in building for necessary ins~.P/,fic~ns. ~Z.~,'/
(S~~t~;r name, ~f a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner o f premises/fi)~/./'ffJ~., d; .t./f.d~.//. ?.'~. ,~./,.~,/ff../0.//./.~. ~/.-~. ...................................
(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. ~"~ ff~Z~ ......
Plumber's License No .... ~ '?' 7 .............
Electrician's License No...~. ~.' ./~. .............
Other Trade's License No ......................
1. Location of~lan_.q~on which prpposed work will.be done ..................................................
........ q ;~0.. ? .~x-~.,..¢....~..: ............................... .~....~..~..~...~x ............
House Number Street Hamlet
County Tax Map No. 1000 Section .... \ ~..~. .......... Block ....~. ............ Lot ~"~
Subdivision ................ (iq'a~) ................ Filed Map No ............... Lot ...............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
· ........, ............... . ..... ..........................
a. Existing use and occupancy ~,,-~Y~ ~-~{/~' ~ ~ ,-
b. Intended use and occupancy .... 2/. .........,.,.-..,~. ...,-.~. ....-.r-./. ~.~,.~ ~:.?~. ; ....~ ....................
3. ~ature of work (check~hich applicable): New Building .
Repair ............ '. !.Removal ............
4. C ed Cost /i / lt ....................
5. If dwelb lling units .... [ .......
Demolition .............. Other Work ...............
(Description)
(to be paid on filing this application)
·. Number of dwelling units on each floor ................
If garage number of cars
6. If business, commercial or mixed occupancy, specify n~atu~re and extent of eaclx.,typ3~of use .....................
7. Dimensions of existing structures, if any Front...~ t~. ...... Rear ... ,$..6., ..... Depth . ..~. ~ ........
Height ... [. ~ ........ Number of Sto. nes ................. .,o .,~. ~. · .,,¢,.. v ...... ~ .... '~ ~. :2 ....
Dimensions of same structure with alterations or additions: Front i,~.' ..7....~5. ...... [Rear· .~..~.....F.. 5..
Depth ...,~....cd. ........... . .. Height ,.. ~ ~ .......... Number of Storie~.~.. ,~:=~,~ .............
'- 8. Dimensions of entire new consiruction: Front ............... Rear ........ , ....... Depth
Height. ........ . .......... lqn.mhar. ............ alv gtnra~q ............. ; ...................... ...................... , _
9. Size of lot: Front .......... i ............ Rear ...................... Depth ......................
10 Date of Purchase ~ Name of Former Owner ~ ~-
! 1. Zone or use district in which p}emises 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:
14. Name of Owner of premises .~. ~O6?x~X~.(.~..S~...Address ................... Phone No..Q.~..~Y.e.o~qr}. ~..N.o.
Name of Architect ..~.....~-...~----Address ................... Phone No ....... _ .....
i"
Name of Contractor ............. Address ................... Phone No. 5..O.O.. ..
Locate clearly and distinctly a
property lines. Give street and blocl
interior or comer lot.
PLOT DIAGRAM
1 buildings, whether existing or proposed, andAndieate all set-back dimensions from
: number or description according to deed, and show street names and indicate whether
STATE OF NEW YORK,
COUNTY OF i S.S
' being duly sworn deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the '
, (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is d¢ly authorized to perform or have performed the said work and to make and file this
application; that ail statements co~tained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the man,er set forth in the application flied therewith·
Sworn to before me this
Notary Public, ...... ~..~,....~.q-~d..~',~.. Count;...A.~;~~ ...............
, I
/
AP~R~¥~D AS 'NOTED.
NOTIFY BUILDING DEPARTMEI~A¢
?~5-1802 9 AM TO 4 PM
FOLLOWING I N,~PECTIONS:
1. FOUNDATION - TWO
FOR POURED CONCRETE
2, ROUGH - P~MING & PLUM¢~N~
4. FINAl -CON'~T~U~TI9~
, BE CO~Pl ETE FOR C.O~
~LL CONSTrUCTIOnS: S~LL
%HE REQUIREME~S, OF ~ ~,~,
~ATE CONCTRUCTION, &,,
k
7654802 9
FOLLOWING INS?
1FouNDA'T,I,O~ ~TWO ,
FOR pOURED
2. ROUGH -F~ING
3.,INSU~TIO~: '~m:"
4. F NAb - CON~TRUGT~N
, AEL
THE~ REQ~
CON~
STATE '
'CODE~', N~ R~SPQN~
. ' "~