HomeMy WebLinkAbout14598-zFORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southoid, N.Y.
Certificate Of Occupancy
No Z14867 Date Sept. lO 19 .86.
THIS CERTIFIES that the building Addit ion
Location of Property .... 2..5.0..~..~.~.~..C. 90..%~'
House NO. Street Hamlet
County Tax Map No. 1000 Section .... 5.9. ......Block ., .5 ............ Lot ., 6
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
,.. No.v.,. 12 ........... 19 [3.5. pursuant to which Building Permit No...1.4..5.9.8.Z. ............
dated ...I~I~t;c. qt~. ~ ................. 19..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 .........
B~thrQom addition to existing one family dwelling.
The certificate is issued to ..... .C.h.a.r. 1. 9.s' .~...Sy,~,y% ,a, .W.i. 1..d .............................
[owner, ~K~J~XX
of the aforesaid building.
Suffolk County Department of Health Approval N
UNDERWRITERS CERTIFICATE NO .... N767736
PLUMBERS CERTIFICATION 8/12/86
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14598 Z
Permission is hereb] granted to: ,~ ,~ ,
.... ~.~.z~ .......... ./...~.~.~..~ ....................
..~~....~.:.~.:,......!.L~..~..~.A n, , ..... ,
· , .~.:._~.Sa
'F ........... '! ...... "'"'"_'"J ....... 7)";~" ,,-,_~ ~tl -~ . ~
at premises located at ...~.....,~...~.....J~...~.....~........~..~~ .......................
County Tax Map No. 1000 Section .... ..~......~.. ....... Block ........ ,¢~..~. Lot No..~.. ....................
pursuant to ~ppJicotion doted ...~...~.....~......../...'~... .......... , 19.?.~..~..~,', and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
lO0~071 THE NEW YORK BOARD OF FIRE UNDERWRITERS
ELECTRICITY
1 O%OR, ,
THIS CE~IFIES THAT
only the electrical ~ulpment ~ ~scribed belo~ a~ introduced by t~ applicant ~med on the a~ve application nu tuber in the premises of
Charles Wild, g50 I,ake Court~ Southold, N.Y. X
in the followlng locorton; ~ ,Bnse~ ~ ~ Ist FI. ~ 2nd FI. Section Bilk Lot
FIXTURE FIXTURES RANGES OVENS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
2 1 .1 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS
UNIT HEATERS MULTI.OUTLET
SYSTEMS
NO. Of FEET
DIMMERS
SERVICE DISCONNECT S E
R V I C
NO OF HI-LEG
OTHER APPARATUS:
G,F.C.I.-1
G & S E]ec:tric
Box g-] S
Southold, N.Y.,
11971
GENERAl, MANAGER
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlaJs.
COPY FOR BU,ILDJHG DEPARTMENT. TflJS COPY OF CERTIFiCATE,MUST~NOT BE ALTERED IN ANY MANNER.
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. /~F'~O
Owner ~~ ~' ~ i~'~
(please print)
Plumber ~C/~
(please print)
I cer%ify that the solder used in the wa~ supply system
contains-less than 2/10 of 1% lead.
Sworn to before me this
Notary Public, ~J~
/~( p lu~~be~r ,~s ~i gna~u~)/
county
Notary Public
UNDA J. COOPER
Notary Public, State of New Yor~r~
No, 4822563, Suffolk County {,?~/
T~r~ F~p~res December 31,
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
.' 76.5- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted =, ~ 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 unusuaJ
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.
B. 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
topograph lc 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 required 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
4.Vacant Land C.O. $5.00
5. updated C.O. $15.00
$15.00
.. ........ ......
NewCons trUction ...... Old or Pre-existing Building ............ Vacant Land .............
..... .... / ....
Location of Property
House No. - Street/ ..... Ham/et
Owner or Owners of propert¥ .~/.,d. J~/~ f S .¥M,-. Z. ~.~ . .~... / ~--- ,"2}
County Tax Map No. 1000Section .. ~ ........ Block ....j.~. ........ Lot ...... ~ ........
Subdivision ................................. Filed Map No ........... ~-~)t No ..............
Permit No ........... 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 p~e s all a~le codffs and regulations.
Applicant ..... ~.~C~-~-... ....... ~,..~.,,~. ...................
T0 /N OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Co~cern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/Z/ An application for Certificate of Occupancy
is not on file.
/_~,~No Underwriters Certificate on file.
/Z/ The check is(outdated/not on file.)
/~/ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # .,~ ~ ~ ,~ ~ Z
Building Dept.
***/~No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
LA~E
1350~
:LD INSPECTION DATE COMMENTS
?~TmN ~f~ ~.~. ~/.~.~ .......
~NDATION (2nd,),
t~-
PLUMBING
SULATION FERN. Y. _
STATE ENERGY
CODE
0
.........
~ C,o', , ......
'~OU!
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [~ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
['~j/FRAMING [ ] FINAL
REMARKS: ~ ~ ~ ~
I_A~£
COU~T
13506
765-~8~2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [/~LATION
FRAMING ~ FINAL
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APPROV~ ~ ~OTED
FEE ~-:~ ...... BY ..........
NOT~Y ~KJ~LD~,IG D~PA~TMENT AT
FOLLOWinG IN~PECTiOF~S:
2 ROUGH ~:~At~f~'~G & PLUMBING
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
'~.¢/tt-K:; ,y/,"= ILO" -
If copper tubing I~ used
for water distributing
system; piping shall be
of types K or L only,,
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 of 1% LEAD.
76S-'~802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION XST [ ] ROUGH PLBG.
[ ]~RAUNDATION 2ND [ ] INSULATION
MING [ ] FINAL
REMARKS:
DATE 'V~,~ I NS PECTOR ...~
~ CON(;. ISL~. WAI.~
,-: -r':'O u NDATIO'N PLAN o
Memoranclum from...
BUiLDiNG INSPECTORS OFFICE
TOWN OF SOUTIfOLB
TOWN [tALL, BOX '128, SOUTHOLD, N,Y. 11971
765-1802
November 18, 1985
Dear Mr. Wild:
Re: Your application for an addition
Mr. Hindermann requested that I return
your su~'¥2~ and ask you to mark on it
where the'addition will be and return
it to Ms. Thank you.
Yours truly
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTIIO]LD, N.Y.
NOTICE OF DISAPPROVAL
To · · · ('~"
.. F.~.~ . .t.. ~....~ .... ../.c~.. 7.
PLEASE TAKE NOTICE that your application dated .. ~.4q/..~./.~....((. ...... 19..~.~.'~
~- O ~.~../.~.'~.."~-.. . .. at
for permit to ~7~,Z'sd...:~.~.~..~.c.~..t~, ~-~,/'_'_'_~0...~..
Location of Property · .~. m~ .
House ~o. ' ' ' ' Stroai ....................... ~t~1~
County Tax Map No. 1000 Section ...~ .... Block .~ ~ ........ ~t OO~ ........
Subdiv~on. ~ Filed Map No. ~ . Lot No~
is returned herewith and disapproved on the following grounds .............
.... ~.. ~r~ ./~a~...~~..~(~.~ .....
...-Z 0 ....... ~.. · ........
Building Inspector
RV 1/80
Memorandum from. · ·
BUILDING INSPECTORS OFFICE
ToWN OF SOUTHOLD
TOWN HALL, BOX 728, SOUTHOLD, N.Y. 11971
765-1802
November 18, 1985
Dear Mr. Wild:
Be; Your application for an addition
Mr. Hindermann requested that I return
your su~'w~ and ask you to mark on it
where the'addition will be and return
it to ~s. Thank you.
Yours truly
Southold Town Board of Appeals
MAIN ROAD- BTATE: ROAD 25 ¢:EIUTHE3LD, L.I., N.Y. 119'71
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 3436
Application Dated November 26, ]985
TO: Mr. and Mrs. Charles W. Wild
24-44 169th Street
Flushing, NY 11357
(Public Hearing
]/9/86)
[Appellant (s) ]
At a Meeting of the Zoning Board of Appeals held on Feb~.~r~{ 6, 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
Request for Variance to the Zoning Ordinance
Article III , Sections 100-30, ]00-3], Bulk Schedule "A"
[ ]. Request for
~Appli~ation 'of CHARLES AND SYLVIA WILD. Variance to the Zoning
Ordinance, Article IJ'I, Sections lOO--~FO--%-h-~ 100-31, Bulk Schedule "A"
for permission to construct addition to dwelling with an insufficient
sideyard setback, premises known as 250 Lake Court, Southold, NY;
Suffolk County Tax Map District 1000, Secbion 59, Block 5, Lot 6.
WHEREAS, a public hearing was held on January 9, 1986, .in the Matter
of CHARLES AND SYLVIA WILD., under Appeal No. 3436; and
WHEREAS, the board has considered all testimony and documentation
entered into the record concerning this application~ and it is noted
that no public opposition has been received; and
WHEREAS, the board members have personally viewed and are familiar
with the premises in question as well as its surrounding area, and
WHEREAS, the board made the following findings of fact:
1. The property in question is situated at the north side of
Lake Court, ~long Great Pond ("Lake Leeton")~ Southotd, and is iden-
tified on the Suffolk County Tax Maps as District 1000, Section 59,
Block 5, Lot 6.
2. The subject premises contains an area of approximately .25
acre, with 151' frontage along Lake Court and 86.46' (along a tie
line) along Great Pond (easterly property line), and is improved
with a single-family, one-story frame house as shown on survey dated
November 29, 1971 prepared by Roderick VanTuyl, P.C. for the
applicants.
3. By this application, appellants request a Variance to
Article III, Section 100-30, and Bulk Schedule for permission to
construct an 6'8" by 9' bathroom addition leaving an insufficient
setback from the west (side) property line at 5.5 or more feet.
present setback is 14 feet.
The
4. It is noted~'that the dwelling faces Great Pond and is like
so many other waterfront lots with the street side of the house the
"side" except under the town's zoning regulations defining it as
the "front" and the back side .of. the house the "side yard" technically.
(CONTINUED ON PAGE TWO).
DATED: February 11, 1986. CHAIRMAN, SOUTHOLD TOWN ZONING BOARD
OF APPEALS
Form ZB4 (re~. 12/~,
Page 2 - Appeal No. 3436-
Matter of MR. AND MRS. CHARLES WILD
Decision Rendered February 6, 1986
In considering this application, the board has determined:
(a) the relief requested is unique; (b) there will be no substan-
tial change in the character of this district; (c)ithe relief as
requested is not substantial; (d) the public health, welfare, and
safety of the town will be served by upholding this ~pplication;
(e) it is within the best interests of the town to grant the
application, as noted below.
Accordingly, on motion by Mr. Grigonis, seconde~ by Mr. Goeh-
ringer, it was ~
RESOLVED, that permission BE~AND HEREBY IS GRANTED as applied
under Appeal No. 3436 for permission to construct '~T~'-r-by 9'
bathroom addition, SUBJECT TO THE FOLLOWING CONDITIO~N..L
That the setback from the easterly (side) property line
be not less than 5~5'' at any time in the future. I
Vote of the Board: Ayes: 'Messrs. Goehringer, Grigo~is, Doyen
Sawicki.
adopted.
and
Member Douglass was absent.) This resolu%ion was duly
lk
February ll, 19861
~ ;~ r 'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined. .arr.. _ ., 19
Approved .~..O:+..c~....-~. .... , 19~..~. Permit No. ! .t~i.~.7. ?.~..~
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19...
Date ................/~.~./.2--, 19 °od~'...
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 Depaxtment 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 °n premises and in building f°r necessary iy~a,,~,...~....
(Signature of applican, t,~or .ha_tiLe, if a corporation)
. .......
(M~iking addres~ of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
............ ........................................................................
Name ofownerofprelnises ~/"~/~/tg°'~ ~ C2~''d't//''~
(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 LicenseNo .........................
Electrician's License No .......................
Other Trade's License No ........................ / / . ~ ,., /~'.
Location of land on whichp roposed work will be done dO.' .~. /Xt~ 6Y/O/ /J d~./'
House Nmnber Street Hamlet
County Tax Map No. I000 Section .... ~.~..~.. .......... Block .... .~.. ........... Lot . ..~. .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy....c2D'~.~.'. -~.q'~xIX~..~..~.~ :..kr~.% .... ............... ~: .............
Intended use and occupancy ~..x~.,~ 0-%/--~C~..(~. (~c~Q~3 .~..~...X.?.'.C~...x~.'.
3. Nature of work (check which applicable): New Building ' Addition. ~ .... Alteration
Repair .............. Removal .............. Demolition . .' .......... i.. Other Work ...............
(Description)
4. Estimated Cost ............................. ...... ... Fee ...-........~ ...................
~ (to be p~id on filing this applicatipn)
5. If dwelling, number of dwelling units ............... Number of dwelhng unltslon each floor ................
If garage number of cars ' .... .......
6. If business, commercial or mixed occupancy, specify nature and extent of each typ6 of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear ........ i ...... Depth
Height ............... Number of Stories ............................. ! ...........................
Dimansions of same structure with alterations or additions: Front ........ Rear ..................
Depth Height Number of Stories
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 Former Owner '
11. Zone or use district in which premises are situated .......................... i ...........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ...........................
13. Will lot be regraded ................ . ............ Will excess fill be removed ifrom premises: Yes, No 'X
14. Name of Owner of pre~is, es~gT..~..~..~. '.~ ....... Ad dress ' .~(~.q.q. \~..¢~c.....~.~ >'.~w~.~. Phone No .q~.~ .?-~9..%'~. ~q. ~.~; ~.!~.-q ~q~..~
Name of Contractor .......................... Address .................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show!street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
7OUNTY OF. ........ ' ........
................ beang duly sworn deposes and says that he is the applicant
(Name of individual signing contr~c!)
tbove named.
~e is the
(Contractor, agent, corporate officer, etc.)
)f said owner or owners, and is duly 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 Cnowledge and belief; and that the
~ork will be performed in the manner set forth in the application filed therewith.
~worn to before me this
............ ./0~ ......... day of .... ~.. ............ 19
~ PUBLIC, S~te 0t N~
~. 4707878, S~o~k Co~
T~m Ex~r~ MBmh ~,