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HomeMy WebLinkAbout14329-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z1/+274 Date March 11 ,, 19 8.6. THIS CERTIFIES that the building ... A.d. cl$ .~.~.qr~ ................................... Location of Property .... ~ .3 .~.5..$ .~.u.n.~..L.&.n.e. .................. .C .u.L.c.h. 9 g.u.~. ............ House No. Street Hamlet County Tax Map No. 1000 Section ...4. Q ~3 ...... Block ..... q ......... Lot ...... J .......... Subdivision.. ~.~.s.s..~.~..~..v.m.s. .............. Filed Map No.1 .1.7fi. .... Lot No. ?/© q 30 conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..~..ep.t.,..~ .6 ......... , 19 .85. pursuant to wtfich Building Permit No. 1.4. 3. .2 .9 .Z ............... dated ...0 O .t....q .................. 19 ~ 5., 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 ......... .., ~,~l.d.:[. ~, j_p,n..tO..e.x $ 5.t.i. ng..d.w.~ [ ~.r~g .......................................... The certificate is issued to .... E LWD.0. D. HB.QHES.. [o~$n'o),'i$~Yo'~'~3~i~X ..................... of the aforesaid building. Suffolk County Department of Health Approval ........... ~ ./.~ ............................ UNDERWRITERS CERTIFICATE NO ................... t~ N Y~ 7. ? ~ 9 ...................... Plumbers Certificate Feb. 19, ~986 Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14329 Z pursuant to application dated ~//~ 19...~. ,~and approved by the Building Inspector. F. ...... Building Impector Rev. 6/30/80 FORM NO. 2 TOWN OF SOUTHOLD :! BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ ¥. BUILDING P,ER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 11751 Z Permission is hereby granted to: / // ...,,.--, ~../:~//..,....~..'~~.../~, .. ....... .~.~.~...~.~...~~.:.?(. ~~..-~~.~ ~o,. Z~....~~....~g~:.. ..................... ~ .................... ~ ........................... ...... ....... · ~ .. ~.~..~~ .......... :"~ .................................................................... ~.~. ~ ~ . ....... ............ ~....,.....~,......~5~. .................................... co~ v~ a~p ~. ~o0o s~,o, ..... /~..~. ...... s~ ....,..~.~.~' .... ~ ~o...~.~Z .......... pursuant ~to application dat~ ................ ~.~' ..........19 and approv~ by the Building Inspector. Building Inspector 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 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 unusual natural or topographic features. 2. Final approval of Health Dept, of water supply and sewerage disposai--{S-9 form or equa[). 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. Su bm it 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 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. Fees: 1. Certificate of occupancy $5,00 -~ of occuPancy on pre-exT~ting dwelling 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Data ........................ New Building ~.~.~. l?.l.O, .~.. Old or Pre-existing Building ............ Vacant Land ............. .... ................ z ..... o ..... Location of Property ~ i'~_,~ ' i¢ , , ~UY'(~ ~O~- ~ .... House No. ' .... /' Street Y Ham/et Owner or Owners of Property County Tax Map No. 1000 Section ../. ~, ....... 8lock ..... ..~, ....... Lot ........ /. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.~.~,~.~. ~ Date of Permit (~ .Applicant O.G~ / cd Health Dept. Approval .... [~)PJ A ,Labor Dept. Approval .~.~. R Underwriters Approval ........................ Planning Board Approval .... ~..~/..~. ............ Request for Temporary ~e~rtif~.~ .................. Final Certificate ....................... Construction on above described building and permit meets all applicable codes and regulation~ Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner/~ ~ //~/~g (please print) Plumber /W/~/~/;~~ ?~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbar's signature) Sworn to before me this 19~ · No. 468 ~ua fi~ In Suffolk CounW ~ ~ ~m~ Exp r~ March 30, ~9~/ County THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY .t}t~]''O]~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the e~trlcel eqaipment ~ described below and introduced by the applicant named on the eb~e ~pl~at$o~ nuntber in the premises ~lWOO~ ~u~'he~ ~125 B~ Ave. ~ C~toho~e~ ~q.Y. in the fo~lowing location; ~ Basement ~ Ist FI. ~ 2nd FI. Section Block Lot w~ examined on 'J)~t~}3¢(}12 ~ ~ i ~% ~ 8 5 and found to be in compliance with the requirements o~ this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT 8 10 DRYERS SYSTEMS NO. OF FEET R C OTHEKA~PARATUS: Panelboards; 1--7 (cir.) G.~oCoIo,-2,. Smoke Detector-'- 275 Town ~Iarbor Lane Southold~ ~'~.Y. ~ 11971 This certificate must not be altered in any manner; return fo the office of the Board if incorrect. Inspectors may be identifi'ed by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIcAT'E MUST NOT BE ALTERED IN ANY,MANNER.' ~OUNDATION (1st) ~'OUNDATION ( 2nd ) 2. ,~OUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: APPEALS BOARD MEMi~ER$ GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. ROBERT J. DOUGLASS JOSEPH H. SAWICKt. MAIN ROAD- STATE ROAD 25 ,~30UTHrlLD, L.I., N.Y. TELEPHONE (516) 765-1809 June 23, 1982 Mr. and Mrs. Elwood Hughes 1711 Meadow Lane East Meadow, NY 11554 Re: Appeal No. 2995 / Dear Sir or Madam: This letter is to confirm that the following action was taken at a Regular Meeting of the Southold Town Board of Appeals held on June 17, 1982: RESOLVED', that the application of ELWOOD AND CAROL HUGHES for permission to construct addition to dwelling with an insuffi- cient sideyard, be and hereby is APPROVED AS APPLIED FOR in Appeal No. 2995. This resolution was unanimously adopted. An official determination and findings will be filed with the office of the Town Clerk as soon as possible and simultane- ously forwarded to you for your records. If you have any questions, please do not hesitate to call our office. If you wish to start construction as early as pos- sible, please return to or call the Building Department for issuance of your building permit at 765-1802. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN cc: Building. Department By Linda Kowalski, Secretary FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To . .[ .Q ~ t.~. [ ~;~....~.L..~. ?.0..~., ..~...~.~. r4'C0 ....... I.]..1 ~g b~to PLEASE TAKE NOTICE that your application dated ........ ....,.............,A~?e t 19 . .¢. ~ for permit to construct ..... /~ .b:O/.'Ti..Oh! ....... ~ ................................. at . Location of Property ... 6../..~. ~. ...... ~.~..U..~!..~. ..... k..h..~. ~..! ..... (.L)..~. ? !~. f.t~.O..~.~'~ House No. Street Ham/et County Tax Map No. 1000 Section ..... ( .Q .~f .... Block ........ . .1~.... Lot ...... t ........ Subdivision. ,~.~ ~. q...~(~.1~..~f~led Map No .... [. ! .~...~. Lot No..~.~..T..~ .~.. ~.>.~..~,. [ .~. ?. is returned herewith and disapproved on the following grounds ..... 1.1~.(..~. ,L/..~.~.t..~-; .~..~. ?. ...... · .~;,~ ...... ~-r~..~ ........... .~3~7....~ ....... !.qo.:.~!.... ............... RV 1/80 FI~LD'~NSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C~DE FINAL ADDITIONAL COMMENTS IPOII, M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. xem,ned .... ?/.../Z. ...................... . .. ^pp,,cot,o ............... roved ' App ,'d .~,/~ ........................... , 1 .~.../.... Re m,t No ........ Z ......................... Disappr d a/c ........................ ........................................... '~ :' ............ :::.~~~ ~:"~ ................. : .......................... ' ' .......................... i~'~;~;~'~';i ............................... APPLICATION FOR BUILDING PERMIT .~/~/ Date ............... /....Z .......................... , 10...~..~. INSTRUCTIONS a. This application must be completely filled in by typewriter ac in ink and submitted in triplicate 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 m areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this app{ication may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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, es 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 it~ buildings for necessary inspections. ~-~, (Address of applicant) State w~et~ppJicant is ~neF, iessee, agent, architect, engineer, general contractor, electrician, plum~er or builder. ................ ~.~ ............................................................................................................................................... ---.Z~. ~ ~ ...... ...................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corpq[ate officer) / ~-':'"~ / .~_' , / ~: / Plumber's License No ......... ~'.~..~..~...~:Z /~',"~> E,ectr,c,ons Other Trade's License No ............................................... ~ u b ~ ~ ~ Z s Z o ~ Location of land on which proposed work will be don~ Map No.: ........................................ Lo~ No ......................... ~"~~~~--~--~--~/j~ ~ -- / M~.~i~;ii~" ..... Store existing use ~nd occupency of p~ ~nd intended use Qnd occuponcy of proposed construction: ~. Ex~,~,~ ;~ ~ ~ ..... ~.~~.~-~ ................................................................... b. ,~,~a ~ ~.~ ~ ....~.~.{~~.~ .................................................................... 3. Nature of work (check which applicable): New Building.. ................. Addition ........... Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work .................................................... ~ .~ .~ . ~-~.- (Description) ' 4. Estimated Cost "---- ................. (to be paid on filing this application) 5. ff dweHMg, number o~ dwelling units ............................ Number of dwelling units on ~och floor ............................ If garage, number of cars ...~ ........... ~ ............................................................................................................. f 6, If business, commercial or] mixed occupancy, specify nature and extent of each type of use ..... ............... ~ ....... 7. Dimens,ons of ex,st,rig struct?es, ,f any: Front ............... Rear ........ ~; ............ D~pth Height ........................ Number of Stories ................ ~ .................................. ~. .................................................. Dimensions of same structuCe with alterations or additions; Front ........... ~ .............. Rear ....... ~ .......... Depth .......... ~ ............. Height ........... : ................ Number of Stories ..........~ ...... 8. D,mensions.~of e~t,re new c~nstruct,on:= Front .................................... Rear .,..~.Z.~....... D~pth ....~..Z,~. ...... Height .....~ ....... Number of Stories ~ ..........~ .......................................... ~ ............................................... 9. Size ,of lot: Front '"~ __ __~__ ........ ;~ k'"~ '..';,.,~~ Rear ......... ~...~...~~~Depth ..... 11. Zone or use district in whic~ premises are situated ................................................................................ 12. Does proposed construction' ~iolate any zoning law, ordinance or regulation: ..... 13. Will lot be regraded ....... ~ ........... ~ill excess fill be removed from premises, ( ) Yes (~o~/~ 14. Name of Owner of premises ...:~..~~. ....... ~ ..... Addre~ Z~~ Phone Name of Contractor ........... ~ ................................................ Address ................................ Phone No ....................... i PLOT DIAGRAM Locate clearly and distinctly dll buildings, whether existing or proposed, and indicate all set-~ck dimensions from ., ~nes. Give street and b~ock n~mber or description according to deed, and show street names and indicate STATE COLJI' OF ~eposes and says he is the opplicam .... (Name of ind - ~' abdve named, i' He is the ...................... ~ ............ (Contractor,, agent; corporate -officer, etc.) of said owner or owners, and is dbly authorize8 to ~erform br hay& performed the said work and to ~ke and hle this application; that ail statements contained in this.applicotioo are tFue to the best of his knowledge and belief; and thor the work will be performed in ,the ~anneF set fo~h in the bpplication filed therewi~h,~ ~ , ~t~ Public, . ....... ~ ....... ;... oun~ ..... ~ .............. ~ ~LIC, ~te of ~ Yor~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ........... , Approved ..... /.9/~ ...... , 19 ?..S. Permit NO ............ Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by tylSewriter 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 qn premises, relationship to adjoining premises or public sixeets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. ' e. The work covered,by this applicationmaY not b,e commenced befo~issuanceOl~ Building Permit. d., Upon approval, of this application, theBuildingInspectorwillissuedaBulidingPermitto the aPplicant, Suchpermit shaE he, kept on the premises available: for inspection throughout the; work,, e~ No building shall- be occupied or used in,whole or in par~ for any purpose whatever until a Certificate of Occupancy .shatlthavebeengranted:by. ~, theBulldjng:.Inspector.. . ,, . :~ ;, .... ,~:: . , . , APP~iC~/:TION I~ HEREBY I~-'ADE to the: Building D~partmen~ f0r th~ issuance' o~ ~ Building Permit pursuant~to the Building. ZOne Ordinance of tlie Town of S0uthold, Suffolk. County, Ne~. Yorle~, and~ other applicable Laws, Ordinance~ or Regulations, for the construction o~ buildings~ additions~or alteration~ o~ for removal"or demolition,, as herein described. The applicant agrees:to comply with all app. licable laws,~ordinances; building code, housing code, and regulatinns~:and: to iadmit authorized insp~etom on l~r~e~m~, anct in~ building for n~eeSsa~i-~f~h~p~fiOnS~C · .. (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. (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 ...... -~'7'/- ............. Plumber's License No .......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. . , : r. . . .................... House Number Street Hamlet / County Tax Map No. 1000 Section .:/..c.~,...-?-. ........ Block.....'37. ........... Lot ................... ~:::~B:Oq...'..~]~.//q.S. ..................... Lot Subdivision.. ~t ....... Filed Map No ................ (Name) 2. State existing use and ~ccupancy ~f p~emises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy ... ,~ .g~...c~..._)/. L,~C Df.~ ~ .~.:-' b. Intended use and occupancy ... ____t.-_,..... ...... , ....: ..... ....... 3. N~ure of work (check wluch appl~c; Repair .............. Removal 4. Estimated Cost ...... ~.~.! 0.~). ·~ 5. If dwelling, number of dwelling~nit~ If garage, number of cars . . '6. If bus~ness, commercial or mixed oct 7. D~mensions of existing structurqs, if Height ............... Number, hie} New Building ........... .\dd~tlon .......... Alteration .......... ............. Demolition .............. Other Work ............... . ~ ~ (Description) '.o. Fee 0'7_9; d " (to be paid on filing this application) .......... Number of dwelling units on eac oor ................ upancy, specify nature and extent of each tyue of use ........ Dimensions of same structure Mth Depth .... .~.~)..d. ....... 4" t 8.: Dimensions of entire new constructi Height ............... Number 9. Size of lot: Front .. ~.~:~. 10. Date of Purchase .......... 2... 11.. Zone or use district in which pr~mis 12. ,Does proposed construction vioiate ~ 13. Will Iot be regraded ... ]?'t/t~... 14. Name of Owner of~premises Name of .Ar~~.~. 7. Name of Contractor ........ terations or additions: Front . ~ fi .~.7..t. .... Rear . ~,f,. ~.7~. ....... eight ...................... Number of~ries ../(//f.'~,- .............. ,n: Front..../~..,..,~7.. Rear./.~,a~[~. .... Depth . .,~O.,. ~'.7. · · · ?f Stories ../~./5~.' ............ ~ ................................... ./. ...... Rear... ~./~.. ,..4~.~. .._,.Depth ...~. f.~.., ~..~p...r. .... ............... Nam; o~ ~o'r~e'r'6(v~;r ~G~:Z'~..~(..~5~,~7~i~ ~T.~; ~s are situated ........................ ~ ./ .......................... ~ny zoning law, ordinance or regulation: .../."(..~ ........................ ................ Will excess fiI1 be removed from premises: Yes N~ [~. ~a~,i~o.~.OAddress ................... Phone No ................ ............. Address ................... Phone No ................ ............. Address ................... Phone No ................ Locate clearly and propexW lines. interior or comer lot. ?,~ PLOT DIAGRAM whether existing or proposed, and. indicate all set-back dimensions from or description according to deed, and show street names and indicate whether ............................. ~ ~ul~, ~s~ says that he is the (Name of individual sighting contract) ~e is the . .............................................................................. ~ ..... (Contractor, agent, corporate officer, etc.) of ]ald owner or owners, ~d is dul? authorized to perform or h'ave performed the said work and to m~e and f this application; that.all statements cont~.ined ~ this application are true to the best of his knowledge and belief; and t mt the '~ork w~l be'perfomed in the m~n~r set forth in the application filed ~herewith. :Sworn to before me this ' ' [ ' ~ (S~nature of applicant) TELEPHONE (576) 765-1809 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 2995 Application Dated May 19, 1982 TO: Mr. and Mrs. Elwood Hughes 1711 Meadow Lane East Meadow, NY 11554 [Appellant (s) ] At a Meeting of the Zoning Board of Appeals held on June 17, 1982 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 iX] Request for Variance to the Zoning Ordinance Article III , Section 100-31 [ ] Request for The public hearing on this appeal was held on June 17, 1982. Upon application of ELWOOD AND CAROL HUGHES, 1711 Meadow Lane, East Meadow, NY 11554, for a Variance to the Zoning Ordinance, Article III, Section 100-31 for permission to construct addition to dwelling with an insufficient sideyard at 6125 Skunk Lane, Cutchogue; Filed Map No. 1179, Part of Lot 130; County Tax Map Parcel No. 1000-104-4-1. The board made the following findings and determination: By this appeal, appellants seek permission to construct a 9'4" by 13'4" addition to the kitchen area, leaving a setback to the northerly property line of seven feet, a total reduction of four feet from the existing house. The board feels that the relief requested is minimal and practical under the circumstances, and therefore agrees with the reasoning of appellants. In considering this appeal, the board determines that the variance request is not substantial in relation to the code requirements; that the circumstances herein are unique; that by allowing the variance no substantial detriment to adjoining properties would be created; that the difficulty cannot be obviated by a method, feasible to appellant, other than a variance; that no adverse effects will be produced on available governmental facilities of any increased population; that the relief requested will be in harmony with and promote the general pur- poses of zoning; and that the interests of justice will be served by allowing the variance as indicated below. On motion by Mr. Goehringer, seconded by Mr. Sawicki, it was RESOLVED, that the application of ELWOOD AND CAROL HUGHES for permission to construct addition to dwelling with an insufficient sideyard, be and hereby is APPROVED AS APPLIED FOR in Appeal No. 2995. Location of Property: 6125 Skunk Lane, Cutchogue, NY; County Tax Map Parcel No. 1000-104-4-1. Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Grigonis, Douglass and Sawicki. This resolution was unanimously adopted. DATED: July 7, 1982. Form ZB4 Irev. 12/81) CHAIRMAN, SOUTHOLD TOWN ZONING BOARD ..?.-'.'' ...:. '.,:: ..-