HomeMy WebLinkAbout15508-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z-16371 Date November 5, 1987
THIS CERTIFIES that the building STORAGE BUILDING
Location of Property ...~J.9.0.9..0.?. ~.o.~..~..o.a?. .......... .C.u.t..~.h.o.g.u. ?.,..S.~..w. 7. o..~.k .......
House No. Street Hamlet
County Tax Map No. 1000 Section .. 9.8.3. ...... Block . .0..3 ........... Lot . .P[9..4.: 4. .......
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore fried in this office dated
Nov. 18, 1986 pursuant to which Building Permit No. 15508 Z
dated .N.oy.e.m.b. ?.r..!8..,..I. 9.8..6 ........ wasissued, and conformsto all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
STORAGE BUILDING
DONALD J. GRIM
The certificate is issued to ..................... [o~,.~.r,./~s~V,$r~f~yt~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
N/A
PLUMBERS CERTIFICATION DATED:
Building Inspector
Rev. 1/81
lvOB~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 15508, Z
Permission is hereby granted to:
...... ...........
ot premises Iocoted at ....~.]..X..~...,O,, ...... ~J~.~ ...... .~ ........... ~~.~ .................
County Tax Map No. 1000 Section ...... .C)..~.~ .....Block ...... ..C~..~ ...... Lot No .....~/q...~.:.~. .....
pursuant to application dated .... ~.)~k,.~ ........ .~....~ ............ , 19.~..~,., and approved by the
Building Inspector.
Fee $. ,~,,,.~,.,~.. ;.. ~.
Building Inq~'tor
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
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 m~ 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 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
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-
t/on required to prepare a certificate.
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..... I.I./..5/.8.7. .............
New C on s t, r uc t. i on ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property..~...~../~. ....... ~..~.~..~.~.~. ............. . .~...~C..~.~.~...~/~.
House No. Street Ham/er
DONALD GRIM
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section 083 Block 03 Lot p/0 4.4
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No/~k~..~)ate of Permit ./~./~?..?.~..Apo Iicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $... ! .0...0.0. ....................
Construction on above described bu i Id i n g a n/~z~,)lm e;~p li~ ble c~ ~gu la tio n s.
Rev.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
\
..........
PLEASE TAKE NOTICE that your applicat, ion d~ .... ~.. ..... , 19 .~'. ~..
Location of Property ..............................
House No. Steer Ham/et
co..t~ ?,, ~, ~o. x0oo s=~o.. ~. ~ ...... B]o=~ . ~..7. ....... ~t~/¢.~. ~...
Subdivision ................. Piled ~ap No ................. ~t No ..................
is returned herewith and dislpproved on the following grounds ...............................
Building
RV 1/80
FORM NO. 3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
To ~ ~.a.. ~,: .~.~ .........
.~...~ ~...~...~... ........ ~,
~~..~..~,. t;.~?. / .......
PLE^S~."r^~E NOTIC~ that yo'~r application d~ted~...~.~,.....C~....~. ~ ........ ~V .~..~..
for permit to construct.....t3~... ¢~..'.c~. ............................................. at
Location of Property I qO-O 0,~%-~ ~ ~J~. ..Q~.....c_~...Ac~ ,
h3~s'e bio '1 ........... 's't/ebi .............. ~ ......... iq3~iei
County Tax Map No. 1000 Section ..'..?..~..~. .... Block ...... .C). 5... Lot ~ .~'.~....
Subdivision ................. Filed Map No ................. Lot No ..................
is returned herewith and disapproved on the following grounds....(~h...' .c~..../:..~.K... ~ ~ ./.~.:.?.0
..-~.~... ~..~?. .... '...,, .~..o_:....%..~.., .~. .... ~ ,,3¢3~ ~:..4.. "~" .... ""%'~'"~"'~' ['"t"~
. . . . . . :. ............................
Building Inspector
RV 1/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAo; ~
~OOl,3 ~ 4 BUREAU OF E'ECTR,C,TY
~ 85 JOHN STREET. NEW YORK, NEW YORK 10038
Dat~ JUNE 12,1990 Application No, onfile 48313287/87 N 134912
THIS CE~IFIES THAT
o~y t~ el~t~ ~uipment ~ ~c~ ~ a~ int~ by t~ a~t ~ on the a~ appl~ati~ numar in t~ p~s o~
APRIL 16,1990
~s exarnin~ on and found to be in cotnpllance with the r.qH~ltle./S of this B~rd.
FIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHBIS IXHAUST FANS
OUTLETS SWITCHES FL~(~ESCENT OTHEn
S~RVIC~ DISCONNECT S E R V I C
OT~R AI~ARATUS:
complete certificate.
OF CC. COND.
E
B.J.KL~C. CO.
BOX 16,STIhSWATER AVE.
CUTCHOGUE, NY, 11935
1, IC.~2670-E
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors by their cmdefltiols.
COPY FDR BUILD'FIG D~PARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IH ANY MM4HER.
Southold Town Board o£Appeals
MAIN RI"tAI:)- STATE: RI'lAD ~'.~ ~(:3UTHI"ll..D, L.I., N,Y. 11¢J71
TELEPHONE (516) 765-1809
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 349]
Application Dated April 9, ]986 {Public Hearing May 22, ]986)
TO: Mr. D0na]d J. Grim [Appellant(s)]
475 Jernick lane
50uth0]d, NY ]]97]
At a Meeting of the Zoning Board of Appeals held on June 25, ]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 IX , Section ]00-90(A)
[ ] Request for Variance to the Zoning Ordinance
Article , Section
[ ] Request for
Application of DONALD J. GRIM for a Special Exception to the Zoning
Ordinance, Article IX, Section 100-90 for permission to construct storage
building and establish outside stockpiling of material uses in this "C-l"
Heavy Industrial Zoning District. Location of Property: Lot No. 2,
(Pending) Minor Subdivision No. 450 of L.8. Glover, south side of Oregon
Road, Cutchogue; County Tax Map District lO00, Section 83, Block 3,
Part of Lot 4.4, containing 4.59 acres.
WHEREAS, a public hearing was held and
in the Matter of the Application of DONALD J.
No. 3491; and
concluded on May 22, 1986
GRIM under Application
WHEREAS, the board members have personally viewed and are
familiar with the premises in question, its present zoning, and
the surrounding areas; and
WHEREAS, at said hearing all those who desired to be heard
were heard, and their testimony was recorded; and
WHEREAS, the board has carefully considered all testimony
and documentation submitted concerning this application; and
WHEREAS, the board made the following findings of fact:
1. By this application, appellant requests a Special Excep-
tion to the Zoning Ordinance, Article IX, Section 100-90 for
permission to construct 40' by 60' garage/storage building and
establish outside stockpiling of materials as shown on site plan
dated March 10, 1986 prepared by Sealand Surveying.
2. The premises in question is located in the "C-l" Heavy
Industrial Zoning District, contains an area of 4.5913 acres
(or ]99,997 sq. ft.) with frontage along the south side of Oregon
Road of 362.05 feet and is identified on the Suffolk County Tax
Maps as District lO00, Section 083, Block 03, part of 4.4. The
subject parcel is referred to as Lot #4 of Pending Minor Subdivi-
sion No. 450 of L.B. Glover before the Southold Town Planning Board.
(CONTINUED ON PAGE TWO)
DATED: June 25, 1986.
Form ZB4 (rev. 12/81)
CHAIRMAN, SOUTHOLD TOW/~ ZONING BOARD
OF APPEALS
Page 2 Appea~ No. 3491
Matter of DONALD J. GRIM
Decision Rendered June 25,
1 986
3. The proposed garage and storage building is shown on the
March 10, ~986 site plan to be set back 150 feet at its closest
corner from the front property line and set back 50 feet from the
westerly (side) property line. The area for stockpiling of
materials (such as gravel, sand, etc.) is to be located lO0 feet
from the rear property line, and 50 feet from both side property
lines.
In considering this application, the board finds and
determines that: (a) the use requested will not prevent the
orderly and reasonable use of adjacent properties or of properties
in adjacent use districts; ~b) the use will not adversely affect
the safety, welfare, comfort, convenience or order of the town;
(c) the use is in harmony with and will promote the general
purposes and intent of zoning. The board has also considered
subsections [a] through [1] of Article XII, Section 100-121(C)[2]
of the Zoning Code.
Accordingly, on motion by Mr. Sawicki, seconded by
Mr. Douglass, it was
RESOLVED, that a Special Exception for permission to
construct 40' by 60' garage/storage building and establish
stockpiling of materials, all as shown by Site Plan prepared
by Sealand Surveying dated March 10, 1986, in the Matter of
the Application of DONALD J. GRIM, BE AND HEREBY IS APPROVED
SUBJECT TO THE FOLLOWING CONDITION:
That the area to be used for stockpiling be screened with
stockade fencing of between 4 and 6 feet in height, or evergreens
having a minimum height of four feet, along the road (north)
and westerly sides.
Vote of the Board: Ayes: Messrs. Goehringer, Grigonis,
Douglass and Sawicki. (Member Doyen was absent.) This resolu-
tion was duly adopted.
lk
GERARD P.' GOEHRIN/J~ER, CHAIRMAN
July 10, 1986
BUILDING DEFT.
~ INSPECTION
FOUNDATION 'IST [ 'l ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
I' ] FINAL
DATE
INSPECTOR
7GS-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DATE/~/2 ~-//~'? INSPECTOR '~~/
/
OUNDATION st)
OUNDATION ( 2nd )
OUGH FRAME &
FLUMBING
NSULATION ?ER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
Examined..~.~ l.~, 19 .~.(o.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
gOUTHOLD, N.Y. 11971
TEL,: 765-1802
Approved .~..~..I.~., 19 ~.1o. Permit No. ?..~'~b-.~..~..~.
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ......... ~..,19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
.ets 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
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ration.
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
:hall 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
hall 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
luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describedt~
?he applicant agrees to comply with all applicable laws, ordinances, bg~flding code, housing code,.imd regulati6_ns,.~fl~.t, ol"]
d~nit authorized inspectors on premises and in building for necessary inspections. /] j ]~ Q2] ~' [~)~l IIl~.~
....
(Signat~re~f applicantf.$r name, if a corporation)
. .e'.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, archit~,~ngineer, general COl~tractor, electri~tn, plumber or builder.
Name of owner of premises .~U/XJ.~.~...
(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 License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done .... ~ .............................................
............ ~::~' Street Hamlet ~
House Number
County Tax Map No. 1000 Section ~. ~. ~. ............ Block . .--...~..3 .......... Lot..~./~...~.,. '7
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premise~and intende ,~l~and occupancy of proposed construction:
a. ~xistin.g use and occupancy .........VV. ~.. (~.~.'1 ..................... ~ .....................
....
3. N~iture o*f work (check which applicable): New Building .......... Addition .......... Alteration ..........
Reptir . .'. ........... Removal .............. Demolition .............. Other Work ......... ? .... .'
(Description)
;. Estimated Cost .... ? ................................. Fee ......................................
· (to be paid on filing this application)
L If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars ........................................................................
;. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
2. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
~. Size of lot: Front ...................... Rear ...................... Depth ......................
3. Date of Purchase ............................. Name of Former Owner .............................
1. Zone or use district in which premises are situated ....... C..'7'. ~... .....................................
2. Does proposed construction violate any zoning law, ordinance or regulation: ................................
3. Will lot be.j'egra~led ~, . 3., ...... ~ .... Will excess fill be removed from premises: Yes No
1. Name of~ o~prermses .... .~.rA ./~. Address ................... Phone No. a.....
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address ................... Phone No.
located withinlO0 feet of a tidal wetland? * Yes .....
5.
Is
this
property
· If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
~terior or corner lot.
CATE OF NEW YORK, S.S
OUNTY OF .................
................................................ being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
~ow'. named.
is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
)plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
ork will be performed in the manner set forth in the application filed therewith.
~orn to before me this
.........
....................... day of .....
.....
~~,.a ..... *. ~/ (Signature of applicant)
M/NOR $O~OIVISlON
of
£KANO~N ~LOVEI~
$1TU~T£D ~T
CU CHOGU
TOWN OF SOOTHO~O
SU£~'OLK CO., N. Y
C£t~T/F/EU TO,-
OMNI ~BSTRACT CORPORATION
CHICAGO TITL £ /NSUR~NCE COMPANY
FO~ DON~O $~IM
/zo'
GAL
TYPICAL WELL DETAIL
%
,/
DRAINAGE LEACHING POOLS
60
900 GAL.
SEPTIC TANK
o o r~ C~ C~ ~
o0 ~
SANITARY LEACHING POOL
' TOWN OF
KEY MA_~P
PROPOSED
SITE PLAN
FOR
DONALD GRIM
SITUATED AT
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
OWNER:
DONALD GRIM
475 JERNICK LANE
SOUTHOLD, N~ 1197'1
TAX MAP DESIGNATION,'
SCALE'
PREPARED BY:
sealand .
/JJ Jsurveying &
~ engineering, p.c.
IlO west main street
riverhead, new york 11901
(516) :569-1717
Iooo-o83- o,~- P/O 4.4
l"=GO'
AREA: I99, G97s~f~ or 4.5913Acres
ZON,ING: c-i GENERAL INDUSTRIAL
NOTE: t~d~SUANT___ __TO~S~FFOLK_. ~ _ COUNTY SANITARY CODE ARTICLES 7 AND 13, I
.l~W~Jd ~J-~/Yl, HERESY
CERTIFY THAT THEHE WILL
NOT
ANY INDUSTRIAL ~ASTES OR OTHER NON-SANITARY ~ASTES DISCHARGED
FROM THE BUILDING AND THERE WILL BE NO TOXIC OR HAZARDOUS
MATERIALS STORED AT THE SITE UNLESS SPECIFIC PERMITS 0~
EXEMPTIONS ARE GRANTED PURSUANT TO THOS~ ARTICLK~.
DATE.
NOTE' ELEVATIONS REFER TO MEAN SEA LEVEL.
PARKINg' THREE ($) PARKING SPACES REQUIRED
FIVE (5) PARKING SPACES PROVIDED
SANITARY DESIGN;
GAR. ~ STORAGE BLD~ = 2400 5q. f~
2400sq. H X 004 ~R~/s~ft, = 9G~RD,
~OVIOE MI~ SYSTEM: ONE (I) ~0 GAL~ SEPTIC TANK
ONE (I) 8 DIA.(lB DEEP) LEACHING POOL
DPAINAGE DESIGN'
IMPEHVIOUS SURFACES: 6800s~H X lO X P/l~= 113~.38cuH
~MAINING AHEA: 193,ZOOa~ft XO~O X 3~=9660 cult.
TOTAL = I0, Y93
LEACH(NG POOL VOLUME: ~ X ~ X I~ = '
I0~ 7~.~/I,~,~7 = ~ 59 LE~CHING P~L S REQUIRED
PROVIDE 9 POOLS~ I0~ DI~.,18' DEEP
EVERGREENS a STOCKADe' GATE ADDED E~H
FOUNDA'rlON 'WVO qE4:IUII~D.
USE IS UN~WFUL ~o~ow~
~OR ~O CON~
WITHOUT CERTiFiCATE
0F OCCUPANCY . ~o.~o.~.o.
A.~ dONSTRUCTION~ ~ J '
THF ~EQUIP~MENTS ~ ~ N.Y,
J~
CODES NOT RESt"ONSlI~:E.FOR, ,