HomeMy WebLinkAbout23319-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
$outhold, N.Y.
~ERTIFICATE OF OCCUPANCY
No Z-24499 Date JULY 16, 1996
THIS CERTIFIES that the building ACCESSORY
Location of Property 615 KNOLLWOOD LANE
House No. Street
County Tax Map No. 1000 Section 107 Block 6
Subdivision Filed Map No.
MATTITUCK, N.Y.
Hamlet
Lot 8
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEERUARY 14, 1996 ~ursuant to which
Building Permit No. 23319-Z dated MAR~H 20, 1996
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 ACCESSORY GARAGE IN SIDE YARD AS APPLIED FOR & AS PER
ZONING BOARD OF APPEALS ~4364 DATED 3/12/96.
The certificate is issued to BRUNO KA~ECKI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N-389999 - JUNE 28, 1996
N/A
Rev. 1/81
Inspector
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENt'
TOWN HAU.
$OU'~HOLD, NY,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
oo,e ................. ~..~ .................... ~9.~..
23319 Z
Permission Is hereby granted.Jo: / ~, ~.,
~.~o.~.~L,:(~.~,~../¢.c..(...d...a.~.o../~,~
......... .................
.........
.../..~.:...~...~......~....~.~.~.....~........~....~¢...,. .............
.¢..,~.....~.....~,...¢:a..,./&.,.....~~ ........... ~~...¢/~
,,p,,m,,,,,oo,,~ ~, .......... .&...O.~. .........................................................
........................ , ............................................. ~.~%~ ...................................
pursuant to application dated ......................................... ~/~ ] g ~.~ , and approved by ~e
Building Insp~lor,
............................ ~ii~i~Gi~;'6~' ..........
~oV. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
BLDG. DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Ppre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~ .25~ '
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Conm~ercial $15.00
~ Date.~/~./..'.~6/ ...............................
New Construction ........... Old Or Pre-existing Building .................
Location of Property ................... /.'~/ ............ f~. .... '.~/5/. j ...... ~ ........... .~-~..
House No. Street Hamlet
Onwer or O ers Property ........... ............................... ....
County Tax Map No 1000, Section ..... ./.0..7 .... Block ........ .~. ....... Lot....~. .................
Subdivision .......................... ~".' ......... Filed Map ............ Lot ......................
. . . . ?. ;
Permit No...~. ~.J.~..Z..Date Of Permit..~. ~...Applicant.fO.
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board ApprovalS.~-''J~'~2- '~ ~/~..~b.~.
Request for: Temporary Certificate ........... Final Certicate .... ~......
Fee Submitted: $....~..~.: .~.~. ............... .~ .~p~... ~/~ ~~. ~.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E :~
~eee~1 su.£^u or ~-~c'rFUC,T¥
-- 85 JOHN STREET, NEW YORK, NY 10038
D.t~ JUNE 28, ~996 ~pp~i~.,~o, ~o. o.f~ ~86~.796/96 N 3899~9
THIS CERTIFIES THAT
o~y t~ electrical ~uipment ~ ~sc~b~ be~ a~ ;~tr~uc~ by t~ opplicant ~m~ on ~e a~ve appNcation number in the prem~es of
BRUNO ~CKI, 6~5 ~OLLWOOD RO~, ~TITUCK, I~.Y.
u~s exomined on JU~ 24 ~ ~ 996 and found w he in compliance ~ith the N~n~ Electrical Code.
RXTURE FIXTURES RANGES ovENs DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES
DRYERS FURNACE MOTORS
TIME C~,OCKE UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT S E R V I C
NO. OF CC COND. A.W.G.
NO. OF HI-LEG
t
PAUL R. BURNS
P.O.BOX 1061
SOUTHOLD, NY, 11971-0932
LIC. #3897
GENERAL MANAGER/
This ce~i~icate most 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'I~O~ BE ALTERED IN ANY MANNER.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (515) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
June 17,
1996
Robert Bohn Contracting
P.O. Box 55
Peconic, NY 11958
Re: Bruno Kawecki SCTMg1000-107-6-8
Prem: 615 Knollwood Lane, Mattituck
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
xx No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23319-Z
Please con{act our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
I:( flltll~^'l' I i)ll {
I~r-)YIII)/H' 1011 (2111))
UAl'IS
IIlfillI.A'l'l()ll I'1~1~ |1, ¥. ~
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I~ IIIA I,
Al)l) IT I OIIAI. (~01~1t11~,11/',~:
FORH NO. 3
TOI~N OF SOUTHOLD
BUILDIN~ DEPARTHENT
SOUTEOLD, N.Y.
NOTICE OF DISAPPROVAL
PLEASE TAKE NOTICE that your appllc~t[o~dated .~'/.~.' ............. 19.~...~..,
cou.ty ~ ~.p ~o. ~ooo - s~t~o....~ 7 ~.oc~ ~ ~o~ ...~..
Subdivlslon ............................... Filed Hap No .......... Lot No ........
.~ .... ./~~..~...~~.~..~ ................
..... ~ ..... ..,~~ .... ~~.~..~.~~..~~.
. .~....~ ......... ~ ......................... ~..~ ................................
RV g spector
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
Serge Doyen, Jr.
James Dinizio, Jr.
Robert A. Villa
Lydia A. Tortora
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
March 12, 1996
Mr. Jason C. Leonard
P.O. Box 55
Peconie, NY 11958-0055/// ........}¢,
Re: Appl. No. 4364 - BlUe Kaweeki/t/Variance for Detached Garage)
Dear Mr. Leonard: /
Please find enclosed a copy of the
Board of Appeals at our March 6,
today with the Town Clerk's Office
application.
determination rendered by the
1996 Regular Meeting and filed
concerning the above variance
A copy of this determination has also been furnished to the Southold
Town Building Department pertaining to the pending building permit
application request. However, it will be necessary for you (or the
owner) to contact the Building Department (765-1802) to be sure the
building permit application is returned to their "active" shelf.
Also, due to the proximity of thi.q project within 500 feet of a
waterway, state or county road, we have tl~ansmitted copies of the
variance file to the Suffolk County Department of Planning for their
determination as required under the County's Administrative Code.
It is expected that once is review is completed by the County, that
the County will leave the project for local (town) determination
without further County Planning review.
Very truly yours,
lk
Enclosure /-
Collies of Decision to:
_~------~ Building Inspectors' Office
--
Extra Copy - Building Permit Application File (ref: Disapproval)
Suffolk County Department of Planning
OARD MEMBERS
.flrard P. Goehringer, Chairman
/~r Serge Doyen, Jr.
fJ James Dinizio, Jr.
~/ Robert A. Villa
Lydia A. Tortora
BOARD OF APPEALS
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
D~E OF ACTION: March 6, 1996 APPL. #4311.
APPLICANT: BRUNO KAWECKI
LOCATION OF PROPERTY: 605 Knollwood Lane, Mattituck.
COUNTY TAX MAP DISTRICT 1000, SECTION 107, BLOCK 6, LOT 8
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1809
BASIS OF APPEAL: Notice of Disapproval issued by the Building.
Inspector dated February 14, 1996: "...Accessory buildings and uses
shall be located in the required rear yard. Article IIIA, Section
100-30A.4 (100-33)... "
RELIEF REQUESTED: To locate 19 ft. by 25 ft. detached, accessory
garage (one-story) building at the easterly' side of the existing
dwelling with a setback from the easterly side property line at not less
than 15 feet.
MOTION MADE BY: James Dinizio, Jr.
SECONDED BY: Gerard P. Goehringer
ACTION/RESOLUTION ADOPTED: Granted as applied provided: (a) only
utilities for electric shall be allowed, as proposed, (b) that the
easterly side yard set back be not less than 15 feet~ as requested.
REASONS/FINDINGS: It is difficult to place a building of this size in
the rear yard due to the contour of the land a~ large trees and
foliage. No alternative location is available. Although a breezeway
dwelling connection is allowed by code for placement of a garage in this
yard, applicant prefers placement without additional construction for a
breezeway. This project is more beneficial to the applicant with easy
accessibility from the driveway and from the house exit doors. The
requested relief is not unreasonable and will not cause a detriment to
nearby properties or adverse impact on the physical or environmental
conditions in the neighborhood or district. The requested relief is
rational and is not self-created..
VOTE OF THE BOARD:
Ayes: Serge J. Doyen, Member
James Dinizio, Jr., Member
Robert A. Villa, Member
Lydia A. Totters, Member
Gerard P. Goehringer, Chairman
This resolution was unanimously adopted.
ZBA:lk
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
..BOARD OF HEALTH .........
/3 SETS OF PLANS ..........
SURVEY ...................
CIIECK ....................
~SE9TIC PORM ..............
,~Z TEL.: 765-1802
Disapproved a/c ~/~.
//(Building Inspector)
APP~ATION FOR BUILDING PERMIT
CALL . - ...........
MAIL TO:
Date ...... ;. .......... , I9...
INSTRUCTIONS
a, This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
sets of pl~ns, 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 ffreas, and giving a detailed description of layout of property must be drawn on the tliagmm 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 removaI or dernolifion, as herein descr/bed.
The applicant agrees to comply with ali applicable laws, ordinances, budding code, housing co, de, and regulation,s, and to
admit auth°rized inspect°rs °n premises and in building f°r necessary~°nsF~ /~
-- - -- ' ....... ....
·. '/ -
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer · , electrician, plumber or builder.
., .¢.¢d...e..~4...~..,, .e~4....~.~.. ............................................................
Name of owner of premises .... ~0,30. ..... .~xt~..~..~..C~. J.~.~lZ. ........................................
(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 ......................
Location of land on which proposed work will hg[ done ..................................................
..... / 153. . ................... .oc. o p. . . c4°t ........ /:l/Jx. . T:.. . r-.. . . l . o. .... .
House Number Street Hamlet
County Tax Map No. 1000 Section ...... /.~..~7. ...... Block ..... ~-.~. ......... Lot .... ~..~...
Subdivision .................................. ,.. Filed Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
3. Nature of work (check which applicable): New Building · Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
.~.d~ .~5~/OO/0i, ~ (Description)
4. Estimated Cost. .i, ......................... Fee ......................................
I (to be paid on filing this application)
5. If dwelling, number of dwellinb units ............... Number of dwelling units on each floor ................
. If garage, number of c~s .... ~ ...................................................................
6. If business, commercial or mix{d occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories .............................................. . ..........
D~ensions of same stmcfure mith alterations or additions: Front ................. Rear .................
Depth ................... ~.. HeiSt ....................... Number of Stories .....................
8. Dimensions of 2ntfe new const~ction: Front... ~ { ........ Rear .... ~ ~ ..... Depth . .~. ~...
Height .... [O ......... Number of 8toiles Z ..... ., ............. ' '
9. Sizeoflot'Fron~ /~t . Rear . ~ ' ' ~":~"~~' "
.......... ~ ............. , .w ....... vepm ....
10. Date of Purchase .......... ~ .................. Name of Foyer Owner ............................
11. Zone or use district in which pr~mises are situated ....................................................
12. ocs proposed construction violate any zomDg law, ordinance or regulation: ..........................
13. Will lot be regmded ...~0...~ ................... Will excess fill be removed from premises: Yes .No
14. Nme of Owner of premises .. 'i ................. Address ................... Phone No ........... ' .....
Name of Architect .......... [ ................. Address ................... Phone No ........... ; ....
Nme of Contractor ......... ~ ................. Address ................... Phone~ ........... ~...
15. Is this property within $00 feet of a tidal wetland? *Yes ........ No.
· If y~, Southold ~own Trustees Permit may be required.
PLOT DIAG~
Locate clearly ~ distinctly Jl~ bulldogs, whether existing or proposed, and. indicate ~1 set-back d~ensions from
prope~y Hnes. Giw *~eet ~d block gumber or desc~ption accord~g to deed, and show stre~: nines and ~dicate whether
inte~or or corner lot ~ ' ....
.............. acing amy sworn, aeposes ~ says that he is the applicant
(Name of individual signing contract)
above named.
................................................................
(Contractor, agent, corporate Officer, etc.)
of said owner or owners, ~d is duly autho~zed to perform or have perfomed the said work and to m~e ~d file this
application; that all statements contai~ ted ~ this application are true to the best of his knowledge and belief; and that the
work will be perfomed in the m~ner ~ et forth in the application filed therewith.
Sworn to before me t~s ~ , '
......... ..... .....
Not*W Publio, Stato of ~New Yo k ~ .........
No. 4879505 ~ / /
Commission ~xpires Decm~ber 8, 19~
HOU$~
~0.0
7_.
NlOIf:
EO~A~O '~' SC~OA
dERTIFIEO TO:
RESIDENTIAL MORTGAGE SERVICE
INCORPORA TED
EQUITY ABSRACT INC,
MARK McKEE
PAUL J. McKEE
Prepared in aeaordanoe with the minimum
etandarde for title aurveye aa eetablllthed
bY the L,I.A.L.S. and apjorov**ed and adopted.
fbr eOoh uae By The New fork State LanCl
Title Aeeoelation.
,.SURVEY OF
PR OPER T Y
1000 - 107- 06 - 08
Scale 1" = 40'
May- 18, 1989 ,'
$OUTHOLD, N.Y. 11971
A T MA T TI TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.