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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24102 Date DECEMBER 29, 1995
THIS CERTIFIES that the building ACCESSORY
Location of Property 2890 BRIDGE LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 85 Block 2 Lot 22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 9, 1994 pursuant to which
Building Permit No. 22533-Z dated DECEMBER 16, 1994
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 FRONT YARD AS APPLIED FOR & AS PER
ZBA #4284
The certificate is issued to THOMAS & ELIZABETH THOMPSON
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-048125 - DECEMBER 13, 1995
PLUMBERS CERTIFICATION DATED N/A
B lding Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N2 225332 Date .........L.L/~tP 19./......
Permission Is hereby granted to:
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M-40 t4l~-rool
at premises located at......... .......0
.1.......... -c~(r~ ......--t
County Tax Map No. 1000 Section ../..././.A.. Block ......027; Lot No.
pursuant to application dated ................f.Z.. 19.... and approved by the
Building Inspector. 6
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Fee S......... "....,rr.~.t....
BRev. 6/30/60
Form No. 6
'IL
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
DEC 28 1~j TOWN HALL 765-1802
t BLDG. PEP?~Oi
TOWN Ode-°" APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 cert ing that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial}:buil`a" g, multiple residences and similar buildings
and installations, a certificate'gf Cq Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of `completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-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 Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...ti:~.~.a 6!
New Construction......` or Old Or Pre-existing B Ilding.
Location of Property.... w~~....:.....VJ • •h~• • • • • "
House No. Seet Hamlet
Onwer or Owners of Property.. ~Vp(,+~•h~• v ••t~{U~""""""
County Tax Map No 1000, Section . .~..ii ~ ..Block... ..........Lot.. 0!-.,r6r • • • • • • • • • • • • •
Subdivision.. M q~...V•,`-~G F'led Map............ Lot
Permit No A15~3•~••Date Of Permit.. !~k`? t Lt..Applicant
Health Dept. Approval ~~~~4`....... Underwriters Approval....
" " " " " "
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...'........
Fee Submitted: $
~s-C,.-soP'?8, 4tat ..APPLI. T
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Town Hall, 53095 Main Road p • Fax (516) 765-1823
P. 0. Box 91971 ~aO~ Telephone (516) 765-1802
Southold, NewYork 1
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
December 21, 1995
Mr. & Mrs. Thomas Thompson
2890 Bridge Lane
Cutchogue, NY 11935
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 # 22533-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
R-A
APPEALS BOARD MEMBERS ] ~a
y,. .r...: j.. ti
Gerard P. Goehringer, Chairman BLDG. DEPT Southold Town Hall
TOWN OF SOUTHOLD 0095 Main Road
Serge Doyen, Jr. P.O. Box 1179
James Dinizio, Jr. Southold, New York 11971
Robert A. Villa, ! `a Fax (516) 765-1823
Richard C. Wilton ^r U Telephone (516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
DATE OF ACTION. December 7, 1994 APPL. #4284.
APPLICANT: THOMAS THOMPSON
LOCATION OF PROPERTY: 2980 Bridge Lane, Cutchogue; Lot #10
Map of Ismar Acres approved March 13, 1973.
COUNTY TAX MAP DISTRICT 1000, SECTION 85, BLOCK 2, LOT 22.
BASIS OF APPEAL: Notice of Disapproval issued by the Building
Inspector dated November 3, 1994: "Accessory buildings shall be
located in the required rear yard."
PROVISIONS APPEALED FROM: Article III, Section 100-33.
RELIEF REQUESTED: 24' by 241accessory garage located at least 15 feet
from the westerly side property line and at least 150 feet from the
front property line (along Bridge Lane).
MOTION MADE BY: James Dinizio, Jr., Member
SECONDED BY: Gerard P. Goehringer, Chairman-Member
ACTION/ RESOLUTION ADOPTED: Granted front yard location of 24' x
24' accessory garage, with a setback of at least 15 feet from the
westerly side property line and at least 150 feet from Bridge Lane with
the condition that this accessory building not be converted or used for
living or habitable purposes.
REASONS/ FINDINGS: Dwelling is set back 197+- feet from front
property line. Property contains 135 ft, lot width. Garage is close to
dwelling and gives the appearance of an attached building.
VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member
James Dinizio, Jr., Member
Robert A. Villa, Member
Richard A. Wilton, Member
Gerard P. Goehringer, Chairman-Member
This resolution was unanimously adopted.
Ik GERARD P. GOEHRINGER, CHAIR N
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lr, ' DEC 1 21994
'
APPEALS BOARD MEMBERS
BLDG. DEPT. Southold Town Hall
Gerard P. Goehringer, Chairman `s TOWN OF SOUTHOLD 5095 Main Road
Serge Doyen, Jr.~~ P.O. Box 1179
James Dinizio, Jr. Southold, New York 11971
Robert A. Villa Fax (516) 765-1823
Richard C. Wiltonn xa° Telephone (516) 765-1809
BOARD OF APPEALS
TOWN OF SOUTHOLD
ACTION OF THE BOARD OF APPEALS
DATE OF ACTION: December 7, 1994 APPL. #4284.
APPLICANT: THOMAS THOMPSON
LOCATION OF PROPERTY: 2980 Bridge Lane, Cutchogue; Lot #10,
Map of Ismar Acres approved March 13, 1973.
COUNTY TAX MAP DISTRICT 1000, SECTION 85, BLOCK 2, LOT 22.
BASIS OF APPEAL: Notice of Disapproval issued by the Building
Inspector dated November 3, 1994: "Accessory buildings shall be
located in the required rear yard."
PROVISIONS APPEALED FROM: Article III, Section 100-33.
RELIEF REQUESTED: 24' by 24'accessory garage located at least 15 feet
from the westerly side property line and at least 150 feet from the
front property line (along Bridge Lane).
MOTION MADE BY: James Dinizio, Jr., Member
SECONDED BY: Gerard P. Goehringer, Chairman-Member
ACTION/ RESOLUTION ADOPTED: Granted front yard location of 24' x
24' accessory garage, with a setback of at least 15 feet from the
westerly side property line and at least 150 feet from Bridge Lane, with
the condition that this accessory building not be converted or used for
living or habitable purposes.
REASONS/ FINDINGS: Dwelling is set back 197+- feet from front
property line. Property contains 135 ft. lot width. Garage is close to
dwelling and gives the appearance of an attached building.
VOTE OF THE BOARD: Ayes: Serge J. Doyen, Member
James Dinizio, Jr., Member
Robert A. Villa, Member
Richard A. Wilton, Member
Gerard P. Goehringer, Chairman-Member
This resolution was unanimously adopted.
lk GERM P. GOEI RINGS , CHAIR N
>r
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF, DISAPPROVAL
DATE: .„.NOVEMBER 3, 1994
To Thomas 6 Elizabeth Thompson
2890 Bridge Lane
Cutchogue, New York 11935
PLEASE TAKE NOTICE that your application dated ..NAYWNR.2........ 19..94..
CONSTRUCT ACCESSORY GARAGE .
for permit to at
. LANE GUTCHOGUE, N.Y.
Location of Property ....2890 BRIDGE .
House No. Street Hamlet
County Tax Map No. 1000 - Section ...85...... BLOCK LOT
Subdivision Filed Map No. .........Lot No.
is returned herewith and disapproved on the following grounds
UNDER ARTICLE III SECTION 100-33, ACCESSORY BUILDINGS SHALL BE LOCATED IN
THE REQUIRED REAR YARD.
ACTION REQUIRED BY THE ZONING BOARD OF APPEALS.
.
X011 j. kff~...
SR. BUIL ING IN CTOR
RV 1/80
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE J INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
OUNDATION 1ST ( ) ROUGH PLBG.
[G.
FOUNDATION 2ND [ I INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
,6C
DATE / INSPECTOR
6 6
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: -
DATE INSPECTOR .v
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1.
r8057833 BUREAU OF ELECTRICITY
88 JOHN STREET. NEW YORK. NEW YORK 10038
Date DECEMBER 13,1955 A //ication No. an (ite 10780295/95 H 048125
THIS CERTIFIES THAT rNIRMIT I3.. 22533
only the electrical equipment as described below and introduced by the applicant nomad on the above application number in the premises of
THOMAS/ELIZABETH THOMPSON, 2890 BRIDGE LANE, CUTCHOGUE, N.Y.
in thefollowinq location; ? Basement El GAR/OUT lst Ft. 1:1 2nd Ft. Section Block Lot
ryasexaminedon DFCEHBFR 06,1995 and.Tound to be in compliance with the National Electrical Code.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER I. K. W. AMT K W. I. KW. AMT. K. W. AMT. H. P.
5 ~ 4 5
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS S?ECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H. P. GAS H. P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS TRANS. AMT HP. SYSTEMS WT WATTS
NO.OF FEET
SERVICE DISCONNECT NO. OF - - S - E R- - -'"-V 1- -C E- - - -
METER
pMl. AMP. TYPE EQUIP 1,94W 108W 3 0 3W 3e4W NO.OCC COND A W G. A. W. G. A. W G.
PER .e' OF CC.COND. NO. OF HI-LEG OF HI LEG NO OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
G.F.C.Is-1
THOMAS/ELIZABETH THOMPSON
2890 BRIDGE LANE
CUTCHOGUE, NY, 11935 GENERAL MANAGER
11
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 credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
flu r`5' L5 [BOARD OF HEALTH yy~~
~IU ~11 FORM NO.1 ] SETS OFF1,lS
I TOWN OF SOUTHOLD SURVEY
i~+i• nn` BUILDING DEPARTMENT CHECK _ • • • . .
p TOWNI -IALL SEPTIC I'OR:t
P 6LDG.DE SOUTHOLD, N.Y. 77971
TOWN OFSOUTHOLD TEL.: 765-1802 NOTIFY;
- CALL
€xamined ~o..... 19 / 7 NA I L TO:
Approved , 19/Permit No.)V,33.2- . .
Disapproved a/c _ .
(Buildi I spector)
_ '
9a APPLICATION FOR BUILDING PERMIT I q
N Date `'.1~ 19~.
T01NN a OLD
INSTRUCTIONS
a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 stice
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appi
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 perm:
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 Occupant
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 th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
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 tc
admit authorized inspectors on premises and in building for nee! ssa inspection
OWE
(Signature of applicant or name, if a corporation)
(4 0 ~ ~ X15 ~ 1~ 2- ~9 Ne U-cL U ~
(Mailin ddress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
C.).W.V, e~t/lZ.......
Name of owner of premises ...?,1\,~w~wrS,C12,14V!eI1/4~^i o
(as on the tax roll or 12test 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 wi I be done. .
(
.......1 .v. C. 0 v y ~
Ifouse Number Street
QQ Hamlet
County Tax Map No. 1000 Section .00 Block , ; , ; , , , Lot .
Subdivision Piled N1ap No. 56.?. Lot
(Name)
State existing use and occupancy of premises and iripnded use and occupancy of proposed construction:
a. Existing use and occupancy M J
b: Intended use and occupancy ...........•l~ '
. . . . . . .
.....r3;tU<;; i~P?ety ni •`i:.d+ie.v ^
3. Retaiir .work check which
emovlicable): New Building
. Addition Alteration .
p Rctnoval • • '
Demolition JkjWr Work .
4. Estimated Cost .......ADO (Description)
Fee
5. If dwelling (to be paid on filing this application)
If garage, number of cars`vclliI units Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each t . . . . .
7. Dimensions of existing structures, if any: Front , , YPc of use .
.
Height .....r......,..Nu Rear Depth
Inber of Stories .
Dimensions of same structure With alterations or additions: Front . . . . . • ' ' ' ' '
Depth Height Rear
8. Dimensions of entire new construction: Front Number of Stories 1, ,
Height 11C ~luriber of Stories , Rear • i. • .
9. Size of lot: Front a .i.. s
. Rear ...t.a v t. s J:. s: d: ' .
Depth
p
10. Date of Purchase N ae of ~~rrtter Own~
11. Zone or use district in which pr . . .
il. l t....
emises are situated v-~`-~ X E
12. Does proposed construction violate any zoning law, ordinance or re ulation:.~
.
13, Will lot be regraded g P~ .
of pr ises~ ' Will execs
14. Name of Owner ill c removed f $
Address~,YS~77, Nc
Name of Architect . `J'~,V~ 1\ ~4Y\ l_ UL ~1 e : 7^ one o.
Name of Contractor . Address lJ ' .09fLT . Phone No.
15. Is this art within • " * " Address , , , • • , , , , , , , , . Phone No.
prop y 00 feet of a tidal wetland. " " "
*If yes, Southold Town Trustees Permit may be requise*d' - No•J,-
PLOT DIAGRAM
Locate clearly and distinctly all buildings, wheiitt cxisu.,g or p,uposed, ana. indicate all set•bac.x auriensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
. II
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III ~
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;TATE OF NEW YORK
:OU Y OF Sd fo//C... S'$
l,........ .
• • • • being duly sworn, deposes and says that tie is the applicant
(Name of i dividual signing contract)
iovc named.
I
e 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
irk will be performed in the manner scj forth in the application filed therewith,
:orn to before me this ,
day of./.v~l~G!n?7~E/L 19
tary Publ c, County
~
JUNEAN ZAR2EC I
.
Notary Public, State, of NeW YoAt • . • • • • • • • • • • .
No.4961037 Signature of applicant)
Qualified in Suffolk Couluy
Vy Commission Expiresvan. 0, /gg 6 -
a4 4 U) 120. CXI
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URDERWRITERSCERTIFiCATE ~F~~ M.If" liu.r1
REQUIRED Gil, f"IPORT, N-Y I I
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I APPROVED AS NOTED - T+
DATE' B.P.# L5 Ov"( r
I FEE: ~ BY: Tq~F
NOTIFY BUILDING DEPARTMENT AT
786-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSU
4. FINALA- CONSTRUCTION MUST OCCUPANCY OR
BECONCOMSPLETE FOR .0 SHALL MEET USE IS UNLAWFUL
I .I THE REQUIREMENTS OF THE Y. WITHOUT CERTIFICATE.
STATE CONSTRUCTION & ENERGY
I ~ CODES. NOT RESPCdSIBLE FOR OF OCCUPANCY
DESIGN OR CONSTRUCTION ERRORS -
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Main fde eel'
GREENPORT, N.Y. 11944
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