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i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20712 Date MAY 8, 1992 THIS CERTIFIES that the building ADDITIONS & ALTERATION Location of Property 124 HICKORY AVENUE SOUTAOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 7 Lot 50 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 1990 pursuant to which Building Permit No. 19496-Z dated NOVEMBER 2, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far which this certificate is issued is ADDITION, DECK ADDITION & ALTERATIONS (S~FFNFD PORCH} TO AN EXISTING ONE FAMILY DWEr.r.TNG A5 APPLIED FOR & AS PER ZBA #3962. The certificate is issued to HAROLD & ANNETTE GORDON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N204640 - SEPT. 23 1991 PLUMBERS CERTIFICATION DATED OCT. 27 1991 - M. DAWSON PLUMBING & HEAT Gtr B-~ Inspector Rev, 1/81 ~o~as gyro. s TOYVhi SOUTH®L® ~~lIiLDIP~G ®EPARTMIE<t~9T TOWNf HAILL s®uTrio~®, v. ~~~~®ft~~ I~~RMwT {TH15 PERMIT MUST 8E fCEPT ®N THE PREMISES UNTIL FUf~fr COMPLETION OF TFiE 1NORIC AUTHOf21ZE®D N ~ 9 4 9 ~ Z Date i9.w. Permission is hereby grante to: r ..r... ~~1~Gr/~f/~//~ f~,?/ ' ~ V r at premises lacated at ..~.c~-~°` ....1~ ...........................................q1 County Tax Mop ldo. 1000 Sectior? Block Lot No. 4.~~...~ pursuant to appficatiors dated 19......., and approved by the Building Inspector. ~o~~~~a Fee $~••y r yj . .riT.{yl..................... ~ ding Inspector Rev, 6/3®/80 . , Form No. 6 1 ~ ~C~ ~`a I._~~~ i $ , TOWN OF SOUTHOLD li ~~1' ' ~ ~ ~ k ° ~ BIIILDTNG DEPARTMENT ~~f'' ~ ~ TOWN HALL MAY 6 1992 ~ 76s-lsoz - 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 certifying that the solder used in system contains less than 2/10 of 1~ 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. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, SCoppmmercial $15.00 Date c~~~.! ,I, . New Construction........... Old Or Pre-existin Buildin Location of Property..t~:~... 1~~~6~....,":'.';':'."~~...~~~.~.~ House No. Street Hamlet 7~ Q, Onwer or Owners of Property... / , :~u~~ !(,G b`z ~Ol~ County Tax Map No 100//0, Section....7~......Block...~..........Lot..~l-~ Subdivision.~.~tiip`r?/G.,`~J;~-;~, ~`?.'~a-'~„°~-',5,,,s,,F(iled Map...........~.(L~ot~, Permit No..'~~~:. l l~r.....Date Of Permit... l ~~ry: 1 , , .Applicant...ls~{c: h~, .~-aR~q~, Health Dept. Approval........ ...............Underwriters Approval......................... ?lanning Board Approval 2e quest for: Temporary Certificate........... Final Certicate........... .~7 gee Submitted: $a`>~.1 C ~ © ~ 1 ~ APPLICAN. . . TEL. 765-1802 ~pS~F~~~~OG TOWN OF SOUTHOLD ~ OFFICE OF BUILDING INSPECTOR o P.O. BOX 728 ~ ~ , O~y~~ SOUTHOLD, NAY 11971 O E ~~O 1 . ~ ,~~:~t;;~,;j~FO;.j.. C E R T I F I C A T I O N Date October 27, 1991 Building Permit No. Owner Dr. Harold Gordon (please print) Plumber M. Dawson Plumbing & Htg~, (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1$ lead. (plumber's signature} Sworn to before me this 27th day of October , ' > ~ 19 91 c~ a ~C . c~~,, . t~- Notary Public Notary Public, ~ ~l't7~ r'~ County uNOaK.oawsON . Notz:: ~ Puhlic, State of New York No. 4694888 Qualified In 5uffol:. CoueNy Term Expires Merch 30, 79 H r0U17DATI0N (1st) I o FOUNDATION (2nd) _I - 2. ~ ~l7 P,OUGH FRAi~1E & .PLUMBING ' ~ t 3. ~ IIJSULATIOi1 PER N. Y. STATE EIIERGY CODE ~ ' 4. ~ ~ m H FI;7AL • ° ADDITIOPIAL CO ENTS: ~ • t~~ X \ ^n N _ ~ . - H fi ' O . ~ _ M ~ _ Z . - y • O 1 m -v y ' ~ ~ 7 __.,n____ _ THE NEW YQRIC B'RD OIL ~N!#~ USE ~ ~~'i? NAC=x: , I Uul)) 74 STsPTEMHF;k 1, 1,¢Kd91 E~u<~~~iS90190 ti I,~7Gn,ai) itete A/ptieeKion No. on fi4 T}IIS 6R1l7'IRiEB THAT owiy the eftetlkd eRteireeeant er ehrtri6ed Eder ewd iwtt,tdNOed b' tM e~Yeewt wetwettetu eMt16eu1t~pNaHlfw rwewMr in tMpetwb.s of i Ok. HAkOi,D GORpON, 124 BiCKOKY AVBN+[~:, S~i!'PHOi,f,, ~(.Y. id ~x, _ ')ilr in thsfiUeuiwR ieee~llNr~t#»~R'17fi,°t49Y let Fl. ? Z'ted fl. Section Bhck Lot ~~s aNU exeariwrd on end found to 6e in coSnpfbner ritk tke reyuirewexMettJ thb Iererd. OTlttn AMr. t. M. AMY.` t: W. AML t.W, A1N: W. • AMT. M. R eeee- i 7 8 ~ t r AMT. t. OU N. i. OY n1. AMi. HQ AW.Q AAn. AAM. AMY. An16. FOei. AM}. N.1 MNT. WAilt Y i. 'f0 2_., AGO AMr. AW. 1tM 1/3W ~/tW .tires tA'AW CoNe. NO:a N41t0 Os w. Sara NNlNetS A. . OlllS 1MIMMlU! E~ANF.1,AnARDS:1-21. t'T.R. _100 G. F.C.i',-1 'CRA<'K. t,TGNTiNG:-t6 S ~A~wa~ E.&.C.O.Ei,t~;C'i'RIC C(7({N. i,[c:.#)SiFiK 35fi50 C.C)UNTRY k0.!}R G PF:CONTC, NY, i S45t3 tN~Y~ a t L~ ~ . ~ Ptr 6 ~ TAit t e IF < gtedeM7~,t• ,ttttttt s ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [)ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION " [ ]FRAMING [ FINAL ~ F. REMARKS: •s " DATE ~ ~ INSPECTOR _ ~a,~ - _ 11 X91 ~x,~f~ ~~~~s _ 765-1802 io.-vi ~ LDING DEPT. ECTION ;y ~ ~~'''~z`°'-' ` "P""" .ST [ ] ROUGH PLBG. ~ . _ _ _ _ _ ZND [ ~ INSULATION [ ]FRAMING [ FINAL REMARKS: dJ . ~ aj _ - ~ ,G/~ P DATE INSPECTOR .,~.~s.~,?~:~~ _ ~...k..av~t 1~~~~ 785-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ) ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL 'REMARKS: s ~ 1 ~ 4~-- l e t .G@-t~ r ~ ~ i DATE ~ INSPECTO FORM NO. 3 f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date ..~~~.~o 19 To . ~ C7.~'tZr• . PLEASE TAKENO~T~ICT.sE that your application dated 19 ~.r~.. . for permit to ~i.L.. !~~J. ' ~ .~a~.. .r at Location of Property ..1~.~...f9.~c,t~ C/ Nouse No. Street Hamlet County Tax Map No. 1000 Section Block ,7........ Lot r~~? . Subdivision Filed Map No. ~ ~Lot//,No. . is returned herewith and disapproved on the following grounds . ltit-~ .k~• . o . B 11di Inspector RV 1/80 1802 B DING DEPT. INSPECTION ( FOUNDATION i5T [ ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ ~ INSPECTOR ~r' ~ . APPEALS BOARD MEMBERS ~ '.~r' ' SCOTT L. HARRIS t? ~ '°?~;--,.~i"'„f Supervisor Gerard P. Goehringer, Chairman Charles Grigonis, Jr. - ~;l ',1 BAS L Town HaII, 53095 Main Road Serge Doyen, Jr. •`zzx P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 lames Dinizio, ]r. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTHOLD Telephone (516) 765-1800 -.~--..,md..a~. ~ ~ C~ it 1~7 ~~~~l~~~~ October 2, 1990 a i~ Dr. and Mrs. Harold Gordon roWnloFSS~~}~~otz~~v" 124 Hickory Avenue Southold, NY 11971 Re: Appl. No. 3962 - e A~,~':~Deck Extension) Dear Dr. and Mrs. ~ if Transmitted for your records is a copy of the determination rendered by the Board of Appeals at our Septem- ber 26, 1990 Regular Meeting concerning the above application. Please be sure to return to all involved agencies for approvals and permits as deemed necessary. Copies of this decision have simultaneously been transmitted to the Building Inspectors' Office for their files and update. Yours very truly, GERARD P. GOEHRINGER CHAIRMAN By Linda Kowalski Enclosure Copy of Decision to: Building Inspectors' Office Suffolk County Department of Planning . ~ ' ~ APPEALS BOARD MEMBERS ~ ~ ~ -~x~C SCOTT L. HARRIS -'st;~= F Keay ~ J~ ~ Supervisor Gerard P. Goehringer, Chairman r may"-,=;.~5, Chazles Grigonis, Jr, + ~ a Town Hall, 53095 Main Road Serge Doyen, Jr. P.O. Box 1179 Joseph H. Sawicki Southold, New York 11971 lames Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823 Telephone (516) 765-1809 TOWN OF SOUTI-TOLD Telephone (516) 765-1800 ACTION OF THE BOARD OF APPEALS Appeal No. 3962: Application for ~~v for a Variance to the Zoning Ordinance, Article SX ,Section 100-244B, as disapproved for ermission ~ ~ ~ ~d t with an insufficient side yard setback. Location of Property: 124 Hickory Avenue, Southold, NY; County Tax Map District 1000, Section 78, Block 7, Lot 50. WHEREAS, a public hearing was held on September Z6, 1990 in the Matter of the Application of HAROLD AND ANNETTE CORDON under Appeal No. 3962; and WHEREAS, at said hearing all those who desired to be heard were heard and their testimony recorded; and WHEREAS, the Board has carefully considered all testimony and documentation submitted concerning this application; and WHEREAS, the Board Members have personally viewed and are familiar with the premises in question, its present zoning, and the surrounding areas; and WHEREAS, the Board made the following findings of fact: 1. The premises in question is located along a private right-of-way extending from the southerly side of Hickory Avenue in the Hamlet and Town of Southold, and more particularly identified on the Suffolk County Tax Maps as District 1000, Section 78, Block 7, Lot 50. Page 2 - Appl. No. ',3962 ~ u ~ Matter of HAROLD &IANNETTE GORDON Decision Rendered September 26, 1990 2. The subject premises is a substandard parcel containing a total lot area o~ .80 of an acre (or 34,848+- sq, ft.) with 104+- ft. frontage ',along Goose Creek. 3. The subject premises: (a) is i~proved with a single-family dwelling set backat its closest point 11+- feet from the south (side) property line and ~5+- feet from the inside of the access right-of-way; (b) is located in the R-40 Zone District which requires sideyardslat 15 and 20 feet, or greater. 4. Appellant$ are requesting a two-foot extension of the existing deck reducing the present setback to not less than eight feet at its closest corner. 5. In considering this application, the Board also finds and determines: (aJ that the grant of the relief of two feet will not be adverse to the essential character of the neighborhood; (b) the,'variance will not in turn be adverse to the safety, health, welfare, comfort, convenience or order of the town, or be adverse to neighboring properties; (c) the grant of the variance will not increase dwelling unit density or available governmental facilities; (d) the percentage of the relief requested is not substantial; the relief is the minimum necessary to afford relief and will not in turn cause a substantial effect on the safety, health, welfare, comfort, convenience, and order of the town. Accordingly, on motion by Mr. Goehringer, seconded by Mr. Dinizio, it was RESOLVED, to GRANT the relief requested under Appeal No. 3962 in the Matter of HAROLD AND ANNETTE GORDON for a two-foot extension'of the existing deck at not less than eight feet from the side; property line, as applied. Vote of the Board: Ayes: Messrs. Goehringer, Doyen, Grigonis and Dinizio. (Member Sawicki was absent due to illness.) This resolution was duly adopted. * ~ G~ P. GOEHRINGER lk CHAIRMAN i s__ o_ . _..___..ww..~_..~..__~.._____~._~.__.~ _..._.~.~._.~.~...__._.m..._ ~ ~ ~ ~ r r ~ , . ~ ,x.. -n E ~ V ti / ~S F'' p ,~F ~ ,,,sue,, ~ \ s- ~ F\~a o~ Ocr ~ b`p~ aJ*p> ~ m~ rS0` Q ~~p ~~`o Off, ~ O~ ~~~°.z gpr0 0ti 1 f/j/f ~ ~ 30~ ^s9e I ~%6 _ e bti o~ • f ~u a,y~O' ~ 'y9eess Cn~vW .a ~ s ~`~SF b e J^ ~ l i~ ~ O ~ ~~O ~t' F. 6 ~ +Y o`> ~ \ t 4@0 1,° SSJJ W .pip O Or , 4s SS \ i09 Vy `j O70r y q_ ~p9O0 ,v0 ~ i ~ cow ;o Q %r \'60~. v ti0 r y \ ~y3Se p~ ~ ~,O per: \ ~ h ^ 4~ sue` OF ~p o~ 0 p / 001- S'OS` ~\}.9 ~ ~p~ yti poG k ~ ~V r'7 w N ^ v ~ V o pw. '095. .p~' H hO ~ \V ~ a. '~h p S~oS2 ~ hq 3p'e v O r p m S3res~ Co p" ~ _ 23o•y, r2Tp ~2po o• ~ n~~ ~0f tiG n ~ G u m Z Colj'9 !2p OO ype r I < Sog ~Qr 'Op. ~ Oow. m N m p oi.~ $ 26d .M` C t9 ~ vmC D Z Tn Q ~ ~ Z C N - J' o a D C wm A ~ ~ n z m 0 °<a ~ a m2 ~C u z m ~ C m Re z a ~ mO ~ W O ~ 'I N 'A O-'~z-1 m l ~OMim° ~ ZY.~ Z s'~n c+0 ~ <iD ~s p~ Z<np SOD , m-9•' rCA P a ~c~ii ns0 F ~ r+~•'~ CND Zm~ mm O•~. -a nm •s~ JS x ° z m ~ r D `~~i BOARD OF HEALTH ; FoaM No.1 3 SETS OF PLANS SURVEY . 3~ TOWN OF SOUTHOLD CNEGK . @~ BUILDING DEPARTMENT SEPTIC roam . •"•~,,,®e~ TOWN HALL BLDG. Ot:PT. ~ $OUTHOLD, N.Y. 11971 NO ~ •c 7t)WNCYFSCIU7H(31_bµ._v,.-i TEL.: 765-1802 CALL J...~../~ ~ Q!j,,~~ , ` . Examined 19!q'~ /p T0 . APProvcd . 7^... 19/.~a .Permit Nd. (..~~d . Disapproved a/c ..~,j!, 1l'~s.~. ~ L~~, L~~ L~ L"='r~ I'~ jl 7 ~ i (1 z IP I~; R~, ( ~~s.-~ tilding ~ •pector) BLl7G. hE~'T. 7QWN OF S0;3THOE.t7 ~ ~ APPLICATION FOR BUILDING PERMIT ' ~ Date 19... INSTRUCTIONS a. Ttus 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 t@xscale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and Giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- d6on. ' 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 wlll 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 Lativs, Ordinances or Re;ulations, 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, housin; code, and regulations, and to admiC authorized inspectors on premises and in building for necessary inspections. ~~~~'zz((pp (Signature olica'nt, r name, if a corporation) • • P z~ f y i r=l4ar y. .~Z. . ~f7~lJ (Mailing address f applican } r/ 7 State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. .........................d C~!!v,~~........................................................... Name of owner of Premises ~ U~'~ ..........C~. ~~r~~~/ . (as on the tax roll or latest deed) If applicanC is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - Builder s License No. S`" Plumber's License No. .'~.~~.4~~.......... , Electrician's License No. , . ~ :'!ti~t,w~ . Other Trade's License No . . • Location of land on which propolse'd work will be done; - Ilouse Number /Street. Hamlet • County Tar• ilfap No. 1000 Section ...L~...........: Bl'ock , - , • • • • • • • • • , Lot . ~.~C......... • , Subdivision ...oaS`L~l~hr `~S_~~tT~~ Filed Map No. Lot (Name) State esistin~ use and occupancy of premises and intended use and occupancy of proposed construction: , 0 A. Existing use and occupancy......~'~~.~~4Z.1~~~-~:' B. Intended use and occupancy....••~~-~•f~`~•~~'••••••••••••••• i :a n .".w .t ~i, id 9 Addition ''~'„Vt,.. yyY.~^~,y 3. Nature'of work (check which applicable); New I;uilding . y on ra Repair Removal Demolition ..............Swimmlleyrgopl .~.1t... p , . . Tennis Court Accessory Building........ ~J~R[[ «~16r ' ..Felice .......Other Work..... f 3. Estimated Cost....~.~~:~/.®~~ Fec ' (to be paid on filing this application) 5• If dwelling, number of dwelling untts Number of dwelling units on each floor , , . If garage. number of cars ,i;C~:G=~'....(.~~R Glf a`? G~.. . 6. if business, commercial or mixed occupancy, specify nahtre and extent of each type of use . 7. Dimensions of existing structures, if'any: Front . ~f.$:.......... Rear Depth 3.~ • , , , , , , , , Height Numbcr'of Stories . . Dimensions of same structure with alterations or additions: Front .;~:d Rear ..~i~.Q . Depth Flcight Number of Stories . 8. Dimensions of entire new constntction: Front , 5?~............ Rear ffV........ , ,Depth , . Height , • Number!of Stories , .j.. , , • 9. Size of lot: Front ®$c 67 . • Rear . /.l1.S Depth .9.7.... 0. Date of Purchase ,,[k.(: r~l~.....~t,7!~ , . , ,Name of Former Owner s~'1£,+4f.!~... t~v.5.~?!.~a , , , , I. Zone or use district in which premises are situated . . • . , , . Does proposed construction violate any zoning law, ordinance or regulation: . ~CtlU . 3. }Vill lot be regraded N~~ Nill excess (ill be removed from premises: Yes No ,Y 4. Noma of Owner of premises F6/~~'4L~J. , ,fir.+Rv,¢r,?, , ,Address (.~`{./~tr~~~ Y~~~.: . Plwne No...~L~:::/.~.p~. • . Name of Architect ...~~.r<-F.'.. .............Address .D. ..Phone No................ . Name of Contractor . .Address .Phone No. . IS.Is this property lo4~Ced•within 300 feet of a tidal wetland? *YES ~NO.... *If qes, Southold Town Trustees Permit may be required. + PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from ; property Gnes. Give street and block nut{tber or description according to deed, and show street names and indicate whether nterior or corner lot. iTATE OF NEN YORK, ~ S ~ ~OUNTY OF........... • • • • •~~'e•"•L • • • • • ~ being duly sworn, deposes and says that he is the applicant • (Name of individual signing contract) , above named. icisthc d.Cd;V~IG; (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 ~PPlication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application Glcd therowith. ~wom to before me this ' n ~O ~ ........~.~.........dayof..'.~jj......... ]9 Votary Public, . • County G ~ LINDAJ. CQQPER (S gnature of applicant) Notary Publlcj State of New York No. 4822583, SuffaNt County ~ I • Term Expires DjEtoember 31,1