HomeMy WebLinkAbout19288-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19965
Date JUNE 11, 1991
THIS CERTIFIES that the building.
Location of Property 2405 GRAND AVENUE
House No.
County Tax Map No. 1000 Section 107
Subdivision
ACCESSORY
Street
Block 6
Filed Map No.
MATTITUCK, N.Y.
Hamlet
Lot 14
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 23, 1990 pursuant to which
Building Permit No. i9288-Z dated AUGUST 1, 1990
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 STRUCTURE AS APPLIED FOR.
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
GEORGE G. LESSARD SR,
Rev. 1/81
1~0w~wr I~I0. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N"_ ~ 9288 Z Do,e ...~....~,.,.~ ...... ..-~.... ......... I,..~....o
Permission is hereby granted to: ~ //)
....
. ..a~_~..,..~~...;.~ ................
.~.~& ...... ..,...~..:,..l.~..~.~..~.. _,
~ ......................................... ~ ........ .~=~ ...................... ~ ...................... ~. ................. .~.~ .............
at premises located at .~...~...o..~. ........ ..~f~.,.~..T~;...~,.....~....~...~.....~,.
County Tax Map No. 1000 Section .... /...O....~. ......... Block .......~....~.. ........ Lot No ....../...~.. .............
pursuant to application dated ...... ...~...,~ ....... .~..~ ............. ,19..~..1~, and approved by the
Building Inspector.
Rev. 6/30/80
~RGY
FOR
Form No· 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 cf Code Compliance from archiuect or engineer
responsible for the building.
6.Submi~ Planning Board Approval of completed site plan requirements·
;. 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.
:. 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 Oqcupancy 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, Commercial $15.00
Date Jb-NE I1, 1991
ew Construction ........... Old Or Pre-existing Building .................
ocation of Property 2405 GRAND AVE. MATTITI~CR, N.Y.
House No. Street Hamlet
· ~wer or Owners of Propers- GEORGE G. LESSARD SR.
107 6 14
~unty Tax Map No 1000, Section .............. Block ................ Lot ......................
~bdivision ...................... Filed
.............. Map ............ Lot .................
~rmit No. 19280Z AUG. !~ 1990 GEORGE G. LESSARD, SR.
..........' - --. Date Of Permit ...... ... ..... Applicant ..................... . . .. . ...
'alth Dept Approval
· ' ......................... Underwriters Approval .................... ... ..
anaing Board Approval ........................
quest for: Temporary Certificate ...... .. ... Final Certicate ........ .,.
e Submitted: $ 25.00
GEORGE G. LESSARD, SR.
........................
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
e
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONA'L COMMENTS:
TOWN OF SOUTIIOLD
BUILDING DEPAIITMENT
SOUTI4OLD, NEW YORK
STOP WORK ORDER
TO: GgORGE & FRANCES LESSARD
(Owner, Owner's Agen~ or Person Per.~orm~ng Work)
2405 GRAND AVE., MATTITUCK, N.Y. 119~
(Aaaress o£ above-namea person)
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
2405 GRAND AVE., HATTI~IICK, N.Y. ! 1952
t. Aoaress where work is to be stoppea)
TAX MAP NUMBER 1000-107-06-14
Pursuant to section 100 of the Code of th.e Town of $outhold, New York you
are notified to immediately suspend all work and building activities until this order has been
rescinded.
BASIS OF STOP WORK ORDER: BUILDING PERMIT # 19288Z WAS ISSUED IN' ERROR.
ACCESSORY STRUCTURE DOES NOT COMPLY WITIt SgTBACK REQUIREMENTS.
· CONDITIONS UNDER WHICH WORK MAY BE RESUMED: WHEN BUILDING PERMIT PROIII.I~4
~IS RESOLVED AND PERMIT IS RE-ISSUED.
Failure to remedy the cdnditions aforesaid and to comply with the applicable provisions of
law may constitute an offense punishable by fine or imprlxonment or both.
DATED: 9/26/90
BUILDING INSPECTOR / CODE'
ENFORCEMENT
OFFICER
VINCENT R. WIECZOREK
FOR PUBLIC ACCESS TO RECORD
TOWN OF SOUTHOLD
SEt. lION I. TO 'BE COMPLI::It::I.,~ BY APPLICANT SEP ~BA 1990
INSTRUCTIONS TO APPLICANT: Please complete Section I of this fo--, - ~ve *~- ¢--~
to the Agency Freedom of Informat on Officer. The Freedom of In~rm~J~r~°(~i~rrl~will
return one copy to you as a response to your request, or as aninterlm...resp, o_n.s.e.' .~
TO:
FREEDOM OF INFORMATION OFFICER
AGENCY NAME: "J~/ 0'~:
AGENCY ADDRESS:
I HERE~Y Ap,~Ly ~0 iNSPECT THE FOLLOVIItNG RECORD {Please de~crLbe Lhe r~.ord
sought. If possible, supply a date, a file title and number, and any other informa-
tion that will help locate the record desired):
Signature of Applicant and Printed Name: ~-Y.~---t~
Applicant's Mailing Address: ~.~ ~t~
Date of Application:
SECTION II. FOR USE BY AGENCY FREEDOM OF INFORMATION OFFICER ONLY
[ ,,~ Approved
[]'
Denied: (for the reason[s) checked below)
[ ] Confidential Disclosure
[ ] Part of Investigatory Files
[ ] Unwarranted Invasion of Privacy
I ~] ~Record of ~hich This Agency is Legal Custodian Cannot be Found
[ J Record is Not Maintained by This Agency
[ ] Exempted by Statute Other Than the Freedom of Information Act
[ ] Other [specify):
[ 3~Receip~ of this request is acknowledged.
requested record until
There will be a delay in supplying the
for the following reason:
Signature:
Freedom of Information Officer
(9°
SECTION III. NOTICE TO APPLICANT
YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION IN WRITING WITH-
IN 30 DAYS OF THE DENIAL. INFORMATION AS TO THE PERSON TO CONTACT IS
SHOWN BELOW. THE CONTACTED PERSON MUST RESPOND TO YOU IN WRITING
4I/4THIN SEVEN 8UStNESS OA¥S OF ~t~EC:EtPT ~I3F YOUR ~,~P~AL.
Name: Southold Town Board
Business Address: 53095 Main Road Telephone:
Southold, New York 516 765-1800
LAW WAS FILED WITH THE DEPARTMENT OF STATE ON 7/23/90.
THIS
LOCAL
NO RESPONSE FROM SUFFOLK COUNTY DEPARTMENT OF PLANNING. ?~]?/~
I HAVE HAD
LOCAL LAW lq, 1990
A Local Law in Relation to Accessory Buildings.
BE IT ENACTED by the Town Board of the Town of Southold as
follows:
I. Chapter 100 (Zoning) of the Code of the Town of
Southold is hereby amended as follows:
1. Article III, Section 100-33 (B) (Accessory ~uild-
ings) is amended to read as follows:
B. (1)
On lots containing up to 9,999 square
feet, such buildings shall be set back no
less than five (5).feet from any lot line.
(2)
On lots containing from 10,000
up to 19,999 square feet, such
shall be set back no less than
feet from any lot line.-
square feet
buildings
ten (10)
(3)
On lots containing from 20,000
up to 39,999 square feet, such
shall be set back no less than
(15) feet from any lot line.
square feet
buildings
fifteen
(4)
On lots containing from 40,000
up to 79,999 square feet, such
shall be set back no less than
feet from any lot line.
square feet
buildings
twenty (20)
(5)
On lots containing in excess of 80,000
square feet such buildings shall be set
back no less than thirty (30) feet from
any such lot line.
Article III, Section 100-33 (Accessory Buildings)
is amended by deleting, in its entirety, sub-
section (C).
II. This Local Law shall take effect upon its filing with
the Secretary of State.
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
$OUTHOLD, NEW YORK
STOP WORK ORDER
(Owner, Ox(,ner'$ Agent or Person Perrormzng Work)
(Aoaress o~ aboqe-nkmeo pers~'fi/ "
YOU ARE HEREBY NOT~IED TO SUSPEND ALL WORK AT:
(Aaotess where work i e
Pursuant to section / ~9 0 ~ of the Code of th.e Town of Southold, New York you
are notified to immediately suspend all work and building activities until this order has been
rescinded.
- CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
Failure to remedy the c6nditiorks aforesaid and to comply with the applicable provisions of
law may constitute an offense punishable by fine or imprisonment or both.
DATED:
BUILDING INSPECTOR / CODE ENFORCEMENT OFFICER
[3,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y, 11971
TEL.: 765-1802
E. amined 199.9
Approv~~..A., 19~. P. Permit No/..9..~...~.'.g. ~
Disapproved a/c .................................. /~
............... . ................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD O~ HEK~TH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK .......................
SEPTIC FORM ................
NOTIFY
CALL .....................
MAIL TO:
a. Tiffs application must be completely filled in by Wpewriter 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 9f buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram 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 removal or demolition, as 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 in building for necess~//ns_~pections. ~ .~,,_.~,
O
~ - ~' "~"f'- v'' (~'~-..'~N...: .....
(Sig~l~ture or applicant, or ntame, if a corporanon)
.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
.. .................................................................................
Name of owner of premises ..........................................................................
(as on the tax roi1 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 ......................
Location of land on w ~ich proposed worli2,vill be done ........ ~... ] ...................
....... ..... ..........................
House Number Street Hamlet
County Tax Map No. ,000Section ..... /h.Z ....... Block ..... ~... ' ... Lot ................
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed constrnction:
· , ~
a. Existing use and occupancy... ~...~.,.~l./~...~,..t~t ...~..~.~..t...? ........ ~; '~'' "/.: ................
b Intended use and ~,e,,,~o,,~-v / "~' [ .t..g. t.O, ~ .,'~. ~-~eq · ~ ~q~.__
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ..........
Repair Removal Demolition Other Work
4. Estimate'd Cost .... i .......................... Fee ....................................
~! (to be paid on filing this application)
5. If dwelling, number of dwelling] units ............... Number of dwelling units on each floor ..............
If garage number of cars '
6. If business, commermal or m~xEd occupancy, spec nature and extent o f each type of use ..................
7. Dimensions of existing stnictur~s, ifany: Front ............... Rear .............. Depth ............
Height ............... Number of Stories ................................................
Dimensions of same structure With alterations or additions: Front Rear .....
Depth . Height Number of Stories
Dimensions of entire new constp~ction: Front Rear Depth .....
Height Number of Stories
Size of lot: Front Rear Depth ......
9 '
10 Date of Purchase ~ Name of Former Owner
pr~mises are situated ......
11. Zone or use district in which ...................................................
12. Does proposed construction vie!ate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ........ ~ ................... Will excess fill be removed from premises: Yes No
14 Name of Owner of premises~ Address Phone No '
Name of Architect ......... i ................. Address ................... Phone No ................
Name of Contractor 4 Address Phone No
15.Is this property located within 300 feet of a tidal wetland? *YES .... NO ....
*If yes, Southold Tow~ Trustees Permit may be required.
[ PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK,
CO.[I~TY OF S.S
.......... ...........
. / · (I~ amc of individual signi ag contract)
above named.
being duly sworn, deposes and says that he is the applicant
He is the
(Contractor, agent, corporate officer, etc.)
of said OWner or owners, and is dui authorized to perform or have performed the said work and to make and file this
application; that all statements conta ned in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner'set forth in the application filed therewith.
Sworn to before me this
............... l.,_ . ? ,day f ..
· HELEN K. DE ¥OE : : .....
NOTARY P~i~tLIC, State of New Yod~_ '
No. 4707878, Suffolk County,~',t (Signature of applicant)
le~ n Expires Mamh 30, 19