HomeMy WebLinkAbout19139-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 219516 Date NOVEMBER 19, 1990
THIS CERTIFIES that the building CONVERT FRESENT DWELLING
Location of Property 795 PIKE STREET MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 140 Block OZ Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Applicatipn for Building Permit heretofore
filed in this office dated JUNE 18, 1990 pursuant to which
Building Permit No. I9139Z dated JUNE 21, 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 CONVERT PRESENT DWELLING INTO A THREE FAMILY DWELLING
AS APPROVED BY Z.B.A. #3924.
The certificate is issued to MICHAEL Z. HERBERT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N159307 NOV. B, 1990
PLUMBERS CERTIFICATION DATED WALTER L. DOHM OCT. 25, 1990
i( e-'l. 0.JL.
Building Inspector
Rev. 1/81
3P'aSffi FTQ. !
TowN of souTHOLD
BUILDING DEPARTAAENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
u ~ Z ~s;......a.l 19.9u
N _ i > ~ Date ,
Permission is hereby granted to:
.
...~.~:..tv ~9S~.z..........
.
at premises locnted at ....,.1....~ .......~...~!5~:....crkU:~:?>..'.........~..`.l:?ty!:'.~~
..`:~.....~y ~~R.~:....~I.."
County Tax Map No. 1000 Section .....~.~.V......... Block ~ °~:.....p. Lot No.. °.~..~i
pursuant to application doted ...,~..5.!~:4Ar...~.$ 19.J..~., and approved by the
Building Inspector.
Fee S..L/?.??.:..%.....
.
~~tJ`I. a^-
Building Inspector
Rev. 6!30/80
1150 Form No. 6 j'~"
TOWN OF SOUTHOLD
~ BUILDING DEPARTMENT ~ ~ j~' ~ pp(
TOWN HALL ~ ~
j
765-1802 gLDG.DEPT.
?OWN pF SOUTF{pLp
,..,...a
APPLICATION POR CERTIFICATE OF OCCUPANCY
1. 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.
i. 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 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 - Residentiall $15[.00, ~C}ommercial $15.00
Date ...~.`.:..~.~J..~V
ew Construction........ Old Ohre-existing Building
ocation of Property. •r••
House No. ^Street Hamlet
nwer or Owners of Property...~f.V:.~pC:~rC.1:-:
ounty Tax Map No 1000, Section.. `.~~......Block....~-J.~......Lot...~..~.}...........
ubdivision..llj/.~ •
. ...Filed Map....... nn L t......../`.
ermit No...l...ll~.~...Date Of Permit...~~.•~~Applicant.~~.L.~:`.'(~t,.~.~
ealth Dept. Approval•.~c.~•••••••••••••••••Underwriters Approval...;.`:?~J
lanning Board Approval....
equest for: Temporary Certificate........... Final Certicate..~.'~.
ee Submitted: ...~Q.........
co z~l ss-i~
1 l ?0 APPLICANT
_ J
TEL. 765-1802
~pc~~EF~L{' Cp0 TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
~ • z P.O. BOX 728
u°'~ ~ ~ TOWN HALL
O µ `r SOUTHOLD, N.Y. 11971
4y,
f~i01 ~
l5 E R T I F I C A T I O N
Ot;!' 2 6 ~I
~._~a.,.
-a-- Date Oct. 2~, 7990
t '~Q~VI'~i,Or,,)r
Building Permit No. 19139 Z
Owner Mattituck Bed & Breakfast
(please print)
Plumber Walter L. Dohm Lic. # 453-P
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of to lead.
nJ G~ ~ Fes) (
(plumber's signature)
i
Sworn to before me this
_ 25thday of October ~ ~n `/J _ ~
19 90 Notary Public
Notary Public, 5,1~-~~~IC County BARBARADIACHUN
~1QTARY PUBLIC, State of New York
No. 4635190, Suffolk County
COmmissian Expires Octnixt 30,1990
c.~,
THE NEW YORK BOARD OF FIRE UNDERWRITERS ('7tt>"`~ .f
1(Jf.r>t)~1
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Hate I'3<)til•;:+i41H:T2 i7~,11a~7fY 1•n jo {Vo. nil 6!~~~r)C,~§t)/`~t~ hl :~fv3f~7
~~t~l~ ~r,7. 4T~ti~~
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced 6y the opplicont named on the above opplicotion number in the premises of
~t~, tr, llo~x~irk'r, ','t7~s ~ttlt.~~ s~l°., ft,at,~,~~~r i~ria'r~'l~~fac~r ~.~n
C}tri'
in thefollowinq l~c~yiot~ ttpse ~ ]st F'l. ? 2nd F1, Sertion Block Lot
was examined art artd found W 6e in conrp(ianre with the requiremenLr q(lhis Roard.
FIXTURE ( FIXTURES RANGES cOONING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FWORESCENT OTHER AMT K W. AMi N.W AMT KW AMi K.W. AMT. H.P
1Ci 19 7t) !f} t
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CIOCK$ BELL UNIT HEATERS MULTI.OUTLET DIMMERS
AMi. K. W. Oll H P GAS H. P. AMi NO. A W. G. AMi. AMP AMi AMPS. TRANS. AMT H P SYSTEMS AMi WAiiS
NO.OF FEET
SERVICE DISCONNECT NO.OF $ E R V I C E
AMT AMP. TYPE METER r 9W I ]W 3 ~ JW J~ dW NO.OF CC COND A. W. G. NO OF HbLEG A. G NO. OF NEU1RAl5 A. W' G.
EQUIP. PER .9' OF CC. COND. OF HbIEG OF NEUTflAt
OTHER APPARATUS:
~i,T.i,'. ~:'"iC
G;±adE, klh~'t~itr,)I;K Fd,A;. CttXd'~'ft, hl.it. ~'~?13 ~ C~"..~%r;c-c~? -c'~
l 3b 15 C~~11Af2 RhSAr"£1 ROiit3
St7tlx'N{7I,17r 1VY, 7,T 9?1 GENERAL MANAGER
1.&
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.
a :
BLDG. DEPT. A;~.~ ~`„c ;y~, SCOTT L. HARRIS
APPEALS BOARD UFSOUTHOLD ~
_ ~ Supervisor
Gerard P. Goehringer, Chairman _
Chazles Grigonis, Jr. ~ ~ ~ ,%1f~ 'i1
~ Town Hall, 53095 Main Road
Serge Doyen, Jr. P.O. Box 1179
Joseph H. Sawicki Southold, New York 11971
James Dinizio, Jr. BOARD OF APPEALS Fax (516) 765-1823
Telephone (516) 765-1809 TOWN OF SOUTI-IOLD Telephone (516) 765-1800
.ACTION OF THE BOARD OF APPEALS
Appl. No. 3924
Matter of MICHAEL HERBERT. Special Exception to the Zoning
Ordinance, Article IX, Section 100-91 (B}, for change o€ use
from a Bed and Breakfast to a three family dwelling in this
Hamlet Business (HB) District. Property Location: 795 Pike
Street, Mattituck, County Tax Map No. 1000, Section 140, Block
2, Lot 23.
WHEREAS, a public hearing was held and concluded on March
15, 1990 in the matter of the Application of MICHAEL HERBERT,
under Appeal No. 3924; and
WHEREAS, at said hearing all those who desired to be heard
were heard and their testimony recorded; 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 the north
side of Pike Street in the Hamlet of Mattituck, and is
-identified on the Suffolk county Tax Maps as District 1000,
Section 140, Block 2, Lot 23.
2. This is an application for a Special Exception from
the Zoning Code Article IX, Section 100-91 B 4, permission for
change of use from a Bed and Breakfast to a three family
dwelling.
Page 2 - Appl. No. 3924
Matter of MICHAEL HERBERT
Decision rendered March 29, 1990
3. Article IX, Section 100-91 B 4 of the Zoning Code,
Uses permitted by special exception by the Board of Appeals, the
following uses are permitted as a special exception by the Board
of Appeals as hereinafter provided, subject to site plan
approval by the Planning Board:
(4) Apartments may be permitted over retail stores and
business professional and governmental offices, subject to the
following requirements:
4. The subject premises consists of a total area of
approximately one-half acre with 85+- ft. frontage along Pike
street and an average lot depth of 239 feet, and improved
with the following structures: (a) a two-story framed, single-
family dwelling, having setback of 39+- ft. from its front
property line and sideyards of 26 feet and 39 feet, and (b) an ,
accessory garage located in the rearyard area with an
insufficient setback of one foot, more or less, from the
easterly side property line.
5. It is further noted for the record that a use variance
under Appeal No. 3472 was denied without prejudice on May 28,
1986, also noted is a application for a Special Exception under
Appeal No. 3539 was approved conditionally on September 11, 1986.
6. In considering this application, the Board finds and
determines:
(a) the proposed use will not prevent the orderly and
reasonable use of adjacent properties or of properties in the
adjacent use districts;
(b) the use will not adversely affect the safety, welfare,
comfort, convenience and/or order of the Town;
lc) that in carefully considering the record and all the
above factors, the interests of justice will be served by
granting the Special Exception, as applied conditionally noted
below.
Accordingly, on motion by Mr. Goehringer, seconded by Mr.
Grigonis, it was
b
Page 3 - Appl. No. 3924
Matter of MICHAEL HERBERT
Decision rendered March 29, 1990
RESOLVED, to GRANT a Special Exception in the matter of the
application of MICHAEL HERBERT, under Appeal No. 3924, SUBJECT
TO THE FOLLOWING CONDITIONS:
1. That the Bed and Breakfast be withdrawn before permit
commences on or about September 15, 1990, but not later than
October 1, 1990.
2. The applicant must submit specific plans and
specifications to the,Building Department for its review, to any
alterations internal and external to the dwelling, and to comply
with Building Codes to include N.Y.S. Fire Code.
3. That applicant be granted two (2) apartments other
than the manager's quarters, which is to be owner occupied.
4. If this applicant or any subsequent applicants choose
not to withdraw said Bed and Breakfast permit, the decision made
by the Board on March 29, 1990 becomes null and void by December
31, 1990.
df /
GERARD P. GOEHRING CHAIRMAN
~
~~DAir. ~ COCihiENTS ;o ..O
'18LD I;:S:'EC;iU;! ~
H
( . - - - - H
?OUI3DATION (1st)
W
C,h
n ~
FOUNIIATIOSd (2nd)
x
2. °
a
ROUGH FRAME &
PLUMBING ~
ti
H
Rl
3.
II3SULATION PER N. Y•
STATE ENERGY
x
CODE
~
f D '3s 9
4. _
FIidAL
0
• ~ z .
x
ADDITIOPIAL COMMENTS: _
i
x
H~r
y~{
H
O
z
s
to ~
A ~
.3
x
. - o
m
-
.
:'S cR •h~q 9,tr Tr : ~,vo
y-(^ ;
r: F~ ` s. ~ ~~^L 4~3i shz~i nbt ^n c;~nr: ~
^ • ,r'
~ _ '-i,xJa~sa indl^stud hsr~zcn , j
. i rPy io th:. pe~5un ,nr m:h:, i ,
' ~ . = l it ^.te.•: . ,!nd b» his S' I
r I r: i~. ,;u~crn r., ~
-~j y.- ( @o t~[;:.~J.]Cd tn52i8:54R:N Pt Ci.Cbr~"w4,124
i n ~ t
"Fy' ? ~1,
Y: 4v. c _.y
4AJ i ~ ~ !
~i
tip .1T I
7 1 ~
l If ~ y
I
~~I -
<
r, '
, ~ ~\3:3CS`FFt :iE'C71.:t4'@1 x-11 i~ C i , ~ / .
~ tU !'I37 LJi ~ ~ ~ ,
t. r.3 s ,4 ~
. ~ j ~ ` u7 4~ ~ ~ ~ };4j ~ A~ s 11-1 ~.:'i (.:~r?
~ i N R 4 -jj ~.p's
orr,QJGK ~A,y~~,~ i
1 a [ O Oe~4
I- O •
~ 2 ~
6 l~~
~ ~iY~ u~ t i
I Y'<.tll l ~
.°YI^(37 _ .',![~^i f ,i~iq G'.G."t:2 _f~^; ~~.(":r l.i ~ u
. ~ ~ `Nar~4.~urrrt Avg. •'p-~ / l v' t?.(~~t3 i'7l."
! ~ a r. ' v ~ ...a
Y
.-('1' SC?ik i_...%~./iF;f~.{` TlIX, Y91FYr (J.~:i/~i?~./ ~'i(r`1"v'G.". C~f_,'1`~ .f..~~: 1.~ b.:j It `""'r'at i
t ~ O?` ~ 1
i
,
B0.\RO OF HEALTH
a FOarn IVO. 1 SURVEY A:1'C. • • •
r~ 3 SECS OF PLAtiS I': K'.. • .
TOWN OF SOUTHOLD CHECK • ~.f3
a~ 1~ ~ BUlLD1t~SG DEPARTMENT SEPTIC ro[trt .
Q ~ TOWN HALL
~ $OUTi{OLD.N.Y.11971 NOTIFY;
BLDG.OEP7. 4 TEL.:7G5•1II02 CALL ..."~9~. ~~~5^
TOWN OF ^~OUTHOL[7~, ,.w„7 PSA I L TO : , • • • • • • • '
Exanrincd 4 ;a"ti?t::?':I.., 19 R 4 .
Approved ..:~r'1-!^:t$.a:l.., 19e{~. Permit No./ ~ f 3q ~i .
Disapprovedalc
(Building Inspector) .
~ APPLICATION FOR BUILDING PERNIIT
4 Q
Date . ~~^,2._l..~~. T..., 15'iC~
' ~ INSTRUCTIONS
f}
a. Tlus application must be completely filled in by typewriter or In ink and submitted to the Buildin; Inupector, with 3
sets of plans. accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of (ot and of 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 ispsrt 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 throu;ttout the work.
e. No building shalt be occupied or used in whole or in part for any purpose whatever until a CertiSate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY hfADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, Netv York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hertirt described.
The applicant agrees to comply with all applicable laws, ordinances, build' code, housin^ code and reputations, and to
admit authorized inspectors on premises and in building for necessary i s ec ns. ~n,
~(t atur~t ap ti nt r name, if a corporation)
• (Mailing address of applicant) ^
State whether applicant is owner, le/ss~e~e,,,~ag~en-t', architect, en;ineer, general contractor, electrician, plumber or builder.
Name of owner of premises ./!'1/.~i:G..~C~f...~`?'Gf.~...~ ~'~/:?°-7!1
(as on the tax rot( or later deed) .
ff applicant is a corporation, signature of duly authorized oCLcer. '
• • • • ~ • ~ ~ (Name and title of corporate ofGccr) ~ • • .
Buildc.r'sLiccnscNo. ...U~::~.~
•
Plumbci s Liccnsc No. .
Elcctricr'an's Liccnsc No . '
Otlrcr Trtde's License No .
1. Location of is~ on which proposed work will be d~on~e; -
tf.S ll~'2 l~.('l~!S:C,/'
.~7'c~~f...../.l.: ~ :...~l~s
;Z.......... .
l(ousc Number /C/ Street H mlct
County Tar i\lap No. 1000 Section t •U • • • • • • • . Block ~ , , , , . , , Lot ~ ,
c'.
r-•
Subdivision F.ilcd Atap No. Lot .
~(t`jaroc)
State esistin^ use and occupancy of premises and intended us and oecu ancy of proposed eonstruction:
0
'
a. Exisrin; use and occupancy J" ` ' ~ r ~9
~.r°...
4 .,T~:........
b. Intended use and occupancy .....~.~~f%l / tGJ, l
::'U.~-e a,:, ,
Utctat[o
3. Nature of work (cheek which applicable): New OuiWinS • • • • • • • • • • Addition ~ ~ f,
Repair RFmoVal Demolition „ • , ......Swi:aninr, pool . . • .
Tennis Court . accessory tSuilding.........,Fence .......0 ~o~l
~4. Estimated Cost ~~1-.~ Fec • .
(to be paid on filing; this application)
S. ICdtvcllin;, number of dwelling quits • • Nttmbcc of dwelling units on each floor •
IfgaraSc,numbcrofcars y"
6. IC business, commercial or mixedloccupancy, specify nature and extent of cacti type of use~~~~ ~~v 5:~• .
7. Dimensions of existing s[ructures• if any: Front Rear • . • • • Depth . .
Hcicitt Nmntyer of Stories . .
Dimensions of same structure [vit~h alterations or additions: Front • Rcar . .
Depth . ' . IIcigh[ Number of Stoics .
S. Dimensions of entire new constn~ction: Front Rcat Depth ,
Height Numtjer of Stories • .
9. Size of tot: Front Rcar De th . .
10. Date of Purchase ....G~~~~!~- f ~1 , , • „Namcpf Forme//r Owner~~S. S~~/Z~~.......... ~ .
I Zone or use district in w}}icl[ premises arc situated /•~'Yd~.!••e~~ ~q
l'_'. Does proposed construction viola any zoning law, ordinance or regulation: • y`~t?• • • • • • • • - • - • • • • • • • .
13. Hill lot be regraded \Vill exces (ill~jc removed Crom premises: Ycs Noel.
14. Name of Owner of premises . .lr~.-4~~t~~;u, Address~~..4.'Ge(?~..~1-• .Phone No.-`~~ g :g~ ~.5~ .
Phone Na
Name of Architect ..........:................Address • . .
Name of Contractor . .Address . .Phone No..
IS.Zs Chis property located vithin•100 feet of a•tidal•veCland? ^Y>:S•--.NO....
*If yes, SouChold Town!Trustees Permit may be required.
PLOT D)AGRA6S
Locate clearly and distinctly all huildings, whether existing or proposed, and. indicate all set-back d'unensions from
property lines. Give street and block t}umber or descrip~'o according to~eed, and show street names and indicate whether
interior of comer lot. t ~ it n~ Chi y~•~-~~~ f e
d J ' l
I r
i
I~
STATCOf
\EIVYORI:, S.S
COUNTY OF i
being duly sworn, deposes and says that he is the applicant
•(Namc of individual si;ni~i~g contract)
above named.
licisthc
(Contractor, agent, corporate officer,etc.) •
of said owner or owners, and is duly authorized to perform or have pcr(ormcd the said [york and to make and file this
1pplication; that all statements contained in this application arc true to the bcs[ of iris l:nowledgc and belief;and that the
work will be pcrforn[cd in the mannersct forth in the application filed lhcrctvith. ,
sworn to bciorc me this i
• .day ar., 1994.
~'owry Public, `'~~t~ ~',7j; , ~!'t'. Y?:Q-. County
NORIIRY P~U~IG New Yak
No.4701b78,S IkOoentY (Si; aturc of applicant)
TeneEeptresMacN80.19...~
r ~ 1 ~
1I
1
1
W
W
~ .StiMM~ 2
/ T G r-1 t '
I
i f
J/ x Ja
w
.47 k si I ~ _II
W0~~4n x
i
-~,~x7' w
_
_ I, /
° ! 'Q (Lem,.-,~ ~ i c-x ~ r
I ~i
~ ~I A
' BATH ° - - - ,6. /~1u:~ - j~+~'` r~r,//~~
x .7 ~ II r~i ~j///
~~.v -
~ ~
~~d~ ~ rq~l; s9.w,
4 P
t
11 N
r
~k.Jo9~) ~
i. ~ . /~/p
~fIx 6Z -
a'
ilk I ~
t fe~ce5e..~ ~rrm
~ ~ ~`cY~
ii I ^ n 7
' I (e~reSe~ZS CCE~~uy~IL'(\
I
r^ I x ~ 3TA/RCA.SE II (Q~f•eSp/,~ ~ I
I( ~V
~ I11 - y
I ~G y~
~ r'~s~ IS ~.UJ'd~~yy,,1 ~I
~ ~n ~ ~ ;I ,,,pP~ ..I~Y~4~r~tatiQ
~ ~ Y ~~h~~i~ ' ' ~VU ~ '.•ivJlt~ i . ' W ~ ~ ~ i, r4F : ~ v(~
~ ~ 'I 'c'~:4. ,I ~
~O~C H -
'
r-'- _
- 1
y r y't~+ kph
F,m' 9F ME.W
p ~ /J ~ v s e\
.I /v P4J / ~~~~J~~ ~ a SyFy~J}+;~' +I
( 4C ~ r w f
/II ~ N m
lJ NF 0913541 ~o ~
' ~ op9pfE5SI0NP~'~~
~//9 ~