HomeMy WebLinkAbout19048-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 219367 Date SEPT. 18, 1990
THIS CERTIFIES that the building ADDITION AND ALTERATIONS
Location of Property 65 OLD SALT RD. & 400 ROCHELLE PLACE MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 144 Block OS Lot 22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 2, 1990 pursuant to which
Building Permit No. 190482 dated MARCH Z5, 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 ADDITION AND ALTHRATIONS TO EXISTING ONE FAMILY DWELLING
The certificate is issued to SAMUEL AND RACHEL SALZMAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N147626 SEPT. 6 1990
PLUMBERS CERTIFICATION DATED HENRY J. SMITH & SON, INC 8/16/90
Z.B.A. APPEAL #3928
uil ing Inspector
Rev. 1/S1
I
N®. ,
TOWN nF s®uTH®~a
BUILa1Nty ®EPARTMENT
TOWN ttA1,L
souTrloLa, N. v.
BUILa1NG PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N® ,t ~1~~~ z Dat® ~9
Permission is hereby granted to:
........................................................................s../..................,......................................,.................
County Tox Mop No. 1000 Section Biock Lot No.....~ 1....a~
pursuant to application dated .....:3~a~.~' 19........, and approved by the
f Buiidfng Inspector.
~ o~
Fee $.a;1...Y.~....~CjC1.
i ~ JJ
'
B Iding I for
Rev. 6/30/60
ti
i * ~
Form No. 6 ~~er.e
TOWN OF SOUTHOLD C~~ )'y/~QQ
BUILDING DEPARTMENT ~q¢~~y ,
nyp I ~ TOWN HALL `,~/u,~1~.~_ Cc'2~y
765-1802 yid 4
BLDG. DEPT.
TOWN pFSOUTHOLD ICATION FOR 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(5-9 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 17 lead. r
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 - $10.60
4. Up~fated Cerfiricace of Uccupancy - $50.00
S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
;lew Construction.........../ Old Or Pre-existing Build/in~g~.~
`CCS.ticn cf Prol..arty......Y'."~.......1J.~-.~ .~d.~},~.~ .fi:+`:1:.~.......1~?!? ~1.~.~U.~F~...........
House No. .Street Hamlet
Onwer or Owners of Property..,~i~1~,l2ge~,.q,~~,,,;,~~J„42;-,m??;?,,,,,,,,,,,,,,,,,,,,, ,
County Tax Map No 1000, Section... ~ ~~.....,Block.....:~.........Lot......:°~.~:...........
Subdivision ....................................Filed Map............Lot.............:........ -
Permit No,G,q,Q,~„`~,,,~ „Date Of Permit ................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval......................
i
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Sn~bm~itted; $„q~ 5 /G
~I/ X190 :c. ~ .
AP~LICANY~ ~ ~ .
r~ o '~.f! ~ _ -
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'nc;~: ,I
tf~~il~xfa
BUREAU OF ELECTRICITY
BS JOHN STREET, NEW YORK, NEW YORK 10038
iP~f1'1:14iil'"12 flt1, ~ if30 4i4fif.2lyf)t'4{) ~ :I~t76~f>
Date Applicotion Nu. on file
? THIS CERTIFIES THAT
only the electrical equipment as described 6eloty and introduced 6y the applicant named on the afrove application number in the premises of
,AE,tPFa, 3~ALfalQFt~, ~x5 t>7J~ ,~'L'1' ITI}rr~~.
Q ?i~°I"i'T_,'3'YT{~zt, A1.3',
in the olloLCin Inca r ,)_l o e t u lxt P'f. ? 2nd N'L Section Bfock Lot
f R ~I~~~I~I ~I~.9~.g>~
9 uqs examined un orzdfuund to be in conLplianee with the requinebrenta q/ tkis Board.
FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
[[OUTLEtS y q IN(CANDESCENT FIUORESCENi OTHER AMi K W. AMT. K W. AMT. K.W. qMT. K W AML H P.
~~l 1 S C~
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EELL UNIT HEA7ER5 MSYSTEMS ET DIMMERS
AMT. K. W. OIL H. P GAS H P AMT NO A. W G AMi AMP. AMT AMPS TRANS. AMT, H P NO. OF FEET AMT. WAiiS
SERVICE DISCONNECT NO.OF 5 E R V I C E
METER NO OF CC COND A W. G. A. W. G A. W G
AMT. AMP TYPE EQUIP l A' 2W 1 ,F 3W ~.e 3W 3.F dW pER OF CC COND NO OF HIiEG OF HI{EG NO OF NEUTPAlS OF NEUTRAL
OTHER APPARATUS:
LiXR1NS: F'C}!i Afil)aT.'PCI AWN;laftlh!>-t
' G.~'.C.tr°,l
E
RG13};RT ~7E:DllA;RiiUlttV b7;<'mdlPi!~:Ifl
, ~ ~
11 q VSO+PkIt)t~ }f'CYLIL kP, r`
}7ffIV'PTNG.'Pf 1?+1, IrT~, 9.~7.Q6 GENERA M~AI~AGq~IC
?.1 }9J7 fr
Per • il~G' ~
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
f
TEL. 7G5-1802
5~FF0(kl'
~O OGy TOWN Or SOUTIIOLD
4~;~$.;.~:;~ ~c OFFICE OF BUILDING INSPECTOR
~ +$~s~ P.O. BOX 728 ,
~ T01VN E[ALL
~y~ol ~ ~a~~ SOUTIiOLp, N.Y. 11971
July 30, ]990
~•I~ ~p Samuel 6 Rachel Salzman
/ 42 Maxwell Rd.
Garden City, N.Y. 11530
ti
To PThom This:. May Cokrcern, ,
We are unable to complete your Certificate
oL' Occupancy because of the following reasons. j
An a~sglication for Cey~ ificate of Oc anc ~i' `/~g0
-g--nat~,,_~yic. (ENCLOSED)
Ill' •-'~~l~o Underwriters Certificate on fil '
(f~~`" TIr check (lay%m/not on file ) . 52~~~/~~/O
/y/ No Ilealtii Dept. T:pproval on file.
No final ins.pc:cCion has been made.
Please contact our office on this matter.
Tharrk you for your cooperation.
Bui].di.nq Permit 1 9 0 4 8 Z
Bui di Dc
No Plumber Solder Certificate on file. ,
( all pcrmii:s involving plumbing being
.i~sucd after npril 1,19II4 )
v~-
i
~..F I
HENRY J. SMITH & SON, Inc.
PLUM6ING, HEATING & FUEL OIL
MAIN ROAD
SOUTHOLD, N.Y. 11971
(516) 765-3690
C_E_R_T_I_F_I_C_A_T_I_0_N_
4
Date Aug. 16, 1990
Building Permit No.__19048Z
Owner T'~' & Mrs Saltzman
Plumber__Henry_J__Smith & SonL_Inc_
I certify that the solder used in the water supply
system contains less than 2/10 of 19 lead.
i~~Henry P. Smith
Sworn to before me this
16th day of August_____,
19 90 _ . _~~~~%2e?eCr~~S~
C11.~
Notary Public
Notary Public, Suffolk County
RERNADETTE L. TAPLIN
NOT State of NewNYO~93
Raidin¢ mi es
Sept 30,19
Commiuion ExD
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I1ISULATI0:1 PER N. Y. ~
STATE EiI£RGY ~ - \
CODE -
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ADDITIOPlAL C0:4MEtiTS:
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BUfLDING DEPT.
INSPECTION
[ ]FOUNDATION iST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS:
DATE ~ ~ INSPECTOR
~ ~ BUILDING DEPT.
Y INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~ ~
PATE INSPECTOR
I
765-1802
BUILDING DEPT,
.INSPECTION
[ ]FOUNDATION iST [ ) ROUGH PLBG.
FOUNDATION 2ND [ INSULATION
[ ~ FRAMING [ ) FIN~~A//L
REMARKS: g,~ eJ~ ~-G.~/l~, .
DATE ~ ~D 'INSPECTOR
C G ~ l ~ 765.182
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ~ )FINAL
REMARKS: ~F1 i~1~-
_ i
DATE 'INSPECTOR
o~~Ffo~K~o~
VICTOR LESSARD ~O~' ~ Town Hall, 53095 Main Road
PRINCIPAL BUILDING INSPECTOR = = P.O. Box 1 179
(516) 76s-lso2 ~ ~ Southold, New Yank 1 1971
FAX (516) 765-1823
o~'yol ~ ~~p~-
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 22, 1990
Rachel C. Salzman
42 Maxwell Rd.
Garden City, N.Y. 11530
Dear Mrs. Salzman:
Thank you for your check which we received May 16, 1990.
In reviewing your application I found that you only had one set
of plans. We require 3 sets of plans and since your estimated
cost is over $20,000 one set of plans has to have an engineer or
architect seal on them.
Please send us the additional plans needed so that we can
proceed with your application. Thank you.
Yours truly,
Thomas Fisher
Building Inspector
p~,
APPEALS BOARD MEMBERS c ~ rn SCOTT L. HARRIS
~ Supervisor
Gerard P. Goehringer, Chairman a?`~ ~q-
~f
Charles Grigonis, Jr. '~`~1~~ ~-I~ `~°~9 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 SOUTHOLD Telephone (516) 765-1800
_.K-.,w,"^J r fjaZ
rt~~~,~~i" /t ~f~y~ '~'if,~
ACTION OF THE BOARD OF APPEALS/p23~~~~„~ ~I1 f),
Appl. No. 3928
Matter of SAMUEL AND RACHEL SALZMAN. Variance to the
Zoning Ordinance, Article III A, Section 100-30 A.3, as
disapproved, for permission to construct addition to an existing
dwelling, groposed construction will have insufficient front
yard setbacks. property Location: 55 Old Salt Road and 400
Rochelle Place, Mattituck, County tax Map No. 1000, Section 144,
Block 5, Lot 22.
WHEREAS, a public hearing was held and concluded on April
19, 1990 in the matter of the Application of SAMUEL AND RACHEL
SALZMAN, under Appeal No. 3928; 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 east
side of Old Salt Road and the south side of Rochelle Place in
this R-40 Zone District, Hamlet of Mattituck and is identified
on the Suffolk County Tax Maps as District 1000, Section 144,
Blook 5, Lot 22.
2. This is an application for Variances from the Zoning
code Article III A, Section 100-30 A.3, for permission to
construct addition to an existing dwelling, proposed structure
will have insufficient Front yard setbacks.
Page 2 - Appl. No. 3928
Matter of SAMUEL & RACHEL SALZMAN
Decision rendered May 1, 1990
3. Article III A, Section 100-30 A.3, No building or
premises shall be used and no building or part thereof shall be
erected or altered in the Low-Density Residential R-40 District
unless the same conforms to the requirements of the Bulk
Schedule and of the Parking Schedule, with the same force and
effect as if such regulations were set forth herein in full.
4. The subject premises is imgroved with a one (1) story
framed house in this R-40 Zone District, the proposed addition
will be fi ft.from the east side of Old Salt Road and 25+- ft.
from the south side of Rochelle Place.
5. In considering this application, the board finds and
determines:
(a) that the circumstances of this application are
uniquely related to the premises and its established
nonconformities;
{b) that there is no other method for appellants to
pursue; and placing the proposed addition in any other location
on the premises will require other variance relief;
(cl that the area chosen for the addition is not
unreasonably located;
(d) that the variance will not in turn cause a substantial
effect on the safety, health, welfare, comfort, convenience
and/or order of the Town;
(e) that in carefully considering the record and all the
above factors, the interests of justice will be served by
granting the variance, as applied conditionally noted below.
Accordingly, on motion by Mr. Goehrigner, seconded by Mr.
Sawicki it was
RESOLVED, to GRANT a Variance in the matter of the
application of SAMUEL AND RACHEL SALZMAN as applied under Appeal
No. 3928 for an addition to the one family dwelling 27+- ft.
from front yard property line.
Vote of the Board: Ayes: Messrs. Goehringer, Grigonis,
Sawicki, and Dinizio (Absent Serge Doyen, Fishers Island). This
resolution was duly adopted.
df `r~,/faA~i
GERARD P. GOEHRINGER, C IRMAN
FORM N0.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL Q
n ` ~ Date 19 .
....Cam-~...C..f~ e~~s'3 a
PLEASE TAKE NOTICE that your application dated : 19 .
_
for permit to /,(~,v//~4.?7.I. .~,,~r~,y~~fp..~2~9~.~~~4h~/~.~i' . .uai~~at ,
Location of Property ~ •,l".~', . X~. 1• "Q•/Cr~"``7..~.~ •~Z~• • . ~'~~'~l~(~GC.~
House No. Street m/et
County Tax Map No. 1000 Section ....,1.~{~j.~.... Block J...... Lot dZ.~-•:... .
Subdivision Filed Map No. Lot No. .
is returned herewith and disapproved on the following grounds ..Ll~l~ ..L%L_ .6`T
Bu' ding I~spector '
RV 1J80
3. Nature of work (check which applicable): New 13~tilding Addition ~ • Alteratian , .
Repair Removal Demolition ...........Swimming yogi........... .
Tennis Court Accessory Building..........Fence .......Other Work.......
4. Estimated Cost 1%(.30~,.~ Fee
(to be paid on filing this applications
S. If dwelling, nurnber of dwelling units Number oC dwelling units on each floor .
If garage.numbcrofcars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use • .
7. Dimensions of existing structures, iC any: Front . Rear Depth , • , . .
Heig}rt Number of Stories
Dimensions of same structure with alterations or additions: Front Rear , , .
Depth "^I Number of S[orics . .
• ' .
S. Dimensions of entire new constnuctron: Front Rear Depth G.~ . , , • ,
Hcigltt Number of Stories . .
9. Size of lot: Front Rear Depth .
I0. Date of Purchase ~ ~ • • •
...:.........................NameofFormer Oevner
11. Zone or use district in which premises are situated . .
1 Does proposed construction violate any zoning taw, ordinance or regulation : • .
13. Will lot be regraded ............................Will excess fill be removed from premises: .Yes No~
1~}. Name of Owner of premises ...........:........Address ...................Phone No............... . .
Name of Architect .Address ...................Phone No................ .
Name of Contractor .................:........Address ...................Phone No.....,i . .
15.Is this property located within !00 feet of a tidal wetland? =YES.__.NO.,LC:
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
t f,
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~
STATE OF NE\V YORE, S.S
COUNTY OF .
• • • • • • • • • • • • • • • • • • • • • • • • - being duly sworn, deposes and says that he is the applicant
• ~ (Name of individual signing contract)
above named.
Fkistlte
(Contractor, agent, corporate officer, etc.) ~ • • • • ~ ~ •
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in ibis application arc true to tl:e 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
.,,,..dayo~f/... ~2?.Q:/:/~~G.........., 19 P.a.
Notary Public, , • • , , , (~~LQ~c,~..!t• 1/o;e•;
: • , County
HELEN K BE VOE . l •C . ~ • .
N8T11RY PUBLIC, Sbte ~~ff flow Yait /
No. 4787879,Su1fotkC>~ (Si aturc •f applicant)
Term Expires Much 38.1
-
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO. 1 SURVEY .
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC r•o[trt
TOWN HALL
$OUTHOLD, N.Y. 11971 NOTIFY
TEL.: 7G5.180~ CnLL ••S~/G. ~.`~6, .5.~ ~ f , • • , •
Examined • 19 MAIL T 0 : .
Approved . ~~!~:`Pr.-..../, 19~ Permit No.~~~ r~~,"J ~ iJ ~ .
Disapproved a/c . cJ .?-~:./.nlp, . -~~,i
. ~ • ~ ~~r~~
• ' , BLDG. DEPT,
• . • • •TDWN•UF SOUTHOLD
(Building Inspecto
APPLICATION FOR BUILDING PERPr11T
Date ..~:.2.:.~."~......, 15...
INSTRUCTIONS
a. Tltis 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 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 areas, and giving a detailed descri~:tion of layout of property must be drawn on the die, am which is part of this appli-
cation.
a,•• 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 arty purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION TS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
$uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of',, buildings, additions ar alterations, or far removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housin; code, and regulations, and to
admit authorized inspectors on premises and in building for necessary~n ections.
(Signature of appli ant, or me, if a corporation)
(Mailing address of applicant} ~ ~ f-3 0
State whether applicant is owner, 1Cssee, agent, azchitect, engineer, general contractor, electrician, plumber of builder.
..:.....................•Sei9i..•z••Mi~Frf
Name of owner of premises~cl'~MvFi/ k /~iy-olr.~••••.:?:~•1~-~+'r'`T'~•••••
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duty authorized officer.
(Name and title of corporate officer)
l
Builder's License No. !i{.~........ .
Plumber's License No. ,i........... • .
Electrician's License No . '
Other Trade's License No . .
1, Locatio/n of land on which proposed work will be done;
E[ouse Number Street Hamlet
County Tax 6lap No. 1000 Sectidn • • • • Block • • Lot ~.3`;
; ~ ,
. .
Subdivision Filled R1ap No. Lot .
..(Name) .
State existing use and occupancy pf premises and intended use and~occupan/,cy of proposed construction:
a. $xisting use and occupancy • ~~9~3`Y/.`zl-.,,ff~.-,:~~.. ?~t~~Y,~,14''.r'n/C C .
b. Intended use and . ~l4j?a+t`~...... !~::"•'7..''r~'lllw:tl'_ ~ .
occupancy •r~•~.,,...,....