HomeMy WebLinkAbout30021-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30075 Date: 03/10/04
THIS CERTIFIES that the building ALTERATION
Location of Property: 455 SUMMER LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 78 Block 9 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 2, 2003 pursuant to which
Building Permit No. 30021-Z dated JANUARY 21, 2004
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 "AS BUILT" ACCESSORY APARTMENT IN AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR PER ZBA #5371 DATED 8/7/04. CONSTRUCTION CERTIFIED BY WARREN
A. SAMBACH SR. , ENGINEER, ON 3/2/04.
The certificate is issued to CHARLOTTE H DELITERIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 77549 3/13/73 and 1195516 02/23/04
PLUMBERS CERTIFICATION DATED 02/27/04 HENRY SMITH
A thorized Signature
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)
PERMIT NO. 30021 Z Date JANUARY 21, 2004
Permission is hereby granted to:
CHARLOTTE H DELITERIS
455 SUMMER LA
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN "AS BUILT" ACCESSORY APARTMENT PER ZBA APPROVAL
AS APPLIED FOR
at premises located at 455 SUMMER LA SOUTHOLD
County Tax Map No. 473889 Section 078 Block 0009 Lot No. 013
pursuant to application dated DECEMBER 2, 2003 and approved by the
Building Inspector to expire on JULY 21, 2005 .
Fee $ 300 . 00 4:
Authorized Signature
ORIGINAL
Rev. 5/8/02
- Form No.6 012-
TOWN
2TOWN OF SOUTHOLD
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 Department with thE8D20&i
A. For new building or new use:
I. ,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).
Approval of electrical installation from Board of Fire Underwriters.
g11c 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 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 dwelli
Swimming pool $25.00,Accessory building$25.00,Additions to accessory building$25.00,Businesses 0.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00
Date. V
JNew Construction:_ Old or Pre-existing Building: (check one)
J Location of Property: M:e=E: �a .0 (j:�, M,\7/
House No. Street Hamlet
V Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section t`( g Block "1 Lot
/ Subdivision Filed Map. Lot:
d Permit No. ,? OZ2 2 Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: _ (check one)
Fee Submitted: $
QQ q b Applicant Sign e
RI [.n[.n[.n[1"[1C.n[J�[1[J�[J�[J�[J�[J�[J�G1�[J�C.f[J�L3PC [PLPLr[13r@r rL3r n[P[J�[J�Gf[1�[J�[J�rJ@J�[J�[1�rJ@.n[J�[J�[.n[.n[1@J�[.nC.n[1�C.�[.nC1[.n[.n[.@.n[.n[1�[J� c01
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET -- NEW YORK, NY 10038
5 CERTIFIES THAT 5
5 5
5 Upon the application of upon premises owned by 5
5 SS
5 CARL DELITERIS CARL &CHARLOTTE DELITERIS 5
455 SUMMER LANE 455 SUMMER LANE �c,
5 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5
5 5
5 Located at 455 SUMMER LANE SOUTHOLD, NY 11971
5 Application Number: 1195516 Certificate Number: 1195516 5
S 5
5 Section: Block: Lot: Building Permit: BDC: ns11 5
5 5
5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement, 5
5 5
5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5
found to be in compliance therewith on the 23rd Day of February,2004. 5
5 Name (QTY Rate Ratin Circuit Type Amount
5 Miscellaneous
5 inspection of 1 smoke detector $0.00 5
5 in basement,requested by $0.00 5
5 building dept. $0.00
5 Alarm and Emergency Equipment 5
5 Sensor 1 0 Smoke $0.75
5 Invoice Total $50.00 5
5 5
5 5
5 5
5 5
5 5
5 5
5 Sea. 5
5 5
5 5
5 1 of I 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
Town Hall, 53095 Main Road z Fax (516) 765-1823
P. O. Box 1179 ✓G # Telephone (5 16) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE:
Building Permit No.
Owner: AAL- a ChCLj-io+1c- DI
(please print)
Plumber: 14 &N�e_4 St>7i'�+
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plu P1149,
Signature)
Sworn to before me this
day of Fe r lrja� , act q
Notary Public, ��_61( County
BONNIE f.DOa0610
Notary Public,90 Of Nrw%l*
No.01006095328,S"t"
Tann E*M 1*It 20,�,j..
File No: 9303
WARREN A.SAMBACH,SR.
CONSULTING ENGINEERS-PLANNERS
+' 7675 COX LANE r P.O.BOX 1033
ClTCHOGUE,NY 11935
63'1- is%)7ta-7x92
Febuary 20 2004
Building Department
Town of Southold
Town Hall
56095 Main Road '
Southold NY 11971
Re: Carl Deliteris
455 Summer Lane
Southold NY 11971
Permit,^ #300212
To Whom it May Concern:
Site observation of the above premises reveals that the
entrance door to the apartment and the removal of si., (6100 )
feet of wall conforms to revised plans as submitted and
aooroved. ;
}Sincerely,
j
Warren A. lSambach_Sr. P.E.
- was:
'g
File- No: 9303
WARREN A.SAMBACH,.SR.
CONSULTING ENGINEERS-PLANNERS
7675 COX LANE • P.0Y SOX 7033
CUTGHOGUE,NYJJ93S (" s TP' i `}"Fr. --
631-$ 1734-7492 -,
tl � it
M arch 2 2004
Building Department
Town ofi. Southold`
Town Ha2i
P.O., Box 1170
Southold NY 11971
Re: Carl Deliteris
455 Summer Lane
Southold NY 11971
Permit #300217
To Whom it May Concern:
Site observation of the above premises reveals that the
entrance door to the apartment and, the removal of six (61011 )
feet of'wall conforms to revised plans submitted and approved.
All construction conforms to the New York State Building Code
and the Town Code.
Sincerely,
3,
Warr A`:. ,Sambach Sr . P.E.
was:s_�,
cc: Deliteris
� �4
TOWN , OF _OUTHOLD PKOPMTY' RECORD _CARD
OWNER STREET VILLAGEI- VIM _I COUNTY TAX MAP NO.
n Y'' Ep. ?* p Sum e� �r ._ JBu. ra�c+ I —� �� S�c�d "�GO�°SC PIV41
LAND IMP. TOTAL DATE REMARKS:
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OWNER STREET VILLAGE DIST SUB. LO `
FORMER OWNER N E ACR.
S - W TYPE OF BUILDING
RES; a/O SEAS. VL FARM COMM, CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS-
1,1112
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f illable 2
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swampland FRONTAGE ON WATER'
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COUNTY OF SUFFOW
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,ZD EMBERS
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Southgld Town Hall
e'. Tortora, Chairwoman a 53095 Mann Road
'Gerard P.Goehringer to, 2 P.O. Box 1179
George Horning Oy �.le Southold,New York 11971-0959
Ruth D. Oliva ��l �a0 : ZBA Fax(631)765-9064
Vincent Orlando 4 'Telephone:(631)765-1809
http:/Isoutholdtown.northfork.net
BOARD OF APPEALS
TOWN OF SOLITHOLD
FINDINGS; DELIBERATIONS-AND DETERMINATION
MEETING OF AUGUST 7, 2003
Appl. No. 5371 - Charlotte Deliteris
Street& Locality: 41,55 Summer Lane, Southold, Parcel 7879-13,(with CTM 14).
�..
SEORA DETERMiNATION`'The Zoning Board of Appeals has 'visited the property under
consideration in this application and determines thatthis.review falls under the Type It category
of the State's List of Actions, wilhout`an adve?se effect on the environment if the,project is
Implemented as planned.
REQUEST MADE BY APPLICANT The Applicant-Owner is requestinga Special Exception
pursuant to Article ,lll, Section 100-31 B, sub-section 13 of the Zoning Code, to establish:an
Accessory Apartment Within existing principal building, the applicants dwelling_ The existing
single-farnily dweliingfias a C00ficate of Occupancy of record (25'197 dated 14 June 73).
PROPERTY FACTS/DESCRIPTION: This property is 24,000+- 'sq'. ft, in area (consisting of
B'aliside Terrace l=ot418iand#14, combined under Appl, #3163, dated 8/31183). The property
Ia improved nth a single4amily residence'with setbacks noted on the VanTuyl & Son fatandat o
surae dated ece ber
Y >� 15, 9971, as�follows: (a) 39+ feet from the front line facing Summ�
Lane, (b) 6+-#ce# omafhe,west sideline, (c)22+-feet from the north/east side fine. -
FINDINGS OF FACT
The Zoning Board of Appeals held a public,hearing on this application. on July 24,2003, at
which time written and oral evidence were presented. Based upon all testimony,
documentation, personal inspection of the property, and other evidence, the Zoning Board finds
the following facts to be true and relevant:
In considering this application,the Board has reviewed the code requirements set forth pursuant
to Article,Ill, Section 100-316(13) to establish an Accessory-Apartment and finds that the
applicant complies with the requirements for the reasons noted below:
1. The Accessory Apartment is proposed with a livable area of 624 sq. ft, gander the existing
bedroom area of the dwelling,(principal building). The Apartment unit will not exceed 40% of the
existing dwelling livable floor area.
2. Charlotte Deliteris, the applicant herein, is the owner pursuant to a Deed;dated 10/20/87 at
Liber 10458 page 1. Mrs. Deliteris occupies the dwelling as her principal residence.
3. The property provides for on-site parking with a total of three (3) parking spaces, two for the
principal use and one for the Accessory Apartment, utilizing the garage and existing driveway
area.
SE#5371 —Charlotte Deliteris
CTM#78-9-13 (Subd.Lots 13 and 14)
4. The applicant co ies with the requirements of a dwelling unit as defined in Section 100-13
of the Zoning Co4e 016 accessory apartment will be located in the principal building which
contains 2200 square,
t, without the garage. The house was built in 11972 and received
I
approval on June 12, 1973 from the Suffolk County Department of Health Services.
5. The floor diagram indicates that exterior entry to the Accessory Apartment of the existing
one-family dwelling-will retain the existing appearance of a one family dwelling.
I 6 The accessory apartment is subject to inspection by the Building Department and renewal of
the certificate ofodc"upancyannually' `
REASONS FOR BOARD ACTION. DESCRIBED BELOW: Based on the testimony,
documentation, and;other evidence,the Zoning Board determined the fbl(bwing findings of Fact
to be true and relevant:
1) The Accessory'Apartment,;as,applied for, is seasonable in relation to the District in which is
located, adjacent and nearby residential use districts.
2) ,TheSpecial,E*eptionmse,U accessory to the principal use ano will not:prevent the orderly
and reasonable use of adjacent properties. f
3 This raccess
oryt5se wilhndt=prevent orderly and reasonable usesr proposed or existing in
adjacent use districts.
4) No evidence has been submitted to show that the safety, health, welfare, comfort,
convenience, order'of the Town wouldbe adversely affected.
5) This zoning use is authorized by the Zoning Code through the Board of Appeals,as noted
herein, and•a Certificate for Occupancy from the Building inspector is'a code requirement before
an Accessory Apartment may be occupied.
6) No adverse conditions were found after considering items listed under Section 100-263 and
100-264 of the Zoning Code. f
7) A Certificate of Compliance or similar document will be necessary for issuance by the
Building Inspector certifying that the premises conforms to Ch. 100 of Zoning for an Accessory
Apartment use.
RESOLUTION: On motion by Member Oliva, seconded by Member Orlando, it was
RESOLVED,to GRANTtheSpecial Exception application for a one-bedroom Accessory
Page 2 of 3
jXt 7,2003
rlotte Deliteris
Subd. Lots 13 and 14)
d
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L
Apartment, to be used only in conjunction with the owner's residence, as applied for,
SUBJECT TO THE FOLLOWING CONDITIONS:
1. The owner shall occupy the dwelling as her/his principal residence.
2. There shall be no packing out of vehicles onto Summer Lane.
3. A Certificate of Occupancy or writtcompliance document shall be obtained from the
y Building Department before occup ncy of the essory Apartment.
VOTE OF THE BOARD: Ayes: Members ort a (C i n), G ringer,Tortora, and Orlando.
(Member Horning of Fishers Island was sen o ion duly adopted (4-0).
a VI CE T O NDO,C airman Pro Tem 9/4/03
l Approved for Filing -
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TCS-1802
glia, BUILDING DEPT.
V INSPECTION
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FOUNDATION IST [ ] ROUGH PLBG.
a [ ] FOUNDATION 2ND [ ] INSULATION
a [ ] FRAMING [ ] FINAL
{ ] FIREPLACES CHIMNEY
REMARKS: a4f
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DATE INSPECTO
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION(1ST) y
-------------------------------------
---FOUNDATION
-----------------------
FOUNDATION(2ND)
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ROUGH FRAMING&
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PLUMBING
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INSULATION PER N.Y. 3
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS _
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TOWN"OF SOIkTH0LD BUILDING TB.RMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets ofBWlding Plans -
.TEL:(631)765-1$02 PlanningBoazd approval
FAX:(631)765-9502 Survey _
www.northfork.net/Southold/ PERMIT NO. Check
Septic Form
NX.SDAC
Trustees :
Examined "a I 20Contact:
Approved `'� ,20� � Mail to:
Disapproved a/c
f Phone::
1 -Expiration ? b'-t. ,20
Build g.Inspecto
1,
f APPLICATION FOR BUILDING PERMIT
j 2 LitDate 120
tL INSTRUCTIONS
C a! This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
4 sets of plans;accurateplot plan to-'scale.—Pee according to schedule.
h.`Not pian showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be co snenced before issuance of Building Permit.
d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
j 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim;the Building Inspector may authorize,in writing, the extension of the permit for an
addition six months. Thereafter„a new permit shall be required,
M:ZonLIC3TIONIS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Buildinge Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Reg lations, for the construction of buildings, additions,'or alterations or for removal or demolition as herein described. The
applicant agrees to comply with allapplicable laws, ordinances building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicantor name,if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
ame of owner of premises_c a„YIC) l ULA De L��' ffL5
(As on the tax roll or latest deed)
f applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
builders License No.
lumbers License No.
lectricians License No.
ther Trade's License No.
Location of land on which proposed work will be dong:
House Number Street Hamlet
County Tax Map No. 1000 Section q$ -Block—q Lot l 3
Subdivision_ Filed Map No. Lot
(Name)
State-existing use'and occupancy of premises and intended use and occupancy of proposed cons`trac�ton:
ati 'Existing use and occupancy ye5t o]c?" �` €
b. Intended use and occupancy Y25' ea tCCA t to i l r h yo q�Q�F� ¢( e5so'tf
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition �' Other Work h cs n�
(Description)
4. Estimated Cost t'0�6 •-f- Fee
(To be paid on filing thi's application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
I If garage; number of cars
i
6. If business, commercial or mixed occupancy,specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front. Rear Depth
r
Height Number of Stories
Dimensions of same structure with alteration or additi ns: Front Rear
a Depth Height Q Number of Stories
;
S. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
s
k 9. Size of lot: Front aQQRear Depth I Z6
10. Date of Purchase I l 0 Name of Former OOwner
f
I 11. Zone or use district in which premises are situated
G 12. Does proposed construction violate any zoning law, ordinance or regulation?YES_NO
p 13.Will lot be re-graded? YES _ NO ''Will excess fill beremoved from premises? YES_NO
14. Names of Owner of premisest✓ka 14X-tws Address 46E Phone No.Q/ 7G45--2430
! Name of Architect Address Phone No
Name of Contractor Address Phone No.
G15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES' NO ✓
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
p b. Is this property within 300 feet of a tidal wetland? *YES NO V
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
r
16: Provide survey, to scale, with accurate foundation plan and distances to property lines.
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )���Y%/�
K Is being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the (2111 / Tex
(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 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 �3
_/,A& _day of (�t lr��, 20_ 0_�;
Notary$'ublic L Signature of A plrcant
LENDA,f.COOPER
Notav Fubfic,Stale of itisacw York
No.4822533,5016k Cc.
74m Expires Dscev ba S 0.
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