HomeMy WebLinkAbout7029-ZFO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No. Z902.'~ ..... Date ..... Malt...'[8 ............... , 19.7.8.
THIS CERTIFIES that the building located at .. 2550. I~ike ............... Street
Map No ............. Block No ........... Lot No ..................................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . .Nov~be~. 15 ....... , 19.7.2. pursuant to which Building Permit No...7.029;~
dated .. Decembar.. '1 :] ........ , 19. ?5., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .... i~RIVATE. SW'~MMING. POOL. WITH .FENCE .............................
The certificate is issued to ..... J~ohn. ,~o. & .The~na .Loper. ........................
(owner,~)
of the aforesaid building.
Suffolk County Department of Health Approval .............. N./~.. ..................
UNDERWRITERS CERTIFICATE No..N~675.7.9 ....... D. ecelnb, er. 5,..'~977. ........
HOUSE NUMBER .... 255.0 ..... Street ....... P;Lke. 8.~.ee~; ......................
............................................. 14~t~i .~Ack,. N~/. Y.o. rk ............
Building Inspector
FO~M NO. 6
TOWN OF SOIJTHOLD
, Building Department
Town (::Jerks Office
Southold, N. ¥. 11971
APPLIGAT~ON FOR GERTiFICATE OF OGCUPANG¥
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees: 1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
mew Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Prope. ....... ......... .....
Owner Or Owners Of Property .',,,,,~;..~ .... ?.. . .. /.. .~ .~... .~..~..C.~.. .............................................
Subdivision ...................................................... ~ ....... Lot No ............. Block No ............. House No .............
Permit No~..~...~.//.'- ....... Dote Of Permit .../.././(..,~.~.....Applicant ::-~?.:.~..¥.,~..,~,-..~..:....J'::;~..]~r,~...., ......................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval '.q/ ............................................ Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Final Certificate
Fee Submitted $ .~.....?..o.. ......................
Construction on above described building an~ ~ermit ~ets ~ applicable codes and regulations.
...... ................................................
Sworn to before me this ~j ~
................ day of ............................................ (stamp ar seal)
c, Z- qo -/
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'P1 TIMECLOCK~I BELL UNITHEATER~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
__ ak BUREAU OF ELECTRICITY
f 85 JOHN STREET. NEW YORK, NEW YORK 10038
~.,e0ecember 8, 1977 Ap,,,~.,~..,-o.o.~,,e 9o345s N 367379_.
THIS CERTIFIES THAT
John J. Loper, Pike Street, Mattituck, h.I ......
[n ,he foItowJng locatlon; ~ B~sernen! [] Is!FL [] 2.d Fl. outside
V I C E
NO. OF HI-LEG
EXHAUST FANS
DIMMERS
1 G. F.C.I.
(Swimming Pool) This certificate covers compliance at the date of
inspection only. Because of unusual environments it is advisable
to have frequent test and/or repairs made by a qualified person.
Th,s cerhf,cate rnus~T~m~t not._~wm~e altered ,n.~r~m~am.y monner;, return to the office of the Board if incorrect. Inspectors may be identified b~~r~¢~ Y
~t/on of p~zty: ~tb side o~ V~ke S~t, ~tt/~ck, N. Y., ~ ~
(w~d not)
After ~nveot:Ld~t~o.n a.nd 'Suspect,.on the Board £inds that appl~.cant
on ~ ~at~ on ~he so~th s~de o~ ~ke S~e~, ~tt~tuck, ~ Yo~k.
~e ~ard ~ t~t the ~ ~ld ~ 8~ ~ck 41 ffe~ ~ro~ ~ple Avenee
~allel~u~ the s~ ~ ~e m~a ~e ~r~ ~ple A~ej a~ tht the
legal ~ck~rd ~ ~ullable ~o~ the ~f~e ~ lo~t~ a ~ ~ause
The Board f4~. that strict application of the OL~4~ce would
c~t~ ~o u~que ~ ~d ~ ~ 8hr~ ~ all ~r~t~ ~l~ke ~n the
~8te v~ty ~ t~s p~o~ty a~ ~n the same uae ~etr~ct; ~
the u~a~e ~LI1 ~t c~ the c~ctef o~ the n~ a~ ~ll
~ I1' WAS P~SOI. VK0 Adolph Bf~Ltenb~cb~ Jr. · Ma~n Roada
N~ Yo~k, ~ G~IL~ ~or.
Vote of the Boa~d~ Ayest- Me~s~s: C. ill!Lspie, Be~$en, G~Lgo~LB.
TOWN OF SOUTHOI-D
BUILDING DEPARTM~:NT
TOW'N CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
File Ne ................................................................... Date /~')~( ~ 19? ''~
~d herewith and die. proved on ~e foJJ~in9 grounds ........................ :..~[ ...............................
TOWN OF SOUTHOLD, NEW YORK
APPEAL FROM DECISION Of bUILDING iNSPECTOR APPE^L NO. / ~ ~ ~?
TO THE ZONING BOARD OF AP~LS TOWN OF S~THOLD, N. Y.
THE ZONING BOARD OF APP~LS FROM THE DECISION Of THE BUILDING 1~5PECTOR ON
WHEREBY THE ~U]LDING INSPECTOR DENIED TO
_ ~ .~N~me ~ AppJicant for pe~it ~, / ~ ~
Mop No. Lot No.
2. PROVISION (Si OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
sec/t~on o,~d Poragral~n of,the Zoning Ordinance by number. D~ot quote the Ordi~nce.)
(~ ~ ~ ~- ~ ~-'~,.~C-~
3. ~PE OF APPEAL Appeal is mode herewith for
(~ ~ VARIANCE to the Zoning Ordi~nce or Zoning Map
( ) A VARIANCE due to lack of access (State of New York Town Law Ch~p. 62 Cons.
~ff. 16 5~. 280A Subsection 3
4. PREVIOUS APPEAL A previous appeal (has) (hc~s not) been made with respect to this decision
of the building Inspector or with respect to this property.
( ) request for a variance
and w~s made in Appeal No ................................. Dated ......................................................................
R~,SON FOR APPEAL
( ) A V~riance to Section 2BOA Subsection 3
( ) ~ Variance to the Zoning 0rdinonce
REASON FOR APPEAL Continued
STRICT APPLICATION OF THE ORDINANCE would produce proctical difficulties or unneces-
2. The hardship created is UNIQUE and Is not shared by all properties aJike in the immediate
vicinity of this property and in this use district because ~4.~ ,,/~ ,--~-- ,~s
CHARACTER OF THE DISTRICT because ..~ ~
The Variance would observe the spirit of the 0rdinonce and WOULD NOT CHANGE THE
COUNTY OF. ) SS '" Signature ' '"' ....
· SwOrn t? this .....~ ........... ,~ ........................... day of ........ ' '
.................................................... ::........'. .................. Notary Public
L
SCNOOL MOUSE LAN~
JONN
T ;
SUavE'lSD FOIZ
~o s T,qELMA M.
SCALE o d-O'
I~ ~ MONUMEI',.['t'
LOPE'R
$:TU&TE AT
MATT[TUCK
c~'s :~., ,' ...... -" .,,. ,4 i ~"'T,~.~
VAN TUY"L & SON
LICENSE;-,' .. '" -" · E ;V ,', k,': ~
FO~,~ NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
INSTRUCTIONS
o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building~
Inspector.. ~
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and giving e detailed description of layout ofproperty must be drown on the diagram which is p~rt of this application.
c. The work covered by this application may not be c0mmencqd before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the progress of 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 o Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other opplicc~le Lows, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described.
The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regulations.
-(Sigl~u?e of bFpl~nt,-or- name, If a ~Ftp6ration) ~.
...... ..... ..............
State whether applicant ~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................................................
(Name and title of corporate officer)
1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No .........................
Street end Number .......--'-' - ' ~'~r---- ~-- '-- ~'M"~l~lt~'"'"~'~'"'"~'"'"~'"'~'i~il~ii~ ......................................
2, State existing use and occupancy of premises a,nd intended use and occupancy of proposed construction:
a. Exisiting use and occupancy
b. Intended use and occupancy
3. Nature of work (check which ap~dcable): New Building .................. Adch,on .................. Alteration ..............
Repair .................. Removal .................. DemoJitior'....~. ....... Other Work
4. Estimated Cost ......... ~.~..~.1..~u~-~ ...................... Fe'd'.5 .......................................................................................
(to be paic~ on filing this application)
5. If,dwelling, number of dwelling units ............................ Number of dwelling units on each floor .........................
If garage, number of cars .............. ~ ...................................................................................................................
6. Jf business, commercial or mixed occupancy, specify nature and extent of each type of use ............................
7. Dimensions of existing structures, if any: Front ......... : .................. Rear ................................Depth ....................
Height ........................ Number of Stories ................................................................................................................
Dimensions of same structure with alterations or additions: Front .................................... Rear ............................
Depth ................................Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front .................................... Rear ............................ .J~th ........................
Height .................... Number,,~ Stories .................. ~'. ~ ../~ .,~.~- -. · ~.'~e~.~.~' · - - ~. · 1~"-~;~. · · ....................
9. Size of Jot: Front .......... 1'7"~'"'"' Rear ................................... Depth ~. ..... .'.~..i~) ..........
10. Date of Purchase ........................................................Nat:ge of Form,qr O~ner..~......_. ...............................................
] 1. Zone or use district in which premises ore situated ....... .....~ ...........................................
13. Nome of Owner of premises~,e,~..~,l~.x~ .......... Address ..# ............... Phone No
NomeN°me olaf Cant ractor ~l~...~ldressArChitect ................................ ~....; .....//....~.~f A. dd ressGRAM..~~ii~.~.... ............................................ PhonePh°ne No.~. 2. Z ..-.~ d~..N° .................... __
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 corner lot.
STATE OF NEW'OfORK, ,~ J [ c ~
COUNTY OF, ,~ .."- ...~-. $ ""~o It
......
.... (~tor, ag~t, c~oro~ officer, etc.) " '
of said ~ner or ~ners, and is duly authorized to perform er ~e ~ed the ~id work and to ~ke and file
this application; that all statements contained in this ~li~i~ a~ t~ ~ t~ ~t of his k~e and ~lief; and
that the work will ~ ~rfor~d in the manner ~t fo~h in the ~lic~l~ fil~ ~i~.
~fore me this
· -...Z~ ......... ~y of ...... ~~ ............., ]'.7~...~~. .. . . ~ ,~/ / ~Sworn to
~ ~ ~ .// ' ' Notary PuMic, Stele of New ~
/ Commission Expires March ~, 1~