HomeMy WebLinkAbout28730-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29008
Date: 10/22/02
THIS CERTIFIES that the building ADDITION
Location of Property: 13100 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 114
MATTITUCK
(STREET) (HAMLET)
Block 11 Lot 11.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 2002 pursuant to which
Building Permit No. 28730-Z dated SEPTEMBER 9, 2002
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 GREENHOUSE ADDITION TO AN EXISTING DWELLING - BUSINESS BUILDING AS
APPLIED FOR.
T~e certificate is issued to HARRY M JAQUILLARD & WF
( OWNER )
of the aforesaid building.
SIIFFOLK CO~-N~fYDEPART~lqT OF ~ALTHAPPROVAL N/A
ELECT~IC3%L CERTIFICATE NO. 1080653 09/21/02
PLUMBERS CERTIFICATION DA'r~u N/A
Rev. 1/81
thO/nature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIT~ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28730 Z Date SEPTEMBER 9, 2002
Permission is hereby granted to:
HARRY M JAQUILLARD & WF
MATTITUCK,NY 11952
for :
CONSTRUCT A GREENHOUSE ADDITION TO AN EXISTING DWELLING - BUSINESS
BUILDING AS APPLIED FOR. THIS PERMIT REPLACES BP#9991.
at premises located at 13100 MAIN RD
County Tax Map No. 473889 Section 114
pursuant to application dated SEPTEMBER
Building Inspector to expire on MARCH
Block
9, 2002
MATTITUCK
0011 Lot No. 011.001
and approved by the
9, 2004 .
Fee $ 200.00
Au rl~ture
Rev. 5/8/02
ORIGINAL
FORM NO. 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN GLERK'S OFFICE
$OUTHOLD, N. Y.
N°.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
9991 Z Date ~--'~t~'T ~ '~ , 19....-~..~.
Permission is hereby granted to:
pursuant to application dated .......................... .~..."..~... ......... ./. ...... , 19 ........ 7 .~,'and approved by the
Building Inspector.
Fee $ ..... ./. ~.~ ............
Building Inspector
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
- 6 2002
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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.
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 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- $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. September 6, 2002
New Construction:
Location of Property:
Old or Pre-existing Building:
13100 l~aln Rd
(check one)
l, lat t ituek
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
Street Hamlet
ltarry 1~ Jaquillard & wf
114 Block ! I Lot I I. 1
Filed Map. Lot:
Date of Permit. 9/9/02 Applicant:
Permit No. 28730
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'O 03
Underwriters Approval:
Final Certificate: xx (check one)
' Applic~n~'Si~lr~
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
JAQUILLARD~ JAQUILLARD HARRY MATTITUCK FLO
475 ALOIS LANE 475 ALOIS LANE
MATTITUCK,NY 11952 MATTITUCK, NY 11952
Located at 13100 MAIN ROAD MATTITUCK, NY 11952
Application Number: 1080653 Certificate Number: 1080653
Section: 114.11.11~!ock: Lot: Building Permit: BDC: NS11
Described as a Co~ercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 21st Day of September, 2002.
Name QTY Rate Rating Circuit Type
Additional Charges
green house at florist
No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory I~
condition was found. I~
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
TOWN OF SOu~:HOLD,
ACTION OF 'A'~iE ZON]~O BOAED OF A~P~.AY,S
1978
Appe~l No. 2482 Dated September 26,. 1978
ACTION OF THE ZO1TI~TG[
~ I ' ~.-' ~ -.- ~ ~ . .' Appe~nt
Jaqu~
To
Ha~:y
13100 Main Road
Matti:uck, New York 11952~
( ) R,que~ for ~ce'~du, ~ lack 'of access to' prop~ '
( ) Re~uest for a
( ) ....
1. ~EC~ ~ION. BY ~olu~o~ of ~e Bo~d it w~ dete~, that. a ~e~ 'excep~on ( ) be
~o-,,~ ~ 8:~} P.M. (D.S.T.) Upgn .ap~lic~tig: of Harry M. Jaquillard,
13100 R0 d," Matti%u k;"' y6rk, 'for: :' 'vari'anca in accordance
with ~h~,_Zo~ing ~r~in~ge, Arti~l0 vI~, S.ec~.$pn 100-71 and Bulk Sch-
edule fo~ ~ermiss~on to construct an addit~on to a q.~.9~house w~th
insufficient side yard area. Location of property¥~'~in Road,"
Mattituck, New York, bounded on the north by Main Road; east by W. L.
Grabie; south by John Wickh~;. west by R. C. Kopf.
2, VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Or,tn.nee (would) (would not) produce practical
hardship because
difficulties or unnecessary
SEE REVERSE
(b) The hardship created (Is) (iS not) unique and (would) (would not) be shared, by all properties
nltb'e in the ~mmediate %~,tn~ty of this properly and in th.e same use dLstrlct because
SEE REVERSE
(c) The variance (does) (does not) observe the spirit of the Or~i-ance and (would)
-h--ge the eh~t-acter of the dLstrlct because
(would not)
SEE REVERSE
and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and
that the previous decisions of the Building Inspector ( ' ) be confirmed ( ) be reversed.
SEE REVERSE
f
: "' ,' ZONING BOARD OF APPEAr-5
After investigation and~ins~ection the Board'finds that the
applicant wis~s[to~onstruo~enhouse on the east~rT~ sideuof
his Garden shoD. The findings~of the ~gard are that this addition
w~ll not seriously affect the driveway on the easterly s~de of the -
build$~g and is contiguous to his garden shop. There will still be
an 18 foot driveway around this property.
The Board finds that-strict applicat'ionof!~the'ordinancewould
produce~ractical difficulties o~necessary hardship; the hardship
cr~a~d"is unique an~'%ou~ no~b~hare'd b~"~Ipr~perties alike in
the immediate vicinity of the propertyand.-in~.-~he same use district;
and the variance will not change.~the~c~aracter of bhe neighborhood and
will observe the sp~rlt of the Ordinance.
On motion of Mr. Grigonis, seconded~by~Mr~~ Doyen, it was
RESOLVED-that Harry M. Jaquillard, 13100 Main Road, Mattituck,
New York,-~be'GR/~TED-permission-tO .construct-an addition to his.garden
shop~ with~-'insuffi=ien~ side~.yard,are~a~r~qu~s~e~.,~
property:.,. =.. ~.-- Main aQad,u:~attituc~,,}~w York, .~gun4ed 0n the north ,~ "'
Ma~n Road; eas~ B~~ w. '~L. Grab'lo? ~ou~h' b~ ~fi~ WiCkham~ W~s~ by ~C.
Kopf', subj~%'~%o the-folloWing..
·... ~g,~o~.~e. Boar~ .~Ayes %,, ~$~ :... ~Gi!!~sple ,. Grlgon~s, ~yen,
TU=nlI.I a~ Do~=lass.
~'~'Y"IUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
INSPECTOR
FOB,M NO. 1
TOWN OF SOUTHOLD
BUILDING DEPAliTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.~ 2 ~ --/} 0
Examined ................. .~....J ...~...?., !0..~...~ ~ ~ (~ Application No......~..~..l ............
.......... ........
Disapproved a/c ........... ~ ............. ~ ...... ~ ..................
................... ..............
~ ~'~/'/~ '~/E ' '~ (Building Inspector~
APPLICATION FOR BUILDING PERMIT
.................. ................... .
INSTRUCTIONS
a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 description of layout ofproperty must be drawn on the diagram which is part of this application.
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 issue 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 $outhold, 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 buildingsfor necessary, ,nst:~.ections.~x.~A_.~ (~ c~c/~ ~_~_('~
........ ........
(Address of applicant) ~ ~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............... ..............................................................................................................................................................
....-T--
Name of owner of premises ..... ~.~J-~..~........~......~ ....... ..~....~...(-:..~....~'....~.. ......... ~.~..L/.I.~..~..~[,~. .............................
If applicant is (3 corporate, 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 ...............................................
Street and r .......
State existing use and occupancy of premises and intended use and occupancy~f proposed construction:
a. Exisiting use and ~cupancy ..... ~.~ ....... ~.~ ..................
b. Intended use and ~cupancy ~ ~~0 ~ ~g ;';~;;~ % ~ ~
3. Nature of work (check which applicable): New Building.. ................. Addition .... Alteration ................
Repair .................. Removal .................. Demolition .................... Other Work .....................................................
2. ) ~ (Description)
4. Estimated Cost ~)O 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, commercial or mixed occupancy, specify nature and extent of each type of use ......... .~.....~.~.~-~'
7. Dimensions of existing structures, if any: Front ....~..(. ................... Rear ..~.~../. ......................Depth ~' O ! .....
I
Height .~..C~. ............. Number of Stories ...... .~ .................................... ./ ............................................... ~ ..............
Dimensions of same structure with alterations or additions: Front ...~..~.~ ........................... Rear ...'.~--~.~. .................
Depth .... ~.J~. ................. Height ..~.(~. .................... Number of Stories .......... z"~'~/~'"~;~ .....
8.. Di?ension_s of entire new construction: Front ..... .'~..,..~.../. ........ Rear ....~ ..... Depth ...~..~:~....~..(..~....
meiglht ~..~.........L.~ Number pf Stories .........
;0. S'~:t;fo/~ur:~:: ..... '."' .J,.( l!~.~..( ................................. N::: of ~r'r~r Owner ../~.~..~..D.~..;~]~!~::..~.~(~-.'0
1 1. Zone or use district in which premises are situated ...~..q~.(..~.~...~.5 ............................................................................
12. Does proposed construction violate 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 premlises~l~.l~..'j'..J~..~..~..~...~....~...~..~.. ......... Addr~e'/s~,.~....,~ ........... Phono No..~...~.:..~...~,...O..~,
~4n-rT,-r~<_ Phone No.
Name of Architect ............................ ..~...~...,~...~.~!.~ ...... Address ......................................................
Name of Contractor ............................................................ Address ................................Phone No .......................
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 corner lot.
COUNTY OF ....... ..';~t~.<~../]T~....~....I ~*~ x
...~.ti~/,~.~. ........J~.~-..~.~I~L~.I..~..~...~...../~..~ .................... being duly sworn, deposes and says that he is the applicam
(Name of individual signing contracf)
above named.
He is the ............ ~.....:..~ .........................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or hove 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 perfor~( in the manner set fo~h in the application filed therewith.
Sworntob~emethis/~ ~{l)~~ 19.~.FL
......... ., k
........ .................
~ ~ (SignatUre ~applicant)
TOWN OF $O~T~OL~ .~
BUILDIN(~ DEPARTMEN,T~
TOWN CLERK'S- OFFICE'
SOUTNOLD, N, Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE P~EM!sE$ UNTIL FULL
CQMPLETION OF THE WORK AUT~IORiZED) ·
. 'a ~ ~..?..8.
9991 Z Dote ,....
Permission is hereby granted to: : ' ~
~. ............ Y. ................................ ?...., .........
...... ............. ~ ~-~,,'~..............................................:.. ..~, ,..:..
to. m o,~: I~l-!~o.~e ;:;.:, ,...,~..., .................................
at premises,located,at / ~ lDO
........................ : ....... : ..... :~
pursuant to app cat on- tJated . , ? ,~ ,;
. Building Inspector~
Fee $~ ... J~.' .............
TOWN OF SOUTDOLD
BUILDINC DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
Permit
Health
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING -~"~-/----VACANT LAND .......
Location of Property .~. ... HOUSE NO.
County Tax Map No. ,000 Section ./J.U. Slock .([ .... Lot'(~ ......
Subdivision ....................... Filed Hap ........ Lot ..........
No. ..Date of Permi
Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ....................
rev. 10/14/88
FOP~f NO. 6
TO~NoF SOIFI~OLD
BUILDING DEPAK~ENT
TOWN HALL
765 - ]802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
]. 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-dlsposal(S-9 form).
3, Approval of electrical installation from Board of Fire Underwriters.
4, Sworn statement from plumber certifying that solder used in system contains less
than 2/]0 of ]Z lead.
5. Com~erclal buildings, industrial buildings, multiple residences and similar
buildings and installations, a certificate of code compliance from the 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, ]957] non-conforming uses, or buildings
and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, ]957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
]. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entire lot prior to April 9, 1957 shall also accnmpany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
FEES:
I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - OVer 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Co~unercial
rev. I0/14/$8
TOWN OF SOUTHOLD
BUILDINC DEPART~ENT
TOWN DALL
SOUTNOLD, NEW YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
L tion of P -
oca roperty ............
HOUSE NO ...........................................
' STREET HAMLET
Owner or Owners of Property .................................................
County Tax Map No. I000 Section ...... Block
Subdivision ....................... Filed Map
Permit
Health
Planning
Lot~
Dept. Approval
.................. Underwriters Approval ..............
Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $ ..................
APPLICANT ....................................
rev. 10/14/88
FOEM NO.
TOW OF SOU'I~IOLD
BUILDING DEPARTHENT
TO~N ltALL
765- ]802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
~is application must be filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
I. Final survey of property with accurate location of ail 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).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that solder used in system contains less
than 2/]0 of ]Z lead.
5. 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.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (Prior to April 9, ]9573 non-conforming uses, or buildings
and "pre-existing" land uses:
]. Accurate survey of property showing all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, ]957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
For Vacant Land Certificate of Occupancy:
]. Au application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of the entir~ lot prior to April 9, ]957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
FEES:
]. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swim~ing Pool~ $25.00. Accessory
Addition to Accessory buildings, $25.00 -~~ building $25.00
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
$50.00 Commercial
rev. 10/14/88
TOWN OF SOUTtlOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
August 18, 1989
TEL. 765-1802
HARRY JAQUILLARD
475 ALOIS LANE
MATTITIICK. Ma!; Concern,
To WhomN'['~is 11952
We are unable r.o complete your Certificate
of Occupancy because .of the following reasons.
/_--/ An application for Certificate of Occupancy
is not on file.
~__--/ ~!o Underwriters Certificate on file.
/.-_/ The check i:;(outdated/not ou file.)
/~/ No tlealth Dept. Approval on file.
/~/ No final inspection has beeu made.
Please contact ()ur office on
Thank you for your cooperation.
l;ulldincj Permit I! 9 9 9 1 Z
Building Dept.
this matter.
Ho Plumber :]older C ' '
ert~flcate ~n file.
( all permits involving plumbing being
issued after April 1,1984 )