HomeMy WebLinkAbout1906
TOWN OF SO~THOLD, NEW YOEK
ACTION OF THE ZONING BOAR~ OF APPEALS
AppealNo. 1906 Dated May 2, 1974
ACTION OF TIrE ZONING BOARD OF APPEAI~ OF THE TOWN OF SOUTHOLD
To Bage Construction Co., Inc. a/c Marshall Hansen
Southold, New York 11971
DATE .~....23., 1974
AppeHanf
at a meeting of the Zoning Board of Appeals on May 2 3, 19 7 4
was considered and the actior~ indicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance
( )
the appeal
1. SPECIAL EXCEPTION. By res~ution of the Board it was determined that a speci~ exception ( ) be
graded ( ) ~ de.ed pursuant in ~ticle .................... Section .................... Subsection .................... paragraph
.................... of ~e Zoning ~diuance a~ the d~on of the Building I~pector ( ) be reversed ( ) be
co~irmed b~au~ 8:50 P.M. (E.D.S.T.), upon application of Bage Construction
Co., Inc. a/c Marshall Hansen, Southold, New York, for a variance in
accordance with the Zoning Ordinance, Article III, Section 100-30 and
Bulk Schedule for permission to reduce sideyard with insufficient
sideyard area. Location of property: Ship's Drive, Lot 13, Map of
Bayview Woods (#5.520), Southold, New York, Fee paid $15.00.
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce practical
hardship because
SEE REVERSE
difficulties or unnecessary
(b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties
alike in the immediate vicinity of this property and in the same use district because
SEE REVERSE
(c) The varianco (does) (does not) observe the split of the Ordinance and (would)
change the character of the district because
SEE REVERSE
(would not)
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
FORM ZB4
After investigation and inspection the Board finds
that applicant requests permission to reduce sideyard
with insufficient sideyard area on Ship's Drive, Lot
No. 13, Map of Bayview Woods (%5520), Southold, New York.
The findings of the Board are that applicant made an honest
error in locating the house on the property. The Board
agrees with the reasoning of the applicant subject to
cOnditions:
The Board finds that strict application of the Ordinance
would produce practical difficulties or unnecessary hardship;
the hardship created is unique and would not be shared by all
properties alike in the immediate vicinity of this property
and in the same use district; and the variance will not
change the character of the neighborhood, and will observe
the spirit of the Ordinance.
THEREFORE IT WAS RESOLVED, Bage Construction CO., Inc.
a/c Marshall Hansen, Southold, New York, be GRANTED permission
to reduce sideyard with insufficient sideyard area on Ship's
Drive, Lot No. 13, Map of Bayview Woods (%5520), Southold, as
applied for, subject to the following condition:
That the northerly sideyard shall be increased to
18 1/2 feet to compensate for the deficiency of the
southerly sideyard.
Vote of the Board: Ayes:- Messrs: Gillispie, Bergen,
Grigonis, Hulse.
LEGAL NOTICE
Notice of Hearings
Pursuant to Section 267 of The Tow~ Law and the provisions
of the Amended Building Zone Ordinance of the Town of Southold~
suffolk County, New Yorkt public hearings will be held by the
Zoning Board of Appeals of the Town of Southo!d, at the Town
office~ Main Roadt Southold, New York, on May 23, 1974 cn the
following appeals:
7:40 P.M. (EoD.S.To) upon a~plication of Leonard T~apido,
117-01 Park Lane Southt Kew Gardens~ N. Y. for a variance ~n
accordance with the Zoning Ordinance~ Article III, Secs~on 100-3Q
and Bulk Schedule for permission to construct addition ~o dwelling
with insufficient sideyard. Location of property: S/S Carr~ngEon
Road~ Lot 395~ Nassau Point, Cutchogue.
7:50 P.M. (E.DoS.T.; upon application of Paul and Cacquel~ne
Kelly, 101 Wallace Street~ Freepor%~ New York~ for a variance
in accordance with the Zoning Ordinance, Article iII~ Section
100-30 and Bulk Schedule for permission to divide proper~y
with insufficient width and area~ Location of propersy~ N/S
Private Road, W/S Camp Mineola Road, Mattituck, bounded north
by Folly Beach Ltd. and Allen; east by B. Snyder; south by
Private Road; west by B. Hart.
8:00 P.M. (E.DoSoTo) ~ upon application of Peter Dohrman a/c
Harold Wohl, Smith Road~ Peconic~ New York, for a variance in
accordance with the Zoning Ordinance, Article
!00-31~ 100-32 and Bulk Schedule for permission to construct
deck with insufficient side and rear yard. Location of propercy:
East side Oak Street, Cutchogue~ Lot #~s 24 and 1/2 of 25~ Eugene
Heights~ Mattituck~
S:15 P~M. (E.DoS.~o), upon application of Norbert Rad~macher,
t Douglas Terrace~ Woodciiff'Lake~ No J~ for a varianc~ in
accordance with the Zoning Ordinance, Article III~ Section !00-30~
100-31~ "A~ & "B" Bulk Schedule~ for permission to ren~
dwelling a~d reserve apartment for ow~ use in "A" District.
Legal Notice
Page 2
Location of property: North Side Oak Avenue, Lot ~'s 301, 302~
303~ Goose Bay Estates, Southoldo
8:25 P.M. (E.D.S.To), upon application of ~ener B. Agnew~
200 Arnold Avenuew W. Babylon~ N. Yo~ for a variance in
accordance with the Zoning Ordinance~ Article Iii, Section 100-30
C (3) and Section 100-32 for permission to construct private
garage in front yard area. Location of property: S/S Sandy
Beach Roadt Greenport~ bounded north by Sandy Beach Road; east by
A. Kevowntgis; south by Sterling Creek; west by B. Haley.
8:40 PoMo (EoDoS.To), upon application of John & Katherine
Frosina~ Oaklawn Avenue~ Southoid~ New York, for a variance ~n
accordance with the Zoning Ordinance, Article III, Section 100-30
and Bulk Schedule for permission to divide and set off lot with
insufficient frontage and area. Location of property: S/S
Jockey Creek Drive, Southold, bounded north by Jockey Creek Drive~
land of applicant; south by Jockey Creek; wes~ by
east by other
John O'Keefe°
(E°D.S.T~)~ ~pon application of Bage
Co~, ~nco a/c Marshall Hansen~ Southold,
in accordance with the Zoning Ordinance~
100-30 and Bulk Schedule for permission
Construction
New York~ for a variance
Article ~II~ Section
to reduce sideyard with
insufficient sideyard area~ Location of property: Ships Drive~
Lot 13, Map of Bayview Woods (~5520)~ Southold~ New York.
9:00 P.Mo (EoDoSoT.)~ upon application of Mary and John
Capelluto, 90 Genesee Drive, Conunack, No Y.~ for a varlance in
accordance with the Zoning Or~inance~ Article III Section 100-30
and Bulk Schedule for permission to divide property into nwo Iots~
one of which will have less than required width. Location of
Legal Nct~ce
Page 3
property: North Sea Drive
bounded north by North Sea
south by Souhd View Avenue,
to Sound Uiew Avenue~ Southoldr
Drive~ east by KullmaL & Jennings~
west by A. Stollmeyer.
9:10 P.M. (E.D.SoT.) upon application of Robert R. ~n~son~
6010 Sound View Avenue- Southo!d~ New York, for a variance in
accordance with the Zoning Ordinance, .Article VIII. Section
100-80 and Bulk Schedule for permission to construct building
with insufficient sideyards and parking requiremenus. Location
of property: Lot 9156~ Amended Map "A"~ Peconic Bay~Estates~
E/S Main Road (Rt. 25), Arsh~momaque~ Greenport.
9:20 P.M. (E~D.SoT.), upon application of Frank Cichanowicz
III~ Cutchogue~ New York, for a special exception in accordance
with the Zoning Ordinance, Article III, Section 100-30 B-8 for
permission to house agricultural help. Location of property:
Indian Neck Lane~ Peconic~ bounded north by Mahnken & Ponuino;
by Indian Neck Lane~ south by Geiger; west by Korateski~
9:30 P.M. (EoD.S.T.}~ upon application of Tony Stefanini~
east
Equestrian Avenue, Fishers island,
the Zoning Ordinance, Article III,
Schedule~ for permission to divide
with insufficient width and area.
Equestrian Avenue, Fishers Is!and~
New York, for a variance ~o
Section 100-30 and Bulk
lot with existing dwellings
Location of property: S/S
bounded north by Equesurian
Avenue; east by R. Foyle; south by Midlothlan Avenue; wes5 by
Midlothian Avenue.
9:40 P~M. (EoD.S.T.), upon application of Leon Schor a/c
Boathouse Restaurant~ Manhanset Avenue~ Greenpor~ New York,
for a special exception in accordance with the Zoning Ordinance,
Article III, Section 100-30 C 6(f) for permission to erec~
Notice of I~em'lngs
Pursuant to Section 267 of The
Town Law and the provisions of
the Amended Building Zone
Ordinance of the Town of
Southold, Suffolk County, New
York, public hearings will be held
by the Zoning Board of Appeals of
the Town of Southold, at the
Town Office, Main Road, South-
old, New York, on May 23, 1974
on the following appeals:
7:40 PiM. (E.D.S.T.) upon
application of Leonard Trapido,
117-01 Park Lane South, Kew
Garden, N.Y. for a variance in
accordance with the Zoning
Ordinance, Ariicle II1, Section
100-30 and Bulk Schedule for
permission to construct addition
to dwelling with insufficient
sideyard. Location of property:
S/S Carrington Road, Lot 395,
Nassau Point. Cutchogue.
7:50 P.M. (E.D.S.T.) upon
application of Paul and Jacque-
line Kelly, 101 Wallace Street,
Freeport, New York, for a
variance in accordance with the
Zoning Ordinance, Article I11,
Section 100-30 and Bulk Schedule
for permission to divide property
with insufficient width and area.
Location of property: N/S Private
Road, W/S Camp Mineola Road,
Mattituck, bounded north by
Folly Beach Ltd. and Allen; east
by B. Snyder; south by Private
Road; west by B. Hart.
8:00 P.M. (E.D.S.T.), upon
application of Peter Dohrman a/c
Harold Wahl, Smith Road,
~econic, New York, for a variance
in accordance with the Zoning'
Ordinance, Article III, Section
100-30, 100-31, 100-32 and Bulk
Schedule for permission to
construct deck with insufficient
side and rear yard. Location of
property: East side Oak Street,
Cutchogue. Lot #'s 24 and 1/2 of
25, Eugene Heights, Mattituck.
8:15 P.M. (E.D.S.T.), upon
application of Norbert Rade-
reacher, 1 Douglas Terrace,
Zoning Ordinance, Article Ill,
Section 100-30, 100-31, "A" &
"B" Bulk Schedule, for permiss-
ion to rent dwelling and reserve
apgrtment for own use in "A"
District. Location of property:
North Side Oak Avenue, Lot #'s
301,302, 303, Goose Bay Estates,
Southold.
8:25 P.M. (E.D.S.T.), upon
application of Hener B. Agnew,
200 Arnold Avenue, W. Babylon,
N.Y., for a variance in Accord-
ance with the Zoning Ordinance,
Article 111, Section 100-30 C (3)
and Section 100-32 for permission
to construct private garage in
front yard area. Location of
property: S/S Sandy Beach Road,
Greenport, bounded north by
Sandy Beach Road; east by A.
Kevowntgis; south by Sterling
Creek; west by B. Haley.
8:40 P.M. (E.D.S.T.), upon
application of John & Katherine
Frosina, Oaklawn Avenue,
Soothold, New York, for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30 and Bulk Schedule
for permission to divide and set
off lot with insufficient frontage
and area. Location of property:
S/S Jockey Creek Drive, South-
old, bounded north by Jockey
Creek Drive; east by other land of
applicant; south by Jockey Creek;
west by John O'Keefe.
~'8:50 P.M. (E.D.S.T.), upon
application of Bage Construction
Co., lnc. a/c Marshall Hansen,
Southold, New York, for a
variance in accordance with the
Zoning Ordinance, Article 111,
Section 100-30 and Bulk Schedule
for permission to reduce sideyard
with insufficient sideyard area.
JFFOLK }
V YORK ss:
Location of property: Ships Drive, ~./,~,~ (__--~
Lot 13. Map of Bayview Woods imencing on the .............. /..../.-A......~ ............
(115520), Southold, New York.~
9:00 P.M. (E.D.S.T.), upon /
application of Mary and John ~'Z.~-~?-*(.......Z.'/,]9..~;~.~.~f
Midlothian Avenue.
9:40 P.I~I. (E.D.S.T.), upon .............. ~.- ................ ~- .......
application of Leon~ Schor a/c .... / .........
Boathouse Restaurant, Manhanset
~itney Booth, Jr., being duly sworn, soys
he Editor, of THE LONG ISLAND
~,TTITUCK WATCHMAN, a public news-
t S.o, uthold, in Suffolk County; and that
ch the annexed is a printed copy, has been
Long Island Traveler-Mattituck Watch-
/eek for ..... :.-.¢.~:~..~4:~,..~..,'..'~..... weeks'
Avenue. Greenport, New York.
for a special exception in
accordance with the Zoning
Ordinance, Article Ill, Section
100-30 C 6 (f) for permission to
erect off-premises directional
sign. Location of property: S/S
Route 25 and W/S Manhanset
Avenue on p~;per~y Or: Wfllian~
Pollert, Greenport, New York.'
Any person desiring to be
heard on the above Appeals
should appear at the time and
place above specified.
BY ORDER OF THE SOUTHOLD
TOWN BOARD OF APPEALS
Dated: May 10, 1974
IT, 5/16
to before me this .....................day of
N'o~ary PubBe
NOTICE OF HEARINGS
Pursuant to Sccfien 267 of The
Town Law and the provisions of
the Amended Building Zone
Ordinance of the Town of
Soutbeld, Suffolk County, New
York, public hearings will be held
by the ZOnln~ ~ of Appeals of
the Town of Southold, at the Town
Office, Main Road, Southold,
New York, on May 23,-1~74 on the
following app~h:
7:40 (E.D.S.T.), upon ap-
plication of Leonard Trapido, 117-
01 Park Lane South, Kew Gar-
dons, N.Y. for a variance in
accordance with the Zoning
Ordinance, Article III, Section
100-30 and Bulk Schedule for
permission to construct addition
to dwelling with insufficient
sideyard. Location of property:
S-S Carrtogton Road, Lot 395,
Nassau Point, Cutchugue.
7:50 P.M. (E.D.S.T.) upon
application of Paul and
Jacqueline Kelly, 101 Wallace
Street, Freeport, New York, for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30 and Bulk Schedule
for permission to divide property
' with insufficient width and area.
Location of property: N-S
Private Road, W-S Camp Mineola
Road, Mattituck, bounded north
by Folly Beach Ltd. and Allen;.
east by B. Soyder; south by
Private Road; west by B. Hart.
S:00 P.M. (E.D.S.T.), upon
application of Peter Dohrman a-c
Harold Wohl, Smith Road,
Peconic, New York, for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-30, 100-31, 100-32 and
Bulk Schedule for permission to
construct deck with insufficient
side and rear yard. Location of
property: East side Oak Street, --
Cutchogue, Lot Nos. 24 and % of
25, Eugene Heights, Mattituek.-
S:15 P.M.-(E.D.S.T.), upon
application of Norbert
Rodemacher, 1 Douglas Terrace,
Wandcliff Lake, N.J., for a
variance in accordance with the
Zoning Ordinance, Article III,
Section 100-~0, 100-31 "A" and
"B" Bulk Schedule, for per-
mission to rent dwelling aad
resorve apartment for own use in
"A" District. Location of
property: North Side Oak
Avonue, Lot Nos. aOl,
Gcose Bay Estates, Southold.
8:25 P.M. /E.D.S.T.), upon
application of Honer B. Agnew,
200 Arnold Avenue, W. Babylon,
N.Y., for a variance in ac-
cordanee with the Zo~in~ Or-
dtoance, Article HI, Soetio'[~
30 C iS) and Section 100-32 for
permission to construct private
garase in front yard area.
Location of property: S-S Sandy
Beach Road, Greenport, bounded
north by Sandy Beach Road; east
by A. Kevowntgis; south by
Sterling Creek; west by B. Haley.
8:/0 P.M. (E.D.S.T.), Upon
application of John and
Katherine Frosina, Oaklawn
Avonue, Southold, New York, for
a variance in accurdance with the
ZoUth~ (~in~Bee, Artide 1II,
Section 100-30 and Bulk Schedule
for pennis~on to divide and set
off lot with insufficient frontage
and area. Location of property:
S-S Jockey Creek Drive,
Southold, bounded north by
Jockey Creek Drive; east by
other land of applicant; south by
Jockey Creek; west b~, John
O'Keefe.
8:50 P.M. (E.D.S.T.), upon
application of Buge Construction
Co., Inc. a-c Marshall Hansen,
Southold, New York, for u
variance in accordance with the
Zoning Ordin~,lcc, Article IH,
Section 100-30 and Bulk Schedule
for permi~siun to reduce sideyard
with insuffieiont sideyard area.
Location of property: Ships
Drive, Lot 13, Map of Bayview
Woods (No. 5520), Southold, New
application of Mary and John
CApelluto, 90 Genesee Drive,
Commack, N.Y., for a variance
in accordance with the Zoning
Ordinance, Article III, Section
100-30 and Bulk Schedule for
permission to divide property
into two lots, one of which will
have less than required width.
Location of property: North Sea
Drive to Sound View Avonue,
· Southeld, boandednorth by North
Sea Drive; east by Kullman and
Jemgngs; south by Soend View
Avonue, west by A. Stothney~
9:10 P.M. (E.D.S.T.) upon
application of Robert R. Annison,
6010 S ~1 View Avenue,
Southola, New York, for a
variance in accordance with the
Zoning Ordinance, Article VIII,
Section 100-80 and Bulk Schedule
for permission to construct OF SUFFOLK,
building with insufficiant)F NEW YORK,
sideyards and parking
ss:
botmded north by Mahnken and
Pontino; east by Indian Neck
Lane; south by Geiger; west by
Koraleski.
9:30 P.M. (E.D.S.T.), upon
application of Tony Stefanini,
Equestrian Avenue, Fishers
Island, New York, for a variance
to the Zoning Ordinance, Article
III, Section 100-30 and Bulk
Schedule, for permission to
divide lot with existing dwellings
with insufficient width and area.
Location of property:
Equestrian Avenue, Fishers
Island, bounded north by
Equestrian Avonue; east by R.
Foyle; south by Midiothian
Avenue; west by Midiothian
Avonue.
9:40 P.M. (E.D.S.T.), upon
application of Leon Scbor a-c
Boathouse Restaurant,
~ Avonue, Greenpurt,
New York, for a special exception
in accurdance with the Zoning
Ordinance, .article IH, Section
100-a0 C 6if) for permission to
erect off-premises directional
sign. Location of property: S-S
Route ~ and W-S Manhanset
Avonue en property of William
Pollert, Greonport, New York.
. Any peeson desiring to be heard
on the above Appeals should
'appear at the time and place
above specified.
Dated: May 10, 1974
BY ORDER OF THE
SOUTHOLD TOWN BOARD
OF APPEALS
~. f.~/...~<q; ..... ~-. ;~.. :...~ .....................
be!ore me this ...~
NOTARY PUBLIC OF NEW YOR~
.~/
requirements. Location of StLt&:rt C.
property: Lot No. 156, Amended .............................. being duly Sworn,
Map "A", Pecanic Bay Estates
E-S Main Road (Rt. 25), Ar ........ is Prinier and Publisher o! ihe SUFFOLK
shamomaque, Greonport. .
9:20 P.M. (E.D.S.T.), upon TIMES, - newspaper published at Greenport, in said
application of Frank Cichanowicz d
III, Cutchugue, New York, for an`` ttlr~t the notice, o! which the a~nexed is ~ printed
special exception in accordance, been published in the suid Suffolk Weekly Times
with the Zoning Ordinance,'
Article III' Secti°n 100'30 B'8 f°rc~ch week, ~or
permission to house agricultural ........................... v~ks
help. Location of property: In-~ly commencing on the t6th
dian Neck Lane, Peconic, ' .........................
TOWN OF SOUTHOLD
BUILDING I~EPARTMErNT
TOWN CLERK'S OFFICE
SOUTHOLD~ N. Y.
NOTICE OF DISAPPROVAL
~,,~ ~o .................................................................. oo~ .......................... ~:.:....:. ...:~... ,~.~..~
'° ..... ::::' ":-Z ...............
PLEASE TAt~~ NOTICE thor your oppl'¢otion a d ..................................................., ,~ .........
......... ~ ........................... . ....................... Street '~4~"x"~X'~"~' '/'J'' :'
~ap ...~:.r_~.:~"Block ............................................ Lot .~ ........................................ is
................. ~.~: ...... ~.s..:.~.z..~..~ ....... ~.....F~...~.~&:e~ ................
TOWN OF $OUTHOLD, NEW YORK
APPEAL FROM DECISION Of BUILDING INSPECTOR
APPEAL NO. /Y'~
DATE .....I~ ~/...~ ,.o.%,.7.~,.
TO THE ZONING BOARD OF APPEALS, TOWN OF SOUTHOLD, N. Y.
1, (We) I~-,g~I..J~.gZI~:~Z~'~$O.~..~D.,...Tnn.,, ......... of ...... ./.~....~...Z...~,. .......................................
Name of Appellant Street and Number
............... .S..,a..u.~.h.g..Z.~.. ~:..Y..,...,: ....................................................................... HEREBY APPEAL TO
Municipality State
THE ZONING BOARD OF APPEALS FROM THE DECISION OF THE BUILDING INSPECTOR ON
APPLICATION FOR PERMIT NO .............. ..6~.3..]...Z.....: ....... DATED .....~.u.n.~...L..,....Z..D..?.~ .......................
WHEREBY THE BUILDING INSPECTOR DENIED TO
( )
Name o~ Applicant for p~rmit
o~
..... ..............................................................................................
Street and Number Munic~pali~ State
PERMIT TO USE
PERMIT FOR OCCUPANCY
LOCATION OF THE PROPERTY .,~3A£p..s..D~;',~..v.~ ............. ..~g.~'~hg~d,...t,J.,,Y. ........................
Street Use District on Zoning Map
Map No. Lot No.
2. PROVISION (5) OF THE ZONING ORDINANCE APPEALED (Indicate the Article Section, Sub-
section and Paragraph of the Zoning Ordinance by number. Do not quote the Ordinance.)
__~q~¢. III
3. TYPE OF APPEAL Appeal is made herewith for
(x) A VARIANCE to the Zoning Ordinance or Zoning Map
( ) A VAR_ANCE due to lack of access (State of New York Town Law Chap. 62 Cons. Laws
Art. '16 Sec. 280A Subsection 3
,~. PREVIOUS APPEAL A previous appeal ~ (has not) been made with respect to this decision
of the Building Inspector or with respect to this property.
Such appeal was ( ) request for a special permit
( ) request for a variance
aha was made in Appeal No ................................ Doted ......................................................................
REASON FOB APPEAL
( I A Variance to Section 280A Subsection 3
(X) A Variance to the Zoning Ordinance ~h~xJ~J~sllx~J~x~'~l~a~z~,~l:~j~x~l~is~f~
( )
is requested for the reason that the house was incorrectly positioned on the let
wi~h the ~esult that minim~ sid~yard clearance on south side is 6~ fee~.
l~orrm
(Continue on other side)
R[ASON FOR APPEAL
Continued
~. STRICT APPLICATION OF THE ORDINANCE wouid produce practical difficu~ti~ or unneces-
sa~ HARDSHIP becaum sale of house.sometime in the future migh~ not bs
passible becauee mf lack ef c~rtifiaate of ocaupanoy~ (sale of house
is net contemplated st this time)
2. The hardship created is UNIQUE and is not shared by oH properties alike in the imrnedi~e
vicinity of this property and in this use district because atha~ hauaea h~v~ bs~n granted
o~%ifiaa%~s of occupancy,
3. The Variance would observe the spirit of the Ordinance and WOULD Nor CHANGE THE
CHARACTER oF THE DiSTRiCT because accese ts _~s~ through aFfscl;~d eidey~rd
£6 etill poseibl.= and %ha ~hs~ac+~s~ us ~hs e:~a is not ~f'F~c¢sd.
STATE OF NEW yORK ~
Sworn to this ....:."....Z'....i...~...~ ........ day of ............... ~ ........ ~ .......... :19r/~~
~J.-' Notary Public
IFOItM ~0o 6
TOWN OF $OUTHOLD
Building Delmr~mont
Town Clerk~ Office
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 oil 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 os 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
3. Copy of certificate of occupancy $1.00
$5.00
Dote .... ................... ....
New Building ...... ~ .......... Old or Pre-existing Building ............................ Vacant Land ............................
Location Of Property ....................................................... ., .............. ~.~/~....~..,,, ..........................
Owner Or Owners Of Property ....~.~....~..~...~...'~...~..~.. ...... ~/~....A~....~....~....~.... ........... L ......... ~....... ..................
Su~ivision~.~..~X~ ................. Lot No..Z.~... Block No ............. House No..~
Permit No...~..~ Date Of Permit ~Z~Z~ppllcant ~..~X~.~..~.
Health ~pt. Approval ...~ ..................................... Labor ~pt. Approval ................................................
Unde~ritem Approval .... ~ ...................................... Planning Board ~proval ........................................
Request For Tempora~ Ce~ificate ........................................ Final Ce~ificate .~ ......................................
Fee Submitted $ ~ ~
Construction on above described building and permit meets all applic~
Applicant .......~~....'.. ' ..~....
Sworn to before me this (-// ~
................ day of ............................................
le codes and/~e)gulations.
· ; ..................................
amp or seal)
Notary Public .................................... County
ADDRESS d LPS DK T4
This notice must ~ displayed during construction
and returned to Building Dept. to get a certificate
of occupancy upon completion of work.
BUILDING INSPECTOR'S OFFICE, TOWN OF SOUTHOLD
SOUTHOLD, N. Y.
SUFFOLK COUNTY HT_~.LTH DEPARTMY.~T
~A~EAPR 4 lg74 H. ~. ~F.
The sewage disposal and water supply
f~e!!±tles for this location have been
insoected by this d~ent~endwfound
Chief of General Engineering
Services
h