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FORM NO. 4
S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23501 Date FEBRUARY 16, 1995
THIS CERTIFIES that the building ACCESSORY
Location of Property 395 TUTHILL ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 4 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 17, 1994 pursuant to which
Building Permit No. 22320-Z dated SEPTEMBER 12, 1994
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 ACCESSORY INGROUND SWIMMING POOL & FENCE ENCLOSURE IN SIDE
YARD AS APPLIED FOR & AS PER ZBA #2809.
The certificate is issued to MARY ANN- GREFE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-527646 - JULY 16, 1981
PLUMBERS CERTIFICATION DATED N/A
Building Insp ctor
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 AUTHO IZED)
® ^/2//�3^q2I/�
Date ...... .... ......^...1.� .................. 19 ....
N�.. 2LV6�® Z r
Permission Is hereby grant d to:
......6?,/1.. .�.�-..���....... .�f .... . !� � ..
..13.cEV. . � .'�' ,. .! ..........................
....................... .. . ............!..7`r.....
to ... fl'f?�`S L� .....W.&... ./`/ �. P-L ..../fix .............. i .....................
J7 �� . ........ r ..C2
a ...............
.s.. .. ,1,�. .. ... ...
at premises located at......�. ... �7�.,t ..../.� ......................................................
y. - ,.. 1 ..�........� X. "........................................
County Tax Map No. 1000 Section .......7$;:T....... Block............!;/......... Lot No. ....a.................
pursuant to application dated .........� -. .."S..,/ ....1.7..... 195./......... and approved by the
Building Inspector.
Fee$..../. 7. ..�..
Bull Ing Inspe or
1
Rev. 6/30/80
r <`
Form No.
r �s
w }ti i
r AUG • ii 7,I1 � " BUILDING DOPARGTM DNT
TOIdN IIALL
BLMDEFT. - 765-1802
TOWNMIMOLD'`
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in b
forbuilding y typewriter OR ink and submitted to -the building
inspector with the followin .
ew
1. Final survey of property with accuratelocationnof 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 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, Accessorybuilding Additions to accessorybuilding g $25.00,
2. Certificate of Occupancy on Pre-existtin BuildinQses 100.00.
g - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
f f.
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $1 00
Date __ / �I .� . .
New Construction. .. . .. . . . . . Old Or Pre-existin Building. . , . - • . ..• . . • . � �
Location of Property. . .C.�CI S.. , .1.1,E 1�1�.1.�.�. . . !�;eL. .CJ C�!-(�1. Ia5 L . . . . . . . . . . .
House No. Street . . . . . . " '
Hamlet ---
Onwer or Owners of Property. . . . . . .l� ,�,�,j� -GC t� • . .
County Tax Map No 1000, .Section: .( . . . ... . . y . , � . . . . . - - • . • . • • • •
Block. . . . .Lot.
Subdivision. . . � . . .J':T. . . . . . . . ���i � . . . . . . . . .
.Filed Map. . .�. .Lot. . . . . 11<„
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . ..Applicant.
:Iealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval
✓ .
. . . . . . . . . . . . . . . . . . • .
Tanning Board Approval.*. . . . . . . . . . . . . . . . . . . . . . .
tequest for: Temporary Certificate. . . . . . . �
- . . . Final Certicate�;�
'ee Submitted: $. . . r . . . . . . . . . . . . . . . . . :. • . . . . .
. . . . . . . . . . . . .. . . . . . .. .
APPLICANT-T
-T
1000062
..,THE 'NEW YORK BOARD .OF FIRE UNDERWRITERS
cr
BUREAU OF ELECTRICITY
_I 85 JOHN ,STREET NEW YORK NEW YORK 10038-
Hate July 16,iA9811 - Application No:on file 129431 81
N5 o
764,-:
� 6
THIS CERTIFIES THAT_,
only the 4Aectrical e' ui merit as described below and introduced b the applicant named on the above application number in the remises o
�',• 9 P. Y PP ' PP � P f
John Grefe, 395,Tuthill Road, Southold,. IQ.Y
rrt the following location, 0 Hasement. 1Ellst Ft. ❑ 2nd Ff. Outside — POOL Section Block Lot
was examined ore July 13 19a1. = and found to be in compliance with the requirements of this Board.
FIXTURE i:. "''` ''' ' FIXTURES RANGES COOKING DECKS OVENS s DISH WASHERS EXHAUST FANS.
RECEPTACLES SWITCHES.. McReuRr
OUTLETS :' INCANDESCENT FLUORESCENT E;CU AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS '.. FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT.• K.W. OIL H.P- - GAS H.P. AMT. NO. - A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
- 1 20
SERVICE DISCONNECT NO.OF S E'. R V I C. E
METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G.AMT. .AMP; TYPE:.: ECIUIP. 1 2W 1,B 3W 3,6'JW 3,i1 4W PER B' OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF-NEUTRALS Of NEUTRAL '
OTHER APPARATUS: -
1-G.f.I. i
.(Swinming.-Pool) .This certificate covers compliance at the date of i�lspection only.
Because of unusual environments it is advisable to .have frequent test and/or repairs
made „by .a qualified person.
Gustav Bartra
227 E. Breakwater Road
14attituck, N.Y. 11952 .. lic.1529-E G ERAI
- Il
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by t credentials. r
^` COMMENTS
a
JNDATIOY ' — y
_ �- � ( 1st )
►TJDATI011 (2nd )
IE
'GH FRAHE
•PLUrIBIVGI
I y j
ULATION PER N. Y. II
STATE ENERGY II
CODE
z
•FINAL I --
ADDITIONAL COM-,-IENTS :
c
m
+A`%!r---.+.,��.+a�.•:.:,:.ar�:...'t-....r r��.3W:,...:t4.....•. :. .. .. . .. _— _. ..' ... .. ►1 ..:Js.:lni.
Q 15' 0 tl 15 BOARD OF HE.ILTH
IF r - -FORM NO. 1 ] SETS OF PLANS . . . _ . .
g TOWN OF SOUTHOLD SURVEY
P BUILDING DEPARTMENT CHECK . . . . _ _ _ _ . . _ _ . . . _ _
TOWN HALL SEPTIC FORK . . . . . . . . . . . .
SLDG.D PT J SOUTH OLD, N.Y. 11971
TOWN OF S THOLD TEL.: 765-1802
• /� CALL - - • - - -
Examined . . , 19� rin I L TO : • • • • .
Approved . .� '. . ., 19Permit No. . . . . . . - - - - - . . . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . .
`.f . .
(Building Inspector)
PLICATION FOR BUILDING PERMIT
Date . . :?`" : .`� . . . . . :, lgiv.
INSTRUCTIONS U
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 stieet
or areas, and giving a detailed description of layout of property must be drawn on the diagram
cation. which is part of this appIi
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 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 any purpose whatever until a Certificate of Occupanc%
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 Southold, 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 building for necessary iections.
. . . :�o h ;ems „",. .✓��u l .-. . . . . . . . . . . .
(Signature of applicant, or name, if a corporation) .
. . . . . . � �� [u�ro�. . . . . ... . .
(Mailing address of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . . . . . . . . . . . ./�lfi?T . . . . . . . . . . . . . : . ... . . . . : . . . . . . . . . :. . . . . . .
Name of owner of premises . . . . ► .1a 4n n at�� :
(as on the tax roll or latest de �PR®V D ASWFORTHE
If applica is a corporation, signature of duly authorized officer.' DATE. B.R FEE• BY:
NOTIFY BUILDING DE
etitle of corporate officer) 765-1802 9 AM TO AW
FOLLOWING INSPECTIONS:
Builder's License No. . ./.o?f,qq. . . . 1. FOUNtTA110N - fVV0 REQUIRED
--�Plumber's License FOR POURED CONCRETE
TE
No. . . . .
. . . . . . . . . 2? ROJ 3H - t`FA00lNG & PLUMBING
Electrician's Lice 66-1� 4.nse No. . . . . . . . . . . Iba,f}:I_ CCti': 't-1 TICJI,I te�3U57
Other Trade's L ��F d f3t�r� ETr Fs.)P, C.O,-
icense No. . . . . . ALL CON,1 IRijl F_C9 SHALL MEET
j T HF RFOUIRt±;M `NITS THE KY
1. Location of land on which proposed work will be"done. �S . . .� (�1 ►:1 i� It O'``°`'E.s •t o ,
. . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . .D.C .. . ..a. . . . ._a. .T...b. . . . . . . . .House Number Street v. . . . ,
Hamlet
County Tax Map No. 1000 Section . . . . J.? ,
Block . . . . Lot . . . . . . . .
Subdivision . . YlY4C L�. l� . . . . . . . . . . . . .'. Filed Map No. . .J... . .�' . . . . . . Lot . . .��. . . . ,
fI (1`I:1111C�
'-: State CX1St111� �
use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . .. . l (Y\(YM r!l . fo0.0 :}CA_CR,1
b. Intende use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r3 r
-3. Nature of work (check which applicable): . -� � 1
New Building
Repair . . . . . . . . . . . . . . Removal - .addition . . . . . . . . . . Alteration ,
. . ._ _ .. . . Demolition . . . . . . . . Other Work . . . . . . . . . . . .
4. Estimated Cost . . . .. . . . . .l O (Description)
- •,UU U. . . . . . . . . . . ... . . . . . . . . . . . . . Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units . • , •
• If garage, number of cars Number of dwelling,units on each floor,: .
6. If business, commercial or mixed• • • • - • • . . . . .
occupancy, specify nature and extent of each type of use : . . , , • , . • -
7. Dimensions of existing structures, if any: Front .
Height . . . . . :. . . r . . . . . . . . Rear. . . . . . . . . . . Depth . . . . . .
• • • • • . NumberofStories ' • • • • •
Dimensions of same structure with alterations or a.ld•. . • • • • • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • . . . . . . -
Depth . . . . . . . . ' . ttions: Front Rear . . . . . . . . . .
8. Dim o • . Height . . . . . . . . . . . . . . . . . ; . . Number of Stories . . • . • .
Dimensions f entire new.construction: Front ' ' ' • ' - • • -
.Height . . . Number of Stories . . . Rear . . . . . . . . . . . . . Depth ' ' • . . . . .
9. Size of lot: Front • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Date of PurchaseRear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . .
. Name of F . . .11. Zone or use district in which premises are situated . Former Owner . . . . . . . . . . . . . . . . . . -
.12. Does proposed construction violate any zoning law, ordinance or regulation*
• • • • • - • - • • ' . .13. Will lot be regraded • • . • bulation: . . . .
14. Name of Owner of premises . . . . , , . . .. . . • ' ' ' ' ' ' • • Will excess fill be removed from premises: Yes • � • • No
Name of Architect . . . , " " " " ' • • •Address . . . „ • . . . . . . . . . . Phone No. . . . ,
Name of Contractor . . . . . . . � • • � • • � � � ' . . . . . • • • •Address . . . . . . . . . . . . . . . . . . . Phone-No-
Address . . . . . • � •
15.• Is this propertywithin " " ' ' • • • • • . . . . . • „ • • • ; , , . . . .Phone No. . . . . . • • . • � -
300 feet of a tidal wetland? il, , o . .*If yes, - Southold Town Trustees Permit may be required. No. . . . . . . . '
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing
or property lines. Give street and block number or description according to deed,land howlstreecate t lnamesand ndicate whetfi^ack dimensions r
interior or corner lot.
TATE OF NEB YORK,
0UNTY OF . �.�:C ��.��- . . . S.S
�.C1... . . . . . . . . . being duly � P(Name of individual signing contract) sworn de ores and says that he is the applicant
>ove named.
:is the . ..... . ... . . . . . . . . . . . . . .L�.U ��:�Z C� �'�i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • _ _
�L
(Contractor, agent, corporate officer, etc.) • • ' ' ' ' ' ' ' '
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the
)rk will be performed in the manner set forth in the application filed therewith.
'orn to before me this
I-� It n �
. . . . . . . . . . .day of. . . . .... .. . . . . . . . ., ]9 C
y . �
Lary Public County
CI.AiR
Notary Public,State of New York , ^^
No.4879505 . . . . . . . . . vL :. �,�;��
Qualified in Suffolk County - . . . . . . . . ..
Commission Expires December Sr 19 (signature of applicant)
r�r Ir -1994
=;s BLDG.DEFT. -Kr
TOWN OF SOUT1i0LD•```
TOWN OF SOUTHOLD. NEW YORK DATE 6 I B 1
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 2809 by application Dated March 29, 1981
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To Mrs. Mary Ann Grefe Appellant
395 Tuthill Road
Southold, NY 11971
at a meeting of the Zoning Board of Appeals on April 23 , 1981 the appeal
was considered and the action 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
( ?D Request for a variance to the Zoning Ordinance Art. III, Sec. 10 0—3 2
was determined that a special exception ( ) be
granted ( ) be denied pursuant to Article :................... Section Subsection paragraph
.................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be
confirmed because Public Hearing: 4/23/81: Application of Mary
Ann Mastroianni Grefe, 395 Tuthill Road, Southold, NY for a
Variance to the Zoning Ordinance, Art. III, Sec. 100-32 for per-
mission to construct swimmingpool in sideyard area at 395 Tuthill
Road, Southold; bounded north by Sauthoff; west by Tuthill Road;
south by DiLalla; east by Tuthill; Yennecott Park Subdivision Map
No. 5187, Subd. Lot #25; County Tax Map Item No. 1000-55-4-3.'
(SEE REVERSE SIDE)
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary
hardship because
(SEE REVERSE SIDE)
(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 SIDE)
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not)
change the character of the district because
(SEE REVERSE SIDE)
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.
CG:lk 6/4/81 ZONING BOARD OF APPEALS
FORM ZB4.
= ' The Board finds and determines as follows:
By this appeal, appellant seeks permission to construct an
18 ' by 36 ' swimmingpool with a minimum sideyard setback of 25'
and rearyard setback at its closest point of 81 . Existing on
the premises is a large one-story frame house with circular
driveway. The lot in question is heavily wooded.
The Board finds that the relief requested is not substantial in
relation to the Code requirements; that the relief requested is within
the spirit of the zoning ordinance; that the variance if granted will L
not change the character of the neighborh000d; that no adverse effects
will be produced on available governmental facilities of any increased
population; that the hardship or practical difficulty is unique; .and
that the interests of justice will be served by granting the relief
requested as noted below.
On motion by Mr. Goehringer, seconded by Mr. Grigonis, it was
RESOLVED, that Mary Ann Mastroianni Grefe be granted permission
to construct swimmingpool with an insufficient rearyard setback as
applied for of not less than eight feet at its closest point with
property 1sines, at premises known as 395 Tuthill Road, Southold,
New York; County Tax Map Item No. 1000-55-4-3 .
Vote of the Board: Ayes : Messrs. Doyen, Douglass, Goehringer,
Sawicki and Grigonis.
APPROVED
Chairman Board of eals
• w
P.''. .EIViD INTD Pi D .B.Y
TF L SOU!'tIOLD TOVj'14 CLEiZ
DATE 1/&/p DOUR
Town Clerk, Town of S
tl:old
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:OCCUPANCY OR "IMMEDIATELY"
ENCLOSE POOL TO CODE
USE IS UNLAWFUL UPON COMPLETION
BEFORE 'WATER" UNDERWRITERS CERTIFICATE
WITHOUT CERTIFICATE REQUIRED
OF OCCUPANO .__ a '
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