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HomeMy WebLinkAbout125-zFOPd4 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-26134 Date NOVEMBER 30, 1998 THIS CERTIFIES that the building DWELLING Location of Property. 8905 ~T. PECONIC BAY BLVD. House No. Street County Tax Map~473889 Section 126 Block 4 Subdivision A.L. DOWNS Filed Map No. 21 LAUREL, N.Y. Hamlet Lot 17.1 Lot Nc.lO & 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30, 1957 ~ursuant to which Building Permit No. 125 dated SEPTEMBER 30, 1957 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 ONE FAMILY DWELLIN~ * The certificate is issued to RIFAT TANI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-121 DATED JUNE 5, 1958 Rev. 1/El FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT Obi THE PREMISES ~~.~T,~ · I~I~(~--q~*~~~NTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ...... Z..12.~ ...... Date ....... 8ept'ember'"';~O .................... 19.~?... Permission is hereby gr~nted to: F~.i.th...~a~aYa~ ................................................. .............. Pe cerise...B..~- · · Btv~t ~ ......................... ....................... ~e't~....'N~'Y-~- ......................... to ...... ~l~..me~..d.~t.1 Sng. .......................................................................................................... a~ premises located at ..... .N.:~./S.....~ecen~c..B~..~vd ............................................................. ...................................................... I~e~....-~,.~, ............................................................................... pursuant to application dated .................... Be~tember"-"30 ............ 19.~..., and approved by the Building Inspector. Fee $'J,O...OO ............ Building Inspector [ " FOI~[ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No... ?~..~1.~,1 ......... Date ....................... ,T~n~...~. .................... 19...~. THIS CERTIFIES that the building located at ...~c/~L....t~e<~)~t,.J;tl...]~.~..~]..,trct.e ..........Street Map No...'.k~,L?DO~ZtS ............. Block No ..................................... , Lot No. ]~.O...~...1.3.......1,~1;:e.]~ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................ ~cf~c~p.~),......SO .......... 19.~..., pursuant to which Building Permit No ...... ~],~.~: ............ , dated ............................ ~.e~t..~O ........... 19.~.~..., 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 ............ .................................... ~,~.~.~ .~ .~ ;~.~... · :k¥~,.~i ~.~G ..................................................................................... This certificate is issued to -....~.+u~.....C~t~-~..~ ............................................................................... (owner, lessee or tenant) of the aforesaid building. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the bu inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system cont less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar b~ and installations, a certificate of Code Compliance from architect or engin~ responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, oK ~uild~ ~pre-existtng" land uses: 1. Accurate survey of property showing all property lines, streets, building ac unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app] If a Certificate of Occupancy is denied, the Building Inspector shall state 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, Sw~ming pool $25.00, Accessory building $25 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildinm - $100.00 3. Copy of Certificate of Occupancy - = 4. Updated .Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ................................ New Construction ........... Old Or Pre-existing Building .... ~.~. ......... Location of Property ............................ ; ..................... House No. Street Hamlet Onwer or Owners of Property .......................................................... County Tax Map No 1000, Section .............. Block ...... Lot ..... " ............................... cot/2 Subdivision... e m,t'Dm & .Filed ZI .... Permit No... . Date Of Permit . . Applicant '' Health Dept. Approval ......... .... .............Underwriters Approval.... ........... . Planning Board Approval ..... Request for: Temporary Certificate ........... Final Certicate .... ~ ..... Dr. Rifat Tabi 2 Lloydhaven Drive Huntington, NY 11743 Tel: 516-673 -0396 December 21, 1998 Building Department Town of Southold 53095 Main Road Southold, NY 11971 Att: Mr. Gary Fish, Building Inspector 8905 Peconic Bay Blvd., Laurel Tax Map 1000/126/4/17. l - CO and Pre-CO Dear Gary: As I already discussed with you and Ms. Georgia from your office, I am returning the CO and Pre-CO for correction. Let me reiterate what we discussed to make sure everything is clear: On Pre-CO: Please correct as indicated on the attached copy: 1- 2- 3- "Dwelling" to read "Dwellings" Cross out "one family" to read "Dwellings" Cross out "with accessory cottage" and add at the end, after "swimming pool": and cottage (on lot 31). On Update CO: Add: Filed Map 21, Lots No. 10 & 11. Please do not hesitate to call me at 516-673-0396. Holidays. Sincerely, Thank you for your cooperation and Happy Attachments: As listed x~°°~5 z 0 ~ m R. Tabi, P.E., P.C., Consulting Engineers 2 Lloydhaven Dr,, Hunfingtoh, N,Y. t 47z13 53095 Main Road Southold, NY 11971 Re: 8905 Peconic Bay Blvd., Laurel CO Update for Property on Map 21, ~ts !0, 11, 12, 13, and 3 My Request of 10/5/98 Dear Madam: As per our telephone conversation of today, I am enclosing a check for $150.-- (in lieu of the $ 200.- check I had sent earlier). The pool should also be included in the pre-existing CO, as it is specifically listed on the Deed and the Title Insurance Certificate of July 1, 1971. Please accept this as a request for a pre-existing CO for the entire property, and for an updated CO for the cottage. Thank you. Sincerely, Dr. R. Tabi P.S. I shall meet with the Building Inspector on 10/21/98, at 10:00 am on the property. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPAP. TMENT TOWN CL[RK'S OFFICE SOUTHOLD, N. Y. Application I~O ............................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Sep. t. ~ 19 57 INSTRUCTIONS a. 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 a detailed description of layout of property must be drawn on the diagram which is part of this location. c. The work covered by this appHcation 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 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 ~nspector. 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, ordinance/~, n~ regulations..~' ~ ...,:.ii ........... (Signature of applicant, or name, if a corporation) Peconic Nay Blvd., Laurel, N.Y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ~wner Name of owner of prem,ses.,....Ed.z,J~...~....~e,~za.vs, n ......................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Abstract ~9~,$ Location of land on which proposed work will be done. Map No..A..L..J~O.~.~...~.. Block ..Lg..~¢...~.0...~....~..~... Street and Number ....... ~.¢.g.q.~::),.Q..~.&..~...~;],...'~.., ...................................................................................................... State existing use and occupancy of premieses and intended use and occupancy of proposed Construction: a. Existing use and occupancy ...... ..~..o..zr~.e....~..D:.d....g.g:,.e...B.~....~..o...g:.8,,e., ........................................................................... b. Intended use and occupancy ............ ~,,'g~,,,~,,m,,e,.~.,,~,e.,.t't..t.~.~. ..................................................................................... 3. Nature of work (check which ap.p[icable): New Building ...... ~ ............ Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ...... .~_5..,..0..0..0. ....................................... Fee ............. ~.0. ...................................................................... (to be paid on filing this application) FEES: 5. If dwelling, number of dwelling units .......... (~. ........... Number of dwelling units on each floor..~)..~.,e. ................... If garage, number of cars ........................................................................................................................................ 6. If business, commerical or mixed occupancy, specify nature and extent of each type of use ........ ~.~,.i:La,..], ......... 7. Dimensions of existing structures, if any: Front ............................ Rear ............................ Del~th ............................ Height ............................ Number of Stories .............................................................................................................. Dimensions of some ,Structure with alterations or additions: Front ................................Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front ........ ~.! .............. Rear ......... ~..! ............ Depth .....~.! ................. Height ....3,.~..! .................. Number of Stories ..... (~ .~..~ ................ 9. Size of lot: Front ...... 'I.~D ............... Rear ....... 8~.~ ............... Depth ............ [~0.~. 10. Zone or use district in which premises ore situated ............. Z ............................................. · reOuloti~n> ~0 11 Does proposed constructim violate any zoning law, ordinance or ............. ~.~..~.}~.~.~.~ .............. 12. Name of Owner of premises..~.~...~.,.~.~.~.~.Address ....~.~9.~.~..~.~..~.~..Phone NO. ~...~...~?.~ Name ~¢ Architect ..................................................... Address ............... .~..~....~ ........ ~ ........ Phone NO ..................... Nome of Contractor..~.L.~M.~ .......... 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 n~tion according to deed, and show street names and indicate whether interior or corner lot. -- STATE OF NEW YORK, ) couk r- ...... ..........) S S.' , .~'~?~'~......~;..'.'.'....~:~..~..~..'~...~ ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........ ~:: .............................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, end 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 ore true to the best of his knowledge and berief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this da ......... ........... y ,,/=..¢ ............................. Public, ,/~/~..~r.i :?' ~'County Notary .... ~.:~ .......................................... FORiYI NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam'ned....~ ................. 19 .. ~-~ Approved ....................... ./.! .............. 19 ........ Permit No..~../...?,. ............... Disapproved a/c .f/ - ............................................ (Building Inspector)~ Application No APPLICATION FOR BUILDING PERMIT ~ Date ....... .~.e.~.~.: ............ ~ ............. 19..~? ...... INSTRUCTIONS : a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing Iocatic~n (~f lot and of buildings on premises, r'elationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location. 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 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 shah 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 aH applicable laws, ordinances a~;~egulations. ........ ....... (Signature of applicant, or name, if o corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder. ................................................ ................................................................................................ Name of owner of premises....~CJZLJ~.,~....g~,z~8..'g'a.t~ ........................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.A...,~.,~.q~'.~...~:~.~.... Block .,,Lo,.~B..,1,CI..&,,~L,]..~ Street and Number ..P.e.co.n~..c.,B~y...B:L.~rcl...~..La~r.e~L~,..~I...¥ ........................................................................... State existing use and occupancy of premieses and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~.o..m....e...~.~...~...~.~..e. fl.~..~.O.~.~. ...................................................................... b. Intended use and occupancy ......... ~'~z~me.:e...Z'etz-~,.~ ....................................................................................... 3. Nature of work (check which applicable): New Building ..... ]~ ............. Addition .................... Alteration .................... Repair .................... Removal .................... Demolition. ................... Other Work (Describe) .................... 4. Estimated Cost ............ ~,E,.D. QO .................................. Fee ........~.3.O ........................... (to be paid on filing this ap~ii~'~'~i~'n) ................ FEES: 5. If dwelling, number of dweliing unlts.....0.~e ................Number of dwelling units on each floor ....... One, ............. If garage, number of cars ............................................................................. Locate clearly end distJnctl property lines. Give street and_b_. whether interior or corner lot. 6. If business, commerical 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 ......... ..~'.....~..../. ....... Depth ......~ .......... Height ............ /...~..../. ..... Number of Stories ........./~.~'..~ ...... ! , , ././'70 9. Size of lot: Front ....~.;~)~ ................. Rear ....... 8J~.! ............... Depth ..... ].,50.I. ............ 10. Zone or use district in which premises are situated ....... 2~....~....~ .......................................... 11. Does proposed constructio~q violate any zoning law, ordinance or regulation? ....... .~..O.. ........................................ 12. Name of Owner of premises..~cl.:L.t~...~...g~,~.Address ...~fi,g, ze,],.~...~....Y.. ............ Phone NO.~....9..8],."/~: Name of Architect ......... '~.1 ~ i~"["-'-:'-'~.[ ....................................... Address ........................................... ,~_ ._....~LT_Tj; Phone NO ..................... Name of Contractor../:TL~.~.:.?.~.. ............. Address ....../..~.~......Phone NO ..................... PLOT DIAGRAM all buildings, whether existing or proposed, and indicate all set-back dimensions from ogk numbers or description according to deed, and show street names and indicate / ?, STATE OF NEW YORK, ) '17, SS' COUN ,:~OF ................%....~..) ' ..... /...~:.i/..Lc..g...:(d......~..../(~:...: .................................... being duly sworn, deposes and (Name of individual signing application) says that he is the applicant above named. He is the....~i:/:::..~.TL~...~...~'~'i ...................................................................................................................... (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 containe, d jn 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 / , ' ' ' f ...... ). .... ....... '~.? ........... day o/:.....~ .............................. Notary Public,.. ¢.:z:..:.... .................................. Z .......... County L_ (' (SJngature of applicant) WALTER A, HADLE~ [,~O~,LL¥ I'UBLIC, SLATE OF ~EW YORK ,,,,.. :.- c!} D,?ircs March 30, 1958