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