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Home My WebLink About9404-zl~t~ NO. 4 TOWN OF $OITrHOLD BIJILDING DEPARTM~.NT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No..Z.8.9~. ..... Date . .Fe.l~..r~s,.z~ .... 6. ............ , 19~..8.. THIS CERTIFIES that the building located at ~..~...~J, .z~.e..h~..h~a..B.~?.d.,....-Street Map No ............. Block No ...........Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this o~ice dated ... July ..... 16 ....... , 19.7.?. pursuant to which Building Permit No..~.0~. ~-.~O~Z dated ...July .....16 ........ , 19.??., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .... Aooeasor¥. ~u~ld~ .............................................. The certificate is issued to ..... ~o. Lo_~etta .Yom ~tehn ............................ (owner, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval . ...N../R ............................. UNDERWRITERS CERTIFICATE No. N/R HOUSE NUMBER 2b'00 Street Mt~m~hah~ SoUthold ~ ...... ,..~,~..../. Y :./.'~.....'?~... ..... Building Inspector BUILDING pERMiT ' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 9404 Z Permission is hereby granted to: ........... ~,i~el~ha..~l~ .......... ~outhot~ ...... build ~ew ~ccesso.~.~. buildinj[ (a~n~eve~ .b~...Bd-..A.p~eat's'~ ................. at premises located at .~./.~....,~.~.~.~fih~.o..~.;L~d .................................................................................. pursuant to application dated ........... J.~.~Y' '$' , lC~/.~....., and approved by the Building Inspector. Fee $ ........................ TOWN OF $OUTHOLD Building Delm~tment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: i. 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 disposol--(S-9 form or equal). 3. Approval of electrical instal(arian from Board of Fire Underwriters. 4. Commercial buildings, (ndustrial buildings, /V~ult/ple Residences and similar buildings and installations, a certificate of Co~e 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 )9.57), Non-conforming uses, or buildings and "pre-existing" land uses: l. 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. Dote of any housing code or safety inspection of buildings or prem/ses, 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 Date ......................~.', .................... . . ~1~ :~ ~ew ~ Mm~ .................... ~1~ or Pre-existin~ BuiM~n~ ............................ Vocont Land ............................ Locotlon Of Property ~/~2~ ~/~/~//~ ~ ~/~* ....... ...... .... Subdivision ...~.~.~ ...... ~.~.~ ............. ~ot ~o...~... ~oc~ ~o ............. House ~o..~.(.~:~¢ Permit ~o...~.~.~. ~ote Of Permit .~/~..~ppficont .**~..~.,~.~~ ...... ~.~....~ Heo~t~ Oept. ~pprovol .........................................~ ~o~or ~pt, ~pprovo~ ................. .................... .. Reques~'F~r Tempem~ Ce~iflcete ........................................ Finel Certificete .......................................... Fee Submitted $ .....~,~.,.'::. .................... Constr~ction on above described budding end permi~ m~ oil opplicoble c~es ond re~. Sworn to before me Not~ry Public~_ :~ ,~..~.~:ounty FRANK A. KUJAWSKI, .tR,, President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 June 2, 1989 J.M.O. Consulting P.O. Box 361 wading River, NY 11792 Re: Minnehaha Blvd. N.Y. Dear Sir: The following action was taken by the Board of Town Trustees during their regular meeting held on May 31, 1989 as follows: W~IEREAS the Town Trustees have conducted an on site inspection of the subject property, Minnehaha Blvd, NY. RESOLVED that the Town Trustees approve the request made by J.M.O. Consulting for a waiver to construct deck and storage shed landward of timber bulkhead on above mentioned property. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Frank A. Kujawski, Jr. President Board of Town Trustees FAK:kjw -cc: Bldg. Dept. Board of Appeals file New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11794 Thomas C. dorling Commissioner Dear 'm'~ L-~ ~ A review has been made of your proposal Based on the information of ~nvironmental Conservation has determined that the ~, project is: ' Greater. [han 300' from inventoried tidal wetlands. ~ Landward of a substantial man-made structure '~%~ greater than 100' in length to: you h~ve submitted, the Me~ York State Department ~arcel which was constructed prior to 9/20/77. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff,' cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental. Conservation Law). Please be advised, however, that ho construction, sedimentation or disturbance of any kind may take place your ~sponsi~41it~-to ensure t-he,~ all nec~sar~ ~recautions are taken to prevent any sedimentation or other alteration.ok disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale. berm.~ Please note that any additional work, or modification to described, may require authorization by this Department. this office if such are contemplated. the project as Please contact Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, ~ Deputy Regional'd~ermit Administrator jv~ ',l N N E H A H A ~LVD LPARCEL / ,.ey-y ,'%R ,z/ou$£. Zk L. VOh,1 L~i..IN PARCEL '*,5-7 ,.T. LONN ~LIp Examined AU~ 16 19...?..'/... ~,,~r,,,,~ ............. .~.~......~..~ .......... , ~.?.Z... n,,,,,it ~o...~ ........................ APPLI~ ~ BUI~ING PE~IT ~te ~7 16 19~.~ ....... ._ IN~U~I~ a. ~is ~lic~i~ mu~ ~ c~ple~ fill~ in ~ ~writer ~ in i~ ~ s~i~ in triplicate ~ the Bui~in In~or, wl~ 3 ~ of p~,:~r~pl~ plan~ F~~ ~ ~h~ule. ~ b. PI~ plan shying I~ation of lot a~ of buildi~s ~ premix, relationship to ~ioJni~ prem ses or DUb C stree~ o~ areas, and g'v'~ a d~a I~ d~nptl~ of I~ ~pr~ must ~ drown ~ the di~m ~-ic'h is c. ~e wo~ c~er~ ~ ~ ~licati~ ~y ~ ~ comme~ ~fom i~uance of Building Pe~it. d. Up~ a~mval of ~is ~licati~, ~e Buildi~ Im~tor will i~ue a Building Permit to the a~licant. Such permi~ shall ~ ~pt ~ the pmmi~ ~ilable ~r i~im ~h~t ~ ~rk. e. No building shall be ~upi~ or u~ in whole or in ~ ~r any pu~e wh~ver until a Ce~ifica~ of ~cupancy s~all h~e ~en granted ~ ~e Building Ins~tor. APPLI~TION IS HEREBY ~DE to ~e Building ~nt for ~e i~ua~e of a Bud ~ Permit pumuant to th~ ¥~.~ z~ Or~..nc~ o~ ~h. T~.o~ ~thoU, ~k C~, N~ York, .nd ~*r ~c~* ~, O~..nces ~..~.?~, ~o~ t~. ~?.~ru~ ~..fd,~ .~ti~ or .~t*~.~.. or ? ~m~.l o~ ~it~..~ h.~i. d*~r~.D e app.canr ages to co~y with afl a~,caDm I~, o~l~, ~lld~ c~, hfis~ c~e, admit autho~z~ ink,tom ~ pmmi~ ~ I~ bui~i~ ~ ~ I~s. : ___ ,;..~..~..~..~.~L~ .............................. (Signature of applicant, or name, if a corporation) Blvd 8outhold (Address of applicant) owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder/ State whether applicant is If applicant is a corporate, signature of duly authorized officer. Plumber's License No .............. Electrician's License No .......... Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ....... ~'~tl~..-~..~..~"'~'.e.'~'°t No.......~. ............... Street and Number .... ~,/.~.....}~t. Z3.e.h~L.~,~'d ......... ~Q13,"~,~, ......................... Municipality 2. State existing use and occupancy of premises and intended use and occupanCY of proposed construction: a. Exisiting use and occupancy ~raO~1; 3-at & oocupJ, ed 3.ot; b. Intended use and occupancy s~J~e v:L1;~ &cces$oz'7 st, or&ge bl~l].dlng oil ~)L. 3. Natu're'o~ work (check which applicable): New Building.....~ ..... Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..................................................... · (Description) 4. Estimated Cost ............................................................ Fee~...1..O....~..~g~ ....................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... ..O. ............... Number of dwelling units o?,each floor ............................ If garage, number of cars ............................................................................................................................................. '6.' It: business, commercial or mixed occupancy, specify nature and extent of each type ~f use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear'~ ....... ..'......J...,,;:~..;...;-JDepth .................... Height .........................Nurr~ber of Stories ....................... . .............................. ; ........................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................ Number of Stories ................................ 8. Dimehsions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ................................................................................... ' .................................. 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. ' Date of PurchaSe .... .....................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...!!A!!...~I,~.~.~. .............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..,~l~.~J...?.i~.]3Z'.(~.~'.e.~..~...:]~l,..A]3~le- 13. - ~, T_~.ji~ ( No Will lot be regraded . ........ .O. ......... Will excess fill be removed from premises: ( ) Yes ) 14. Name of Owner of premises ................ ~.t...~.l~[.t;;.t,.&...~.lD]~T~%JlJress ..... ~.~.~g~,~ ........ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... 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. see-attaehed pla~ STATE OF NEW YORK, ~ c c COUNTY OF .... I~.~,01 lc............ ~~'~ ................ :.[~. ............................................................................. being duly .sworn, .depose~ and says that he is the opplicam (Name of individual signing contract) ' , above named. He is the ........ ~.G...~. .......................................................................................... (Contractor, qgent, 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 cqntained-in this appliggt.ion 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 .................... · 16day of ..................... Al.l.g. ............... , 19.....~.~-"7-/ Notary PubJ4c, .............. ,<:~ .l~1,~.~.~ ............... County ...~ ............................................................... · /// ~ c~' ~ ] ~ ~' (Signature of applicant) ·/- /~¢AI~ E. DAWSOR ~IOT~¥ PUBLIC, ~qte of New Ym'k ,o. 524.3721, Suffolk Term Expires March 30,