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Home My WebLink About10291-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22964 Date APRIL 25, 1994 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1070 MINNEHAFa% BLVD. SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 2 Lot 8 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 1979 ~ursuant to which Building Permit No. 10291-Z dated JI3L¥ 6, 1979 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED FREDERICK P. & PATRICIA K. AUMAN N/A ~1005 -- AUGUST 9, 1993 N/A · -/ Build~ Inspe6to~ Rev. 1/81 1~0~ NO., 2 i · SUlL~tNG, ~PART~ENT ToWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISE$ UNTIL PUlL COMPLETION OF TIlE WORK ^UTIIORIZED) No. 10291 Z Date ........................................................ , Permission is hereby granted to: .~ . £F~b b/-;:w¢ Id 7~ i0-~,(, ~4 t,xl~/4 H ~ lib ~'~1.~/ ~ to X..L pursuant to application dated ........................................................ , ]9.,:....., and approved by the Building Inspector. Building ~[nspector Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of 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 ~or 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 builSings and ~pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural o~ 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, Accessory building $25.00, Additions to accessory building $23.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 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... fl).. q. ~.. .. .~../..~.p~. ~ .~.._.~....~. .~v~.~ . .~...~...~. ~j~. House No. Street Hamlet Onwer or Owners of Property....~.~.~v..~.~.~-..~. ....... ~,~P~.C~G~ ~. ..... ',County Tax Map No ~Oq> Section..?.~ ......... Block,...~. ........... Lot .... ~. ................ Subdivision ................................. · · . Filed Map...~ ...... ,. Lot ................... . .. Permit No.. ~.~. ~.?.~..~. .... Date Of Permit.. ~../!~./.V. ~ ..... Applicant .~r.~.~.'.~. ~.~.,~.¥ .~.~.'.~ ~Health Dept. Approval ...................... .. . . Underwriters Approval................... ...... Planning Board Approval ........................ Request for: Temporary Certificate ........ FinalfCerticate .... ~ .. Fee Submitted: ~ ~J) fO i ii ~~~~ . . ................. ELECTRICAL INSPECTION SERVICE, INC. ~ Dat~_9_93 1322 MONTAUK HIGHWAY EAST PATCHOGUE, NEW YORK 11772 Application No. on Fi~B05 THIS CERTIFIES THAT Fred ~,uaan on the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 1070 t~.nnehaha in the following location: __ Basement 1st FI. ~ 2nd Fi. __ Pool __. Hot Tub OUTSIDE was examined on '7-20-93 and found to be in compliance with the National Electrical Code. ,A, A W.A %.A S,.w. OIL I I H.P. GAS H.P. . AMI H.P. NO. OF PEET AMT WATTS OUTLETS RECEPTACLES SWITCHES G,F.I. 1 8 2 SPECIAL REC'T TIME CLOCKS BELL AMT AMPS AMT AMPS TRANS. AN ELECTRICAL SURVEY HAS BEEN MADE n': T:"~ EXPOSED ELECTRICAL EQUIP/~,]EJ~f IN THE PREMISES NO President OTHER APPARATUS: V[SJJAL DEFECTS FOUND II Ii December 7, 1993 Frederick & Patricia Auman 446 High Street Phoenixville, Pa 19460 Re: Premises @ 1070 Minnehaha Blvd., Southold, N.Y. Suff. Co. Tax Map ~1000-87-2-8 Dear Mr. & Mrs. Au]nan: Enclosed please find CO Z-22757 & Z-22758 for your addition and accessory shed. In reviewing our files, we find that you have an open building permit 910291Z issued on July 6, 1979 for an addition to your dwelling. This permit has expired and a final inspection still has not been done. Please contact this office as soon as possible so that we can arrange for an inspection and issue the Certificate of Occupancy. Thank you for your anticipated cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar encls. Gary J. Fish, Building Inspector INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTt L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWlq OF SOUTHOLD February 7, 1993 Frederick & Patricia Auman 446 High Street Phoenixville, Pa 19460 Re: Premises @ 1070 Minnehaha Blvd., Southold, N.Y. Suff. Co. Tax Map ~1000-87-2-8 Dear Mr. & Mrs. Auman: We are in receipt of your application and check in the amount of $25.00 for thc Certificate of Occupancy on Building Permit 910291-Zo Before a CO can be issued, a final inspection has to be made. We have called 765-5676 many times to try and arrange an appointment to do the final inspection, but to no avail. Please contact this office as soon as possible so that we can arrange for the final inspection. Thank you for your anticipated cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar encls. Gary J. Fish, Building Inspector INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 7, 1993 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Frederick & Patricia Auman 446 High Street Phoenixville, Pa 19460 Re: Premises @ 1070 Minnehaha Blvd., Southold, N.Y. Suff. Co. Tax Map 91000-87-2-8 Dear Mr. & Mrs. Auman: Enclosed please find CO Z-22757 & Z-22758 for your addition and accessory shed. In reviewing our files, we find that you have an open building permit #10291Z issued on July 6, 1979 for an addition to your dwelling. This permit has expired and a final inspection still has not been done. Please contact this office as soon as possible so that we can arrange for an inspection and issue the Certificate of Occupancy. Thank you for your anticipated cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar encls. Gary J. Fish, Building Inspector FORM~ TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved ............... Disapproved a/c ...................................... ........................ (Bu Id ng inspector) Application No ................................. APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application must bb completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurgte plot plan to scale. Fee according to schedule. b. Plot plan showing'location of Io~ and of buildings on premise~, relationship to adjoining premises or public streets oF areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 work. e. No building shall be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupancy 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 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, buildiqg code, housing code, and regulations, and admit authorized inspectors on premises' and in buildings for ~e~essary inSpection~.~-~, /~Cz~A/ (Signat~re of applicant, or name, if a ccJ~6br;~i;~i "'Kn/~:~-'~- ' .~/~ 1070 ]Wznn~h~ma" - ' t~lvd., Sou'~old, '~, .Y. (Address of applicant) ~/~ '>~L'// .......................................... ................................ ~.~..~:j~, ............ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises ........ Ftii~l~H61CP';"Ai~i~ii~;".ti~' ................................................................................................. If applicapt is a corporate, signature of duly authorized officer. ............... ~"i~;~; and title of corporate officer) Builder's License No ....................... ~.~'~..'.~.?....k..i.~i..'i.~..~~' Plumber's License No .................. f ................ ~ ....... .(~. ~j Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: ,../...D.~.D,,.':.~J,F...::,~.Z,,~ ..... Lot No ......................... Street ond Number .............................................................. ........ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .............. ~JtlIMl~¥'Jl~/tt'tli .......................................................................................... b. Intended use and occupancy .............. ~l~l~J~Y'J~Y6'~ .......................................................................................... 3. Nature of.work (check which applicable): New Building.. ................. Addition ........x. ......... ,~lteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... '~ (Description) 4. Estimated Co~.~..0..0.. ..................................................... Fee I '~ (to be paid on filing this application) ,5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ..... , ...................... If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 18 ~ 3" 44' 6" 7. Dimensions of existing structures, if any: Front ..!..~.l..,~.? ................ Rear ................................ Deptl~ .................... Height ,2~~. .................. Number of Stories 2 ............................................................................................................... Dimensions of same structure with alterations or additions: Front II~..~ .............................Rear~.~..3. ...................... Depth ......4d~.6. ................... Height .~. ....................... Number of Stories ................................ · 8. Dimensions of entire new construction: Front ....... ..1~.,! ........................ Rear ...... .~.! .................. Depth ~ Height ...... 0. ............ Number of Stories I 9. Size of lot: Front ...Z0.00.~ ................................ : ........ Rear ..~..~,.~3 ............................. Depth .[8...3J7.....~. .................... 10. Date of Purchase ................ I~.~. ................................. Name of Former Owner .H..,~....~.....,~....1..~.. .................................. 11. Zone or use district in which premises are situated ..~.¢~.j...~..~f.t.~...~..J ...................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... ,,~ ............................................. 13. Will lot be regraded . ....... ~ ................ Will excess fill be removed from premises: (x) Yes ( ) No Frede tie k and. Patri~ ia 14. Name of Owner of premises ....................... ~.an ................Addres~0..7..0..-/~..l.~.."...~...a.~..a..~.B.l. Ye~l>hone NoT..6~...'....5~.,.7..6......i.. 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 frorn property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~xi~;i.~g ~-rh~7~,~,~z~,*'e 18'3", _'~C) tll" ~o l.ot line. STATE OF NEW ~ORK, , lc c ..~.~.~....~....~...~5..~-..._~ ...................................being duly sworn, deposes end soys that he is the applicam (Name of individual s~gning contract0 r above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that all statements contained in 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 ........ .......... ........ , ............. Natal, Pub, ........... ~l~Hew Y;rk J APPROVED AS NOTED ~/~'/7~