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Home My WebLink About14955-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuUm~NCY No z-24559 Date AUGUST 8, 1996 THIS CERTIFIES that the buildin~ ADDITION Location of Property 2130 B~OADWATE~ P~. O0'I~.~O~UE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 9 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 28, 1986 .pursuant to which Building Permit No. 14955-Z dated J~F~ 7, 1986 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 F~MILY DW~.?.ING AS APPLIED FOR. The certificate is issued to HOWARD R. MEINKE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~/A J~LY 26~ 1996-HOg~ARD R. ~INKE Rev. 1/81 /J Eu~ding Inspector I~O~M NO. · 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 AUTHORIZED) N'.' 14955 Z County Tax Map No. 1000 Section ..... ./.....O...L~.. ....... Block ...... ..C~....~. ........ Lot No....~,.,..'~'.-../...~ ....... pursuant ,o application dated ..... .~......~....~....~. ................... , 19~..~., and approved by the Building Inspector. Building Insl>ector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 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 for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: !. 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 i. 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 $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - . .25¢ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 Date . . .~7..~..~ ......... ~ ~ .~. ................. New Construction ........... Old Or Pre-existing Building ................. Location of Property .... ~.~/.~ ..... .~]~??~.~.~..~..~... ~ ....... ~g~.~.~..~?..~..~.~ ............ House No., / "-) Street Hamlet ............................... County Tax Map No 1000, Section...Z?..~.. ..... Block ..... ~.? ........ Lot .... ~.~..{/~. ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~. ~..Date Of Permit.~.~.~..~'.~. /.~.Applicant...~...~.~...~.~../~Zz~....~. ....... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ........................... APPLICANT f Town Mail. 53095 Main ;:{oag P.O. goxl~79 Southoid. ,New Yor~ 11971 Fsu((516) 765-1823 Telephone (516) 765- 802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit Nc. '(please print) Plumber, ~/~ ~, (~ 1 s print) i contains certify that the solder used in the water supply system less than 2/10 of 1% lead. Sworn to before me this CLAIRE L GLEW Notary Public, State of New Yo~ No. 4879505 Qualified in Suffolk County Commission Expires December 8, P.O.BOX 78 C~, NY, 11935 11~ ~ ______~.______~ .................... ~ .............. COPY FOR BUI~ING DEPARTMEHT. THIS COPY OF CERTiF~E~HUST NOT BE ALTERED IN ~Y ~ER. 7G5-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ;ZND [ ] INSULATION Ii/J/FRAMING REMARKS: FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~ ROUGH PLBG. [ ] FOUNDATION ~)ND[ ]INSULATION [ ] FRAMING [ ]FINAL REMARKS: ~__~ D"~,~~.^~ _ DATE INSPECTOR 76S-~02 BUILDING DEPT. INSPECTION [/~~DATION 1ST [ ] ROUGH PLBG. [/.,.,]/FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE <~//// INSPECTOR ~/¢ (''~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]~ION FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR F1ELD I:~SI~ECTION FOUNDATION ( 2nd ) ROUGH FRAME FLUMBING INSULATION ?ER N. STATE ENERGY CODE Ye COr~l~ E~TS FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:a Examined..~./~l,,J,~,,a .~. .... , 19.8.¢. . .~,~a.~. Approved ...~. .... 19 Permit No..~.~.~.~..~..~-.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BLDG. DEPT. TOWN OF SOUTHOL[~ Received ........... ,19... a. This application must be completely fiBed in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 Occupancy shall have been granted hy 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections./ ...... ~ .~. 4T/.~. ~ ~,. ~..~. ~.0 ..................... (Signature of applicant, or name, if a corporation) · .1.'~.'../~... ........ ~Z~./:... ............ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or .... ~. ~.~. .d.d.~:. ,, ........................................................................... Name of owner of premises ...//~?. ~-~..~..~. .... ..~.~/~..~.~. ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.....2. ~. ................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .. ~..o~..~ ................ .~.~ ~. ?..,/.~: ~,. z ~: :~.~.~...d.d., ........ ~. ~£~;~. / ~,, ~- .. ~-. House Number Street Hamlet County Tax Map No. 1000 Section ....... /..~. ~. ...... Block .... ~..~. ........... Lot. f.~..~../..~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ?..~...~.~.x4.~/ ...... ~P...~.( .~. ( ................................... b. Intended use and occupancy ..... .~,~ ~..L~ .... ~... ~ .......................... 3. Nature of work (check which applicable): New Building .......... Addition .....t~/ .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... . .~, ~ (Description) 4. Estimated Cost ..... ~ ....................... Fee ...................................... (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 ..................... 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 ........................................................ 9. Sizeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... . .,%5'.~. .................. Will excess fill be removed from premises: Yes ~N~ 14. Name of Owner of premises . ./r/.,. .,¢.7..~../.~4'../.c/.t~-. .... Address ,/.--~ .2~. ~..~..d .{. ~ Phone No. ~.~. ~:~..? Name of Architect ........................... Address ................... Phone No ................ Name of Contractor . ~.../.c~..a-.o..~.,?.,,. ~ ......... Address . ./7~2-.-7.~..z-.~. .~ ./~. .... Phone No.. * Yes ..... No ..... 15. Is this property located within 1100 feet of a tidal wetland? * If yes, Southold Town Trustees Permit may be required. PlOT DIAGRA~ 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 comer lot. · STATE OF NEW YORK, COUNTy ~F ............ ,- .... S.S .... ~.'~.,~ t~+~. ~F... .c~.,/J,~'~p'j~'~x~. ............... being duly sworn, deposes and says that Re is the applicant /(Name of indj~dua]~igning contract) above named. He is the (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 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 ........ .~.~. .... day o~f. · ~'1:~..rP~. ...... i~;~., 19 .~. No;~';u~lic, ~ d&~' County~."., · ............. LOT NUMBERS ARE REFERENCED TO "~MENDED MAP A OF NASSAU POINT': FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK ON AUG. 16,1922 AS MAP NO. 156. SURVEY FOR HOWARD MEINKE AT NASSAU POI NT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. I000- 104 - 09- 12 ~ 13 SCALE'I"= 30' MAY 13, 1986 Prepared in accordance w; standards for title surveys a the L.I.A.L.S. and approv- for such use by The New ' Title Association. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED ~,T~: ~')'~J~ ~].p , 1'--/9~'~: NOTI~ BUILDING OEPARTM~T AT 765-1802 9 =M TO 4 ~ ~R THE FOLLOWING !N~PEC~ONS: 1 FOUNDAtiON ~WO ~EQUIRED 2 ROUGH ~RAMING & PLUMBING 3, INSULATION 4 FINAt. COflSTRUCT~N MUST BE COM~ET~ FOR CO ALL ~O~STRUCTION SHALL MEET THE*REQUIRE~ENTS OF FHE N.Y ~ATE CONSTRUC~ON & ENERGY ~DES. NOT ~NSI~E ~R ~IGN OR CqNSTRUCTIOk' ERRORS, '? p. $7z?~ ' q '¢'~ o~ 4-. LOT 265 LOT NUMBERS ARE REFERENCED TO "AMENDED MAP ,4 OF NASSAU POINT" FILED IN THE OFFICE OF THE SUFFOLK COUNTY CLERK ON AUG, 16,1922 AS MAP NO. 156, N.Y.S. LIC. NO, 49618 PECONh~"~OR$ E~ ENGINEERS, R C. P.O. BOX 909 MAIN ROAD $OUTHOLD, N.~ 1197'1 SURVEY FOR HOWARD MEINKE AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y, I000- 104 -09- 12 8, 13 SCALE: I'= 30' MAY 13, 1986 Prepared in accorr{ance with the minimum ~tandards for title surveys as estabrbhed by the L.I.A.L.$. and approved and adopted for such use by The New York State Land Title Association,