HomeMy WebLinkAbout25339-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26133 Date: 11/30/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 8905 GREAT PECONIC BAY BLVD LAUREL
(hOUSE NO.) (STREET)
County Tax Map No. 473889 Seotion 126 Block 4 Lot 17.1
Subdivision Filed Map No. Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 29, 1998 pursuant to which
Building Permit No. 25339-Z dated NOVEMBER 18, 1998
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The ocoupancy for which this certificate is issued
is ACCESSORY STORAGE SHED AS APPLIED FOR "AS BUILT"
The certificate is issued to RIFAT TABI
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
//din/Inspector
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 25339 Z Date NOVEMBER 18, 1998
Permission is hereby granted to:
RIFAT TABI
LLOYD HARBOR
HUNTINGTON~NY 11743
for :
CONSTRUCT ACCESSORY STORAGE SHED AS APPLIED FOR "AS BUILT"
at premises located at 8905
County Tax Map No. 473889 Section 126
pursuant to application dated OCTOBER
Building Inspector.
GREAT PECONIC BAY BLVD LAUREL
Block 0004 Lot No. 017.001
29 1998 and approved by the
Fee $ 35.00
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-~802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the built
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of ail buildings, property
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 for
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contaiD
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bull
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, o~ %uildings
Vpre-existtng" land uses:
1. 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 applic~
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 $25.0£
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00
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 ~f~.f. ?.~.{~.'~ P?.M 8&V~.
House No. Street Ham]et
Onwer or Owners of Property .............................................................
County ~ ~p No 1000, Sectiou............./~& .Bloc~... ...........9 .'.~ot.. ..~.7'. .< . ..'~ .....
~ t'~AP ~F P~.~P6~T¥ ~F A,L,~O~& Filed .2:J
Subdivis ....................................... Map ............ t.... ....... ......
Permit No Date Of Permit .......... Applicant ........
Health Dept Approval Underwriters Approval ..............
Planning Board Approval .
Request for: Temporary Certificate ........... Final Certicate .... ~ .....
~i..~:.-. 5~'-f t~/ ............... i~ ................
~0 ~J~ I33'
Dr. Rifat Tabi
2 Lloydhaven Drive
Huntington, NY 11743
Tel: 516-673-0396
Building Department
Town of Southold
53095 Main Road
Southold, NY 11971
Att: Ms. G. Rudder
8905 Peconic Bay Blvd., Laurel
Tax Map 1000/126/4/17.1 - C/O Update
November 23, 1998
Dear Ms. Rudder:
As per our telephone conversation of November 20, 1998, I am enclosing a check for an
additional $ 25, for the issuance of a new C/O for the (metal) tool shed. (A request for a
Building Permit for same was forwarded to your office on 10/22/98, with a check for $ 35.)
I am also enclosing a copy of the letter from your office dated July 12, 1971 (a copy of same
letter was enclosed with my original request dated 10/5/98), indicating the pre-existing C/O's
for the various buildings on my property referenced above.
To reiterate: Please issue a "pre-existing use" C/O for the following:
2-
3-
4-
5-
6-
Garage with guest apartment on the westerly side;
Cottage in rear (lot 31), for one-family dwelling;
Main House (lots 12 & 13), with rear concrete/brick patio;
Swimming-pool, enfenced;
Wooden shed on lot 11, as shown on the survey; and
Update C/O for cottage on lots 10 & 11.
In short, for the entire property with all presently existing structures, as listed above.
Sincerely,
.Enclosures: As listed
FROiJ : P~nason~c FRX SYSTErl
PHONE NO. :
Jul. 24 1998 03:09PM P14
I?,1
Ju~y, 12~ 1971
Sours truly
~ui!din~
Chekenian~__ ___ Attorney · ' ......... :."
..... ,';' ' ¢ o~, ette~.,¢ received.
-".'?'"d¢~-,~ Please be ~dvised: Several ~ttempt~ ~¢ere ~do to iuspect
'- o~ f,.,,_repla, ~ ev~ry~hi=g else O.X.- a~o O/O has been
' ".,'issued ~n this; It Is O.K. for
'" ' ..', po~pplaced and ~~n everything else
,?:.g ~,this ls-a -, . - o ha~ been issued on ~hlst it can
'"~ ),be used forfami~-~e~gone ·
-'"~. ', Enclosed please find cop "~
':':Y/. ,~ Fee due S 1,00 for ~his, '~here were no violations on ~,,.s one
. c ,¢ dwelling
:' },r. Fisher discussed the n~e~e~ repairs ~elth the ne~e o,~ner
" who agreed to make the necessary repairs.
" If you ~ish we will re-inspect the d,.,ellinz~ when ~he repair
"- are e~mploted~ kindly ¢ive us a call when ready.
~ORM ~0.
TONH OF SOUTHOLD
BU:[LD][~IG DEPARTHE~T
TOWN HALL
SOUTItOLD, ~.Y. I ]97 I
TEL: 765-1802
Disapproved a/c .....................
SURVEY ........................
CHECK .........................
SEPTIC FORH ......
i}ii' ~&mitted to the Build'ag aspec '
~'~a. 'rhi8 a~li~'~iOm~[t'~ ~l~rely fill~ in b7 ~i~er or in i~ ~
3 ~rs of pl~, ~aCe ploc pl~ Co ~le. ~ ~o~i~ Co ~le.
b. VloC pl~ ~ l~ci~ of loc ~ of ~ildi~ ~ pr~s, ~laci~ip ~ ~joini~ pr~s or ~11c
sCr~cs or ~e~, ~ iivi~ a ~cail~ &~ripcim of la~C of pm~ ~C ~ ~ ~ ~ diem ~i& is ~ of
~is a~li~ci~.
c. '~ ~ ~ ~ ~is a~li~ti~ my ~t ~ ~ ~fore isle of ~ildi~ ~t.
d. U~ ~al of ~is a~i~Ei~, ~ ~ildi~ ~c~or ~11 i~ a ~ildi~
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rE for ~ ~ ~t~er ~tll a ~rtifi~Ee
~I~ IS ~Y ~ ~ ~ ~ildi~ ~nt for ~ is~ of a ~ildi~
~ldi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le
~la~i~, for ~ ~ti~ of ~lldi~, ~iEi~ or al~eraEi~, or f~ ~ or
~ri~. ~ a~li~E ~s ~ ~ly ~ ~1 ~li~le l~s, ordi~s, ~ildi~
~lati~, ~ Eo ~it ~ri~ i~tors ~ ~s ~ in ~ildi~ for ~
........ Z mz .... ......................
(Si~e of ~li~E, or ~, if a ~Ei~)
~ili~ ~ of ~li~O //~'~
State ~t~her applicant is o~er, lessee, a~ent, architect, engineer,' ~e~eral contractor, electrician, plumber or builde~
................. ~..~..~..'X. ..........................................................................................
~ o~ o~ o~ p~ .......... .~,r..~.r ...... .T.'f,'. ~t .............................................................
(as c~ ~he ~ax n)ll or latest deed)
/
If applicast is a corporatlcm, signature of duly autborlzed officer.
(Nare and title of corporate officer)
Builders License No ................. ... . . . . ..
,,
Plumbers License No ..........................
Electricians License l~b ......................
Otter %kate's License No ................... . .
I. Loc~tioo of lasd o~ ~aich proposed ~ork ~rill be dooe ..............................................................
~ ~. ,~ ~i~ ..... '--(~. ..... ~ ..... .~ ........ ~ ...~.~ .......
~ivisim .~.. ~. .............................. ~il~ my ~...al .......... ~ Za, la .~e/. t/ 4 a t
(~)
~ ~ ~ ~ (/~.) .~...~' ...........................
a. 's '~ ~ ~ ...... ~ .......... ...........
~. a~ ~ ~ ~ ........ /f~4 ..... ~...ff~.O. ..........................
~hetber interior or co. er lot.
~ture oE ~ork (dmck .A~id~ appl'1 cable): ttew ~{ldi~ .......... ~lti~ .......... ~ge~at{m ..........
If ~r~ ~r of ~rs .....................................
' ~OT DIAG~H
~ p~r~ lime. Oi~ strut ~ bl~ ~r ~ ~scriptim ~tng to ~, ~ ~ st~t ~s ~ i~icate
..................................................... I~ing duty *eom, deposes end ~y, thai
(~ o~ i~ivia si~i~ c~tract)
..... ....... , ..................................................
(~tr~or, ~nt, ~o~rate officer, etc.)
of mid ~r or ~rs~ ~ is ~ly ~ri~ to ~rfom or h~ ~rr~ ~ ~td ~ ~ to rake ~ .file.thi~
a~lieati~; ~at all star--ts ~t~t~ in ~is ~].tcatim *ro t~ to ~ ~st of his
~t// / ........ ~. ¢ L. ~ ......... ~-.y/.; ........
LORETT~M/GA~.MURPHY /(Sl~mm ol B~tlc~t) '
NOTARY PUBLIC, 8late of No~Yofk
No. fi00~540
_ Ouallfied In Suffolk ~untY ~ zl
~mission Expires Sept. 8,
'PE. CO. NIC
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