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Home My WebLink About23977-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24987 Date APRIL 18~ 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Property. 1130 MINNE~AHA BLVD. SOUTHOLD, N.Y. House NO. Street Hamlet County Tax Map No. 1000 Section 87 Block 2 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3, 1997 ~ursuant to which Building Permit No. 23977-Z dated MARCH 11, 1997 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 5'x16' ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOE & "AS BUILT" The certificate is issued to of the aforesaid building. THOMAS & KA'~'~KYN WINGENFELD (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - APRIL 15~ PLUMBERS CERTIFICATION DATED N/A 1997 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRE/vtlSES UNTIL FULl. COMPLETION OF THE WORK AUTHORIZED) N? 2397? Z Permission is hereby g~.e_~ toy //~/_ ~ / / pursuant ,o application dated ..................... ~~...~..., 19..~..~., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOW~ 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 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: 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 applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. ~erl~,.~ca%~ ch Occupancy ~ New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~n~ning pool $25.00, Accessory building $25.00, Additions ~o accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - . .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commeraial $15.00 Date ~/1~/~ ~ ........................ New Constructiom ........... Old Or Pre-existing Buitding..~. ............. Location of Property. J.[.~.~. ~..w~.~...~.?~...~.~. ............. ~.~..~. ........... House No. Street ~ Hamlet Onwer or Owners of Property[ . .~......~.~C~....~....~.~..~...~..¥3Q..~ ~~ ................ County Tax .Map No 1000, Section~--.~ Block ~ Lot ~[ Subdivision~ ................................... Filed Map ............ Lot ...................... . ermit ate of Permit....Al'J.J.~.~.Appticant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULATION [ ] FRAMING [ ~] FINAL [ ] FIREPLACE & CHIMNEY REMARKS.' ~ ~"~--,~ ~--~..~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ~N ~A~*"~~ [ ] FIREPLACE & CHIMNEY (~' ~--~ REMAI~KS: DATE /~/~/~ 7 FND. LAND N/F' ST^NTON Mo"rT N80 5G 'O0"E (..0 0 34' 101 °50 F.¢. SSo "52 ' O0'--------~ ONLINE i4 SCALE 1."- 20' LAN0 N/F dOSE PRIETO FNC. ON LINE , rn ~o~ ANGLE MONUMENT Z FFt 'T o~ oEB ×O I I-F1 3> LAUGHING OF PROPERTY STTUATED AT WATER. NEAR SOUTHOLD, SUFFOLK COUNTY, NEN CERTIFIED TO YHOHAS NZNGENFELD KATHRYN WINGENFELD KT6 ABSTRACT CORP. AHERICAN TITLE INSURANCE TITLE NO. KTG-2803-S CO. TAX NAP DESIGNATION .1000-087-002-09 SOUTHOLD TOWN YORK BERNHARD H.HENN L.S. ~21 EDDY DRIVE DIX HILLS, HEN YORK N.Y.S, LTC, NO. 49.175 DATE 4/25/9'1 (C) COPYRTGHT B.H. REF. N0,3680 3680 5680 Di~vprOved a/c .................................. FORH NO. I TO~q OF SOUTtlOI,D BUll. DING DE PARTHENT TO~'/N llALL SOUTHOI.D, N.Y. 11971 TEl,: 765-1802 BOARII OF tIEAL~I ............... 3 SETS OF PLANS ............... SURVEY ........................ CllECK ......................... SEPTIC FORt4 ................... NOTIFY: /~ HAIl. TO: .................... INSTRUCTIONS Date ................ ,19 .... a. ~da applleatioo n~st be coapletely filled in IT type~miter or in ink ~ ~l~itt~ to t{~ ~dld{~ ln~ctor w 3 ~ts of plus, aerate plot pl~ to ~nle. Fee nc~rdlng to sch~ule. b. Plot plm ~M~ l~ti~ of lot ~ of ~ildi~s ~ ~i~s, ~lati~fip to ~jolning ~i~9 or ~blic ~t~ts or a~, ~ glvi~ a tbtail~ ~ripti~ of l~t of ~rty ~st ~ dr~ ~ tt~ di~ d~i~ is ~rt of Ods a~l icnti~. c. ~ ~rk ~ ~ fl~is a~lieati~ ~ ~t t~ ~ ~[o~ isle of ~ildi~ Pemit. d. U~ a~al of ~}{s ~lienti~, the ~ildi~ ]ng~eor will {s~ n ~;ildi~ ~mit to O~e ~llc~t. ~<h ~mit ~mll 1~ ~ ~ t~ p~u,2~9 ~ilnble for in~ti~ theft t{~ ~rk. e. ~ ~ildi~ ~all ~ ~i~ or u~ in ~le or in ~rt for ~ ~ ~mt~r ~til a ~rtificate of ~]~ ]S i~l~ ~ to t~ ~ildi~ ~rt~nt for O,e isle of n BUild{~ ~it ~t to the ~ildi~ r~ ~i~e of ~ ~ of ~tl~ld, ~fffolk ~ty, ~ %rk, ~ otl~r a~li~ble I~, ~i~es or ~lati~s, for t~ ~st~ti~ of ~itdi~s, ~iti~ ~ alterati~s, ~ f~ ~al or ~llti~, as I~in ~ri~. ~ a~li~t ~$ ~o ~ly with all a~licnble 1~, o~i~es, ~ildi~ ~e, }~i~ ~, ~ ~latims, ~ to ~t m{~i~d in--tots ~ ~i~s ~ in ~]ildi~ f~ ~ces~ in~ti~s. ..................... (Si~ture of ~lic~t, pr m, if a ~tim) ..~ ~+.~..~,~.., ~~...~ X.. (~ili~ ~ss of ~lic~t) I t~9 } State ~nether applicant is o, wer, lessee, agent, atm~hitect, engineer, ~ral c~tractor, el<tricim, pl~r . ~ of ~r of ~,~,,i~s . . ' .~. ................. (as ~ ~ tflx roll or latest d~) If applicant is a corporation, signature of duly antboriT~ed officer. and title of corporate offR~r) Builders l,icenae NO .......................... Plumbers License No ........................... Electricians Licens~ No ...................... Otter T~ade's License No ..................... {. l~catien of land en dnid~ prol~sed ~ork will be dose .............................................................. ...{. .... ............ ........................................ tk~k~e Nont~r Street t{~nlet c~t~ T~ ~ ~. ,~ ~.... ~..~ ....... ~ ...~. ......... ~ . ~ ............ d ~d~ivisi~ ....................................... Fil~ ~p ~ ................ l~t ............... (~) 2. State ~sti~ ~ ~ ~ of ~i~s ~ inte~ u~ ~ ~ of ~ cmstxti~: .. ............................................. u~ .......... ~ ................... .~ ~, ~',t ~flO~ ..................... l~qmir ............ Iba~'a ~L ............. Des,~,l i t ion ............ Other I&,k ......... : j... ~.~...f~-~-~ ......... (Deacr i pt 6. If Ixmit~aa, ~ereial or mi~l ~l~y, a~c~ ,~tu~e atgl extent o~ ea~ tYl~ ag u~ ...................... ~. ,i,,~,,~i~,~ o~ ~i~i,,~ ~.~.~.. i~ .,,y: n,~,~.~.%.~ ....... ~ ~.~...~ ....... ~pa, .?:?:.~ ......... Dinenai~ of s~l~ attitude ~ilh alterati,xm or ~kliti~,s: Front ..~.~..~ ....... l~ar ...~;~( ...... lkq~lh ...~...~ ........... I~ilOiC .................... ~d~r of Stories .~ ............. 6. Dinenai¢x~ og entire t~ ~latr,~ti~: F~mt .~.~.,.~ ....... I~ar .~.~.'..~ .... ~pth ~.~.,.~3 ..... II. ~s~ or u~ district in ~id~ pr~ni~a a~e si~tol ........................................................... 12. ~ma propel camtnmti~ violate any ~ling h~, onli~e or regulatial: ,..~ ............... 13. gill lo~ I~ regrm~ ..~E ............. gill. ~:eaa ~ill Im v~ fro. proxima: YES ~sl~ of Arddt~ ............. ~: ...................... &~ress .............................. fl~ ~ ........ ~e of C~[ractor ........... ~ ....................... ~h-ess ............................... 1%,~ ~ ........ 15. Is lids p~y uithin ~l f~ of a [hhl i~[la~l~ * ~ .......... ~ .~ ..... PI,OT I) IAGRAM lacate clearly m~l distinctly all ladhlitxgs, ,.dmtlmr existing or propel, act i~licaCe all ~t-I~k diimnsinna frou proimrty Ii~s. Gi~ at~ a~l bl~k ~afmr or ~seripcitm acco~ieg I'o I~l, a~ dl~ street m,~s a~l ialica 4, F~: ,,~. ~ ' O,~S~U~ONMU~T '" , ........................... : .................... Ih;It the ~.k will I~ I~rfont*¢l Jo Ihe n~,,mr ~t lk~rlh it~ Ihe apldiCal:io11 filed tl~t'c~ilh. // ~I.~JE (SlglUlhlre of appl