HomeMy WebLinkAbout23288-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF O~uu~ANCY
No Z-24453
Date JUNE 20, 1996
THIS CERTIFIES that the buildin~
Location of propert~ 26760 MAIN RD.
House No.
County Tax Map No. 1000 Section 109
Subdivision
ACCESSORY
~;UTCEOGU~, N.Y.
Block 5
Filed Map No.
Street Hamlet
Lot 2
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 31, 1993 ~ursuant to which
Building Permit No. 23288-E dated MARCH 11, 1996
was issued, and conforms to all of the requirements of the applicable
provisions of the iaw. The occupancy for which this certificate is
issued is DETACHED ACCESSORY DECK AS APPLIED FOR.
The certificate is issued to JEANNE M. MINERVA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Rev. 1/81
FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAIL
SOUTHOL~, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
D. NAKCN 11,
are .............................................................. 19....... ....
N? 23288 Z
Permission Is hereby granted to:
JEANNE HINERVA
P.O. BOX 1144
26760 PLAIN ROAD, CUTCHO~UE NY
t CONSTRUCT AN ACCEgS0RY DECK AS APPLIED FOR. (DETACHED)
CounlyTax Map No. 1000 Section ........ !.0..9. ............ Block ........... ,5. ............. Lot No ............. 2. ..............
pursuant to application dated ......... . .t,~,.. ~C. ~ ...3..1. ................................ 19....9..3. ......... and approved by the
Building Inspector.
Fee $.....3...5.:..0..0. ..........
THTS PERMIT RKPLACES BP#213]3-Z.
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISF. S UNTIL FULL
CO/VtPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
................... z?.~.......~..z.~...g... ......................
· ~v.: ....... ~;~ ~ ~ .., ....
..................... ~~:.....¢..'~..~~ .......................................
at premises located at .......~),,..~....~..~..~..........~..~.~/-~.:..../...~,...~...~. .......................................
......................................... .......................
~o,n~ ~o~ Mo~ ~o.'~O00 ~e~t,on ..... L.~...~... B~oc~ ........ .,~..... ..... ~o~ ~o....2.,~ .........
Building Inspector.
Fee $... ,~. ~. ~ · ...~. · ..~...
Building Inspector
Rev. 6~30/80
~o-~ No. 5
TO~'N OF SOUTHOLD
BUILDING
TOW~ F_~LL
765-!802
This appllcauLon must be filled in by u}~ewrizer 0R ink and submiurad us the building
i,~.spector ~ith the foi!o%~ng: for new building or ne~ usa:
i. Final survey of proper~y ~iuh accurate location of al! buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of ~-a~ar supply and se~era~e-disposg!($-9 fornl),
Approval of e!ecuriaa! installation ~rom Board of Fire Unde~w-ritars.
4. Sworn sua~emamu from plumber cerrlfyi~g tha5 5he solder used ~n system conualns
less chart 2/!0 of !% lead.
5. Commercial building, induscrla! building, mu!cipie residences and similar buildings
and installations, a cercificate of Code Compliance from archi=acc or engineer
responsible ~or the building.
$ubmi~ Planning Board Approval of completed site plan requirements.
lot_x_s~_.=='- -~= buiidin~s (prior :s April 9, !~)°-' non-conforming uses, or 'ouimcin~s' ' and
"pre-ex~sting' !and uses:
~ Accurate su_--vey of orooer%v sho~--ng al! orooerty ~,
.. . .... __n-s, stree~s, building anc
.... p_ope__., aomp±enea aoo!iaamion and a consent to inspect signed by $ne applicant.
if, a Certiflca~e of 0cat.ency. ~s denied, :he Building T~__sp_~_O.~- -- shall s~aze the
reasons therefor in N~iring =o the aoo!itanr.
~ Cartlfica:e of Occuoancy - New ' ~;~ = 525.
_. . cwe__~n= 00, Additions to awe=~_ng
.~!sara:ions to dwelling $25.00, Swimming oooi $25.00~ Accessory bu~d=~ S25.00
Addinions zo accessory,- building S25.00. Businesses ~50.00.
2, Certificate of 0ccupaucy on Pre-~--~isnin~ B~idin~ - gl00.00
3, Copy of Certificate of Occupancy - .25c
~=. Updated Car=if!cate of Occupancy - iS0.00
~. Iemporery Ca ...... a_e of Occupancy Residen~ia! $15.00 Commercle2 $!5,00
....... .....................
~o~ o~ ~:~=?... ~?~..~ ~. ~ ............................. d~Zf.~R~ .'.-
~ouse ~o. S~ee~
~: o: o~=~ o~ ~=o~=y... 7E~..~...~.t~.~.~ ...............................
~ m~ .... Y ............ ~ ...............
,UDC--V--S_On .................................... Filed Mao. .Lo~ ......................
{aalnh Dept. Approval .......................... Unde~riners Approval .........................
Lannine Board Approval ........................
~.~.~. ~i~I ~-' ..... ~ .~ ..............
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 24, 1996
Ms. Jeanne Minerva
P.O. Box 1144
26760 Main Road
Cutchogue, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23288-Z
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Thank you for
Town Hall, 53095 Main Road
P, O, Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 27, 1995
Ms. Jeanne Minerva
P.O. Box 1144
26760 Main Road
Cutchogue, NY 11935
Re: Building Permit #21313-Z
Premises: 26760 Main Road, Cutchogue
surf. Co. Tax Map #1000-109-5-2
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher
Senior Building Inspector
YOU?_JDATION
'~UNDATION (2nd)
~UGH FRAME
-FLUMBING
~SULATION PER N.
STATE ENERGY
CODE
FI;;AL
-, (:UT LIST
£USTOMEP, -- H HcND£qSON
DAT~ Q31d'J193 P£F rtr-1,145753
.1
-T
!i
LA~J---L LENOTH
F45
4~
!6'
15'S'
,, -"' ' ' HFNDERSCN
CuSIuMER '-- ~- ,-
DATE
il
P.7
~'D 3/4'
BFI',I',! BEAr,'] PC, ST
!_A 3::_ L E:',.IL; I'aSZt.;N'F
A 1E.,'? 0
C !~'?~" U
.fiz'ACD,i?
OATE 0212211.)j ~E£
.[
I;
APPROVED AS NOTED
NOTI.v BUiLDiNG DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWfi',~G INSPECTIONS:
1. FOUNDATION . TWO REQUIRED
/:OR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4 FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.¥.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERflORS
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CEETIFICATE
OF OCCUPANCY
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ] ROUGH PLBG.
[]INSULATION
[ ] FIREPLACE & CHIMNEY
INSPECTOR
M,~ IN
N 76° I~ 'E
/rd
RD,
( RTE. 25)
..<TONE mi'/£
MARK£R '1~? Iff/' CH:
104. O I
TIE:
59, I
I STORY WOOD FR~3NIE
RESIDENCE'
587
I Conc
TM 1000-109-05'02
Guarantees indicated here an shall nm
anly ~o the pe~ f<~r whom the survey
b l~repared0 and an 'Ns behalf to
title company~ Gove. rmenl~l Ag~nCy~
lending Imfilutlan~ if ~lhted I~ereof~ and
to the asti~nees of the lending Imlil~lan.
Guarenlees are not Iransf~.r~ble fo
<~ddifional Instlfullom or s~bsequenf
SURVEY OF
. SURVEYED 27
. SC,~LE -' I : 30'
DESCRIBED PROPER
SI TUA TE
CUTCHOGUE, TOWN OF sOUTHOLD
SUFFOLK cOUNTY, N.Y.
SURVEYED FOR
JEANNE M, MINERVA
GUARANTEED TO
JZ'ANNE M MIN£RV,~
CENT£RBANK MORTG~G£ COMPANY
/~OUEBOGUE AB$TRACZ
TOWN Of SOUTHOLD
Unaulhor~zed alleral|ofl or addilio4t to
survey is a violalion of Secllon 7209 of
~h'~ ~-'ew Yo~ State IEducal~
SURVEYED BY
STANLEY d IS~KSEN, dR
Land Sure.rs embossed seal ~all
Examined
............ ,19
Approved ....t/./.7.' . ...... , 19~..~. Permit No.'~.
Disapproved a/c '
FORM NO. 1
TOWN OF SOUTHOLD
· BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
BOA'RD OF HEALTH .~.. '
SURVEY ...v ...........
CALL . . .~. .....
HAIL TO:
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ............ 1
se, tsa. Tiffs application must be completely filled in by typewriter or in ink and submitted to the B[dlding Inspector, with 3
of plans, accurate plot plan to scale. Fee according to schedule.
~ B. Plot plan showing location of tot and of buildings on premises, relationship to ~djoining premises or public streets
oix ayeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cat~bn.
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 wbrk.
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 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 or
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, building code, housing code, and regulations, and to
admit author/zed inspectors on premises and in building for necessary it~e.ctions. - .
(Sign"a4ure of applicant, or name, if a corporation)
...P.- ............ ....
.' (Mailing address ofapplicaht) ~ ·
State whether applicant is owner, lessee, agent, architect, engineeL general contractor, electrician, plumber or builder.
Name ofownerofpremises. ~.~..~..P/ ~A)~'f~k/'~
(as on the tax roll or latest deed)
If applicant is a borporation, signature of duly auth~orized officer.
(Name and title of co/-porate officer)
Builder's License No.. ~)../-~..'~..~..PT'. ............
Plumber's License No .........................
i~zcctrzclau S LAcense NO.
Other Trade_'s License No ......................
1. Location-ofland on which proposed work will be'done ..........
House Number Street Hamlet
County Tax Map No. 1000 Section ....
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended~us~ and occ~ancy of proposed construction:
a. Existing use and occupancy .........
-.....U
b. Intended use and occupancy ~'E~
· 3. Nature of work (check which a~plicable): New B~ilding...' ........ Addition .......... Alteration ...... ·
Repair .............. Rem]~val ........ ...... Demolition .... '.'...; ..... Other:Work ...D¢.~. ~..
· ' x.:2..~..*l ~ ...................... t-ee...~. ....................
! (to be paid on filing this application)
5. If dwelling, number of dwelling iunits ............... Nunlber of dwelling units on each floor ................
If arage, b of '
· .g num er cars
6 Ifb ' ' lo 'xe~occ pancy ......................................
· uslness, commerc,a r mi u , specify nature and extent of each type of use ...................
7 'Dim io sol itig truct~ ifany:Font }'fO ~{z2 ..... ?.'.~. "
· ens n exs n s r s r ........ Rear D pth .......
Hight 'l "~ tl Nt nb f St e
Dimensions f ' ith It ti ad0itions F
osame structure w a era ons or : rent ....... Rear ..., ..........
Depth ' I Height .............
...... ' N mb fSt ries '..L
$ Dime sions ofent' truction: F ......
· n ire new cons rent ............. ~ Rear ............... Depth ...
' Hight N b of Stori '
e ............... um' er es ..... . ............ ' .......
9. Size of lot: Front Rear.· .........
Dat,~ ,,r ~....~ -> t,~a ~ ......... Depth ...........
10. /,' '~ 'i . · .......... Name of Former Owner .. ~.14/~ ~. Q.
11. Zone ....... icn premises are situated ..........................
12. · .........
Does proposed construction violhte any zoning law, ordinance or regulation: .... .~..~. ........... . .....
i 3. Will lot be regraded ........ '. I../N/0 .............. Will excess fill be removed from premises: .Yes
14. Name of Owner of premises f~ 01fl..fi.~...t':4.L~.~'121/lSAdaress . g..(qT.~.~..M..a!.~..~.~... Phone No..~/.-.~'. iv~.._..~.....
Name of Architect ......... i .............. Address ................... Phone No .......... ~..
Name of Contractor ......... ~ ............ Address ...... Pho~,j~No .....
15. ' Is this property within 3100 feet of a tidal wetla~'d'?'',¥es.'.'.'.'.'.'.'.' No...~ .... ' .........
i *If yes, Southold Tlown Trustees Permit may be required. '
· ". i PLOT DIAGRAM
Locate clearly and distinctly all l~uildings, whethe'r existing, or proposed, and. indicate all s'et-back dimensions fro]n
property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether
interior or corner lot. ~ .
~TATE OF NEW~X-ORK,[~
~~ ~ ~F~ · ' being duly sworn, deposes and says that he is the applicant
'(~;~; ;r indi~]fi~al signin~ contric~). ......
bove named·
;e is the
(Contractor, agent, corporate officer, etc.)
f said owner or owners, ~d is duly authorized to perfom or have performed the said work and to m~e and file this
~plication; that all statements contmn~d m this application are true to the best of his knowledge and belief; and that the
ork w~l be perfo~ed in the manner s~t forth in the application flied therewith.
~om to before me tl~,
. ·: ...... , 19 . . .
~ml.ion E~lre, D.em~r ~, !9~ ( (.-.' g ox eppncant)