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HomeMy WebLinkAbout21373-zFOR~ ~0o 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23954 Date OCTOBER 17, 1995 THIS CERTIFIES that the buildin~ ALTERATIONS Location of Propert~ 900 MINNEHAHA BLVD. SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map NO. 1000 Section 87 Block 2 Lot 6 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26, 1993 pursuant to which Building Permit No. 21373-Z dated APRIL 28, 1993 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 ALTERATION & REPAIRS TO ROOF OF EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to BORIS & VERA POLYAKOV (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ~ / Buildfing Inspector / TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. N~N'? "UILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~137~ Z Date ...~ ............................................ , ~.~ County Tax Mop No. 1000 Section ...... ~..iZ ......... Block .....~ .......... Lot No...~. ................ pursuant to application dated ...... ...~../....~...~.. ................................ , 19.?..~...., and Building Inspector. Fee $....~.. approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CER] It ICATE OF OCCUPANCY Tills application must be fll]ed in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final snrvey of property with accurate location of ali 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 contaius less than 2/10 of l% 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 buildiugs (prior to April 9, ]957) 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 ~s denied, the Building Inspector shall state tbe 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 pooI $25.00, Accessory building $25.00, Additions to accessory buildin~ Businesses $50.00. 2. Certificate of Occupancy on Pre-ex~sting~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.OO 4. Updated Certificate of Occnpancy - $50.00 5. Temporary Certificate of Occupancy - Residential $I. 5.00, Commerci~$15.00 Date ..... /~/./.~..' .~f..... ................ New Construction ........... Old Or Pre-existJ~g Bui]jing.~ ............... ~ _=~__/~ ocatiou Propert .... ....... House~No.--,~, /Street z'~ ttamlet Onwer or Owners of Property...__..~.~......~.~ ................... i County Tax Map No 1000, Section ...... O...~...B oc ................... ~ ............... Permit No.~/. .. .Date Of Permit ........ pplican Health Dept. Approval ........................ Underwriters Approval ......................... PIanning Board Approval ....... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .... ~.. ....... ~ ......... &w., ................ CO "~ ~?$~ APPLICANT [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING~ [. ].~SULATION [ g~ FINAL [ ] FIREPLACE & CHIMNEY REMARK S: ~/,.Z,,~2///~" ~~¢-~::~ DATE ~/~/~,/"// INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]~SULATION [ I/] FINAL [ ] FIREPLACE & CHIMNEY REMARK S:~~.~ I *SPECTO~~~~ ~OUGH FRAHE & .PLUMBING (2nd) ~SULATIOH PER N. Y. STATE E~IERGY CODE FI;~AL ADDITIO~;^L COMME~;TS: 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 September 27, 1995 Mr. Boris Polyakov 900 Minnehaha Blvd. Southold, NY 11971 Re: Building Permit %21373-Z Premises: 900 Minnehaha Blvd Suff. Co. Tax Map %1000-87-2-6 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 ? ./ / RECEIVED FROM 04.26.1993 09:3? P. 2 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Examined ^pproved ...//>¢. ....... Permit No. Disapproved a/c ....................................... BOARD OF HEALTH SETS OF PLA~IS SURVEY CIIECK SEPTIC EOR~I I'IA I L TO: APPLICATION FOR BUILDING PERMIT Date ............ 19ff~. INSTRUCTIONS' a. This application must be completely filled in by typewriter erin 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 sti'eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- Cation. ¢. 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 applicanfi Such permit ~hall be kept on the premises available for inspection throughout the work. ¢. 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, buL!ding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..... · , , (Signature o£ applicant, or name, it' a corporation) (Mailing address of applicant) State whether applicant !s owner, lessee,:agent, architect, engineer, generai contractor, electrician, plumber or built, er. (as on the tax ~oll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No...d~'---~... ' Plum ber's License No ............... . .......... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work w/ill be done ........................ · . House Number . Street Hamlet Cou'nty Tax Map No. 1000 Section · .,ff.. 7 ......... Block ..g ' Lot ~ Subdivision ' Filed Map No. . .............. (Name) · State existing use and occupancy of premises and intended use and occupancy of proposed construction! a. Existing use and occupancy ............ .. b. Intended use and occupancy ..................... · ......... 1me ~ .... '., -,. -- ·, ...... .3. atu e. r check wh] cable): New Building . ~ .... '- · Addition .......... Alteration ... ~ .... _sxep~r .............. Removal ...... ~ ....... Demolition .;...: ......... Other Work ........ [ ..... 4. Estimated Cost ........ ' ' escr tion j '. (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ..... i ..... Number of'dwelling units on each floor ........... Ifg .... · · arage, number of cars ...,... .............. ' ' ' If b i i 1 i id ify nat 7 Di us ness, commerc a or m.xe occupancy, spec ute and extent of.eacli type of use ..... · mensions of existing structuTes, if any: Front .......... D of ct With lie ati additions, n; ............ ,~ ..................... ~mens]ons samestm ure a r onsor Fro D pth ' I-I ight . ' ................ ~car ............. · b fSt ri 8 Di ensions of nti conslructi F R D pth .......... · m e re new on: ront ......... ; .... : ear ......... . ..... e ..... ..... . .... .Height ... 2 ........... Number of-Stories .' ........... . . . 10. Date of Purchase , i ..... u_ep_ . ~un~ ur use msmcr m which p~emises are situated ' ' 'r, '.'~'~ ~'~'-~ '. ....... 12. Does proposed constructmn y]~13~te any zomng law, ordinance or ro,,-t~*' ~'~'~ ................. 13. .; Will exc~ess f~ll b.e relnoyed fLom premises:" Yes "/~ 14. r i Name of Contractor 77.°.7.~.. ........ ; ................. Address ............ c ...... Phone No ............ ' .... 15.' 19 th±s property w$-th~_n 300 feet: o£ a t±dal, wetland? eyes ........ Iqo ......... · If yes,' Southold ~own Trustees Perra~[t may be requ±red. PLOT DIAGRAM Locate dearly and distinctly alli buildings, whether existing or proposed, and. indicate all set ba .prop.erty tines. Give street and block ~umber or descr/-*: .......... ' ok dimensions' from g,uu accoramg ro aces, ana snow street names and indicate whether interior or corner lot.. . iTATE OF NEW Y_QRK~e-. , '~i" 20UNTY OF .... .~.~.~.'~.[.~... mia . . ......... .',.-t (Name of md vidual's gnin~ co~'t~a'c'ti ......... bove named· ! IFY BL~ILOING DEPAR'rMIiNT A'~ 7..6~-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FO}JIq~ATION ~ TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING ~ PLUMBING ,, 3. INSULATION, 4. FINAL CONSTRUCTION MUST ~E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION &, ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposeg and says that he i~ the applicant ' (Contractor agent corporate officer etc) ' ' ' f said owner or owners, and is duly Outhorized to perform o~ have performed the said work and to m~ke and file this ~plication; that all statements containpd ~ this application are true to the best of his knowledge and belief; and that the ork will be perfomed in the ~n.oer s~t forth in the application filed therewith. ,yom to before me this .4 ~ ~ ~ v N~ARY PUBU~ ~M of ~ ' · .... T~ ~r$ May ~ 19 ~ . '