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Home My WebLink About20943-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEFARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22758 Date DECEMBER 1, 1993 THIS CERTIFIES that the building. ACCESSORY Location of Property 1070 MINNEHAHABLVD. House No. Street County Tax Map No. 1000 Section 87 Block 2 Subdivision Filed Map No. SOUTHOLD~ NEW YORK Hamlet Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 1992 pursuant to which Building Permit No. 20943-Z dated SEPTEMBER 9, 1992 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 ACCESSORY SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED FREDERICK & PATRICIA AUMAN #1005 - AUGUST 9, 1993 N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22757 Date DECEMBER 1, 1993 THIS CERTIFIES that the building. ADDITION Location of Property 1070 MINNEHAHA BLVD. House No. Street County Tax Map No. 1000 Section 87 Block 2 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTF. MBER 4, 1992 pursuant to which Building Permit No. 20943-Z dated SEPTEMBER 9¢ 1992 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 FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #1005 - AUGUST 9r 1993 PLUMBERS CERTIFICATION DATED FREDERICK & PKTRICIA AUM~ Rev. 1/81 I~OB~[ BO. S 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) NO-N°. 20943Z Permission is hereby granted to: ..~. ............. ....~... ~..~.~.....~...~ ...... ,o .~~..~L~.~.~....~...~....%.~..~.. · "~.- ...-',~..:.~...~.....,~........~..,.,'~ .:.....,~......~....~.....~ .............. et premises located at ..J...~...~..~.....~.~.~...~;~~ ...... County ax Mop No 1000 Secton ~... Bock .~--- Lo Building Inspector. uuilding Inspector Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTt~LD BUILDING DEPARTMENT TOWN HALL 765-1802 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. 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 $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 . Date ...... New Construction ........... Old Or Pre-existing Building... ~'~'"~j~' ............. '' Location of Property .... l.~)..V.~...~z~l~.~..~..~..(~.. J~.'.~-.~,...~.~. [~.'.~ii''''................~....C7..... ...... .. House No. Street Hamlet ..... 0nwer or Owners of Property ................... County Tax Map No ection. ..Block. ...Lot . .. . .... Subdivision .................................... F%led Map ............ Lot ...................... Permit No..2..~..~. ......... ~'~ ~ Data Of Permit...~ !.~. [ · .~...~...Applicant. . .l~ .~.~.~..~.~..[~ ~.. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ....... , ................ Request for: Temporary Certificate ........... ~Final Certicat~ ........... ~ . ?eed~c,Submitted:~ '~'P~ ~' $...2...~..~.~j~ ................ ~~~'~' ' ' ' . . ...... 3~P P L I CANT OUNDA'TION OUNDATIO:~ (1st) (2nd) OUGH FRAME & .PLUMBING NSULATION PER N. STATE ENERGY CODE FILIAL ADDITIO~A'L COMMENTS: 2'65-].802 BUILDING DEPT. INSPECTION FOUNDATION ].ST [ ] ROUGH PLBG. FO~JNDATION 2ND [ ] INSULATION / [i,,,]/'FRAMING / [ ] FINAL REMARKS: ~,~"~ (~--~ '_. r 1.~. DATE INSPECTOR_ 7G5-.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~SU~TION [ ] FRAMING FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION ~ FINAL ,i,:.':':,:, ' ' .' ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHQLD, N.Y. 11971 ' :..q;u',, .':~ ', ~":; ' i TEL.: 765-1802 ,\pprove~..~.., 19~. ?.r.. Permit No. ,~o~ Disapproved a/c ..................................... ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT SURVEY ................... CIlECK . . CALL ................... Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts 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 publ/c streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- ation. ¢.. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit :.mil 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 mil have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departm~ent for the issuance of a Building Permit ursuant to the uilding Zone Ordinance of the Town of Southold,*Suffo k County New York and ^*~ ...... ' ..... n~pu~t ,. .egulations, for the construction of buildings, additions or alterati~o'n~, or for r~mova:;"/~ ~Pm%~ict~'~'ne, ~a~ho,~Chere. ad'saUce';Semi he applicant agrees to comply with all apphcable laws, ordinar~ees,-~ uildi~t~Te code, and~e~'~i~ti~)ns, and to ~mit authorized inspectors on premises and in building f~r -- · .-,:-~-,Z :,;,:j,U :.:Z:L~::;-.; ............. (Signature of applicant, or ~:~'e', l; ~;;~/ation) rate whether applicant lessee, agent, architect, engineer, general contractor, or builder2 ...................... : q::- ...... , ........ ; ....5~ . :,,~ ........... ~ ....j . . ~.~. .............. :.. ~ .. ameo~o~,nerofprem~ses .LT..r!.c.'~.. ......... (:~ ;~' ;~;e' ;~' ;2i ;; i2;2'p2~/)' ' '-" .............. '"' 'applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No. Other Trade's License No. . . ......... : ................. Ilouse Number Street Hamlet .... 'O00SectionV.7 ............... Block...~.............' Lot County Tax Map No. 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 ... ~-~ ............... ~ · . .~ .... '" ....... ......... b. Intended use and occupancy .. ~ .............. ~ ~' ~g:'~': :' ;' ...... '' 3. Nature of work (check which a~plicab e~ Bui dng ..... Addition:. ,~ ..... Aheration .......... Repair ......... Removal ~ .-, ,~-~ ' ' ' .... r .............. ~cmot non .............. Other Work .......... [' (to be paid'on in~thi I t 5. If dwelling, number of dwelling ~units ..... ~. · [..~ Number o f dwelling nnits on each floor ................ If garage, number of cars .... 6. If business, commercml or mixe~ . . . · ~ucuupancy, specnynntureandextentofeachty of use ......... 7. ?,~s~9~existingstmcture:s, ifany:Front [ ~ ~5~..* Rear '~ ;~.~ '~'~'~'" ~. g ~ .............. Num. berofStorms...~ ... ....... A~ " ~ensm~&o~m~tmcture wi, th alterations or addit ons' Front ' ~.~'~' '~ 'e~ ..... A ...... ~' ~ ~ "~ ..... uepth .. ~..~ ......... !.. Height .. . ,~ ...... ~ ' ' '~' ': ....... 8. Dimensio-s ~f e-*: ..... ~ '~ ' n~' ,, '~]~,~-unuwconst~mtmn. Front ..~.~:~.. 'Rear De~,h ~.~'""' 9. S,zeorlot. Front .... ~.G .i ........ n~_. '~'~ ~ .............. ~'~'.~ .... m~ ....... 10. DateofPurchase . 1~ · · ,,,a,..:..~ ..... ~ .......... pcpth ..X.~.~.~.~ ....... . . ' .'' '/y .~ .................. l~ame of Former Owner . ~.~. .&.~'[.~ 11. Zone or use d~stnct m wluch pre~nises are situated ......................... 12. Does proposed constructio~v~olate any zoning law, ordinance or regulation ...... ~jjjjjj .......... j j... 13. Will lot be regraded ~1 ~ a , ' 14. Nme of Ow .... ~ ' '" ~ .'" ~ '~ Q ." ' ...... Will exsesE011 be removed from premises: Yes ' ' ,u~ mprem~se. . . -_ .ddress [~(~ ~.~,~ Phone No.~.~.}~' .. Nme of Architect ' ~ }~. . . .. ' · · ..... ~ ..... ~aaaress ~. -. · · .. Phone N~e of Contractor ~ ~ ~ ( ~i~[TM. .. '.':.;~t ',~ · ' k'k'_'r No. [5. .s ~t~z~.~roperty wztnzn 300 feet of a t5dal wetiand? ~v.s . . ....~;.-_~/No. yo , so rhoZ '" ..... PLOT DIAG~ Locate clearly and distinctly El build~gs, whether existing or proposed, and. indlcate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block n amber or deschptioh accord~g to deed, and show street nines and ~dicate whether interior or corner lot. (Name of individual signing ?ontra~t} ..... ove named. . ~ (Contractor agent corporate officer etc ) s~id pwner or owners and is duly at~thorized to perfo~ or have performed the sa~d work an - ~hcatmn; that all statements container in ti ' ann p.H ......... , ......... . , . d to m~e ~d file this rk will be perfomcd in the manner sedco, u.s _~. ..... y- ?.~ true to me ~est ot ms ~now~edge and bchef; and that tbe --~ ,~,tb m the apl*bcatmn filed therewith. om to before me tbjs _ ~allfled in Surfak Cou~ ~ (Signature o~ applicanO being duly sworn, deposes and says that he is the applicant