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Home My WebLink About18958-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-t9177 Date JULY 2~ 1990 THIS CERTIFIES that the building. ADDITION Location of Property 2765 MINNEHAHABLVD. SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 3 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1990 pursuant to which Building Permit No. 18958-Z dated APRIL 17~ 1990 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & DIANE BARES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF2kLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 // Building Inspector l~OWw~ NO. B 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) 18958 Dote ~ ~/ ... Permission is hereby granted to; ~ ~...~.~.~ ...... ~~ ............ ......... ~.....~A~~.....~/ ,,~r,m,,,, ~,,,~,, ........ ~..~:.::......:.:~~ ...... ~~ ........................ ........................................-,.....- :~~ ...................................................................... County Tax Map No. 1000 Section ...... Z...~. .......... Block ..,~.... .............. Lot No .......~../ ........... pursuant to application dated ......... Z',/./.~.. ................................. , 19..~...~.., and approved by the Building Inspector. Rev. 6130180 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCt~ TOWN OF SOU~T~HQLD.. 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 lees, 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 contmims less than 2/10 of 1% lead. ~- 5. Commercial building, industrial building, multiple residences and similar b~aldings and installations, a certificate of Code Compliance from' architect or enginee~ 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 buiidim§s and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building amd unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state tl~e 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 $15.00 Date .... ~...~.,~../. f ~.? ................ New Construction .......... Old Or Pre-existing Buildin~.~ ~.% ............ Location of Property...i.~. ?~.~... ' ._~ ~'~ ~'~'~}~ '~' ............ .............. House No. Street Hamlet )nwer or Owners of Property ..... .~..~..~..~. _'~.~..~.~.'.~..~..~.~..~..~ ................................ 3ounty Tax Map No 1000, Section ..... ~.Z .... Block .... .~. ......... Lot....~./ ............... ;ubdi~ision .................................... Filed Map ..... ~ ...... Lot ....................... 'ermit No ............ Date Of Permit...~ Z~ ~. .... Applicant ...... Iealth Dept. Approval .......................... Underwriters Approval ......................... 'lanning Board Approval ......................... .equest for:.Temp°rary Certificate ........... Final Certicate ........... TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 June 28, 1990 TEL. 765-1802 JOHN & DIANE BARES 36 HURRAY AVENUE PORT WASHINGTON, N.Y. 11050 To Whom This':May Cogcern, We are unable Eo complete your Certificate of Occupancy because .of the following reasons. /_~/An application for Certificate of Occupancy /s not on file2 '(ENcLoSED) /~/.~No Underwritero Certificate on.file, /~ The check is~lgX~X~not on file.) $25.00 /Z/ No llealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]dJ. ng Permit II I 8 9 5 8 Z Building Dept. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,19~4 ) FOUNDATION ( 1 st) FOUNDATION 2. FRAME & ROUGH ?~U~TNG INSULATION PER N. Y. . STATE ENERGY CODE ~x "~ ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST F ] ROUGH PLBG. FOUNDATION ZND [ ]//iNSULATION FRAMING [~/~ FINAL REMARKS: 'INSPECTOR b TAX LOT $0 BOHN & BON/~CCI,, $E¢.87 FORM NO. 1 ~ i 3 FJ80 TOWNOF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Exanlincd ~ ....... 19 Approved .... .~/~.~./.? .......19 .~.. Permit No. . .... Disapproved a/c ..................................... ,Jr muld i~ff/ln sp e c t o r ) APPLICATION FOR BUILDING PERM IT INSTRUCTIONS BOARD OF HEALTH i- SURVEY ............ ~.. ; C~l~C~ ............... ~. ...... SEPTIC FORH ................ NOTIFY~ CALL .............. . ..... HAIL TO: Date .. . .... 1.9 .. a. Tiffs application must be completely filled in by typewriter orin ink and submitted to the Building lflspector, with 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pa~ of this app[i- cation. ¢. Thc 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 throu~.~hout the work. e. No building shall be occupied or used in whole or ~n part for a9y purpose xvhatever 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, a~ herein described. Thc applicant agrees to co~ply Witlfa I a--''--~ · - admit authorized inspec~om o,n premis;s an~Cbau~i'l~'~gW;~t;~ic;;snaCr~'in?iledc~i'~ c ,h sin,, code, and regulations, and to ..,,,.,. .... . . .,;..,.._.. ................. " ' ' · '".Tye.~o~f ap~p'li:ant, or name /fa corpora,ion) · " ' ' ' State wheth:r' ,ppli'ca,t ,§ owner, lessee, agent, architect, . mn, p~mber or buffffer. ....... , .~.~..~/~/e · -. , .~ ~,,.:~*T-,";.~-. ................ · '..,tHai tO ," t,, ,... , ;./. (a; on the'ta'x roll or latest die'd) ...... ' If applicant is ~l,e~'f~ra~gff!'~i~d~f~u~r'~ Jr'duly Juthorized officer. ............ :~'.~."J:~. ?9':L"..' ::'. . . .'. .'. : ............. (Name and title of corporate officer) Builder's License No ........................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No Location of land on which proposed work will be done; House Number ....... .. Hmnkt . County Tax Map No. I000 Saction ............ 2 BlOck . . _~ ~ if Subdivision ................... ~ ................. Eilcd Map No. (Name) ........ Lot ........ State existing use and occupancy of premises and intended use amid occupancy of proposed construction: · ,,st,... use a. ~,~,/~b .~.~r,.~ .... ' ' -% E d occupancy ....... b In~*,.,~ ..... I ' 'I ' 7' '' 'Y~ ..... cu ~se and occupancy ....... . 3. Nature of work (check which applicable): New Budding .......... Addition ... teration ........... Repair .............. Rt~movai .............. Demolition ........ S w i ,,':lrain gt;,p o o,t~ ............ Tennis Court .~ ....... Accessory Building .......... Fence . *'~'~ ~ ~t~'' ~ ' i ...... O~her ~o'r~/ ..... : ..... .. 4. Estimated Cost .... ~..~. ............................ Fee ................................... ' ; (to be paid on filing this ap flication) $. If dwelling, number of dwelling ufiits .......... ; .... Number o f dwelling units on each floor ............. If garage, num her o f cars ..................................................................... 6. If business, commercial or mixed 6ccupancy, specify nature and extent of each type of usc ................. 7. Dimensions of existing structures,iif any: Front ............... Rear ............... Depth ........... Height ............... Number of Stories .................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .............. Depth ..................... i. Height ...................... Number of Stories .................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............ Hm=ltt ............... ,Number of Stones ............................................. 9. Size of lot: Front ............ ! ......... Rca" . ................... Depth ~ ..... . ............ 10. Date of Purchase ...,5¢~ .~. 8,0/-/.:?.'&gl .... '. ii Name or Former Owner .. ~,~'.~-~,~./.O.O:. ~,~: ........ 11. Zone or use district in whiclt premises are situated ................................................... 12. Does proposed Construction violaie any zoning law, ordinance or regulation: ........................... / ·. 13. Will lot be regraded .:....,,:~.i ................ Will excess fill be removed from premises: . Ye~ ~,W.. N~:.;. !,I. Nemco O,vnerofpremmes Name of Architect ........... ! ................ Address ~. '.V~.' .r-..~...~...//~.,Pf7...~-:-'Phone No ................ Name of Contractor ' ' ..... Address .............. Phone No ..... ;~'- · · · .:5 .... 15.Is this proper y locatled within I00 feet of a 'ti~l' wetland? *YES .... NO.~'.- mil yes, Southold Town lTrustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly MI buildings, whether existing or proposed, and. indicate all set-back dimensions from property tines. Give street and block number or description according to deed, and show street names and red,cate whether interior or comer lot. AI)~O~D AS NOTED. N~IFY 801LDIN6 DEPAR~T 'AT 765-!802 9 AM ~ 4 PM FOR THE " FOLLOWING INSPECTIONS: 1. FOUNDATION - ~ REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL CONS~UC~N MUST BE COMPLETE FOR C.O. ALL CONSTRU~ION ~HA~ ME~ THE REQUIREME~ OF STATE CONS~U~ON & ~ERGY CODES. DESIGN OR CONS~ON ERRORS STATE OF NEW YORK, ~.S COUNTY OF ................. ............................ ' .......... being duly sworn, deposes and says that he is the applicant (Name of individual s,gnmg contract) above named. H~ is tim . i (Contractor, agent, corporate officer, etc.) of said owner or turners, and is dui:? authorized to pe,rform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of Iris knowledge and belief; and that the Work will be performed in the mannerlset forth in the application filed tllerewith. Sworn to before me this ! ..., ......... /..a.. ........... uh,c ....... i ....County H~EN IL DE VOE ................. NOT/aYNo. 4707878,PUBL C. SuffolkState ot~rdyNeW Yo~tq~ / (Signature of applicant) T~m Ex,res td~rch ~0, lg--.~ '