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Home My WebLink About17408-zFORM N0.4 TOWN OFSOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 57283......... _ . Date .. , Sept:.13, 1988 .................... THIS CERTIFIES that the building ADDITION o ................................................ Location of Property „3760 MINNEHAHA BLVD. SOUTHOLD ....................................................... House No. Street Hamlet County Tax Map No. 1000 Section . ~ $?........Block .. ~ 3...........Lot . , , , 04 XX Subdivision ...............................Filed Map No. . XX.....Lot No. ... XX....... . conforms substantially to the Application for Building, Permit heretofore filed in this office dated May 10, 1988 pursuant to which BuildingPerntitNo. ~?408Z: dated Sept ; 12 , : 19 8 8 was issued, and conforms to all of the requirements of the applicable provisions of the (aw. The occupancy for which this certificate is issued is ........ . Deck addition to existing one family dwelling. ................................................................................ The certificate is issued to , , ~AROLD I , fi VIRGINIA M. THOMAS .................. .............. (owner, ~/~~&XilF$r&RRR of the aforesaid building. Suffolk County Department of Health Approval ..... N /A UNDERWRITERS CERTIFICATE NO ............. N /A , , , , .... . PLUMBERS CERTIFICATION DATED: N/A TRUSTEES IWAIVER) D.E.C. 9/12/88 E01053 / Bull o Inspector naY. vet eosu xo, 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) N? OJ.740~ Z Date .....T.l.l.. y.... Permission is hereby granted ~,3~~0 ~ti .......................... ~- to ............ .. .....~....../...~~......~.~.~....... ~...~ .............. .ly.`........ /I.4. at remises located at ....~~..........D ......... ...... ... at ~~~~~~~ .............................................. .......................................................................GG........................................................................................ Caunty Tax Map No. 1000 Section ..........Q...~.... Block .............~........ Lot No .............T.......... pursuant to application dated ............. .............................. 19........, and approved by the Building Inspector. ~(' D a Fee $.s,~, ~~s C~~ ~.~ e p~~-~-~ g ~' 0/063 Bu dingG~ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~^~~ to the Building Inspec- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S•9 form or equall. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwellino_ $25.00, Accessory ~$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ ] 0.00 4.Vacant Land C.O. $ 20.00 r 5.Updated C.O. $ 50.00 ~ / Date ....mot-. ~Q.:.~~........ NewConstruction,,,,,,O1dorPre-existingBpu~ilding .!!I....p..../. Vacant Land ........ Location of Property ~ 7~ D ................/: ! ? h 11,E~s-.h4 . l~?~J@............. Souk a rp . House No. Lr Sneer Ham/et OwnerorOwnersofProperty ./f a;Y'Dl,c~,,.~„ ~l;,~j.l"q%h%~ N(. ~~aln2/S,, County Tax Map No. 1000 Section ..~.~.~........ Block ..•,~............ Lot.. 7'........... . Subdivision ............................. ...Filed Map No. ..........Lot No. ............ . Permit No.7.?.~',~.8.~ Date of Permit ;/.~;/~'~°..Applicant .................. . Health Dept. Approval .......~~../.../.......Labor Dept. Approval .....~~/~/ .............. Underwriters Approval ...... ~~ .............Planning Board Approval ....:'/~'............ . Request for Temporary Certificate .....................Final Certificate ....../................ . 3- a a Fee Submitted $ ... ~ ~... . Construction on above described building and p it meets all apptl'i~a~b~le~coQdes and~r~egulations. Applicant .. .. ... ~.. ~V, :""`~,:..~ ~n.0`~:~~ ......... . a~.,c-toas ~ .~ S'66 y ~ c,o. zi7a~3 as ~° ~' / 7 ~a 8'z SO -~ c~~8~ FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH 4'' ~~ ~t ~ ~: , ,.~or /T+. ~ 4 -ate ~7. ~~~ ~~ UU~ j~ ~ ? 2 lAeB IJ 765.1892 BOARD OF TOWPI TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 C.,..th AA 7.10... V...7. 11Q'71 ~~ The following action was taken by the Board of Town Trustees during their regular meeting held on July 21, 1988 as follows: RESOLVED that the Southold Town Trustees WAIVER the need of a wetland permit for Virginia & Harold Thomas to construct a deck in accordance with the survey submitted, dated June 22, 1988. Property is located at 3760 Minnehaha Blvd., Southold. Please be advised that this determination is not a determination for any other agency or department which may have jurisdiction in this matter. FAK:ip cc: Bldg. Dept. ~, `'~,~ Board of Appeals w ~-.~D.E.C., Stony Brook file ery truly yours, l~Ga/ ~~~~. ~~, Frank A. Ku awski, Jr. President Board of Town Trustees ~~a `~ ~ 1 Y TGS-1802 BUILDING DEPT. INSPECTIt)N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL ,~~2""",~ REMARKS: ~ ,p- ~_; DATE ~ /~" ~tJ INSPECTOR t 1 ~ K ~.~ ~~ X ~°~ j°`~.Ca9~ ,,fir, j ~_.~ ~..__r_» ~. ~, .._a___._..__.~_._._._.,_.__,__.__...._.__.~__._ C n IS C. _ '- aka ,i ax<,~ ~ ~~~~~~~ ~~ ~,V:~ Lts r~a ,- ;:, ~' xis ~~ 1= ~c is ~ t rJ ~ ~ e c K 0 9`7 9) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL // Date .:~ /.:..~ ................... 19 ~~~. //~... PLEASE TAKE NOTICE thaf your application dated .......:~~.~~ ............. 19 . for permit to L,!~5..v ... L~k?~%<'/i.... ... ..1~5~2 ................ at Location of Property ....~?~ ~...........~~a?!yJ ....... ..~..... ~~4C~~~ House No. St~eei Ham et County Tax Map No. 1000 Section ..... ~? ....Block ..... ~...... Lot ....../~.l..... . Subdivision ................. Filed Map No. ................ Lot No. ................ . is returned herewith and disapproved on the following grounds ..~LC~.~CU//. •~'~ ~~~Q'•~f 9•' ~i ~~~~ .. ..~n:C ..... .. ~~':".: ::..~ .... ................. !~ ................................... .. ........... .. ..... ........... s ect~.... i p RV 1/80 A .., 41-02-1 (4/88)-26a p•-~ O ~ O ~r'-y ^ - - "~?~ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NO. t y tJt ~' ,._ ~ ~ SETTLEMENT OF CLAIM ~ j :" `' Section 11-0306 (11) and 9-0106 of the Environmental Conservation Law . ' ~:=' ;ia VIRGINIA THOMAS 3760 MINNEHAHA BOULEVARD L ' of (Defendant) „ -~ I (Street and Number) of SOUTHOLD N. Y., hereby offer to pay to the Department of Environmental Conservation of the State of New York the sum of Seven Hundred Fifty Dollars and no/100 ($ 750.00 _) dollars ggt{gg~g~y{ji~g(ylapn~~~tgolpextacthe same to be in full settlement of all claims against me by reason of my act consisting of construction of a timber deck 12' x 18' in the adjacent area to a regulated tidal wetland without required permit. the same being a violation of Section 25-0401.1 of the Environmental Conservation Law to the State of New York ;; ' and/or the Department of Environmental Conservation Regulation Part 661 on the 28th day ' • of July 1988 ,committed in the Town of Southold County, of ~ U'E-'~O1.aL. and in full satisfaction of any action or`cause of action .:' against me now had by the People of the State of New York by the reason of such violation. ' Defends lt'3 Signature ~~~~~ Dated,';. Stony Brook September ~ 2 88 N.Y., _, 19 I respectfully recommend that the above offer of Seven Hundred Fifty Dollars _ be accepted . ~~ . Stony Brook, N Y, September 12, gg 19 , i~ !/~ ... - . Name and Title of Officer Settling Claim Approved-Regional Attorney Captain R. Otterstedt • - Approved-Director of Division ~ - Virginia Thomas 25.0401.1 ,having violated Section of the Environmental ' (Defendant) Conservation Law of the State of New York at the time and in the manner set forth in the accompanying'offer to pay the sum of Seven Hundred Fifty (g' 750.00 )dollars in full settlement of all claims by reason of said violation, and after due consideration having been had thereon it appearing that such settlement will be advanta- geous to the State, now therefore, ' IT IS H)•;REBY ORDERED, pursuant to the provisions of Section 11-0305 of the Environmental Conservation Law, that ~- -.? °t. the above offer be and the same is hereby accepted in full settlement of all penalties and of any action or cause of action on the part of the People of the State of New York by reason of such violation committed by the aforesaid Virginia Thomas as herein set forth. Commissioner ' Dated, Albany, N.Y., lg (Settlement papers must be executed in duplicate; original for Department files, copy is returned to the person settling, -;, " after Commissioner's signature) ;_ ,~ i. ,... +_-r .tom ,~ 4 .~ r i f / ! `7 ~' . 006E-19L (919) b6Lll AN'~loo~R Auorg Ob#'6PI8'AN(1S uolloero,d 3eugeN auueF~;o nesmg uopoeg A~oreln6ay awrey~')aly0 NOlll W VH '1 S3llit/HO uotlen,asuo0leluawua(nu3 ;o luawUedet] ale1S >f~oA maN 4p L- ., FORM NO. 7 BOARD OF HEALTH ............ 3 SETS OF PLANS ....'.~ ...... SURVEY ............./,,,,,.. CHECK ...................... SEPTIC FORM ................ TOWN OF SOUTHOLD BUILDING DEPARTMENT • TOWN HALL SDUTHDLD, N.Y. 11971 TEL.: 765-1802 /~ ,~: Examined ••• ~••••••••••~+ Approved . 9~~~/l/• ~., : .: : _-:.. , _~ /~" . '~. Disapproved"a/c ..................................... ......................................ice .APPLICATION BUILDING PERPAIT INSTRUCTIONS Date .~°.. lP ° ~~..., 15 .. . a. This application must be completely filled in by typewriter or in 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 work. 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 Depaztment 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 authorized inspectors on premises and in building for necessa rnspections. (Signature oi" applicant, name, if a corporarion) .~'.7 X4../.11 ~ K wel,.~.(+~, QLJ.~ .,. Sa ~~:m L~,~ l~ :Y. »a 7! (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . C~. Q•. r P.1.4..~, .~ .V?/t~.l Yll.~..M :.. ! (Z 0 ~'fl.(e ~ ............................ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. (Name and title of corporate officer) Builder's License No. .. 6urv~2~:~• • • • Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . Location of land on wlTich proposed work will be done SW~ ..................1.;!fh,11~~~rt;(!t~.. F?.~.I~a:............°~r~c1~~o1~..................... House Number Street Hamlet ,~/L County Tax Map No. 1000 Section ..~.ff 7............ Block ...~ .............. Lot ...T.............. . Subdivision ..................................... Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: NOTIFY °~/~ ~~~~ CALL ............. ....... MAIL T0: . I'n Tn~~yfitil8„...... a. Existing use and occupancy ..... !l~~.f~e.h~l(c,~...b.~ ............................................... b. Intended use and occupancy ...... ~aw> ~.• f~""~'eY' • • • .................:................ V u 1` 3. NRet azr of work (check whicRe~ plicable): New Building .....'..... Addition .......... Alteration,d p ...... oval .............. Demolition .............. Other Work „r~jL /z: f"( ~ ; ` (Des. 4. Estimated Cost . ~~m~ ... ........................ Fee ............................. , ...... . (to be paid on filing this application) 5. If gwelglin number of dwellin ~ units .............:: Number of dwelling units on each floor ............... . g, g If era a numberofcars .................. ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, b.e~7f-^~gs'~;ess;`pgCt1'il~~`~ ~r"'ixe, 7' Di{rr`C psi h~~9f ~ ~ ~ d occupancy, specify nature, and extent of each type of use .................... . '~ 3' " ms, if any: Front ............... Rear .... Depth ...:.......... . 4 ,',...,.~ M . ~~l' _tit1~ dtur ber of Stories ....................................................... . u~gen ' f a ru e with alterations or additions: Front ................ . Rear ................. . ,;Depth ~~ ......... ~.t ; i ...Height ......................Number of Stories ..................... . `' 8.f'Dimensio~~~gE~~~{fa-ne~ecnstFuction: Front ............... Rear ....... , .......Depth ~_ Height4r~;as.§i; •'S7.a.,,,y'3.•..... lumber of Stories ......................... ............................. . 9. Size'o`I''fo`~i"'h'"ront ....... ................Rear...................... Depth ...................... 10. Date of Purchase .......... ', ....... ..Name of Former Owner ............................ . 11. Zone or use district in which premises are situated .................................................... . 12. Does proposed construction violate any zoning law, ordinance or regulation : ............................... . 13. Will lot be regraded .......'.r. ...1.~/.....I ..........Will excess fill be removfedr~from premises: Yes No 14. Name of Owner of premises 7TH :°{ . K i ..7.-he. ~ ~s .Address ~,7/,p , M I h,Yl $ t~K.iL~. Phone No. ~f. ~0.~.: 3.~ ~.~. . Name of Architect ......... : ........ . . . . . . . . .Address ...................Phone No............... . Name of Contractor ........ . .................Address ...................Phone No............:.. . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and blockl,number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, IS.S COUNTY OF ................ . (Name of individual signing contract) above named. He is the being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform 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 }tis knowledge and belief; and that the work will be performed in the mannet'set forth in the application filed therewith. Sworn to before me this ........... /.4. ..day ofl,.(~...~~"iV,1. ......, 19t~'~~ ; Notary ,~, ~'.A.! 4/ ~, , Public . ~y;~~-:+~.. ~ ~~.~. .County `~,Q NELEN K. OE VOHNyee ~ _ ~l..C+. ~"C~kf..°-~....... . ~No~47o787a;SueNoikLCou'w~•9 '~~~~ (Signature of applicant) Term Expires March 30, 119~~~ ~~- ,r as t. ~ l ~, ~~`.., ~I "- " .' ' i ,. ., yr Y~7 f=KJfw. 5t%F: E G FI~gW _~ .S.U~I=E~t_KGOUNTY,.~y~i;~+t°F "efxl' +i ~~ i i ..t',~ ~r .,(, i `~ ~ Va n` J I~,n. ~norooc ~~er<6~..'n .+ff'~lle:. .~o. Z."k_^vkc ~i 1~ ~ ~ •1~ ~\ N o.nN 9~,yaarme~i a°tlr~~.tVlap No. `J17. ~ I I~ `~ yaw rm x wxsum I I, A` 2 n to -' ~ ~", ~. ~ ~ Frl ° h~ riv mor bM~rlnY ~ I~ ,- ~E. W 1 SV er~v Ia Y ~ (ryl' t. ..~ /~~ Q j " .1 h I nOt G COp6MYrC j ' (gyp tll ~1 1 l L' q ~l ~ ~ i D Ir ~ _ .. 1 Z 1~1 ~... _.. O = IYaH ~i~ ~n ., 3' ~.,w~ - ~,, - ~ ~ ~' ,:5,7'$'~ ~ -,- ~{:- _. EOF N'fw.Y ~}. - ~ ., .... iii ~, &Vr. d .+ ., W '~ ~, . ~~ .7fi N - ~~I 9a o > t ~"+~~~, r'rtd~k ~ZA,"~dK N11.w~a (', i(°~'f1YY'4~4~4'~HF~ ~ ~ M o~`~ar ~~ ~-YfC¢HJ'~fr~lFFGf ~~Ot'~. 1 .~I 'fit '* ~ i3;.ai,wra~t",'7`„$k~ato~~ "~sF <sz~~~Q~~' GSr~t,;'^! 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