HomeMy WebLinkAbout9125-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30525
Date: 11/04/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 125 QUEENS STREET
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 40 Block 3 Lot 9.4
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated pursuant to which
Building Permit No. 9125-Z dated MARCH 25, 1977
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 GARAGE AS APPLIED FOR & AS PER CERTIFICATION OF
MARK K. SCHWARTZ, AIA DATED 10/26/04.
· ~ne certificate is issued to CHARLES & MARY MALINAUSKAS
(OWNER)
of the aforesaid building.
SUFFOLK COUNt"f DEPARTMENT OF f~L~LTHAi~PROVAL
ELECTRICAL CERTIFICATH NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
nature
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, H. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
1~o. 9125 Z
Permission is hereby granted to:
at premM~ located at ......................................... vx~, ..............................................................................
Building Impector.
Building Inspector
Form No, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. Final survey °f pr°perrY with accurate location ofall buildings, property lines, streets, and unusnal natural ur
topographic features.
2. Final Appr°val fr°m Health Dept. of water supply and sewerage_disposal (S_9 form).
3. Appr°val o f electrical installation from Board of Fire Underwriters.
4.
Sworn statement from plumber certifying that the solder wed in system contains less than 2/10 of 1 ~ lead
5. Commcrcla! budding, industrial building, multiple residences and similar buildings and installations,°a ~ificat
of Code Compliance from architect or engineer responsible for the building·
6. Submit Planning Board Approval of completed site plan requirements.
{/~ or existing buildings (prior to April 9, 1957) non-cenforming uses, or buildings and "pre-existing" land uses,,
AofdudaJ sur ey ofprope.y showing all p opertylines, streets, building and unusual natural or topographic
2. A pr°perly c°mplcted applicati°n and consent to impect 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. C~rti~cat~ ~f ~ccapancy- New dwe~~ing $25.~~~ Additi~ns t~ dw¢~~ing $25.~~~ A~t~rati~ns t~ dwe~~ing $25.~~~
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 - $I00.00
3. Copy of Certificate of Occupancy. $.25
4. Updated Certificate of Occupancy - $50.00
5. Temp°rary Certificate of Occupancy- Residential $15.00, Commarcial $15.00
New Construction: Old or Pre-existing Building: / (check one)
Howe No. S~ ~ H~
S~o~ ~ T~ Map No 1 ~, S~fion OqO. O0
Sub~sion
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
F~e Submitt~: $
Fried Map.
Applicant:
Underwriters Approval:
Date of Permit.
Lot 00~. 00q
Final Certificate: _, (check one)
. opti t si
,~d Mark K. Schwartz, AIA -Architect, PLLC
P.O. Box 933
Cutchogue, New York 11935
Phone: (631) 734- 4185
Fax: (631) 734 - 4185
FAX TRANSMITTAL
Fax number:
Phone number:
From:
Re:
Date: October 26, 2004
To: Southold Building Depa~hnent
Attn: Gary Fish
765-9502
765-1802
Mark Schwartz
Malinausaks Property
Queen Street
Greenport, New York
SCTM#100040-03-9.4
Pages: 1 (including cover shee0
Comments:
! have respected the existing detached garage structure at the Malinauskas property. To
hhe best of my knowledge, the concrete block walls, framing and roofing meet the code
requirements when built m 1960 +/-.
Please call this office with any questions you may have.
Mark
Malinauskasl.doc
SURVEY OF PROPERTY
A T ARSHAMOMOOUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.y.
1000-40--03-9.4
SCALE: 1'--30'
JUNE 25. 2004