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Home My WebLink About26377-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26969 Date: 03/10/00 THIS CERTIFIES that the building ADDITION Location of Property: 10270 SOUND AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 2 Lot 12 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2000 pursuant to which Building Permit No. 26377-Z dated MARCH 8, 2000 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WENDY DAVIS of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26377 Z Date MARCH 8, 2000 Permission is hereby granted to: WENDY DAVIS SOUND AVE MATTITUCK~NY 11952 for : CONSTRUCTION OF A DECK ADDITION "AS BUILT" AS APPLIED FOR. at premises located at 10270 County Tax Map No. 473889 Section 122 pursuant to application dated MARCH Building Inspector. SOUND AVE MATTITUCK Block 0002 Lot No. 012 8, 2000 and approved by the Fee $ 75.00 ~~o ~ z/ed~ignat%~re Rev. 2/19/98 ORIGINAL 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 inspector with the following: for new building or new use: i. 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 buildir and ~nstallations, 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 an '!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. Co Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, . Alterations"to dwelli~g~2p~00_ ,fiwi~m~n~._pop1 ~25.DQ, Accessory building ~25.00.~ ~dditions 6o~accessory building $25.00. Businesses $50.00. 2. Certificate of qccupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Location of Property.. !P~.9~ ....... .~. ~q~f~....~.~-~ ............. ] ......... House No. Street Hamlet Onwer Owners of Property ~ .~/.'[~ ~.~lO~O> . · - County T~ Map No 1000, Section ...... ~ .... Block ..... .~ ........ Lot..~.~. ............ Subdivision Filed Map Lot .... Permit No ...... Date Of Permit ............. . Applicant ........................ . · Health Dept Approval Underwriters Approval .... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee ~ubmitted: $ ...................... , FPL C^NT ..................... .FORM NO. I TONN OF SOUTIIOLD BUILDINg DEPARTMENT TONN BALL SOUTHOLD, N.Y. 11971 TE'L: 765- 1802 Approved ................. , 19 .... Permit No ........... Disapproved a/c ............... SURVEY ........................ CItECK ......................... SEPTIC FORM ................... NOTI ¥: CALL .................. MAIL TO: .................... (Building Inspector) APPLICATION FOE BUILDING PERMIT Date ................ , }9 .... INSTRUCTIONS a. 'Ibis application ,mtqt be caupletely filled in by typewriter or in ink and submitted to the t~dlding Inspector '~rh 3 sets of plans, accurate plot plan to male. Fee according to r~_hedule. b. Plot plan sho~ring lonation of lot and of buildings on premises, relationship to adjoining pr~mlses or pablic streets or areas, and giving a detailed deacription of layout of property must be drmm om the diagram ~hich is part of this application. c. The work cavared by this application ~ not be ec~meaced before isme of Buildiag Permit. d. Upon approval of this application, the Building Inspector will issue a l~ilding Permit to the applicant. Such pemit aball be l~pt on the pr~mises available for inspection thraghont the work. e. No b~ilding shall be eocupied or u~d in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by hhe Building Inspector. APPLICATIC[; IS ~ MMIg to the Building l)epart~nt for the issuance of a Building Pemit pursuant to the l~ildlng Z~e Ordinance of the Town of ~thold, S~ffolk Camry, New York, and other applicable Laws, Ordinances or Rngulatio~, for the caustruction of buildings, additions or alteratioas, or for r~oval or de~lition, as herein described. The applicant agrees tO c~ply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors ee (Mailing address of applicant) State whether applicant is (~er, lessee, agent, architect, engineer, general contractor, electrician, plunber or builder Nam of (y~oer of premises .... { .................. (as on the tax ro'tl or latest deed) If applicant is a corporatian, signature of duly authorized officer. and title of corporate officer) Builders Lieease No .......................... Plt~bers License No .......................... Electricim~s Lieense NO . .. Other Trade's License NO ..................... 1. Locatian of land on which proposed work will be done .............................................................. ..................... ............................ ..................... House Number Street Hauler CotmtF Tax Nap No. I000 Section ...~.~..~-.. ....... Block................c~ Lot ...)..~...., ...... Subdivisiee Filed Map No Lot ' 2. State existing use and occupancy of premises and into_n~zd use and occupancy of proposed coustruction": a Eadsti use and oc .k/~.q~....b?.k~.,~, b Intended use and occupancy NaCu.re o~ work (dmck ~id~ applicable): New l~ilding .......... Addition ...... ~ ....Alteration .......... i set ~ion Estimated Cost ' ~ fee ~ (to be paid on filing flfia application) If garage, norther of cars ..... i ............................ If b~iness, c~mercial or mi~ed occupancY, spoci~ nature and extent of each L~pe of use ...................... D~enslo~s of e~stlng atruc~ures,~tif any: Front ................ I~ar ............... Depth ................. llei~t ......................... ~er of Stories ....~ .................. Dimensions of sa~e structure with aliteratfons or additiona: Front Rear Depth Height ~ber of SEories .. . Distensions of entire new construct~c~: Front ................ I~ear ............... Depth .............. ]lei~t ......................... lxk~ber of Stories ..................... Size of lot: Fro~t....... ........ ~ .... Rear .................... Depth .................... Date of rchase .................. ~.. Name of Former O~er ~ .?J.. ~ ....... Zo~ or use district in ~i~ p~i~s a~ s~t~ .............................................................. ~ of ~ddt~t .................................... ~reas .............................. M~ ~ .............. ~ of ~tr~tor ................................... ~resa ............................... M~ ~ .............. ?LOT DIAG~M p~r~ lima. Gi~ st~t ~ bl~ m~r or descrlpti~ accor~Hvg to ~, ~ ~ strut ~s ~ i~icate 'mther interior or corner lot. · .... . ,¢ ..... ~me or xrmxvi~kml signing contract) i ...... being duly sw~m, deposes and aaya that he ia tbe appl. icm~t is the ............................... , .................................................................... (Co~tractor, ~gent, corporate of Eicer, etc.) said owner or ~ers, aod is duly ~uthprzr~t to ~rfom or Ilm ~rfo~ ~m ~id ~ ~ to ~ a~ file rids ~llcati~; ~]at all stat~nts c~tal~ in ~is a~l. lcati~ are t~ to fl~e ~st Of his ~1~ ~at ~e ~ will ~ ~rfo~ in tbe ~r ~t forth in ~e a~li~ti~ fil~ ~. ~ Lo ~fore ~ ~is Notary Public ,~~, ~~.. KERRY M, KNEiTE1. Noley Pu~, 81ate el NI~ Ym~ No, 499~76 Quailfled In Sulf~k County Commision Expires Ap~ 27,' (stgrmt~re of SURLY OF PROPERTY , ~O~N O~ $OUTHOLD ~LK~ COUNTY, NEar YORK 1000Z12~-02-12 ~l~,: 1"=30' FEB. 14, 2000 CERTIFIED TO~ TIM E, SUENTENS AQUEBOGUE ABSTRACT , LIC, NH, 4961,8