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Home My WebLink About25453-z i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26533 Date: 06/30/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 2850 GRAND AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 1998 pursuant to which Building Permit No. 25453-Z dated JANUARY 6, 1999 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 12' X 24' ACCESSORY STORAGE BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to STEPHEN M & ROBERTA P. SIMONS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 3Buil4ngIns/at:ori 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. 25453 Z Date JANUARY 6, 1999 Permission is hereby granted to: STEPHEN MARSHALL SIMONS PO BOX 1003 MATTITUCK,NY 11952 for CONSTRUCTION OF A 12 ' X 24 ' STORAGE BUILDING IN THE REAR YARD AS APPLIED FOR. at premises located at 2850 GRAND AVE MATTITUCK County Tax Map No. 473889 Section 107 Block 0002 Lot No. 007 pursuant to application dated NOVEMBER 16 1998 and approved by the Building Inspector. Fee $ 35.00 / Au4orizaedSignature l/ ORIGINAL Rev. 2/19/98 O rJ�rJrJ�r1rJ@JrJrJ�rJ�rJ�c frJ�rJ�r�c fr(cJr�rJrJr�rJcPrJc frJr�rJ�rJ�cPrJrJrJrJ�cJi1rJcPc(cPrJ�rJcPrPrlcPrJcJcPt1cPr�rlrJrJr 1rJ�iJrJdJdJ�rJdf_ 5 �b rj J BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5 5 ) �� 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 f Upon the application of upon premises owned by S r5j BRIAN BROOKS ELEC. INC. ROBBIE SIMONS 5 5 BOX 1001, 455 BEEBE DR. 2850 GRAND AVE. 5 �j CUTCHOGUE, NY 11935, MATTITUCK, NY 11952 r 5 Located at 2850 GRAND AVE. MATTITUCK, NY 11952 5 SApplication Number: 2076638 Certificate Number: 2076638 S 5 Section: Block: Lot: Building Permit: BDC: ns11 e5 Described as a Residents I occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,service only,Outside, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 25th Day of 5 October,2005. 5 Name OTY Rate Rating Circuit Type 5 5 Service 5 I Phase 3 W Service Rating 200 Amperes 5 5 Service Disconnect: 1 200 cb 5 Meters: 1 5 rl 5 5 5 5 5 5 5 5 seal 5 I of I c5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 0 Mrrrn�r�PLPLr nsn��l�nrrr�r n� r�rr�n�n r�rnr��n �rr� rrr� @--- ----r- o BUILDING DEPARTMENT 7 TOWN HALL 41999 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY :X0 A. This application must be filled in by typewriter OR ink and submitted to the buildir, 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 buildi 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a "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 applican 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 Buildine - $100.00 3. Copy of Certificate' of Occupancy - .25�,_ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $,115.>00, Commercial $15.00 / Date /aJ/r. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. Y . . . . . . Old Or Pre-existing Building.. .. . . . . .. .. . . . . . may/ Location of Property. . S S Com. . . . . . .. .. . .. .. . �2it . . l .. . . . . . . . . . . . House No. Street per, Hamlet Onwer or Owners of Property. ,...�. ....... ''!'. �� • S�r� vis' ' ' County Tax Map No 1000, Section. . Block. . �" 'Z . . . . .Lot. . . G . . . . . . . . . �a 7 Subdivision. . .y./. . . . . . . . . . . . . . . . . . . . . . . . .//// q.Fyyiled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No, as S3 �Date Of Permit. .'/.��!/. . . . . . . .Applicant�r. �y u . • . • . . .�. . . . Health Dept. Approval. . . . . . . . . . . . . . . . . .. .. . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . .. . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Certicate. . . . . ./. . ... . . Fee Submitted: $. . .� . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLICANT s� �Y� C0 -?, a EL D' I.:�'� �1U2v' (�Ub:E COHMENT� 3 � �ll UNDATIONEA c m� iUNDATION ( 2nd ) T z o � )UGH FRAME & (� G -PLUMBING ' m H m m NSULATION PER N. Y. STATE ENERGY CODE a FINAL Ac 3" •m ADDITIONAL COMMENTS : Co • xv H � H� O 2 m� 0 r*. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DAT _INSPECTOR i P� #40 Round Bolt Together 6-12 wide, up to 8 high Rei. 1057 Page #40 Frame PART# 1)E5CRIPTl0N Aa materials are verdied before epedbon. In case of damaged a rrrSsyg matend ease ads the drive person a>ne dealer. AM dams must be made m-m&e days fojo i the der,,y. #1-....Bend W mm,accvnitatim gquld be tolerated on the garage. Watch an for accurn fated s qw,m the Wes as v sI as the top. #2......Corner Upright with leg (for front and rear) A strong feral pres n coad VQ.Dl E yw garage to copepse.Wet a heavy snow shQA be removed as soon as Dmble. The door Of the game be kW closed at al tones as vowt wads could damage the materia #3......Upright tube 1 tapered end for middle bows � °be r�forte yes due tQ � v #4......Cross Rail 1 tapered end,2 holesftm a d ahxe #5......Cross Rail plain ends,2 holes Cross Rails for the Top #5 Cross Rail I stall OVER all Middle bends and plain ends,2 holes #6......Wind Brace,flattened,rounded enc UNDER Front and Rear bends tom- y�. oar #4 Cross Rail �k 1 tapered end. #1 Bend 2 holes #5 Cross Rail #4 Cross Rail .130,3 ra�3� plain ends,2 holes 1 tapered end. 2 holes n ifzsoY -? r?°3/ NOTE #5 Cross Rail #6 Wind Brace, plain ends,2 holes flattened rounded end 14ft wide buildings will / #4 Cross Rail have 5 piece bows. 1 tapered end. 2 holes 0 #3 Upright tube questions yva3 1 tapered end for Middle bows #4 Cross Rall �p?ugo 1 tapered end. Call Customer Service tholes #2 Corner 1-Z03-931-1777 EXt. 2 _ y/s/oas Upright for front and rear 01995, 1996, 1997 Cover-It, Inc.All Rights Reserved 1' 1 BOARD OF HEALTH . . . .. .. . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . .... . . . . . 1 I i TOWN OF SOUTHOLD SURVEY .. .. .. .. . . .. . . . . . . . . .. . . BUILDING DEPARTMENT CHECK ... . ... .. ... . .. . ... . . ... . TOWN HALL SEPTIC FORM . . . .. . . . . . . .. .. . .. . SOUTHOLD, N.Y. ) 1971 TEL: 765-1802 NOTIFY: �Y—xeo// p CALL . . . . . . . . . . . . . . . .. . Examined... :........ 19�� MAIL TO:. .. . . . . . . . . . Approved....J.-k........ 19.... Permit NO. ... ............ ................................... Disapproved a/c .................................. ................................... (Building Inspector) _ _-APPLICATION FOR BUILDING PERMIT -_� — Date. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sharing 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 application. 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 issue 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. ,APPLICATICN 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, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, lousing code, and regulations, and to admit authorized inspectors on premises and in buildge for nece4sary inspections;,,, ......I....... ............................... (Signature of applicant, or name, if a corporation) 4C.....................C, sr<rc��C�,N� ) ............. (Mailing address of applicant) //g`T- D--- State State whether applicant is carer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde �6�J✓L AZ ............ .......................................................................................................... Name of owner of rises ..........................................0 h1 J� ��> � � q7 v�✓ S p .... ,,.............�lY �S NO{EU .... (as on the tax roll or latest deed) FE B.P.If applicant is a corporation, signature of duly authorized officer. 5' S3 FEE: B1F -- — NOTIFY BUILDING DEPARTMENT AT ....... ... .... ...... ... .. 765-1902 9 AM TO 4 PM FOR THE (Name and title of corporate officer) OCCUPANCY OR FOLLOWINGINSPECTWNB: USE IS UNLAWFUL T FORPOUREODN CONCR�REQWRED Builders License No. ...............}AI11T.�JOUT CERTIFICATE2. ROUGH . FRAMING • ftLW MIG Plumbers License No. """""" " 11 OF'OCCUPANCY 3. INSULATION 4. FINAL - CONSTRUCTION MUST Electricians License No. ..................... BE COMPLETE FOR C.O. other Trade's License NO. .................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. I. location of land on which proposed work will be done...................... TATF,.CQNal:llt CTWN.im..EN&RGY..... CWS., NOT RESPONSIBLE FOR 0?�50 d(/#ry� ovi/L- 9it?�®Ns . VaTION.ERRORS..... ................... .. ........... .-........................... . House Number Street y� G ` Hamlet County Tax Map NO. 1000 Section .�Z'7 v n..,f. Block ..19.7 ...... lot . :.7 ..... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Msti use and J/ he G 4"... !'' /L. ... : ! 6!:•:. ........................ ng occupancy ........... .. `�. b. Intended use and occupancy ......�p p � w.. /.".,. ......................... . SWA"t6AHMMASIJ 3 lAo *mt4lootra2.01JGUgY31ATOW Tonto Ak)ftu8.ETP800ZTWO AN ...OS.B snuL L�WxU amsT 1. Nature of work (check which applicable): New Building . .... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) 4. Estimated Cost .,. /UUA .......,.... fee .............................................. (to be paid on filing this application) 5. if dwelling, number of dwelling units ... ....... dumber of dwelling units on each floor .............. Ifgarage, number of cars .....j............................... 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front.....?�7 l"......, Rear .. '?./......... Depth ...J.d.......... height .....V94 /......... timber of Stories .............. Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... limber of Stories ............... . t � 8. Dimensions of entire new construction: Front ...�A.. .... Rear ...1.%',....... Depth .A:i` ....... Height .......4„/..........., timber of Stories .... ...... 9. Size of lot: Front .......(2 .. ...(1,/t �� ......... Fear ..... �(....... Depth .a a.�........... 10. Date of Assrhase ...../`/`/`0`......... Name of Former Owner ...AXI! 6�.... ( II.) I. 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 ....JIQ........... Will excess fill be removed from premises: YES ow 14. Names of Owner of premises ,rEuL�t�n� ¢.✓1•St way.� Adclresao��$71 1. arFt ?.�9v ....... Phone No. r�/�rtirVC-4 Al, )K//�f 5L Ware of Architect .................................... Address ......:-=.................. Plane No. ..."_....... Name of Contractor ........ ...................... Address .......,...... ...........Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * Yrs .......... N0 ..t!...... *IF YES, SOUDII ID 9r1IrN TRUSTI S PUM MAY BE MVM- PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and black number or description according to deed, and show street names and indicate whether interior or corner lot. 434 L O I A ' i TA TM31VITA l OOJ?)� "•34 6JIUR Y111 11A" A , 04 b FAaI t1 \5 L :eMtll ?i51 it9 }i".,l F:r:a I 9.1301003" gYfl MoifAtiiiilY)I t 8 RMW(19AU0 4"01 M 3 SIn1T =A; ;)MIMAN9 MD c �r Cqas --�—- - ---- —------ - ...--------- n S'7rEl / �-�!�i� B$°:f+-,f.,£�it;�%;rrv�✓S' IM''iytiil P,IMUM.1ttP,MM'%:•> ,t.n..................being duly sworn, deposes and says that he is the applicant (Name of !49'v iduA gIS14Ig i4119r ) above nonWd)j,9i; -}} :','!,i `o,n j::, o'4 ;t'T. Ile is tlm. .,...:i::Q 'Ni. ':.'.:i:.......... ...... ................................................. (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 his knowledge and belief.; and that the work will be performed in the manner set forth in the application filed therewith. Sworn too/before me this .......day o . �.V.E ( 192 . ., Notary Publi .. .................. MJZABMA$TAM$ (Signature of nppli t) NOTARY PUBLIC,State of NewYodt N0.01 ST000g 1 T3.Suffolk Comet Term explms-hme.lCO