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Home My WebLink About25873-zFORM NO. 4 TOWN OF EOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26783 Date: 11/10/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 1910 BAY AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 144 Block 3 MATT/LAUREL (HAMUET) Lot 40.4 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 1999 pursuant to which Building Permit No. 25873-Z dated JULY 15, i999 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 20' ACCESSORY GARAGE IN REAR YARD AS APPLIED FOR. The certificate is issued to PHILIP & JEANNE MARRINER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A g Inspector 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. 25873 Z Date JULY 15~ 1999 Permission is hereby granted to: J. MARRINER (PRIZEMAN) PO BOX 449 MATTITUCK~NY 11952 for : CONSTRUCTION OF A 12'X 20' ACCESSORY GARAGE IN THE REAR YARD FOR AN EXISTING SIN~T,~ FAMILY DWELLING AS APPLIED FOR. at premises located at 1910 County Tax Map No. 473889 Section pursuant to application dated MAY BAY AVE MATT/LAUREL 144 Block 0003 Lot NO. 040.004 25 1999 and approved by.the Building Inspector. Fee $ 35.00 Author~i z ed Signature Rev. 2/19/98 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildir and installatigns, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ~B.~ ~o~ ~i~qt~ buildings (prior to April 9, 1957~) non-conforming uses, or buildings an ~!~ "pre-existing'~l~land uses: i . 1. A~te S~vey of property showzng all property l~nes, streets, building and !~'~ ~ -u~l nafdral or topographic features. I~i 2. A P~gP.~Y ~ompleted application and a consent to inspect signed by the applicant / ~ ~' ~',If' ~ Certificate of Occupancy is denied, the Building Inspector shall state the ~_~.]~£ ~..~ reas~ng'--~he~efor in writing to the applzcant. C.. Fees i. 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 Dccupancy on Pre-existing Buildinz - $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 Date ...l/.~.~/.%.~ -- --~ ........................ New Construction ...... ]'1'~'1 Old Or Pre-existing Building..il..[ill .... ~C~ ~'L.~...~.' o . ..................... Location of Property ................ House No. Street Hamlet Onwer or Owners of Property ............................................................... County Tax Map No 1000, ction ....... .. Block ......... . ..... Lot .................. . Subdivision ................ Fi~ed Map .......... Lot... ....... ................ Permit No.. t ....... Applicant .................... Health Dept Approval . ..Underwriters Approval ................ Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate..., ....... FRAME & PLUM~ING SULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ I ROUSSel. [ ] II~JLATION [ ~/~INAL [ ] FIREPLACE & CHIMNEY REMARKS: 765-1802 BUILDING DEPT. / SPECTION [ }FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS.' ~ DATE~~///?//~ INSPECT~ UNDERWRflTRS CF. RTIFlCAIE O¢¢ljp tle, t OR B' Ot.ff C APPROVED AS NOTED FEE: ~ BY: ~ 765-1802 9 AM TO 4 PM FO'R THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMSING 3. INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS BLDG. DEPT. .... ' ,Tg~,/N,.N._~Q U T H OLD FORI/[NO. I TONN OF SOUTBOLD. BUILDING DEPARTHE~T TO~ll~LL SOUTHOLD, H.¥. 11971 TEL: 765-1802 BOARD OF HR.al. TH ..>~ ............ 3 SETS O~PLAlqS .~. ....... ' ...... SURVEY ...,..~.~ ........... c~c~ .,4..4',5, .~. ............... SEPT'IC FOI~I. ............... . .. CAlL ..... HAIL TO: ./?~0.4-/~-~ ............ INSTRUCTIONS a. This application mst be ca~letely filled in by type~iter or in ink and submitted co the lhildi~g I~!cCor ~ 3 sets of plans, accurate plo~ plan W scale. Fee acconli~ to sche~le. b. Plot plm ~ loca~im of lo~ and of htildi~s o~ lm~ises, relationship ~o adjoinir~ premises or public screens or areas, ~ giviv~ a de~ailed descriptio~ of 1aleut of property ~sC be dra~n oa fl~ dia~r~ ~hich is par~ of this application. c. T~ ~o~ a~ered by ~his applica[ion my not be camenced before issuance of lhildi~ Pemit. d. Upo~ approval of l~is application, ~ Buildi~ Inspector ~ill issue a lhildir~ Vemlt to the applicant. Such pemit a'~ll be.kept ~ the lm~ises available for inspection thtx~hout the york. e. I~ building shall be _o~_ ~ied or uaed in ~hole or in par~ for any. purpose vhatever until a Certificate of ~ d~l have been ItranCed by the l~ildi~ InspecWr. AF/~ICATI(It I~ ~ ~ ~o ~e lhildi~ Deparl~en~ for fl~e issu~ce of a Buildi~ Permit pursuant to the ~u/ldi~ Z~e Ordlr~ce of the To~ of Somt~old, Suffolk County, ~ Yo~k, and other applicable L~s, Ordi~es or l~ula~i~a, for the c~st-mctio~ of buildings, additions or al~era~ions~ or for re~oval or a~lition, as herein described. ~he applicaut agrees to c~ply ~ith all applicable la~s, ordinaries, buildir~ code, housi~ code, and regulations, and ~o ~,~it ~fl~orized i~l~ectors o~ premises and in buillH~ for ~ce~s~y inspectioas. ................... ($~ture~f applicon, or m~e, ~f a corporation) £ ...... ~....&..~ ...... /.-.~....~ ........... (l~ili~ ~t~ress of applic~O State ~he~er applicant is o~er, lessee, a~_nt, architect, e~ineer, Ee~eral ~t~tor, el~crici~, pl~r or ~il8 ~,~ a~,,, - ~x~a~ ~x~,.. y~..~(~(,~ ~~. ~ o~ ~ o~ ~. ........................... ~ ...................... ~,~ ................... (~ ~ ~ ~ mll or la,at ~) If ~li~t is a ~a~i~, siam of ~y m~ri~ offi~r. (l/sm a~d title of corporate officer) Builders License I~ ..................... Plumbers L/cerise rio ..................... ~lectrici~s Li~ ~ ...................... ~ ~.~ ~. ...... ..:....:..::: ~/~/~ ~ ~. ~,~ ?~ ~.~. I. ~ti~ o~ l~ ~ ~ ~ ~ ~it ~ ~ ............... ~ ........ -1 .................... - ...... ...~.q~o .............. ~.~ .................... ~:~:.~ ~?::~ ..... ' ' ~ ~'' s~ ............ ~4 7' .............. ~~. ,~ ~ .~.~ .......... ~ .~ ............. ~ .q~ ......... ailsi~ ...................................... lil~ ~ ................~t ............... (~) 2. S~te ~. ~ti~ ~ ~ ~ .ff~ .......... ; .................... ~~.,~.;~a~.~ ........ ~08(3a tO b. ~t~ ~ ~ ~ ..~ .... ~ .............................. ~ai~*;i~.i~*..',..~ ........... rcm property lines. ~ive stree~ and bh hether interior or corner lot. i'~JLiJl~ UL WL~ ~l;ll~'~t~, Mil(.ll apptlcabte)~ L~ ~iidi~ ...... ~iti~ .......... MCeutt~ ......... ~ir ......... · . . ~1.. ..... ; ....... ~liti~ ............ O~r ~ ~ripti~) ~ (to I~ ~lli~, ~r of ~11i~ ~i~s ............ ~r of ~lling ~its ~ e~ ~r ................ If ~r~e, ~r of ~ra ....... : .............................. ~ ' If ~i~ss, ~e~ial or ~ ~, ~i~ ~e ~ ~ten~ o~ e~ ~ of ~ ........ ~ ............. , ~ ~/~ Ihi~t ~r of Stories ...... D~i~ of ~ st~ ~th ~lteraCi~ or ~iti~s: ~t ............... ~ar ............... ~pth ~i~ti ' " .................... i .................... ~r of Stories ......... ~ ...... Dim~i~ of enti~ ~ ~t~t!~: ~t ..~.~ .......... ~ar . ~ ~r oe Stories ~i~t ...................................... .. . . . . ~o t. ~t ..~ .......... ~ ...... ~ .... ~..~ ......... ~th .............. . .... ~ o~ ~ .~:~l ........ , .... ~ o~ ~ ~ .7.~..~.~.~ ................... ~ or ~ district in ~i~-- ~lt~S a~ ~=~t~ ..................................................... ,.. ............... ..' ....... ~ of ~it~t .................................... ~ss .............................. ~ ~ ............... ~ of r~tor ............................ tess ............................. ~ ~ ............. Ia ~is ~~in~ f~C~a, ti~l~tl~? *~ .......... ~ ........ PLOT ~te clearly ~ disti~tly all uildi~, ~r ~iai~ or ~, ~ i~i~cm ~1 ~t~ d~i~ LYNDAM. BOHN ; Ouallfled In Suffolk ~ Term Expires Mamh 8~ 20 ~...~