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Home My WebLink About25925-zFORM NO. 4 TOWN OP ~OUT~OLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26647 Date: 08/23/99 THIS CERTIFIES that the building ADDITION Location of Property: 3020 THE LONG WAY EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 30 Block 2 Lot 114 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1999 pursuant to which Building Permit No. 25925-Z dated AUGUST 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LUTHER L SCEOEN & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Buildin~ In p 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. 25925 Z Date AUGUST 6 99 Permission is hereby granted to: LUTHER L SCHOEN & WF. PO BOX 303 EAST MARION~NY 11939 for : CONSTRUCTION OF AN 11' X 36' DECK ADDITION AS APPLIED FOR. at premises located at 3020 THE LONG WAY EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 114 pursuant to application dated JUNE 16 99 and approved by the Building Inspector. Fee $ 75.00 Rev. 2/19/98 ORIGINAL FORM NO. 6 TOWN OF SOUTHOLD I~u|ld~ng 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 ~m ~----,--~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where appli~.a..bl~e: B. For existing buildings (prior to April 1957), Non-conforming uses, or buildin land uses: 1.Accurate survey of p~operty showing all property lines, streets, buildings ar topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition 3.Date of any housing code or safety inspection of buildings or premise~, or oth~ tion required to prepare a certificate. __ Te'?,?,~; ut: $O[JT?,O~Lp,, , C. Fees: Additions $25.00 POOLS $25.00ALTSRATTON $25.00 1. Certificate of occupancy New Dwel[±n~ $25.00, Accessory ,$10.00 ~usiness $50.00 2. Certificate of occupancy on pre-existing dwelling $ .50.00 3. Copy of certificate of occupancy $ 5.00, ove~ .5 7ea~s $10.00 4.Vacant Land C.O. $ 20.00 5. da ed c.o. $ 0,o0 D,te !??.9 ..... NewCons gruc t i on.. ,~.., Old or Pre-existing Building ............ Vacant Land ............. 3020, THE LONG 'WAY, EAST MARI.ON Location of Property ......................... .................. . ....................... House No. Street I~arn/et Owner or Owners of Property LUTHER L. SCHOEN County Tax Map No. 1000 Section 030 Block 0002 Lot 1 Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 25925Z Date of Permit 8.~6.-99 Applicant ,~, & R Builders, Inc. o N/.A Labor Dept Approval N/A Health Dept. Approval ................................................ Underwriters Approval .... ~.//.A ................. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....~ .................. . Fee Submitted$ 25o?0 Construction on above described building and permit meets all applicable codes and regulations. ~/~o A ~L~,~ cant R & R Builders, Inc. , Appli .................................................... Rev. 10.10-78 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [[ ]]~ORAUNMiDNA~ION 2ND i~TION [ ] FIREPLACE.J~CHIMN~EY INSPEC~ 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNOATION1ST [ ] ROUG/~/PLBG, [ ] FOUNDATION 2ND [ ] IN_N_N_N_N_N_N_N_N_N~ATION [ ] FRAMING /~ [,~INAL [ ] FIREPLACE & CHIMNEY DAT~~ · INSPECTS_ R & R HOME iMPROVEMENT & BUILDING INC. P.O. Box 676 G~REFNPORT, NEW YORK 11944 (516) 477-1255 L to ! 60 $#. ff. YOUNG & yOUNG WILLIXlM ._P4PPAS LOT NO. 59, "PEBBLE BEACH F~RMS " FORM NO. TOM OF SOUTHOLD BUILDING DEPARTMENT TOWN CALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 BOARD OF HEALTE ............... 3 SETS OF PLANS ..~. ............ SURVEY .... ~ ................. CHECK ~4~..~? .~ ... SEPTIC FOP~ ................... NOTIFY: Disapproved~a/c .................................. ...... : ....... ;'2.;, 2; 2L'L' L' ................. "' ,{ BLDG. DEPT. , TOWN OF SOUTHOLD INSTRUCTIONS MAIL TO: .................... ,~ate. JUn~ 16, : .,19~q. a. lbls application nttst be completely filled in by typewriter or in ink and sulnitted to the Building Inspector with 3 sets of plans, sccora~'e plot plane to scale. Fee according to schedule. b. Plot plan shrming location of lot and of buildings on premises, relationship to adjoining pranises or public streets or areas, and giving a detailed deseriptien of la!mot of property must be drmm on the diagr~a x~hlch is part of this application. c. lhe axrrk covered by this appllcation may not be ca~raeneed beforo issuance of Building Perm/t. d. Upon approval of this application, the Building Inspector will issue a Building Pemlt to the applicast. BuCh pemlt shall be kep~ on the pr~isas available for inspection thro~hont the work. e. No.building shall be occupied or used in */~ole or in part for auy purpose whatever tmtil a Certificate of Occupancy shall have been granted by the Building Iaslaector. APPLICATiCtq IS ~I~miY ~ to the Building Uepartn~at for the isauauee of a Building Pemit pursuant to the Building Zone Ordinance of the Term of Sonthold, Suffolk County, Ne~ York, and other applicable Laws, Ordiaseces;or Rc~ulatiass, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to canply with ali applicshle la~s, ordinances, building code, housing code, and regulations, and to adndt authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or nam, if a corporation) ..... ?. :..o. :.. ?..x...%q 5 .......... (Mailing address of applicant) State ~ther applicant is e~er, lesaee, agent, architect, engineer, general contractor, electrician, plmber or builder. General Contractor (as on the ta~ mi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. President (Nan~ and title of corporate officer) Builders License No. 13301HI Ph~bere License No. N/A Electricians License NO. N.[.A. ................. Other Trede's License No.N/.A. ................. l. Location of land on *?nich proposed *a~rk will be done .............................................................. 3020 The Long Way East Marion House Ntmber Street H~et C0~ty Tax Map NO. I000 Section .~O ........... Block ...~ .......... Lot .I.[.~. .......... Subdivision Pebble Beach Farms Filed lqap NO. .fi 2.6. .6. ........ Lot ..5..9.. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. gxisting use and occupancy .... .1...F.a..m.i..1X..R..eR.i.d..e.n. ki..a.1. ........................................... · 1 Family. Residential b. Intended use and occupancy ............................................. ~ ............................. II. 13. 15. {~;flnre of work (cJmck ddch app icable): 1~:1~ i r Reaoval ' Ir, cate clearly taxi distinctly frm~ propert7 lines, giv~ street ar~ whetlmr interior or corner lot. Re~ Ikdlding .......... aldi t ic*~ X Alteration l)en~l i ricer ............ Other Nork .................................. (Description) (to Im paid on filing this application) 115 ckmlling, nt~ltmr of d~llit~Itmits ............ Hk,limr of ck~ell lng tmil:s c~ esdl floor ................ If garage, ~l~er of care ..... If Ixlsinass, oanmreial or mix~l occupanay, specify nature and extent of ead~ type of uae ...................... Dinenaions ol5 existing ntnmterga, i~ any: Froot ................ Rear ............... P, epth ................. lleight ........................ I. l~Imr of Stories ...................... Dinenaions of sam stnmmre wlkh alteratlam or ~klitioos: Front ............... Rear Depth ..................;... lleigt~t .................... llsdmr of Stories ............... Size of lot: Fxont ........... { ......... Rear .................... Depth ...... ~ ........ ..... 7e. na or use distrlet in tldch p~'esni~a are slt~ated .............................................................. Does prolx'med cooatnmtlon violate any zoning 1,m;,. ordi~m~me or regulation: ........................ ~111 lot Im regraded .......... l .......... W(II excess f~ll Im re~ved fTOal prellllees. *lq~S NO l. lm. of ArdHtect ............. [ ....................... fifldreae .............................. ~otm ~ ............... Is this property within 300 feelt of a ti(Iai ~tlmxl? * W~q .......... ~ .......... PI.OT DIAGRAId 1l Ixdldlnga, dmtlmr existing or proposed, and i~xlieate all .set-back din~naions block nmimr or description according Lo deed, and ~1~ street nares ar~l indicate SEE ATTACHED gI'A'IE OF ~'.'W YORK, SS ~Z~m~ a~ .~.~..~-.~(% ......... (i~ of individual, signing contract){ duly ~)ro, delX)Ses taxi mays Lhat he is the appl i(mnt (Cxmtracter, agent, ?orporate afl!leer, etc.) of said ¢~er or at, nets. at~{ is duty ]m, thorJz~l to ~rfonn or have lmrforn~ the ~id ~rk mai to nnqke alii file tibia appl matron; that all atatamnts conga ~g~l in th{~; Olqfl matron are tam to the trust: of Ins k~l~lge that the ~)rk will Im perfou~l in tl~e ~mnar ~t forth in the alii ication fi]~ ~,rn~doto Imfore ,~ thi. ~.~/ ~ ,' ................... day o[ ' 'i ...... 19 l~tary l~,btic .ffff~. J~ ..... MARY I~t: Qualified In Suffolk CounW (~ND) ,GFI FRAME & PLUMBING ~dLATION PER N. ¥. STA~E ENERGY CODE ADDITIONAL COMMENTS: