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Home My WebLink About25693-zFORM NO. 4 TOWN OF ~OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26445 Date: 05/11/99 THIS CERTIFIES that the building ADDITION Location of Property: 3955 PARK VIEW LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 1 Lot 33 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1999 pursuant to which Building Permit No. 25693-Z dated APRIL 27, 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to ALPHONSE J. & CHRISTIANE MARISSAEL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 Building I nspftor 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. 25693 Z Date APRIL 27~ 1999 Permission is hereby granted to: ALPHONSE J MARISSAEL 3955 PARK VIEW LA ORIENT~NY 11957 for : CONSTRUCTION OF A 12'X16' DECK ADDITION AS APPLIED FOR "AS BUILT" at premises located at 3955 PARK VIEW LA ORIENT County Tax Map No. 473889 Section 015 Block 0001 Lot No. 033 pursuant to application dated APRIL 19 1999 and approved by the Building Inspector. Fee $ 75.00 Authorized~lgnatur~ Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thfs application must be filled in by typewriter OR ink and submitted to the buildin~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ali 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. 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 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 Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1~.00~ Commercial $15.00 ~ ~-' Date ...... ~.~ ~/~ ~. ...................... New Construction.~. ........ o~d~Or Pre-exi~in~ Building.~ ....... Location of Property .... ~?..~. .......... l~~-.~.~....] .... ~''i ~ House No. Street Hamlet ....... County Tax Map No 1000, Section ............. Block .................... Subdivision ................... ~.-.~..V~ ........ Filed M~p ............ Lot .................. Fee Submitted: Permit No Date Of Permit Applicant .... Health Dept. Approval ....... ....'~,-~ ............. Unde~riters Approval. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.. ...~....././ ~PLICANT OUGIt FP, Af~ & PLUMBING NSULATION PER N. STAI'E ENERGY CODE ADDITIONAl. COI,~IENTS: == ~--=--- 765-1802 BUILDING DEPT. [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ]FRAMING [/-~NAL [ ] FIREPLA~,F~& CHIMNEY INSPE~ INSPECTION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG, [ ] FOUNDATION2ND [ ].~JLATION [ ]FRAMING /~[~INAL [ ] FIREPLACE & CHIMNEY REMARKS~ INSP£~--~/ FOILMNO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN UALL SOUTBOLD, N.Y. ]]971 TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHBCK ......................... SEPTIC PORH ................... NOTIFY: ~IL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................ ,19 .... a. 'Ibis application mist be conpletely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 nets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pla showing location of lo£ and of buildings on premines, relationship to adjoining premises or public s[reeta or areas, and giving a detailed description of layont of property must be drm~n on the diagram ~hich is par[ of this applicatiom c. l~e ~ork covered by this application may no[ be conmenced before issuance of Bwilding Permit. d. ~ approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such pemnit shall be kept on the premises available for inspection thr~ghont the work. e. No building shall be occupied or used in ~hole or in part for any purpone whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATICIt IS ~ ~ to the Building Depar~ent for the issumace of a Building Permit porst~nt to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the comstmction of buildings, additioms or alterations, or for removal or demolition, as herein described. ~he applicant agrees to ccmply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premines amd in building for necessary inspections. ':' ' .'; ........... ~ {Sigeat~re o1: appticant, or m, ~r a eorperat~onl (Mailing addreas of applic~t) State wlmther applicant is o~mer, lessee, agent, architect, engineer,' general contractor, electrician, pltmnber or builder ~ of cx~Y~r of prunes .... If ........ } ............................................................ (as on the tax roll or latest deed) If applicant is a corporatiee, signature of duly authorized officer. (lim~e ar~ title of corporate officer) Builders License No .......................... Pltmubers License No .......................... Blectricians License No. .................... . Other Trade's License No ................... N0use Ntm~er Street lt~nlet O3onty Tax Hap No. 1(130 Section .t~f.~.~.f.f .... Block ./..~.:.J ........ Lot ...~ ......... (~) Estilmt~ If ~pm . . . ~i~}~ · · . ~r of Sgories }~i~c ........................ 2 ~r of Stories ...... ~ ............. Si~ of ]o~: ~ ~ ....... ~ ........... ............, i ......... ~pth .................... ~te of h~rd~am ' .............. ~ ..... ~ of Four r ........................ { o[ PLOT DI~GRg~ ~r ~[~ or pm~, ~ i~i~te ail ~t-~ d~nsi~s pr~r~ li~s. Ui~ st~t ~ bl~ ~r or ~scripC~ ~co~ing to ~, ~ ~ strut ~s ~ i~icate interior or co~r lot. { I0. I1. {2. "(" 'e/F'/~'/'~' - -ZL] ..... --..-..:.....---- ......... ]ul.y s~om, deposes snd ~ys that he (~ of figivi~l si~iug e~tract) a~ ~, is the (~tractor, agent, eqr~rate officer, etc.) of ~id ~r or ~rs, ~ is ~ly ~thori~ tO ~rfom or ha~ ~r[o~ ~ ~id ~ ~ to ~ ~ file this a~licati~; that all stat~nts c~tai~ in ~is a~].icati~ ~ ~ t~ to ~e ~t of his ~1~ that the ~rk will ~ ~rfo~ in tim m~r ~t forth in ~e a~llcati~ fil~ ~ to ~fore ~ ~is ..... 2 .... UNDA J. COOPER i Notsr~ Publio, 5~te of ~ York ~ No. 4822663, Suffolk ~Ounty . ...... ~ Term Explras Der, ember 31,~ ~ (Si nal~re of Applicant)