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HomeMy WebLinkAbout1000-31.-14-14 TOWN OF SOUTHOLD wo Rental Permit All 0920 k Owner Eric H. Daley & Eileen G. Daley Occupied as Single Family Dwelling Located at 12910 Route 25 East Marion 31.-14-14 Maximum Permitted Occupancy 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 7/28/2023 o f�a ment oii This Notice must be posted by the main entrance at all times N O 'O � N .„a y G ?` CN r f2ill M 0 O m Mr L 1 Cy- cc a �1 q C 0 W ai O 3 J Q Qj E" [y dU �+ r1 CL Q h+/ a J L1 w Q Q mq o > t-4 aj bb Q W QL C a o �W cV OC ( Z N � cwn O � p -0 L 4J L- O O O Q m v� C 1 L � •C F, to .�' i Z J W cu N N( O 4J G1 N C Cox t OC N E LL C C C Q m z z� a ? o z z o o o i a z ° O uuj o 3 ° a � 2 F= z C. a �- CL M F � °" � a"i v w o o o a (A a � H N O n. a F- a N O ton00 N � r � C O 4_1L 00 to W Cm C O r u � �.. o ryutl F _ a pQ < C •G cLn O O W t C W p A A m O bA z0 = = m IZ CU W LA O X co 0 bo ca tio d C Z = O -a c E �+ � -aa QQj c C to p L. 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Ln o- f m Z 1 E cu LnOm Lh � �( L O +, o2S � v N N U 0OCL f6 CL > v -o� t Ln jQj o o co � +�I �" �� of � 41 u � � , vCL . v, O �O � , f O of c C , �f o` m w r O' 7 •� L O O� O i O til mf mp a zf a o a a, a� Y CL C l j Iae 6 fj / I a `�' „4 _ t2DU cuj lCL { I I 4 � C� L ! •x a 4J I , " 12 0 C v414! C r i ++ Vl L I C U f0 y L fr9 I N �-+ a O W .`�1 Q1 f m '� fo •v) i� I I C1 n � *k L v� � O a +r C O N U ro = ro rn O O N L N L U _ L i s V1 —. �1 CU c E a E C ' tn ' U � ii ' w� ��v�i w�0 r*tj �� uP u� r p o '^ j V � 0 Q 2 � m� Z' w� �! a p� Ln U TOWN OF SOUTHOLD Rental Permit 0920 Owner Susan De Paola Occupied as Single Family Dwelling Located at 12910 Route 25 East Marion 31.-14-14 Maximum Permitted Occupancy 4 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the Ccunty of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 6/1/2023 )97 Cod _neo c rant o ci This Notice must be posted by the main entrance at all times Town Hall Annex � Telephone(631)765-1802 Fax(631)765-9502 54375 Main Roadst01 P.O. Box 1179 , Southold,NY 11971-0959 ryp BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two year` 9 � J Ay 2 5 2023 Section A. ��� � a i n �1�-e- . Property Information: ©Yl1 Rental Property Address: Tax Map Number: 1000 SECTION 3 -BLOCK L( SECTION B. OWNER INFORMATION: Property Owner Name: . ��.. ,� ,:. 0y Property Owner Legal Address: Property Owner Mailing Address: Z-cl 16 " 9 Telephone Number (s): Daytime al "rte--o 2-Evening�Emergency Property Owner Email Address:Lj ,jR's Page 1 of 5 Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road P.O.Box 1179 41 Southold,NY 11971-0959 �[ b Cowl �[ WN 0.h BUILDING DEPARTMENT TOWN OF SOFT OLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: - Address of Authorized Agent (no P.O. Boxes): t 10 r l Ljaje I Mailing Address of Authorized Agent: V -t K c). a Telephone Number(s): Daytime 'i 7-011 4 Evening_Emergency Email Address: 6" - Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes) Mailing Address of Authorized Agent: Telephone Number (s): Daytime(3 t Evening Emergency Email Address: 4 `ken cr SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes):_ Page 2 of 5 Town Hall Annex " � Telephone(631)765-1802 Fax (631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 1 1971-0959G� BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening_Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: A' Number of Rental Dwelling Units on property: Z- For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, Unit 1, Unit 2, Unit 3 or Apt A, B, C); the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: b ---�-- Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 2 t o 2_ L4Y Il .2 2Z Page 3 of 5 u Town Hall Annex 7 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 cool 4w � BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. ❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 5�r I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) e 1 , certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 +� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: ..... .... Pw— , ,, Sworn :fore e this day of m 20Z Of sial otary P lic Signature and Original Notary Stamp J NA KOCKENMEIMR NotMpulalio,State of Now Y It rtr�.l to,l)i iC0 4f120 tl�elitled in Suffolk count Commission Expires December 2023 Page 5 of 5 Town Hall Annex k` ` Telephone(631)765-1802 54375 Main Road hU Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959° r.n,rzys� BUILDING DEPARTMENT TOWN OF SO TOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit i ro essional deal required oArchitect Fn inset licensed tt true ins actor must provide c o volid current cerci ica ion Rental Property SCTM Number: 1000 SECTION 31 BLOCK 14 LOT 14 Rental Property Address: 12910 MAIN RD EAST MARION NY 11939 Owner/Name: SUSAN DEPAOLA Rental Dwelling Unit Identifier: UNIT 1 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) BEDROOM #1 - 263 SF BEDROOM #2 - 111 SF Property Description (Include all improvements indicated on survey) 2 STORY WATER FRONT RESIDENCE I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. PHILIP FERRANTELLO Print Name and Title Cori igna urs Please place professional se p F N �. 05.24.2023 Location: 12910 Main Rd, East Marion, NY 11939 Project description: Existing Residence To Whom It May Concern hereby certify that I, or qualified employees under my direct supervision, have reviewed the design of the existing smoke alarm and carbon monoxide alarm system as illustrated in the as-built drawings provided with this letter and witnessed its operation. I hereby certify that the design, installation and operation of the smoke alarm and carbon monoxide alarm system that is subject to this application and the as built plans being filed with this application, complies with all applicable requirements of the NYS Building Code, NYS Fire Code, NYS Electrical Code and any other applicable rules and regulations. Regards, rA X . OF NO , Philip R Ferrantello RA, LEED AP BD+C (631) 860-4373 f sour 'SOWN OF SOUTHOLD BUILDING-DEPT. 631-765-1802 1114SPECTION' ' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: D �b k o /1 a o oris B e vc, M //Ze_, DATE°TE �- � " � — INSPECTOR V Ground Floor 12910 Main Rd Bedroom 2 9.4 x 11.8 Deck 28x10 Ci Bath `° 8 x 7.6 0 Living Rm 24x18 Sitting Rim +� 6.3 x 22 Kitchen 12 x 14 0 Scale feet.All measurements are approximate --------- 2a 6 &not guaranteed to be exact or to scale.Design by ShanPlan ______ __ 0___ ' ,._ ' .__.. __ ' 10' 1:69 Page 1/2 2nd Floor 12910 Main Rd Bath 6 x 9 Deck 7x22 ra Primary Bedroom 15x17.9 Laundry/ WIC 6 x 8 Deck 3x22 Scale in feet.All measurements are approximate_ &not guaranteed to be exact or to scale. n ----------- ___ 9 lDesi b 9 Y ShanPlan E? �� SCD 1:69 Page 2/2 TOWN OF SOUTHOLD PROPERTY J�ECORLO(7//B OWNERS� ;STREET VILLAGE DIST. : SUB. LOT e,. cn FORMER OWNER N E ACR- S 1w TYPE OF BUILDING r RES. SEAS.- e VL, FARM COMM. CB. mics. Mkt. Value LAND IMP. TOTAL DATE REMARKS Ar� N" J7 -�-O to U rK, ........... TPIable FRONTAGE ON WATER WoWland FRONTAGE ON ROAD Meadowland DEPTH House Pic! 1 BULKHEAD Total C- �— k - R TRIM f Jk ol 1 a , i 1 1 1 3 31-14-14 house 10/00 - - -- 1 Te , M Bldg _ . Extension zr�oo 3 , Extension 5 _ Extension iJ, c' t, , c,r, raz \ 14 X10 Foundation Both Dinette i Basement FloorsK. PoExt. Walls - Interior Finish LR. ;Fire Place Heat D_. �'�`j.� �.„ R j^ e Roof :Rooms 1st Floor e_ ;BR Patin ®� q �, �� r_" ;Recreation Room Rooms 2nd Floor FIN. B 4. B= [Dormer Driveway Tpjal - "F APPEALS BOARD MEMBERS n rat lft Southold Town Hall Gerard P. Goehringer,Chairman 53095 Main Road James Dinizio, Jr. P.O. Box 1179 Lydia A.Tortora Southold,New York 11971-0959 Lora S. Collins ,; ► ' ZBA Fax(631)765-9064 George Horning " Telephone(631)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF NOVEMBER 29, 2001 Appl. No. 4965—hLQKVIA MILLER Location of Property: 12019 Main Road, East Marion 1000-31-14-14 Date of Public Hearing: November 15, 2001 FINDINGS OF FACT PROPERTY AST S: The subject property is a parcel of approximately 11,500 sq. ft. on the south side of Main Road in East Marion, with 37 feet of road frontage, an average depth of about 233 feet and frontage on Orient Harbor of about 70 feet. It is improved with a frame house, shed and garage. BASIS OF APPEAL: Building Department Notice of Disapproval dated May 21, 2001, denying a permit for renovations to the existing accessory garage building for the reason that Code Section 100-31(A)(1) allows only one single-family dwelling on a parcel. APPLICANT"S REQUEST: Applicant requests a zoning ruling for allowance of a window in the garage and other alterations needed in order to bring the garage into compliance with applicable Building Code requirements. ADDITIONAL INFORMATION: For record purposes the following Building Permits were issued pertaining to this garage building: (a) Building Permit No. 10752-Z issued June 25, 1980 for a "deck addition: to an existing accessory structure with sleeping facilities; (b) Building Permit No. 9373 dated July 22, 1977 for a 12x17 ft. deck and alterations to an accessory building; also see Building Inspector's letters dated July 31, 1979 and July 15, 1977 to the applicant(s). REASONSµ FOR BOARD ACTION DESCRIBED BELOW: On the basis of testimony presented, materials submitted and personal inspection, the Board makes the following findings: 1. In the late 1970s, applicant and her late husband altered the garage for use as guest accommodation. Correspondence between the Millers and the Building Department at that time shows that conversion to sleeping quarters, with bath, was allowed but that a kitchen was not permitted because that would render the garage a second dwelling unit on the property. 2. In a letter of October 19, 1981, the Building Department advised Mrs. Miller that a window in the bedroom of the subject garage did not meet applicable requirements, and Page 2—November 29, 2001 Appl. No. 4965—Norma Miller 1000-31-14-14 (Accessory Building) had to be replaced with a larger window, and that other Building Code violations identified in a letter of July 2, 1979 needed correction. 3. Applicant testified that the project became dormant after her husband's death, and that she wishes to pursue it now. 4. Applicant testified that the garage/cottage will be used as sleeping accommodation only for personal guests. This space is needed for personal guests now that applicant is operating a B&B in her dwelling. There will be no change in the appearance of the garage structure, and grant of applicant's request will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties. 5. There is no evidence that grant of applicant's request will have an adverse effect or impact on physical or environmental conditions. RESOLUTION/ACTION: On motion by Member Collins, seconded by Chairman Goehringer, it was RESOLVED, that this Board, pursuant to its authority under section 267-b(1) of New York Town Law, authorizes the proposed installation of a new window in the garage/cottage and such other alterations, as proposed in applicant's Building Permit application, as are necessary for compliance with the New York State Building Code, subject to the following CONDITIONS: 1 ;The garage/cottage shall continue to be an accessory to the main dwelling and ,may not be rented except in a single transaction involving rental of all structures on the property. 2. The garage/cottage may not be used to accommodate customers of the BBB. 3,,,,., e garage/cottage shall not be equipped with any cooking facilities, although a small convenience-size refrigerator is permitted. v 4. The garage/cottage structure shall not be expanded. This action does not authorize or condone any current or future use, setback or other feature of the subject property that violates the Zoning Code, other than such uses, FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27669 Date: 05/10/01 THIS CERTIFIES that the building DWELLING Location of Property 12910 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 031 Block 0014 Lot 014 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27669 dated MAY 10, 2001 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE & WOOD STORAGE SHED The certificate is issued to NORMA MILLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUVWERS CERTIFICATION DATED NA *PLEASE SEE ATTACHED INSPECTION REPORT. Authorized S nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: _ 12910 MAIN RD EAST MARION SUBDIVISION: _. w ... MAP NO.: ....., LOT (S) NAME OF OWNER (S): NORMA MILLER OCCUPANCY: SINGLE FAMILY NORMA MILLER ADMITTED BY: NORMA MILLER re µ ACCOMPANIED BY: SAME REY AVAILABLE: SUFF. CO. TAX MAP NO.: 31.-14-14 SOURCE OF REQUEST: NORMA MILLER. 221.11L9.0 DATE: OS 10/01 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 4 FOUNDATION: - CEMENT_BLOCK CELLAR: NO CRAWL SPACE: PART. TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 1 3RD FLR.: 0 BATHROOM(6) w 2:0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: FRONT 'UPSTAIRS PATIO TYPE: BRICK - REAR BREEZEWAY: � FIREPLACE: ONE GAS GARAGE- DOMESTIC HOTMATER: GAS TYPE HEATER: AIRC®IDITIONSNG. TYPE HEAT: GAS MARK AIR. WALL-SPACE* HOTMATER: OTHER: *NEW ELECTRIC_HEATERS-ELECTRICAL CERT.#N547694-1 1S O1 ACCESSORY STRUCTURES: GARAGE TYPE OF CONST.: WOOD • 2 CAR* STORAGE, TYPE CONST.: 1 WOOD SW3XNING POOL: GUEST, TYPE CONST-: OTHER: *BP#107522-COZ-13772-DECK ADDITION TO ACCESSORY STRUCTURE . VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION _ DESCRIPTION 8 A � I f N 9 j j N d f 4 REMARKS: STATE PE,,.. #2001-0179 FOR SPIRAL STAIFC4;ASE BP#1.3461Z OZ15666-DECK � ,.._ wawa .._ .........._.„.....ww.w.._ w.-_...... INSPECTED BY: DATE ON INSPECTION: 09/20/00 JOHN M. BOUFIS TIME START: 10:00 AM END: 10:30 AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27668 Date: 05/11/01 THIS CERTIFIES that the building ADDITION Location of Property: 12910 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4:73889 Section 31 Block 14 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 2001 pursuant to which Building Permit No. 27296-Z dated MAY 8 2001 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. The certificate is issued to NORMA MILLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N A C)�, Authorized Si tore Rev. 1/81 1 FORM NO. 4 t � i TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 2751.5 . . . . . Date . . . .Fe ry . .11.,. . . . . . . . ., 19. .77 THIS CERTIFIES that the building located at SIB«Main• Road• • • . • « . . • • • • Street Map No. . . XX . . . . . . . Block No. . . .XX . . . -Lot No. . . . . . . XX. . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .May. .10.1. . . . . . . . . . . . .. 19.76. pursuant to which Building Permit No.8584z . . dated _May. .14.9. . . . . . . . . . . . . ., 19.76, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Dack.addition.to .private. me -family. lung. . . . . . . . . . . . « . . . . The certificate is issued to . . .Raymond .and •NOMa -Miller (owner, ) of the aforesaid building. Suffolk County Department of Health Approval . . .N/.R. . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . .Mt. . . . . . . . . . . . . . « . . . . . . . . . . . . . . . . . . HOUSE NUMBER 1,2910. . . . . . . . Street .W4. . . . . . . . . . . . . . . . « . . . . . . , , . . . . . . . . . . . . . . . . . . . o . . , . . , . . . . . . . . . . . . . . . . . .11r. Xrr. . . . . . . . . . „ « . . . . . .. Buil ` g Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold,N.Y. Certificate Of Occupancy No. . , Z5Y . . . .6. . . . . . . . Date . . . . Apri. . .?. . . »1987 THIS CERTIFIES that the building . Alteration & deck addition to existing one family tiivl'11 iflg'. Location of Property 12910 Mainµ Road East Marion, New York ,,,use lU . . . , , , Street County Tax Map No. 1000 Section . . . 3 . . . . . .Block . . . . 1 4. . . . . . . . .Lot . ,1.4 . , . . „ . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .Filed Map No. . . . . . . , ,Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated September 30, .198413461 pursuant to which Building Permit No. . Z . dated October 4 , 1984 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 . . . . . . . . . ALTERATION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to . , , NORMA M. MILLER . of the aforesaid building. Suffolk County Department of Health Approval » . . . . . . . . . . .N./.A . . . . . . . . . . . . . . , . . . UNDERWRITERS CERTIFICATE NO. . . . » . » . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28489 Date: 06 0602 THIS CERTIFIES that the building ACCESSORY Location of Property: 12910 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 14 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2F 2002 pursuant to which Building Permit No. 28266-Z dated APRIL 13, 2002 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 —ALTERATIONS TO AN EXISTING ACCESSORY BUILDING TO THE CONDITIONS OF THE ZBA. The certificate is issued to NORMA MILLER � (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTM IT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A _ 2�4 _...._ Au orized gnature Rev. 1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold,N.Y. Certificate Of Occupancy No. . . .Z�377? . . . . . . . Date . . . . . . .August. 15. . . . . . . . . . . . . .. 19 85 THIS CERTIFIES that the building . . . . .addition . . . . . . . . . . . . . . . . . . . . . . Location of Property �91OM . . . . . . . „ . . . . Main Rd. East Marion House No. Street Hamlet County Tax Map No. 1000 Section . . . .31. . . . . .Block . . . . . . . . .14. . . .Lot . . . . . . . I4. . . . . . Subdivision . . . . . . . . . . . . . g. . . . . . . . . . . . . . ..Filed Map No. . . .g.. . . .Lot No. . . . . .$. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . June. 20 . . . . . . . . . . 1SPP .pursuant to which Building Permit No. . . .14?52Z. . . . . . . . . . . dated . . . . . . . .June .25 .. . . . . . . . . . 19 $ ,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 . .. . . . . . . Degk, addition, to .accessory structure. The certificate is issued to . . . . . . . . . . . . . . .NORMA M. µMILLER . . . . .. . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . N/A.. . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .. . . . . . . . . . . . . . .N/A„ . . . . . . . . . . . . .. . Building Inspector Rev.1/81