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25333-z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Mo: Z-26114 Date: 11/17/98 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 330 EAST LEGION AVE MATTITUCK (house NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 4 Lot 7 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 1998 pursuant to which Building Permit No. 25333-Z dated NOVEMBER 17, 1998 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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR "AS BUILT" The certificate is issued to WILLIAM F & EVELYN RAYNOR (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 ~pector 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. 25333 Z Date NOVEMBER 17, 1998 Permission is hereby granted to: WILLIAM F & EVELYN RAYNOR 87 MARILYNN ST EAST ISLIP~NY 11730 for : CONSTRUCT ACCESSORY SHED IN REAR YARD AS APPLIED FOR "AS BUILT". at premises located at County Tax Map No. 473889 Section 143 pursuant to application dated SEPTEMBER Building Inspector. 330 EAST LEGION AVE MATTITUCK Block 0004 Lot No. 007 18 1998 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 mo Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buiidin inspector with~ the following: for new building or new use: I. 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 ~uildings 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 applicant 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~dwelling $25.00, Additions to dwelling $25.00,~_ Alterations to dweiling~_25.00~/Sw4mming pool $25.001 Accessory building Additions to accessory bufl~=J~g $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - = .~5~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... Old Or Pre-existing Building ..... ~ ......... Location of Properry...l~O...lFASZ...$E~./¢.~../~tff¢..~ ................ ../k/...W~]TW©..~.... ~ ........... House No. Street ~mlet Onwer or Owners of Property ............. f ............. County Tax Map No I000, Section .... Block ....... Lot ....... Subdivision Filed Map Lot - - 11/17/98 WM RAYNOR · Permit No.. 25333-Z .... Date Of ~ermmt ............... Applicant .... % ........... .,... Health Dept. Approval ...................... .. .. Underwriters Approval ..................... . . Planning Board Approval ........................ .......... C~-~= .... XX (AS BUILT SHED) Request for: Temporary Certificate. Final _~ ........... Fee Submitted: this a~)l tcoCi~, ' (~rt~, ~ applI~: ~a to ~ly vi~ all a~li~)le l~a, ordi~a, ~tl~ ~, ~ ~' ~ State M~d~r 8~ll~8nt 18 ~r, lea~, ~ed~, ur¢~ic~t, enai~r,' ~ral ~t~Cor, eI~C~cI~, pl~r or I~lh~ ~& ........ . . . .................. , .... . ................................. ';"' :': :' ~l~l~ ~ ~PC/-~ ~VM¢~ ' ...... , ................................ ~ o[ ~r o[ ur~l~ .... ' ......................... (~ a~ title o[ ~rote o[flcer) (~t~ O~ hxltvlch~t slgnh~ ~tr~ct) ~ . APPflOV~.~/~ i~i~n'r~l~ ' FilE;~'~ -BY'. ~ FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMEING 3. INSULATION 4, FINAL - CONSVRUCTION MUST SE 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 ................. I~at,ll dul.y e,~ru, detx)~s taxi ~sys that he is the sopl,t¢~mt . (('~tractoe, ~ut,-~orpornte of.~teer, ere,) ~ . i · ti,hi ua ~¢k will ia ~r~l tn tt~ mm~r ~t ~rth tn the n~l. tcntkm ~i1~ tl~t~. 0 '~/t 2 5TLP 5 ~ I II III II I II Ill II ' II '