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HomeMy WebLinkAbout25148-zFORM NO. 4 TOWN OF SOUTHOLD BUILDIN~ DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26293 Date: 02/22/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 665 BAYVIEW DR EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 1 Lot 20 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1998 pursuant to which Building Permit No. 25148-Z dated SEPTEMBER 1, 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 8' X 10' STORAGE SHED IN REAR YARD AS APPLIED FOR "AS BUILT". The certificate is issued to HELEN KATSAROS of the aforesaid building. (OWNER) : SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A 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. 25148 Z Date SEPTEMBER 1, 1998 Permission is hereby granted to: HELEN KATSAROS PO BOX 596 EAST MARION,NY 11939 for : CONSTRUCT AN ACCESSORY 8'X10' STORAGE SHED IN THE REAR YARD OF A SINGLE FAMILY DWELLING "AS BUILT" at premises located at 665 BAYVIEW DR EAST MARION County Tax Map No. 473889 Section 037 Block 0001 Lot No. 020 pursuant to application dated JULY 16 1998 and approved by the Building Inspector. Fee $ 35.00 Building Inspecto~ ORIGINAL Rev. 2/19/98 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 buildi~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line~ 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 soider used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences a~d similar build~ and installations, a certificate of Code Compliance from architect or engineer !esponsible 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 Ppre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A proper~y 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building(S25.00]] Additions to accessory building $25.00. Businesses $50.00. ~\.~x~._~__~ 2. Certificate of Occupancy on Pre-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 Date ................................... . . New Construction ....... Old Or Pre-existing Building .............. ................................................................. Onwer or Owners of Property...~.~..,~.. ............................................. County Tax Map No 1000, Section .... ~.~.. ..... Block ...... .~ ........ Lot..~-.~'. ........ Subdivision Filed Map Lot ........... Permit No ................ Date Of Permit ................ Applicant Health Dept. Approval........ ................ .. Underwriters Approval ................... .. Planning Board Approval . . . Request for: Temporary Certificate ........... Final ~~.. Fee Submitted: $ ............................ ~~ ............ ................... BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INS~I~ATION ~'~INAL [ ] FIREPLACE & CHIMNEY REMARKS :~/ ~ DATE/~ INSPECT~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I FRAMING [ /]/~J~TION [ ~ FINAL DATE INSPECT?~ ~ BUILDING DEPT. * INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH· PLBG. [ ]/U~LATION [ ~] FINAL [ ] FIREPLACE & CHIMNEY DATE //o/~//~//~f INSPECT(~I~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JLATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: , INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INFLATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY DATE /~///~//~ INSPECTOR .FORH HO. TORN OF SOUTDO{,I) BU]fLDIHC, DII, PAR1TIRRT 'l'ON It HALL SODTHOLD, N.Y. TIIL~ 765-1802 I)i saF4)roved, a/c .................................. A~P~,I[CATIOH FOR BUILI)II~g PIIRHI'r BOARD OF DEALTH ......... ; ..... 3 SETS OF FL~HS ................ SURVEY ........................ C~CK ......................... SEYTIC ~Olllt ................... HOTIFYI GALL .................. HAll. TO~M ....... ~ .......... ' Date ................ ,19 . . llIS'I'RUCTIOHS a. 'ihts applioation nust be ~]etely gtll~ 3 ~ts of pl~,. acetate ploC plan to ~ale. b. Plot pl~ ~i~ l~tt~ og lot ~ o~ ~ildi~gs ~ ~mi~s, mlati~dp to ~joinl~ p~i~s or ~ltc struts or ureas, ~ ~tvt~ a ~tall~ ~rtptto~ og layout off pro~rty ~st ~ dr~ ~ tl~ d{~an ~sld~ la ~rt of this a~>l icaci~. e. ~ ~iidi~ ~mll ~ ~pt~ or ~,I~'~ IS }~ }~ to tl~ .......... '.... ~;..'. ~a'%k~C(~:Z.,; ;. ...... , ............................ , ....................................... II 8~)lfcapt is O~ber ~a's ~1~ ~ ..................... I~ ~r St~t i~et ~ ~ ~. ,~ ~, ..... ~Z ..... ~.~ .... ~ .......... ,~ Y.C ........... ~{v{si~ ...................................... ~{1~ tkp ~ .......... · ..... 1~t ............... 2. State exlsClng u~ ~ ~ a, r~sC~ ~ a~ ~y .................................................. ? .......................... l)emlO'l~ ............. O~her l~rk If lamh~ss, ~,~cial or ml~{ ~llm~, s~{~ ~t:ura a~ axCenc of endl ty~ o~ u~ ...................... 9. 8i~ o~ 'lo~t ~t ......... f ........ ~. ~ar .................... ~pth PLOT D~AORAH' frm~ proi~rey ll~a. Oi~ ~t~t ~ bl~ ~mlmr or ~aerlpt{~ aceo~lng eo t~, a~ ~ ~treet ~n ami t~lieate td~etlmr ln£erlor or corner loC. OCCUPANcy OR UNLAWFUL WITHOUT CERTIFICATE' O~?CCUPANCY APPROVED AS FEE: <~f,~,4'-,~:.-- 786.1~ e AM ~ 4~ FOL~ 1. FOUNDA~N . FOR ~URED ~N~ 2, ROUGH . ~ING & P~MBING 3. INSU~ON 4. FINAL - CON~U~ON MUST BE COM~ FOR C,~ ALL CONS~U~ON $~ ME~ ~E REQUIR~E~ OF ~E N.Z STATE CON~U~ON & ~ERGY CODES. N~ RES~N$B~ FOR DESIGN OR C~8~ ERRORS 6-~ 4//7-7 . ............................. I ....................... Ix~it,It (h,ly svx~rn, delx)~e~ atxl ~ay~; Lime he in the (~tu <)~ {txlividtmt signing I~ i8 tho ...... 1 .......................................................................... (C~tractor,' o~ent~ cor~rate oEEteer, ere,) , o~ .hid (~r or ~rn. nt~ ia (~ty ~tlmrJ~ to i~cfon, or I.~e l~rfortt~l the m{(I ~ck atxl Co rake a~l fH,e this ti,at th~ ~rk ~lll 1~ ~rfo~l tn :1~ .nntmr ~t f~rLh in the n~l. len~i<am fli~ .... ...... / B~SY A, pEn~IN8 .. ~ / NOti~IW, StMMm~ '