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~ '