HomeMy WebLinkAbout24796-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25628
Date: 01/06/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 665 GILLETTE DR EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 38 Block 4 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 19, 1998 pursuant to which
Building Permit No. 24796-Z dated MARCH 25, 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 THE REAR YARD AS APPLIED FOR "AS BUILT"
The certificate is issued to FRANCES M DEEGAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Rev. 1/81
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.
24796 Z Date MARCH 25, 1998
Permission
is hereby granted to:
for :
CONSTRUCT A SHED
FRANCES M DEEGAN
410 HOMESTEAD WAY
GREENPORT,NY 11944
IN THE REAR YARD AS APPLIED FOR "AS BUILT"
at premises located at 665
County Tax Map No. 473889 Section 038
pursuant to application dated MARCH
Building Inspector.
GILLETTE DR EAST MARION
Block 0004 Lot No. 003
19 1998 and approved by the
Fee $ 35.00
Buildin~/Ins~
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 ali 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 soldeP used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar build~
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
'~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 applica~
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 $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 Buildinm - $100.00
3. Copy of Certificate of Occupancy - =
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
. ...............
Lo ation of Property ..... .... ........
House No. Street Hamlet
Onwer or Owners of Property ........................
C~ ..... ock .... Lot ...........
unty Tax Map No I000, Section ....... Bi ........... .....
Subdivision .................................... Filed Map ............ Lot ..................
Permit No Date Of Permit Applicant .
Health Dept. Approval .......................... Underwriters Approval .....................
Planning Board Approval ........................
Request for:
Fee Submitted:
Temporary Certificate........... Final Certicate ...........
FOUNDATION
FOUNDATION (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL
COMMENTS:
£ jo ~. :~,eeqs '000-£00-00-t,0-00-8£0-000 I, - 96-g66 ~, 'AN '~llO~nS
ONGIONI & BORRELLI
A1TORNEY$ AT LAW
403Fi~ONTb'TF~EET . P.O.BOX562
GREENPORT, NEW YORK 11944-0562
TEL. ($16)477-2048 . FAX(316)477-8919
7 MUCHMORE LANE
EAST HAMPTON, NY 11937
TEL. (516) 324-5209
FAX (516) 324-7521
March 18, 1998
Town of Southold
Building Department
Main Road
Southold, NY 11971
Re: Deegan to Webster - SCTM 1000/38/4/3
Dear Sir/Madam:
In connection with the application for a building permit submitted to you on
March 16, 1998 and certificate of occupancy for a shed on the above premises enclosed is
a check for $35.00 for said application.
Please advise as soon as the certificate of occupancy is available.
Very truly yours,
MARIE ONGIONI
npd
eno.
MARIE ONGIONI
CARMELA L, BORRELLI
ONGIONI & BORRELL!
ATEOI~NEYS AT LAW
403 FRONT STREET ' P.O.BOX§62
GREENPORT. NEW YORK 11944'0562
TEL. (516)/~77-2048 · FAX (516) 477-8919
March 16, 1998
Town of Southold
Building Department
Main Road
Southold, NY 11971
Re: Deegan to Webster - SCTM 1000/38/4/3
Dear Sir/Madam:
In connection with the obtaining of a certificate of occupancy for a shed on the
above premises enclosed are the following:
1. application for a building permit with attached sketch;
2. application for certificate of occupancy;
3. check in the mount of $25.00;
4. copy of survey dated 2/18/98.
Please advise as soon as the certificate of occupancy is available.
Very truly yours,
MARIE 0NGIONI ~ ~
npd
encs.
C/O. Itr
7 MUCHMORE LANE
EAST HAMPTON, NY 11937
TEL, (516) 324-5209
FAX (516) 324-7521
FORH NO. I
TO~H OF $oo*rllOI,D
BUILDIN~ DEPARTHENT
TO,iR IIAU,
SOUTIIOLD, N.Y. 1197~
TEl.: 765-1802
SEPTIC FORH ...................
APPLICATION FOR BUII,IHNO PERHF{'
l}ace ................ , 19 ....
1 NS'I'RIIC'FIONS
n. 'lhla apglic~tim .ueL I~ cai~)leLely flllml in by tyl~vrlCer or in i,dL n,~l mdxni~L~ to the ~mJhli.~ [{ml~cior
3 ~[8 Of plan8~ 8colrate plot plan to ~ale. E~ according to
I). Plot plan ~t~ l~t{~ of lot ~ of i~ildings ~ ~[~a, relntion~dp to ~join{ng praise, or ~ddic
st'r~t, or nrea~, ~l glvt~ a ~talla{ ~rlpt{on of ]a~C of pro~rty ~lst I~ dr~ ~ the dJn~an al}ich
this .IH)I ication.
c. 'Iht ~ ~ ~ tiffs o~llcati~ my ~t 1~ c~ed I~fore issue of Mtldi~ Pe~it.
d. U~ a~al oi fide a~ltcatico, tie lhildi~ ln~ctor ~dl[ isle a ~ildtng ~it to the ~ppllca,t.
i~mlt ~all ~.kept ~ ~e ~1~ ~allable tot ina~tt~ th~t the ~rk,
'e. ~ ~tldi~ ~mll I~ ~t~l ~ ~1 in d~le or in ~rt ~or ~t~ ~ dmt~er ~mttl n C~rtiflcnte
~ ~all h~e I~n flrRnt~ I~ U~ ~dlding In~tor.
~ICATI~ 19 I~ ~ to tl~ Ikli]din~ ~rt~nt for Lite {smm~e of n ~JhlJng ~mJt ~lrmmnt
~d~ti~s, flor tl~ ~at~tt~ of hdldt~s. ~ltt~. ot ~ltetattm~. or ~oT ~! ot ~iitJon, ag I~re{n
~scH~. 31~ 8~l{~nt ~. to ~ly vi~ all .~lJcable l~s, otdi~8m, I~tlding c~, l~9ing c~e. and
in ~l ding fo~ ~e8~
(fi{g{mture Of e~l~n~ or m, if O cormreLion)
, (~iltng ~l~s o[ a~licant)
applicant ia a corporation, ai$~aature of &Jly ~utlK)rized officer.
(Na~e and title of corporate officer)
State dmtber applicont is o~er, lessee, ~gent, arddtect, engtneer,'ge~ral c~trector, electrician, pl~r or hdid~
~ of ~r of ~i~s ..... ~ ............................
lhilders l,icetu~e No .........
Piers L{cen~l',Yo ................ ... .... · ..
Electrlc{aoa 1 tcg~e.e l'b .......
Other Tr~'s License No .....................
4. FINAL - CONS~llUL~ION MUST
BE COMPL~ FOR C.O.
A~ CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N Y.
~TATE CONSTRUCTION ~ ~NERGY
locetJco of lend co.~ud~ proposed uork wi]l be 5_]?oe ........ CO{~ES. NOT RESPONSII~CE, FO3~
~/~/~ ' // ton o. CONmUC~O.
; F .............. ..... .............................. - ......
Cotmty Tax Map No. 1000 Section ....... d.q..... Block ................ Lot ................
Sulxliviaion ............................. . . . . . ... . Filed Hap No .......... · ....................
(~me)
2. State existing use and oceuponcy of pre~nises a~d intended use mxt occupancy of proposed ccostruction:
a. F. xistlng USe and occupancy .............................................................................
b. Intended u.~ and oceupaocy .......................................................
(~ripti~)
9, ~i~ of Io~: l~s,~ ............ ~...,..., ~ar .................... ~pth ....................
' PI.OT DIAGRA~
fm~ proi~rt'y li~.. G[~ ~t~C a~ ~)l~k ami~r or ~hacripci~ acco~in~ ~o (~. a~ ~,~ .tree~ ~a aal ialicace
~d~tl~r lllterior or cor~r ]oL
I
.I
or ~er,. m~l i, duty al~thori~ to l~rfon~l or h,ve lerl'or,~l I.he miicl ~ck mgl Eo neke taxi file Lh[~
tha[ all .LaterenC8 c(xli'a~l iii I;hia alq)licatio, are I:ne Lo the lest o~ his ki~l~e
~fore ~e lifts ~ i
, (S{l{~Ud:.re 01: ApplicanO
NANCY R DIZIILLI I
NOTARY PUBLIC, Stale oi Ne~ Yo~k{
Ho. 30-0969~15
Oua.li{Cd m Nassaa Oounty~ i
Commission EXpires/Y/~
................. I~i,{t duly m~)r,. ¢lelx)~s alxl ~y~ tirol: he ia ~yappl.~(ml{l:
.%
0
0
'0
CtJRV't='r" OI= LOT # ~B
"MAP O~ MARION MANOR"
TO~N O~ ~OUTHOLP
C, Et~TIFIE[:) TO,
LYNNIE MEB~TER
BRID(~EHAMPTON NATIONAL BANK.
PIt;~ST AMERIOAN TITLE IN,SUF~.ANOE 00.
GRAPHIC SCALE
:~"= 20'
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET
RIVERHEAD, N.Y. 1t90~
369-8288 Fax 369-8287
N.Y.S. LIC. NO. 50202
REFERENCE # 98-~1~8