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Home My WebLink About25202-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26009 Date: 10/05/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 200 SUNSET DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 7 Lot 45 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7, 1998 pursuant to which Building Permit No. 25202-Z dated SEPTEMBER 23, 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 REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to MICHAEL KOUTSOURAS (OWNER} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 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. 25202 Z Date SEPTEMBER 23~ 1998 Permission is hereby granted to: MICHAEL KOUTSOURAS PO BOX 800 MATTITUCK,NY 11952 for : CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 200 County Tax Map No. 473889 Section 106 pursuant to application dated AUGUST Building Inspector. SUNSET DR MATTITUCK Block 0007 Lot No. 045 7 1998 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 "" 2 8 1998 m.gG. DEPT. ,T, gW N Q,,F, S,,~g. ,U, TH 0 L~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao This application must be filled in by typewriter OR ink and submitted to the buildin~ inspector with the following: for new building or new use: 1. 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 I% lead. 5. Con~nercial building, industrial building, multiple residences and similar buildir 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, oK ~uildings an Vpre-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. 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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Location of Property ...... -..-- ........ -..c¥~.~.z~ House No. Street H~ml et 7~Onwer or Owners of Property .... /~&..C~-../~t~-~.~ ................................. ounty 000, Section ...... .... Bloc .... '..7. ....... .... ': ........ Subdivision .................................... Filed ~ap ............ Lot ........... Health Dept. Approval ................. .. ... ....Underwriters Approval......... ............. . Planning Board Approval ................... . .... Request for: Temporary Certificate ........... Final Certicate .... ~.~ ...... Fee Submitted: APPLICANT :~1 ~LD Io :'OUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & ,FLUMBING' I~SULATION FERN. ¥. STATE ENEROY CODE 'FINAL ADDITIONAL COMMENT 'I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~JLATION [ ]FRAMING [ ~NAL ~/~//~--*~:~ [ ] FIREPLACE & CHIMNEY · ~ INSPECTOR '~~ FORH HO. TO~/H OF SOUTIIOLD 'rOWH IIAL1, SOUTIIOLD, N.Y. 11971 1)i~)~l ale ................... ; .............. iNSTRUCTIONS · Date 19 a. 'lhls application .oat be conple~ely filled in by I.Tpc~rtter or in ink ar4 mdxnitted to ~ Building Tnapec[or wi 3 se[s of plana, accurate plo~ plan to scale. Fee according ~o scbedute. b. PloC plan s{~ing location oi~ lot and of buildings on premises, relationship to adjoining premises or peblic streets or areas, and giving a detailed description o1~ layout of property ~mt be dra,~ o~ tile d{ngran ~lich ia pert of rids appl icati~xl. c. 'file ~ork covered by this application my oat he c~nced begore issna~ce of Building Permit. d. Upon approval of this applicaClcn, the Building Inspector will issue a Building Permit to tile applicant, such pemi~ shall be kept on the pre~lses available gar inapec~im throughout O~e work, e. Ho buiidin~ shall be occupied or used in ~hole or in part for any purpose '~hatever tin,il a Certi[tca~e of Occupancy shall I~e been granted by r. be Building Inspec~or. ~ APFLICA'rI~I IS tI~W[ t[~E co the Buildir~ Department for tile issuance o1~ a i~uilding Pemlt persxtant to the I~Jildi~§ Zone Ordinance o~ t~e To~ o[ S~lthold, Suffolk ~LT, ~ York, e~d other applicable l.a~a, ordinances Or l~gulacions~ for..the cooacn~ction of Ixdtdin~s, additions or alteretions~ or for renm~l or de~otttion, as herein descril~l. The appllcalr ~,rees to cc~ply ~ir.h atl applicable l~s, ordinances, butldin8 code, hou~tng code, ami regulations, ~e~x] ~:o admlC authorized inspectors (~ premises and in buildi~ for necessary t~pections. (Signature o[ applicant, or naue, if a corporation) (t~tlin8 ~ddreu{ of applicant) SinCe vl~eH~ec applicanC 15 o~n~er, lessee, agent, architect, engtncer,'genaral c~tr~tor,.~an, ol~r or IRdhle~ ...................... ............................................ ~ ~ ~ ~ 4 ~ FO~TH~ If apptican~ is a co~reti~, si~re of duly ~tl~)ri~l o[flcer. t, ~ - ~ gEGUmEO ~ ~ ~ION SHALL MEET Fl~rs IAce~ ~. ~S~'IS'~[AW~[" ~~[ME~ OF THE N.Y. ~ ~Ynu~lo~ T ER IFI ME ~ ENERGT ~l, ~ NESPONSlBLE FO~ ~ ~ ~ ~ ..... ~?~ ....... I~ ~r Str~[ l~et ~ivlsi~ j.~,[~...~ ............. Fila ~p k. ..m ' . I~C ............... (~) State existing u~ a~ ~y o~ {~ni~s a~ iate~ ~e ~ ~m~ of pro~ c~stnmtion~ a. F~stiq ~ ~ ~y --.~R~$,~-.-~ .. ~'; ............. ,,. ...... .............................. 1~ garage, tamlmr of cars ..... , ................................ 6. I~ hml~msa~ ~relal or ml~.~ ~aqm~, s~el~ ~Lura m~ ~tanC O~ eadt ty~ o~ u~ ...................... I~i~tL ........................ ~ ~dmr o~ fitorlea ...................... · ~ o[ C~tr~tor PI.OT DIAORAH. i~ste clearly and distinctly ~11 hulldinita, ~lmtlmr ~lnting or pro~, ~ indicate all ~t-I~ dimnaiona ~rm~ prol~rty ll~a, ~1~ acme m~ I)1~ m~dmr or ~ncrlpcl~ acco~ing to ~, a~ &~ street ~ma ami t~ltcate xAmtlmr lnLerlor or co~r (C~,tractor, nse,,tr~cor~)rate oEElcer, etc.) of said (~mr or ~mra, find ts (hly i'~thorJ~ to I~rfonn or I.me Imrfor.~l t.he ~hl ~rk and to n~ke a,xl file I. hi. nl~)l ieation; that all statamnts ca)~al.~ tn this aRfi, icati(m are trim to the Imat o~ his ktml~ge that th~ ~rk will I~ ~r[on~l ta tlje .uu. mr ~t forth tn the application fll~ ~)rn to Imft~e n~ Uds .~ . ~ ~ ~UNG,~,,~YOUNG,, LAND SURVEYORS :," ;'4OO';iOSTRANDER AVENUE ' , ' :'