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HomeMy WebLinkAbout25217-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26266 Date: 02/08/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 892 ELIJAHS LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 108 Block 3 MATTITUCK (~ANLET) Lot 5.44 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1998 pursuant to which Building Permit No. 25217-Z dated OCTOBER 8, 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 AGRICULTURAL FARM STORAGE BUILDING AS APPLIED FOR. The certificate is issued to JOSEPH SHIPMAN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N 478539 N/A //u~g Inspector 02/01/99 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. 25217 Z Date OCTOBER 8, 1998 Permission is hereby granted to: JOSEPH SHIPMAN ELIJAH'S LANE MATTITUCK~NY 11952 for : CONSTRUCTION OF AN AGRICULTURAL STORAGE BUILDING AS APPLIED FOR. at premises located at 892 County Tax Map No. 473889 Section 108 pursuant to application dated AUGUST Building Inspector. ELIJAHS LA MATTITUCK Block 0003 Lot No. 005.044 14 1998 and approved by the Fee $ 50.00 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 building inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all 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 buildings 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 and ~pre-existing" lend 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, Sw~-,-ing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 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 ........... construction ........... Old Or Pre-existing Building ................. ~ation of Property ' House No. Street H~mlet of Property ' Owners .... ',aty Tax Map No 1000, Section. .t ~.~. ....... Block...3 ........... Lot ............... bdivi Fil Map ............ "~ i sion .................................... ed ........ Lot .............. ~Zmit No.w .............. Date Of Permit ............... can .. ~lth Dept Approval ~ q ~ l~ Underwriters Approval ...... .arming Board Approval ........................ ~ ~quest for: Temporary Certificate ........... Final Certicate ........... Submitted: APPLICANT :OUNDATION (1st) POUNDATION (2nd) ROUGH FRAME & .FLUMBING I~SULATION PER N. STATE ENERGY CODE 'FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION ] FO~J~ATION 1ST [ I ROUGH PLBG. / ]/FOUNDATION 2ND [ ] INSULATION / [~/] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY IN S PECT~~/~ 765-1802 BUILDING DEPT. INSPECTION [ F~OUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL~BG. [ ] FOUNDATION2ND [ ] INS~JL~ION [ ] FRAMING [ ,~NAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PA = 1 11~197 BUREAU OF ELECTRICITY ~--- 40 FULTON STREET, NEW YORK, NY 10038 . Date FEBRUARY 01,1999 App~cation No. o. file 17532899/99 N 478539 THIS CERTIFIES THAT PE~{IT NO. 25217 only the electrical equipment as described below a~d introduced by the applicant named on the above applicafio~ number is in the premises of JOE SHIPMAN, ELIJAHS LANE, /gATT/TUCK, NY in the following location; [] Basement [] 1st FI, [] 2nd Fl. OUT Section Block was examined on JAI~UARY 12,1999 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE REC~1ACLES SW~CHES OUTLETS 12 4 6 DRYERS OTHER APPARATUS: P~E~O~S:I"gCIR. lOO E- R- ~ V -~ I C E NO. OF CC COND, A W.G. pER ~ OF CC COND 50 PAT LANE MATTITUCK, NY, 11952 11~£NERAL mANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by thor credentials. COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BLDG, DEPT, INSTRUGTIOHS e, 'ibis ~pplicuCion must be co~letely l~tTled in by L~pc~ri~er or in }~ ~ 3 ~ts 0~ p]~, ac~rute plo~ I)1~ to ~ale, ~ ~co~}~ to s~r~ or ureas, ~ 5ivi~ ~ ~ull~ ~rip~i~ o~ luy~ of pro~r~y ~ ~ dr~ d. O~ ~l o~ fids ~wl.i~cio~, tl~ ~lldi~ ]us~c~or wilI is~ ~ ~ildi~ ~mt~ e. ~ ~iid[~ ~ll ~ ~pi~ or ~ in d~le or in ~r~ for ~ ~ ~laci~s, for tl~ ~c~ci~ oi hfildi~. ~i~i~s or alteraCi~, or for ~a] or re~daci~s.,~ Co ~tC ~ri~ t~Cors ~ ~t~s a~ in ~ildt~ for .... 7}.?. 9.?!.gfftt~..a..e ..................... (~tli~ ~mss o[ awlic~O Sc~Ce ~O~r ~ltcan~ ts ~r, les~ ~en[, archlC~C~ en~i~r.'~ral ~r~Cor~ el~crtct~ pl~r or I~dlde ................. 9.~.~.g~.;n..: .......................................... , ....................................... ~.p~ ~ 5.~i~,~ .¢. ~t.~.~ i;.~X/~a ................... ~ oi ~r 0i pr~l~a .. ' .... " If a~flico~c is ~ co~r~ti~, si~re of duly ~l~ri~l ollicer, l~filders License Ho .......................... Fltsrbers License lqo .......................... [~ai~ o~ ~ ~ ~,t~, p~ ~ ~tu ~ ~..~.~.~E~ ..... .~5 ...... ~... · ...... .......................................... State existing ~ a. F~i~ ~ a~ ~y ...................................................... ' ...................... I~l~Ir ~t ' ' ~ ' ~ z~.~. ~ / "" , tff l,xllvfd~It si§nh)8 c~trnc~ ~ ' tire ...................................................................................... (C~,tractor, n~ent~or~rn~e o~[cer, to t~fo~ ~ Ods duly m,~)rt~, (leix)ee8 ami ~tya LIml: he {a the atppl,{c~itll: II II )~NIq NI~'H D · ® · ~0~- , Oo~, o ~ ..... ~ ~~ ~~" ~ ~ ' ~ '~'~ q l ~ , ~ /I ~ ~ ~~ ',', !1 ~ ,.o,~ ~ ' I~~'°~ , ~ I /~ , o SU~Y dOSEPH R SHIP~AN ~ CATHLEEN AT MATTITUCK o~r[ JUNE ~WN ~ SOUTHOLD SCALE f'= ~00' SUFFOLK COUNTY, NEW ~RK NO 97'0416 Ii YOUNG s YOUNG NOTES~ ~=MONUMENT FOUND ~: STAKE FOUNO RE. LOT NQ I, MINOR SUBDIVISION FOR"GREENBRIAR HO~ES~INC'.' ALO[N W Y~NG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S UCENSE NO ~ = STAKE SET HOWARD W YOUNG, LANO SURVEYOR