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Home My WebLink About24529-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25583 Date: 03/13/98 THIS CERTIFIES that the building REPAIR Location of Property: 125 MAIDEN LA (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 140 Block 1 Lot 10 MATTITUCK Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated .JULY 17, 1997 pursuant to which Building Permit No. 24529-Z dated DECEMBER 4, 1997 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 REPAIR FIRE DAMAGE TO EXISTING THREE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARK MCDONALD of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 18703 11/01/97 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ $OUTHOLD, N.Y, 24529 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: MAR~{ MCDONALD PO BOX 1258 SOUTHOLD, NY 11971 t~ REPAIR' FIRE DAMAGE AS APPLIED FOR. MATTITUCK at premises located at ................... ,1...2, .5.......M..A., ,I, .D..,E,.N.... ~ ......................................................................... CountyTaxMap No ...... ,4,,.7...3,8..8...9...... Section .....1,..4.0, ............ Block ..... ,0..0,.0..1. ........ Lot No....0..1..0. ............... pursuant to application dated.....J.,.U...L.Y. ................ .1..7. ........................ 19 ...... ..9,.7, ..... and approved by the Building Inspector. Fee $ ......... ?..5.. r..O...O. .... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 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 UndeCwriters. 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" land uses: i. '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. 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 Buildin~ - $100.O0 3. Copy of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0~, ~mmercial $15.00 Da me ....... ~Z~Z~. .~. ·. ~ ................... onstruction..~<Q ..... Old Or Pre-existing Building.. ...... ~.~. · , House No. Street Hamlet or Owners of Property..~.z~.f~......~...... ~.~.~.44 ................................ y Tax Map No 1000, Section..~./.~. ....... Block ..... 7 .......... Lot ..... /..~? .............. vision .................................... Filed Map ............ Lot ...................... t No ................ Date Of Permit ................ Applicant ............................. h Dept. Approval ............... lng Board Approval ............. st for: Temporary Certificate. ubmitted: $ .... ~..~.. ~.--~ ........ ........... Underwriters Approval ......................... .......... Final Cer ticate ........... .............. APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ [ ] ROUGH PLBG. [ [ ] INS.~J.AT~N [ [ '~'~INAL [ ] FIREPLACE & CHIMNEY REMARKS: ~,/~.~ ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING DATE INSPECTOR DATE: 1 I/1/97 ELECTRIC INSPECTION SERVICE INC. 375 D UNTO N A VENUE EAST PATCHOGUE, NEW YORK 11772 (516) 286-6642 18703 dPPLICATION No. ON FILE ~ILL4GE: Matt~tuck dDDRESS: 12,7 ?v[aidpn Lane ISSUED TO: Mark McDonald SouthoM ]NTRODUCED BY: George Roeppelt was e:cammcd on 11/1/97 LICNo: 4581E and found to be in compliance with the National Electrtcal Code LOCATION: Base.. 1st Dgt. Garage 2nd 3rd At~c Hot Tub Pool SWITCHES RECEPTACLES FIXTURES H~TERS FANS ~.~L AIR. COND. DISHWASHER DRYER CLOTHES WASH. GdR. DISP. RAhIGE O~ ~OKE DETECTOR FURNACE OIL GAS CIR. MOTOBS BELL T~ SERV1CEDISCONNECT OTHER EQUIPMENT Reconnect Service BUILDING PERMIT No, \ PINK COPY OFFICE uc s. sv i P~SIDRNT .; ~:UHH f, II l'~ _4'_ 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ L,~FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~(~ INSPECTO. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGHPLBG. [ ]/f~UNDATION 2ND [ ] INSULATION / [~/J FRAMING [ ] FINAL []FIREPLACE&CHiMNEY REMARKS: 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R/.QUG~H PLBG. [ ] FOUNDATION 2ND [c/J' INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS.'~ ~--~"~, DATE INSPECTOR '/"N G'fOId.LNO$~O )"' 96'~L1 BO^RI) OF IIItA~l,'l'll ............... 3 Bff, T8 Off Pl.^ff~ ............... !HIItVgY ........................ CI|gCK ......................... 5F.P'I'I C FORH :., '..../._... ._, .^,,..,.,,, .... ~,,,,,,,~,,'~, ~ . ,,~7 ,.~,,,,,, ~.' ~7~ ~.~.~,~/,~ ~ . ' . ' "~ ........................ . ~ I)[ O~]ppt (~c.(J ~/t: ........................................ j ~' ....................... ~/~- ."'~~,~,~.~ ........ , rr" i ' BLDG. DEPT, IN!;'I'I{UCT [ON~; .,. TOWN OF $OUTHOLD . 3 ~mtn oE plmm, ~ccurake plot pfmi to ucnle. Fee according to .dsedule. ': ,l,eeL, or riven,, n,*l glv{~ n (~tailed (leuerJpti~m of layout o[ prx~rty ,*mt lm (Irm~ on the dlngran Ihi~l ~qqd icat hxt. d. Uixsl OlS~nl of thld.applicatl~*, the Ikfildtng lnalmctor will ium~e a I~[lding l'ezmJt to the Opl)l leant. Such I~nnit ~dmlt Im kep~'~s the p~nlsea avoJlnble for inslmCt[~ tlsr~q~*~lt the e. ~ I~dldlng ~mll lm ~mq)led or ut;ed in ~)ole or in Imrt fl}r m~y lalrlxme Mmtever unLll a (~rt. JfJcnl.e (~:CUlmt~'y ~;hnll have linen grnnted by tl~ I~dhli~ hmlmctor. AI'Iq,I(~'I'ItH 1~; Ililailff t~lli tO the l~dlding l~lmrt.ent for the ismm.ce of n lkdltlJ.g Pennlt ixn'mmn~ ~6 the (an (~ lhe Lnx roll or Inte,L de~d) 765-1902 ~ AM TO 4 PM FOR THE FOU~ 1116PJ'CTIONS: I F(~ - I'~NO REOUIRED J. J ,, J & J~JM~NO 4. FIN~J. - .------------------~#J'!]JJ, letlON MU$I A~ ~~ $~ ME~ ~J RE~IRE~ ~ ~E N.Y.