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HomeMy WebLinkAbout23742-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25450 Date: 12/00/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 10505 SOUND AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 122 Block 1 Lot 3 MATTITUCK Subdivision Filed Map No. __ Lot No, __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 27~ 1996 pursuant to which Suilding Permit No. 23742-Z dated OCTOBER 10, 1996 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 STORAG~ BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to MARK P & LAUREN D SISSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FO~ NO. Iii TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH HALL SOUTHOLD, N. I'. BUILDING FERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23742 Permission is hereby granted to: ~ /~..~~...~~ ........... /o~...~..~J. ............ ~ ~. ........................ ,o.~v~.~.~..~.... ....... ~ ....... ~~:~ ......... ../././~..~ ......... ~.~ .......... ~.~. .~ ..... .,~. .......... ~...~ .......... ~~.....~....~.,... ............................................. at prem,.. ,~ed o, ............................... ~;i~ ...................................................................... ............................................. .xf..O.~....~...~ ....... .,~/..~.....: ............................................ .................................................... ~.~...gzz~,.~.~......~./...,.....././.~../...~ ............................ County Tax Map No. I000 Section ./~....~.. ........... Block ./..~./.. ...... Lot No .........~.. .......... pursuant ,o application doted ............. ~.....,,~, .,~....~,.. ........ , ,9..,~..~, and opproved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOW~ 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 foll6~ing: 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 c6mpleted site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 applicant. 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 buildingS25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buiidin~ - $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 Date .... Constrnction ........ r n ng ................ Location of Property ..... ~P.~.q~, ................................... House No. Street Hamlet Onwer or Owners of Property ................................................. conntyTax~p~o 1000, section...'~ .~lec~ ..V.! .Lot. Subdivision .............................. .... . . Filed Map ............ Lot ...................... Permit No2.~.?.~..~...~...Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval Request for: Temporary Certificate ........... Final Certicat~e....~ ...... Fee Submitted:~. ~,~ ~ $...'%...9., ¢?P. ............. e0~E5 ~5 0 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 12, 1997 Fax (516) 765-1823 Telephone (516) 765-1802 Mark & Lauren D. Sisson 10505 Sound Ave. Mattituck, NoY.11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) 6'~ No Underwriters Certificate on file. The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23742-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~FINAL ~'-/~j DATE ,~/~/ INSPECTOR~/~_~ 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] RO~PLBG. [ ]/~I~IJLATION [ ~ FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-~80Z BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[]] ;ORAU~iDNA~ION 2ND [[ ~TION [ ] FIREPLACE & CHIMNEY REMS' W, 8Z.50' $, p. $OUNP SEP 2 ? 199~' ~ CERTIFIFZD TO' MARK P. SISSON LAUREN D, $1580N THE SUFFOLK COUNTY NATIONAL BANK CHICAGO TITLE iNSURANCE C~ v~NdE SURVEY FOR MARK P S/SSON & /_AUREN D. S/SSON A T MA TT/TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000- 122- Ol- 03 Sca/e: 1" = 40' July 2, 1996 AREA = 21,778 sq. ft IR.30 IRA FEI. ER STREET SOUTHOLO~ N.Y. 11971 96- 187 F'ORH It(). I 'l'OlCN (IP' ,.qOUTIIOI.D lllJ I l,I}q[N(~ DF, P b. RTi:IENT TO~dN IIAI,L $OUTIIOLD, N.Y. I 19..' I TEl,; 7~ 1802 IHSTRUCTIt)NS , , BOARD OF IIF,^I,TII ............... ] SF, T$ OF Pi,fiNS ............... SURVEY ........................ CIIECK ......................... SF, PTIC F(IRH ................... HO'F1 FY: :.5. ..4Q ..... HAll, TO: .................... l)nLe ................ :. 19 .... 3 ~ts o~ pinna, ~rate plot pl~ to re:ale. F~ accordl;~ to sch~hHe. b. Plot: plan M~it~g I~ati¢~l of lot atxl of l~,ildi~s ntr~ts or arena, a~l 8ivi~ a cbtnilal ~scripti¢~ of this nT~dicatics~. , , c. 'ihe x~rk c<~r~l l~ this ni~llcatics~ pay ~K~( I~ ccsme~'a:~l i~fo~e ism~q~e or ~Jihli[~ Pc.nit. . d. Uixst nl~n~al of this nl1~licati~, the ~Jilding lnsleelor will inm~ n ~ilding Permit t¢~ the nl~;licanl:. ~ch e- ~ laHldi~ Mini [ I~ ¢<oTpi~l or u~d in ~le or ill Dart for m~ ~tr~se ~mt~r until a C~rtificale of Ihslhlii~ 7zx~ OtxlD~m~:e of the q~ of ~xt[l~l¢l, ~ffolk {~mty, ~4 Ymk, md other alqdicoble l~s, o~dhm~ees or l~8ulaki~s~ For tim ~sLn~i~ o~ lafildlnga, mhliti~s or alteraki~s~ or for r~al or ¢~lltlon, ns herein ~acril~l, 'lbe Oplflicm~t agr~s t.o c~ply with all {,qi?.lmttlle of nlafl leant, or nme, if n Cmlx~rat iOl~) title oF corporate officer) l'.~. 1= [hJa g~t~l~ity ~ithin ~X) feet o~ u Lldal t~tliuxl? Pl.(IT II l.-'x:~le clearly m~l distinctly all l~Hlding~, '~l~elh~r e~isl:it;g or pro[x~c-d,, at~] h~li,e~L~ all. ,~el;-baek di,~n~ion~ r~,m~ i.'oi~Nh~,~. Civ~ ~tree[ ~xl bl~x:l~ ~.~d~r m' ~le.~eril:,l:i(~ ~,~:eo'~dlng Io ~------------------~edi aim ~11(~.~, ~lreet NOTARY PUBUC,~,Stete of N.Y. No. 4725089. S(~ffolk County Term Expire~ May 31o 19..~8 L ILLUSTRATION ['0-1 FRONT FRAME FLOOR SHEATHING LAYOUTS ILLUSTRATION [] ILLUSTRATION [] REAR FRAME ILLUSTRATION [-~ SIDE WALL SHEATHING LAYOUT F 10x12 ~ 10x16 FRONT FRAME SHEATHING ILLUSTRATION [-~ ILLUSTRATION [] REAR FRAME SHEATHING ROOF SHEATHING LAYOUT Shown in Flat Plane LLUSTRATION r~ DOOR MEMBER ILLUSTRATION