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Home My WebLink About23353-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAN~"f No Z-24295 Date APRIL 19, 1996 THIS CERTIFIES that the building Location of Property 1825 SIGSBEN RD. House No. County Tax Map No. 1000 Section 144 Subdivision ADDITION Block 2 Filed Map No. MATTIT~K~ N.Y. Street Lot 14 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MAR~ 29, 1996 .pursuant to which Building Permit No. 23353-Z dated APRIL 8, 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 STORAGE SHED RDDITION "AS BUILT" TO EXISTING oNE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to Y~UDA BANK & TB.UST COMPANY of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 B~lding Inspector FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLO, N.Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23353 Z Date ......... ~...~.... .............. 19..~....~... Permission Is hereby granted to; ..... ............. , ................................. ..". .......... ~.~..:....~......~,.....~ .......................................... County Tax Map No. lO00 SeCtion ...... ..?...~.....~....... Block ......... ~ ........... LofNo...../~.....~... ................ ,~,rs,ant to ap,~,,oa,,on dated ................. ~.~. ~...¢.. ..... ~....Z...~.... ,,nd a,,,oved ~y ,,e Building Inspecto~,~ Fee~...././...O.....~. Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF 0CCUP.~NCY A. 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 su~-vey 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-disposa!(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. Commercial build'ing, 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. B. For existing buildings (prior to April 9, 1957> ~on-conforming uses, or buildings and Upre-~xisting" 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 stage 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 Prs-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20~00 4. Updated Certificate of Occupancy - $50.00 5. ~Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-exis~ing Building..~J~JP?..(~>>~hed shed) 1825 Sigsbee Road Mattituck Location of Property ......................... House No. Street Hamlet Dnwer or Owners of Property.. Yasuda Bank and Trust Company (USA) county Tax Ymp No 1000, Seetion...!~ ........ Block.. 2 ...... Mattituck Park Properties inc ..... 801 68 ~uoalvlszon .................................... ~l±ea Map ............ Lot ...................... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ {equesu for: Temporary Certificate ........... Final Cartica~e~ ....... Fee Submitted: $ ............................. 511o ' ................ I~1)I1(:11 FII^HF, & I'l,ll~'llg ! lll,'}lll,^l'l()ll lll~.ll, Il. [}'1'6] l{ U^ I I'} .............. CUIlIlI£11 i]~ ^I)I} !'l' I {}Il^l, {;(.)ll[ll~.ll 1',~: I.i' "3 'O0'Og°Og '$ ¥OI{M riO. I TOWR OF fioIrrllOLI) llU [I,I)J NG I)EPARTflK~T TOW~ IIAI,I, ~OU'I*IIOLD, N .Y. 1197 I TEL: 765- Ifi0~ SUIWE¥ ........................ SEPTIC FORH ................... HO'FI FY: c^,.,... 7] .... HAll. 3'0: .................... 'Date.fi@~qb ......... ,1996.. a. 'lhia applicatlcnt n~mt Im completely fillc~l in by tylx.~:riter or in ink taxi m~h, ltt~l to the I~dldi~ Ins~etor whh 3 ~ts of plmm~ acca~rate plot plan Lo scale. F~ accordl,g to b. Plot Idms ~ir~ l~t{~ of lot m~ of ~sildis~s ~ pr~i~s~ ~lationMIJp to ~joining pr~nises or ~blic nLr~ts or areas, a,~ Bivi~ ~ ~tail~ ~scripti~ of la~lt of pm~rty ~st Im dr~ ~ Lite di~ran ~lid~ is ~art of thia al~d icati~. c. 'lhe ~rk c(~r~l I~ Ibis aHfl icati~ pay net I~ ct~me~m~ I~fore iss~.<e of l~dlding Permit. d. U[~I nH)~nl of this a~[ical. J(~, tim Ikdldl.g hm~ctor will inm~ a lhdlding l~tmlt lo tile applicant. I~it ~m[l Im kept {~ tl~ p~i~s ~ailable for inal~ett~ tht~Jt fl~e e. ~ Ix~ildi~ Mmll Im ~pi~l or u~l in ~ole or in ~rt for any ~cl~ ~mt~er ~mtll a ~rtlfiente of ~q~a~<y Mmll Imve I~n grnat~l by tl~ Ihdlding hm~tor. AH~I,ICATI~ 18 IE~B;Y [NE Lo tim I~lldi{~ I~[m~tn~nt for the iam~at<e of a ~ildlt~ Permit ~r~ant to Lhe Afihlh~ F~ Ordhmtme of tim 'l~m of ~tl~ld, ~fffolk (~mty, ~¢ York, a~ other a~licable I~s, O~li~<es or Regulatines, for the construction of I~]ihlit~s, a<kliticnm or alteratiooa, or for r~z~va described. 'Ibc applicant agrees to c~ply with all applicable laws, ~rdlg~?.e. es, reguh, tic~,s, a,xl~ to ace, it m,tbori~md inspectors ~, p~i~s a,~l in Ir~ld~ f~. P.O. Box 981, ~075 Main Road~ $outh. 9.1.d.,.NY · n 11971 (Haili~w, address of apphca t) State Mmtber applicant ia cmeer, lea~-oe-, ageet, arddtect, engi~mer, general cCn~tractor, electrician, plud~er or buihler. Agent Na,~ of c~er of pr~,i~es .¥.~9.u.d..~. ?.a..n.k..a..n.d. Trust Company .(USA) (as ~n~ the ta~ roll 6r latest deed) If al~licaa~ ia a corl~rati<n~, signature of &]ly autl~)rlzed officer. (l~a~a m~!.~'j.~le of coq~orate officer) Buildera Licease No .......................... PIml~rs Licease No .......................... Electricians License No ...................... Otlmr 'rr~le~a Liceer. e No ..................... NAR 2 9 199 I. l~cation of lm~l cn~ ~ddd~ proposed ~x)rk wil I I~ (b~ .............................................................. 1825' ,',' ~ Sigsbee Road Mattituck CXXIIII.y 'I'aK ~ap ~}. I{XX) ~ti~] 144 Bl~k 2 lot 14 ~dxlivisi(z~ Mattituck Park Propertie% Inc. FiI~ ~ap ~. 801 l~t 68 ..... 2. grate existiog u~ m~ ~Cml~a~y of prO~d~a ami intet~l rise mai ~y of ~ c~stmcti~: ar~ b, ]ntet~k~l oae ami oeo]lmtmy ............................................................................. X (attache~ shed) ]. N~lh,~ o1: ~a)~k ((:beck ~dd, al,plicabie): Nc~ I~.dhli.g .......... ~l{t~on .......... AIh.~at Jo. .......... 7. Ih.~.nlt. m o~ existing .tnmtur~.~ iff an~ Fr~t ................ l~ur ............... I~pth I)l.~llSl~l~a o[ ~tll~ sl.t~mture wlt,h alterati~ass or i~lil'lo.~: Front ............... I~ar ............... ......... .~ ~ ~0~03 J PLOT see attached survey !H'A'IE iX" hl~4 ¥OI~K, (NlJlllJ uf hxlJvld.al sip, td.i; eontroct) AP_PJIOV. ED AS NOTED NOTIFY' I~UtLDING ~'E~i.~~ 765-1802 9 AM ~ 4 ~M F~R THE FOLLOWING INSPE~IONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING 3. ihSU~TION 4. FINAL CONSTRU~ION MUST ~E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQuIR~ENTS OF THE N.~ STATE CONSTRUC~ON & ENERGY COGES; NOT RESPO~IB~ FO~ thc, Agent i :~)r,s to Imfo.a .¥~ Ihi~ J JOS[PH H. gibBONS, NOTARY pUBLIC, ~8t~ ~ N~w York Ho. 5246182~5 QuMlfled In 5uff~ Coun~ Commission Expir. Ap?l 30, 19 ~