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Home My WebLink About23468-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuOmANC~ No Z-24471 Date JUNE 28, 1996 THIS CERTIFIES that the buildin~ Location of Property 3675 STARS ROAD House ~o. County Tax Map No. 1000 Section 22 Subdivision ACCESSORY EAST MARION, N.Y. Stree~ Block 2 Lot Filed Map No. Lot No. Hamlet 25 conforms substantially to the Application for Building Permit heretofore filed in this office dated F~BRIIARY 26, 1996 pursuant to which Building Permit No. 23468-Z dated MAY 23, 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 GARAGE "AS BUILT" AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 CARMEN VAZQUEZ & GARY MATTHEWS N/A N-389037 - JUNE 18, 1996 N/A Building Inspecto~ 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) N.° 23468 Z Permission is hereby gronted to: ...................... .Z ./.Z....~.~?//. ',,~.....~..~..-:.. ...................... · ,-, .~.~...~.~.'~/....~./...,..z.~zzz ,, , ,, ,o....~?~,~.~.~...~.......~.u.,.c'.~.~ .......... ~,:~r~ ......... ~..~.....~.,...~.--. ..~..z ...... ,,~..m~. .......... ....~...~..:. ........... .../... .............................................................................. ot premises oc dot ..................................................................................................................... ...................... ~.,c.~ ~~.~ County Tax Mop No. 1000 Section ....~.... ............. Block ........~...~... ....... Lot No....~ ....... pursuant to application doted ...~ ................................ , 19 and approved by the Building Inspector. Fee $ ........................ Rev. 6/30/80 765-1802 L~..~_~.~'~v.- '~E?~' BLDG. ~PLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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/i0 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. B. For existing buildings (prior to April 9, 1957~ non-conforming uses, or buildings and 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. 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 building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 'New Construction ......... .. Old Or Pre-existing Building..~.~.~.- ..... Street Hamlet House No.~ Onwer or Owners of Propert~ ..../ Subdivision .................................... Filed Map ............ Lot ...................... Permit No .~./~'~'7 Date Of Permit . Applicant · Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ....... . ... Final Certicate ........... Fee Submitted: $ .2 .~. :..D.~. ...... ~/~. ~ / 5/gt/O - ............ Of~P.I IP~NP.¥ nR LLSE !$ IJN! AWFUL I~iTHOUT! C OF OCCUPANCY THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~95099 BUREAU OF ELECTRICITY -- 85 JOHN STREET, NEW YORK, NY 10038 O. te JUN]~ 18,1996 ~ppHc.~io. Mo. o.f.. 11866596/96 N 389~37 THIS CERTIFIES THAT only the electrical equipment as describmt b~low and introduced by the applicant named on the above application number in the premises of C, VAZQUEZ/G. MATHEW$, STARS RO~D, ~AST HAMPTON, N.Y, i. the following hwatlon; [] B~,ement [] 1st FI. [] £nd FI. GAR/OUT Se,-tio. Block Lot ~sexamlnedon JUN]~ 13t 1996 and found to be in compliance with the Na~onnl Electrical Code. RXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 2 i 3 2 SERVICE DISCONNECT NO. OF S E R V I C E 1 10~ CB PANELBOARDS~ 1-5 CIR, G.F.C.I~-2 GREENPORT, N'f, 11944 ~ ~ [ ~ ENimAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by'~heir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU~T NOT BE ~ALTERED IN ANY ~NNER. lull MAY-16-1996 09:12 UNIUERSITY Hi blUNY BRUUK 516 bSE '¥18~ P.02 OCCUPANCY OR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INS~ATION [ ] FRAMING ~FINAL [ ] FIREPLACE.&~CHIMNEY REMARKS: ~ DATE~//~ I N S PECT~Z~/?/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. i]~NFiNAU:ATION [ ] FIREPLACE & CHIMNEY REMARKS: ~./~-~.d DATE FOR~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~N IIALL SOUTHOLD, N.Y. 11971 TEl.: 765-1802 ( BOil d'i~g ldspector) BOARD OF I1EALTII ............... 3 SETS OF PLANS ............... SDRVEY ........................ CItECK ......................... gEPTIC PORM ................... APPI. ICATION FOR BUILDING PEP, HIT INSTRUCTIONS a. lids application r~st be cempletely filled in by typt~.rrlter or in ink and sulanitted to the Building Inspector with ~ ~t$ of plans, accurate plot pIau to scale. Fen according to schedule. b. Plot plau .qaowlng location of lot and of buildings on premises, relationship to adjoining premiss or public streets or areas, taxi giving a detailed descriptlan of layout of property mst be drawn on the diagram which is part of ~thls appllcatlan. c. lhe ~rk eowred by this application may not he commenced before is,quake of Building Permit. d. Upon approval, of this application, the Building Inspector will issue a Building Permit to the appllcm~t. Such pemit flmll be kept on tbe premises available for iospectian thr~ghont the e. No building shall be occupied or used in ~hole or in part for any parpose ~daatever m~tll a Certificate of Occupancy shall haw beeo granted by the Building Inspector. aPFI.ICA'I'ICli I8 }tEI',t~I~I' g to tbs Building Ilepartnent for the issuance of a Building Permit la,truant to the Building Zone Ordinance of the 'ram of Sonttmld, S~fffoik County, lx~ York, and other applicable Laws, Ordinances or ltegulatlons, fm the construction of buildings, aklltlons or alterations, or for rear. al or den~litlon, as herein descril~wl. 'lbo appllcant agrees to er~ply with all applicable laws, ordinances, building code, housing cede, and regulations, and to ad. it authorized inspectors on premises and in building for neces_s~ inspections. O~,P,~,~ r,~, u ~..& l ,;~ .......................... ................ ~,'q ~ ........... ::W q') (Sxgnat~nce of appllean~t ~ or li~e, if a corparatign~ / State ~t/etbetm~icant~ls'c~met,~ J~ssen, agent, arch]tect~ engmenr~.general contractor, electr]cmn, ph~ber or buHdur. Na~e o[ o~er of primal.sea .~. ' -~- y ' (as on the tax roll or latest deed) If applicant is a corporatiol~, slgDature of duly autlvori?~t officer. (Rase and title of corporate officer) Builders License No .......................... Pl.um~rs License 1¢o .......................... Electrlclans License No ...................... I. ltx>~tlon of lal on ~hlch propa~l ~rk ~il.1 be done ..................... : .................... ; · -- llouse l~h~ber Street flakier Cx~ant~j Tax/tap No. I000 Section ..... .... Block .... .~.. ........ tot . ...]o~... ....... Subdivislan ...................................... Filed l~p No ................ lot ............... (~) 2. State exlsl:itg use and oconpan~ of premises and intended use and oc~ of proposed construction: Kxlstlng b. Intended use and occupancy ................................... ~ ......................................... 3. i'~dnre ct work (check Mlid~ nplfllqnble): bk.~ I~ilding .......... ~lition .......... Alteration .......... ] f gnrage, ~.d~r of car~ ~ ~ DinenBi~m of exlal, ing 8tnmture8} if any: Fr{a~L ............... I~ar . .. I}in~nai~m of 8am 6tnmture ~lth[ alteratlo~8 or ~ltlons: FroeC ............... I~ar ............... I~qnh .................... I~iJ~t] .................... ~Admr of Stories ............... Di,~nBi~m of enLire ~ ~Btn~ :1~: Fr~t ............... l~ar 2~ or u~ dial:tier in ~,[dl p[euJ~6 are 8~L~L~I ~](e df CxN'lLractor .............. ~ ..................... ~klreBs ............................... PI,OT I)I AGIIAH , l~mLe clearly a~ disci~tly al~ l~[ldh~s~ ~m/Imr existing or propel, m~l i~xlicace all ~t-I~k din~nsion~ ~d~ether interior or comer lot. IqF/ APPROVED AS NOTED OCCUPANCY OR USE JS UNL3WFUL FOLLOWING INSPEC~ONS: OF OCCUPANCY .,. FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION ~O[~[~,~,,S C~'T[~IC~E 4. BEFINALcoMPLETE' CONSTRUCTIONFoR C.O. MUST [ ~U~[[~ ALL CONSTRUCTION SHALL MEET THE REGUIREMLNTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES,, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS · .l~-inh~ duly ~x)rn, delx).'ma taxi troy8 that he ia Lhe applicant: ((~)ntrnctor, nl~,ent, COrl×)rata officer, aLe.) nppl ica~ioa; Ihnl: all [~tatal~nt[i conta~l~l in Ihi9 appl icnt'ion are t n~ LO the Ix~tll: o[ hi~ kig~lalge mgl I~H ief~ mgl