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Home My WebLink About23050-zFORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date../.~..~../..0.. .............................................. 1 23050 Z / Permission Is hereby granted to: ~, ~// ~.......,c~.¢.. ...................................................... ,o ~~?.:..~..~.:,/~~~...~.~....~ ' ......... ...... ............................. Building Inspector. Fee ~...?,~..,. ............ and approved by the Rev. 6/30/80 FOPS4 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24932 Date MARCH 17, 1997 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1335 MARRATOONA RD. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 11 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 1995 pursuant to which Building Permit No. 23050-z dated OCTOBER 10, 1995 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 STOOP & INSTALL HANDICAPPED RAMP ADDITION FOR DOCTORS OFFICE AS APPLIED FOR. The certificate is issued to GEORGE D. & JEAN S. RICHARD~ 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 FIEL~O "I~PECTION REPORT DATE COMMENTS FOUm~aTIO~ (~ST) ', ;I FOUNDATION ( 2ND ) ROUGH FRAME & PLUMBING FINAL ADDITIONAL COMMENTS: Form No. 6 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 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... ................................. New Construction ........... Old Or Pre-existing Building ....... ~ ......... Location of Property ........... .~. House No. Street Hamlet (~ C~ ~' . ......... Onwer or Owners of Property ........ .~. ........... .~.(~.~.~.~-~ ......... .~.~.-~ -~'-~'~'-- County Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision Filed Map Lot ............... ~ ~ 0'~O ..~..Date Of Permit .... ~:2:?~.~'-...Applicant .... .~.~CC~....~.~.~ Permit No ............ · ......... Health Dept. Approval................,.....----Underwriters Approval....... ................. · Planning Board Approval ........................ ~ Request for: Temporary Certificate ........... Final Certicate. J ....... Fee Submitted: $ .................... .................. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 27, 1997 Ms. Jean Richards Box 1434 Mattituck, NY 11952 Re: TM#1000-115-11-26 Prem: 1335 Marratooka Road, Mattituck 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) No Underwriters Certificate on file. xx 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 # 23050-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~/~ [ ] ROUGH PLBG. [ ]/~ULATION [ L/~ FINAL DATE ~-/:~ ~"(/7 7 INSPECTOR /~ ~/ FORM NO. 1 ~ '~ TOWN OF SOUTtlOLD · ' ' , ,, BtJILDING DEPARTMENT. ' TOWN tlALL SOUTIIOLD, N.Y. 11971 4~../. TEL.: 765-180;3 Examined / . . ........ , Disapproved a/c ................................ ~ .... APPLICATION FOR ~UII_DING PERMIT BO,\RD OF ItE^l.'fll 3 SETS OF P. LAN£ .~'. . £11ECK . S£PTI£ FORH CALl .................. i'lA I L 'rol INSTRU~:I'IONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl sets of plans, accura{e pk)t plan to scale, Fee according to schedule, b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public s(re, or areas, and giving a detailed descdptioh of layout of lnoperty must be drawn on the diagram which is part of this apl calion. c. The wink covered by this application may not be commenced before issuance of Building Permit. d. Upon apl)royal of this application, the Building Inspector will issued a Building Permit to the applicant. Such pern shall be kept on the plemises available for inspection fluoughout the work. e. No I)uildiJ}g shall be occupied or used in whole or in parl for any l)Urpose whalever un/il a Certificate of Occupan shall have been granted by the Buihling Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Buihling Zone Ordinance of the Town of Southold, Suffolk Cotmty, New York, and other applicable Laws, Ordinances Regtdalions, for the construction of boildings, additions or alterations, or for removal o'r demolition, as herein describe The applicant agrees to comply with all a)plicable laws, ordinances, buikling code, housing code, and iegulations, and admit authorized inspectors on premises an~l, in building for necessaw inspections. . .... ............ ~na~me oF applicant, or name, ff a corporation) .... ..... .... (Mailing address of applicant) / I q~ State whelher applican{ is~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ........ ' .............. Nameofownerofpremises ...~eo.~.e.~,.~/~rd~..~..~.~/:~.~(d~ ....... (as on the tax roll or latest 'deed) If al)plicant is a coHmration, slgnatme of duly authorized officer. (Name and title of eot ~o['al~,officer) Builder's License No.. ,~.3., .~./Z T..H.Z I'lumbel's l,icense No ......................... '2. Elechician's License No ......................... Other Trade's License'No, [..ocation of hind on which proposed work will be done ................................................. ...................... .... Ilouse Nmnber Street llamlet Co.,.y 'ra~ Map ~o, ~000 S~c.o.... :. Subdivision ........ . ............................. Filed Map No ............... l.ot ............... (Name) State existing use and occtlpallcy of premises alld intended use alld occupancy of proposed construction: b. Intemled use and occupancy .~.~e.. . ( tn!:}uddl!JO o.ln v,u~lg) ol ~tllp.looosy tlOIl dLlosop I~ V~[ [) V 1 (I A.O; 1 d ~lu] A ; Sltt ~. (I tuoJj po4otuoa oq 11 I ssooxo lh~ .................. '8 ...................... so~ols JO~ J~Clult~N ' ·. .................... lqfl[¢I] ................... .... ............... q}tlg(j ....... ~ ......................... 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