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Home My WebLink About21493-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town ~all Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22612 Date SEPTEMBER 23, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 4645 ROCKY POINT ROAD EAST MARION~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 1 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 1993 pursuant to which Building Permit No. 21493-Z dated JUNE 22~ 1993 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to GEORGE MEGDANIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-286630 - AUGUST 18~ 1993 .... z/ /uildihg Inspector Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT ITHIS PERMff MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date..~.. ,.~.~,....,'~,. .......................................... 21493 Z ....................................................... ........................................................ CountyTax Map No. 1000 Section ......... ~Z ...... Block ............ ~ .......... Lot No ..... ,~..~... ............... pursuant to application dated.....~../~...~..i ...................................... 19,..~..~ ..... and approved by the Building Inspector, ~ee ~...',,~....~. Rev. 6/30/80 , ~ ,_.~,~l~.l~ .... Form No. 6 I~ ~\; SEf) 2 8 ~993 ! I BUILDING DEPARTMENT ~ . B,-,~,~, O~.L 765-1802 ': ,~PSIC~O~ FOR CERTZ~ZCAT~ O~ OCC~PA~G¥ 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 2/10 of 1% lead. 5. Commercial building, industrial b~iiding, muitiple 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 us.es: 1. .Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and'~ 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 · 4. ·Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 Date .... ~.~ ,ew Constructmon .......... Old Or Pre-existing Building ................. ',, House No. Street Hamlet )nwer or Owners of Pro er ubdivision ' Filed Map ............. ealth Dept. Approval .......................... Underwriters Approval ....................... .. lanning Board Approval ........................ ~quest for: Temporary Certificate ........ · .. Final Certicate ........... ................ ?'i£LD i~S[~ECTiON FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL tIDATE CO~ME~TS 765-1802 BUILDING DEPT. INSPECTION [~jFOUNDATION 1ST []ROUGH PLBG. [ JFOUNDATION 2ND []INSULATION [ ]FRAMING []FINAL REMARKS: ~' - ~ - 7~-X802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. J/F~UNDATION 2ND [ ] INSULATION / FRAMING [ ] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS l 1. ~. 9 li(~ 9 9 BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT o~y the electrica~ equipment m ~scrib~ be~w a~ i~t~uced by t~ ap~icant ~med on t~ a~ application ~umber in the prem~es of G~ORGg ~ 46~ ROCKY PO'~ RO3, D~ POLg~?, ~A8~ ~ARZO~, in thefotlowlngmcatlon; ~ Base~n~ ~ Ist FI. ~ ~nd FL G&R/OU~ S~tlon Bilk ~s examined on ~ ~ ~ ~ ~ ~ ~' ~ ~ ~ 9 9 ~ and found to be in compl~nce with the Na~onal Elect~c~ Code. DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: S E R ~c~. ^.wo. NO.O E CONY. OF CC COND, C OF HI.LEG NO. OF NEUTRALS AWG. OF N~UTRA£ GRP~}~POR~, NY, 11~44 GENERAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIF CATE MUS'EiNOT BE ALTERED IN ANY MANNER. The sewage disposal and water supply facilities for this locatio:~ have been inspected by this dcpaurtment and foun~L/7 ,to be s a%isfactory, Services 2:212 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ SOUTHOLD, N.Y. 11971 BOARD OF HEALTH 3 SETS OF PLANS SURVEY CIIECK SEPTIC FORH -' ~' ~ TEL.: 765-1802 Approved...~..~.P.~-. ........ , 19~. Pemli.t No..~../..~..~..-?.~ Disapproved a/c .......................... ' APPLICATIO~OR BUILDING PERMIT t:OT I P¥: CALL .................. MAIL TO: Date ................... 19... INSTRucTIoNS a. This application must be completely filled in by typewriter or in ink and submitted to the Building inspector, with 3 sets of plans, accurate plot 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 sti'eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this cation. c, The work covered by this application may not be commenced before issuance of Building Permit. . ~d. Upon approval of this. application, the Building Inspector will igsued a Building Permit to the apphcant. Such permit sha~l be kept on the premises available for inspection througliout the work. , e. No building shall be occupied or used in whole or in.part f?r any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Ins, pector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectoFs oq p[.e,~i,~es and in building for necessary insp. e~4m~ .............. ~ "~'"~ ..................... . (SignatUre of applicant, or name, if a corporation) ~. ~ ~,: .~ .; . ,;,. ,..., · I',, ,' (Mailing address of applicant) State whether applicant is owner, essee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises p/~ ~ i~- ff~// ff . (as on the tax roll or latest deed) If apphcant ~s,a c,orporatio~,.signature of duly authorized officer.' ~ (~., [ne a.nta .title'of, corporat, officerJ Builder's License No ..... .~.e .~. ?..~.. .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be'done..~ .... . ...... ..q .................... i ................ ..... .......... ....... House k'um ber Street Hamlet / / Connty Tax Map No. 1000 Section .,.: .............. Block ....... '.., Lot ............. Subdivision ' Filed Map No. · · Lot (Name) 2; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... '...'~.Z ..~'.~/-'~Y'- ........................ ~-'C-'" ' ;-'~ ', ' ' ':; ................ · 3.Nature of work (check whichlapplicable): New Building .>,.. · '. · · Addition .... Alteratio- ' 5. I (to be paid on filing this application) If dwelling, number of dwellin'g units ............... Number of dwelling units on each floor ................ If garage number of cars · , commercial or miy ed occupancy specify re and extent of each type of use ' ' .... 7 Dimensions of existing struct~ res if any: FrOnt Rear · Height Nu ml~ei- of Stories ............................. Depth ............... Dimensions ofshme structure vith ........................................................ Depth ' alterations or.ad~litions: Front ................. Rear .................. Height · Number of Stories ' ' 8 Dimensions of entire ~.ruction Front ~ · new cons · ' .................. . · ' Rear Depth Height 2 Number of Stories Size ofiot: Front , . ........................ 10 Date of Purchase ....... " ........... Rear ..................... Depth ..... I Name of Former Owner ................ h p~ . Zone or use district in whic emises are situated ....... . ........... ; ............................ 12. Does proposed construction v ate any zonin aw, ordinance or regulation: 13. Will lot be regraded ., ........................ ........ i .................... Will excess fill be removed from premises: Yes ~ 14. Name of Owner of premises .. l · ·; ·, ..... Address .... . . Phone No. . Name of Architect . . ' ................... ........................ '. Address ................... Phone No ............ : .... Name of Contractor ........... Address Phone No ........... 15. I~ this property within !300 feet of a tidal wetland? *Yes ........ No ......... · If yes,~ Southold %own Trustees' Permit may be required '-. [ PLOT DIAGRAM Locate clearly and distinctlv alll buildim,~ ,..~h. 2 ...... . . . nro-ertv, lines Give stre,~+ o .~ G'. ,.I -- .---o-, 7-~.-m. exlsnng .or proposed, dna, indicate all set-back dimensions from '~t~r~o/or cor~ter lot .... n,~ o,oc~.i.~umoer or aescnptmn according ~o deed, and show street names and indicate whCthe~ NOTIFY eul[OfNG ~E~ .765-1802 9 AM TO 4 'PM'I~R THE ' · FOLLOWING INSPECTIONS: . .. 1. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE · . 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR. DESIGN OR CONSTRU~ ION E~RORS STATE OF NEW YORK, · ' . ...... '..' ......... being duly sworn, deposes and says that he is the applicant (Name of individual signin! contract) . abo,e named. ". ;{e is the ' · (Contractor agent corporate office~: ere) ............. ~f said. owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ~pplication; that all statements containOd in this application are {rue to the best of his knowledge and belief; and that the york will be performed in the manner s{t forth in the application filed therewith. ;worn to before me this ............ day of i ..... 19. J, COOPER i ' ' Notary Public, State of NewYork No. 4922563 Suffolk County ~ik/2 . ' (Signature of applicant) Term Exp res De~ember 31, 19,~l