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Home My WebLink About20664-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22476 Date JULY 27, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 2405 MARRATOOKA ROAD House No. Street County Tax Map No. 1000 Section 123 Block 2 Subdivision Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 22~ 1992 pursuant to which Building Permit No. 20664-Z dated MAY 28~ 1992 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 IN REAR YARD AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOSEPHINE A. PIG"NATO N-280597 - JUNE 22~ 1993 N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. 8UILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_N9 2066~ Z Permission is hereby granted tR: ~ ,~ , ...... .............. County Tax Map No. 1000 Section .../~..~. ........... Block ..... .~...~... ........ Lot No...~.~. .............. / pursuant to application dated ............ ~......~:s.. ......................... , 19...~,~., and approved by the / Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Phis 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/t0 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 "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. 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 $1.)u~.00, C mmercial $15.00 . Date .... ?.(.~. .?. /. ~ New Construction.~.~..~..~.. Old Or Pre-ex~ist~ng Buil~dlJg..~];;;;; ........ · .... Location of Property ...... .~.~.~ .... ~...g..(.~ ............................ House No. Street Hamlet Oa erorO aersofFroperty ...... ~ ... .~. Coua~y Tax ~ap ~o 1000, Seetio~.../.~:..~. ..... Bloc~ ................ ~ot ...... q ............. Subdiv~.sion .................. } .............. .~ .Filqd Map ............ Lot..~ .......... ~.~ ........ Iealth Dept. Approval .......................... Underuriters Approval....~_~.~>..~...~.~ ...... Planning ~oard Approval ............. ; .......... . Request for: Temporary Certificate ........... Final Certicate,~.... = ' ;:~ ~ '~ ~. 6/~-~ A~p''~ ?OUNDA~ION (1st) ~OUMDAT!O:4 (2nd) ~OUGH FRAME & .PLUMBING iNSULATION FERN. Y. STATE ENERGY CODE FI~;AL ADDITIONAL COMMENTS: 4', 765-1802 BUILDING DEPT. ]~~UNDATION 1ST [ ] [] INSPECTION ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE FORM NO, I ' ''~;'';'' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 :~proved .'...~..~Z.': .... ,19 .~.*. Permit No..~. ?.~K& Disapproved a/c ..................................... · . (B, ffil~ng Inspector) APPLICATION FOR BUILDING PERMIT ' . INSTRUCTIONS BOARD OF HEALTH 3 SETS OF' PLArtS .......... ~URV£Y ................... c~,.. ~.Z ~.~ ~... HAIL TO: Date .............. 19 . a. 'Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale. Fee according to schedule. · b. Hot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. ~,'not be c mmenced before issuance of Building" " ¢. The work covered by this application ma ~ Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy hall have been granted by the Building Inspector. APPI.ICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the ;uitding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr/bed. 'he.applican.t agr. ees to comply wit~ ail applicable laws, ordinances, building code, 13ousing code, an r ,, tations and t ~m,~nuthorlzedmspectorsonprem,sesandinbuildingfornecessaryinspecti<?jls.../_ /~ a~frP,71o~. 0 __. . ...... ....... (S~ ;i~nat~e t6Vapplicant, or name, ,i,f'~{ corpor}~!on) (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber Or builderi d ........................ I ero remio.~' ' /idF ' (as on the t.alx roll or la.test deed) ~' applicant is a corporation, signature o f duly au thorized officer. title of corporate officer) Builder's License No... ~.~../V~..~x,.. Humber's License No ......................... Electrician's License No ................. Other Trade's License No ...................... Location ?liana od which broposed work will be d'~ne.. [.~.,q..~. p..~,,,~....~., ........... .~... :.. II N St ............. ouse umber reet Hamlet ~ . · co ~ty T Map N looo s ,io /~. ~.. ~ " u ax o. ec n ............ Block ......... . . Lot Subdivisinn ..................................... Filed Map No ............... Lot ............... (Name) ' State existing use and occupancy ofprTmilc.~ended use and occupancy of proposed construction: ' ' .i , ~ a. Exis,ing use and occupancy ...... .:: ../...Fa. .'V...~1. '7".-..~.~.o.0:. ~& ................... '. b- Intended use and occu.n.,.~ / ~)~(~/_~; . . .... :....:. ..., .' . : . ] .'"/'; . .' ~ . .. :,~.~;:.-' hack which apphcable): New Building ..... Ad .......... Aheration .... · Repair ............. Removal .............. Demolition .............. Other Work ...... 4 Estimated Cost ,~.O..o.O ." v i (Description) (to be paid on filing this appli.cation) $. If dwelling, number of dwelling Units .... .~-'. ~.,i ..... Number of dwelling units on each floor... . If garage, number of cars ..... l 6 I,.,f..b .e %mn..r.c lorm doc y sp irynat and tofeachty '"i.'~?.' ........... 7' usm ss, c i e la lXe cupanc , ec ute exten po of use * ~t.~nllenslons Gl existing structuree if an,,. F~-~ ,- ~ .................... ,,e~gsl,. ............... mummer of Stories .. . ' ......... . .... Dimensions of same structure with alterations or additions: Front Rear D pth ~ Hight .......... "r. e ............. N berofSt ri 8 Di sionsof tiren tnlction: Fro ' · ....... um o es .................... · men en ew cons nt ............... ·Rear ............... Depth .... ., .......... Height ........ Numbe f"- ' 9. Size of lot: Front . i ~ ....................................... I0. DateofPurchase . /o/g~ '.. :2.' ........... Dep~t~h ................ 11. -u,= us ~=a UlStnct in wmcn prmmses are situated .................. 12. Does proposed construction wola'te an*, z,--:-- ~ ........ · ' hT/J .................... 13. Name o""' ° ' . ' ' '.-}7f'~ !' ~: .... ,')::.' · '~t'- Will excess fill be removed from premises: ~.~ No marne oI Arcmrect ........... ! ................ Address ................. Phone No ............. Name of Contractor. ' 15. Is this property within '300 feet ~f a tidal wetland? ...... f..Phon . ..~ ........... '.. *If yes, Southold T!wn Trustees Permit may be required. Locate clearly' and distinctIy all ~uild/ngs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n~mber or descriptioh according to deed, and show street names and indicate whether interior or comer lot. rATE OF NEW YORK, S.~ 3UNTy OF · .~ · . ~ ....... :... ! ' ore named. ......... ; being duly sworn, deposes and says that be is thc applicant (Contractor, agent, corporate officer, etc.) said owner or owners and is duly a{ t mr zed to perform or have ' performed the said work and to make and file this '~/kCat on; that all statements containe,d in this application are true to the best of bis knowledge and belief; and that the will be performed in the manner set forth in the application filed therewith. om to before me this ~ , ........ ~ ....... day of.~., ........ , ix) · ir -F1 F,..l C> Fll PLAN SCALE: 1/4"= 1'- 0" IPROJ. PLAN~I P-3019 ~ DATE: I D~AWN: J.S. J 3 OF 5 FRONT FRAMING SCALE: I/4''= 1'- 0'