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Home My WebLink About20441-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20782 Date JUNE 9~ 1992 THIS CERTIFIES that the building. Location of Property 805 T.RW. TON DRIVE House No. County Tax Map No. 1000 Section 59 subdivision Street Block 1 Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 24 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 1992 ..... pursuant to which Building Permit No. 20441-Z dated FEBRUARY 2I~ 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ATHANASIOS & POLYXENI MARINOS ilding Inspector Rev. 1/81 FOBM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 20441 Z Date ~ ...................................... , / County Tax Mop No. 1000 Section .............. ~... ...... Block ...................... Lot No. pursuant to application dated ...... ..~././..~... ................................. , 19.Z.~?, and approved by the Building Inspector. Rev. 6/30/80 FEB IS APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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, er 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. 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 - $i00.00 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 $15.00 ................ New Construction..~ ...... Old Or Pre~existing Buildin~ ................ Location of Property ..... .~-. .~% .~.1~.9~;.. ~ ..~-.. :.~i ........... House No. Street Hamlet Onwer or Owners of Property ..... County Tax Map No 1000, Section. 7~ ock .... ~. ...... Lot...~ ....... ..... f ..... Bi ............. Subdivision ................................... Filed Map ............ Lot ............... Permit No ................ Date Of Permit ................ Applicant .............. Health Dept. Approval .......... Underwriters Approval ........ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: ~. .................... ~OUNDATION (1st) :OUNDATIO~'~ ~ 2nd ) ~0UGH FRAME & .PLUMBING [NSUhATION PER N. STATE ENERGY CODE Fi;;AL ADDITIONA'L COMME~ITS INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INS] TOWN OF SOUTHOI MAY 20, 1992 A~ASIOS MARINOS 805 LEE'tON DRIVE SOUTIIOLD, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x~x An application for Certificate of Occupancy is not on file. (Enclosed) FOR SNED NO Underwriters Certificate on file. 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 ~ 20441-Z Please contact our office on this matter. cooperation. (FOR SHED) Thank you for SOUTHOLD TOWN BUILDING DEPT. Ltd FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765.1802 No .......... BOARD OF HEAL/II 3 SETS OF PLA~tS SURVEY ClIECK SEPTIC FORH APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ,ets of plans accurate plot plan to scale Fee according to schedule b. Plot plan showing locatzon ofilot and of buildings on premises, relationship to adjoining premises or public streets )r areas, and giving a detailed descripition of layout of property must be drawn on the diagram which is part of this appil- :ation. i c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this applicatlion, the Building Inspector will issued a Building Permit to the applicant. Such permit .l~all be kept on the premises availablelfor inspection throughout the work. e. No building shall be occupied i or used in whole or in part for any purpose whatever until a Certificate of Occupancy ,ball have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding 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 described. File applicant agrees to coniply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authori.zed inspectors on premis ,~s and in building for necessary inspections. (Signature ~,f applicant, or namg~ if a corporation) (Mailino address of applicant) State whether applicant is owner, lc: see, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ..... 'an, eofo,vnerofpremises ..' .\. .i ... (as on the t~ roll or latest deed) It' applicant is a corporation, signature iof duly authorized officer. I (Name and title of corporat~ Builder's License No ........ ~ · L Plumber's License No. ., i Electrician's License No ....... ,. officer) Date .......... , 1 Other Trade's License No. Location of land on which proposed wc~k will be done· ' ................... llouse Number ~ Street ........................ County Tax Map No. 1000 Section .... % .o~. ........... Block....~... Subdivision ..................................... Filed Map No. (Na :ne) · State existing use and occupancy oq premises and intended use and occupancy of proposed construction: · ' a. Ex~stmg use and occupancy .c,~. . .~.. . \ . b. Intended use and occupancy ~-~' Hamlej 3. Nature of work (check which applicable). New Building * ' Xda;, ~- Repair ' · ......... ,,u, . . Alteration ........ .............. Removal .............. Demolition .... Other Work "~,Ok~ .~',~'~9.~' ' ") ' . ...... "~ !} ~(D6scfiption) 4. Estimated Cost,, ' ~q ..................... Fee .. ;~'~ ~ ' If dwelling, number of dwelling (to be paid on filing this application) 5. units ........... . If garage, number of c~s .... · ·. · Number of dwelling units on each floor... If business, commercial or mixed occupancy, specify nature and ..................................... 7.Dimensions of existing structures, if any: Front ............. extent of each type of use ..................... · . Rear ....... Depth ............... Height ............... Number of Stories ..... D~ensions of Same structure with alterations or additions: Front .... Depth ................... Hm ~ Rear .......... 8. ~t ...................... Numbe Dimensions of entire new construction: Front of Stories ............... ............... Rear ............... Depth ............... Height ............ ;C ' Number of Stories 9. Size oflot: Front ~ A%~ '~5'"i'd~,''k' ............................. ............ ........... ............ :. 11. i ich premises are situated .::: a~e of Foyer Oxvner ............................ 12. Does proposed construction rio ate any zoning law, ordinance or regulahon..... 13. Wflllot be regraded ' ' ........... ............................ Will exc~s fill be re oved fr m ~r ises: Yes ................. '" N~e of Architect ...~ .............~ Addres~.ph~,~ ~ N~e of Contractor~9:l~.~l~??~Y, ~U{~,A~. ~;~Ui, ;;,u(~kk~ .......... ~' ~.~: ........... 15. Is this properey within 300 feet ;~.~.k;~.~aar~s~ ..&...-3~.I~l...:x}..PhoneNo.$~?~p.' · If yes, Sou~hold Town Trustees Permie may be required~ ................ ... PLOT DIAG~ Locate clearly and distinctly fll bulldogs, whether existing or proposed, ~d. indicate al set-back d~ensions from~ propeay ~nes. Give street ~d block number or description accord~g to deed, and show street n~es and indicate whether interior or comer lot. OOOU;W C¥ OR USE tJ L WFIJL WiT' ' OUT ~654802 9 AM ~ 4 PM ~OR THE FOLLOWt~6 t, FOUNDATION - ~¢0 REOUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING ~, INSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. NOT RESPONSIB~ FOR DESIGN OR CONSTRUCTION ERRORS FATE OF 3Ul~'y OF. ................... ' .............................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ,ovc nanlcd. is the ..... ff ~w'o~,~ . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this .~lication; that all statements contained in this application are true to tile best of his knowledge and belief; and that the ,rk will be perfo~ed in the m~ner set forth in the application flied therewith. om to beforeme th~ ~ ~ bric, ~...M;..7/..i.;... . ' .... ~'"T7 ............ , ...... Co.n~ 'i~ ~' ~'" ~' 1~TM ' ~ (Signature or applicant)